Scatter my ashes here...

Scatter my ashes here...
scatter my ashes in the desert...
Showing posts with label nursing. Show all posts
Showing posts with label nursing. Show all posts

Friday, March 1, 2019

La Resistance...

used by permission copyright 2018
www.lisbethoverton.com

Here we are, March 1. I cannot believe we have come this far into the new year, and winter seems determined to hang on. This morning was spring-like, and I managed to get out the door with Velcro and Gypsy for a run before 9 am.

The forecast is predicting big change overnight though. March won't be in like a lamb for long, we're expecting snow and below zero temperatures over the weekend.

I've been struggling with a few things lately and last night decided that when I woke up in the morning, since it was March and a new month, that it was time to move forward.

So this morning was the perfect time to pull a card out of the Divine Downloads deck, and this is what I picked- Resistance. Could not have been more perfect.

A little about Divine Downloads- they are a card deck developed and written by my nurse entrepreneur colleague Lisbeth Overton, who lives in Minnesota. Lisbeth and I met each other online through a social media site for nurses, and we have become friends, not just social media "friends" but we talk and communicate often and support each other in our mutual endeavors to make this world a better place.

Note: The Divine Downloads Deck is available through Lisbeth Overton's website. Thanks to Lisbeth for allowing me to use the image.

Lisbeth is intuitive and a true healer, and when she introduced this card deck last year, I jumped on it right away. I use it often when I'm struggling with something, and it has turned out to be the ideal tool to get me unstuck. Just having something to focus on that pulls you out of the hole you're stuck in- by thinking about the problem in a different way, is a powerful force.

What does it have to do with running? For me, right now, everything. I have been in a motivation struggle with myself when it comes to running, for going on 5 years. Every time I think I've moved past it, somehow it comes back to me. Last Saturday I ran the 10 mile Bacon Strip run with some of my running friends, and I've been trying to increase the length of actual running I do on those tough hills. Last weekend I got up to 6 miles of solid running up and down the hills.

It was cold and windy, and I felt okay until I hit 6 miles, and then my butt started to hurt. I slowed down and did mostly walking the last 4 miles, not wanting to aggravate anything. But afterward my left hamstring was screaming at me. My quads and hips had been sore for a few days and I wasn't sure what was going on. I've been sitting a lot because I had to write up a report on my research project that I did over the past year.

Sunday I went to yoga and Monday I went to boxing and walked the girls, and I had improvement of the other sore parts, but the hamstring persisted. So, basically I sat on my ass all week until today. Got a lot of work done, but I was feeling sluggish by last night. Pulling the resistance card got me dressed and out the door with the girls, best thing I've done all week.

Couple of things happened this week- besides my running avoidance- I recently joined the National Nursing Network Organization (NNNO) Advocacy Team. Teri Mills, who leads this organization, contacted me last week to try to get nurses in Colorado to encourage some of our representatives in Congress to co-sponsor the National Nurse Act of 2019 so it has a chance of passing in the 116th Congress. I contacted as many people as I could to write letters and emails to ask our new Representative in our district, Joe Neguse, to co-sponsor it.

And guess what? He did! It really doesn't take that much effort for citizens to send an email, especially a form letter that only needs a small amount of personalization. I wish my fellow nurses understood that in a way that it would encourage them to take action! In nursing, it's the same thing as what's going on nationally. Those who want to keep nurses down are going to resist change. What you have to do is stand up against the bad behavior and call it out. Those who have had power for a long time are going to put up big resistance to change. But that doesn't mean it's not worth fighting for it.

The National Nurse Act of 2019 would raise the profile of nurses on a national level, by establishing the National Nurse for Public Health. Here's more information about it.

The other thing that happened this week was Wednesday, while I worked on a few other things, I watched the House Oversight Committee hearing where Michael Cohen testified. What I took away from that was the sheer heel-digging, head-in-the-sand, blindfolds on, resistance of the Republicans to not only what they were hearing from Michael Cohen- they tried to stop the hearing before it even started- but their unwillingness to open their minds or ears to the experience of other people who don't exist in their little bubble.

The things that struck me were first, Jim Jordan's crybaby tantrum at the beginning to try to delay the hearing- they were willfully unprepared- and my thought was they were afraid of Michael Cohen saying something that might implicate the party itself, because Cohen used to be deputy chairman of the RNC Finance Leadership Team. He resigned from that position in June of last year.

A couple of doofuses (doofi?), from Arizona and Texas, made fools of themselves with their ignorant statements, including the "liar liar pants on fire" bit. Really? You guys are Congressmen? You represent people in your district?

The childish, schoolyard bully attacks by the Republicans on the committee ought to have Americans ashamed and embarrassed for these elected clowns who are there only to cover their own asses and protect their own wealthy, privileged interests. They are in no way living up to their oath of office and do not have the Constitution, our Democracy, or the American people's best interest in mind.

But most striking to me was the drama around Mark Meadows, who brought a black woman who was an employee of Donald Trump to demonstrate that Donald Trump was not a racist, and that he, himself, was not a racist. And the ruckus that ensued, when Rashida Tlaib called him on it, and Meadows launched into a laughable defense as he tried to prove his non-racism by saying that he and Elijah Cummings are friends, and that he has members of his own family who are "people of color", and I thought Rep. Cummings handled it very well. He allowed Rep. Tlaib to explain her point of view and allowed Meadows to speak, without backing down to him.

We need our Congress to not mince words and stop handling outright bullshit with kid gloves. And that's why I love these new representatives in Congress. You gotta dig in and confront it head-on.

Yes, that woman was a prop, and yes, this amounted to a George Costanza stunt by Mark Meadows. I feel like I have to write this out even this feels like it should speak for itself, but having a member of your family or an employee or a friend who is categorically different than you does not automatically make you not harbor prejudice against that category. Anyone who makes it a point to claim not to be racist is being pretty transparent- they are afraid of being called that because they know they have a reason to be afraid.

I was so proud of AOC, Ayanna Pressley, and Rashida Tlaib, women who are new to Congress and on that committee, being seen and heard and not pushed around. These good ol' boys, and yes, that is how they are acting- as boys- are used to having their way and being able to get away with protecting their interests, and no one ever called them on it the way they are being called on it- and publically- now. And to that I say, it's long past time and bring it on.

They've been allowed to get away with avoiding a confrontation about race, and especially institutional racism, for so long, that they just don't get it at all when they are forced to look in the mirror. They don't even understand what they are seeing, because they are resisting so hard. Yes, we are going to have a lot of pushback and temper tantrums, aggression and denial by these people in long-held positions of power.

But "America"- the United States, no longer looks like the current Republican party, and they have not accepted that. They are resisting it by kicking and screaming like a two year old. It is long past time we started changing our institutions, our laws and policies, and our government, to level the playing field for all citizens. It's time for a national come to Jesus.

