Monday, January 25, 2010

What It Is, and What It Is Not

On my wishlist:

Notes on Nursing: What It Is, and What It Is Not by Florence Nightingale. I know that I could read an electric version online for free... but I far prefer having pages to turn and the freedom to read whenever I want (while I'm blow-drying my hair, or at a stop-light or waiting in line at the grocery store).


Thursday, January 14, 2010

Haiti

My first reaction when I heard about the earthquake in Haiti was "What about the Robinsons?" Then I quickly jotted an email to our missions staff to find out if they'd heard anything about this missionary couple who have been there for years--involved in engineering/building projects. My second reaction was to wish I could go and help with the clean up. Wish I had the medical skills they are so desperate for. Wish I had the freedom to just up and leave.

But my time has not yet come. I can't get away because I've just started another semester of classes--part of the path that I am taking to become an RN. Also a full-time job that while I'm sure they'd let me go...it would be tough to fill the gaps while I'm gone.

Lord willing in 3-4 years I will be trained as a nurse and potentially able to hop on a plane (with organized group) to participate in relief efforts. At least that's what I hope for. If I was married with kids, probably not an option. But at this point in my life, single and no children, I want to use my freedom in ways others cannot.

I think that heading into Haiti right now is for the mentally tough and experienced--those with little or no experience in the developing world may be completely overwhelmed and unable to emotionally deal with the mass obliteration of a city. The sheer numbers of displaced survivors needing basic provisions of medical attention, food/water, and shelter is so unfathomable. And then to consider the recovery efforts of those trapped and the dead bodies that have to be dealt with. The emotional affects on workers--their own difficulty in dealing with the large-scale of suffering, possibly feeling frustrated that they don't have the supplies needed to do their job.

I recall the panic with New Orleans after Hurricane Katrina and the mass confusion and lack of communication and coordination in those early days...how much worse in Haiti when the functionality of the capital city is simply brought to a grinding halt. Everything goes in/out of PaP--therefore those outside the capital will feel a different type of after-shock: potential abandonment of current NGO work (including medical facilities), and lack of supplies (food etc) reaching the rural areas...and of course the cost of everything will go up for lack of supply. All Haitians will be affected.

There are people already tasked with seeing to the immediate, basic needs of Haiti. And there are already teams of people talking about how to deal with things 2 weeks out, 4 weeks out, 2 months out, etc. I am grateful for those who thrive on response and implementation. I'm grateful I'm not in charge. I wish I could be there--to take orders and to play my part. my role. But alas it is not my time.

Tonight on the CBS special edition, I watched a US neurologist (perhaps surgeon) examining a infant--possibly a newborn (weeks old). The baby had a laceration on her head and there was concern that maybe she had a skull-fracture. The neuro-Dr. simply had to use his observational and interview skills to learn about the baby--he had no special lab or MRI or CAT scan lab to run tests on this baby. He was back to using his training in rudimentary diagnosis to be able to properly care and treat this baby. This inspired me to stop looking at these prerequisites as classes to rush through so I can start REAL nursing classes. These classes have purpose and are foundational. The Developmental Psychology class material that I'm reading through now--about reflexes, movement, coordination for motor and cognitive skills etc... are all part of the observations that the doctor used to examine that baby in PaP.

I am eager to hear what the response will be from my church. I'd love to jump on a plane if a team goes...although summer might be my only option. Now is not my time. I've got things to learn, to do and be tested on. They are not a means to a end...but rather they are what will qualify me later. They will shape me into a knowledgeable, compassionate nurse.

Now. I simply pray for God to be merciful to the Haitian people. That in the midst of the chaos, people will flock to churches to be reminded of the hope we have in Christ. Suffering happens and it's hard to comprehend why God allows it. But the suffering does not have to overwhelm or undo us. It can and must drive us to the one who suffered the ultimate. Who knows our hurt, our grief, our pain, the anger, and the hopelessness we can't seem to shake. He is our only hope. He's the rock we can confidently cling to.

Lord have mercy.

