Sunday, April 14, 2013

Hospital picture!

Took this on my way to work this morning. Too cloudy to see the northern lights :-(

Chat soon lovelies!

Saturday, April 13, 2013

Why climb Everest? "Because it is there" -George Mallory

So why go to Nome? Cause why not?

Lots of interesting history up here!
It has been casually snowing here for the last day or so, and probably won't stop for another day or so.  I was told that there are three seasons in Nome: mud, dust, and snow. I have experienced all three so far.  They have a truck that drives around and sprays water on the roads to help with the dust... sometimes it's too much water and we get mud.  2 seasons in one day! It got to a tropical 17 degrees Thursday! and Friday was the first day I didn't wear thermals under my scrubs! It's really starting to look like spring time ;)

Can't see the Bering Sea today. Hopefully tomorrow :)
I was thrown into the deep end and as good friend told me it was time to be a duck.  Cool and calm on the top and swimming like hell underneath the water where no one can see you sweating!  So far I have seen what happens when butchering a caribou with a bandsaw goes wrong (it was only a finger amputation that was sewn back on... still don't know if this person got to keep their finger or not), got to see severe respiratory distress, lots and lots of sick sick kiddos, a rule out TB with a bloody hacking cough (YIPES!) and a person that came into the ER for "dry skin rash".  So we really get the gambit of things from emergent to the not so emergent.  We usually have 3 nurses on at the ER, and it is usually pretty calm and not super busy. Yesterday this was not the case as we had a medivac, ambulance and a few walk-ins that could have been bad if not seen immediately. This really taxed the small amount of resources that are available here.

They needed new fall precaution signs for patients doors. This is what was come up with.
This make me smile every time I see one!
I learned that bush AK is not where you want to have something catastrophic happen. The hospital only holds 12 units of blood here, and it would take 12-24 hours to get anymore from Anchorage.  So if a small plane goes down out in the bush... we pick the blood receivers wisely.  Ironically enough Nome has the best CT scanner in the entire state... Ironic because when I walked into this beautiful hospital (I promise to take a picture soon!) I felt like I had taken a step back 20 years technologically.  Paper charts EVERYWHERE.  EEK! It's like doing triple work.  I guess we are going to the electronic medical records sometime in Novemeber/Decemeber... I see a lot of push back on this monumental upgrade.

I am still slowly collecting the 30 or so boxes that were shipped here with my life in them.  I also got my PO Box here. So I have a real address. So I am settling in and getting ready for the ride.  I work tomorrow.  These 12's are killing my workout schedule.  Ahhh 1st world problems!

Bentley is good! I got a report from cat camp that he has been an easy keeper, and is just lovely to be around. Here are some pictures of him eating a fir tree and stretching it out!


Tuesday, April 9, 2013

Paperwork!

Well the last few days have been all about the paperwork and meeting everyone in the hospital.  I won't be actually on the floor until probably next week. Then let the fun begin!  Yesterday was signing all the paperwork for HR, HIPAA training (cause God knows I haven't had enough of that in the last 4 years), sat through boring mandatory OSHA classes, got my official ID badge, but also got to meet some kindred spirits as well; here for an adventure and the beauty of the unknown.   I will post a picture of the hospital next time. I can't believe I haven't taken a picture of it yet!  Here is a picture of the view from the hospital though
This is the view from the front. Looks out over the Bering Sea. I will get a picture of the view from the back soon!


Today I woke to an incredible sunrise and walked to work.  I know one day soon it will be above 0 when I walk to work... at least I hope it will!  The wind chill hasn't been above zero much either.  At least the sun is blazing! I got to meet all kinds of people in the hospital today including the forensic nurse who works with sexual assault victims. I hope that I have a chance to do some outreach within the villages that Nome supports as well as in Nome to help teach awareness about this topic. I don't think I could draw that line between work and my personal life if I were to be trained in doing the exams.  The sad trend in this region is that roughly 53% of all sexual assault happens to children.  Horrifying.  Most of this abuse is discovered when the child reports it either to a parent or a teacher.  This actually shocked me a little. That a child would know and not be ashamed or bullied into "keeping a secret".  This is because of how much work has been done already to discuss this topic, making it less taboo, and make it a topic of public health and safety.

Fishies in the sky!
On a totally new and less deep topic... the hospital has incredible artwork! It's almost like a museum with all of the artifacts, paintings, sculptures, and stuffed animals on display. Here is some artwork of caribou and salmon.  The salmon art is a huge mobile that dangles 2 stories over the main entrance.  It is very cool!

Caribou wall art


If you guys ever have any questions, whether I personally know you are not, please leave a comment. I will get back back to you! I'm sure some of you have the same questions too!  

I leave you with my sunrise this morning. So long lovelies! Until next time!



