Cynthia Stock

An amazing author for your soul!

A letter to the DNC and all potential Demeocratic presidential candidates

May 21, 2019 by Cynthia Stock Leave a Comment

An opening platform of “Beat Trump” is not enough, Mr. Biden, and stoops to the pep rally antics of Mr. Trump, well illustrated by Ben Fountain in Beautiful Country Burn Again.

If you want my vote, regardless of your gender, faith, or sexual orientation, these are the problems I want addressed in your campaign:

  1. Clear distinction between pro-birth v. pro-life. It is not the physical act of bringing a child into the world that forces women to consider termination of pregnancy, it is the provision of food, health care, education, shelter, and emotional support. If a woman is a criminal for terminating a pregnancy, why isn’t a man criminalized for not taking responsibility for his off-spring. It takes two to conceive.
  2. In a wealthy, industrialized nation, health care is a necessity and a right. If this country is to maintain its place of leadership in the world, affordable, accessible healthcare and medications should be available for citizens. Conscience must come before capitalism and profits.
  3. A clear-cut plan for the humane management of immigration must be forthcoming, not in a few years, now.
  4. Proactive action must be taken to preserve the environment for future generations.
  5. Politics must maintain a modicum of civility and address issues rather than using name calling and obscure allegations to incite voters.
  6. Term limits must be considered so those who govern are in touch with the present, not languishing in the past’s quagmire of social mores and standards.
  7. Elected officials must be held accountable to the people who elected them.

 

 

Just a few thoughts for the day after my morning coffee.

 

 

Filed Under: Affordable care, Daily Politics, Democratic politics, Health Care Tagged With: Democrats

Multiple Sclerosis-The Monster

May 7, 2019 by Cynthia Stock Leave a Comment

My feet woke me up this morning, burning hotter than a pig on a spit. I knew not to expect blisters. The sheet billowed when I yanked it off with the flourish of a matador. MS. I have referred to it as “my MS.” I hate acronyms. They reduce the horrific to the mundane. MBC. Does that make Metastatic Breast Cancer any easier? Only for drug companies advertising treatment. COPD? Does that make it easier to breathe when you have Chronic Obstructive Pulmonary Disease? I have Multiple Sclerosis. It doesn’t deserve a nick name. If I refer to it as MS, you might think I am talking about a Masters degree. Although I have one of those, “my MS” refers to the disease which has been my master, as both a blessing and a curse, for forty years. I haven’t talked about it much. Call me a private person. But after joining a writers’ group on Facebook, I found out two things. The first? Nothing is off limits. The second? Talking about living with a monster may help someone else living with one, whether it is an abusive partner, a child in trouble, or Multiple Sclerosis. Be advised. This is not a forum for whining or self-pity. I worked until retirement, work-out six days a week, enjoy good eye sight, and seem to be a thinking human being. Many are not so lucky. That does not mean I haven’t faced the monster on a daily basis and trembled in its shadow. More to come.

Filed Under: Health Care, Human Connections, Multiple Sclerosis

The Second Amendment Blues

July 31, 2018 by Cynthia Stock Leave a Comment

The month of June from any old calendar in a spider webbed, abandoned garage. A picture of a woman whose breasts spill around two tiny triangles of diaphanous fabric. You know the one I mean. Her nipples punctuate the centers of each. She straddles a Harley-Davidson and ogles the barrel of a gun, its size distorted by the photographer.

In Starbucks a man fumbles for his wallet, pulls back his jacket, and exposes a carved mahogany gun handle. A man in low-riding jeans shops at Walmart, bends over to grab a fifty-pound bag of dog food. His t-shirt pulls up. The handle of a Smith and Wesson beckons from his butt crack.

            Mine’s bigger than yours.

Some people see guns as phallic symbols, some merely as weapons of defense. I carry my own weapon of defense, a silent partner, a barrier that protects me from encroachment by the intolerable. Depression. Religion promises the Savior walks a path with the faithful. My intimate friend, depression, rides within. I slide back the panel to the hidden compartment in my bed’s headboard and sequester my gun there. I want easy access to the tool of my exit strategy.

Although I don’t remember it, I suspect I experienced depression the first year of my life, the year I learned I wasn’t worthy.  My mother told me a story. “You learned to swim in urine because I was too tired to change your diaper. You never cried.”

Not worthy of a clean diaper. Praised for holding back my tears. Learning to survive.

My Mom in post-partum depression, I diagnosed in fifty or so years of retrospect and after forty years a nurse. A gene passed on to a daughter? A mother’s gift?

Days on my bike. Hours away from home. I found a steep hill at the middle school and pushed off. My feet hovered above the brake pedals. I imagined my metallic midnight-blue bike a flying unicorn. With my stringy blond hair whipping in the wind, I sped down the bumpy, stone encrusted hill. My gaping mouth shrieked in glee and fear. I didn’t want to die. I wanted to fly and land in a place where if my mother looked at me, she really saw me, and maybe even liked me. A place where I liked me.

A diary of lasts and leasts. The last girl in my class to get her period. The girl with the flattest chest. The girl with the fewest choices for dress shoes to wear to the sixth-grade dance because of her shoe size. Adolescence ravaged my face. Loneliness gutted me, either with, or because of, the distorted world view of an introvert, a label I didn’t understand at the time. I zeroed in on every dead bird in a storm drain after a heavy rain, every daffodil flattened by tornadic winds.

A taste of love. My first true love I lost to miles and time and adversarial politics. I learned people break-up for reasons more powerful than the comfortable familiarity of a friend who fumbles through a first kiss and heated pleasure with no shame. The next love, an insecure adolescent, lost on some now-well-named spectrum, who dropped out of his collegiate rat race, showed up on my doorstep, the date of his last bath unknown, his face familiar through the thick lenses of Lennon-like wire-framed glasses. After I encouraged him to shower, we explored each other. His mouth left a purple bruise on my breast, and he took off. He wrote an acerbic good-bye, rife with blame, on pieces of toilet paper. Thankfully unused.

Then the university. Miles away from home. People with whom I had no connection. I drank until I cried in chest-heaving sobs. My sorrow, so powerful, convinced my roommate I had been raped. Not my body, just my heart. I didn’t sleep. Studied all night. Took a Spanish final exam, answered all the questions in French. Hungover in two foreign tongues. I need a gun.

My career grounded me, then ground me down. A caretaker, a professional nurse. A person in control challenged by the exponential changes occurring in technology and in the role designated as the “handmaiden of the physicians.” Responsibility without rights. Accolades for successes and the demonstration of newly acquired knowledge; blame for failures that meant loss of life. Sleepless nights. What did I do wrong? Could I have done more? Retracing every drug administered, every vital sign documented, every word spoken to the patients, to the families, to the doctors, to the bleary-eyed face in the mirror. I need a gun.

A son. The greatest joy. I promised I would never make him feel unworthy. Even when I went to visit him in jail. On Mother’s Day. On his birthday. I failed. On that day I left before our time was up. I made another promise, loud and honest and unwavering. “If this happens again, I won’t be visiting you in jail when I’m fifty.” I need a gun.             My feet burn constantly. I know I am not walking on hot coals, but occasionally I look down, hoping I am. Because if I am, I can step off them and the pain will stop. One day I touched the outside of my slow cooker. A blister erupted where my skin brushed against the stainless steel. My hands feel like that every day. I worry about pissing myself. When I awaken, vision blurry from sleep, I fear I am going blind. My body attacks itself. I need a gun.

Today I have had enough.

Sitting on the edge of my bed, I considered the pills I collected over the years from various therapists. They half-filled the plastic, amber container with the child-proof cap. It opened with a push and a twist. I re-engaged the cap. It snapped into place. I rolled the container between my palms as if I were shaping clay. The pills skittered, no tickety-ticked, against the plastic and sounded like mice playing, unseen, behind wallboard. I saw myself drifting away dreaming of the perfect life I should have, but not sure what it should be. I knew my heart would slow and become erratic, would struggle to thrust every drop of blood out toward the ends of my body. I knew my breathing would stop, a task forgotten. Then I saw rescuers and intubation and hospitalization and questions and anti-depressants and the guilt-laden faces of my family.

I think of the garage where my pink Peugeot mountain bike hangs on hooks, unused. A battered filing cabinet organizes instruction manuals for the coffee pot, the generator, and the robotic vacuum I named Frisbee. Hand-made Mother’s Day cards with a childish scrawl, pictures from innumerable seasons of sports, and vet records of a favorite cat, long dead, crowd the top of one drawer. How easy it would be to leave surrounded by these bits of history. A bottle of wine, my favorite pillow, the made-in-China blanket with the Grand Canyon on it, iPhone, and ear buds. So easy to start the car, listen to music, take one final trip.

