Saturday, September 24, 2011

Working on my inner cocker spaniel

It is said that, after a while, puppies and their owners tend to look alike. This week, out of utter dedication, I made a decisive step toward canine condition, as I found out I had an ear inflammation. My physician prescribed antibiotic drops and recommended that I would tilt my head when applying them so that they would reach out the irritated area – the same advices our vet gave us in similar circumstances. Cockers spaniels often need ear drops…
So I spent a week surrounded with haze – sounds would reach me beyond a padded distance. It is also painful. Aleve does its work but at night, my ear still wakes me up. So I will confess it. I also used some stronger medicine leftover from the prescription made by my dentist earlier this month after he pulled out one of my premolars.
Which leads me to some vernacular translation. In France, when you get hurt, you cry “aïe” (pronounced “i”). I took me a little while to realize that in the US, you should utter “ouch”.
Another notable difference with France: how to get your medicine. In France, pharmacies are stores of their own, usually painted with green colors as it goes with its national ensign, a green cross. You bring your prescription and you don’t have to wait or come back: the pharmacist straightaway brings up and gives you the box of the medicine you need. No counting of pills.  The first time I needed a prescription when I started living in the US, I was puzzled by the statement “it will be ready in one hour”. How come picking up a box on a shelf required this amount of time???
My ear is now healing – to my relief. After improving my listening skills this summer during my internship at the hospital, not being able to simply hear properly was frustrating! And I now care for two sets of silky furry ears with a renewed compassion. 

Monday, September 5, 2011

Blueberry Thief!

We are very happy with our blueberry bush this year. Summer was rainy and cold so it bloomed late but with fortitude and its fruits came to maturity early this September. Even before harvest, I noticed that bunches of fruits would vanish, as if delicately picked while no leaves would be damaged. The mystery just got solved… No comment.

Thursday, August 18, 2011

Not two Codes Blue are alike


Greg, my CPE supervisor, was right. The on-call nights were never as dramatic and stressful than that very first night. One night, I was called to support the family whose aunt was slowly passing.

«Her window on the world is getting smaller…» commented the nurse when I asked him his prognosis in a whisper. Still, she survived through the night while a code blue was happening in the cancer unit – I ran over there. This patient could not be revived.

As I joined the group of nurses and technicians gathered by the patient’s room as they always do in those moments of crisis, they looked at me suspiciously. My badge only mentioned I was a volunteer and they were wondering what was bringing me up here – some sort of morbid voyeurism? “«I am a chaplain intern – on call tonight » I explained and immediately their attitudes changed. “Oh good! Her husband is on his way… He does not know yet his wife passed away. Would you welcome him ?»

Later
that same night, a 91 year old woman expired by her daughter and son-in-law. The nurses had called me as her death was becoming imminent. As we were waiting for the people from the University of Washington (the patient had donated her body to science) the daughter told me about her mother, who had come to live with her in Tacoma a few months earlier. “I know she was 91 but still, she is leaving too early, she said. I threw a “welcome to the Northwest Party” for her when she moved in with us. She was still doing fine last week… This summer, I wanted to take her to the Pacific coast for a day trip. She was such a good Mom..." She left two hours later with her husband. I told her as I hugged her “I did not get to meet your mom but I won’t forget her”.
All those on-call referrals were not always that dramatic. One night, I was called by a patient who was unconscious in the critical care unit. His daughter was here, a small jar of oil in her hand. “I would like you to baptize my dad” she said. “I am a Catholic. My Dad does not belong to any church. I don’t want him to die without baptism. I am afraid he would get lost… I know for a fact he believes in God.”

However, when her mom and sister joined us in the room, they disagreed. They did not want him to be baptized while in a coma. “He must choose for himself, we should not impose that on him when he is not aware of what is going on” said the mom. Her daughter accepted their decision. I prayed with them then left.

The next day, I went back to the room of the patient. I was hoping to see again the daughter and be able to explore with her the fear she expressed that her father would be lost without baptism. She was not there but I had the good surprise to see the patient, awake and sitting in his chair, talking with the nurses.

