Thursday, July 11, 2013

Johnny Yen's One-Hit Wonders: "Master Jack," By Four Jacks and a Jill


Four Jacks and a Jill were a South African folk group who had had a hit in their native land. They hit the US Top Forty with their song "Master Jack" in 1968, reaching #18 on the Billboard Hot 100, and number 3 on the Adult Contemporary chart. It was an international 
smash, hitting the charts in Canada, Australia, New Zealand, Malaysia and Rhodesia (now Zimbabwe), and hit #1 in South Africa.

Their next song, "Mr. Nico," cracked the US Top 100, but they never charted in the U.S. They have continued to have hits in South Africa and have produced a number of educational and charity records there. 

Saturday, July 06, 2013

A Brief Breather

Tonight is a funny night. I'm on call at work, but haven't been called in. Chances are, if I'm not called in by 8 pm, I won't be called in. It's now 9:30 and I'm assuming I won't be. In fact, I'm counting on it-- just poured a glass of red wine.

My wife and my daughter are off at my brother-in-law's birthday party in Minnesota. My son, after having carry-out Chinese food with me for dinner, grabbed his basketball and ran off to hang with his buddies. It's just me and the cats, a glass of red wine and some good tunes.

There are a few anniversaries around this time. One was on July 4th. It was the 20th anniversary of my getting a call from the woman I'd been dating on and off around 1992-1993. She was pregnant. I was mortified. Flash forward, the kid who was on the way that day and scared me to death, hung out with me at my old friend Tim's house on the 4th, with Tim's wife and my and Tim's old friend Larry. It was wonderful. 20 years ago, Tim and Larry were guys who had been my friends for 10 years. My son was just someone I was trying to imagine. And it all worked out better than I could ever have imagined.

It had also been exactly 2 years before that I had finished moving into the place we all live in now. It was a scary time; I had just graduated nursing school, but did not yet have my nursing license (that would be earned 9 days later when I took the nursing boards and passed on the first try). I had my nursing school waitering job, but the place I had worked at for 11 years had just changed ownership and was foundering quickly. I was running out of money fast.

As it turned out, I got my nursing license, and then quickly got a nursing job, just days after I got my nursing license. Not all of my friends in nursing school got a job so quickly. It was a lifesaver. I also managed to get a job in a nursing unit that was, and still is, seriously understaffed. I make a lot of money, thanks to overtime. Which is a good thing when you've got a kid in college.

When the shit hit the financial fan, right after I finished nursing school, a couple of friends, as well as my family, helped me out. One of them was my friend Viktor Zeitgeist, who has helped out many times. I had been promising him, since getting my first nursing job, to come out and visit him in Seattle. I finally got to fulfill that promise last month.

He and his wife live right on Puget Sound-- see picture above. I took the picture while sitting on the futon I slept on, in their living room, while I visited. This is the view I woke to every day. I can't wait to go back.

I had a marvelous time. We had a chance to hang out, have coffee or a few beers and catch up. This was the first time neither of us had to worry much about money (he's an attorney now and I'm a nurse). We talked about a million things. He opened up, for the first time, about the bout of cancer he survived about 25 years ago. We talked about history, politics, economics, family. It was really, really good. And too short.

But it was just enough time to rejuvenate myself. I've got a lot to do in the next 7-8 years. Got two kids to put through college. Got some friends I need to spend more time hanging out with. And maybe a couple of other little projects here and there. And I need to start posting in this blog again more often. Miss that too. "I have promises to keep/And many miles before I sleep..."

Sunday, March 10, 2013

The Cost


Today (March 7) I was at a hospital that I work at frequently. There are some things I love about it: the view, for one-- it overlooks Lake Michigan and Lincoln Park. It was also a hospital I had clinicals at and my favorite clinical instructor was at this hospital. And four of my nursing school classmates work there. There are some things I hate about the place: their charting system sucks; it's particularly bad for dialysis people. And there are a few really stupid people that work there, though really every place has some of those. 

Today, though, after I arrived, it occurred to me that 19 years ago, to the day, my son was born just a few blocks down the street at another hospital that is now gone. It was, like today, an unusually cold day in March. 

My life at that point was a train wreck. I felt lost. I felt like this was just the icing on the cake; a child I was totally unprepared for.

I got a call late the night that he was born. I had a son. I was barely speaking to his mother at that point, but she called me to tell me I had a son.

I went the next day to the hospital and laid eyes on him for the first time. I'd never seen a newborn at that point in my life, and had certainly not held one. I was stunned to see how helpless he was. I felt fear rising. I was responsible for this little pip of a guy for the next eighteen years. I overcame my fear and picked him up.