My first job I cared for a girl the EMS brought to the ICU. Cherry red lips, in a perfect application of color, belied the displacement of oxygen by carbon monoxide on the blood. It starved her brain of oxygen and left a robust, young body without a command center. I didn’t know what happened to her after she left ICU, but I knew the consequences of complete immobility.

I thought about a gun. Any gun. I wouldn’t put it in my mouth and pseudo-fellate it. I understood recoil and the chance for a misfire. A bullet pushing through my palate, exploding an eye, ripping through my cheek, or, worst of all, trashing my sanctuary of words. No. I would press the muzzle under my chin just above my Adam’s Apple and I wouldn’t give myself time to think. The move would be swift and smooth and sure and my finger would be poised to pull the trigger. A blast to the brain stem. No more worries about being worthy. The perfect exit strategy.

Thank God I don’t own a gun.

The month of June from any old calendar in a spider webbed, abandoned garage. A picture of a woman whose breasts spill around two tiny triangles of diaphanous fabric. You know the one I mean. Her nipples punctuate the centers of each. She straddles a Harley-Davidson and ogles the barrel of a gun, its size distorted by the photographer.

In Starbucks a man fumbles for his wallet, pulls back his jacket, and exposes a carved mahogany gun handle. A man in low-riding jeans shops at Walmart, bends over to grab a fifty-pound bag of dog food. His t-shirt pulls up. The handle of a Smith and Wesson beckons from his butt crack.

            Mine’s bigger than yours.

Some people see guns as phallic symbols, some merely as weapons of defense. I carry my own weapon of defense, a silent partner, a barrier that protects me from encroachment by the intolerable. Depression. Religion promises the Savior walks a path with the faithful. My intimate friend, depression, rides within. I slide back the panel to the hidden compartment in my bed’s headboard and sequester my gun there. I want easy access to the tool of my exit strategy.

Although I don’t remember it, I suspect I experienced depression the first year of my life, the year I learned I wasn’t worthy.  My mother told me a story. “You learned to swim in urine because I was too tired to change your diaper. You never cried.”

Not worthy of a clean diaper. Praised for holding back my tears. Learning to survive.

My Mom in post-partum depression, I diagnosed in fifty or so years of retrospect and after forty years a nurse. A gene passed on to a daughter? A mother’s gift?

Days on my bike. Hours away from home. I found a steep hill at the middle school and pushed off. My feet hovered above the brake pedals. I imagined my metallic midnight-blue bike a flying unicorn. With my stringy blond hair whipping in the wind, I sped down the bumpy, stone encrusted hill. My gaping mouth shrieked in glee and fear. I didn’t want to die. I wanted to fly and land in a place where if my mother looked at me, she really saw me, and maybe even liked me. A place where I liked me.

A diary of lasts and leasts. The last girl in my class to get her period. The girl with the flattest chest. The girl with the fewest choices for dress shoes to wear to the sixth-grade dance because of her shoe size. Adolescence ravaged my face. Loneliness gutted me, either with, or because of, the distorted world view of an introvert, a label I didn’t understand at the time. I zeroed in on every dead bird in a storm drain after a heavy rain, every daffodil flattened by tornadic winds.

A taste of love. My first true love I lost to miles and time and adversarial politics. I learned people break-up for reasons more powerful than the comfortable familiarity of a friend who fumbles through a first kiss and heated pleasure with no shame. The next love, an insecure adolescent, lost on some now-well-named spectrum, who dropped out of his collegiate rat race, showed up on my doorstep, the date of his last bath unknown, his face familiar through the thick lenses of Lennon-like wire-framed glasses. After I encouraged him to shower, we explored each other. His mouth left a purple bruise on my breast, and he took off. He wrote an acerbic good-bye, rife with blame, on pieces of toilet paper. Thankfully unused.

Then the university. Miles away from home. People with whom I had no connection. I drank until I cried in chest-heaving sobs. My sorrow, so powerful, convinced my roommate I had been raped. Not my body, just my heart. I didn’t sleep. Studied all night. Took a Spanish final exam, answered all the questions in French. Hungover in two foreign tongues. I need a gun.

My career grounded me, then ground me down. A caretaker, a professional nurse. A person in control challenged by the exponential changes occurring in technology and in the role designated as the “handmaiden of the physicians.” Responsibility without rights. Accolades for successes and the demonstration of newly acquired knowledge; blame for failures that meant loss of life. Sleepless nights. What did I do wrong? Could I have done more? Retracing every drug administered, every vital sign documented, every word spoken to the patients, to the families, to the doctors, to the bleary-eyed face in the mirror. I need a gun.

A son. The greatest joy. I promised I would never make him feel unworthy. Even when I went to visit him in jail. On Mother’s Day. On his birthday. I failed. On that day I left before our time was up. I made another promise, loud and honest and unwavering. “If this happens again, I won’t be visiting you in jail when I’m fifty.” I need a gun.             My feet burn constantly. I know I am not walking on hot coals, but occasionally I look down, hoping I am. Because if I am, I can step off them and the pain will stop. One day I touched the outside of my slow cooker. A blister erupted where my skin brushed against the stainless steel. My hands feel like that every day. I worry about pissing myself. When I awaken, vision blurry from sleep, I fear I am going blind. My body attacks itself. I need a gun.

Today I have had enough.

Sitting on the edge of my bed, I considered the pills I collected over the years from various therapists. They half-filled the plastic, amber container with the child-proof cap. It opened with a push and a twist. I re-engaged the cap. It snapped into place. I rolled the container between my palms as if I were shaping clay. The pills skittered, no tickety-ticked, against the plastic and sounded like mice playing, unseen, behind wallboard. I saw myself drifting away dreaming of the perfect life I should have, but not sure what it should be. I knew my heart would slow and become erratic, would struggle to thrust every drop of blood out toward the ends of my body. I knew my breathing would stop, a task forgotten. Then I saw rescuers and intubation and hospitalization and questions and anti-depressants and the guilt-laden faces of my family.

I think of the garage where my pink Peugeot mountain bike hangs on hooks, unused. A battered filing cabinet organizes instruction manuals for the coffee pot, the generator, and the robotic vacuum I named Frisbee. Hand-made Mother’s Day cards with a childish scrawl, pictures from innumerable seasons of sports, and vet records of a favorite cat, long dead, crowd the top of one drawer. How easy it would be to leave surrounded by these bits of history. A bottle of wine, my favorite pillow, the made-in-China blanket with the Grand Canyon on it, iPhone, and ear buds. So easy to start the car, listen to music, take one final trip.

My first job I cared for a girl the EMS brought to the ICU. Cherry red lips, in a perfect application of color, belied the displacement of oxygen by carbon monoxide on the blood. It starved her brain of oxygen and left a robust, young body without a command center. I didn’t know what happened to her after she left ICU, but I knew the consequences of complete immobility.

I thought about a gun. Any gun. I wouldn’t put it in my mouth and pseudo-fellate it. I understood recoil and the chance for a misfire. A bullet pushing through my palate, exploding an eye, ripping through my cheek, or, worst of all, trashing my sanctuary of words. No. I would press the muzzle under my chin just above my Adam’s Apple and I wouldn’t give myself time to think. The move would be swift and smooth and sure and my finger would be poised to pull the trigger. A blast to the brain stem. No more worries about being worthy. The perfect exit strategy.

Thank God I don’t own a gun.

The month of June from any old calendar in a spider webbed, abandoned garage. A picture of a woman whose breasts spill around two tiny triangles of diaphanous fabric. You know the one I mean. Her nipples punctuate the centers of each. She straddles a Harley-Davidson and ogles the barrel of a gun, its size distorted by the photographer.

In Starbucks a man fumbles for his wallet, pulls back his jacket, and exposes a carved mahogany gun handle. A man in low-riding jeans shops at Walmart, bends over to grab a fifty-pound bag of dog food. His t-shirt pulls up. The handle of a Smith and Wesson beckons from his butt crack.

            Mine’s bigger than yours.

Some people see guns as phallic symbols, some merely as weapons of defense. I carry my own weapon of defense, a silent partner, a barrier that protects me from encroachment by the intolerable. Depression. Religion promises the Savior walks a path with the faithful. My intimate friend, depression, rides within. I slide back the panel to the hidden compartment in my bed’s headboard and sequester my gun there. I want easy access to the tool of my exit strategy.

