Safe Socialization #1: Lessons From the Road

This sunset was a dream trip finale after ten days traveling the West Coast with Cassie the Dog in my VW van. But even moments of pristine peace were disturbed by the underlying feeling I was doing something wrong. 

Taking in a spectacular sunset from a remote beach on the coast of Southern Oregon, I closed my eyes, tuning in to the rhythmic lapping of waves against the shoreline.

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For the first time in months, I felt relaxed. Observing the order of nature reassures me all is not lost to the actions and attitudes of us humans.

But the contentment I felt was convoluted by another emotion, one that made me question my presence at the beach altogether.

Guilt.

It had been gnawing at me all week.

This sunset was a dream trip finale after ten days traveling the West Coast with Cassie the Dog in my VW van. But moments of pristine peace were disturbed by the underlying feeling I was doing something wrong. 

This sense of shame has held me back, made me hesitant to write or talk about the trip. I’m worried I’ll seem reckless, inconsiderate, or much worse…hypocritical.

Pre-pandemic, I’d have jumped at the chance to share photos of picnics, Redwood hikes, and goofy misadventures of road life. (like accidentally stealing decor from my hotel room, or getting chased from a river swimming hole by a 5-inch snake.)

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But beneath the glare of 2020, through the lens of COVID 19, my enthusiasm for chronicling adventures and posting them to the public domain has been muted.

Driving south, I cowered under freeway billboards which admonished (seemingly directly at me) “Stay Home, Save Lives.”

I didn’t heed the warning.

Now that I’m home and have seen news of virus cases skyrocketing all over the country, I’m even more conflicted.

I’m afraid of being judged. Afraid friends won’t understand why I canceled plans with them but took this trip.

I’m afraid I’ve contributed to the problem instead of helping.

As a nurse, I feel an ethical obligation to role model the highest level of caution: either go to work and save lives or stay home and save lives. Nothing in between.

Yet, I’m human. I need self-care. I need family. I need work-life balance.

Honestly, I needed a break.

Let me insert a disclaimer here, a feeble attempt to assuage my guilt.

For what it’s worth, I was not in any patient rooms that were COVID positive for over a week prior to travel. I was tested for the antibody, which came back negative. (Though the accuracy of these tests is poor and the implications unclear.)

I was essentially self-contained in my vehicle the majority of the time. I only ate at restaurants outdoors, I didn’t join groups or gatherings, I was masked for the entirety and sanitized my hands regularly. img_7873

This trip was not mandatory nor was it an emergency, but it wasn’t pure hedonism either. I visited San Diego to have my van camper top refurbished (how I damaged the original in a parking garage in Whistler is a somewhat shame-inducing story itself!) The trip was initially planned for April – and of course – was canceled.

I definitely appreciate how trivial this is compared to major life events so many have canceled – weddings, surgeries, anniversary vacations to Iceland (my heart broke for this friend!), first birthdays for a first child.

And, I’ve had my share of disheartening cancellations: the annual soul-replenishing retreat at Salt Spring Island (should be there today!), Disneyland with my kid (our first trip together in 4 years), Hawaii with my best girlfriends…

Sacrifices have been made by all.

As the pandemic waxes and wanes, we’re forced to make decisions regarding what activities we deem safe and reasonable to engage in. The conflict, guilt, and doubt this conjures up aren’t unique to me. 

Friend and colleagues have shared similar concerns. “I’m not ignoring the virus, but I miss my friends so much.” “I don’t want to make things worse, but I just can’t sit home alone any longer.” “No matter what I decide to do, it feels wrong.”

After carefully following the mandates of isolation for months, many of us are desperate for some normalcy and have begun taking calculated risks. Our mental health depends on it.

Since the pandemic’s (publicly known) onset in the US, my mission as an ICU nurse has been clear: prevent, treat, and eradicate this plague and the suffering it generates. I’m meant to ensure you, your child, your spouse, and your parents will not succumb to the virus. It’s no wonder my bias towards “stay home” and “wear a mask” has been steadfast, as I’m overwhelmed by the bleakest realities of COVID 19, and frequently witness prolonged and painful deaths of the patients who succumb to it.

Separated from that environment, even briefly, to engage in hugs with family (which I literally have not felt in months) eat food prepared and served by another human (not via drive-thru), and run freely on the beach next to my furry best friend, I became acutely aware of how important it is for us to live.

The farther I traveled from stifling hospital air and seemingly endless office hours via claustrophobia-inducing ZOOM, the more apparent this became. 

 

Distance from the frontlines also helped me better appreciate the “outside” world’s perspective. (Non-healthcare professionals, and/or those who haven’t experienced the tragedy of Coronavirus in their personal circle.)

I can identify, to a degree, with those calling for businesses to open immediately and even those throwing caution to the wind to gather in groups, mask free.

We need to socialize, adventure, and fuel our economy. We need to rise above the fearful and negative energy that’s been vibrating through the earth for the greater part of six months.

But this doesn’t mean we can ignore it altogether.

Returning to work after vacation was emotional whiplash. From beachside Utopia to caregiving of patients fighting against Coronavirus for their lives, including a young woman on life support who contracted the virus after attending a small, intimate wedding. Sadly, it was her own. Every guest in attendance became ill.

Tragedies like these – ones that are a part of my everyday life since March, are keeping our communities from moving forward with social events for good reason.

But I know we can’t hide in our homes forever.