The 19 years since then have been a wonderful journey. His mother and I reconciled, then split eventually. We had a horrible custody fight. I've had to deal with her infantile behavior, and until recently had a good portion of my income taken out for child support. The cost was high. But the rewards were higher. I got to see him grow from a helpless newborn to a young man who is ridiculously independent. I got to see his first steps-- so many firsts. We had so many good times-- movies, baseball, great talks. Seeing him develop his unique personality-- his humor, his intelligence, his kindness. Discovering that other parents on our block loved having him over playing with their kids because he was so intelligent, kind and respectful. Reading to him, then seeing him learn to read. Seeing him thrive in an internship, then seeing him succeed in his first job, persevering when a lot of co-workers quit at the door-to-door sales job after just a few days. And then, at the end of last summer, with my ex, driving him to college in New York. I remembered the drive home from the hospital with him, which I recounted in this post. I chuckled at the symmetry of it all-- that we drove him home together, then drove him away together nearly two decades later.

When his mother discovered she was pregnant, she told me she had decided to go through with the pregnancy, and offered me out. I couldn't stand the idea. I told her I would stick around to raise him. The costs, both materially, and otherwise, of this decision were high. But the rewards have been so much higher. 

Saturday, February 09, 2013

Decisions

About four years ago, I was taking an Anatomy-Physiology course and had made a decision that was to have a huge effect on my life.

I had left teaching a couple of years before with the intention of trying to get into pharmacy school. I had tired of the tight job market in my profession at the time, education, and wanted to get into the medical field. The aging of the baby boomers would guarantee me, I knew, of a job.

However, the prospect of getting into pharmacy school was daunting; there is now only one pharmacy school in Chicago, and only about 10% of candidates who apply get into the school. And even if I could get into pharmacy school, it was going to be two more years of prerequisites, and then four years of pharmacy school. I would be 56 when I finished, and my oldest kid would be done with college, and my younger one nearly done. The whole point was to be able to pay for most of their college.

I had been taking classes with my friend Leslie, who I also worked with; she was getting ready to go to nursing school, and the prerequisites for nursing school and pharmacy school were nearly identical, so we took classes together whenever we could. Leslie pointed out that it would make more sense for me to go to nursing school. First, with the Anatomy and Physiology class I was currently enrolled in, I would be finished with all the prerequisites for nursing school. Secondly, I could apply to the Chicago city college that I was already taking the prereqs at; a bonus was that the school was extremely affordable.

I had to make a run to my old high school to get my transcripts, but I got my application in on time. Two months later, I got the notice: I had been accepted.

Later I discovered just how fortunate I'd been. There were approximately five applications for every open slot in the school. Most people have to apply several times before they get accepted.

The month I started nursing school, my wife got laid off her job. The recession that had started the year before caught up with us. She searched for months for a job with no luck. We had a hard decision to make. She was getting unemployment benefits (which were extended thanks to the President's stimulus packages-- thank you President Obama!) but we were still struggling-- I no longer had a teacher's salary; I was working as a waiter. We were living on less than half of what we had been living on, and now I had to pay for school on top of our regular expenses.

We sat down and talked about it. Our kids were going to be in college in a few years. It was going to be a lot easier to pay for colllege on a nurse's salary than a teacher's. We knew it was going to be tough, but we had to have faith we'd work through it.

After six months of job-hunting, my wife finally went back to work, although for less than what she had been making. I had been hoping to drop down to part time at work in order to go to school, but that obviously wasn't going to happen. I continued to go to school full time and work full time. My next two years entailed very little sleep and lots of caffeine.

I graduated nursing school in May of 2011, the day I turned 50. In July of that year, I passed the state nursing exam and a few days later got a job. Since then, I have worked as much overtime as I can handle. When I got my W-2 a couple of weeks ago, my jaw just about hit the ground. I made a lot of money last year. A lot of bills got paid off. And a lot of school costs got paid for my son.

Today, when my wife got home, she told me of a conversation she had with a friend of ours. The couple, whose old home we got married in, is in a lot of trouble. They had been wealthy at one time; both of them come from wealthy families. It turned out that they had been living off of their inheritance and had finally hit the bottom of their well. They lost that home last year, and were evicted from the apartment they had been living in. They're staying in a temporary place, but they are on the verge of being homeless. We are trying to figure out how to help them.