The Robinson's, I learned, are okay. They live/work five hours outside the capital. They felt the earthquake and an aftershock. The seminary they work with in PaP was destroyed and it's likely that some of the students died (as classes were in session). Also our missions coordinator at the church, her roommate was in PaP doing short-term mission work. Her fiance got a brief call from her (literally only seconds) to know that she's alive. Another gal, an acquaintance and a friend of a friend, was also there. Possibly part of the same team. I think I heard that both of them are on their way home tonight.

Tuesday, December 29, 2009

A is for Anatomy!

I'm pretty proud. I aced both of my Anatomy and Physiology courses. And online. I've heard that they tend to be tougher than classroom variety. I don't know about that, but reality is that the convenience of studying and taking quizzes and exams on MY schedule...that's why I'm sold on online courses. It would be terribly tough to be working full-time and trying to get to campus for lectures and labs and trying to find time to study on my own too.

Next up? Microbiology online (with lab on campus) and Developmental Psych online for Winter/Spring 2010 semester. Unfortunately these two courses won't count when I apply for PVCC Nursing program in February. But at least I'll be that much further along and might take another course in the summer if I can.

I don't know what I'll do if I don't get into PVCC's program for fall 2010. If I don't, it will b/c I didn't have grades for Microbiology and Dev Psych to help "weight" my application. I guess my A&P scores will just have to be the heavyweights for me. All my other sciences grades are A's and I do have good grades from college...so I imagine the only ones who can beat me out are the ones who have ALL their prereqs done by now. Oh well, I have a job at the church until I don't want it anymore--which is a great thing in this economy. But I simply can't work full-time and go to school full-time. It's not recommended anyways.

So Feb 15 is application deadline. I suppose I should plan to spend my remaining weeks of C'mas break (from school stuff) getting everything turned in...and then it's a waiting game until mid-April. I'm kinda ready for class to start up again. I keep wishing I could work ahead...and I suppose I could when I get my textbooks--I just don't have syllabus and assignments yet. So it's a guessing game. But I'm sure I could safely read first chapter of each and be well on my way.

Until next semester.




Saturday, December 5, 2009

Last A&P Exam coming up!

Well I am in the final throws of my 2nd A&P course. I'm hoping to take the last exam this coming week. Reproductive System. oh joy. At least it's familiar.

I have to write a short "medical problem" forum before I take the exam. Basically choose a medical problem that relates to this semester's body systems and explain problem, symptoms and treatments using as much terminology as I can...but pretend I am explaining to a lesser knowledgeable student in my class. no big deal. I'm doing mine on Prolactinoma--a tumor of the pituitary gland causing problematic increase in the hormone prolactin.

After that forum and the exam, I just have to write about my Service Learning Project. Then I will be done done done with school stuff until mid-January when I will start microbiology and dev. psych. almost a whole month's break. nice.

Thursday, November 19, 2009

Fun in the EP Lab

Today I had the fun of watching some ablation procedures at UVA's Electrophysiology Lab. The gal who took my job at the church (when I left for Liberia--and then who ended up turning it back over to me when she moved to Florida)--her mom let me shadow/observe on her shift today. My anatomy knowledge of the heart was challenged (in a good way). It was often hard to know what they were looking at b/c they were only dealing with 3-D images of a section of the heart. Plus I don't really know anything about reading radiology (yet).

This visit to the EP lab was fulfillment of part of my anatomy class. We have a Service Learning Project this semester which requires doing "volunteer" work in the field that we plan to go into. For me that's nursing and medical. My professor, after e-mailing her, agreed that observing was adequate--seeing as medical type environments really can't utilize untrained volunteers. So I spent four hours in/out of several procedures and also get to step into one actual "surgery". Got to wear scrubs and a lovely hair net (of sorts) and lead skirts/vests because there was live x-rays going on throughout the procedure. And for the one surgical (actual incision) procedure, I got to wear a mask! lol. You know...the little things. :)

I'm struggling to stay motivated to get the book work done for this class. I think that things got doubly hard when Daylight Savings Time ended and it's dark when I leave work. But I have limited time before things really hit the fan at work, so i need to get get this material covered and the last two tests taken. Can't wait...but yet I'm not motivated. ugh. In five weeks it will all be over. And hopefully I'll have an A to show for it.

