William’s Grand Entrance (Birth story, read at your own risk)

My postpartum brain will not be able to wrap these memories up very eloquently, but I love the thought of documenting a birth experience, because, as a dear friend recently said, you forget all the details so quickly! And I don’t want to forget one of the most important days of my life, so here I am sharing our experience of birth and William’s grand entrance into our lives. 

I didn’t enjoy being pregnant, so when the final weeks finally arrived and the discomfort at its peak, I was more eager than ever to welcome Baby into the world on the outside of my body. 

I followed all the recommendations of the midwives leading into the final weeks: drinking Raspberry leaf tea 2-4 times a day, eating dates, doing squats and walking lots, as well as still keeping up with running as it was still doable and I found it no less comfortable than a walk. 

We had my cousin and her family visiting us on Friday, the exact day of 38 weeks. I was feeling pretty decent that day, having even gone on a short run that morning. On the short way home after walking our relatives to their car, I suddenly felt a small gush of fluid wetting my pants. I told Frank, “I think something might be coming out right now–either it’s pee, which I don’t think it is, or maybe my water broke”

I waddled with him inside the apartment and changed my pants, waiting to see if something more came to confirm what exactly just happened, and called my mum in the meantime to ask what she thought. 15 minutes later after a bit of bouncing on the yoga ball I got up and felt a very tell-tale gush of water coming out. No doubt, it was time to have our baby! We were both a little shell shocked, suddenly realising that we didn’t have two more weeks like we thought, but likely less than 24 hours. He wouldn’t even make it into June! My cousin had brought a bunch of baby items for us and these were still lying around the apartment: baby clothes, toys for later, etc. I became fixated on getting everything tidied up and put away so that we’d come back to an organised house, but Frank wouldn’t let me leave the bathroom to go do that. He set me up with towels for my leaking crotch and had me take a shower while he promised to deal with the stuff out in the apartment. I realised later he just hid it in the baby’s room so I wouldn’t see or think about it.

We had deliberated about which hospital to go to for the birth. My first choice was the university hospital right in town where I worked, mainly because of the high-volume of deliveries there, the capacity for handling high risk pregnancies and births, and mostly because of the NICU. But the Corona rules weren’t allowing visitors onto post-partum, meaning Frank would be allowed to stay with me only up until about one hour after the delivery, then booted out for the rest of my postpartum stay (which, in Germany, is standardly 3 days for a normal vaginal delivery). We had found out about another nearby hospital that was smaller and had no NICU but was allowing partners to visit every day of postpartum, and even offered family rooms (based on availability). I couldn’t make up my mind and had a hard time letting go of the NICU, but also hated the thought of Frank not being able to see his son for the first 3 days of his life. I registered at both hospitals and left the decision to be made in the moment. So when my water broke and it came time to choose, I decided I wanted the smaller hospital where Frank could visit. We just had to trust that we wouldn’t be needing the NICU.

Frank called the hospital we planned to go to, giving them a head’s up that we’d be showing up by the end of the night, and they told him they’d rather we come in right away since the water broke. I wasn’t happy about this news, because I had planned to stay at home as LONG as possible, waiting out the labour as long as I could in the comfort of home (good advice I’d received from other moms and the midwife), because I was prepared for the typical first time mother labour that would likely last 10+ hours. I took my time packing my suitcase while Frank threw together an overnight bag for himself and urged me to hurry up. He wanted to start timing contractions when they started up shortly after the water broke, which I saw no need for, assuming it would take several more hours for them to be significantly close together. By the time we were packed up and heading out to the hospital at 22:30 my contractions were about 2-3 minutes apart consistently and starting to be quite painful. At the hospital we were welcomed into a small observation room with an examining table, where I was assessed and put on a CTG. I was 2cm dilated and they swabbed us both for covid so I could be admitted. They kept me in that room much longer than I liked, because there was no delivery room available. I hated being on that table, limited by the CTG to a side-lying position while the contractions started to take over and it became harder to bear them. All I wanted was to get up, move around a little, kneel or crouch, or ANYTHING other than lying on the table. Finally after about an hour we were offered a family room on post-partum if we wanted it, which we gladly said we’d take. The midwife told us I could go on over there to continue labouring while they cleared up a delivery room, and when I couldn’t handle it anymore on my own that we should come back to the L&D unit. We walked across the hallway to postpartum and left our stuff there, while I kept having stronger contractions. I could barely focus anymore and Frank called my mum to ask her what we should do about the antibiotics being recommended because I had never found out my result for GBS in time. I didn’t like the thought of taking antibiotics prophylactically but didn’t want to put Baby in unnecessary risk so we decided together to go for it. I made it through 3 contractions and then started feeling like I needed to a) vomit and b) pass out, so Frank made the decision to hustle us back to L&D. I didn’t quite make it across the hallway this time so in front of the doors I had to drop on all fours to make it through a contraction. We were ushered into a prepared delivery room (I was so relieved to see the sight!). As I made it to the bed and the next contraction came on, I noticed a very distinct pressure that felt like a poop but in my vagina. I couldn’t help but feel like I needed to push, at the same time thinking I’m probably gonna get told off for pushing because surely it’s way too early for that. The midwife decided she’d check me again to see how labour was progressing. She was surprised to see that the cervix was fully dilated and as I got settled onto the bed, still on all fours, she said, “You can go ahead and start pushing now.” I couldn’t believe that we were there already! I was starting to think that I would definitely die before I made it through the labour and was thinking that with the next contraction I’d be asking for an epidural, but when I heard I could push I decided the fastest way to get out of this horrible misery overwhelming my body and mind was just to focus and get that baby out: just push him out. The pushing felt very short in hindsight. It was more horrible than the contractions, but with the small added motivation that the end was near and each awful effort to push resulted in one step closer to the head being out. When Baby’s head started crowning the midwife told me she could see a bunch of hair and asked if I wanted to feel it. “NO” absolutely not, I said. She asked how much I felt comfortable with Frank seeing, and I said I didn’t care–he could see all he wanted. I just wanted to be left alone in my headspace and didn’t care whatsoever who else looked on (a nursing student was invited in to watch the delivery). I also remember being SO extremely thirsty, to the point where I was asking Frank for a drink at every pause and internally wondered how he could be SO SLOW to give me a drink, like he couldn’t pass me the bottle fast enough and took it away way too soon. Baby’s head finally came out and his body next, and suddenly I was shocked to see this blueish slimy baby completely foreign to me lying there between my legs! I was so shocked, I didn’t dare touch him. I just stared. I didn’t know if I should touch him or cry or just pass out. I couldn’t quite wrap my head around the thought that THIS was the same baby that for the last 9 months was growing in me, and I’d imagined a face for and pictured what he would look like. It didn’t register to me that he was the same baby–MY baby! After a moment the midwife told me I was allowed to touch him but not to pick him up yet because he was still attached to the cord, which we were letting finish pulsating before cutting. Suddenly I thought: I wasn’t even considering picking him up…should I have been? Am I missing a feeling of attachment that I should be feeling right now? I was so dissociated from him at this point, I surprised myself with my inability to mentally associate myself and my current situation with this little human that had suddenly appeared in front of me. I reached down and touched him, still scared somehow of breaking the strange mental fog that had me believing this all wasn’t quite real. When I touched him I felt suddenly very relieved, though, like everything was finally over and worth it, and it had resulted in a completely whole, healthy baby boy! The whole ordeal from the water breaking at home, to William entering the world, was over in 4 and a half hours. William was born at 00:53 on the 29 May.