In the meantime, I am glad about the decisions we made. I'm glad that I had an open mind, and listened to my friend about changing my plans. I'm glad that we decided to tough out my wife's unemployment, and for me to stay in school. I'm glad that I decided to jump at the job that was offered so quickly. I'm not thrilled with the job, but it pays well, and has allowed me to work a ton of overtime, which has allowed us to catch up financially. I'm glad that I made the decisions, day to day, to live within our means, and to do the things that assured we would be better off in the longer term. Tonight, my wife and I are going out for an early St. Valentine's Day dinner. Despite having a kid in college, we can afford to go out for a nice dinner (and though she doesn't know it, she's getting a couple of small pieces of jewelry). Thanks to decisions we made, all of it-- the kid in college, the dinner and the baubles-- are within our means. I feel pretty good about that.

Sunday, January 27, 2013

The Long Haul

Last night I had the pleasure of getting out with one of my oldest, closest friends. As we had a couple of beers and chatted, I was amused thinking that I had no idea 31 years ago, when we first became friends at the ages of 18 (him) and 20 (me), that we'd be a couple of middle aged guys, 49 and 51 now, talking about our kids, our wives, our careers and our retirement plans.

I thought about the handful of old friendships I have; most, like my friendship with him, are from the state college in central Illinois I got my bachelor's and master's degrees from in the mid eighties. There were times I lost touch for years at a time with some of those people, but eventually we reconnected, and as we head off into middle age and start getting ready for the last couple of acts of our lives, the friendships seem to be really strengthening.

I've told both of my kids that the friends they make in college will end up being the strongest one of their lives. I can tell that my son, in his freshman year of college, is beginning to understand this.

I remember that in my twenties, I dreaded getting older. I really thought that life would really suck as I get older, and that my youth would be the high point of my life. While I did have some great times then, I was totally wrong. I had no idea that I'd hit my fifties with gusto and joy in life. I had no idea that friendships I'd made when I was 22 or 23 would become so rich, or that I'd make a second wave of great friendships thanks to this blog (that's you Skyler's Dad and Bubs!) that would make life even richer. In my youthful naivete and stupidity, I thought that life really would be over after 30. I had no idea that it was only beginning then. In the long haul, my life's been rich and fascinating, and continues to be.

Sunday, January 20, 2013

The Next Step

Just before I became a nurse, the unit I work for got a new manager. He is not a nurse-- he's got an MBA.

That was our first warning.

Since it was my first nursing job, I was too busy learning the ropes to pay much attention to what was going on above. But it didn't take long. By the second or third monthly staff meeting, I began to realize that a series of increasingly disjointed, and sometimes nonsensical changes were being attempted-- harebrained schedules, attempts to use smartphones to dispatch us, etc.

When those things didn't work, it was, according to them, our fault-- that we were not trying hard enough to implement his genius ideas.

Over the months, I began to realize that I'd seen this story before: The Peter Principle.

In 1969, Laurence Peter published a book that purported (correctly, I believe) to explain a lot of organizational dysfunction. Basically, it said that people are promoted upward in organizations as long as the master each level. They rise until they hit a level they cannot master-- their "level of incompetence." Over time, position after position becomes filled with someone who cannot do the job. They cannot be promoted upward, and are rarely demoted. Organizations become filled at the top with people who cannot do the job, like a clogged filter.

I quickly realized that our manager had been promoted to his level of incompetence. And now here's the painful part:

His name is Peter.

In August, the Nursing Manger, the woman who hired me, saw the writing on the wall and left. The nursing manager position was taken over by a great guy, a nurse in my unit who did a lot of my training. He has struggled to do his job, but "Peter Principle," as I've nicknamed him, has thwarted him at every turn, taking away resources he needed to do the job. He is currently doing three jobs-- his, a former assistant who also quit, and coordinating day to day, which was formerly done in alternating weeks by two of the nurses in our unit.  The nursing manager, who has two young children, and was working 80-90 hour weeks (on salary), turned in his resignation.

Things are about to become very bad. I've been getting my resume ready, and have been encouraging a co-worker who is just as disgusted with recent events, to do so too.

In the meantime, I'm keeping my eye on our "Lumberg" until I can turn in my resignation as well.

"That'd be greeaaaatttt....."


Thursday, January 03, 2013

A Year and a Day

My first real day as a nurse-- the first day I got paid to be a nurse-- was August 7, 2011. I had spent the previous 2 years plowing my way through nursing school, and the two years before that plugging away at the pre-requisites for nursing school, and all four of those years working full time and raising a couple of kids.