We do need to confront institutional and entrenched racism and bias against historically non-dominant, less wealthy, and underprivileged groups. Yes, including poor white people, aka, Trump's base. We need to deconstruct the way we separate people into groups that enable this bias. This is the only way we are going to be able to move forward as a nation and I do think people will wake up if we have transparency around what's been going on to maintain that inequality- and our new Congress looks like a big step on the right direction.

Expect resistance. It's going to keep getting more intense and the 2020 election needs to be about that. I am so disappointed in the early primary field for the Democratic presidential candidates. Yes we need women in government, in the executive branch too, but more than that we need someone who gets it, who can truly see and understand the damage that has been done to so many Americans and run on a platform to undo it.

It's healthy for our country. It's healthcare in  the truest sense. Public health happens when the public is cared for. We need to stop neglecting our people. It affects everyone. It's long past time we stopped allowing the richest and most privileged to avoid taking responsibility for the well-being of the people of this country. You want to be a citizen, even if you're a gazillionaire, even if your ancestors came over on the Mayflower, contribute your fair share. No more welfare for rich people (or corporations).

Call it equality, call it socialism, call it reparations, or whatever you will, but we are a country of human beings with potential to benefit all of us by working together, without the constraints of those who seek only institutional protections for their greed. Our country needs to do this: honor ourselves by understanding the resistance and working through it, with the greater good in mind, for a healthy, permanent change.

Sunday, February 17, 2019

"Square Peg, meet Round Hole"

This post is about my philosophy of running*, but it is also my own personal philosophy on life, because running is such a major part of my life and who I am. I wrote a blogpost a little over 10 years ago here which described my philosophy of running at that point, in 2008, when I was 44, and just starting multiday running.

You'll have to read the whole post below in order to grasp my philosophy, because I don't really sum it up until the end. The in-between and getting there is sort of like an ultra.

My philosophical outlook hasn’t changed dramatically, but it has expanded as a result of a rich array of running and life experiences I have had since then, and I have moved into a different phase of my running life, career, obsession, or whatever you want to call it.

If you want a glimpse into what makes me run- my brain, my thought process, how I navigate the world, and how I see it, read on. This post has turned out to be a short book, don’t feel you have to read it in one sitting. Disclaimer: I’m sure you’ll be offended at some point. If you are, call the WAAAH-MBULANCE. I’m off duty.

What keeps me going forward?

Running and sport is a microcosm of the world we live in, with all its imperfections and exhilaration, joy and pain, nice people and assholes. It’s as much a part of my life as sleeping, eating, and breathing.

Running gives me a chance to do two opposing things- 1. to clear my mind and lose my concerns and worries, and 2. solve problems, think clearly, create, and examine things from different angles.

Running doesn’t change who I am, but it fits perfectly with my personality and what drives me. It contributes to creativity of expression through writing and in painting, though the painting has fallen off the cliff over the past decade.

First, a brief look back at highlights


As of January 2019, I have been a runner for 35 years, 28 of which I have been an ultrarunner.

I have accomplished a few good performances in my lifetime. I’m not superfast, but I’ve had some performances that I worked very hard for and I am happy about them and proud of my efforts and results. I am probably past the days where I’ll win races or set PRs again, but that is not why I run, so I find new ways to challenge myself and find satisfaction in my running.

My most memorable races include some where I performed well, and others where the conditions or presence of other people made the experience. I’ll list them here and why:

1992 Set Colorado State record for road 100Km at the Colorado Springs 100K. It was a USATF certified course, too, a packed dirt urban trail. I ran 9:37:25, and I don’t know if that’s ever been surpassed- it might still be a record. And it wasn’t a fluke…had consistency as in 1994 I ran within 6 minutes of that time on the same course, 9:43:04.

2007-2008 Across the Years 48 hour run first getting to know my friend Lisa Stranc Bliss. She's someone I love and admire, and I value her wisdom and kindness.

Badwater 2008- a fun experience where I learned to seriously run through foot pain and emerge from the puke free zone and finish the race.

2010 Keys 100- I love the ocean and turquoise water, and this was 100 miles of it. So pretty you don’t even notice you’re on the road, except for when you step on retread chunks during the night and think you stepped on a gator. My friend Mike Melton crewed me and my friend Bob Becker was race director. One of my most fun, memorable runs. And I met my friend Beth McCurdy there for the first time. I love her.

2010 Lean Horse 100- That was the most beautiful night ever, the stars were bright under the long shadows of ponderosa pine, and I ran for a long time with Fuzz McPherson and we had a great conversation, and my friends Doug and Marji Nash did a fantastic job of crewing for me. I can remember listening to music, feeling like dancing under the night sky and it was a truly magical experience.

2011 Lake Okeechobee 118- I actually DNFed at 114 miles because it was taking me so long- I had diarrhea from something I ate, my electrolytes were way off and I couldn’t move without cramping. Plus I had to catch my flight the next morning and we might not have made it back to Ft. Lauderdale in time at the rate I was moving. Plus I would have been gator bait. Bob Becker and Phil Rosenstein crewed me, and Mike Melton was race director. Thanks to Bob, I learned about Preparation H wipes- no runner should race without them- and how to recognize gator eyes on the water in the middle of the night.

Badwater Road Double 2011- the crew made it. My crew was amazing. That was so fun. Every. Single. Step. Again, phenomenal nighttime running and blow-your-mind vistas during the day.

2012 Mickelson Trail 1.5 not a race- it was a 5 day adventure run with my friend Ed Green. We ended being self-supported at the last minute and toughed it out and finding burgers and beer along the way helped immensely.

2013 Spring North Coast 24 hour-the weather was horrendous- snow blowing sideways, the cold wind coming off Lake Erie, freezing one side of your face and then the other, the course being overrun with sand, and then missing 100 miles by one mile but still winning. There’s nothing quite like running 99 miles in 24 hours.

2014 Fall North Coast 24 hour nationals- the weather was horrendous but hiding out from the storm in the portapotties with Andy Lovy in the middle of the night and laughing about it. And having such horrible blisters that I only made 80 miles. I hung out with Beth McCurdy, we shared a hotel room, and we both dropped in the middle of the night because we were trashed.

Cornbelt 24 hour 2014- Running a 24 hour PR of 112.3 miles at age 50. I was very happy about it- I trained hard.

There are many, many more fun experiences I’ve had and with many people in my running circles. But those are the ones that stand out. Pretty much every Across the Years run has been over the top enjoyable and fun, and the people made it that way. I’d have to say that is my favorite of all.

Badwater was also a big part of my life for many years, and the runners and staff had a huge influence on my experiences there, I met many great human beings there, and a few unsavory ones! The years of crewing and pacing and working on the medical team were equally fun and great learning experiences.

I might be missing a few, which will come to me, I’m sure, after I finish this post.

But running is so much bigger than a few experiences or fast performances. Those are not what make you, it is the whole, the total of the experience, which for me is about the outdoors, the environment, the challenge, the people, the learning, the growth, and the healing.

