Friday, July 15, 2011

Misuse of knowledge is not power

Nursing school involves constant mental emersion into the facts and physiology of the human body. As a student, you begin thinking of everything in medical terms: nearsightedness is myopia, vomit is emesis, urination is voiding, and pregnancy becomes gravidity.
You write “hypertension” (high blood pressure) so much that you just start abbreviating it “HT.” You feel the need to educate people and begin thinking things like, “Sir, please step away from the doughnut or your glucose level is going to skyrocket.”
One aspect of nursing care is to state a diagnosis that follows a specific format. For instance, if a patient is a raging alcoholic, the proper diagnosis would go something like this: Ineffective health maintenance related to cognitive impairment as evidenced by voiding into neighbor’s potted plant at 03 00 hours. Well, something like that.
A few of us students like to have a little fun with these diagnoses. A bad driver has a knowledge deficit related to inferior genetic heredity as evidenced by failure to yield in the face of oncoming traffic. If we get a low test grade, we have suffered from an altered self-image related to ineffective studying as evidenced by a failure to pass exam.
Sometimes, I think the nursing student is armed with just enough information to be a danger to ourselves, because, as we travel through each body system, we begin to think differently about those old, familiar aches and pains that have been experienced throughout our lives.
Everything is now under a cloud of suspicion: a pain in the chest becomes a pulmonary embolism, a blemish turns into a potential staph infection, and an ache to the right side of our upper abdomen accompanied by intense sweating has developed into symptomatic cholelithiasis (gallstones), which will undoubtedly result in a cholecystectomy (surgical removal of the gallbladder). It doesn’t help that I know 2 people in class, close to my own age, who have had this surgery.
A couple weeks ago, I received a concerned phone call from a female who I’ll call “Jane” to protect her identity. She exhibited a blue coloring on her right arm that spanned from her inner wrist up to her biceps. I told her she should head to my house so I could look at it and run her to the hospital if needed.
When she arrived, I grasped her hand to observe the cyanotic coloring of her wrist. I was shocked that it was ice cold, but when I expressed this, Jane said, “I just had the air-conditioning in my car on high and it blows right on my hands.” Relieved, I felt her pulse which was normal and inspected the affected areas of her arm.
We immediately ruled out a ruptured vein, which could pool blood into the surrounding tissue, because her veins felt and appeared fine, not to mention that the color was all wrong.
After scratching our heads for a while, I noticed a spot on her shirt. I said, “Jane, what is that on your shirt?” She looked down and turned a deep shade of “embarrassment red” before erupting into laughter.
“I had my blue folder under my arm when I ran out into the rain to get to my car! This blue is from my folder!”
Relieved and giggling, we both decided that this story should never be told in case a potential employer should question our nursing capabilities. I waited a week before begging her to let me write about it. She agreed on one condition: don’t use her name.
Nursing diagnosis: Impaired thought process related to medical information overload as evidenced by failure to recognize the most obvious conclusion.