Sunday, April 7, 2013

Nome sweet Nome


Fun little sign in town
I have made it to my new home! I came in on the late jet and was picked up by my boss, we also picked up a traveling nurse who was on the flight as well.  Tomorrow is syllabus day.  For those of you that don't know what "Syllabus day" is it is the first day of school where you go over the syllabus and talk about things like where the pencil sharpener is (although I'm sure those don't exist anymore because kids can make sharp objects and it could be a potential hazard... how did I make it this far in life alive?), where and when to turn in homework and the like.  It's paperwork day, get my paycheck in the right account day, set up my 401k day, get my hospital ID day... it's the boring HR day (sorry mom, it is boring!).  Tuesday however I get to put on my new scrubs and be a real nurse.... ummm??? I don't even feel like I remember anything from those two years in nursing school.... you want me to not kill someone DAY 2????? that is a lot of faith!  My trusty boss told me in his deep southern draw that he hasn't lost in the 10 years that he has been here "Don't worry it'll come back, just gotta find it again"  Okay Todd. Whatever you say.  As my dependable nursing school friends and I would say in nursing school "Fake it until you make it"  I guess it's time for the ultimate fake it until you make it game.

So once I arrived at my lovely corporate housing home (It is on the second floor of a two story place... come to think of it it might be one of the 5 tallest buildings in town... I am not joking).  I have cable TV and hard wired internet.  Fun Fact: internet here is charged by the megabyte... hello 1993!  I have a big blue couch, a love seat, kitchen table, dishes and pots and pans.  The sheets are actually really soft, but I am still using my own towel! I am 3 blocks from the hospital (walking!) and 4 blocks from the Bering Sea (since I am in such a tall building.... ocean front view!).  The Bering Sea is still frozen up to about 2 miles out, but soon enough the sea ice will break up and move north and then it will be for real ocean front!
I will take another shot when the ice is gone.  This is the view from my kitchen window
The Bering Sea is out there. All covered in ice.  This is the view from my living room window.
The prices at the grocery stores aren't so bad. maybe 100-150% of what you might pay in the lower 48, this is far better than the bush town of Bethel where every thing is around 300% the cost of anything in the lower 48.

 So without further ado here are some pictures of my new stylish place that I will be calling home for the next 6-8 weeks until I go to Anchorage for training in June.

My living room.  Pretty sure this stuff has been floating around Nome for about the last 20 years

My pretty large kitchen!

This is my TV.  no HD here.  hahaha look how tiny it is!
And one last picture. This was taken at 945pm.  Around mid May is when Nome has 21 hours of sunshine and 3 hours of dusky time (still gonna need those sunglasses!)

Until next time!

Saturday, April 6, 2013

Where the edge of nowhere is located

The red flag on the map is where Nome is. You can only get there by airplane or a barge (3-4 months out of the year), and the occasional dog sled. You cannot drive to Nome from any major city in Alaska.  I take a 737-combi jet operated by Alaska Airlines (this is a major airline in the Pacific Northwest) from Anchorage. Nome has three of these flights a day. The combi jet is a 737 that is half for passengers and the other half is for cargo.  I hope this clears up my actual location! Alaska is far away... but Nome is in the bush and literally on the edge of nowhere. 


Here is a closer up of the state of AK.  The dotted line you see is the International Date Line.  Sweet stuff right?  Oh and it's 5 degrees there right now. SPRING TIME!!! hahaha (the blue arrow is my current location in Girdwood, AK, the distance between Nome and Girdwood is roughly 530 miles... this is a HUGE state! It fits 3 Texas's in it! WOWZA!)

More to come lovelies!

Friday, April 5, 2013

Saying ain't this life so sweet? - David Gray


Touch Tank in Seward
Alaska does not disappoint. Ever.   It is completely mesmerizing and leaves you absolutely speechless, and for those of you that know me... you know that is almost impossible to do to me.  Mom and I got into Anchorage Tuesday night, went to the wonderful Humpy's bar and restaurant (mom swore I was taking her to ta titty bar with a name like Humpy's!) We had awesome halibut tacos and got to watch the cook make everything as we sat at the bar that overlooked the grill.  We made our way to Girdwood where I am staying until tomorrow.  Mom and I went to a little port town named Seward and it was so cool! We went to the Alaska SeaLife Center and got to see all kinds of things! Even got to touch a Sea Cucumber, and see brand new baby octopus (like real baby, thing was the size of a pencil eraser and still pretty clear)
Awesome building art in Seward! Notice the painted birds above the windows

I got to put down some turns on the ski hill yesterday.  It made my soul feel complete.  The scenery at this ski place is absolutely unparalleled to anything I have ever seen.  I am excited to call this place my new home mountain for the next couple of years, and I look forward to spending some serious hours sliding down the sides of these mountains! When I am among the mountains and playing in what nature has to offer it here that I feel most at peace and closest to the heavens...
View from the top of Chair 6 at Alyeska.