Round Peg, meet Square Hole

My basic philosophy of life is that everyday is an adventure. I was originally born and raised in an environment of mostly Eastern European and Russian Jewish descendants and on the mid-Atlantic east coast of the United States. Which means I naturally tend to point out things in a deprecating way that is intended to be humorous. A lot of people don’t get that type of humor unless they grew up in the northeast U.S. or have spent a lot of time around people who are from there.

So, if you’re not from those parts, don’t think I’m a grumbling negative person, because if I was, I would never have survived as an ultrarunner, or done the things I have done in my life. People from New York, New Jersey, and Philadelphia get it. I point shit out in a critical voice, but I’m also seeing the positives and humor in that shit!

People are awesome, but they suck, too. We’re all in this crazy world together and we haven’t done a very good job of supporting each other to navigate this life with less difficulty. We really do make it harder on each other than it needs to be.

Over the years I’ve been called irreverent, immature, insane, idealistic, impossible. Perhaps some of that is all true. Meanwhile I have learned, through the school of hard knocks, not to associate myself with those with bad intentions, those who are mean or self-hating, and people who have ineffectual responses to the world because of their own shortcomings (lack of empathy, lack of self-examination, being in denial, unwillingness to laugh at themselves, or irrational fear of losing something they think they are entitled to) which manifest in stealth or overt attacks on others.

I can fit in some places, but I never fit quite right, and I have no desire to expand into those tightly fitting corners that would restrict my movement. I can never fill all the expectations and I sure as hell don’t want to! There’s always room to move around. I like it that way. I declare myself a round peg in a square hole. I can get out when I need to. It’s better than the other way around-the proverbial square peg getting stuck in a round hole.

In pretty much every aspect of my life, I've never fit squarely in a category, even though I may appear to be, on the surface. Being different, that alone makes you question shit, makes you smarter, and thinking about your survival. And it can be dangerous for the person who is different, physically, mentally, emotionally, and in other ways too- mostly because you appear to be dangerous- a lot of very insecure people get very scared when you start challenging their assumptions.

I refuse to be a drone, or a Stepford person, or a deferential, acquiescent, watered down version of myself just to minimize strife and keep other people happy and undisturbed in their comfortable place, which often serves them poorly as they enable the predators in this world who rely on their deference. It is in the interest of those who want to maintain their power, privilege, status, and wealth to oppress everyone else so they don’t take away even a tiny piece of that power, privilege, status and wealth.

I don’t put up with people who suck the energy and life out of me. I don’t put up with toxic people. I have cut them out of my life. When I encounter them, I no longer pursue interactions or relationships. It’s not worth the suffering. It’s not my responsibility- I am not a charity organization for people with poor social skills. I refuse to coddle or enable.

I derive motivation from the things that piss me off, the things that drive me to persist, be different than the mainstream, and stick to my ways even when occasionally they are so at odds with the way the world works, that they can be painful.

That’s me. Want to know what drives me in running? Fasten your seatbelts and helmets for the long ride, and bring a snack.

What drives me to run?

I love moving forward on my feet. There is something rhythmical, musical, and magical that appeals to my brain and the neurotransmitters that are involved in pleasure. It might be the same phenomenon that results in a dog hanging its head out the window, enjoying the feeling of the air blowing by?

I used to be competitive at times, but not all the time. When I decided to be serious about training, I would put the effort in, but not for every event. I enjoyed running races for fun as much as the ones where I wanted to compete. Part of my inconsistency when I was younger was trying to figure out what was going on with my body, before I knew I had Hashimoto’s thyroiditis. But even after I got that worked out, I was an occasional competitor. I ran hard when I felt like it.

When I wanted to perform well or had a goal, I viewed the race as a job. I’d go into it with the attitude of, “I have a job to do.” That’s what I would focus on. It usually worked.

Looking back, I realize that I had potential that I never lived up to- when I was running my fastest, I would have been potentially able to compete at a much higher level, but it was not something I worried about at the time- I had other things on my mind, I was in graduate school, starting a career, and it wasn’t an obsession. I think it would have been interesting to see, for example, how many miles I could have run in 24 hours around age 30, when I was at my fastest. But that train has left the station.

Running appeals to me because it helps me get outside, escape, see beautiful places, enjoy solitude, and be either inside or outside of my own head, depending on what I need at the moment. There was a thrill and personal reward in running PRs and even winning races, but it wasn’t what I truly sought from running.

I so didn’t care, that there were many times when I was close to winning a race, but I never bothered to look at the stats or find out how close my competitors were. With a little extra effort I could have improved my standing, sometimes enough to be in first place, but it didn’t cross my mind. I was having too much fun in the moment. At a couple of times, I have driven some of my more competitive friends and crew members crazy from that.

I have often avoided people who like to talk shop- runners who love to obsess about statistics and who are the fastest runners, and who set records, and so on. I just don’t care to fill my mind with that. One of my longtime, best running friends does that all the time and I love her but I just can’t focus on those conversations.

I really don’t care what the fastest runners are doing- what they wear, how they train, what they eat, and over the years, I’ve observed that more often than not, they disappear from the scene as fast as they show up. Intense training leads to quick burnout, injuries, or a fast return to whatever dysfunctional compulsion got them into running in the first place.

The competitive, winner-take-all, first place is everything, traditional (and male, I might say) sporting world view misses out on so much. The depth of experiences and stories of individuals are lost. So much history escapes ever being known. The idolatry disappears everyone else into the mist. That’s why women’s experiences and accomplishments in sport were lost for so many years, and still are shortchanged- because of that worship of the biggest, fastest, richest, winningest, egotisticalest…

As far as my own future in competition, I realize that my days of setting PRs and winning races are largely over. That’s fine. The thing I am struggling with is how to move forward with running ultras when I can no longer put the time and energy into running that I used to. There are too many other things in life that are enjoyable and I’m not willing to make training feel like a full-time job anymore, even for short periods of time.

I don’t have a bucket list of races I want to do. I have done all the ones I wanted to, with one exception- I still want to do a 6 day race, preferably at Across the Years, among friends. I want to do it without destroying my feet, so that I can enjoy the time out there. I know my feet will hurt, but I need to make sure the skin is intact enough for 6 days that I can stay upright on them.

That is the problem I currently need to solve- I need to figure out how to make this work, to get ready for a 6-day without suffering through it, but not spending all my time training. I don’t really need to perform at any level. I can do whatever I want. I can run one mile a day if I want. I just need to fully come to terms with that and find what satisfies me and then I’ll do it. I can tell you right now I ‘m not going to be satisfied with one mile a day. I’m thinking more like 50 or so a day. Not sure if that’s even realistic at this point, but if running 270 miles in 5 days in Death Valley in July was possible, I think 300 miles on the flats might be.

What I’ve learned in the past decade

Over the past 10 years I feel like I have gained a deeper appreciation of my ultra experiences and what they've taught me. When I talk to runners younger than me in races, I hear them struggling with the same thoughts and questions that I have answered for myself over the years. They will find their answers, too. It’s a never-ending cycle of discovery and learning.

