January, 2008 Archive

January 28, 2008, 7:06 am

four nights, five days

THANK YOU so much for all your well wishes. you seriously are like my family, i am so touched. not to mention also sort of changing my mind about the flu shot again :)
we are all a LOT better and were actually able to go to church this weekend and joined half of the people coughing.

it has been raining in our part of the world here, but we are still going. we have planned this little vacation three months ago, and i guess it is fair to say that a little cough and a couple of days of rain cannot really stop us. the kids have been counting the days, and we have been equally excited. my in laws have been getting ready for days, they even bought ginger capsules, just in case they get seasick.

i can sense blogging withdrawal symptoms coming, but i hope it won’t be that bad with all the prospect of fun i have anticipated. you all enjoy your week, and i’ll see you guys on friday. if it’s worth it, i might bore you with the experience. if not, i’ll catch up with your week’s blogging.

 if you happen to be cruising, we might be going on the same carnival cruise ship. who knows, i might see you there. wave to me and my family, okay?

January 24, 2008, 7:29 pm

why it’s stupid not to get a flu shot, and why you should check out nurseconnect

i got it.

the whole package, plus the extras. constant nausea, vomiting every 1-2 hours, fever that laughed at 1 gram of Tylenol every 6 hours around the clock, body aches like some muscled, weight lifting men mauled me without mercy, headache that made me conclude i must have brain tumor, and cough that convinced me i had tuberculosis.

the extras are that my two boys and my husband got it too. mine started last sunday night, and as i post this, i can’t even say with a straight face that i am totally better. at least, i am not throwing up my guts anymore, and the chills are not that bad.

this is when i realized, a little too late of course, that IT WAS STUPID OF ME NOT TO GET THE FLU SHOT.

when i signed the declination form, scared that i will get in trouble if i didn’t, i had to watch a 12 minute video that basically told me in my face that if i don’t get the flu shot, i am stupid. i smugly laughed, acknowledging that fact with sarcasm. i checked the reason “i don’t believe i will get the flu” or something like that as my reason for not getting it.

well, i guess that goes to show that when millions of people are saying that something is stupid, and you don’t believe them, you just officially admitted your stupidity to the public.

if i survive this first major flu, and i am still alive by the next flu season, mark my words: i will be one of the very first to line up for the flu shot. you are my forced witnesses.

i didn’t work for two nights, and i don’t know if i am well enough to work tomorrow night, but i got a call from work, asking me to bring something for a cultural potluck. when i told my coworker this whole sad-i-have-been-really-sick story, she told me “i guess it’s payback time!” this is because she was one of those who watched the video with me and declined the flu shot too. coincidentally, or maybe understandably, she was sick for more than ten days, and had to miss work too. even in between coughing, i laughed, because she was so right about THIS being payback.

so, no stories from work this time. however, if you are a nurse and online connection with other nurses is your thing, i encourage you to check out some of the new cool things up at nurseconnect.com. from blogs, to forums, to articles, to all sorts of informations related to nursing, and connecting with other nurses all around the world. that’s practically everything, right? go ahead, connect.

that’s all for tonight really.
and here’s hoping that the nasty strain of flu that hit me and my family will never visit your household, because believe me, it is worse than awful. and i will never wish it on anyone.

January 20, 2008, 10:18 am

the US citizenship oath taking ceremony experience

i was one of the 904.

we had to line up for over an hour, out in the sidewalk. although a few pointed out it was such a long line, nobody really complained seriously. after all, if you’ve waited for years before you become a US citizen, what is an hour under the california sun? i must say this however…it was obvious that everybody defined “proper attire” in his own way. if not, how does one explain the fact that some wore suit with matching ties, while others wore denim jeans like they were going to starbucks or something?

the judge made us raise our right hand as we repeated the oath after him. i got a little emotional when the part about being loyal to the united states was up. i realized the irony of it all. i was pledging allegiance to a country that embraced me for six years, while i declare my “disloyalty” to my homeland, the philippines, which has been my home for 32 years. although i lived in australia for a year or so, i was visiting and studying, so i didn’t really felt like i was there.

