PS- dreams come true

1 year (and a couple weeks) ago, I wrote this post- a general update on my life.  In it, I wrote the following paragraph regarding work:

I like being a paraeducator and I really enjoy working in special ed.  It's also fun, as a substitute, to go around the district and see how different teachers run their different classrooms.  Very educational for me and helpful in generating ideas for how I want to teach my own kids someday.
But the scheduling of a substitute sucks and is something that has ended up being really hard for me.  It used to be good because I would work work work and then get sick and take time off no problem.  And then I went to school and was able to cut way back my working hours so I could study... no problem (except a decrease in income, obviously).  But now it's to the point for me that I don't really like my job.  I mean, I often enjoy it when I get to wherever I'm subbing, but at the same time, I don't come home from work with a sense of satisfaction that I made a difference and stretched myself today.  Usually I come home with a sense of satisfaction from simply knowing that I made money today.  I don't want that out of a job and to be honest, it is not enough to get me out of bed in the morning when I don't feel well.  This may be a character flaw in me, but it is the way I am (at least for the time being).  Last summer I made a "bucket list" of sorts and on that list is "work in an emergency room".  I think I might just pursue that.  It appeals to me, I think would really enjoy the job, learn and see a lot, make decent money, and be doing something that will be good for whatever career in medicine/health care I decide to go into.  I've still got more praying to do about it, but at this point I'm thinking I'll start pursuing it after I have recovered from my upcoming surgery.

It just tickles my fancy to think that 1 year ago, I had a dream to work in an ER.  And it really was a dream-- I didn't have much reason to see it happening, as I wasn't even a certified CNA, let alone my only experience was in CNA school-- and almost zero brand new CNA's get a job anywhere other than a nursing home.  But I had this dream, and I decided to pursue it.  And Heavenly Father helped me out.  1-2 months after this post, I found out about scribing.  It sounded like a dream job to me-- I couldn't believe it actually existed!!  I wanted this job sooo bad!  And I talked to my family about how awesome it would be all the time.  I could see myself doing the job and enjoying it.  I knew that's what I wanted to do.  I could have spent a lot of time doubting whether or not I'd get it- how competitive would I be anyways?  And then come Easter, my current job fell in my lap.  I now work in an emergency room.  And you know what?  I absolutely love it.

a new year?

Hmmm.... it's a new year and I haven't posted since last year!  It's late and I should be sleeping, but we'll do a quick update.

1) work continues to be awesome and I love it.  a couple weeks ago a man passed out in the radiology department.  ER staff was called over, and I followed my doc- let's call him Fred.  They started CPR.  Fred grabbed some trauma shears, and starting cutting the man's coat off him.  Well, it was one of those coats which is packed with feathers, so when he cut into it, the feathers exploded.  All of a sudden, you had 6 people in a radiology lobby, crowded around a man, performing CPR and breathing for him with a bag-valve mask.... with feathers which appeared like snow, floating all around them.  There was something kind of magical about it, and I'm afraid I can't begin to do it justice in this description.  It was kind of like a movie... with some Sarah McLachlen song playing in the background.

2)  I've started exercising again recently!  (And by recently, I mean-- this week haha.)  For the next few weeks, it will be hot yoga.  After that, my special groupon deal (20 sessions for $40) will expire, and then I'll probably just join a gym or something.  I made a deal with my physiatrist that I have to be exercising regularly to get another round of Botox.  And (dun dun dun!) if I don't, he has permission to give me a talking-to.  Yikes!

3)  Speaking of Botox, I got some back in October.  No, it's not for wrinkles (which I wouldn't have anyways, as I'm in my early-mid 20's), it's for migraines.  The idea is that it paralyzes muscles in the head which contribute to the migraines.  My insurance approved 2 rounds of it.  1 round usually lasts 2-3 months. I think it really helped-- the fact that I was able to work like crazy without any intense, long-lasting, or hard-to-treat migraines popping up is my testament to that.  I believe it's worn off now, as in the past couple weeks I feel like I'm starting to get migraines a little more frequently.  Another thing the Botox seemed to help with was my constant, low-grade headache.  I've had that headache 24/7 for 5 or 6 years now.  I think there were a couple points about a month or two ago when that headache was almost gone.  I remember driving and thinking "do I have a headache?"  It's a little hard to tell sometimes when you're used to it being there all the time, so it took me a moment.  I had just the slightest pressure in my forehead, so it was still there, but just barely.  Tiny enough that I almost wonder if I thought it into existence.  On a pain scale of 1-10, I would have rated it in that moment as a 0.5.  Which is awesome.  The idea with the second round of Botox is that even after the Botox wears off, the relaxing effect on my muscles will be more permanent, leaving a long-term relief.  Last time my doc only gave me shots in a few places in my head (a couple in the forehead, a couple on each side of the head, and a couple at the back of the head).  Next time we'll do a bunch of shots all over.  That will kind of suck while it's happening, but I'm positive will be more than worth it 5 days later when the stuff starts kicking in.

In case you couldn't tell, I get really excited about medical stuff and the prospect of my migraines being better.