Although I don’t remember it, I suspect I experienced depression the first year of my life, the year I learned I wasn’t worthy.  My mother told me a story. “You learned to swim in urine because I was too tired to change your diaper. You never cried.”

Not worthy of a clean diaper. Praised for holding back my tears. Learning to survive.

My Mom in post-partum depression, I diagnosed in fifty or so years of retrospect and after forty years a nurse. A gene passed on to a daughter? A mother’s gift?

Days on my bike. Hours away from home. I found a steep hill at the middle school and pushed off. My feet hovered above the brake pedals. I imagined my metallic midnight-blue bike a flying unicorn. With my stringy blond hair whipping in the wind, I sped down the bumpy, stone encrusted hill. My gaping mouth shrieked in glee and fear. I didn’t want to die. I wanted to fly and land in a place where if my mother looked at me, she really saw me, and maybe even liked me. A place where I liked me.

A diary of lasts and leasts. The last girl in my class to get her period. The girl with the flattest chest. The girl with the fewest choices for dress shoes to wear to the sixth-grade dance because of her shoe size. Adolescence ravaged my face. Loneliness gutted me, either with, or because of, the distorted world view of an introvert, a label I didn’t understand at the time. I zeroed in on every dead bird in a storm drain after a heavy rain, every daffodil flattened by tornadic winds.

A taste of love. My first true love I lost to miles and time and adversarial politics. I learned people break-up for reasons more powerful than the comfortable familiarity of a friend who fumbles through a first kiss and heated pleasure with no shame. The next love, an insecure adolescent, lost on some now-well-named spectrum, who dropped out of his collegiate rat race, showed up on my doorstep, the date of his last bath unknown, his face familiar through the thick lenses of Lennon-like wire-framed glasses. After I encouraged him to shower, we explored each other. His mouth left a purple bruise on my breast, and he took off. He wrote an acerbic good-bye, rife with blame, on pieces of toilet paper. Thankfully unused.

Then the university. Miles away from home. People with whom I had no connection. I drank until I cried in chest-heaving sobs. My sorrow, so powerful, convinced my roommate I had been raped. Not my body, just my heart. I didn’t sleep. Studied all night. Took a Spanish final exam, answered all the questions in French. Hungover in two foreign tongues. I need a gun.

My career grounded me, then ground me down. A caretaker, a professional nurse. A person in control challenged by the exponential changes occurring in technology and in the role designated as the “handmaiden of the physicians.” Responsibility without rights. Accolades for successes and the demonstration of newly acquired knowledge; blame for failures that meant loss of life. Sleepless nights. What did I do wrong? Could I have done more? Retracing every drug administered, every vital sign documented, every word spoken to the patients, to the families, to the doctors, to the bleary-eyed face in the mirror. I need a gun.

A son. The greatest joy. I promised I would never make him feel unworthy. Even when I went to visit him in jail. On Mother’s Day. On his birthday. I failed. On that day I left before our time was up. I made another promise, loud and honest and unwavering. “If this happens again, I won’t be visiting you in jail when I’m fifty.” I need a gun.             My feet burn constantly. I know I am not walking on hot coals, but occasionally I look down, hoping I am. Because if I am, I can step off them and the pain will stop. One day I touched the outside of my slow cooker. A blister erupted where my skin brushed against the stainless steel. My hands feel like that every day. I worry about pissing myself. When I awaken, vision blurry from sleep, I fear I am going blind. My body attacks itself. I need a gun.

Today I have had enough.

Sitting on the edge of my bed, I considered the pills I collected over the years from various therapists. They half-filled the plastic, amber container with the child-proof cap. It opened with a push and a twist. I re-engaged the cap. It snapped into place. I rolled the container between my palms as if I were shaping clay. The pills skittered, no tickety-ticked, against the plastic and sounded like mice playing, unseen, behind wallboard. I saw myself drifting away dreaming of the perfect life I should have, but not sure what it should be. I knew my heart would slow and become erratic, would struggle to thrust every drop of blood out toward the ends of my body. I knew my breathing would stop, a task forgotten. Then I saw rescuers and intubation and hospitalization and questions and anti-depressants and the guilt-laden faces of my family.

I think of the garage where my pink Peugeot mountain bike hangs on hooks, unused. A battered filing cabinet organizes instruction manuals for the coffee pot, the generator, and the robotic vacuum I named Frisbee. Hand-made Mother’s Day cards with a childish scrawl, pictures from innumerable seasons of sports, and vet records of a favorite cat, long dead, crowd the top of one drawer. How easy it would be to leave surrounded by these bits of history. A bottle of wine, my favorite pillow, the made-in-China blanket with the Grand Canyon on it, iPhone, and ear buds. So easy to start the car, listen to music, take one final trip.

My first job I cared for a girl the EMS brought to the ICU. Cherry red lips, in a perfect application of color, belied the displacement of oxygen by carbon monoxide on the blood. It starved her brain of oxygen and left a robust, young body without a command center. I didn’t know what happened to her after she left ICU, but I knew the consequences of complete immobility.

I thought about a gun. Any gun. I wouldn’t put it in my mouth and pseudo-fellate it. I understood recoil and the chance for a misfire. A bullet pushing through my palate, exploding an eye, ripping through my cheek, or, worst of all, trashing my sanctuary of words. No. I would press the muzzle under my chin just above my Adam’s Apple and I wouldn’t give myself time to think. The move would be swift and smooth and sure and my finger would be poised to pull the trigger. A blast to the brain stem. No more worries about being worthy. The perfect exit strategy.

Thank God I don’t own a gun.

The month of June from any old calendar in a spider webbed, abandoned garage. A picture of a woman whose breasts spill around two tiny triangles of diaphanous fabric. You know the one I mean. Her nipples punctuate the centers of each. She straddles a Harley-Davidson and ogles the barrel of a gun, its size distorted by the photographer.

In Starbucks a man fumbles for his wallet, pulls back his jacket, and exposes a carved mahogany gun handle. A man in low-riding jeans shops at Walmart, bends over to grab a fifty-pound bag of dog food. His t-shirt pulls up. The handle of a Smith and Wesson beckons from his butt crack.

            Mine’s bigger than yours.

Some people see guns as phallic symbols, some merely as weapons of defense. I carry my own weapon of defense, a silent partner, a barrier that protects me from encroachment by the intolerable. Depression. Religion promises the Savior walks a path with the faithful. My intimate friend, depression, rides within. I slide back the panel to the hidden compartment in my bed’s headboard and sequester my gun there. I want easy access to the tool of my exit strategy.

Although I don’t remember it, I suspect I experienced depression the first year of my life, the year I learned I wasn’t worthy.  My mother told me a story. “You learned to swim in urine because I was too tired to change your diaper. You never cried.”

Not worthy of a clean diaper. Praised for holding back my tears. Learning to survive.

My Mom in post-partum depression, I diagnosed in fifty or so years of retrospect and after forty years a nurse. A gene passed on to a daughter? A mother’s gift?

Days on my bike. Hours away from home. I found a steep hill at the middle school and pushed off. My feet hovered above the brake pedals. I imagined my metallic midnight-blue bike a flying unicorn. With my stringy blond hair whipping in the wind, I sped down the bumpy, stone encrusted hill. My gaping mouth shrieked in glee and fear. I didn’t want to die. I wanted to fly and land in a place where if my mother looked at me, she really saw me, and maybe even liked me. A place where I liked me.

A diary of lasts and leasts. The last girl in my class to get her period. The girl with the flattest chest. The girl with the fewest choices for dress shoes to wear to the sixth-grade dance because of her shoe size. Adolescence ravaged my face. Loneliness gutted me, either with, or because of, the distorted world view of an introvert, a label I didn’t understand at the time. I zeroed in on every dead bird in a storm drain after a heavy rain, every daffodil flattened by tornadic winds.

A taste of love. My first true love I lost to miles and time and adversarial politics. I learned people break-up for reasons more powerful than the comfortable familiarity of a friend who fumbles through a first kiss and heated pleasure with no shame. The next love, an insecure adolescent, lost on some now-well-named spectrum, who dropped out of his collegiate rat race, showed up on my doorstep, the date of his last bath unknown, his face familiar through the thick lenses of Lennon-like wire-framed glasses. After I encouraged him to shower, we explored each other. His mouth left a purple bruise on my breast, and he took off. He wrote an acerbic good-bye, rife with blame, on pieces of toilet paper. Thankfully unused.

