Deep South

Recollections of Travel 

Traveling in the South was a real treat for many reasons including the soft accents and colloquialisms. I will never forget being in an elevator in Montgomery, AL when a smartly dressed woman walked through the door and requested I “mash 6” for her. I’m sure my mouth was agape while I figured out she wanted me to push the button for the sixth floor! 

Being a Kentuckian, I’ve always wondered why we are considered “southern.” We are far from Montgomery, New Orleans and other southern towns where honeyed accents prevail. In fact, we are squarely in the middle of the Eastern one-third of the US. I know I have an accent, but in my opinion, it is not Southern, but country. I hear it, I’ve been reminded of it and even teased when traveling to cities to the North or out West. I must admit when I was teased I often became, even more country, sprinkling “Y’all” liberally throughout the dialogue. Accents are intriguing.

Charleston, SC

A long time ago a business colleague and I spent a week in Charleston, SC, training staff at one of the ambulatory care centers slated soon to open. It was going to be a demanding schedule which was a shame because by all accounts Charleston was a beautiful historic city. We knew we would have little time for anything other than work but two things were obvious. We had to have a place to stay and we had to eat, so we optimized both requirements. We chose an extra nice hotel situated on the beach and planned to sample the local cuisine at the finest places. 

While I don’t remember every detail of that week, some things do stand out. One was sleeping with the sliding glass doors open to the balcony so I could hear the ocean. The pounding of the waves was magically relaxing after long days of teaching and orienting nurses, doctors, radiology and lab technicians as well as clerical staff. They were experienced professionals but needed to learn the policies and procedures established by our company. 

Seafood

Our treat for the week became the wonderful restaurants, especially those specializing in seafood. Each evening we would choose a different place and linger over dinner while reviewing the events of the day. We were never disappointed in the meals nor the southern hospitality. We tried many types of food, but I kept going back to my favorite, shrimp. I ate shrimp as appetizers and in main courses prepared in various ways. I did not tire of these plump, juicy crustaceans night after night. Clip-art-shrimp

On Thursday night sleep came quickly while I listened to the sounds from the beach. Approximately an hour later, I awoke to severe abdominal pain. It was intense as I sat up and turned on the bedside lamp. Within seconds I was aware of itching of my arms and trunk. The itching intensified to the point that the abdominal pain was almost forgotten. As I called my colleague, Gale, whose room was just down the hall, I saw I had red hives, some as big as my hand, quickly advancing over my trunk and limbs. By the time she got to my room, I was tearing at my skin, unable to control the itching or accompanying panic. Thank goodness, Gale was not only intelligent, she was a “take charge” type who also had Benadryl in her room. I probably owe her my life. She forced me to swallow two capsules of 25 mg. each while she shouted demanding I stop scratching. That was impossible for me as the more vascular areas swelled and throbbed with an itch I didn’t know was possible. 

Hospital

In the city hospital emergency department (ED) those accents I had been enjoying all week, became so pronounced I could barely make out was being said to me. Perhaps it was my state of fear and agitation, but the only person I could understand was the doctor who was from Vietnam! As my lips, tongue, and throat continued to swell I could not believe how chatty he became. He did all the right things obviously because I survived anaphylactic shock, but when he had learned the company I worked for and that I was from Louisville he found those facts far more remarkable than my precarious medical situation. 

You see, this was during the time that the Jarvik 7, an artificial heart engineered to replace an ailing human heart, was being implanted in Louisville, KY.  The surgeon who performed the first such procedure in Utah had moved to Louisville to perform his second and subsequent surgeries at one of the hospitals owned by my employer. The Vietnamese ED physician kept asking questions about that famous surgeon. Did I know him? What was he like? What did the Louisville medical community think of this procedure? If he had known I was recently a nurse manager at the same hospital where this device was being implanted, I doubt he would have been able to focus on his patient at all, i.e., ME! 

Thanks to quick thinking on the part of my colleague and in spite of the ED doctor’s infatuation with the artificial heart surgeon I survived to work another day in Charleston even though it was without sleep. After returning to Louisville tests confirmed I was allergic to crustaceans, e.g. shrimp, lobster, and crabs. I have not eaten shrimp, or any other crustacean, since that trip to lovely South Carolina.shrimp-2393818_1280

For years I grieved the loss of shrimp and lobster. I also went through a stage of blaming myself (called “personalization” by Sheryl Sandberg in her book Option B) for overindulging and thereby becoming sensitized. Finally, I was able to not only accept, but be a little grateful as my research revealed a close kinship between shrimp and certain bugs (arthropods.)


 

NOTE: Allergy to crustaceans is not the same as a shellfish allergy. Oysters, clams, and mussels, for instance, are not crustaceans. For simplification I refer to crustaceans as the ones with antennae. lobster-1538643_1280

Photos by Pixabay
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Pediatric Horror Story

Nurses in Training

As mentioned on the “About” page of this blog, I taught nursing a long time ago. I began teaching in 1978 which was when nurses wore white uniforms, hose, shoes and cap. The cap was symbolic of the nursing school from which one graduated. Mine was modestly winged with a black stripe indicating I was an alum of The Kentucky Baptist School of Nursing.

Teaching men and women who aspired to become a nurse was both daunting and rewarding. When the students were brand new they learned mundane tasks in the lab such as proper hand washing and sterile technique. In the classroom they learned subjects like pharmacology and anatomy.

Clinical Rotation

The most challenging days were when the students were taken into the clinical area for real hands-on hospital experience. I went in before 6 a.m. to review charts and choose one or more patients for each student to care for from 7 until 11 o’clock.  They would bathe, treat and monitor the patient and document everything in the nurse’s notes and on various graphs and forms in the chart. Meanwhile, as their teacher, I was running from room to room to instruct, supervise and observe their performances.

Post Conference

Following the hectic morning of caring for patients we would meet together for post conference. During this time each student presented their case(s) for the day. One by one they would state their patient’s diagnosis, age and other demographics, medications administered, tests and lab results and treatments rendered. It was an important part of the clinical experience, because the students were able to demonstrate what they had learned and answer questions from the group. It was, also, a way for each student to learn information from 10-12 different cases.

I will never forget some of the things I learned here, especially during the years I taught Pediatrics, since it was not the field of nursing in which I was most experienced. During post conference, students might share good news about blood work indicating a child’s recovery from leukemia, the troubling account of a toddler intentionally burned by one of its parents, maybe assisting with a spinal tap or accompanying an infant for X-rays.

One hot summer day we were gathered in a conference room while I listened dutifully to each student and added or corrected information as they presented their cases. One student went into great detail describing her little boy’s injuries which consisted of many lacerations and a fracture of the lower left extremity requiring surgery. She explained how the child was brought in by ambulance from his home in the country. She was dismayed at how, though he was only 10 years old, his parents let him handle many farm chores. She explained while accompanying his father in the field, he had been savagely injured by a wild animal. She had everyone’s attention and was clearly becoming excited as she continued to talk about the attack.

I sat speechless, a rare condition for me, but I could not make myself interrupt her animated presentation. She went on and on until finally one of her classmates asked the question everyone wanted to know: “What kind of animal was it”?  To which she breathlessly responded it was, “A bush hog!” 

Bush Hog Rotary Cutter Parts

Bush Hog by Pixabay