Ultrarunning as a sport has changed dramatically since 30 years ago. It’s good that it’s become a more well-known, accepted and recognized sport. More laypeople understand what the term “ultra” means if you use it in casual conversation, we don’t end up having to explain the whole “a marathon is 26 miles and an ultra is anything longer” followed by the shock and awe of the idea landing, quite as often as we used to.

Now there are so many people in the sport, and so many ultras! Still, certain ones remain extremely popular and “lottery” entries have replaced just sending in your application and entry fee. Many of the lotteries are highly secretive and are not true lotteries, allowing a large number of preferred entrants- for various reasons- into the race. Some of the ultra entry fees have gotten expensive, too.

I no longer enjoy the big races. The long-established ultra races seem to have deteriorated into circuses. There is a lot of money, sponsorship, and publicity and other intangibles that go along with these events. These days it feels like you’re at a major urban marathon with a huge race expo and you walk away with a bag full of little plastic trinkets with the race logo emblazoned on them, and all the sponsors.

I see people expecting to be served and given all the comforts, expecting to receive some material return for just existing or being there, the commercialization and materialism of many races and events. Remember Wayne’s World in the 80s, how they mocked corporate sponsors? That look- plastered with logos- has become the norm.

One of the nice things about ultras, even at the big ones, is the social scene around each race, a basic family atmosphere establishes itself and the runners come to rely on each others’ presence to maintain that. Newcomers are welcome, and after a couple of times they work into the fabric of the social network of the race.

When you have conversations with the runners and get to know them, and follow up year after year, it’s so fun. They become part of a family- your Across the Years family, Badwater family, Colorado family, whatever experience it is that you share. Social media has allowed us to stay in touch better when we are not at the events.

I love the personalities- gregarious and friendly, grumpy and curmudgeonly, the stories they share, and the depth of consideration and thought. Some of the best conversations occur on the ultra courses. It’s the shared humanity- you realize that there are other people who think deeply about things. Sometimes you wonder about people in the world- if they are as shallow as they seem. But I’ve hardly ever thought that about ultrarunners.

The physical, mental, planning and anticipatory challenges, the execution of your running plan and experience, and even afterward, make ultrarunning one of those things where you are constantly learning from experience, making mistakes and sometimes repeating them (the lessons will be repeated until they are learned) and mastering certain aspects of running. Old people keep going back to ultras because we forget how much it hurt last time!!! Actually, I think it hurts less in a lot of instances, the older and wiser you get.

Older runners at these races, who continue to challenge themselves, are the most inspirational of all. I don’t care how fast anybody is or what records they set, the most inspirational person at a race is the oldest one.

Some losses, some gains

When I say ultras are a microcosm of the world, the world outdoors is not the same as it was decades ago, when I started backpacking in high school or even in my early years of running trails and ultras. There are a lot more people using the outdoors and a lot more creative recreation opportunities, different types of toys, and a lot of people with a lot of disposable income to buy expensive, sometimes sophisticated, and destructive toys.

It seems that an environmental ethic of some sort has been lost among the newer converts to outdoor recreation- being quiet, having a minimum footprint, leaving the place the way you found it, being self-sufficient, all of those things seem to have slipped away in our rush to technology and comfort.

But we know more about the science of exercise, which is great. It allows us to perform, prepare, and recover better than in the past. A lot of old wisdom still gets passed down from older to newer runners, some of that is priceless.

I find that we’ve lost a reverence for the natural world- we are not protecting it, we are exploiting it more than ever. I am sad about that. It’s hard to go anywhere and not see people and their influence. I have to admit I curse under my breath some days when I’m on a run in my neighborhood on a trail around a lake, and there are other people there. I need some solitude, and I know it’s ridiculous to expect that in midtown, but it bugs me anyway.

The challenge is less, I think, when we do provide so many perks- and people have access to more sophisticated gear, clothing, food and drink, and technology. It all makes it more fun in some ways and enjoyable- I love having my phone that takes great pictures. I love my iPod and the tunes I can listen to. I love having warm clothing that wicks moisture away. I love having running bras that don’t cause me to chafe and bounce. I love that GPS can tell me how many miles, how much vertical, my pace each mile, and more. I don’t always use it, but it’s a nice thing to have when you want it.

I still believe in real food and drink though- some of those supplements, bars, and energy drinks and shit- I don’t understand why people think those are any better for them than real food. Maybe there is some nutritional benefit to some of them, but mostly I think they are a big waste of money. But suckers will buy them because some flash in the pan with a scraggly beard is hawking them.

I really hate those scraggly beards, by the way. They gross me out so bad. I can't wait 'til they are no longer popular. I just think about all the sweat and drool and boogers and leftover food scraps and who knows what else that settles in those birds’ nests.

What’s important now

These days I find myself focusing more on my work, my dogs, my home, my family. Having left the illusory stability of a regular job that was literally killing me, I’ve been trying to find my way back to some sort of balance and a source of income. I work a lot more hours for less money than I did in the hospital but it is much easier on my physical and mental health.

One of the things I’m learning now is that I cannot rely on the healing and recovery abilities of my body the way I used to. That doesn’t mean I can’t run far and long, but it means I have to be smarter about how I train and prepare myself, and what I do afterward.

I have learned that I can get by on my base for quite some time. I don’t have to train nearly as hard or frequently or long as I used to. Now I have a group of women I run with- most of them are not ultrarunners, or maybe have run an ultra or two but that isn’t how they define themselves as runners.

I have learned to give my body and mind a break and to have confidence in my ability to cover the distances instead of having to constantly go out and run far in my training runs. I knew that a long time ago, but now that I’m older, it’s even more important.

I don’t have as many days of running where I feel fresh and able to dig into my reserves. I enjoy it when I feel good, but I don’t get disappointed when I’m not feeling it. The exception was recently when I went on statins for my cholesterol for a year and that screwed up my muscles and nearly destroyed my enjoyment of running. I stopped the statins and it took about 3 months to start feeling decent again.

Don’t take that as medical advice- it isn’t. If you need to be on statins to save your life, take your doctor’s advice. But everything- even medical advice- should be carefully considered and a fully informed, conscious decision made. When in doubt, second, even third opinions from reputable, knowledgeable, licensed, experienced, scientifically-informed sources, should be sought.

Growth through learning and insights from ultrarunners

You can learn something from everyone, I am convinced that there is something to be learned from nearly every person you encounter and nearly every experience. My life would be poorer if I had not met many of the people I have through ultrarunning, good and bad.

I feel I have grown to be more accepting of my own limitations, but also to not stop pushing the envelope to discover what is possible. Not pre-setting any limits on myself, instead, discovering my limits along the way. And of course, there are some limitations that can be overcome through using one’s brain and creative powers to be smarter about it.