Once Frank had cut the cord I was able to turn over onto my back and my baby was given to me to cuddle. The reality was slowly sinking in, as I held his warm, tiny wet body and kissed his fresh little head. I loved him more than anything. 

The contractions continued for a while, still a bit painful, and the midwife told me I needed to push out the placenta. After a very half-hearted attempt she looked at me and said, “I can’t push it out for you, you need to push it out.” So I gave one last effort and out it came. She asked if I wanted to see it. My answer again, “NO”. But Frank was interested so the midwife showed him what it looked like, and explained to him how it was important to examine it for completeness to know that no pieces were left behind in the uterus that could cause bleeding. The doctor asked if we wanted to keep it and we all laughed, agreeing we did not want it. William went with the midwife and Frank to the examining table after a few minutes to get quickly checked over for all his fingers and toes and body parts and get a little wipe down, while the doctor stitched me up. It was horribly painful. I felt extremely weak whimpering and wincing at the pain from the needle, when I had just got the birth behind me, but it hurt a LOT! I asked how bad the tearing was and the doctor said it wasn’t even quite first degree, but apparently lots of micro tears all the way around so she put in a lot of stitches. William came back onto my chest as soon as I was repaired, and we waited in that room for 10 minutes or so until the nurse from postpartum was available to come and get us. She brought us over to our family room, where the 3 of us had our first moments together alone. William on my chest, Frank beside us in his own bed. One of the nurses came shortly after to help me latch William on for his first feed. After he fed he fell fast asleep. About an hour or so later I was going to pass him to Frank so he could have some skin to skin time, but when I lifted him up I realised he’d had his first meconium poop all over me. We called the nursery since there was nothing set up in our room to change the baby, and the nurse took him away to get him cleaned up. She said she’d bring him back when we were ready for him and that we should sleep. Frank and I both realised after a few minutes that she wasn’t going to bring him back until we called, so we decided to go ahead and get some sleep. I had a terrible sleep. I heard the baby in the next room crying for what felt like the entire 3 hour period, and in my exhausted sleep deprived mind, I kept thinking that was MY baby. I thought William was just screaming without stop, and pictured him being SO hungry, crying for me, and the nurses not bringing him to me. A nursing student checked in on me around 06:00 and I asked her if William was ok. She didn’t know as she hadn’t been to the nursery, but assured me that if he was hungry he would have been brought to me. I was getting anxious about it so around 6:30 I called the nursery to ask them to bring him. I was relieved when they brought him, and saw that he was completely calm and sleepy, clearly not the screaming crying baby I thought I was imagining in the night. I needed help again to get him to latch, which the nursery nurse was very happy to do. The following 2 days are a blur but I know we were extremely grateful for the family room. For Frank to be able to stay overnight, being a constant support to me and William, helping me latch William on for feeds and just be a part in general of William’s first days of life on the outside of the womb was invaluable. It was a gift having meals delivered to us, bedding freshly made for us, water brought to us and support available at the click of a call-bell. We were tired, living in a haze of being new parents and suddenly overwhelmingly responsible for an entirely separate human, but also soaking up the support of the nurses in helping me feed him, helping Frank change his first diaper, and giving us tips on how to dress him, how to care for his skin and my sore nipples, and constant help with latching on. I had been minorly anxious in the last weeks of pregnancy at the thought of being the patient for the first time in my life; being at the mercy of nurses’ and doctors’ care, when I was usually the one on the providing end and enjoyed my usual control over the situation. I didn’t know how I’d handle being on the receiving end of care, but the whole experience proved to me that I loved it! I know it’s highly dependent on the particular group a person has as their healthcare team, but I so appreciated being looked after and cared for in those short days. On day 3, a sticky hot day, we were discharged and made the exhausting but short journey home with our fresh new family member.