Then the university. Miles away from home. People with whom I had no connection. I drank until I cried in chest-heaving sobs. My sorrow, so powerful, convinced my roommate I had been raped. Not my body, just my heart. I didn’t sleep. Studied all night. Took a Spanish final exam, answered all the questions in French. Hungover in two foreign tongues. I need a gun.

My career grounded me, then ground me down. A caretaker, a professional nurse. A person in control challenged by the exponential changes occurring in technology and in the role designated as the “handmaiden of the physicians.” Responsibility without rights. Accolades for successes and the demonstration of newly acquired knowledge; blame for failures that meant loss of life. Sleepless nights. What did I do wrong? Could I have done more? Retracing every drug administered, every vital sign documented, every word spoken to the patients, to the families, to the doctors, to the bleary-eyed face in the mirror. I need a gun.

A son. The greatest joy. I promised I would never make him feel unworthy. Even when I went to visit him in jail. On Mother’s Day. On his birthday. I failed. On that day I left before our time was up. I made another promise, loud and honest and unwavering. “If this happens again, I won’t be visiting you in jail when I’m fifty.” I need a gun.             My feet burn constantly. I know I am not walking on hot coals, but occasionally I look down, hoping I am. Because if I am, I can step off them and the pain will stop. One day I touched the outside of my slow cooker. A blister erupted where my skin brushed against the stainless steel. My hands feel like that every day. I worry about pissing myself. When I awaken, vision blurry from sleep, I fear I am going blind. My body attacks itself. I need a gun.

Today I have had enough.

Sitting on the edge of my bed, I considered the pills I collected over the years from various therapists. They half-filled the plastic, amber container with the child-proof cap. It opened with a push and a twist. I re-engaged the cap. It snapped into place. I rolled the container between my palms as if I were shaping clay. The pills skittered, no tickety-ticked, against the plastic and sounded like mice playing, unseen, behind wallboard. I saw myself drifting away dreaming of the perfect life I should have, but not sure what it should be. I knew my heart would slow and become erratic, would struggle to thrust every drop of blood out toward the ends of my body. I knew my breathing would stop, a task forgotten. Then I saw rescuers and intubation and hospitalization and questions and anti-depressants and the guilt-laden faces of my family.

I think of the garage where my pink Peugeot mountain bike hangs on hooks, unused. A battered filing cabinet organizes instruction manuals for the coffee pot, the generator, and the robotic vacuum I named Frisbee. Hand-made Mother’s Day cards with a childish scrawl, pictures from innumerable seasons of sports, and vet records of a favorite cat, long dead, crowd the top of one drawer. How easy it would be to leave surrounded by these bits of history. A bottle of wine, my favorite pillow, the made-in-China blanket with the Grand Canyon on it, iPhone, and ear buds. So easy to start the car, listen to music, take one final trip.

My first job I cared for a girl the EMS brought to the ICU. Cherry red lips, in a perfect application of color, belied the displacement of oxygen by carbon monoxide on the blood. It starved her brain of oxygen and left a robust, young body without a command center. I didn’t know what happened to her after she left ICU, but I knew the consequences of complete immobility.

I thought about a gun. Any gun. I wouldn’t put it in my mouth and pseudo-fellate it. I understood recoil and the chance for a misfire. A bullet pushing through my palate, exploding an eye, ripping through my cheek, or, worst of all, trashing my sanctuary of words. No. I would press the muzzle under my chin just above my Adam’s Apple and I wouldn’t give myself time to think. The move would be swift and smooth and sure and my finger would be poised to pull the trigger. A blast to the brain stem. No more worries about being worthy. The perfect exit strategy.

Thank God I don’t own a gun.

The month of June from any old calendar in a spider webbed, abandoned garage. A picture of a woman whose breasts spill around two tiny triangles of diaphanous fabric. You know the one I mean. Her nipples punctuate the centers of each. She straddles a Harley-Davidson and ogles the barrel of a gun, its size distorted by the photographer.

In Starbucks a man fumbles for his wallet, pulls back his jacket, and exposes a carved mahogany gun handle. A man in low-riding jeans shops at Walmart, bends over to grab a fifty-pound bag of dog food. His t-shirt pulls up. The handle of a Smith and Wesson beckons from his butt crack.

            Mine’s bigger than yours.

Some people see guns as phallic symbols, some merely as weapons of defense. I carry my own weapon of defense, a silent partner, a barrier that protects me from encroachment by the intolerable. Depression. Religion promises the Savior walks a path with the faithful. My intimate friend, depression, rides within. I slide back the panel to the hidden compartment in my bed’s headboard and sequester my gun there. I want easy access to the tool of my exit strategy.

Although I don’t remember it, I suspect I experienced depression the first year of my life, the year I learned I wasn’t worthy.  My mother told me a story. “You learned to swim in urine because I was too tired to change your diaper. You never cried.”

Not worthy of a clean diaper. Praised for holding back my tears. Learning to survive.

My Mom in post-partum depression, I diagnosed in fifty or so years of retrospect and after forty years a nurse. A gene passed on to a daughter? A mother’s gift?

Days on my bike. Hours away from home. I found a steep hill at the middle school and pushed off. My feet hovered above the brake pedals. I imagined my metallic midnight-blue bike a flying unicorn. With my stringy blond hair whipping in the wind, I sped down the bumpy, stone encrusted hill. My gaping mouth shrieked in glee and fear. I didn’t want to die. I wanted to fly and land in a place where if my mother looked at me, she really saw me, and maybe even liked me. A place where I liked me.

A diary of lasts and leasts. The last girl in my class to get her period. The girl with the flattest chest. The girl with the fewest choices for dress shoes to wear to the sixth-grade dance because of her shoe size. Adolescence ravaged my face. Loneliness gutted me, either with, or because of, the distorted world view of an introvert, a label I didn’t understand at the time. I zeroed in on every dead bird in a storm drain after a heavy rain, every daffodil flattened by tornadic winds.

A taste of love. My first true love I lost to miles and time and adversarial politics. I learned people break-up for reasons more powerful than the comfortable familiarity of a friend who fumbles through a first kiss and heated pleasure with no shame. The next love, an insecure adolescent, lost on some now-well-named spectrum, who dropped out of his collegiate rat race, showed up on my doorstep, the date of his last bath unknown, his face familiar through the thick lenses of Lennon-like wire-framed glasses. After I encouraged him to shower, we explored each other. His mouth left a purple bruise on my breast, and he took off. He wrote an acerbic good-bye, rife with blame, on pieces of toilet paper. Thankfully unused.

Then the university. Miles away from home. People with whom I had no connection. I drank until I cried in chest-heaving sobs. My sorrow, so powerful, convinced my roommate I had been raped. Not my body, just my heart. I didn’t sleep. Studied all night. Took a Spanish final exam, answered all the questions in French. Hungover in two foreign tongues. I need a gun.

My career grounded me, then ground me down. A caretaker, a professional nurse. A person in control challenged by the exponential changes occurring in technology and in the role designated as the “handmaiden of the physicians.” Responsibility without rights. Accolades for successes and the demonstration of newly acquired knowledge; blame for failures that meant loss of life. Sleepless nights. What did I do wrong? Could I have done more? Retracing every drug administered, every vital sign documented, every word spoken to the patients, to the families, to the doctors, to the bleary-eyed face in the mirror. I need a gun.

A son. The greatest joy. I promised I would never make him feel unworthy. Even when I went to visit him in jail. On Mother’s Day. On his birthday. I failed. On that day I left before our time was up. I made another promise, loud and honest and unwavering. “If this happens again, I won’t be visiting you in jail when I’m fifty.” I need a gun.             My feet burn constantly. I know I am not walking on hot coals, but occasionally I look down, hoping I am. Because if I am, I can step off them and the pain will stop. One day I touched the outside of my slow cooker. A blister erupted where my skin brushed against the stainless steel. My hands feel like that every day. I worry about pissing myself. When I awaken, vision blurry from sleep, I fear I am going blind. My body attacks itself. I need a gun.

Today I have had enough.

Sitting on the edge of my bed, I considered the pills I collected over the years from various therapists. They half-filled the plastic, amber container with the child-proof cap. It opened with a push and a twist. I re-engaged the cap. It snapped into place. I rolled the container between my palms as if I were shaping clay. The pills skittered, no tickety-ticked, against the plastic and sounded like mice playing, unseen, behind wallboard. I saw myself drifting away dreaming of the perfect life I should have, but not sure what it should be. I knew my heart would slow and become erratic, would struggle to thrust every drop of blood out toward the ends of my body. I knew my breathing would stop, a task forgotten. Then I saw rescuers and intubation and hospitalization and questions and anti-depressants and the guilt-laden faces of my family.

