Childhood Dreams

Work has been incredibly grueling this past week, leaving me mentally drained each day. It’s not that I’ve been swamped with an extraordinarily large caseload. Actually, that’s more my team’s issue as they are currently covering my caseload right now. You see, the powers-that-be in my position have selected me to be part of a group of RN’s to establish a redesign for the current work flow. Uh … yeah. Like I said, grueling.

Not that I’m excited to be part of this group … it has certainly been an eye-opening experience, and the upper-level executives have thus far been very supportive of the ideas we’ve come up with … it just has left me very, very exhausted.

Today at work, a fellow RN Case Manager shared a video clip of Dr. Ran.dy Pa.usch on the Oprah show. Now apparently this clip (along with the original lecture he gave at Carnegie Mellon University) has been downloaded over a million times on you.tube. So, if you’ve already seen this clip or you’ve heard about Dr. Pausch’s “Last Lecture,” you’ll know exactly the emotions that this lecture evokes.

Let me set the scene. Ran.dy Pa.usch is a 47 year-old father of three and Professor of Computer Science at Carnegie Mellon University. He was diagnosed with Pancreatic Cancer which has since metastasized, which currently gives him no further course of treatment other than palliative care. He delivered his famous “Last Lecture” during an ongoing series of lectures where Professors at the University are given the opportunity to give a hypothetical last lecture in which to impart to their students. Obviously, this lecture, titled “Really Achieving Your Childhood Dream,” would be a little more realistic to him. So after watching this shortened version of this lecture on Oprah (the original is about 1+ hours long and visible on you.tube), it’s no wonder that all eleven of us in the room were just about in tears.

Watching this video had certainly got me pondering what my childhood dream was. The earliest memory I have about trying to figure out what I wanted to be when I grow up is two-fold. One is of going to the library as early as 5-years old and picking out simple children’s books, particularly a series of books about a young girl deciding what she wanted to be when she grew up. One book was about becoming a teacher, while another was learning to be a “stewardess,” and yet another one about being … da da dadum … a nurse. (Hey, it was the late 70’s and these books were probably written in the late 60’s!) The other memory is of lining up all my stuffed animals (I was more of a plush toy kid than a doll kid) in front of our chalk board and pretending to “teach” them … all to the delight of my Grandmother (who, by the way is 97 this year) who was a primary school teacher in the Philippines.

Unfortunately, I never actually owned one ...
Unfortunately, I never actually owned one ...

But by the time I got to high school, I fancied myself wanting to go into journalism or writing of some kind. I kept journals back then and wrote constantly to my cousin in London, Ontario, whom I considered my “living diary” during that time period. I even had a book of “poems” (more like silly rants, now that I look back at it) that I thought I could turn into song lyrics of some sort. Because back then, I also fancied myself being part of a really cool alternative band. Never mind that I was only a mediocre piano player … I still wanted to be able to tour the world (probably playing my “ke.ytar” a-la Howard Jones).

Alas, those dreams faded once it came time to choose which college I wanted to go to after graduation. Because then it became a matter of “How am I going to make a living?” rather than “What do I wanna do to make my life worthwhile?” The reason it turned eventually to “making money” rather than “dreaming big” is due to the typical Asian-American way of thinking. And that’s having job security and stability.

Eventually I succumbed to pressure and chose a profession that many Filipinos choose … Nursing. That’s because it’s a career that can, not only yield a decent yearly income, but it could provide you with the ability to choose different paths within the profession (-ie- hospital setting vs. doctor’s office vs. university teaching). Looking back now, I think Nursing appealed to me mostly because of the diversity in settings and also the ability to flex my schedule when I eventually had kids.

So getting back to Ran.dy Pa.usch’s video. One of the key things he mentions is having parents that supported him with the dreams he wanted. They, in fact, were the key to allowing him to dream big and to be what he really wanted to be. And while my parents provided me with the desire to always keep learning and the discipline to work and study hard, I can’t say that I was encouraged to dream big … or to even dream “outside the box” of the typical Filipino/Asian American professions.

I’m not writing this to place any “blame” on my parents or to find an excuse for not pursue my “big dreams.” I know that my parents encouraged me to be smart, strong and independent. And they did so because their experience in starting all over in a new country taught them that security and stability in life was important.