Incompatibility

licenseThis is me holding my coveted German nursing license that I got in the mail on Friday. I am crying because it’s been 9 months waiting for it. But it’s more than that, and it may be hard to understand just how valuable this is to me without understanding where it started.

The whole problem is my life’s incompatibility. My education has been a struggle because of the various countries involved. I dreamed of being a nurse just like my mum since I was about 14. I was in our little International boarding school in northern Pakistan, dreaming up the ways I’d change the world like Florence Nightingale once I was a nurse. I intentionally pushed myself through the hard courses, struggling through the higher sciences and maths, which did not at all come naturally to me. My parents purchased a special specific online chemistry course from Canada (which I barely passed) so I could get admission into a Canadian university.

First roadblock: despite my decently high GPA from high school, the universities wouldn’t accept my application because the core requirements were American AP courses, something only some universities in Canada recognized. My education from Pakistan was not compatible with Canada’s. After a lot of pushing and sending of documents (plus my dad making phone calls for me) in the end I met all the requirements but due to the competitiveness of the program and the delay in my application being accepted, I entered a semester behind. I was frustrated about the 6 month delay but once I finally started nursing I loved it. I was finally actually on the path to my dream. I worked hard over the summers so I could save up money for school, and tried to seek out opportunities that would supplement my nursing education. I soaked up the experience, very eager for the day I could actually function independently as a nurse, and all of the opportunities that would come with it.

A few years in I realised I would be marrying Frank and that meant leaving Canada possibly indefinitely. This wonderful milestone in my life carried the weight of an intimidating transition, but I had Frank and that’s what mattered. After our wedding I went BACK to Canada to finish my final semester alone. My preceptorship was not as hard as I expected it to be and I was feeling a lot more like a nurse. I was ready to join the workforce as a Registered Nurse!

I moved to Germany a few days after my last shift. As soon as I got to Germany I started studying for the NCLEX so I could get my registration as an RN in Canada, ultimately so I could be fully qualified to work in Germany (or so I thought). I studied for about 3 months and then flew to London, which was where the closest international testing centre was located. I wrote the exam, afterwards stepping out into busy London downtown completely shellshocked. As I waited for those results I started studying German full-speed ahead, knowing that was another requirement of working here. I took the first of a 3-part course but didn’t have time to complete the second 2, so I wrote the exam hoping I could make it. I needed to get a job ASAP since I was supposed to be supporting us financially, so fast-tracking through the course was the best option. I got my NCLX results, saying I had passed! Yay! I couldn’t believe I had made it, and that I was now officially a fully realised nurse. It was the peak of the climb, the summit of my nursing journey. What a nice conclusion to such a hard path. That’s what I thought. Shortly after I started a job on the University Hospital’s CVICU I also got the results for my German B-2 test. I had passed that as well. Things were moving forward, and I confidently sent in all my documents to the local nursing government, eagerly waiting for a positive response.

Nothing positive, it seemed, followed after that. Turns out the Canadian nursing system is incompatible with the German one. It was one response after another of requesting more documents, requesting paper proof of the NLCEX results (the NCLEX is paperless), requesting proof of my degree, which I also had to have mailed from MacEwan University to me in Germany. They requested a complete breakdown of every single course I took from high school through university, which Frank painstakingly translated. They lost documents that I had sent at the beginning of the process, and requested them again. All by snail mail, so each interaction took several weeks in between. They made mistakes in my application, at first denying it and referring to me by the wrong nationality and credentials I had sent. I pursued an option that was suggested, which was to send my case to the higher power, or headquarters of nursing in Germany, in Bonn. That cost 500 Euros, and in the meantime every month that passed I was earning the wage of a Healthcare Aid, as I had only been conditionally hired as a “studied nurse” until my registration was provided. The Bonn process was a flop. They agreed with the local goverment that my nursing education was incompatible with theirs.

The pay thing stung. But more than the pay thing, it was the scope/title. I have a lot of friends in Canada who I know have come from other countries and haven’t had their credentials recognised in the profession of their choice. For instance, medical doctors who’s years of training is not recognised and they therefore can’t practice medicine in Canada. But I never thought that would be an issue for me, coming from Canada, a ‘developed nation’, to Germany, another ‘developed nation’. It hurt my ego and pride, and having my status lowered to Healthcare Aid made me start doubting my own competency. I started thinking, if the German nursing government thinks I’m not qualified to work as a nurse here, then what am I qualified for? If 4.5 years of hard university education isn’t enough, what am I supposed to do? I was (still am) SO finished with the journey towards being a nurse. I just wanted to be a nurse! I had finally achieved the dream in Canada, but left before I got to live it even for one shift. And here I was, in a country that didn’t recognize my degree, and kept demanding more proof from me. I had several options to choose from, and I chose what I thought would be the least painful, which was to rotate on different units to experience German nursing. I was back to clinical rotations, feeling like a student all over again, being a fly on a wall on a random unit for a week at a time before moving on. I did not enjoy it. The nurses were nice enough, actually kinder than I expected, but I was extremely stressed by the steady onslaught of newness and unexpected situations, the language struggles, the way the units work in Germany. I had gotten used to the ICU and fell into a rhythm there, and I had no idea what to do on these other units. A surgical unit in Germany is not the same as a surgical unit in Canada. The nurses on these units tip-toed around the surgeons as if they were god, and I was told off more than once for having my hands in my pockets or for resting against a counter. Heaven forbid that nurses show their humanity in front of the almighty deity that is a surgeon!