Most of my creative endeavors, and anything I’ve accomplished as an adult, has had a component attributable to running. For example, studying for exams in graduate school and nursing school, I could make notes to carry in my pack while running and quiz myself on whatever it was that I needed to learn, then check my answers with the notes. Writing or any creative writing project could be imagined or developed or refined through running. Painting ideas came almost entirely from landscapes I ran through.

Any problem in life that needed to be solved became more doable while running, even if I didn’t focus on it consciously. Something about running loosened the screws- that limit the imagination. It allows the round peg to float freely, unencumbered by the corners of the square hole.

I think above all, ultrarunning has allowed me to be in an ongoing state of healing from the small and large insults and injuries of life. These are things that we all experience along the way and we have to figure out how to move forward and weather them when we feel beaten down, temporarily defeated, or lose hope. Psychological and physical injuries are both painful, but the psychological ones can often be longer lasting and more damaging.

Running allows a place to be real. It allows you to separate yourself from the outside world and deal with yourself. You don’t have to, some people are happily obstinate even though they run a lot of miles. But running allows for that safe space to hear yourself think, feel, experience, and reflect. It offers a safe place for healing from the everyday insults and injuries we experience by being human.

The Eyerolls of Life
“I am not an angry girl, but it seems I’ve got everyone fooled, everytime I say something they find hard to hear, they chalk it up to my anger and never to their own fear…” Ani deFranco

All runners get asked, “What do you do?” “Don’t you get bored?” “What do you think about while you’re running?”

Here are some things I think about while running, problems I’ve solved for myself, or issues that are in a state of ongoing resolution: a better name for this section might be: Shit I think about while running.

Healthcare and Nursing
I’ve talked a lot about healthcare on this blog, and nursing within a healthcare system that hates nurses, disrespects and undervalues them, and is slowly sucking the life and desire out of them to stay in the profession. When you go into nursing, you aren’t thinking about the dangers to yourself. You’re thinking about helping other people and are willing to sacrifice some of your own comfort in order to do that, for a reasonable amount of compensation. But quickly, you realize that it goes beyond sacrificing comfort. You’re sacrificing reason.

Healthcare is so awful to the people who work in it. It doesn’t allow them to be human. It requires crazy amounts of physically brutal and pathogen-exposed work on insane schedules, divides them into categories by status and overcompensating a few while undercompensating most, it doesn’t allow for natural rest periods or self-care, or worst of all, the ability to maintain or restore mental health when its workers are exposed constantly to the most stressful and vulnerable situations in life- other people’s life or death decisions and consequences or just plain bad luck.

Abuse is rampant at different levels of the industry and across different layers or status levels, as well as peer-to-peer, people are discouraged from caring for their own health when the consequences of not doing that impact the patients they are supposed to be helping. And those who run the industry talk out of both sides of their mouth, saying one thing to the consumer public and another to those who are working for them. In the long run, it amounts to the same thing: those in charge saying fuck you, I don't care, I want you to kill yourself for my benefit. All they want is a bonus. And it is enabled, sustained, and reinforced at every single level.

Among nurses are some of the kindest, most creative, smartest, caring, unselfish, and deeply committed people you’ll ever meet. And truly, more than a few nurses I’ve met are the meanest, nastiest creatures to ever walk the earth who hate themselves and want to make everyone else equally miserable. It comes down to being what they are-people, and nursing tends to attract certain personalities.

People
People remember how you made them feel, how they felt around you. It’s not my job to heal other people's emotional wounds and social awkwardness, but I don’t have to be a reminder of why they struggle with the world. I don’t have to contribute to their struggle, either. I remember how awful it felt to be around certain people who seemed hell-bent on making your life miserable.

Most of the people I’ve met through running have been extraordinary, truly nice, inspirational people. And then there have been very few assholes, narcissists, mean girls, and people who are just so socially awkward that they simply trip over themselves and get in their own way of being able to fully participate in the joys of this sport. That’s just how life is.

People skills are underrated. Some of the bosses I had in nursing, OMG who thought it was a good idea to put them in charge of anything, I’m not even sure they’d be competent to wipe their own buttholes, and yes, really, I mean that literally and sincerely.

While running is a solitary experience in many ways, if you’re involved in the running community at all, or do group runs, join a club, or enter races or organized events, people are part of it. Sometimes I like people, sometimes I just want to stay completely the hell away from them. Ultrarunning allows for a nice balance.

Politics


I don’t even have to get into it here, you know where I stand. I am completely opposed to our current President and everyone associated with him and his criminal enterprise. I just don’t understand how people fell for this con man- what did they think they were getting?

If the birther hoax, pussy grabbing, Russia- if you’re listening, and his history of bankruptcies and affairs and charges of racism against his real estate business were not enough to raise a red flag, perhaps half the population of the country ought to have their eyes and hearing examined at the very least.

Regardless, I am happy about the new Congress and I am thrilled to see some of the new members of Congress like AOC diving in to call out the corruption and good ole rich white boy environment of our government that has existed for so long and has served to siphon all the wealth and resources away from the public, leaving us much worse off as a country. I truly look forward to restoring anti-trust laws, enforcing the RICO Act, and restoring a greater degree of wealth equity.

What this world needs is more B.I.T.C.H. power! Brazen Institutional Terrorists and Corporate Hellraisers. It’s time to disrupt and upend the top-down, winner take-all approach of power going to those with privilege and status and only valuing those with the most, fastest, biggest, whatever.

One of the complaints I hear about from my peers is about older women disappearing: you never hear about older women, once you pass reproductive age, you are no longer considered useful, because women are there for their looks and as sex toys, after a certain age, the only role for them is grandmother. Bullshit. I refuse to buy into that. I will be seen, and I will be heard! What I say to that is, I am not here for your visual gratification, I am not an ornament. And I'm not dead yet.

One of the things about nurses that pisses me off more than anything is their unwillingness to get off their asses and do something about their situation. For example, look no further than the freaking Republican party these days. They are going to silence themselves out of existence by enabling that orange freak. The longer you align yourself with something truly harmful, the more you become one with it. By being silent, nurses are part of the healthcare problem.

You just have to be unwilling to take it anymore. Lose your fear of saying no and stop the bullshit in its tracks, like Nancy Pelosi did with Trump. NO, you are not getting funding for your stupid wall.

I feel so much better about nursing since I got out of those oppressive conditions and got involved in advocacy and speaking out. Now my nursing peers are strong, determined, forceful, outspoken people.

Nurses need to strike, to protest, to sit down in front of the CEO’s office door, better yet, out on the sidewalk outside where they work so the entire public can see what's happening- to organize, advocate, litigate, and raise hell. Just STOP accepting the crappy work conditions. Stop it now. Say, "No, we nurses are not going to settle for heavier workloads, less safety, and more risk!"

No, we aging women will not allow you to make us invisible! No, we will not capitulate to sexism and an attitude of superiority among men! No, I am not going to allow you to catcall me while I’m running by! I am going to do something about it. Watch me. And then I do it.