I had gotten a job more quickly than I could ever have hoped for-- basically, four hours. I had passed the NCLEX, the test that officially makes you a nurse, in July of 2011. A few days later, my wife and I talked-- she works in employment, so is really good at finding job postings. She found one quickly that, unlike most of the others, did not require previous job experience; they would, in fact, train.

I got online and applied for the job. Four hours later, I got a call, and set up the interview for the following Monday. On Wednesday, the woman who interviewed me called me and told me I had the job.

My first day of the classroom work for my new job, I sat behind a guy who was a few years younger than me. At first, he annoyed me-- he was a real "eager beaver." Over the next week or two, my guard lowered.

Then, one night, he and I were both sent to a hospital that was about 45 miles from Chicago. We were covering the hospital in emergencies, so they wanted us to know all the ins and outs of the place (as it turned out, they had a lot of emergencies-- we were sent there a lot, much to our chagrin).

That night, though, as we were leaving, talking about our day, we walked to the parking lot. I got in my car and saw him get in his. And then out of his car. He popped his hood, and I realized that there was a problem.

I went over and discovered that his car battery was dead. We talked to the hospital guard and discovered they had a jump starter for such an occasion. We tried, but the thing couldn't crank his car. I remembered that I had given my jumper cables to my wife and neglected to get myself new ones.

He lived about 30 miles south of me, and I lived about 45 miles south of the hospital; he was stranded 75 miles from home. His girlfriend, who lived with him, had a car, but it seemed silly to have her drive `150 miles round-trip. I told him to call her-- if she left their place when we left the hospital, we would meet at my home about the same time. He called her and the plan was in action.

On the way to my place, he and I got to talk at length for the first time. We had a lot in common-- both of us went back to school after other careers-- he worked printing presses, I was a teacher. Both of us had kids who were grown or nearly grown. Both of us loved baseball. We both had pretty well misspent youths. We also discovered we were opposites in a lot of ways-- He was a metalhead; I loved punk rock. He grew up in south suburbs of Chicago, I grew up mostly on the north side of Chicago. This led to that other great opposite-- he was a Chicago White Sox fan, I am a Chicago Cubs fan.

By the time we got to my home, and his girlfriend picked him up, we were friends.

My helping him out was not forgotten. We were pretty much inseparable after that-- if not in person, by text. My wife noticed that the number of texts I sent or received went from about 50 a month to about a 1000 a month. As he and I struggled through our job, the first nursing job for both of us, we texted asking questions, or sometimes just joking around. It became my lifeline. Sometimes it was a question about the dialysis machines we used, or about a particular patient. We had been rushed through and out of training, so there was tons more to learn. We came to really depend on one another.

Since I had a kid about to start college, and he had a kid in college, both of us loved to work overtime; we were, in fact, dubbed by our co-workers "The Overtime Kings."We discovered that despite looking very different, and being 9 years apart in age (he was 42, I was 51), people confused us for one another, in part because our names were similar-- starting with the same first two letters-- and they saw us both all the time.

As summer arrived, we began to realize that we were finally getting the hang of a rather difficult job. We started making plans to try to make it to a baseball game.

On August 7, he, Neal, another friend from our training class, and I sent one another vulgar text messages "congratulating" one another on our one year anniversary at the job. We had all become quite annoyed with the job, but kept good humor about it.

Later that night, I got a text from him; turned out he was heading to the hospital I was working at that night to check on some documentation on the dialysis machines in that hospital. After that, he was planning to go home, have some vodka and Red Bull (ick!) and then was going to interview to be head of our unit-- our boss had resigned recently. He texted me a picture of the pint of cheap vodka he had purchased at a convenience mart on the way over, and a while later popped his head into the room of the patient I was doing dialysis on. He came in, checked the documentation on the machine and stopped to chat for about ten minutes. We talked about the usual stuff-- our kids, our mates, baseball, laughing about the job. He was doubtful that they would offer him the manager job, and if they offered it, and he couldn't do it the right way, he wasn't going to take it.


The next day, I was at a hospital getting ready to set up a patient, when I got a text from another nurse in our unit who he and I were friends with. He asked if I'd heard something about my friend having a heart attack. I knew nothing.

I called his phone and left a message, expressing the hope that he was in a doctor's office dealing with some minor health scare. About ten minutes later I got a call from his girlfriend, who had seen his phone go off, and seen my name on the call. She knew he and I were tight. She told me that they thought he'd had a brain aneurysm. They didn't know how severe it was, but he was not conscious. That morning, her teenaged son had heard him fall in the bathroom, and had gone to check on him. He was not breathing. He ran to get their neighbor, who called 911 and then started CPR.