Through all of this I have really struggled with wondering why my life has led me the way it has. Why did I have to fight to get accepted to school in Canada, and why again to be recognised in Germany? I have craved with all my heart to have one process just go smoothly and not be sabotaged by my complicated history. I have told Frank many times, “my life just isn’t compatible. With anything”.

I found it exhausting explaining my situation to every new face: I’m here to observe, no, not as a student, but I’m also not a nurse (in Germany). I’m from Canada, that’s why my German is so bad, and I have a degree in nursing but it’s not recognised here. I already have a positon on the ICU and I’m going back there.

Once I finally finished my required hours and rotations, I came back to my unit and carried on with my routine. My unit is wonderful, I realized that especially after experiencing the others. The team is supportive, kind, they are good nurses and good teachers and they are resilient to the constantly changing environment. I’m speaking both of the nurses, (as well as the management) and the doctors.

But this brought me to January, the beginning of Covid-19 and the last stretch of waiting for my registration. I sent in the final pieces and waited. I had a terrible feeling it would all be slowed by the virus and that the offices may not even be running. It’s now been 9 months since I started this process with the local nursing government, and my letter arrived on Friday. This piece of paper that is gold to me. Even more than my BScN or even the NCLEX, because this is the paper that has finally given me the freedom to work as a NURSE. My dream that I anticipated and hoped would be a linear journey from Point A (being the start of nursing school) to point B (being a qualified nurse) has been whatever the oppositve of linear is and has taken 6 years!

So that’s why I cried.

And my unit gave me this beautiful bouquet of flowers today to celebrate with me. I truly love this team, and I would not have made this fight for my registration if I hadn’t been surrounded by such a supportive group, or by such a supportive husband, or family or any number of the people who have prayed for me and encouraged me not to give up the process. I’m pretty sure the journey isn’t over. If I’ve learned anything, it’s that it’ll never be over and there are sure to be more incompatibilities ahead of me. But a small (well, huge for me) victory has been won and nobody’s taking away my fancy piece of paper that validates my nurse-ness.

flowers

Giant Strides, Cookies, and who is Eli?

“Eli can you log out of your account so I can document on bed 8?”

“Sorry, what?”

I’m not exagerrating when I say that every 5th sentence I use at work is “Sorry, what?”

Firstly, it throws me off that half of the staff refer to me as “Eli”. I’m not sure how it started but I’m also not sure how to stop it. I don’t mind, but it takes me longer to register when people are speaking to me. Inevitably the first few phrases I hear on the unit tend to be ones I need repeating, as it takes about 5 minutes for my brain to do it’s 180 degree turn into German-mode and buckle up for the next 8 hours of the rough ride through dialect, slang and generally rapid fire German.

I’m nearly halfway through my third week of my new job on the cardiovascular ICU, and I go daily through a range of emotions from bored, to scared, to curious, as a typical shift bombards me with hundreds of new German words, new medical terms, new faces, diagnoses, and new ways of doing absolutely everything.

Not even my foundational basic first year nursing skills are a safe place to fall on in this new environment. The most basic comforts I seek in familiarity through equipment like IV catheters, foley bags and BEDDING are absent. Why do German hospital bedsheets need to be different?? It’s not enough that I look for a stupidly long time at something like an IV tube, but it does a whole new level of damage to my psyche to find myself struggling with an oddly-sewn bedsheet that I’m not familiar with. The poor patients must be terrified seeing me, their primary nurse, puzzling over linens.

During an emergency yesterday with my patient, the doc, who was gowned up in a sterile gown and gloves, asked me to make the bed “hoch fahren”. In my understanding of the word “Fahren”, I think movement: forward movement, like driving, so I understood that to mean move the bed forward a little. But when I started pushing the bed into him, I quickly realised he meant UP. Obviously, don’t push the bed INTO the doc, Lizzy: RAISE IT UP. Little things like that happen to me constantly, all day long. Afterwards I can think back on them and realise that I absolutely do understand the meaning of what people have said or asked, but in the moment, the actual meaning just didn’t come to me.

I’ve gotten into a habit of apologising for my language to all of the patients at the first sign of a German mistake. With the differences between polite and inpolite pronouns, I frequently find that I accidentally use the informal when I should be using the formal version. The comatose patients provide a small amount of relief, since I don’t need to focus as hard on communicating with them.

The unit is so good to me, though. I’ve been surprised and so incredibly grateful at the amount of patience that is shown to me by absolutely everyone, including the docs who are at risk of me running them over with beds. When I think of the scenario I could be in, and if the staff had just a little less tolerance for my newness and foreignness, I’m filled with relief that they’re so kind to me. I’ve found they’ve welcomed me into their circle, showing interest in my background, and sharing inside jokes with me.