Releasing what is no longer serving you is important. Healthcare has been driven too long by a paternalistic philosophy of men (doctors) know best, women (nurses) are just handmaidens and enablers. It’s not helping. It’s not useful anymore. It needs to be released. While there have been small improvements in the gender balance, it's not enough.

This bullshit hasn’t served us for a long time, if ever. We have lost the talent and ability and drive and efforts of a major and growing portion of our population by suppressing and oppressing them. And that goes far beyond women: non-white, non-straight, non-Christian...basically, nearly everybody who isn't Mike Pence. (I have a deep-seated hunch that he has a deep-seated secret though.)

Yes, this is what I think about on the run. In between not thinking, looking at scenery, listening to music, singing, dancing, and enjoying.

Moving forward- literally

I have a six day race in the back of my mind for the end of 2020 because it will take me that long to prepare my feet again. Why 6 days? Why not 10 or 30 or 1000 days?

First, beyond 6 days, I don’t have the desire or drive- I just don't want to run any longer right now. Also, I don't have the financial resources (which includes time, because I have to work) to do that. I might have all those things in the future, but I might not ever. And I don’t feel the need to do more. Right now, I enjoy the day after day just waking up and running when I feel like it. I don't have to have lofty, overachieving goals. Ha.

But a 6 day event like ATY that is organized and compact and challenging and comforting enough, that sounds like fun. Plus I know so many people there, and they are people I would choose to be around for days and nights on end.

My goal is simply to be able to spend 6 days moving forward on my feet, for about 50 miles a day, without having any major foot or other physical or biomechanical issues that keep me off my feet for a substantial amount of that time.

I am letting go of that competitive drive and allowing myself to just do, be, enjoy. I have nothing to prove. I’m not doing this to be a badass, simply to reach a state of fulfillment or satisfaction.

Even sitting down to write anymore is not what I often want to do. I spent a year of my life writing a book. Since then, it's been hard for me to write for pleasure, though I feel I'm starting to get my enjoyment back. That’s why I’ve struggled with the blog for a couple of years.

How I want to die

I am glad I am 55, not 25, and don’t have a super long, long time left to be on this planet. I figure if all goes well, barring some freak accident or aggressive illness, I might have another 25-30 years left. I really don’t want to be here much beyond 80 from what I see around me. I won't be afraid to take matters into my own hands if the laws don't change around euthanasia either.

I really don’t want to be here once my body and/or mind are no longer able to maintain my independence. And I sure as hell don’t want to be taken care of by nurses within a healthcare system that is so ugly to the people who work in it.

I don’t want anyone wiping my ass or feeding me. Just toss me outside so I can die of hypothermia under some ponderosa pine trees with needles whooshing in the wind. Or let me shrivel up like a prune from exposure in the heat of Devil’s Cornfield with F-16 fighter jets divebombing over me.

And leave me there. I like turkey vultures, they're my second favorite bird. Crows are my favorite, by the way.

To Conclude...my philosophy until it evolves further

I wonder sometimes if I had been born in a different time if I would be different. Probably not too much, but it doesn’t matter. I’ve managed to do a lot of things in my life on persistence. I don’t watch TV and I don’t have kids.  I don't put on makeup or do my hair, or worry about what to wear 99.99999 percent of the time. That’s all pretty freeing in itself.  I like to feel that if I die tomorrow it’s okay, I am satisfied with what I did while I was here.

But as long as I stick around, I’ll keep disrupting, keep innovating, keep defying, keep raising hell. It’s the only way I know how to be.


For much of my early life, I felt that I was a square peg and all the holes are round. But it’s really just an illusion that the peg is square and the holes are round... dim lighting made it look like there were corners. When you’re round, you have the ability to flex, there are no mandatory corners. There’s room for everything. If the world could just learn that lesson, we would not be as terminally fucked up as we are. We humans really are our own worst enemies. We need to become better friends with each other, especially ourselves.

We need to stop self-limiting our natural intelligence (the cognitive and creative gifts we were all born with- which are unlimited in their potential, vary from person to person, and cannot be measured with any test or tool) and underestimating whatever physical abilities we have, and where they could take us.

In other words, stop worrying so damn much about what other people think.

“You can move mountains, or they can move you”
- Sherpa John Lacroix


*(remember the tiny asterisk in the first sentence way way back at the beginning?) The actual physical act of running- I should qualify this entire post- sometimes I am not doing what an observer might call running. I might be walking with varying amounts of effort. Usually I walk pretty hard, but not quite as hard as a powerwalk. Moving forward on my feet, whether it’s pure running, broken up with bouts of walking, or just going out for a walk, is running, as far as I’m concerned.

Sunday, May 6, 2018

Nurses Take DC 2018

photo credit: David Miller

Last week, I attended and spoke at the Nurses Take DC rally for Nurse:Patient Ratios Now in Washington DC April 25-26. The purpose of the event is to bring nurses together to support federal legislation: Senate Bill 1063 and House Bill 2392: The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017.

Why do I post about nursing and healthcare on my running blog? Because it is an integral part of my life. Running is what keeps me going, it provides my energy and recharges me for the daily work I do, especially as a solo community figure working directly with people who are going through the trials of the healthcare system.

All of my readers, no matter how fit and healthy, are equally vulnerable to an encounter with the healthcare system, whether through illness, injury, accident, or a family member's experience.

Every person is a potential patient, and it's important to understand what nurses do, the importance of nurses, and why nurses are taking to grassroots advocacy to further our agenda through the legislative process.

For too long, nurses have been deferential to a healthcare system that has treated them as second class and given us less respect when we can not be replaced- the healthcare system would collapse if we were not here. But those in power talk out of both sides of their mouth, while they talk about a nursing shortage, they have not shown the moral or political will to do anything about it.

Nurses' top priority, above all, everything we do, number one on the list, always and forever, is patient safety. You can give all the medicine in the world and use all the technology you want, but nurses are there to ensure that the patient is not harmed in the process of administering that medicine and coming through the healthcare facility where they are treated without harm coming to them.

No matter how sophisticated and cutting-edge the interventions are, no matter how advanced the medications are, there is always, always, always risk involved-potential for adverse effects, mistakes in the form of human, mechanical, or technological error, and someone has to look out for the patient, providing checks on the system from admission to discharge from the facility.

About six months ago I was contacted by one of the organizers, someone I knew only through social media. I was surprised and honored to be asked, as most of my advocacy work has been in the form of writing about nurse working conditions and their impact on the patient experience. I discussed it extensively in my book, Navigating the C, as it applies to cancer care, but the premise is applicable to all of healthcare.

After catching the shuttle to the Denver airport at 2:30 am on Wednesday, I arrived in Washington late in the afternoon, the day before the rally. It was raining. My hotel was the headquarters for the event. That evening I an education offering, called “Ascend to Political Nurse Advocacy”, presented by Pamela Robbins, MSN, RN.