4)  I've started thinking about Med school.  It's a long way off as I don't even have an AA yet (which fact I have accepted and is only slightly distressing to me nowadays), but the more I work at my job, the more I could see myself being a doctor.  I think it's work I would really really enjoy.  What would I want to specialize in?  I dunno.... Emergency medicine, neurology, physiatry, and hem/onc are all on my mind.  Surgery would be cool because I like looking at guts, but I have a feeling I wouldn't actually go with it.  Anyways, that's all far off, and so for now, jsut a dream.  ... Just a dream that I'll start working towards.

5)  Related to that, I'm sad to not be in school right now.  But I prayed about it, and I really feel that right now is a time to take a break from school.  Focus on my health.  Pay off some debt.  Save up some money. Etc etc.  I also think that it's been good for my pride to have my education pursue a more delayed, alternate route.  If I had graduated at age 21 or 22 like I had planned, there's a chance I might be a bit of a snoot.  Not on purpose, of course, but I think it could happen.  It's also been good to learn that God is in charge of my life- not me.  Oh, and perhaps one of the most important lessons is something along the line of Heavenly Father loves me, no matter what, and I am of value to Him even if I have not accomplished what I thought I should have by now.  One can be a good, successful person, without achieving many milestones which the world values as most important.  That whole idea is a whole other post in itself.

6)  My auntie got me a kindle for Christmas.  I've had my nose stuck in that thing ever since.  It's nice to feel like a book worm again.

7)  I'm tired from being extroverted and peppy last year.  It's time for sleep and time to myself.  And family.  And close friends.


I think we'll call that it for now.  It's super late, as I didn't get off work till after midnight.  I'll leave something amusing with you.  Was talking to a friend when he asked, "have you ever wondered how someone feels having a disease named after them?"  naturally, the conversation turned to naming a disease after him.

Meet the Rutherford Reaction: a temporary, psychosomatic reaction, usually in un-married persons, triggered by interactions with the opposite sex.  criteria for diagnosis: 1) an erythematous, non-pruritic, non-maculopapular rash of the skin over the zygomatic arch, 2) a subjective fever, 3) disequilibrium, and 4) agoraphobia.

What would the Sager Syndrome be??

to the man whose face i never saw

we stood in a semi-circle
waiting for you.
they rolled you in
pounding, pounding, pounding.
on your chest.

in the corner i stood,
never was one more
a fly on the wall
than me.
i saw it all.
pen in hand.
yellow notepad.
my job was to scribble. scribble. scribble.
everything i heard....

27 year old male.
epinephrine times seven.
he said ten minutes ago.
it's 1050 now.

tall man in blue suit.
pounding on your chest.
down. up, down. pound, pound, pound.

atropine. duoneb.
what are those drugs?
calcium. magnesium.
those can be used for the heart?
history of asthma.
collapsed in driveway.
you were on your way here.

purple scrubs. middle aged woman.
down, up, down. pound, pound, pound.

cordarone.
how do i spell that?
epi-pen
twice by family, IM.

man in green scrubs,
badge dangling over your body-

why do you have an epi-pen?

up, down. up, down. pound, pound, pound.

twelve minutes of CPR
before the ambulance came.
they found you in PEA.
he thinks he heard breath sounds on scene.
atropine.
what is atropine?

x-ray. ultrasound.
pound, pound, pound.
never stopping.

at the computer,
the lead nurse is typing.
“how many milligrams?”
“what size tube?”

the pounding arms get weary.
the second blue-suited man
moves fluidly to your side.
with a towel around his neck,
(he’s getting a work-out)
he moves his body
down, up, down.
over you, his hands go 
pound, pound, pound.

pound. pound. pound.
down, up, down.
with each impact of coupled fists,
I see, side to side,
your protuberant mass shift..

another nurse. he is pulling off your pants.
"do we have any scissors?"
naked.
you're all naked.
will someone please cover him up?
they keep pounding on your chest.
and the bag-valve mask goes,
pump. pump. pump.

i say nothing, but the nurse sees what i mean.
naked. you’re all naked.
except the blanket now covering your groin.
a small sign of respect.

your doctor is by your side.
you’ve never met him.
he's trying to save your life.

"a sterile gown!"
over his suit and tie.
shoes only a little more mature
than convers
peep out beneath his pants.

everyone gets a turn.
now it’s curly ponytail girl, in her green scrubs.
she moves down, up, down.
her hands go, pound, pound, pound.

blade and scissors in hand,
your doctor cuts into your side.
your blood on his hands.
he's trying to save your life.

“it’s been 45 minutes,” he says
“5 more and he’s dead.”
and as an afterthought,
“he’s already dead”
...by definition.

your body moves up, down, up,
with each fists’ pound, pound, and pump, pump.


until the doctor is at your side,
ultrasound in hand.
the pounding and pumping stop.
all voices stop.he finds
your blood flow has stopped.

blood on his sterile gown,
blood on his outstretched hands-
he turns-
facing the nurses, the techs, and the EMTs
(and the random hospitalist, too):
“does anyone have any more ideas?”

silence.

1102.