It’s hard sometimes for me to focus on the challenging medical terms and equipment, when my mind is so occupied with just following along in German, but I’m finding that, as exhausting as it is, I am learning both. Patience is a theme of great importance to me on a minute-by-minute basis. Patience with myself, mostly. It’s very easy to slip into a self-abasing attitude, telling myself I’m not where I should be and I shouldn’t have tried this until I had at least a full year of solid German language training. But I’m a firm believer that God opened all of these doors to me very intentionally and allowed me to be here, as I am right now, complete with my faultering German. It’s hard to trust God also to give my colleagues the patience they need too, to work with me and support me through this orientation time.

I have a subtle plan for maintaining good rapport with the staff through something that requires zero language skills and is 100% in my comfort zone, and that is baking. I brought chocolate chip cookies (soft, gooey North American ones, which somehow the Germans have not figured out the secret to but all crave), and I plan to continue to periodically bribe my colleagues with such goodies for as long as I continue to flounder through my German.

“Prost” To New Beginnings

I live in Germany now. It’s not particularly glamorous. Something about our ungrateful human brains makes us always think that OTHERS are living glamourously. Others have it better than us. Social media feeds this monster of disillusionment, taking the mundane for one person and turning it into something that looks like a dream for everyone else looking in. I could spin it in a way that would make all my friends jealous of my new life. I’m married to an exotic native German, and eat fresh bakery bread (croissants, cinnamon pastry rolls, pretzels…) whenever I want, which I purchase by walking over a quaint brook to a bakery just five minutes from my doorstep. We eat Gauda because it’s the “cheap” cheese. I go on runs and walks through a magical forest directly behind our building, and I can bike to the city centre in under 15 minutes where I study German language across from a church built in the 1600’s. 

But there’s ALWAYS another side! My exotic German husband has to go away a lot of the time for internships and seminars, leaving me alone at home to either force myself to go out alone or hermit myself away where it feels safer at home. Fresh bakery bread is wonderful, but peanut butter, previously a staple of my diet, costs a fortune. And when I go on my magical forest runs and pass by other local Germans, most of the time in exchange for my smiles and “good mornings” or “hellos”, I get straight, cold, unfriendly glares. And my bike rides to the beautiful cobblestoned city centre, although sometimes lovely, are also sometimes cold and miserable on a rainy day. I’m often lonely. I miss the smiley faces of Canadians, and the social acceptance of wearing loungewear in public.

It’s a constant battle to choose to focus on the positives. It’s sad that the tendency is to pull out the negatives in life and allow them to grow so much bigger than the blessings. I think it’s important for all of us to talk about our struggles–not to overly dwell on them, but to remind each other that no-one is living on the greener grass side. It’s just a matter of perspective and the choice to look upwards instead of down. I had a wonderful weekend recently with a friend in a very similar situation to me: North American who married a German and moved here. I had often seen her life from afar through pictures, and always thought she must be handling the transition so much better than me, but when we spoke I realised that we both struggle in the same ways. She feels loneliness too, and the language is hard, and she misses the States and her family. I don’t take delight in other peoples’ struggles or suffering, but I do take comfort in knowing that even in the most (seemingly) perfect situations, everyone struggles.

I defintiely felt some pressure to appear delighted about my life to friends and family. I’ve been waiting so long to be married and live with Frank, to be done with Nursing school, to have that horrible NCLEX behind me, to be no longer a student and moving on in life. And I’ve been hesitant to talk about the struggles, because I feel ashamed to admit I’m still not as happy as I thought I’d be! It’s a hard awakening to the truth that I will NEVER be happy, if being happy is having achieved the next step. My exotic German man is also a wise one, and gave it to me straight (in true German fashion):

You will never be happy if all you do is invest all your joy in the next step. Then you’ll tell yourself you’ll be happy once you have the perfect job. And when you have it, you’ll tell yourself you’ll be happy once you have a baby. And what ends up happening is, you achieve and achieve and accumulate life experiences and gifts and accomplishments, but it will never be enough. 

John 14:27

Peace I leave with you; my peace I give you. I do not give to you as the world gives. Do not let your hearts be troubled and do not be afraid.

Peace is what I want, what I crave; not happiness. Not more of what I already have. I need a deep, satisfied peace in what I have NOW, and in what I’ve been given. A gratitude and fulfillment of who I am in God, not who I am through my career or family status. It’s a challenging thing to admit incompleteness and dissatisfaction in life. It’s humbling. But it’s also so powerful to share that truth.

And just to make it clear, I am pretty happy =) when I focus on the right things and allow gratitude to speak louder than complaining, I realise that I have all the ingredients for happiness. But it’s still a choice.

Sneaky Message

I’ve been thinking a lot about what the world is telling me. No, the world isn’t just telling me—it’s screaming at me. It’s always the same message, but disguised in various forms. But it’s all the same: it’s the modern, progressive forward-thinking and “enlightened” message that I am the god of my own universe. You, me, all of us are the gods of our own little world. It’s a terribly sneaky message, because it disguises itself in the form of thoughts that seem so innocent and good:

“don’t let anyone tell you that you can’t succeed”

“you deserve better than that”

“be your true authentic self”

“serve yourself”

“be good to yourself”

Aren’t they all good thoughts? I do believe that some of this fits into a healthy, holistic perception of self; I do need to be good to myself. Life is a gift and I should be using my body and life to its fullest extent, not trashing it or neglecting it.