Pam has long been active in political advocacy for nurses and quickly drew the audience in with her explanation of the similarities between the nursing process and the political process, to make it relatable to all of us. It was a useful toolkit all packed into less than two hours. I met many people I've only talked with o social media, including my friend Andrew Lopez, who has been instrumental in encouraging my progress from hospital staff nurse to nurse entrepreneur and advocate.

The first night I was exhausted from traveling and went to bed early. I was still catching up on my sleep from the Palmer Lake 24 Hour, and three hours of sleep before traveling added to my sleep debt. I knew I would see everyone at the rally the next day.

Thursday was a beautiful clear day, perfect for the rally. I shared an Uber with three other nurses to the rally. We were dropped off right smack in front of the Rayburn House Office building- where the House of Representatives offices are. Yes, where the power, money, and influence happens. There was a long line that stretched all the way down the street of mostly white men in suits, with name tags indicating the entity they represented, obviously industry lobbyists waiting to exert influence.

My immediate gut reaction was resentment- I wanted to tell every one of those suits how their money-backed influence was ruining democracy, but I was quickly distracted by my companions who pointed out the capitol building across the street and the fact that we were there on a beautiful spring day that you couldn’t have asked to beat.
I quickly forgot about the lobbyists as we crossed over to Capitol Hill. It was breathtaking, seeing the Washington Monument and the reflecting pool, and the white columns and dome of the legislative seat of power of our country.
There were about two dozen speakers, including legislators themselves- Representatives Jan Schakowsky and Luis Gutierrez from Illinois both made appearances and spoke.
Dr. Laura Gasparis Vonfrolio was the keynote speaker, she's been involved in the movement for more than 20 years and reminded us to raise hell. “If you don’t fight for what you want, don’t complain about your situation!”
As the speakers took the podium, their tone ranged from powerful and inspirational to exhausted and shell-shocked. The stories of some of the nurses who had been fired, harassed, and threatened for speaking out were both maddening and heartbreaking. It still strikes me as beyond the pale that administrators should be so fearful of nurses who choose to speak their minds, but it happens all the time. And that is why we’re here, to support each other so no one has to be fearful.

I felt that my speech went well, I included some takeaways for nurses to go back home for effecting change in their own communities. I will discuss those in the next blogpost. If you want to listen to my speech, it is here.

Nurse staffing ratios are critical, but there needs to be regulation of the hospital industry, because without mandates, they will find workarounds, and nurses will continue to find themselves understaffed and compromising patient safety.

I remember 2012, when some well-staffed hospitals, in the middle of merger mania, experienced notable changes in their attitude toward nursing. Where the independent hospital might have had top-notch staffing and support, as well as respect for nurses, nearly overnight, nurses were told the staffing ratios were changing, their benefits would dwindle, and older nurses started disappearing left and right. Nurses were told point-blank, if you don’t like it, you can leave. I left. Why should I work in a place where I’m not respected or valued?

As time went on, it became apparent to nurses that they were making good on their threats, and no longer valued us for what we brought to the workplace. They only wanted us to fill the staffing matrix, keep our mouths shut, smile, and nod as they nickeled and dimed our benefits and job satisfaction away from us.

And we are always told it’s our fault if we can’t multitask, that we can’t be in two places at once, or remember everything because we are doing the work of two nurses.

Nurses are asking for national legislation to hold decision-makers in the industry accountable, so that our patients are not in harm’s way when we care for them in a facility that is supposed to be helping them.

After the rally was over, Pam and I went to lunch at Union Station, which is an amazing building, where the Amtrak trains come through and the architecture is mind-blowing...we headed back to the hotel via the Metro, which I learned was not a good means of transportation for me. All the lurching and stopping left me seriously nauseated!

Back at the hotel, we had an after party with nurse humorist Terry Foster, who is hilarious. It was a chance to talk further with some of the organizers and discuss future action, as well as relaxing and getting to know a few people better.

Friday it rained again, and I had some time in the morning before I had to catch my flight, so I went to get Starbucks and then walked along the Mt. Vernon bike trail along the Potomac.
I posted a couple of videos on social media about my thoughts and experiences, and said goodbye to the people who were still around in the lobby of the hotel.
I headed back to the airport to fly home with a sense of empowerment, a tool kit, some great advice, and feeling much less alone. For me, the best part of attending the rally was the new friends I made- colleagues who share my passion for making change, ready to work hard and not give up, willing to go back home and spread the word, bring more nurses along next year, and help others lose their fear.

I learned about turning your concerns into political action and how nurses can effect change in our profession. Despite what you might think about political divisions, apathy and fear are truly our biggest enemies. Here is a link to the House Bill 2392 sponsored by Rep. Schakowsky.

We can use technology to our advantage when talking to legislators, because there is new app called Flo's Whistle that helps report unsafe staffing conditions by legislative district. Nurses can show their representatives in Congress what is going on in their districts and they'll have data to back it up.

My next post will be about Takeaways from my speech to the DC rally, to keep nurses motivated and focused forward all year. For more information about the Nurses Take DC movement, visit http://nursestakedc.com

Sunday, April 29, 2018

Transcript of my speech from Nurses Take DC 2018


I am honored to have been asked to speak here today, thanks to the Nurses Take DC organizers for the invitation. I want to make this short but not sweet. There is no sugar coating why we’re here. I want to suggest some ways to kill two birds with one stone in our own communities- back home, wherever we all came from.  We can solve the nursing shortage AND create safe staffing for patients by living up to our values around nursing care. But first, I want to tell you a story.

When I left my hospital job they didn’t give exit interviews. They didn’t care what their nurses thought of working there- what experiences led to their leaving- or how they might have done better to retain that nurse. There’s a lot of talk coming from above about shortages and retention, but no action. You’d think they’d want to find out how to keep us around- right?  How can you expect to retain employees if you don’t find out why they are leaving? 

Well I finally got my exit interview. Six months after I left, completely by chance, I ran into my old CEO- I was coming out from my mammogram- and ran into him in the hallway at that exact moment. I grabbed his ear (so to speak) and we went out in the parking lot and that’s where I had my exit interview.

I had to explain to him the difference between a leader and a ringleader. Because that’s what management was at the hospital- ringleaders. And you know some of our professional organizations use that same style of leadership. They have so little respect for us, value nurses so little, that we are just another production unit… it’s such an inconvenience that we cost money to train and replace. Gets in the way of profit. 

When leaders don’t act in our interest, and their actions don’t match their words, it’s time to get new leaders!!

These hospitals are built with mortar mixed with blood, flesh, sweat and tears, even lives, of patients, and also nurses and physicians. (If you don’t believe me- watch Dr. Pam Wible’s documentary- Do No Harm- about physician suicides- but physicians aren’t the only healthcare professionals who kill themselves.) We work ourselves to bone-deep exhaustion while executives sit in their suites, dining at nice restaurants and playing golf at 5-star resorts at their ACHE meetings. They have second homes, while we get second jobs to make ends meet since our nursing job doesn’t earn us a comfortable living.