I think of the garage where my pink Peugeot mountain bike hangs on hooks, unused. A battered filing cabinet organizes instruction manuals for the coffee pot, the generator, and the robotic vacuum I named Frisbee. Hand-made Mother’s Day cards with a childish scrawl, pictures from innumerable seasons of sports, and vet records of a favorite cat, long dead, crowd the top of one drawer. How easy it would be to leave surrounded by these bits of history. A bottle of wine, my favorite pillow, the made-in-China blanket with the Grand Canyon on it, iPhone, and ear buds. So easy to start the car, listen to music, take one final trip.

My first job I cared for a girl the EMS brought to the ICU. Cherry red lips, in a perfect application of color, belied the displacement of oxygen by carbon monoxide on the blood. It starved her brain of oxygen and left a robust, young body without a command center. I didn’t know what happened to her after she left ICU, but I knew the consequences of complete immobility.

I thought about a gun. Any gun. I wouldn’t put it in my mouth and pseudo-fellate it. I understood recoil and the chance for a misfire. A bullet pushing through my palate, exploding an eye, ripping through my cheek, or, worst of all, trashing my sanctuary of words. No. I would press the muzzle under my chin just above my Adam’s Apple and I wouldn’t give myself time to think. The move would be swift and smooth and sure and my finger would be poised to pull the trigger. A blast to the brain stem. No more worries about being worthy. The perfect exit strategy.

Thank God I don’t own a gun.

The month of June from any old calendar in a spider webbed, abandoned garage. A picture of a woman whose breasts spill around two tiny triangles of diaphanous fabric. You know the one I mean. Her nipples punctuate the centers of each. She straddles a Harley-Davidson and ogles the barrel of a gun, its size distorted by the photographer.

In Starbucks a man fumbles for his wallet, pulls back his jacket, and exposes a carved mahogany gun handle. A man in low-riding jeans shops at Walmart, bends over to grab a fifty-pound bag of dog food. His t-shirt pulls up. The handle of a Smith and Wesson beckons from his butt crack.

            Mine’s bigger than yours.

Some people see guns as phallic symbols, some merely as weapons of defense. I carry my own weapon of defense, a silent partner, a barrier that protects me from encroachment by the intolerable. Depression. Religion promises the Savior walks a path with the faithful. My intimate friend, depression, rides within. I slide back the panel to the hidden compartment in my bed’s headboard and sequester my gun there. I want easy access to the tool of my exit strategy.

Although I don’t remember it, I suspect I experienced depression the first year of my life, the year I learned I wasn’t worthy.  My mother told me a story. “You learned to swim in urine because I was too tired to change your diaper. You never cried.”

Not worthy of a clean diaper. Praised for holding back my tears. Learning to survive.

My Mom in post-partum depression, I diagnosed in fifty or so years of retrospect and after forty years a nurse. A gene passed on to a daughter? A mother’s gift?

Days on my bike. Hours away from home. I found a steep hill at the middle school and pushed off. My feet hovered above the brake pedals. I imagined my metallic midnight-blue bike a flying unicorn. With my stringy blond hair whipping in the wind, I sped down the bumpy, stone encrusted hill. My gaping mouth shrieked in glee and fear. I didn’t want to die. I wanted to fly and land in a place where if my mother looked at me, she really saw me, and maybe even liked me. A place where I liked me.

A diary of lasts and leasts. The last girl in my class to get her period. The girl with the flattest chest. The girl with the fewest choices for dress shoes to wear to the sixth-grade dance because of her shoe size. Adolescence ravaged my face. Loneliness gutted me, either with, or because of, the distorted world view of an introvert, a label I didn’t understand at the time. I zeroed in on every dead bird in a storm drain after a heavy rain, every daffodil flattened by tornadic winds.

A taste of love. My first true love I lost to miles and time and adversarial politics. I learned people break-up for reasons more powerful than the comfortable familiarity of a friend who fumbles through a first kiss and heated pleasure with no shame. The next love, an insecure adolescent, lost on some now-well-named spectrum, who dropped out of his collegiate rat race, showed up on my doorstep, the date of his last bath unknown, his face familiar through the thick lenses of Lennon-like wire-framed glasses. After I encouraged him to shower, we explored each other. His mouth left a purple bruise on my breast, and he took off. He wrote an acerbic good-bye, rife with blame, on pieces of toilet paper. Thankfully unused.

Then the university. Miles away from home. People with whom I had no connection. I drank until I cried in chest-heaving sobs. My sorrow, so powerful, convinced my roommate I had been raped. Not my body, just my heart. I didn’t sleep. Studied all night. Took a Spanish final exam, answered all the questions in French. Hungover in two foreign tongues. I need a gun.

My career grounded me, then ground me down. A caretaker, a professional nurse. A person in control challenged by the exponential changes occurring in technology and in the role designated as the “handmaiden of the physicians.” Responsibility without rights. Accolades for successes and the demonstration of newly acquired knowledge; blame for failures that meant loss of life. Sleepless nights. What did I do wrong? Could I have done more? Retracing every drug administered, every vital sign documented, every word spoken to the patients, to the families, to the doctors, to the bleary-eyed face in the mirror. I need a gun.

A son. The greatest joy. I promised I would never make him feel unworthy. Even when I went to visit him in jail. On Mother’s Day. On his birthday. I failed. On that day I left before our time was up. I made another promise, loud and honest and unwavering. “If this happens again, I won’t be visiting you in jail when I’m fifty.” I need a gun.             My feet burn constantly. I know I am not walking on hot coals, but occasionally I look down, hoping I am. Because if I am, I can step off them and the pain will stop. One day I touched the outside of my slow cooker. A blister erupted where my skin brushed against the stainless steel. My hands feel like that every day. I worry about pissing myself. When I awaken, vision blurry from sleep, I fear I am going blind. My body attacks itself. I need a gun.

Today I have had enough.

Sitting on the edge of my bed, I considered the pills I collected over the years from various therapists. They half-filled the plastic, amber container with the child-proof cap. It opened with a push and a twist. I re-engaged the cap. It snapped into place. I rolled the container between my palms as if I were shaping clay. The pills skittered, no tickety-ticked, against the plastic and sounded like mice playing, unseen, behind wallboard. I saw myself drifting away dreaming of the perfect life I should have, but not sure what it should be. I knew my heart would slow and become erratic, would struggle to thrust every drop of blood out toward the ends of my body. I knew my breathing would stop, a task forgotten. Then I saw rescuers and intubation and hospitalization and questions and anti-depressants and the guilt-laden faces of my family.

I think of the garage where my pink Peugeot mountain bike hangs on hooks, unused. A battered filing cabinet organizes instruction manuals for the coffee pot, the generator, and the robotic vacuum I named Frisbee. Hand-made Mother’s Day cards with a childish scrawl, pictures from innumerable seasons of sports, and vet records of a favorite cat, long dead, crowd the top of one drawer. How easy it would be to leave surrounded by these bits of history. A bottle of wine, my favorite pillow, the made-in-China blanket with the Grand Canyon on it, iPhone, and ear buds. So easy to start the car, listen to music, take one final trip.

My first job I cared for a girl the EMS brought to the ICU. Cherry red lips, in a perfect application of color, belied the displacement of oxygen by carbon monoxide on the blood. It starved her brain of oxygen and left a robust, young body without a command center. I didn’t know what happened to her after she left ICU, but I knew the consequences of complete immobility.

I thought about a gun. Any gun. I wouldn’t put it in my mouth and pseudo-fellate it. I understood recoil and the chance for a misfire. A bullet pushing through my palate, exploding an eye, ripping through my cheek, or, worst of all, trashing my sanctuary of words. No. I would press the muzzle under my chin just above my Adam’s Apple and I wouldn’t give myself time to think. The move would be swift and smooth and sure and my finger would be poised to pull the trigger. A blast to the brain stem. No more worries about being worthy. The perfect exit strategy.

Thank God I don’t own a gun.

Filed Under: Daily Politics, Depression, Gun Control, Life and Death

An Interview with FloNi-2017

October 17, 2017 by Cynthia Stock Leave a Comment

When did you realize you were meant to be a nurse? My first student experience was in a nursing home. The team leader confessed they had a patient who earned the title “Most Difficult” I chose her, thanks to my arrogance and innocence, because I thought I could reach her. Through her morning care she hollered and complained. When I didn’t rush her through her lunch, she began to talk about her life and the limited choices for a smart woman in the early 1900s. By the end of my clinical days, she called my name as I walked down the hall to leave. Sally B. didn’t just reach me; she touched my soul, and I still hear her haunting voice calling me to come back.