the judge then shared his own story. it was typically nostalgic. his grandfather was from lithuania. he came here with $8.00 in his pocket, didn’t speak a word of english, alone, scared, but full of hope. he built a life for himself, and a life for his family. twenty years later, in 1940, he took the oath and was naturalized as an american citizen. as the judge’s voice got emotional, some tried to clear their throat. must be that lump. you know, the lump that forms in your throat when you hear something that you can relate to.

i recognized the story, but since it wasn’t my own, it didn’t really touch me in the same way. i learned to write and speak english in first grade. i came here as an immigrant, ready to take an exam that if i pass, will assure me a good paying job. i came here with a fiance waiting in the airport, a dad who prepared a room for me, and hundreds of friends and family who have seen all the glory and gore. family and friends who shared their experiences without reservations and full honesty, enough to both scare and make me hopeful.

then, the guy from the INS spoke for a few minutes. he told us he totally understood why we may have ambivalent feelings about the ceremony. that it was totally understandable if we feel sad for whatever reasons, because our countries of origin still mean a lot to us. he said he knew, that every single one of us had our story, why we came to america, and why we decided to be citizens and call the united states our home.

he then challenged us to tell our story. to anybody who wants to hear it. he said america needs us, because americans forget how great this country is, and we have that ability to remind everyone who takes the good things for granted.

if you are ANYBODY who wants to hear it, please listen.

seven years ago, i worked in a 4 bed ICU, in a private hospital in the philippines. for an 8 hour/day job, i got paid about $7.00/day. no night or weekend differential, and most of the times, 1-2 hours overtime was for free. often, the doctor’s word was THE the law, and it was an unspoken rule that you are not to question your superiors to maintain peace.

i lived in a house with 22 other professional adults and college students, who paid rent for a bedspace. it was a decent 5 bedroom house with bunk beds and one bathroom. we got paid every 15 days when we’re lucky, every three weeks when the hospital’s budget is tight. most of the times, a few days before the next pay comes, i barely had nothing to buy food. i would then count the days before the next paycheck comes, buy instant noodles, and live off of that.

we paid taxes, and we see where it goes. not to the roads that need fixing, or to the millions who need healthcare, but to those politicians who already are millionaires to begin with. they take it with them when they travel around the world, oblivious to the fact that millions don’t even have anything to eat. the rich gets richer, the poor, well, you know…

speaking of healthcare, for the average filipino it is nonexistent. i have personally seen people die, because they have no money for even the cheapest medicine. we had patients who badly need medicines or procedures, who sold their properties and had no more, and would just wait to die. the waiting list in the government hospital is just too long to even consider. people resort to doing something illegal, things they never thought of doing, because they want their children to live. people will hold you up anywhere, threaten to kill you, with a gun or a knife, for a few hundred pesos and jewelry, and who can blame them? sometimes, one’s moral values get blurred when he/she is overcome by hunger.

the reason why people like me don’t end up begging in the street is not that i was a professional with my own job, but that i have siblings/family who are scattered all over the world, sending me money so i can buy more than noodles. like everybody else, a brother, a sister, a parent, an aunt or an uncle worked outside the country, sacrificed, to provide for those who were home. those who didn’t have such brave and loving families, they suffer poverty beyond belief.

i am not bashing the philippines. the truth may sound and look like that, but it needs to be told. it also needs to be told that depsite all the hardship that a lot of us experienced back home, we were happy. it may sound contradicting, but those years of very little money were good years. we learned how to live within our means and learned how to be creative in stretching that last peso, both in our lives and at work. we learned about relationships and why sometimes, it is more important than money and comfort. we learned that indeed, it is not what our country can do for us, but what we can do for our country. we learned the spirit of sharing and sincerely caring for the underpriviledged, those who had it worse than us.

despite all the undeniable corruption and mismanagement of funds in the government, i will always call the philippines my hometown. i will always be proud that i was born there, that i lived there for a long time, that i am a filipino at heart. and yes, i will still continue to brag that the philippines has the world’s most beautiful beaches. that will never change.

despite all the pollution and poverty, i will always find a spot back home that i will consciously call beautiful, because the philippines is generally a beautiful country, and it is where i have memories of my childhood that made me who i am today. i will always cherish the sacrifices of family members who made my life reasonably comfortable. i will always be grateful to a lot of people, especially teachers, who, despite being underpaid taught me not only about things in the book, but about life itself. i owe them, and if one thing good i can do is not to be a part of the statistic of those dying in poverty back there, i have achieved something.