They ask us to be responsible for the lives and safety of our patients, and document everything so they won’t get penalized, while we can’t even go to the bathroom, eat lunch, or finish two nurses’ work in one 12-hour shift. Every time we are understaffed, we are doing the work of two nurses. Or more.

They have no idea what they are asking of us. Have you ever had an executive shadow you for an entire shift? Have you ever tried asking them to?

So…The million dollar question is NOT, “Thank you sir, may I have another?”

It is, “How do we solve this mess?”

I don’t know why so many nurses sit behind the nurses’ station whining about work but never do anything about it. I know I’m preaching to the choir here. The point is, we have to do more. Let’s make nursing a career worth keeping!

So here’s what I want each of you to do, myself included.

I want you to go back to where you came from and convince at least one of your colleagues to get off their butt and do something about safe staffing- grow a pair, say something, step out of their comfort zone and take a risk. Then…

I challenge each of you to have three conversations this year, out of your comfort zone. I want you to talk with that nurse colleague, and a physician, and with someone in administration, preferably an executive. I want you to find common ground with them as a human being and have a conversation. Break the ice by asking them, what is the most difficult part of your job…  Let them know you’re interested in what they have to say. And then… creatively propose a way to start solving the problem of safe staffing. Together. Follow through. Commit.

When we have those conversations, there are a few points I want you to take away, remember, and use.

1.     There is a difference between safe staffing to avoid sentinel events and staffing that is adequate to improve a patient’s health after being hospitalized or being treated in a healthcare facility.

2.     Today’s nursing jobs are not the equivalent of a regular desk job. They shouldn’t be compensated like a desk job. Hour for hour, we put in a lot more work and have a lot more responsibility than your average paper pusher. It beats us up, physically, emotionally, spiritually. 36 ≠ 40! Think about that.

3.     Nurses need to be able to do our jobs without sacrificing our physical or mental well-being. We need to see that we’re not stuck forever with only lateral options for career moves. We need to know that by advancing ourselves, we don’t have to sacrifice our integrity.

4.     Keep your intellectual curiosity alive- don’t rely on dumbed-down, pharmaceutical and hospital industry-funded continuing education for all your career needs. They won’t help you go above and beyond. Strive to grow personally, strive to grow beyond the scripted, measured, limited status quo that keeps us stuck.

We hear a lot about VALUE-based care these days, it’s one of those favorite buzzwords that the scripted bots of the healthcare industry love to hear rolling off their tongues. But healthcare won’t be successful unless those who deliver the care have human qualities to care. And exhausted, burned out, chronically understaffed nurses can’t care. Let’s start using value and care as verbs instead of nouns. How about if we VALUE nurses so we can CARE?

But most important of all- let's get back to value- each of us should think about what we value. We’re here for patient safety. We can’t live our values if we’re not authentic. When we know who we are, what we value, and why, we are grounded, and are less likely to be swept away by the strongest gust. 

If you take nothing else away from this rally, resolve to define your values around your work. Why did you become a nurse in the first place? What’s your number one priority as a nurse? Live and work in accordance with those values. Encourage your fellow nurses to do the same.  Moral distress is not good for your health, or your patients’!

Patients and nurses alike, each of us only gets one life for sure. Let’s make sure each of us can live it fully.  Thank you.


Saturday, December 16, 2017

On Power, Nursing, and Sunsets: A Long Overdue Rant!!



"My job is ________ (insert true purpose), not to be a cog in the wheel!"

Okay, so as a nurse, I would fill in the blank with patient advocacy.

Why THIS rant, and why NOW?

It's been quite the week, or several...

Recent events have reminded me of why I left traditional healthcare setting to become a nurse entrepreneur and do the work I am passionate about.

One is the Harvey Weinstein scandal and all of the related accusations that have followed.

Another is the latest revelation of an eye surgeon physically assaulting a nurse in the operating room, in Cedars-Sinai Medical Center in West Hollywood.

Still another is hearing someone's account of going through the wringer just to get a diagnosis and chance at treatment of her metastatic cancer.

And another is being almost done with my book, and after toning down my passion and enthusiasm so as not to be perceived as angry, I was told I need to put some teeth back in the book by my most honest critic, which I gladly did. (Why can't women be angry? We certainly deserve to be. Those are valid feelings. We don't have to shut up because it makes somebody uncomfortable.)

And finally, today I received yet another e-mail from a nursing organization offering a continuing education module, sponsored by a drug company, about pancreatic cancer.

What do all these things have in common?

They all have to do with a power gradient and how the powerful can push, shove, elbow, sneak, and bludgeon their way to maintaining the status quo.

Hearing about the surgeon assaulting the nurse, according to the allegations, the surgeon was barely slapped on the wrist, while the nurse was bullied by the powers that be, reducing her hours, moving her to a different floor, and not being taken seriously. It doesn't matter that it was not sexual assault. Harvey Weinstein used his power to manipulate, threaten, and ruin the careers of women who did not acquiesce to his demands. Nurses are seen as an expense in the healthcare system, expected to stay quiet, cooperative, and inexpensive. Surgeons, on the other hand, are revered as money makers. In a healthcare system that values profit over patient outcomes, this is what you get.

And if a patient is emotionally needy, scared, and anxious, maybe even a bit dramatic, the doctors avoid her, push her out of the way, write notes to each other about her, and try to push her off onto someone else. Instead of seeing her for where she is and what she's facing, and considering what might be driving her behavior, the doctors are focusing on the behavior and seeing the patient as the problem.

To top it off, I saw this email about continuing nursing education on pancreatic cancer. I like to keep up with the latest in cancer treatment, and I opened the email to read the information inside. I skimmed over it, finding very little useful information, and when I reached the bottom, there it was, sponsored by Celgene.

Just another one of those mind-numbing continuing education opportunities that continue to focus more on the characteristics of the disease and treatments themselves, rather than on helping the patient heal and regain quality of living. Once again, there was plenty of material about the common symptoms and disease characteristics, but at the end , a few crumbs were thrown in the direction of mentioning quality of life, without any substance or real attempt to help nurses develop new tools or skills to make a difference for patients where they exist in their own lives.

And this is the problem in nursing- because nurses are an expense, expendable, and an afterthought, we are thrown a few crumbs by the big powerful drug companies, who make it easy for us to digest what they want us to parrot to the patients, to keep them coming back for more. Meanwhile, the qualities of creativity and intellectual curiosity are removed from nurse education. Who wants to be creative or investigate new ideas when they've been on their feet for 13 hours?

Being a cog in the big wheel of profit-driven healthcare is what is expected of nurses. Even if we get assaulted on the job. And it's happening more frequently. We're speaking out.

It's very frustrating to the powerful to not get their way.

Before I forget, watching Roy Moore's horse's ass ride off into the sunset- his defeat was delightful. It was a wonderful occasion to appreciate a Hanukkah present for this nonobservant JEW. You schmuck. And your evil wife.

I love sunsets, don't you?