What do you think is the greatest part of being a nurse?  Nurses bear the responsibility and privilege of entering the lives of patients and their families when they are in need and most vulnerable. The constant change in technology challenges, but it is learning to provide the best, personalized care in a corporate model that demands vigilance, commitment, and persistence. I remind myself of this every day.

How has the profession of nursing changed over the years? When I first started nursing, autonomy and clinical decision making advanced exponentially. To nursing’s detriment, litigation, the imposition of bureaucratically driven policies and procedures, and the layering of the health care team with yet another interface between the patient and the physician is undoing the autonomous growth bedside nurses enjoyed. Lack of autonomy will reduce bedside nurses to automatons.

You said you are changing careers. When you speak of nursing, your voice fills with awe. What has happened to make you want to leave?

It’s a symbolic, most basic illustration, but it depicts the root of why some nurses leave nursing. A group of nurses formed a committee, reviewed the literature, and revised a policy decreeing it was not harmful for nurses to wear nail polish as long as it was well maintained. The same nurses who celebrated this win refuse to shave, or don’t see the necessity of, shaving a male patient. Both things address personal hygiene. It’s just that simple.

Nurses now work in a world where initials in boxes on a paper taped to a patient’s door mean more than the documentation in the nurses’ notes detailing hour after hour when the nurse hasn’t left the patient’s bedside, not even for a bathroom break.

From an old feminist perspective, the clock is swinging backward. I worked through a time when MDs were held accountable for inappropriate work place touching and venting of anger at nurses.  Because younger nurses don’t realize how older nurses fought for simple respect, they contribute to the devolution of professional boundaries.

Corporate health care mandates doing more with less. Decades ago we planned care before a patient arrived. In one instance, due to the emotionally complicated situation of one man, nurses volunteered to be primary caretakers throughout his hospital stay. The clergy and psych staff became involved. Everyone invested in the plan followed the man through his surgery, his stay in ICU, telemetry, and finally his discharge. When he returned, he told us we changed his life. A bitter, angry man was helped by a simple plan. How does insurance reimburse for that? How do staffing matrices account for that? Nursing organizations prattle on about “best practice.” Who defines that? The man whose life we changed, of course.

More often than not, I go home from my shift feeling I haven’t done enough. And thus, it’s time to go.

 

 

 

 

 

 

Filed Under: Health Care, Nursing

A Ghost of Christmas Past: Dec. 1973

August 28, 2016 by Cynthia Stock Leave a Comment

The year I graduated from nursing school I knew very little about nursing except what to wear.

My white uniform, designed with a bib of crisp pleats across the bust, tented into an A-line skirt. The hem fell exactly to the middle of my knees. White stockings and utilitarian shoes worthy of a convent exemplified my look of a novitiate. Infection control and the influx of men into the profession eventually rendered the winged-white caps obsolete. I pulled my long blonde hair into a pony tail, stuffed it into a crocheted “snood’” and secured it with bobby-pins. For convenience I always stuck a few pens in my mound of hair, Geisha hair sticks by Bic. I never wasted time looking for a writing tool. My favorite offered three colors of ink, red, blue, and green, to accommodate each of the eight hour shifts in a day.

Three hospitals provided services to my small college town in the Midwest. A five bed surgical intensive care unit became my basic training camp. Monitoring EKGs and frequent vital sign checks were considered state of the art. On days when less than three patients required this vigilance, I functioned by myself in this new, specialized area of the hospital. I documented changes in EKGs, electrolytes, vital signs, and pain control, and established standards of care. I initiated calls rather than depending on a “head nurse” or supervisor to speak for me. Intensive care necessitated eliminating time delays and the middle man; I answered directly to doctors and the demand for accountability fell on and appealed to me.

Of course I worked my first Christmas on the job. Christmas 1973 gifted me with insight into my career choice and the ever-present threat to ICU patients known as death.

My patient looked like Alan Bates, the actor. Roguish, with curlicues of black hair slick with sweat and oil, the man reclined in a rickety framed gurney. He angled his elbows on the metal frame like a king holding court He strained the cloth restraints that secured his hands to the side rail. With each effort, his biceps bulged and trembled. Shaking his head side-to-side, he uttered incomprehensible sounds and marked his territory with a circle of spittle. My immaculate uniform meant nothing to a man wallowing in a reality fragmented by the effects of alcohol withdrawal and hypotension.

I fantasized about Alan Bates ever since the movie Women in Love, where I watched Mr. Bates and a young, though semi-portly Oliver Reed romp in the first nude male wrestling scene to appear in a mainstream film. The full frontal male anatomy fascinated me. How could I imagine in five years that career experience would reveal every variant of the mysterious penis and turn it into nothing more than a delivery conduit for the precious measure of renal perfusion, urine?

I nicknamed him The Professor. I can’t remember his real name. Today HIPPA would demand I protect it. He epitomized my ideal of an English professor complete with perfect, albeit, slurred diction and a penchant for whiskey. I imagined him fully functional, both cavalier and cerebral in a tweed sports coat with leather patches on the elbows. College girls flocked to his classes, his office, even his apartment.  And I, fresh enough, inexperienced enough, thought like all novices with addiction, that a little love and attention could cure alcoholism and all the underlying problems that caused it. I’d say the right things, and The Professor would quit smoking, quit drinking, eat right, and publish a book dedicated to me. I also thought medicine could save him from the massive gastro-intestinal bleed channeling life from his body. In one day I learned what little power altruism, innocence and science wielded.

It was just he and I. The day nurse dashed away as soon as she finished report. Short and to the point: “ 34 year old white male. Bloody emesis with clots in his stool. Found unconscious at home by a neighbor. Two units of blood given in the ER. No family. Sinus tach on the monitor.”

There it was. The security of what I then believed was the pinnacle of technology. In just a few years to merely monitor the EKG would be comparable to using a squirt gun against a light saber.

“Dr. Reisman said there is nothing more to do.” Today it seems there is nothing we can’t do. There are no rules about when to stop.

I picked up my stethoscope to start my assessment and stopped a moment to shift gears. Looking around it disappointed me to see no one had decorated the unit for Christmas. Through an expansive fifth floor window, low hanging clouds rolled over the trees and houses. Smokey mist covered every building and obscured the lights and decorations heralding the season. Loneliness accompanied the focus required for my work.

I approached The Professor with caution. His gown gathered in folds across his abdomen and groin. The monitor electrodes glared white against a thicket of chest hair. Small halos surrounded each electrode where the hair had been shaved. A small slash of dried blood marked a path down his chin. He sat in a smear of maroon with a clot the size of a plum mashed against one rail of the gurney. His writhing agitation caused his blood pressure cuff to slip down his arm to the restraint. I could see his pulse on the monitor and count his respirations. I needed to check The Professor’s blood pressure.

There is nothing more gag-inducing than stool from someone bleeding in the gut. It blends the smell of fresh blood, rotting meat, and swamp gas.

When I started to examine The Professor, I didn’t know this. The odor surrounding him forced me to breathe through my mouth. I stepped closer and started a standard script. “I’m Cindi and I’m going to be your nurse today. I need to listen to your chest, heart, and abdomen.” I said abdomen because he was a professor. A whiff of his body odor reassured me I could have said “gut.” After holding my stethoscope between both hands to warm it, I placed the diaphragm on his chest.  I heard the familiar squeaks and crackles of smoker.

“I need…I need…”

I heard his voice drone as the sound traveled through his chest and the diaphragm of the stethoscope, up the slick black tubing, and through the ear pieces into my head. I pulled back. “What is it that you need?” Pompous satisfaction. I was making progress with the man. He trusted me enough to ask for something.

“I need…” A blast of red erupted from his mouth and landed in an abstract design of spatter on my uniform. I looked at the chrome paper towel dispenser and saw nothing on my face, but from mid chest down I easily could have been mistaken for a gunshot victim or a Pollack. I washed and dried my forearms and returned to The Professor.  Before AIDS and public awareness of the dangers of hepatitis, it never dawned on me to be afraid of exposure to body fluids.

The Professor’s head dropped against his shoulder. His heart beat twenty beats per minute faster to compensate for the loss of blood from his system thus maintaining his blood pressure. I sped up his IV fluids and paged Dr. Reisman.