the united states? it is where i am now, this is where i started my family. this country has given me more than i have ever asked for. there is a reason why i do not hesitate to share my story to those americans who complain about everything because they don’t know any better, or because they have not seen what heartbreaking is. i sometimes get amazed at the amount of taxes i pay, but i see things being done and unlike some who only see the glass half empty, i see the glass half full.

i am pretty sure america is not paradise. i am not naive about the things that make people question the government and the law. i am pretty sure this is not even close to perfect, but if you happen to know what you have not seen, you will be grateful you are an american. if you only see what you dislike, you are missing the point.

as for me, i don’t think i will ever regret my decision to become a US citizen. i once was an australian immigrant, was an RN there, but i chose to be here. i mean no offense to any australian, but it is my opinion that they are, in general, not ready, in so many levels, to treat immigrant workers with the same warm spirit they treat tourists. australians are friendly, but i found it awkward to work with them because they had no real concept of the kind of education i had to be an RN. it was degrading and uncomfortable for me to be treated like i was not qualified to do the work i did, which clearly, i have already proven myself capable.

although i am grateful for the insights i gathered from living in australia for over a year, i didn’t really feel like i belonged there. i’m glad my three sisters, two of whom are nurses have found their places as citizens there, i just didn’t fit. i realize now that i might have a different thought if i was a bit more confident back then, but my insecurities overpowered me and it just didn’t feel right at that time.

on the other hand, i will always hold it dear to my heart that this country welcomed me in its workforce with open arms. a lot of its citizens are genuinely friendly and inclusive, most of its sick appreciated my work, and its resources and equal opportunity labor laws allowed me and my family to experience comfort beyond my imagination. words will never be enough, but i will forever be grateful.

if you are reminded why you should hold your head up and count your blessings for being born in this free, rich, great country, my story is not in vain.

January 17, 2008, 8:18 am

the change in staffing ratio side effects

on the first day of january, california staffing ratio changed. for a telemetry unit like ours, it was changed from 1:5 to 1:4. our hospital however, anal about safety, always go one patient less. so that last year, when all of california has a 1:5 ratio, we had 1:4.

i guess you easily figured that out. yes. on the first day of january, we changed to 1:3.

when you have been so used to working your butt off with 4 patients, you can only imagine what the change means. we used to imagine it, because we knew since last year that there will be a change. well, actually, we used to dream about it.

now, we’re living the dream.
what is nice about it is that we actually have more time with the patients. for example, before the change, i can’t recall the last time i have given any of my patients a bath even when they requested it. i simply had no time and had to tell them they had to wait till day shift because that’s when there were more PCAs to do it. now, just on the third week, i have given two patients full baths, and two sponge baths to two others!

you have no idea how good it felt…you know, to say, “oh, you want a bath? i’ll be back!” needless to say, we have more time to listen too. i have gathered so many interesting stories in my head about patients who obviously just want to talk to someone, and i know it is a small thing, but they openly appreciate it. it feels good to be appreciated. i won’t lie about that.

as far as patients are concerned, this change is definitely a good thing.

as for the staff? i think it still remains to be seen.
the thing about it is that we have more time to catch up with what’s going on in everybody’s personal lives. i have been updated on who is about to get a divorce, who is not getting a divorce even though they can’t stand their husband, who is complaining that their husband wants sex everyday, who is starting a business, who hates who, who can’t stand who, who….you get the idea. the topics and the stories are endless, and nobody knows where the gossips start.

don’t get me wrong, i like it that i know what’s going on with my coworkers’ llives. i enjoy interacting with them, sympathizing with them, and sharing my own learnings and mishaps with them. what i am not so comfortable with is the talking about somebody else, which usually starts as an innocent thing, but eventually ends up as something else.

i don’t know if that is a good thing or a bad thing.

sometimes, i just feel that i would rather be spared from too much information about my coworkers’ thoughts, especially things they talk about other staff who are not present. not only that it makes me paranoid, because i end up thinking about what they say about me when i’m not there, but also because i just don’t dig the whole thing sometimes.

the problem is, even when i  have my head buried in a book, i can still hear the whispers. it’s hard to sift the truth from the lies. it’s almost impossible not to get involved. even if it’s just in your own head.

as i said, i’m not sure if that will eventually be a good thing or a bad thing.