Two days later, he was on a ventilator in an ICU. She asked Neal, who had also been in our training class, and a good friend, and I to come visit him, and to assess him. We drove to the hospital and got to his bedside. He was intubated; he was not breathing on his own. He had not breathed on his own since the aneurysm.

It was weird for Neal and I to be friends and nurses to him at once. We checked for a pupillary response-- none. We talked to his nurse, who explained how they had confirmed that he had no more neural activity. In turn, we explained this to his girlfriend.

It was rough seeing my friend, who was so vibrant, funny and alive, like this.

We discussed what was ahead. Ultimately, his brother was going to make a decision regarding life support. At this point, they were maintaining it so that his organs could be harvested for transplant. There was no chance for a recovery.

A day later, life support was removed. They could not use his heart-- unbeknowest to me, he'd had a heart attack previously-- or his lungs; he was a smoker. But they took his pancreas, his corneas, some other tissue-- and his kidneys. Neal and I were later to remark on the irony, that two people were soon going to get off of dialysis thanks to the kindness of this guy, who made sure that he was an organ donor.

My wife warned me that I had a rough couple of months ahead of me; she knew that he and I were close, and on top of that, my son was about to go off to college. She was right. It was rough. I'd also lost my mother-in-law, whom I adored, and my friend Larry's mother, who was like a second mother to me, a few months before.

It was rough-- I'd come to depend on him at work for advice and just to liven up my day with the in-jokes and such. I'd come to depend on his friendship. I felt like I'd had a huge rug pulled from out under me. But as the weeks wore on, I came to realize that it was a big lesson in enjoying the time you have with people. Despite the fact that we worked like dogs, we still managed to get out and hang together when we could. And I realized that I was lucky to have met him-- it was only a year and a day, but sometimes a year and a day is all we get with someone. 

Tuesday, December 25, 2012

Watch Out What You Wish For

About a year ago, I was beginning my new life as a nurse. I'd struggled for two years to go to nursing school-- struggled financially, struggled to balance school, work and time with my family, and worked hard to plow through a nursing program that packed a whole bunch of school into two years.

My wife got laid off right about the time I started nursing school, adding another challenge to the process. I worried that my kids would feel like they missed time with me during that time, but they told me emphatically that they never felt that way. I have a feeling that the fact that whenever they had a board game night, I was almost never too tired to play (okay, I was, but I never forgot that I would never get that time with them back, and toughed it out).

I remember back around this time last year, how exhausted, frustrated and sometimes downright scared I was. I was struggling to master dialysis nursing. As someone who has been terrified of needles my whole life, putting two 15-gauge needles into someone to do their dialysis (think "needle about the size of medium sized knitting needle" size). I had to be able to spot when someone was in trouble medically, sometimes before I started treatment. I remember wishing, right about mid-December, that it was a year from then, and that I'd gotten a year in, and had all these skills.

And here I am.

I had a really difficult day at work-- it didn't even have anything to do with working Christmas Day. I had a really difficult patient who had a rather difficult "fistula" (an artery and vein hooked together through surgery to give an access to do dialysis with those 15-gauge needles I mentioned). He was also a general pain in the ass. And yet, I was able to "cannulate" him, and got him to sit still for 2 hours (of what should have been three and a half hours) of treatment.

I also had another patient go into respiratory arrest. I spotted it quickly and responded quickly. I returned her blood and called a "code." In  this case it was a "code purple"-- she had a pulse but had stopped breathing. My heart was pounding, but I stayed calm, quickly returning her blood and calling the code. It's weird hearing your voice god-like through a whole hospital.

The latter patient was revived, but about an hour later, as I was talking to the doctor who responded to the code, I suddenly heard the telemetry machine stop beeping; I pointed this out to the doctor, who looked puzzled. I had to spell it out-- "Doctor, I think we need to call another code." He agreed. This time it was a "code blue." Her heart had stopped. The "crash team" poured back into the room and went back to work. This time, they were unable to revive her. She had expired.

As I sit writing this, sipping a glass of red wine, with satellite radio playing the "Handsome Dick Manitoba" radio show, thinking about it all, I realize that I made every play correctly today. Most importantly, I stayed calm in an extremely stressful situation. I remembered everything I'd learned. I did everything correctly. A year in, I'm where I wished I'd be. It wasn't an easy day. As always, you have to watch out what you wish for. But this is the life I chose. And I'm glad I chose it.