The last code blue of my internship took place during the day. A patient passed out during his dialysis and was able to be revived fast. His daughter, overwhelmed with relief and retrospective fear went out in the hallway and started crying. I had just arrived. I introduced myself and asked permission to hug her. She was a foot taller than me and she sobbed in my arms for several minutes before she was able to talk again.

“ You are a chaplain?”
“I am. A chaplain intern.”
“You are the prettiest chaplain I have ever seen.”
I guess not two Cold Blue are alike…

Thursday, June 23, 2011

Code Blue

20 minutes after I wrote the previous message, the pager (clipped on my T-shirt) made a screeching sound. I pressed the button with a shaky hand and the words “code Blue, room 616” appeared. Code blue: a heart stopped. Nurses and doctors trying to revive a patient. Looming death. I was supposed to call back the number on the pager, but no number showed , just the room number. What should I do? Reluctantly (it was almost midnight) I called Greg, my supervisor. He always said we could call him at any time. Indeed, Greg answered – though I could tell I woke him up. “Call the nurse supervisor” he said. At this station, a nurse that knows everything that happens in this huge hospital. “Yes, come in, she said. I am calling the family right now.”  
I jumped in my car. I prayed as I could, broken words through the many fears I was experiencing. Above all, I was afraid of not being able to face whatever was over there. When I arrived at the room of the patient, I found out that he had been revived and he was being transferred in critical care unit. His family was on their way. I look at the nurses and doctors busy around the unconscious young man. I was impressed. One of the nurses approached me. «There is another one» she said, pointing to another room. “He just died. The family is coming».
A few minutes later, the mother of the patient and his girlfriend arrived in tears. The nurses introduced them into his room and I followed them, hoping to be useful, maybe pray with them. “Get out please!” the girlfriend shouted. I left the room, realizing my mistake. This moment was theirs. I should have not been there without being invited. A few minutes later, a nurse went in and told them about the circumstances of the death. He died peacefully – they were supposed to make a decision the next day about taking him off life support. “They would like a prayer now” the nurse told me.
I came in – the patient’s room was large, filled with silent machines. I noticed in a corner colored balloons with “Happy Father’s Day” written on them. I sat down by the mother who was crying silently. I suddenly started crying too – I did not see that coming. I needed several minutes before being able to speak. Then I started praying. I talked about the presence of God standing by people in sorrow. I talked about Patrick in the light of the Kingdom. I prayed for the comfort of those left behind, who loved him. I say that their memories, the shared experiences with Patrick would remain theirs forever – nobody would take them away. I quoted King David, after the death of his son, who said “he will not come back to us – we will go to him”. Finally, I stopped talking. The mother told me kindly “that was beautiful”. We stayed silent for a while. I was looking for a way to invite her to tell me about her son but I did not find the words. Why did not I say simply “tell me about him”? Eventually, I left to check on the other patient and promised I would be back.
The mother had arrived by Larry bedside, the first patient. His heart was getting weaker. I just had time to introduce myself when another code blue took place. More nurses and medical technicians arrived. This time, the patient could not be brought back. Larry’s mother was in tears. The doctor hugged her. I stayed with her in the room after everybody left. I hold her hand and we prayed together. Then she asked to stay alone with him for a while.
I spent some time waiting in the hallway. This was a welcomed pause. I was still shaking. I went back and visited with the other family, who had some questions about the upcoming formalities. I gave them information and the phone number of the nurse supervisor – she would need to know the name of the funeral home that would be coming. The two women were getting ready to leave. Patrick’s mother hugged me. I watched them walk away – the girlfriend had taken the «Happy Father’s Day» balloons with her…
Another code blue took place at 6 :00 AM – a woman who was revived. I came and prayed with her daughters.
«The on-call nights are not always that busy» said Greg, my supervisor later that morning. Greg assured me I probably would not have another night of that intensity during the rest of this CPE.
But next Wednesday, that will be my turn again to have the pager back, a long unpredictable night ahead of me.

