Categories
nightshiftlife

Notes from an Extra shift

There is nothing better than showing up to work extra and finding a brown sugar boba from Yi Fang waiting for you.

Yi Fang— home of the best boba

Among the other fantastic treats I received: a homemade pumpkin chocolate chip muffin and pizza from one of our patients who just left the hospital after his heart transplant.

After being off for 5 days, however, I was pretty terrified that I would find a hospital overrun with covid and bursting at the seams with patients. And we do have a pretty full house… but amazingly, our covid numbers haven’t skyrocketed. House-wide we have only 29 total, 6 of whom are “cured,” and 2 are waiting for results. There are NO cases in the ICU currently.

This is definitely better than I had hoped for and expected, given the terrible news I’ve been hearing lately. Perhaps the hard work of London Breed, mayor of San Francisco, and Gavin Newsom, governor of California, is paying off in reducing covid infections and hospitalizations!

Also, one last thing to be so happy about this extra shift.

Labeling iStat cartridges with 2021 because next year is ALMOST HERE which means 2020 is done. GOOD RIDDANCE!

Bring on 2021!

Categories
Public Health

Covid, social media, and suicide contagion

With the onset of the pandemic and working from home, the number of content moderators responsible for taking down suicide and self-harm content went down as well. As a result, 80% LESS of that content was removed between April and June of this year.

Although numbers are back up to pre-covid levels, Instagram (owned by Facebook) still struggles with automated vs. people-driven content moderation. Developing smart AI computer tools to detect self-harm and suicide content has been helping proactively.

Highlighting the burden that social media companies now bear in the fragile mental health of young people, this article really reinforces the notion that suicide is contagious and highlights just how large a role social media plays in that contagion these days.

Categories
pandemic

A nasal spray for covid

Hidden away in the news this past week was an announcement about a nasal spray that had been developed from already-existing ingredients that can help aid in reducing your chances of getting sick from covid! Holy shit!

Researchers say regular application of the spray could significantly reduce disease transmission, and believe it could be particularly useful in areas where crowding is less avoidable, such as on flights or in classrooms.

–SkyNews

The article has a few other details, but mainly just drops the little factoid that this simple spray could help prevent transmission for up to 48 hours. This seems like a terrific thing, especially considering that the vaccines will likely not really be available until springtime.

Categories
personalstories poetry

And the poet finally speaks

I haven’t mentioned it before, at least I don’t remember mentioning it–but in addition to nursing, I have a masters degree in creative writing. Poetry to be specific. As might be expected, my initial bachelors degree was a throw-away English degree with a minor in philosophy. And as I was graduating in exactly 4 years–a record for my friend group, who all stayed at least 5 years!– I decided the best course of action, even though I knew (I KNEW!) it would be a waste of money, was to spend two years in grad school for creative writing. I called it a vacation. Like traveling abroad before starting a real job, except I would have no real job waiting because I had trained for nothing!

But never mind the specifics, I dove headfirst into poetry because that was where my love was. It was how I processed the world, emotions and ideas. Poetry felt necessary to being alive. In those years of school, I learned more about language, and I read and wrote more than I can even imagine now. I was immersed. I was drowned but happily so in words.

And I even managed to score jobs working in teaching, writing, and editing after leaving grad school–first at the university where I had gone to school, then at a textbook publisher and then even in the exciting dot-com world and as I’ve mentioned here at prestigious tech publishers like Wired Magazine. But within a few years, it was all falling apart. September 11, 2001 destroyed not only my budding career but really drained my spirit and left me in what we’ve now come to call the quarter-life crisis.

After a few years spent blowing in the breeze, traveling the US in a Volkswagon GTI, camping for free wherever I could and couch surfing the rest of the way, I found the inspiration to go to nursing school. I’ve often felt like my life was just split in two, with a before & after nursing school– each side clearly delineated by roles and responsibilities, by the presence or lack of poetry, by my involvement in the blogging community or not.

But here I am, 16 years after deciding on my 30th birthday (which I spent camping in Death Valley, for those of you who like metaphor), and I am doing both. I am nursing full time in the ICU of a busy teaching hospital, learning every day, and I have started this blog, this little website where I can write about important issues related to nursing, health, and tell stories from nursing.

Its not so surprising then that in the last month or so, I’ve written my first poem in which I’ve ever referred to my job as a nurse. I’m going to take a chance today and share it here with you. I realize that no one really reads this site, so it doesn’t matter, but I want anyone there to know that this is important to me. These two parts of my life have needed to come together for a very long time, and here I will mark this transition. It is not exactly a celebration because this poem is not happy, because we cannot exactly say that nursing or life or 2020 is happy right now either. But no more justification. Here.


Can we pretend that this is not my eulogy?

This resume I’m writing
            My curriculum vitae
Graduated summa cum honore
      One more tiny Latin word better than
                                  Your laude

And for what?
       A bachelors and 2 masters
But still mostly a slave,

A nurse not much removed
        From the handmaid
               Apologizing for everything that’s   not her fault

So what if my mother didn’t love me?

                           And so what if my husband left me?

Then I say out loud
            “Can you help turn side to side
To get on the bedpan or should I get someone to help us?”
Categories
blacklivesmatter

When police violence hits home

Within 20 miles of where I live, Vallejo, California suffers under the most violent police force in the state. According to this fantastic long form analysis by Shane Bauer in The New Yorker, “[s]ince 2010, members of the Vallejo Police Department have killed nineteen people—a higher rate than that of any of America’s hundred largest police forces except St. Louis’s.” In those 10 years, the city has paid almost $16 million in legal settlements, had their insurance raised significantly, and are currently still facing 24 use-of-force legal cases expected to cost upwards of $50 million dollars.