When waiting for a physician to return a call, when it feels like all the responsibility is on you, time shows no mercy. My heart pulsed in my temples. Sound amplified. The Professor’s sonorous breathing seemed to roar through the unit.

The monitor warned of irregular heartbeats. Unable to hear a blood pressure, I palpated one with the systolic throb recognizable at 45. The phone rang.  I reported the events of the past ten minutes and hoped some new medical development had evolved in that time.

Dr. Reisman was as new to his medical practice as I was to my nursing practice. When we worked with patients and each other, two pairs of fresh eyes explored changing professional roles, planning care with new knowledge and inspiration, reshaping old traditions. I represented a new breed of nurses with my four year degree. Just starting his practice, he seemed to approach me differently than the older, well-weathered MDs. Or perhaps he simply heard the uncertainty, the disbelief, and, yes, the desperation in my voice. “I’m on my way.”

The Professor rallied and resumed thrashing about the gurney. His heart rate remained high. A pallor circled his mouth. With a violent twist of his head, he resisted the green plastic prongs for supplemental oxygen. He repeated the move when I tried to wipe his mouth and wash the blood from his chin.

A small man with thick, pre-maturely silver tipped hair and an earnest demeanor, Dr. Reisman arrived. I noticed the five o’clock shadow of his beard. He noticed my uniform. “Did this just happen?”

I nodded.

“There really is nothing more we can do.”  Dr. Reisman stroked his chin and walked over to The Professor.

“Can you hear me? You are really sick. At this point we can’t get you better. Is there anyone we can call? Is there anything I can do for you?” He rested his hand on The Professor’s forearm.

The Professor stared across the room and said nothing. Guttural sounds rumbled in the back of his throat. Watching a man’s demise, tethered to a bed in my ICU, gobsmacked me.

“Call me when something happens. I’ll be in the ER.”

I admired tailored slacks and polished shoes as Dr. Reisman stood at the elevator. In a time when patriarchal practice dominated medicine, Dr. Reisman showed me a glimmer of the collaborative practice of the future. That day I sensed something about the potential of my profession that would come to fruition many years, many patients, and many challenges later.

“Doc.” The Professor sputtered in a coarse whisper. “Doc, can I just have a cigarette?” His head lolled to one side. The monitor warned of disaster.

When I looked up at the small black screen, three to four beats of wide amorphous conduction, the kind that drop cardiac output and blood flow to the brain, interrupted the rapid, but regular white P-QRS pattern of tachycardia. The Professor lost consciousness. The irregular rhythm looked like a child’s drawing where a tiny hand zig-zagged a crayon across a piece of paper. More and more clusters of chaos appeared. Finally chaos reigned.

Without a regular heart rhythm, the heart failed to perfuse. Within minutes The Professor stopped breathing.  A white line, as clear and sure as a jet stream, crossed the monitor screen. The monitor screamed its proclamation of death with a continuous high-pitched alarm.

What happened after The Professor died, I don’t remember. I knew the mandatory procedural rituals performed after a patient’s death. In 1973 plastic body bags didn’t exist. I assume I wrapped The Professor in a sheet. Today I sing Native American chants to patients as I prepare their bodies to be taken away. There was no singing for The Professor. I had much to learn about what was right and proper and comforting to me when working with the dead.

Nor do I remember what I did that Christmas night when I got home. Until I owned a house with a fireplace, I made one out of construction paper and corrugated cardboard painted like bricks. The felt Christmas stocking my mother made me hung by the faux-fireplace on a tiny nail. Mom decorated the stocking with symbolic cut-outs. Beads and sequins sparkled on a candle, a train, a ball, and other various mementos of childhood. There was no nursing cap; that identity had not entered my being when Mom created the stocking.

For many years, the memory of The Professor’s last words, the loneliness of his death, and my feeling of inadequacy stayed with me. I saw myself, like a candle in an infinity box, as a myriad of nurses expanding in many directions, burdened with the responsibility for another person’s life, alone to experience the loss of a man who, at first glance, seemed a person of looks and intelligence and potential, but who was simply a man I tried to help and failed.

I could have changed jobs, gone to work in the newborn nursery or a doctor’s office. I could have quit nursing altogether. The Professor would have no second chance, but I continued nursing in search of my mine.

Filed Under: Health Care, Human Connections, Life and Death, Nursing

Part 1: The Golden Age of Nursing

January 23, 2016 by Cynthia Stock Leave a Comment

I graduated with a BSN in Nursing in 1973. My four year degree was the exception, not the rule, at the time. I received no extra pay or recognition. As with so many careers, training really began my first day on the job.

I learned about the demands of the relatively new hospital concept called “intensive care.” There was no internship, no syllabus, just flying by the seat of my support hose and white down-to-the-knee uniform. I pulled my hair into a bun and stuck my pens there, a sort of nurse’s kanzashi, to keep them handy. Charting consisted of half a page of lines and dots for vital signs and no more than eight lines for patient notes. Back then I documented drug infusions by flow rates, drops per minute, not dosages. I can’t remember how we documented medications. Self-edification drove my critical care learning. I enrolled in EKG classes, had the privilege of spending two days listening to Dr. Marriott explain the most complex arrhythmias, attended respiratory care seminars, and took advanced physiology to have the academics to support my practice.

Along the way I mastered how to finesse shaving a man with a heavy beard, how to navigate delicate family matters like a wife bumping into a girlfriend at the bedside. I learned a farmer rested better if I read him the bean futures or told him what I’d paid for a dozen eggs. I watched a learned professor die from his addiction to alcohol. I worked in a small unit where the patient was barely an arm’s length away. What happened to my patients I carried home, tucked in a portfolio of images, smells, and sounds. No escape, no mercy. I took every day personally.

Looking back on a forty-three year career, I evaluate myself and my profession. I ask, as Dr. Paul Kalanithi posited to himself in his book When Breath Becomes Air, did my life, my work, matter? I grew up in the Golden Age of Nursing. Before JCOH. Before computers. Before order bundles, protocols, and health care framed itself, first in a corporate model, now in a hotel management model. Before what was documented became more important than what actually happened.

I mourn its passing.

Filed Under: Health Care, Human Connections, Nursing

Just a Nurse

September 16, 2015 by Cynthia Stock Leave a Comment

One Christmas Eve Day I extubated a patient who had open heart surgery the previous day. A few hours after removing the breathing tube, he went into a pulseless ventricular tachycardia. I was at the bedside, called a Code Blue, and shocked him back into a regular rhythm before his surgeon arrived on scene. His family thanked me for giving them such a gift. I am just a nurse.

Another day our shift received a patient from the operating room who started to bleed faster than we could replace the blood. Without hesitation all but one nurse (and she was unaware of the crisis) stayed over to run to the ER to get the rapid infuser, to run to the blood bank, to support the family, to call in the OR team to take the patient back to surgery, to coordinate care until transport, and to help the next shift cover the rest of the patients. We are just nurses.

A woman came in to speak with the doctor, who had to tell her that her husband had just died. She did not collapse until she looked at me and asked me if it was true. I nodded, hugged her and lowered her to the floor. I am just a nurse.

A patient sat in a chair in distress. While I spoke by phone to the doctor, the patient had a respiratory arrest. Six people lifted the patient back to bed and started CPR. Before the end of my shift, although intubated, the patient woke up and was neurologically intact. A few weeks later the patient visited and said: “I didn’t understand about the job you do until now.”

We are just nurses. Proud is an understatement.

 

 

Filed Under: Health Care, Human Connections, Life and Death, Nursing

The Language of Touch

August 30, 2015 by Cynthia Stock Leave a Comment

The Language of Touch

 

A piece of paper taped to one cabinet in the break room asked for items staff nurses would like to see in an admission package. I suggested a nice razor, one with more than one blade, one worth more than 29 cents and less likely to ravage the skin of someone sick enough to be in ICU, but well enough to feel better after a shave.

Later the same day, I walked by the break room and overheard two nurses, both who happened to be around thirty, ridicule two “seasoned nurses,” meaning over sixty, for making a big deal about shaving male patients. “I won’t do it. I just won’t do it.” One said.

I can’t imagine refusing to do any kind of patient care. I have been threatened, scratched, kicked, thrown up on, and sprayed with all sorts of body fluid. To me it’s part of the job. But I know times have changed. Maybe I AM out of step. So I looked up hygiene in a textbook called Fundamentals of Nursing. Shaving still appeared under the classification of personal hygiene and earned its own section with a “how to” discourse.