But it’s also a poisonous message, because slowly and surely this message encourages me to start placing everything in my life in a circle that surrounds me, serves me…worships ME. I’ve especially started hearing this message since starting university and being surrounded by white-collared Caucasians. Something about being white and educated makes people ooze self-worship. It’s a message that scorns humility, sacrifice, and followership. SO much emphasis is put on being a change-maker, being a leader, taking what is rightfully mine, and not being a “doormat” to anyone.

But isn’t that what brings depth to life? Isn’t that the life we have been called to live? Selflessness, humility, sacrifice…

The ugly head of the world’s message has reared itself in full force in the last year. Having married Frank, now entering the transitional period between Canada and Germany, leaving my newfound ‘home’ country for a new one… and the big one: trading my nursing experiences here for Germany’s. Over the past years of digging for information on the German health care system and nursing system, I’ve been dismayed to find that a baccalaureate level of nursing doesn’t exist there. I’ve heard of nurses being viewed as the physician’s aids, the lack of autonomy and scope of practice. People sharing their opinions and experiences of the German nursing system, intending to be helpful, have contributed to an impression of nursing that sounds like Canada’s system 50 years ago. I’ve had discussions with people who tell me I’m giving up my career going there. Here in Canada I’d have endless possibilities for career advancement, research opportunities, higher roles, higher respect, wage, value and a higher public image. That’s been a huge struggle. I’m finishing this program where I’ve been told how MUCH I can accomplish if I want to. I’ve been told I have great potential, and could become something big.

But I’m not staying here—I’m going to a country where I’ll be the foreigner. My lack of language in Germany doesn’t just make me a foreigner; it steals my personality. I’m a quiet, unsure person there. I can’t joke in German, or pipe in with my quips that work so well for me in conversations here. The same goes for my nursing skills. My highest assets are my relational capacity and communication skills. I can reach patients through my words—I have the conversational skills to impress supervisors and patients, leading them to trust me and confide in me. I can calm and counsel patients with the eloquence of my words. Without my English, with my broken and hesitant German, I’m not eloquent. I’m barely functional. Barely functional is the nightmare of a grad nurse. Those are the fears that have been fed by the message, fuelled by the thought that I deserve to be more than functional—I deserve to be GREAT.

And this darn screaming message won’t leave me now—why aren’t I doing what is in MY best interest? Why am I leaving behind my potential to thrive, and why should I be giving up MY career? MY life, MY job, MY ego is at risk of being supressed.

I hate the message. I hate it because it screams so loudly that sometimes I can’t hear the good.

The good tells me that I’m starting a new adventure with a new husband who adores me and will walk through every single struggle ahead with me. It tells me that he also gave up a lot for me to be able to pursue my education here. The good tells me that nursing is everywhere, career advancement will NOT fill my soul, and I have endless opportunities ahead of me if I choose to see through the good lens. The good reminds me that marriage is not convenient, and it’s not about compromises—sometimes it’s about full-on sacrifice, with NO compromise. Sometimes there’s not a win-win. It’s just a win. ONE win that should be celebrated by both. It’s humility and sharing and NOT worshipping me.

I’m trying hard to listen to the good. I’ve let the message of the world sink in way too much, and am trying desperately to turn my ears and heart towards the message that comes from the Lord:

 

Let each of you look not only to his own interests, but also to the interests of others.

            But love your enemies, and do good, and lend, expecting nothing in return…

Finally, all of you, have unity of mind, sympathy, brotherly love, a tender heart, and ahumblemind.

Do nothing from rivalry or conceit, but in humilitycount others more significant than yourself.

Let no one seek his owngood, but the good of his neighbour

Do not be conformedto this world, but be transformedby the renewal of your mind…

But I do not account mylife of any value nor as precious to myself, if only I may finish my course and the ministry that I received from the Lord Jesus, to testify to the gospel of the grace of God.

 

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The Year of Reflection

Time got ahead of me again, and I realise it’s been over a year since my last post. I think Nursing School has somewhat killed the writer in me, because every time I think of writing something, I feel tired and unmotivated. It doesn’t mean I don’t have thoughts–I think all the thoughts and feel all the feelings about life. There have actually been even more thoughts and feelings in the last year than usual, because so much has happened and will be happening. I’m engaged to Frank (and have been for over a year!), the wedding is set and plans are underway for August. My move to Germany is official, as proven by my recent pursuit of old suitcases to load my stuff up with, and I’ve commenced my last year in Nursing. This year is odd. Instead of memorising microbiology, medications, practicing dressing changes, catheter insertions, and IV line insertions, it feels like all of our focus is on reflection. I am writing paper after paper on my reflections of the program, reflection of my own developing practice, reflections on assignments, and on it goes. I’m getting kind of sick of reflecting, to be honest, which is unusual for me. Being the sentimental person I am, I usually love a chance to reflect on life and experiences, but I’m really done with it. I’m feeling the need to move on. I’m feeling my time coming to an end here in Edmonton and Canada, feeling the time running out on school, and on being with friends here. It’s just looking forward now. I know reflection is good and important (I could tell you MANY scholarly and evidence-based reasons for why it’s so important!) but living is important too. My current challenge is living for NOW. So little time left and so much to do here in this beautiful country that has become home. I’ll miss the cats. Oh! By the way, we aqcired a new cat–a blind white princess of a cat who had her eyes cruelly shot out and has come to our home to be loved. I’ll miss my house family and our late-night conversations. I’ll miss the yellow townhouse that is my home, and the river valley, and ice-skating and the camaraderie that came with each new clinical rotation, wondering if we would make it as a group and what scary or excellent nurses we might be paired with. But isn’t that great?! I love it that I will miss all this. I’m happy to have built roots that hurt to take them out. Enough with reflection–I’m so excited for tomorrow!