So how do we strike a balance of security, sanity, and solvency?

After navigating 2,500 miles of travel during these uncertain times, I don’t have any perfect answers.

But I do have suggestions based on what’s working for me.

Stay tuned for my next article, where I draw parallels between practicing safe sex and practicing safe socialization, using everything I learned in high school health class.

Coronavirus, after all, is basically just another type of preventable STI –

Socially Transmitted Infection.

Stay safe and healthy my friends.

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Cheers and Gratitude,

Tiffany

 “The views expressed on this blog are not medical advice, the opinions are my own and do not reflect the views of my workplace.”

 

 

It’s Time to Suit Up and Stop the Mask-Shaming

What would resorting to public displays of personal protection say about ME? Had I become weak? Had I always been?

FYI – This post will NOT cover the following mask-based material: 

  • Politically charged discussion re: mask availability/approval (though it’s no doubt mixed messages and misinformation are leading players in the delayed decision to recommend them.)
  • Controversial discourse regarding public access to masks and healthcare professionals shortage. (though trust me, it’s caused me a significant amount of heartburn.)
  • Heartfelt pleas, imploring you to wear a mask, based on my firsthand witness of ongoing tragedies. (though each shift bears more testimony that masking vigilance is necessary. And OK, there may be an overture or two within.)

The following is an examination of human behaviors and relations, of judgment and compassion, and tracks my evolution from mask-critic to humble mask-aholic.

Continue reading “It’s Time to Suit Up and Stop the Mask-Shaming”

Caring From the Front Lines: An Updated Version.

My original article just doesn’t express my present day-to-day as a nurse on the front lines. My new reality.

Working Nurse recently published my article detailing a day in the life of an ICU nurse caring for patients with Covid19. My words were as authentic as possible while being cognizant of the public platform and sensitive nature of the content. (It could be helpful to read that article FIRST to best understand!)

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PPE is rationed out and kept safely in paper bags

Healthcare is a rapidly evolving system, and in times of Pandemic, the rate of change is unparalleled. By the time the article hit the internet, many of my observations were already out of date. As I read it today, I think to myself, this was obviously written before.

Before is a mentality I imagine you can appreciate.

Before Coronavirus, I could go to the movies. Before the pandemic, I could engage in group-hugs. I used to buy toilet paper anytime, anywhere; but that was before. 

For me, a nurse in a medical ICU, BEFORE was an era in which the virus was evident at work but I wasn’t personally affected. Each shift was increasingly intense and surreal, but otherwise, life went on as normal. “Covid” patients were sequestered to a few specific rooms and my personal concerns were compartmentalized right along with them.

Simply put, I wrote the article before S#!+ got real.

Before…

  • Our department was at near capacity with Covid-positive patients.
  • our dwindling PPE supply – masks, gloves, and face shields –  were placed in a locked room and rationed while staff use shower curtains and hand-sewn masks as replacements
  • Visitors were restricted from the hospital campus in its entirety.
  • Short staffing and the quantity of the patients made it impossible to have a secondary/observer RN to help. We now put on/take off our PPE,  disinfect our supplies alone and generally have 2:1 assignments (2 patients to one nurse) – patients this critically ill were always a 1:1 assignment before. 

I composed that paper before I had lived through the solitary dread of being the only caregiver in a room with a crashing patient; sweating through my scrubs and paper gown, my view obstructed through a bleach-smeared face shield. Colleagues stood pensively outside the glass door, offering support via walkie-talkies, prepared to enter but waiting until the crucial moment. For the sake of staff safety, and to preserve PPE, we must question: does this require a second set of hands? Is this moment worth the use of our equipment?

In the past week, my role has changed drastically. My nursing scope has expanded to include phlebotomy (drawing labs), housekeeping, and respiratory therapist skills. We’re taking all measures necessary to decrease exposure to Coronavirus, and to preserve protective gear. A nurse is one essential person that must enter the room multiple times a shift. Therefore, the decision has been made to require nurses a multitude of tasks that others would normally do. While decreasing how many people are exposed, this increases exposure to the nurse. img_5569

Finally, the article was penned long before I understood the evolving nature of the virus, worked desperately and yet futilely to care for and save patients in their early 40s. Before I woke to the news that doctors and nurses are contracting and dying of Coronavirus too.

My original article just doesn’t express my present day-to-day as a nurse on the front lines.

My new reality.

Across the globe, everyone is coping with their own version of this new normal. Struggling to make sense of this; to stay sane. So many of us are hurting – physically, emotionally, financially.

We have to listen. We have to act in accordance  – (Find the CDC’s FAQ Here!)–  in order for this to end.

And listen – as dire as this feels right now, it will end.

Just as there is a “Before“, there will be an “After“; first, we must go through.

The extent to which we embrace this as an opportunity to grow will define us as individuals and as a community.

We can do this together.

Thank you to all who have sent messages,  and donated food, masks, and equipment.

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My new mask! Hand sewn with love by Emily Fritz, ARNP

We nurses feel the love, and we are doing our best to stop the spread of this virus and to get your loved ones healthy and back home to you.

Thank you for doing your part too!

How are you holding up?

Are you feeling a sense of nostalgia for BEFORE?

Can’t wait for this to be over and get to the AFTER? 

As we go through this, I’m here for you!

Please email me – tiffany@recoverandrise.com.

I’m happy to support you through this time. 

 “The views expressed on this blog are my own and do not reflect the views of my workplace.”