I found my Microbiology and Dev. Psych classes in online form for next semester, so I'm very grateful. The Microbiology course has a lab that will require me to meet go on campus for 4 Saturdays and that's it. Now I just have to figure out why I can't make a payment online...kinda worries me as I don't want to be bumped out of the course. Note to self: call tomorrow.

Until later...



Friday, October 30, 2009

Halfway through Anatomy 2 (hey that rhymes)

Well I'm halfway through the 2nd semester of Anatomy and Physiology. Only have 2 more exams, a forum and a Service Learning Project. This semester, thankfully, has been far less intense than my first semester. I think it's the difference of time --16 weeks vs. 12 weeks.

I just finished the Endocrine chapter. Scored an A on the exam--when I really though I was going to do poorly (like low B or C). But somehow I studied all the right things.

My mom did a smart thing about two weeks ago when I was complaining about all the hormones that I had to memorize (plus their site production, target organs and functions) and she said "yeh, just wait until you take pharmacology and learn the drugs!" It was a stunning moment for me. Duh, everything I'm studying (and hopefully learning) is useful information. I just wish that throughout this class that I'd be given a glimpse of how REALLY learning this material will help me in my future classes and in my actual work. That's the hard part. I don't really fully understand all that a nurse does in the course of her shift (and even her career), so sometimes it's hard to push myself to learn. I can put something into short-term memory pretty easily...but I'm probably going to regret not actually LEARNING it. But reality is this is naturally a cram course--no one is going to remember everything that we've studied. We'd all flunk if we had to take a final exam that tested on ALL the material we covered all semester. Gives me heart palpitations just thinking of that possibility. yikes!

I took a two week medicine intensive course (MMI) before I went to Liberia. It was a totally fun course. Looking back I remember the strange fascination I had with all things medical and disease. I was so excited to learn how to give a shot and to insert an N-G tube and to suture. I need to go back and look at the diagnosis books again (I used them a lot when I was in Liberia). The strategy of the class was to teach us to diagnose disease based on symptoms and if lucky, results from more rudimentary lab work --that would be available in a developing country. You can read about the class in my May 2006 Archives of my "finding joy in liberia" blog. Specific posts about MMI start on May 14 (you have to scroll down and start from bottom of page).

That class helped satisfy some of my curiosities...but here I am pursuing nursing school. I get so excited just thinking and wondering what classes will be like...but also scared to. Wondering if I can hack it. Making an A's in my anatomy courses doesn't mean that I will do as well in nursing school. Just remembering to take it one day at a time helps. To realize that 22 year olds graduate with BSN's in nursing all the time--so I can do it too.

Next semester I might be forced to take an actual course in a classroom. I don't think Microbiology is available to take online... I really wish it was, but I think the lab portion is why not. Developmental Psych might be available online. Hope so. These online classes have been so good. I'm not sure how I can do both work and school if I have to go sit in a classroom. ugh. Well, I guess I'll have to learn if I don't have online options. mercy.

I need to post more often. But alas, my studies keep me pretty busy.

Sunday, August 23, 2009

Anatomy: Round 2

Tomorrow Part 2 of Anatomy and Physiology starts. I finished Part 1 with an A--which I was very pleased with (of course).

Now I just have to get my head in the game for round two. Work at church is nuts right now and I've been grateful for these two weeks off from school. But with class officially starting tomorrow, and noticing gaps this morning at church...I'm feeling stretched, pressed and deflated and wondering if the next nine months are going to feel this way. ick.

Plus there's other personal stuff going on --good things that I have no control over (and that's a very good thing!) There are also things I grieve over too. Hopefully getting back into the calming rhythm of my study routine will help...at least to keep me from daydreaming and pining away for something that is "not yet"--- which I'm so apt to do.

This past week was exhausting mentally and emotionally--mostly cuz of work...and I think that will be par for the course for the next month or so.

Grace and Peace,