Daddy

It’s Father’s Day! With the constant social media, radio and billboard advertisements about Father’s Day, I’ve done a little thinking about what makes MY father so special, and I’ve decided that it’s basically everything about him.

I have several close friends who are mourning this Father’s day, remembering either a dad who is no longer alive, or dads who have seriously wounded them. Many of my friends’ dads have been abusive, negligent, selfish, and overall absent from their lives, and that makes my heart so sad, but so grateful when I think of the incredible contrast between theirs and mine.

A few words that come to mind when I think of Daddy are peacekeeper, leader and role-model, committed, kind, faithful, gentle and hilarious, and overall disciplined.

Daddy gave and continues to give us—his kids—the best example of everything I think a father should be. He is a man of discipline in everything he does: physically, mentally, emotionally and spiritually. I think discipline is a virtue that dies easily in our fragile society, and it’s taken me years to recognise the value of living a disciplined life. It takes a lot to be disciplined, and I’m proud to have seen my dad give what it takes.

It takes love to show discipline to a child through all the years of their life, and to be committed to raising them well. He sets an example of what it means to show integrity and accountability by working hard. I remember being given the task of cleaning the windows of the house, which seemed to stretch over hours, because I kept being sent back to go over the smudges I’d left, spot clean areas I’d missed, or completely re-do windows that weren’t clean to satisfaction. It was one of my earliest lessons from Daddy that the job is not done until it’s done to perfection. He explained to me that when I work for someone, they will expect me to do my very best and that dependability and thoroughness are invaluable life skills.

It takes devotion to be disciplined in a marriage, to stay faithful and to keep building up the relationship. I’ve watched my dad show unfailing faithfulness towards my mum, in supporting her, listening to her, respecting her and cherishing her as his wife. I saw for a brief and terrifying period how crushed a man he would be without her, when she was ill and her life wasn’t guaranteed.

It takes focus and determination to be disciplined to exercise and eat well, to look after the body we’ve been gifted with. It takes courage to be disciplined to speak truth in environments that oppress it. Daddy has taken physical pain and opposition in the name of his faithfulness to serving God and people through his work.

It takes faith in God to be disciplined to pursue a relationship with Him. There is no man in my eyes that is more committed to the growth of his personal faith and relationship with God that daddy. I grew up watching him set aside quiet time to reflect, pray and meditate on God’s word every day, no matter how chaotic or busy life was. He has challenged me in my own faith, by asking me periodically what I’m learning about myself and God, or what I’ve found interesting in my devotions lately. It’s very hard to sum up a man like my dad in a few words, and I don’t pretend to have even captured a fraction of who he is and what he’s meant to my family, but that’s not my purpose of this anyways: I just want to say thank you, and happy father’s day.

the end of medicine

I’m back! Here’s a quick little life update: I treated myself to a sleep-in this morning since I’m on evenings for this week’s clinical, so for what feels like the first time in forever I have a couple hours of just me-time. Me and Timber.

img_0099I finished up with my psysch rotation after 5 weeks and am now coming to the last week of my medicine rotation at a different hospital. It’s been a very challenging and different experience, because I’ve had patients from one end of the ‘illess’ spectrum to the other–from palliative to essentially healthy except for some psychological illness. It’s been an opportunity for me to see some great inter-disciplinary collaboration, as nurses work with doctors, with social workers, chaplains, wound care specialists, porters, family, EMS, and more. I’m relieved to be coming to the end of another rotation, because once again, my brain and body are exhausted and I’m looking forward to a 6-day break in a week! I’ve rarely been so stretched as I have in this rotation. Going in, I thought it’d be a grand time, having no lectures to go to, no midterms or finals to write, no long papers, and just hours of “fun” clinical experience. But there is still a seminar on Mondays, hours of daily patient research and care plan assignments that must be completed after each 8+ hour day in the hospital. And the early starts and late nights… My body rebels! For someone who likes to get up at a nice 6:30 or 7 and go to bed at 10:00, waking up at 5:30 and sleeping often around 12:00 is really rough. BUT the clinical experience is good. I’ve managed to get down medication administration, including some heavy, high alert meds like morphine, various kinds of injections, complex dressing changes, preparing a body for the morgue (another mini-rant I could go on. I’ll just say it wasn’t pleasant), so many vital signs and assessments (I heard my first apical pulse in this roatation!!) and preparing IV lines. And so much poop. SO. MUCH. POOP. As usual in all of these rotations, I am coming to the end of it EXTREMELY grateful fimg_0100or health! As much as I feel like a worn-down zombie half the time, I know I’m actually ok. My digestion works, I can walk and exercise, I can breathe on my own, I can bathe myself, I can sleep in my own bed. I’m alive! I don’t thank God enough for the precious gift of life. Also I must acknowledge the fact that having Frank here in Edmonton with me is doing wonders for my often-messy  emotional health. I’m lucky to have someone so patient and kind, and willing to hug me while I cry over whatever happens to be the tipping point at the time. Next up: surgery!