The dumbest story ever told

According to dictionary.com, a galoot is a clumsy or uncouth person. This is a word I tend to associate with myself and I have plenty of scars to prove it.
My life’s history is packed full of spectacularly awkward moments. Once, I ran into an electrical outlet in our carport which protrudes from the wall. I wouldn’t say it was a menacing obstacle that threatened to maim me daily, but on the particular day I tried to take off my arm with it, I was being distracted by a wasp that was flying suspiciously close to my hair so I took off at a lumbering gait to gain access to the safety of my house when I slammed into the outlet.
I realize that the huge bruise on my arm probably hurt more and lasted longer than the sting of a wasp, but I have an intense dislike of flying bugs mixed with an irrational fear that one of these creatures could get caught in my hair. In my mind’s eye, I can visualize the alien insect expertly using my locks like Tarzan on a vine, swinging from side to side in an attempt to plant its stinger into each of my eyes which would swell shut and allow for more flying critters to attack me as I feebly thrash around on the ground.
I did say this was an irrational fear, right?
There are also certain shoe styles that play a significant role in some of my more maladroit moments. Flip-flops are probably the worst design because they lack even a hint of traction and, whenever I wear them in the rain, I know that I’m really just setting myself up for disaster.
When I lived in Washington State, I fell in front of a Target store while walking on what appeared to be level ground. I also slipped on the ice at Hurricane Ridge in the Olympic Mountains while holding our brand new camcorder. Being a bit of a professional at accelerated descents, I managed to spare the electronic device from any harm.
Though most of my klutzy accidents are brought about by objects lurking below my line of sight, such as the foot board of my bed, I have recently rediscovered the many possibilities that exist for unintentional burns.
Since I have a problem with cognitive thinking and depth perception early in the morning before my second cup of coffee, the toaster oven, stove top, and iron are constant hazards, but last week, a series of events fell into place that resulted a true galoot-worthy moment.
It started with bacon. Evidently, when one cooks bacon while their hair is still wet, that bacon smell infuses into their damp hair strands. I didn’t think about this until I was using my flat iron and noticed a residual bacon odor. I pulled some hair under my nose because I couldn’t fathom the possibility that my hair actually smelled like bacon.
When I did that, I noticed that my flat iron had an unidentifiable substance smeared on it. I knew it was some type of lotion or sunscreen and figured that a couple of days previous, I had put it in my travel bag before it had a chance to completely cool.
My next move was ridiculous even for me: I put the piping hot flat iron to my nose so I could smell which lotion was being forever heat-sealed on the device.
It is a week later and I still have a horizontal burn mark slashed across the tip of my nose. I called my friend, Amy, and broke the news to her that the title of “Dumbest Smart Person” was returning to its rightful owner. For some reason, she didn’t seem at all broken-hearted about it.

Canned cheeseburger is not on the menu

There are countless food items from around the world that are of questionable consumption. I’m not referring to items people eat that we really shouldn’t, such as fried green beans, gravy, and cookie dough. In fact, my husband advised me not to eat cookie dough just last night, but I can’t seem to resist its delicious sinfulness. I only had a teaspoon which, I choose to believe, greatly reduces my chances of contracting salmonella.
The foods in question are more like a certain dish enjoyed in parts of Asia: the century egg. It is essentially a rotten egg that is so spoiled it is somehow okay to eat. I can’t imagine putting this “delicacy” to my lips once the ammonia and sulfur odor infiltrated my nasal cavity and caused my olfactory nerve to warn my brain that what I smelled was a mix of brimstone and cat urine. This would cause my brain to declare: “Warning! Do not put this in your mouth or I swear I will turn on your vomiting center just for spite!”
I’m not coming down on rotten food either because I really like aged cheeses which usually smell like gym socks. I just don’t think of old eggs as something to experiment with too much.
As for shear appearance, the goeduck (pronounced “gooey duck”) that can be dug up out of the mucky Pacific Northwest shoreline is basically a huge clam that looks outrageously obscene. They can live for over 100 years and, on average, grow about a foot long.
I like clams; in soup and fried is fine with me and they are small enough so that I don’t have to think too much about what they look like. If someone slapped a goeduck on a plate and told me I had to eat it, after blushing profusely, I’d either run away or start to cry.
I will give an honorable mention, but refuse to discuss Rocky Mountain oysters.
Then there is Spam: a salty, “meatish” product that is crazy popular in Hawaii. Spam has been around since 1937 which means that it has some sort of weird staying power. There is a whole culture dedicated to preparation and consumption of Spam.
I’m not a fan, myself. I do enjoy the occasional canned product like tuna fish, beans, diced tomatoes, and sweetened condensed milk, but canned chicken or pork does nothing to whet my appetite.
This all leads up to a very disturbing bit of knowledge I just received from my sister’s boyfriend, Shannon. He thought I should be informed of a particular product that the Swiss have pushed onto grocery shelves: the canned cheeseburger.
I don’t know where to begin with this one. For starters, thank goodness this didn’t originate in America and my heartfelt appreciation goes out to the FDA for not allowing its sale in the United States.
I visited the link, conspicuously called “cheeseburgerinacan.com” and read in disbelief a little about this product. Being the skeptic, I had to assess for authenticity so I did a Google search which led me to a video of how to prepare the abomination.
First, you boil the can in water for ten minutes for that fresh cheeseburger temperature to be achieved. Next, pop the dual-sided lids and slide your meaty treat onto your plate. Enjoy!
The guy in the video cautiously picked apart the burger for inspection. It appears to come complete with bun, tomato, and some green debris that resembles dehydrated lettuce.
I don’t care nor do I want to ever know how this thing tastes. All I keep thinking is that its existence means we are that much closer to the apocalypse. Thanks a lot, Switzerland. You have disturbed me beyond comprehension.