“It can’t be awful if it’s lawful.”

Joseph Iacono, Vallejo Police Lead Force Options Instructor

This is a small city where many black and brown families have moved, often being squeezed out of the historically minority-centered but now rapidly-gentrifying Oakland and Richmond. The police force is staffed mainly by white men who don’t live in Vallejo but get paid top wages, often leaving forces in places like Oakland to find a job where their violence is acceptable.

And you know my refrain… Who suffers when the white man is in power? Always the black & the brown & the women. Also the mentally ill, the senior citizens, the homeless, and any other disenfranchised and powerless groups. Vallejo has gone bankrupt trying to pay the police officer’s increasing wages and benefits, often eliminating funding for roads and senior centers entirely in the process.

This is a city with a public health problem, and that problem is POLICE VIOLENCE. Defunding the police–perhaps even disbanding and restarting from the beginning seems to be the only situation in Vallejo.

All I can ask from you is that you know what’s happening in your area. Are people suffering like this? Can you help? Stand with your fellow citizens!

Categories
pandemic

I’m covid negative, so now what?

On Thursday evening, while watching tv and learning to draw, practice session #4 this week, I decided I needed to get tested for covid before my parents arrived to visit for thanksgiving next week.

Just to be clear: I’ve been working with covid patients since early March including during the chaos when the entire country was running out of masks. But we have been lucky in the Bay Area, our surges have been smaller and more manageable. We’ve even had periods recently where no covid patients needed ICU-level care.

There was a time when my work mates and I were 100% sure that we’d already had covid—because how could we not?!?! Protocols were in flux, the federal government who was guiding our policies couldn’t decide what type of isolation precautions and PPE we needed. Not that the PPE (personal protective equipment) was even readily available then.

We probably had 20 pairs of goggles in our whole hospital… and reusable face shields? Oh hell no. Luckily our administration ramped up quickly, and many of our doctors with friends in tech hit donations of things like 3D printed face shields. We did have some crazy gowns mixed in there as our normal supply (made in China I’m sure) got depleted, but we got through the initial surge.

And while we were doing that, we also made our overflow hospital, overflow ICU, and organized anything else we needed. And then we did a trial run to make sure everything was do-able just to make sure.

As time went on, I actually became confident in all my colleagues’ abilities to deal with the covid patients. The isolation gear and protocols became second nature. I’m not worried that someone is going to expose us all.

So how does it feel to be tested for the first time this it a far in to the pandemic and be negative? I’m proud of my work crew. We’ve been keeping each other safe for 9 months now.

We just need to keep it up.

Categories
pandemic

An ICU nurse in Michigan gives her perspective

On NPR, you can listen to this 4 minute interview from an ICU nurse on the frontlines as she discusses patient regrets, masks, and surviving the pandemic with Audie Cornish on All Things Considered.

Mobley describes this very common experience:

“A lot of times before they’re intubated — which means put on a ventilator because they can’t breathe on their own — when they’re still struggling to breathe, and they’re saying, ‘Well, I didn’t know COVID was real, and I wish I’d worn a mask.’ And then it’s already too late,” she tells NPR’s All Things Considered. “You can see the regret, as they’re struggling to breathe and it’s finally hitting them that this is real. It makes me very sad.”

Hear more at ‘You Can See The Regret’: ICU Nurse On Patients Who Failed To Take COVID Precautions

Categories
Nursing School

Sex work: nursing’s secret side hustle

I actually read this article weeks ago but have just been thinking since then. Nursing students needing to pay for school are doing online sex work at sites like Only Fans so they can pay bills or finish school debt free.

Two future nurses in the article lost more traditional nursing-school jobs as nursing assistants due to covid, while another already-working nurse lost her homecare position due to the pandemic when everyone started working from home.

Some women claim that working for online site Only Fans makes their lives easier–such as one student in an accelerated nursing program who started her Only Fans after she found that driving for Uber took up too much time. One young new mother even commented that “I already post borderline explicit content on my social media, so why not get paid for it?”

This thought provoking article makes me wonder how I would have paid for nursing school if I hadn’t been married at the time I went to school? My then-husband worked full time to make sure we had health care, a roof over our heads, and food–but I still left nursing school with over $100,000 in t. I’m still paying these loans off more than a dozen years later. Would I have opened up my own Only Fans in order to pay my rent, or reduce the burden of my student loans? Possibly. An excellent question.

Read more of these stories of want-to-be nurses turning to sex work and how they deal with the stigma: “We’re In Hard Times Right Now.” Meet The Nursing Students Turning To OnlyFans To Get By.

Categories
Quick Notes

Is this the covid vaccine we’ve been waiting for?

The same weekend that we finally got election results, we had good news about a covid vaccine as well. The phase 3 trials are showing 90% effectiveness against the virus, which is so much more that we expected.

The vaccine [by Pfizer and partner BioNTech] is the first to be tested in the United States to generate late-stage data. The companies said an early analysis of the results showed that individuals who received two injections of the vaccine three weeks apart experienced more than 90% fewer cases of symptomatic Covid-19 than those who received a placebo.

Read more at Covid-19 vaccine from Pfizer and BioNTech is strongly effective, early data from large trial indicate

Categories
Quick Notes

This is what I do to distract myself

Make memes to distract my friends…. where are you at today???