I want to be clear here (because Mom, I know you’re reading this) … This “choosing stability over dreams” isn’t the reason for this post. Nope, really it’s going back to that video. And Randy’s parents. And his relationship with them. It’s those things that made it crystal clear to me what my childhood dream was … and that dream wasn’t necessarily to have a career that I was successful AND happy with. Rather, that dream was to grow up to be a warm, caring person who was sensitive to others’ needs … yet still be strong and independent-minded to nurture, not only herself, but others.

I think I managed to take care of the warm, caring person (at least I hope so) through my profession in Nursing. I also think I managed to remain strong and independent. The thing I’m missing is that nurturing part … particularly the nurturing as it pertains to children.

And that’s the dream that I’m still missing … to be that parent, that mother, who, not only nurtures and cares for her child, but also encourages her child to dream … and to dream big.

Okay, so that’s nothing all too revealing. Especially given what the basis of my blog is about. But watching this video … and particularly the real reason Ran.dy Pa.usch wrote this lecture, really really REALLY affected me. It was certainly something that once again pulled on my imaginary apron strings.

I encourage you all to watch the ten-minute video below and tell me what you think. What are were your childhood dreams? And are you living them now?

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If you’d like to read a follow up on this post, click here!

Hey Peeps!

One of my favorite things to have around Easter time are Peeps. Yeah, I know … all that marshmallowy- sugar … but I just can’t resist!

So imagine my surprise when I found these at my local pharmacy. How awesome is this to combine both Easter AND St. Patty’s Day?! Yep. Had to buy them …

Of course, I was at the pharmacy to pick up my latest dose of Lupron. Ugh … with all that’s happened this past month, I didn’t even get a chance to look for a new OB-Gyn. Must. Put. That. On. Things-To-Do. List. Immediately …

But first, must wish everyone out there a Happy St. Patty’s Day! May the luck of the Filipino-Irish (hah!) be with you all.

Oh, and Happy 1st Blogiversary to me. Woo-hoo!

And now … time to devour those Peeps.

Find out what it means to me …

R-E-S-P-E-C-T
Find out what it means to me

— Aretha Franklin, “Respect

There are many different definitions for “Respect.” In linguistics, “Respect” belongs to three different classes of words; noun, adjective and verb.

For this post’s purpose, I’ve chosen the verb form of this word.

re·spect [ri-spekt]

–verb (used with object)

  1. to hold in esteem or honor: I cannot respect a cheat
  2. to show regard or consideration for: to respect someone’s rights.
  3. to refrain from intruding upon or interfering with: to respect a person’s privacy.
  4. to relate or have reference to.

A subject of “heated” debate occurred recently within our family. I’m sure a lot of this had to do with the fact that we are all physically and emotionally exhausted from the past three weeks of nonstop activity. Basically what it boiled down to is that apparently I was not showing respect for this particular family member.

I feel I need to preface this by, once again, stating that I am Filipino-American. My parents were both born in the Philippines and my brother & I were born here in the U.S. The reason I felt I needed to bring this up again is because many times I feel like I’ve been brought up in two different worlds. And in these two different worlds, the word “Respect” can differ.

In my “Filipino world,” definition # 1 would be the best use of the word “Respect.” My culture places high emphasis on family hierarchy. The older you are, the more respect you are given. There are many Filipino customs that are specifically meant to show respect to your elders from using a title in front of your older sibling (“Kuya” for a brother, or “Ate” for a sister), to the physical act of greeting elder relatives when they enter a room (a term called “Mano po”). In fact, when speaking to an elder in Tagalog (the Filipino language), it is expected that you add the suffix “po” to most phrases to show respect to them.

In short, “Respect” in the Filipino culture is something that is given to you by right. It’s something that is expected to be given to your parents, your grandparents, your godparents, your older siblings. And because the Filipino “family” is extended to include all relatives and even in-laws … somehow, some where down the line (even if you’re the youngest in your immediate family), you will be shown respect.