 
I am just waiting for the lift to open around 11am. (Ski buddies this place would be killer for us because of when the sun comes up here lifts don't open until late! We could brunch and THEN ski! Hahaha we would have no problem getting first chair ever again!) To kill the time whilst I wait I am reading up on how to triage patients when they come into the ER and continuing to wonder how I will make the change from living in an urban lifestyle to a very rural one. I"m curious about what mode of transportation I will pick up first. A car, an ATV, a bike? I have no idea! Speaking on no idea.  I have no idea where or what I will be living in. Tomorrow is sure to be a real surprise.  It's also going to be cold.  Note on the picture that Saturday the high is.. 3.  I guess I should be happy it's a positive 3 instead of a minus 3.. right?  
 So the mountains are calling and must answer them.  I will chat more Sunday! I am excited to see my friends when I get there, and eat all the fresh meat one can handle.  I don't know when I will be back to Anchorage, maybe in a month or so. Back to the BIG city ;)

OH I almost forgot! A Bentley update!  We picked up Kitty Kat Attack and smuggled him into the hotel by the Denver Airport for the night Monday April 1. The next morning I gave him some homeopathic remedy called "Rescue Remedy" by Bachs and crammed in his little carrier and away to the airport we went.  He was awesome on the plane and since there was no one in the middle seat, and the guy in the aisle seat was a cat person Bentley was allowed to hang tough in the middle seat in his carrier.  Although I did take him out a couple times and this happened:
The sweetest little boy was so excited to see the kitty out of his carrier! He only wanted to see him, didn't want to pet him. Bentley.. making cat people everywhere he goes ;) The people around us on the plane didn't mind, and enjoyed it when he was out, and I don't think the flight attendants even knew he was on the plane.  Bentley was picked up by Marie at the Seattle airport and he is hanging out at All My Kitties until all of my training in the Anchorage trauma center is done in July.   I will keep you posted on how he's doing at extended cat camp!

So long lovelies! Until we meet again!


Monday, April 1, 2013

Until we meet again

I am certainly on my third glass of Sangria at the hotel by the Denver airport with my lovely kitty and my mama, and I am inspired to write a little.  To say that the last week has been bitter bitter sweet is an understatement.  Selling my my wonderful Betty (my car) was a lot harder than one would think.  Who knew one could grow so attached to and completely inanimate object? Everything that wasn't shipped to Nome now lived in a 5'x10' storage unit.  And everything else is in 3 big duffel bags and two huge ski bags.  I have run the gambit of excitement to completely dreading stepping on that plane tomorrow.  Walking away from everything that I have ever known and stepping into the unknown. I was so freaked out that Thursday night after an incredible workout that I went to Chipotle to get dinner for me and mom.  The woman behind the counter asked me how my day was and I just totally broke down.  I told the woman and her workmate (who happened to be the manager) that I was moving and that I didn't want to go, and just looked like a total blubbering fool. So much of a fool that the manager comped my order.  I called and told my wonderful friend that also lives in Nome about this little episode and she let me know that before she moved from West Virginia to bush Alaska that she did the same thing at a Bravo! restaurant and they comped her entire meal as well.... lesson learned here? Meltdown at a pricier joint than Chipotle.

I have finally stopped losing sleep over if I will be able to get all of the chores needed to be done, and if my stuff will fit in a horribly small storage unit.  I still can't believe it all fit in there.  The movers must be crazy insane good at Tetris!  I am now losing sleep over I will be able to cope with living in such a remote place, if I will be live up to what the people that have hired me to be? Will Bentley ever forgive me for making him move this much in the next 2 years?!  He is going to live in Seattle for the next 4 months until I am done with all my training in Nome and Anchorage.

I am saddened that I have had to say "See you soon" to my incredible old friends and the amazing new friends that I have met along the way here in Denver.  I cannot wait to make my way back, by for now it is on to probably one of the most insane adventures I will ever have in my life.  And I guess two years will fly by.  The last 7 months that I have been back in Denver surely have!   But no matter how ya slice it it is so hard to walk away from the place where your soul just feels at home.  I know I will be back, but I just want to stay.  I guess I'm at the top of the first hill on the roller coaster when you are at the top looking down and have that sudden panic of.. "Oh shit... let me off... I don't want to do this anymore!"  Only you can't jump off and you can either throw your hands in the air and just go with it and scream and laugh and enjoy the ride as best you can, or you can white knuckle it and be terrified and miss all of the sensations that come along with the ride.  I choose to throw my hands up and scream until I laugh, and enjoy this entire opportunity.  Through every up and down.  And then at the end... the plane will roll back up to the gate in Denver, and I will be home again :)

Bottomless mimosas with two old friends.
Mindy and Danielle. No matter the miles
these girls are some of my truest friends
Fabulous old and new friends. My new Chris friend called this
my "work release" party.  My old Chris friend has been around
to welcome me back every time I come to Denver. Adrienne and
I will always have the whiskey connection, and Lindy has been
there for me through all kinds stuff, and I love her so much.
Marissa is my ski buddy and is crazy.  I wouldn't change a thing.

Me and Jen having wonderful  fun at Keystone! Lovely days.... EVERY day

My beautiful Betty.  I look forward to Betty 2.0 when I get back!

My cross country travel partner. Mom!