Monday, January 30, 2017

Fire In the Belly.

Last October a friend asked me to train their daughter how to intubate while they filmed it for their daughter's high school senior project.  Since I was the only person they knew with access to a high-fidelity human patient simulator it was worth the two hour drive for them. Since I love teaching it was worth going in on a Saturday; a life-changing Saturday, as it happened. 

Life is dull without change.

The session was a blast, they got some great footage, we celebrated with lunch after at a hidden gem serving Columbian food close by.  Over empanadas, my friend asked if I'd ever considered becoming a nurse anesthetist (CRNA), a population she worked with everyday as a recruiter for travelling CRNAs. "You're a natural teacher; so much of your job would be educating and calming patients before surgery, after a few years of practice you could teach in a CRNA school" she said.

"I'm here for you."
 
 I was nearly done with my BSN and had been giving some serious thought to the next level of nursing education.  My options included nurse practitioner (NP), nurse educator (MSN-E), clinical nurse specialist (CNS), and nurse anesthetist.  I'd eliminated CNS for being too theory-focused, MSN-E for being too stodgy & political, Both CRNA and NP had appealing practical aspects - doing things rather than discussing them - but NP had the advantage of international shortages, government financial assistance, and - most importantly - immediate enrollment. CRNA required 18 months of recent ICU experience, meaning a two-year delay in matriculation. True, I'd never met a CRNA who didn't love their job, and I knew from my Coast Guard experience that outpatient care done by NPs was largely a sisyphean grind of sniffles & coughs but the immediate gratification of starting a program now outweighed my reservations - I'd pretty much decided on an NP career. Besides, CRNAs were smart people. 

 "You should definitely think about it, you would be great" my friend told me.

I thought about it a lot.  I asked everyone I knew about it.  Every one of them said "That's a great idea - I would let you put me to sleep in a heartbeat!"  Their trust in my professional skills was a little unnerving - I didn't share the same view - but the consistency of their answers lit a little spark in my belly.  Really?  Could I?  I thought about all the nurses I'd known who'd become CRNAs.  I realized if they could, I could.  I did the research, crunched the numbers, reached out to old hospital contacts, dusted off my stethescope, unpacked my scrubs, put in my sim lab notice, started working bedside in the ICU again, the fire growing a little more each day. It felt like everything in my life was leading to this point, like I'd finally decided what I wanted to be when I grow up.  It's going to be long, gruelling, and expensive.  I will doubt my choice and abilities ten thousand times before I graduate, ten thousand more, after.  
Lord willing, I will do this.
I will coalesce 20 years of education, training, experience, and ability into aquiring skills to safely eliminate the pain and memory of surgery, a scientific advance nearly as important as the discovery of penicillin for quality & quantity of life.

“He who has a Why to live for can bear almost any How.”  - Nietze

Neighborly.

Everyone has a story.

Everyone is longing for the opportunity to tell their story.

My friend recently moved to Custer county, Colorado, population 4,255. Pretty. Isolated. Community.

Far from the madding crowd.

Instead of getting to know her neighbors by bringing them fresh baked goods she started a podcast / radio show and invited them in for storytelling.  Their stories are fascinating, inspiring, meditative.

A Prarie Home Companion for free spirits.

Give these stories a listen; they're not long and their rich narratives will stay with you all day. The stories are like windows on the wild vistas of lives well-lived, as captivating as the scenery surrounding Custer county, a rare contemplative examination of the foundation of a community.

 Rugged peaks, rugged people.

You can hear the podcasts here: http://www.wetmountainvalleydrygoods.com/.  Enjoy!

Monday, January 23, 2017

On Edge.

Denver wants to make knives.  His Christmas list was nothing but knife-making tools. I came across an mandolin maker's estate sale and found most of Denver's list in the workshop  . Today he started using them.

Homeschool is more than math.

The creative spark.

Henry Ford believed any extra money in one's possession should be spent on tools to create practical things.  Henry Ford may have been a crazy, bitter man but he changed history and was right about the tools.

Sunday, January 8, 2017

Ain't It Grand!

Denver, two feet from terrible death.

We drove to San Diego in November. Along the way we stopped to see things.

Meteor Crater: a two-mile bowl of brimstone.

 Many of the things we saw were neat.

Hoover's Boulder Bathtub, complete with ring.

Las Vegas: spawning ground of the homosapien sucker.

Mojave desert: drawn by Dr. Seuss.

 One of the things we saw was mind-meltingly, impossibly, indescribably, awe-inspiring. 

Here we see a 'millenial', appreciating the wonder of  mobile Facebook.

Our brains had no context to process the scope of sheer, textured vastness before our eyes; we were dumbstruck.  

The Grand Canyon is all that.  Go, if you've never.