In my “American world,” I primarily think that respecting someone (or something like the environment, for example) pertains to definition # 2 above. I feel that respect is something that is earned by showing respect to others … to consider other’s positions, to show empathy for other’s situations. By being successful in doing these (not-so) simple acts, I feel that not only have I earned a person’s trust but I’ve earned their respect as well. Because now, I would hope that in turn, they would show some concern or empathy for whatever situation I might be in … they would respect me.

In short, I think “Respect” goes hand-in-hand with Christianity’s Golden Rule: “… do to others what you would have them do to you.” (Yes, the Catholic School Girl in me is coming out again.) To me, this also means “Respect” goes both ways.

So why the “heated debate”? Well, how am I to blend both these definitions of “Respect” into a bi-cultural household? One way is given by right. The other one is earned. Then … because of 12 years of Catholic school … throw in the whole “Ten Commandments“, specifically the fifth one as it was pointed out to me, and things can get (just a little) sticky.

The Filipino-Catholic in me strongly believes that those older than I am do deserve respect, as they have more life experiences (but not necessarily more wisdom) than I do. Giving them the opportunity to talk and dispense advice (whether it’s good or not), is a way for me to show respect. Although I might not participate in the typical Filipino customs of showing respect (can’t speak the language, and hey … my brother and older cousins HATED be called “Kuya” or “Ate”), I feel that by being polite and showing sincerity to any of my elders is the way I can show that entitled respect.

The American in me, however, has a hard time showing respect to others that don’t reciprocate that respect. How can you show respect to someone who constantly ignores your opinions or suggestions? Or how can you be respectful to someone who won’t stop their angry tirade long enough to hear you speak? They might be your Filipino elders, but wouldn’t you be just as angry and hurt if it was, for example, your boss or a fellow co-worker who was treating you like this? Would you give that person any respect?

What would you do if you lived in my bi-cultural world? What does “Respect” mean to YOU? And who do you think deserves respect in your world?

Sing it, Aretha …

Mended Hearts

Whew. It’s been a pretty tiring couple of days. Thank you for all your well-wishes and prayers … I really do appreciate all your support and I know for certain that my parents and the rest of my family do, too.

So what happened after the cardiac cath? Well, my Dad finally realized the extent of his smoking and fatty diet. The short end of it is that he was diagnosed with quadruple-vessel heart disease. Unfortunately because of his history of smoking and high cholesterol, along with diabetes and kidney disease, they weren’t able to do angioplasty or any other sort of “interventional” procedures. So the only other option was to have open-heart bypass surgery. For those in the medical profession, it’s known as CABG with LIMA. (On a funny note, my mom kept saying, “What’s this food surgery? Sounds like ‘cabbage with lima beans?'”)

Well, today at 3:15 pm was his surgery. And after what seemed like an eternity of sitting in the waiting room (in reality, it was approximately 6 hours), the surgeon came out to tell us that his surgery went well. And in about an hour, we were able to go in to visit him in the surgical ICU (SICU). He was still asleep from the anesthesia, but I was overall surprised that his color looked good. His blood pressure was a little low, but within 5 minutes of us being there, it seemed to have stabilized. We were told by his nurse that if anything were to happen, they would typically happen within the next 6 to 8 hours.

As he sat in the hospital bed, I couldn’t help but suddenly realize how small he looked. This is the guy that used to pick me up and throw me over his shoulders. This is the man who used to let me climb up his legs to let me do flips. The same person who, on my wedding day, walked me down the aisle alongside my Mom. I think I flashed through every single memory I had of him during that first moment of seeing him in the SICU. And finally, the weight of his surgery, hit me. The task of just getting through the surgery was so ginormous, that I believe I tucked away all those emotions. And now they’re just surfacing. When we got home tonite, I couldn’t help but hug Hubby a little tighter and (finally) let a couple of tears loose. But I know that by morning, I’ll tuck those emotions all away and be as strong and steady as the bull-headed person I can be. At least in front of my Dad.

For my Mom’s sake, I asked whether family could spend the night. As I expected, we were told that we certainly can but would have to sleep in the waiting room. Since I literally live about 4 blocks from the hospital, I offered to let her stay at our house, but she wouldn’t hear of it. She also insisted we go home, as Hubby was still a bit sick and well … unfortunately, I seemed to have gotten his nasty cold. So instead, without much more for us to do, we went home. But not without making sure my Dad’s nurse had my phone number on hand to call us if anything should happen. Hubby & I finally got home around 10:30 tonite and I know I’ll definitely be back first thing tomorrow morning at 10 am when visiting hours start.