Wednesday, June 22, 2011

It is right here

It is right here - the pager that will ring up if there is need for a chaplain tonight. It is in front of me, still and silent for now like a big sleeping beetle. But this fragile condition can be broken at any time.
For the first time tonight, and until 8 AM tomorrow morning, I am on call. If there is need for a chaplain tonight at Good Sam hospital, I will be the one being called. As I promised I could be at the hospital in 30 minutes, I don’t need to sleep over there. I am at home, and the pager follows me everywhere I go.
This internship is fascinating. Not only do we learn to listen and walk with patients and their families, in the midst of their pain, questions and emotions. But we are also led to observe our own way to provide this support. So many things to discover about ourselves through this time: what moves me to help others? How can I provide this help without projecting my own fears and beliefs? The most enlightening exercise is the verbatim. As we recollect the words shared during an interaction with a patient, we write down the emotions and thoughts we experienced. We share the verbatim with the others interns and our supervisor and we comment it together. Why were you uncomfortable at this point of the conversation? What would you do differently? We are scrutinized like never before – without feeling under attack. We are all in the same boat, trying to become better chaplains.
All this is still very new and while I am looking at the silent pager and the night outside, I can’t help hoping… stay calm tonight, Puyallup, stay calm.

Sunday, June 5, 2011

Facing the Good Samaritan

Tomorrow morning, at 7 :45 AM, I am scheduled to be in the little chapel of Good Samaritan hospital in Puyallup. This will be the beginning of two months and a half of Clinical Pastoral Education (CPE) in other words, an internship in the chaplaincy department of the hospital, as I mentioned it last November. During those weeks, I will be serving in specific units of the hospital, I will have classes, I will have the opportunity to write down “verbatim” (the account, word by word, of a conversation with a patient and how I explore this interaction). Those verbatim will be later on discussed on weekly classes and during one-on-one supervision.
Good Sam is a huge place – a maze really – which doubled its size last winter: an 8 stories building was added to the existing hospital. This internship is the last step of my process to become a pastor. «it is a life-changing experience, said a friend who is now a pastor in Wyoming.  Very hard, very demanding, I learnt so much about me. The whole thing was a gift”.
One of my Hebrew students had a similar comment after doing a unit of CPE in Seattle. “that feels like your personality is scrutinized and analyzed, a fascinating time”, she explained.
So there will be the maze of the hospital hallways and the meandering of my psyche – summer should be interesting in Puyallup. To be followed…

Friday, February 25, 2011

The Vet and the Speaking Serpent

 A few weeks ago, I took Sitka and her red eyes to our vet downtown in Puyallup. Cockers spaniels eyes should be carefully monitored.

That was the first time I met with Casey, the senior vet of the place. He asked me the origin of my accent and what I was doing in life. Then he proceeded to tell me about the animals of the Bible. Not any animals. The talking animals.
In the Bible, we only meet two animals who talk like humans: the serpent of Genesis, and Balaam’s donkey (Numbers 22). The donkey was actually a she and the prophet would ride her.
One day, as they were traveling in the countryside, an angel suddenly appeared in front of them. The donkey moved out of the path to avoid colliding with the heavenly visitor. Balaam who could not see the angel started beating his donkey for what seemed an erratic behavior until she turned to him and told him off for his inability to understand what was really going on.
Balaam’s eyes finally opened up (a translation says «the scales fell off his eyes») and he was able to see the angel. A psychiatrist friend had pointed out this text to me years ago. According to her, the donkey represented our unconscious mind.
Casey also mentioned the serpent from Genesis, a weird animal that had legs (before God condemned it to crawl on the ground) and could talk – and those words, spoken to Eve, go back to the foundation of our theological discussions. “Did God really say…?” (Genesis 3:1)
Casey then mentioned that he had been called before to take care of snakes that had just shed their old skins. This shedding does not always go smoothly. Sometimes, when the weather is dry, the old skin stays stuck on the eyes of the serpent – usually in time of very dry weather – creating some sorts of scales and the serpent cannot see anymore.
Most of the time, Casey said, you just need to put some ointment or even Vaseline on the eyes of the serpent to solve the problem.” Casey commented that others stories in the Bible (including Balaam’s) mentioned humans unable to see until “scales fell of their eyes”.
For one thing, it is good to know what should be done if we ever cross the path of a snake in trouble. For another... let's face it. Serpents and humans, we all have our own way to blind ourselves until the voice we expect least - the donkey we ride for instance – frees us and brings light back to our lives.