The King of the Universe

My activity summary has told me that it’s been a year since my last post, and in a way I’m not really sure what happened in that year. Life doesn’t feel as chronological as it used to, and it’s harder for me to separate the phases or landmarks into neat categories like years. I’ve been in school, I’ve been busy, I’ve been tired.  I guess a lot did happen: Josh and I parted ways and he got married, I moved to a new place, I survived statistics, I spent a summer getting bitten and punched by kids with special needs, my Frank is in town with me, and I aqcuired two new roommates. One is the home-owner, an RN who I’m growing to love, and the other is her massive cat who truly is the home-owner. IMG_1322.JPGI’m finding it hard to write or think of ways to express myself, so Timber, this massive beast that has stolen most of my heart (there’s a little heart left for family, friends and boyfriend, but just a fraction), will be my focus. It’s easy to write about Timber because, firstly, he’s so ridiculously funny that just thinking about him dissolves any stress inside me, but also because I think there are a lot of similarities between us.IMG_1314.JPGTimber thinks he’s the king of the universe, and sometimes I do too, which I think is why I tend to be easily disappointed and disheartened–I am entitled. I’ve been thinking a lot about my attitude of entitlement, and it’s been highlighted by my current clincial placement. I’m placed for my mental health rotation at the Alberta Hospital, one of the older psych hospitals in Alberta, in a locked intensive care unit for patients with severe psychiatric needs. One of the words that has been tossed around a bit from the staff (describing patients) is “entitlement”. It’s a barrier to recovery, because anyone who is entitled has difficulties accepting a responsible role in society, an attitude of sharing or caring for others, and of giving back. The scary thing is that I’m extremely entitled, just like Timber and so many of our psych patients. I’ve been feeling a lack of spark in my life, and it surprises me because so many good things are happening to me:  my new home and roommates are amazing, my boyfriend who I’ve been separated from for over a year is here in the same city as me, and I gained an incredible new sister this summer. Some soul-searching has revealed to me that I’m just entitled, and I’ve lost my gratefulness for the things I’ve been given in life. It’s SO easy to do that! I’m on a mission to get it back. Starting with expressing my gratefulness in this blog post for a fatty like Timber to love. Seriously, he’s irresistable.

For Mummy

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Today is my Mummy’s birthday =)

I’m in the same country as her again! It’s been a while, so sometimes I forget that they’re really just a 3 hour drive away. We still only talk about as frequently as we did when they were still in Pakistan, but it’s somehow still more comforting knowing they’re geographically close.

I’ve been too busy and too stressed to think of blogging, and honestly nothing seems worth writing about. In the busyness of school and the anxiety of trying to be a good student, and a good sister, girlfriend and employee, I just don’t have anything left in the way of words to share on such an impersonal, unemotional, unfeeling computer screen.

But today I need to say something, because despite the anxiety and stress and busyness that’s there, I feel the need to reflect on mummy.

I didn’t even begin to see the strength of this woman until I was well out of adolescence and recovering from deep depression. Ever since then I’ve continued to see more; not because anything that she does has changed, but because my selfish child eyes have developed a little more to understand and recognize. I’m beginning to recognise what courage means; to have chosen to leave the familiar country she called home, and her parents and sister, with an infant Josh, and start a new life in Pakistan. I’m developing the eyes to see what sacrifice meant, for Mummy to kiss her babies goodbye, one after the other, and allow us to travel more or less alone almost 1500 km to be in boarding school from the age of 10 onwards. Some people don’t see the sacrifice in that, and assume only a terrible mother could let her kids go away like that, but we felt only love. I didn’t know then as much as I know now that it hurt their hearts to let us go away, so much more than it hurt our hearts.

Mummy, we don’t see a lot. There is so much we miss of what you do that comes to you naturally from years of being a mum. But SOMETIMES I do see.

Sometimes I see you choose not to eat what you would like because you are happier seeing one of your family members happy than feeling it in your own tummy.

I love the picture above; Of course, only a mother would be so delighted to be given gifts by her children like a snickers bar, a cheap toy car keychain, and a village island made of paper. Scan10011

Sometimes I see you spending hours doing research (whether it’s flights, route options, or education options) or working on a project that would please or help one of us.

Sometimes I see that you will lose a night of sleep because of how much you care and worry when something is not right with one of us.

Sometimes I see you overcome the maternal urge to helicopter, when you know that the best thing is to let go and watch.

Sometimes I see how you tend to know what to do. You don’t consider yourself a wise person or particularly insightful, but you and daddy are the go-to for life decisions.

Sometimes I see that being with you feels like being home. It doesn’t matter where, whether it’s in Germany, Pakistan, Turkey, Canada…just being where you are feels right and I can metaphorically kick back and put my feet up (except I don’t ever really do that, so for me it would be metaphorically lying down on the carpet or siting cross-legged at the living room table).

You’re often underestimated, underencouraged, underappreciated, because children are selfish and we take a mummy for granted.

But Mummy, not today! I see you today (not literally. Maybe I’ll see you in a month), I appreciate you, and I love you.

Happy Birthday!

xoxo

your baby girl