And before I wrap this up (because believe me, I’m mentally and physically exhausted here) I have to say this … My family has been totally blessed with any of the staff that we’ve encountered at this hospital. When my Dad was in the cardiac cath post-procedure area, my brother and I ran into a brother/sister team that we both knew since GRADE SCHOOL. They are both RN’s in that area, and the sister was in my brother’s class, while the brother was in mine. What are the chances of THAT happening? The best part was that the sister was a Clinical Nurse Specialist, who was able to explain things in greater detail (while using less medical terms) to my Mom. And this morning, while in the pre-op area, I ran into a high school friend of mine that was also an RN in that area; while my brother ran into an OR tech that knew our family since my brother and I were in grade school. I believe they were the reason that our whole family and extended family got to be around Dad in the pre-op area, as typically they don’t allow more than two people at a time back there. And finally, I think God blessed us with providing my Dad with great Filipino RN’s both in the CPCU (stepdown unit) and the SICU; both of which I know is a great source of comfort for my parents.

So with all this said (or typed), I think I better sleep now before I get any more loopy. Again, thank you Thank You THANK YOU for all your blove (blog-love) sent this way. I can’t tell you how much I appreciate it. Big HUGS to you ALL!

Caring for the Heart

So it’s a go. Cardiac cath is scheduled at noon for my Dad today. I’m just hoping that everything will go smoothly and all the docs and nurses and anyone that takes care of him today do the best job that they can.

Ugh. I’m feeling so frustrated right now. Mostly because there is only so much I can do for my Dad at this moment other than just be there for him. The nurse in me wants to do more to help him but yet I don’t want to overstep my boundaries. Because believe me, when working the floors I absolutely HATED when visiting family members pulled out the “I’m a doctor”- or “I’m a nurse”- card, thinking that was going to scare me into making “triple”-sure I was doing the absolute correct thing.

But other than unrealistically flying Dad out to the best cardiology center in the US, I do have faith and confidence that he is getting the best treatment possible at this hospital at this exact time. The best I can do as a nurse is be there to explain to my Dad and Mom exactly what is going on and what to expect … basically be there to translate medical jargon into plain old-fashion English. That, and advocate for them exactly what their fears and concerns and needs are as a patient and his wife.

At the same time, poor Hubby has also been sick with a nasty cold. Which, if there was only more hours in the day, I would be babying him like he does for me when I’m sick. Unfortunately with yesterday being spent at the hospital, I’ve had no time to make him soup or hot tea and just generally be there for him. And I feel like such a horrible wife for that.

I bet y’all are saying … “WTF, Em? You advocate and care for your parents and Hubby, but you don’t advocate for yourself.” The past week (and previous posts) being prime example of not thinking of what’s the best thing for my own health.

Well, I have to tell you … and if you don’t know this by now … Nurses are notorious for not taking care of their own health. I think it’s in any person who chooses Nursing as a profession to care for others before caring for themselves. For me it’s not meant to be a self-sacrifice type of thing; it’s more that I feel that others needs appear to be more important and more urgent than my own. Then throw in the whole Catholic and Asian-American thing and it’s a golden opportunity for feeling the guilt.

Yes, I know it’s not always healthy. And I know that I do need to take care for myself before I can take care of anyone else. Every nurse gives that same schpiel to any of their co-workers (how’s that for the pot calling the kettle black?). But we’re a stubborn lot. We’re definitely a “Do as I say, not as I do” group.

I’m working on it though. This past year has been an exercise of learning to take care of myself. And think of my needs as a priority to others. I’m learning to say NO when I can’t take on anymore than I physically or emotional can. And I’m trying my darndest NOT to feel so damn guilty for doing so.

Right now? All my energy is focused on taking care of my Dad. Because that takes priority. Thanks for all your warm thoughts and prayers.

And if you can, say a quick one for Hubby, too. Because, he too, deserves the best.