Supermarket Maniac Meltdown

Do you ever go to the store and hear a screaming, out of control child? Chances are that insolent child may have been one of mine. My standard M.O. is to visit the restroom with the offending offspring for a bit of a “meet your maker” discussion. This has proven to be successful with my son, but my daughter has perfected the art of being stubborn and I’ll admit that I am at a loss of what to do with her. If I spank her, she’ll scream like I’m ripping off her arms. If I make her wear pants, she’ll scream like I’m ripping off her arms. Get the picture?
An example of a recent incident occurred at a local grocery store which I’ll not name in order to protect the innocent. On this day, my little angel is liberally spreading her new sparkle pink lip gloss around the area of her mouth when a catastrophe sets upon us: a missing cap. She alerts me to the absent cap and I look behind us thinking that we are ¾ of the way through the store and it could be anywhere. I tell her, “Sorry for your luck,” and resume shopping.
Her reaction is to catapult the capless tube at my face. I react calmly by picking up the tube and tossing it into a garbage receptacle believing that this will get my point across very nicely and nonviolently.
Engage ultrasonic, high pitched scream fest.
Being a woman, I can understand the minor devastation involved in losing a make-up product, but this child literally lost her mind. While shrieking at a decibel level that I believe capable of causing permanent tympanic membrane damage, she begins frothing at the mouth like a rabid dog with her eyes rolling madly around in their sockets.
At that point in time, I’d rather believe my baby girl has contracted some rare form of rapid-onset rabies than the obvious evidence that she is capable of instantly going so deeply insane. My son and I both take a step back; a bit from the noise level, but mostly because she is now spitting and trying to grab us with her super-human, pinchy-claw fingers.
He falls to the floor in a hysterical fit of laughter at his sister’s blatant overreaction while I’m slack-jawed and “deer-in-headlights” stunned. I consider either lighting up her backside in the bathroom or trying to reason with her, but I have no time to choose because groceries begin flying out of the cart.
I react in the worst possible way by contracting a sudden case of the giggles. The fact that my son and I are both laughing just causes her to become more enraged. By this time, we have cleared five aisles of customers and when we get to the checkout, no one will look me in the eye. She has somewhat calmed down to gasping sobs and I’m sure all the employees and customers believe that I have publicly abused my child and the security cameras will provide sufficient evidence to convict me. I loudly proclaim, “She missed her nap today,” to anyone who is interested.
We are about to leave when a couple of tween girls run up to us and one says, “Miss? There are two little girl’s sandals over by the eggs.” I look at my daughter’s bare feet and receive visual confirmation that the shoes are hers. My son runs to get them and I vow to stay away from that store for at least two weeks, but I know the emotional scars may never heal.