Two weeks prior to this I shaved a man days after an open heart surgery complicated by multiple co-morbidities. I asked his wife to bring in his shaving kit. It contained a nice four blade razor with Edge shaving cream, a brand I like to use on tough beards. I softened the whiskers with a warm cloth, slathered on gel that blossomed into an abundance of white foam, and shaved one side of the man’s face, then the other. When I finished, his family literally gasped with delight. The man they knew was beginning to look more like himself.

I sought out another experienced nurse. We discussed a scene from Out of Africa in which Robert Redford washed Meryl Streep’s hair. It didn’t overwhelm the audience with dialogue or sex. The mere act of washing hair epitomized the relationship between the senses and intimacy. To me it symbolized the universal language of touch. In the hospital setting, touch facilitates communication. It engenders a bond of trust that needs to be established between patient and professional, a bond that eases the distress caused by loss of control not only of the decisions of daily life, but also bodily functions. How do you make a person not feel ashamed when he knows he’s drooling because he’s had a facial reconstruction or when he loses control of his bowels and doesn’t realize it? It’s through a degree of intimacy and trust.

The senses connect us. They speak more articulately than words. It is not just a shave. It is a conduit that builds trust, creates a sense of safety, and makes a patient feel like he’s not just a room number, a diagnosis, and a daily weight.

 

 

Filed Under: Health Care, Human Connections, Nursing

The Unquantifiable Art of Nursing

June 12, 2015 by Cynthia Stock Leave a Comment

 

Yesterday my patient’s skin peeled and pulled away from her fingers and toes. In the past week she had gained twenty pounds from water retention. The swelling stretched her skin until it radiated a watery sheen. As the swelling began to go down, the skin rebounded, dried, and flaked. I took off her anti-embolism hose and her sequential compression devices and released the smell of dirty gym socks. She was depressed, withdrawn, un-communicative, because a surgery she expected to earn her a brief hospitalization had incurred Murphy’s Law. She entered her fifth week in ICU with a tracheostomy and a surgically inserted feeding tube. I understood her frustration.

After trach care, catheter care, blood sugar checks, and adjusting IV drugs to a prescribed blood pressure parameter, I wanted to do something for her, not to her. I warmed up lotion and lavished her hands with it. Every finger got special attention. I remembered how pressure to my fingers during stress reducing massages seemed to release the tension in every muscle of my body.

I dialogued in an effort to break her silence. “You know why I’m doing this don’t you? If my mother were in your place, I would want to come in for a visit and know someone had cared enough to do it.” I moved to her legs and feet. I washed them warm wipes, slipped the disposable cloths between each toe. I slathered lotion on legs where lines of dryness mapped her skin in white. She grimaced when I rubbed lotion into her right ankle. “That really hurts.” No response. “What about the left one?” She actually nodded in response to my question.

Then for a dignified, mature woman, whose best friend told me she was meticulous about her appearance, disaster struck. She passed an enormous bowel movement, something the general surgeon would celebrate. It added to the patient’s humiliation and loss of her sense of self. How could I convince this stoic, regal woman that just this once, normal human bodily function meant she was one step closer to getting well.

I gathered cleaning supplies, linens, and another set of hands. “Now I’m going to bore you with some stories.” I warned. Stool puddled between the woman’s legs and housed itself in any crevice it could find. I had used stories before with a young male patient to pass the time when he found himself in a similar situation.

I talked about my grandmother, widowed after World War I, she raised four children on her own. “My grandmother worked to provide for her girls. When I knew her, she never was in anything but a skirt, her strawberry white hair in a chignon, and her nails long and perfectly polished.”  I think grandmother resonated with my patient. I could tell she was listening. My helper and I started to mop and wipe and clean and contain the flood of excrement.

“For supper one night, the family enjoyed a roast, probably a rarity in that day. The oldest sister cut and served while the others ate. Before she could sit down to eat, one sister was back for seconds. The eldest picked up the roast and threw it at the offender.  All my grand-mother could say was: ‘Girls. Girls.’” What I was trying to tell her was that we are all human, subject to human frailties and that this moment would pass. She smiled.

A week before that I cared for an octogenarian who lived alone. He began to hallucinate and provided intricate details of what he saw. He realized he was seeing things. The anxiety left him restless. He hollered for someone to come and kept punching the call light. I knew his daughter was coming. I pulled up a stool and sat beside him. “Tell me what you see.”

“Right now I see you encased in a sheet of water. It’s all around you.”

“I believe that’s what you see.” I held out my hand, not to deny him, but to share what I saw.

“I know there’s no rain, but I see it.”

“What else do you see?”

For the next forty minutes he created what I interpreted as his view of Heaven. He detailed with the precision of an engineer, a lift. It had a broad platform and inched upward toward Infinity. He talked about pulleys and cogs and people. “You were there too.”

He looked straight at me when he said this.

I shuddered like I had has a child, when other children who noticed me shake, said: “A rabbit just ran over your grave.”

In all the time he spoke his visions, I just listened and wondered what it all meant. Then the man uttered the words that explained it all.

“I think I’m dying.”

I sat with the man until his daughter arrived.

It is a cliché to refer to long standing definitions, but Florence Nightingale defined nursing as “the act of utilizing the environment of the patient to assist him in his recovery.” (1860) I added the italics. Our patients come to inhabit bland, functional rooms, filled with outlets, equipment, monitors, electric beds, television, climate control, negative pressure, and, if they are lucky, a window. But they also come with an inner environment which constructs the essence of who they are. The greatest privilege in nursing is being allowed into that most private place. Entering there may be one of the most important parts of a patient’s survival. The ability to gain entry is one element of the unquantifiable art of nursing.

 

 

Filed Under: Health Care, Human Connections, Nursing

We need to talk about depression

April 9, 2015 by Cynthia Stock Leave a Comment

The other night I watched Birdman followed by updates about the plane crash in the French Alps. I read the analysis of the incidence of suicide among veterans and children who have been victims of bullying. Despite mass media, continuous connection via hand held devices, and information at our fingertips, I concluded: We need to talk about depression. How many people walk around with depression as their constant companion? How many control it? How many are controlled by it? Is any disease more insidious than depression? It seems to sneak by, undervalued, untended, yet with the potential for crippling, even killing, the person who suffers from it.

Years ago I read William Stryon’s Darkness Visible, a most personal journey. Then there was The Noonday Demon, detailing the complexity of depression in a more objective voice.  To understand the power of the disease, the individual experiences of depression need to be shared. It morphs, shape-shifts and lives in such a way that even the people closest to the depressive don’t recognize it. People need a safe, shame-free environment to talk about their private, darkest abyss.

I live with a stranger. It shadows me and usually cowers in my wake. But I am always on high alert, prepared to face-off when, for whatever reason, it gathers strength and threatens to push me into darkness. When it succeeds in conjuring black days, I must force myself to do the things I love because the stranger has stolen their luster, faded their colors, and turned satisfaction into a question of “Why bother?” I am unable to shed one tear over the loss of these pleasures. Apathy and numbness coat me with emotional Kevlar. Pain can’t get in, nor can it get out. Hopelessness percolates within the armor.

For some reason the stranger stays away from me when I work. I think focus on a task or a problem, disempowers it. My work keeps the stranger at bay. Whether I am at my job or writing, the stalking shadow disappears and I am free to stay on task, the best therapy. So I understand why, at the thought of losing his sight, a pilot succumbed to his depression. He lost his point of focus.

I have never taken drugs to kill the stranger. I feared clouding my mind and stifling my creativity. I didn’t want to jeopardize my ability to do the very things that kept me going. Do I keep moving, an earth bound fighter jet zig-zagging through the atmosphere to evade the enemy desperate to shoot me down? What happens when I sit still?

There is an upside to the stranger. I am never alone; there is comfort in that. The stranger keeps me piqued for action rather than reaction. Because of it, I experience the world differently. I weep over beautiful words, over paintings with brilliant colors and thick, textured strokes, over a rock formation in New Mexico shaped like a camel. But I also feel the pain when one pass with a wash cloth takes away a patch of skin from a critically ill patient. I choke when a patient chokes on his breathing tube. I feel the ground fall away when I tell someone a patient has died. Experiences in the day burn with a hyper-acuity. Perhaps I have achieved balance with my companion. It feels that way today.

The victims of rape have been urged to come forward and speak about their violation as a step in healing and self-affirmation. Depression feels like an assault from within. At a time when both real life and art dissect the complexities of mental illness, it is time to speak openly about depression.

 

 

 

 

 

Filed Under: Depression, Health Care, Human Connections

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