Adventures in the Wild

Sometimes I can be very impulsive. This quality usually presents itself while I’m shopping, but every now and then I read about an exciting opportunity that I can’t wait to fully immerse myself into; like the time I read a newspaper article about geocaching.
In case you are not aware of this activity, it is like a modern day treasure hunt where people use their GPS to locate a cache (hidden container). Inside are either an ink stamp used to validate your find or a trinket to take and replace with one of your own.
I couldn’t wait to start an adventure that was easy and cheap enough for me to consider embarking upon so I convince my friend, Michele, to come along and we gather our children and set off to search for a cache stashed somewhere along the banks of the Peace River.
On this muggy morning we head to Ft. Meade lacking any proper equipment for trail walking (i.e. bottled water or sensible shoes). We park in a very small, empty lot next to the trail head just south of the middle of nowhere and set off to trek a mile and a half towards the river’s edge and locate our prized stamp.
The first thing I notice is that my cell phone’s bars are conspicuously absent and I will not be able to call 911 should an emergency arise. It took no time at all (about 6 steps) for all my irrational fears to kick in and I start constructing mental images of the exact type of serial killer who would stalk for victims in this mosquito-infested marsh. He wouldn’t look like an obvious murderer, more like an upstanding citizen who could blend in at a local chamber mixer. If he ever gets caught, all his neighbors will testify that they never would’ve suspected him capable of such heinous acts.
 I begin complaining of the heat and general creepiness of the fact that our phones are useless when I abandon the killer scenario and mentally switch gears to the possibility of being attacked to death by a carnivorous beast. My friend’s son is wearing flip flops so he won’t be able to run for it; easy pickings. I determine that it will be up to me to save these innocent children and decide I need a stick so I snap off the shaft end of a palm frond.
While my right brain is hard at work fabricating vivid images of bear teeth ripping into my flesh, my left brain is frantically scanning its mental files for anything resembling statistics on nature trail deaths due to animal mauling in the Central Florida area. I yell at the kids to stay close and my friend is busy telling me that I’m acting crazy when we come upon a patch of mud.
In this mud are footprints; large, bearlike animal footprints. It rained the previous night so these tracks are fresh from this morning. Michele finally succumbs to my paranoid delusions and we decide to abandon our mission.
The kids are less than enthusiastic as we quickly stumble our way back through the woods. I’m trying to figure out the best way to kill a bear with my bare hands and a palm frond shaft while attempting to predict how cooperative said animal will be in assisting with its own demise, but we manage to make it back uneventfully and vow to never do this again without our big, strong husbands present.
Thus ends my one and only adventure with geocaching. I suppose we’ll try to stick to more public caches in the future.

What Lies Beneath Our Feet

Every year when the Christmas parade comes to town, I realize three things: (1) it is painful to sit for long stretches; (2) I’m running out of time to finish my shopping; and (3) it’s time to clean the carpets again.
Since my carpets are probably as old as I am, the stains are beyond tenacious. Usually, I pay a carpet cleaning company to come in and deal with our nastiness, but this year I decided to go ahead and do it myself.
After I moved all of the furniture out of the way, I experienced a bit of nostalgia while I surveyed the numerous stains in their naked, unobstructed state. There was a large splotch (normally covered by the area rug) from the time my son vomited red Gatorade in the middle of the floor. There were soda stains and orange juice stains and a stain that looked like green wax. I reminisced about the innumerable times I yelled at my kids for bringing food into the living room and recalled continually being mad at myself because I can’t seem to keep my coffee inside my cup.
Once I finished my trip down memory lane, I drove to a local hardware store, bought a bunch of chemicals, and rented a beast of a machine named Eileen. Yes, its name was really Eileen and I know this because it was decaled across the front. When I hear that name, I can’t help but think about the 72 year old waitress who worked the graveyard shift at the Clock Restaurant about twenty years ago. She was as tough as nails and everyone was a little scared of her, so I figured this mechanical version of Eileen would easily meet my expectations.
I purchased enough cleaning agents to shampoo a 1500 square foot house and, since I only had about 700 square feet of carpet to clean, I figured I was set to go. I began by liberally spraying several of the most stubborn blemishes in the living room with spot remover while completely neglecting to follow the instructions on the side of the bottle cautioning me to test a small, inconspicuous area before going all nuts.
Once that was done, Eileen and I made our way to my son’s room. I loaded her with two gallons of soapy water and got busy. After thoroughly soaking about five square feet of rug, I ran out of the sudsy mixture. Fearing I would have no soap left at that rate, I took a quick glance back at the directions and revised my strategy.
The first time I emptied the foul water, I felt ill as I witnessed the murky, debris-filled gunk pour into my kitchen sink. By the looks of it, my family is living above something akin to the La Brea tar pits. If only we could unearth an intact mammoth skeleton, we’d sell it for big bucks and pay someone else to deal with our grime-crusted rug.
By the time I made it back to the living room, the spot remover had really gone to town. I now had several super-clean carpet freckles sprinkled across the floor. I pondered why the company didn’t make the cleaner out of the spot remover since it seemed to work so well.
When I finally finished, my floor had gone from looking like a calico cat to resembling a slightly dirty camel, so I suppose I experienced some degree of success. I hosed off Eileen, thanked her, and took her back to the store. Maybe next year, I’ll go ahead and get that laminate floor installed.

One size does not fit all

Any time I have a little extra money burning a hole in my pocket, I love to go shoe shopping. I know that I am perpetuating a female stereotype, but I really don’t care too much about that because I have a real fetish for footwear.
Having said that, here is the Romeo and Juliet “star-crossed lover” aspect of my situation: I have size eleven feet. I know this may seem a substantial size for a woman and I hope no one actually gasped out loud, but I am six feet tall so it really isn’t too outrageous.
Before I had children, I wore a size ten and never really thought too much about it one way or the other because there were still plenty of cute shoe choices available to me. What I discovered after my feet grew that extra bit was that, in addition to the world not being ergonomically designed for people taller than five eight, the realm of footwear is also severely lacking once you advance into the double digits.
According to the Internet, the average shoe size for women is an eight. I tend to believe this figure based on the vast selection of size eights I’ve seen at every shoe retailer I have ever frequented in my life. My sister wears a size eight which annoys me to no end because all those women just do not realize how lucky they are.
I have never been able to find my size at a department store and every time I’ve inquired, I am directed to the catalog department as if I have freakishly large clown feet and don’t deserve to sport designer styles. I don’t like to order things I can’t try on because I’m too impatient to wait and I don’t like returning merchandise.
I experience more success at shoe stores and places like Walmart where they at least entertain the idea that women who wear my size actually exist. If anyone is curious to know what shoe shopping is like for someone like me, go into one of these stores and pause to admire the variety presented in sizes eight and nine. Next, take a cursory glance at the slightly smaller selection of tens, but don’t blink before you get to the beginning of the men’s section next to the store room because you’ll miss the designated area for size eleven which is mixed in with the even more unfortunate size twelve.
Somewhere along the way, shoe makers decided that mass-producing a sandal larger than a size ten was an indecent abomination. This results in some depressive moods for me when spring comes around and I see the adorable new styles that are not attainable for women like me.
It isn’t like I have ugly feet or anything. In my opinion, they have a perfectly normal shape and lack any deformities like bunions and extra-long second toes. My husband says I have monkey toes, but I believe he’s just a little envious because I am able to pinch and pick things up with my dexterous digits.
The Internet also informs me that Paris Hilton wears a size eleven. Even though, in my judgmental opinion, Paris is a spoiled rich girl who doesn’t deserve a fraction of the fame she has attained, I often daydream about writing Miss Hilton a heart-felt letter pleading with her to generously donate to me any of her discarded, out-of-style footwear.
Maybe it is time for us grande-sized ladies to make our presence known and band together to demand pedal recognition. In case that day never comes, anyone who knows someone that may have ties to the Hilton family, please give them my email address.