Tuesday, March 25, 2008

Spiked salsa

Saturday we all went to a salsa bar here in Sydney, again at Darling Harbour. Everything was fine until someone spiked Bettina's drink. This, people, is why you must never drink anything other than bottled drinks - the neck is narrow and you put your finger in it! So before midnight even rolled around we were hailing a cab on our way home. Here we are before things went bad. Jeanet on the left, Bettina, Suz (an Australian from Adelaide who lives with us) and me.

Water everywhere...

So we had four days off, four days I was looking forward to using exploring the city. However, because of the holidays, everything closed down, and instead I just wasted four days. The first day we all lost our minds and decided, "Hey, a public holiday, let's go to the aquarium with every single child five-year-old in New South Wales!" So even when we got to Darling Harbour and saw the line curving all the way down the docks, we didn't come to our senses. I blame it on the weather. For the first time since we arrived it was cloudy, cold and sprinkling. It was down to 22 degrees! Anyways, we finally got to the door and in we went. The very first thing we came across was a platypus display. The platypus is a uniquely Australian monotreme, which means that it's an egg-laying mammal. If I remember correctly, there are only three species which are monotremes. Some people say two, some say three, but I'm pretty sure at the aquarium they said three. Monotremes have also developed what is called electro-reception (sharks have it, too), which helps them sense muscular contractions in their prey (worms, crustaceans, larvae of freshwater insects). And furthermore, they are only one of five known venemous mammals. They have spurs on the heel (do playtpus have heels?) of their hind legs, which are filled with the venom, although they don't know what purpose it serves. They think it might have to do with mating, but it will kill a dog or severely hurt a human. It was much smaller than I had imagined, I'm not sure what I had imagined, but it was bigger in my head. Very interesting, though.
The aquarium was like the freak show of aquariums. If you've seen a crab, you've never seen a crab this big. If you think you'd seen a seahorse, you've never seen a seahorse like this. It just was as weird as anything could get. For example the Tasmanian giant crab, which measures 45 cm across the shell, not counting claws or anything! For Americans, that's around 18 inches... Or the weedy sea dragon, which, appropriately enough, looks like a strand of seaweed. It also just lays its eggs down its tail, not in a little pouch like you'd expect. There was also a Great Barrier Reef display, where you could touch coral, see all the interesting fish (including Nemo) and walk through tunnels under the water. To give you a little perspective on the size of the reef, there were little signs on the walls comparing it to countries: Germany is 356,978 sq km, which is only 12,978 sq km larger than the Great Barrier Reef.


And finally, me under the water, displaying enormous faith in glass.

Let's see...

First things first. A picture of the flowers Steffen sent me and my egg in a pillow. Can you find the egg?

Også, tak Jóhanna for din mail! Det var bare dejligt at høre fra dig, havde troede at du havde glemt mig... Håber ikke du spiste alle dine æg på én gang! And to everyone who has pointed out that Dusty and Caitlin are not expecting a boy (interestingly enough, they haven't mentioned anything), I KNOW ALREADY. It was a general suggestion. I'm going to split today's posts up by event. Happy reading.

Thursday, March 20, 2008

Photorama

Photorama, maybe not. Here are the ONLY pictures I have managed to load in the last 12 minutes. Arrrrgh. And now I have to hand over the computer, so I can't spend any time writing about the pictures... Wildflower from the Blue Mtns., Three Sisters in the Blue Mtns, and more kangaroos...!

Hot cross buns

No, I'm not referring to Steffen's biking bottom, but to the bread!
Hot cross buns,
One a penny buns,
One a penny,
Two a penny,
Hot cross buns.
Do we have those in the US? They are all over the place here. Anyways, I had my first hot cross bun today, and it was delicious! Nobody uses butter around here, I suppose that would be a pain because it's too hot for it to sit out without it melting, but it gets too hard in the fridge. Instead they eat margarine, yuck.

Today I was supposed to follow our Lactation Consultant, as she is so properly called. (I accidentally referred to her as the Lactating Consultant for the first week, she got a kick out of that.) Instead I was left at the nursery for the last day, and on Tuesday I get to start in the High Dependency Unit, or HDU. It's funny how they say "h" down here. Instead of "aye-ch", they say "hey-ch". So when they say HDU it sounds like they are sneezing. "Heychdeeyoo!" Anyways, I will be there for a couple of weeks, then I move up again to ICU. Today was a good day, and I find that I don't have to be super busy to be happy about the day, I get a lot of satisfaction out of the patient (in this case parent) contact. Today I instructed a brand new father how to bathe his son in the incubator, and I helped him through it. He was so gentle it took three times as long to get it done, but it was really fun and satisfying to make the connection and to experience that baby's first bath with his terrified, but adoring, father. I turn a blind eye to the bad hygiejne (I think I spell that different every time - it's confusing in English and Danish), and I try to do the best I can for my babies. They actually have a radio on the nurse's desk playing a local station in the ICU, so I'm pretty sure it doesn't get any better as I move up the ward. We'll see. One thing I have thought about taking back to Denmark is the stuff about SIDS. I've never even heard of SIDS in Denmark, and I have thought to myself that I need to investigate what info we give in DK to new parents about it, if any, so that if we don't give any info or guidelines, then we should perhaps implement that information in our discharge routine. First step: figure out what it is called in Danish, since I'm pretty sure it's not called SIDS.

Easter closes everything here, so today I bought some groceries to get me through to Tuesday, but I am keeping my fingers crossed that the Egyptian place down the road will be open anyways. Hey D&C, name suggestion of the day: Hamish. I'm going to publish and then try to post some more photos. Thanks for the postcards that you have been sending, I've appreciated all the mail and hope everybody is doing well. I will try to get postcards back out to you folks this weekend.

Tuesday, March 18, 2008

Home visits

So a couple of thank yous are do... One to Steffen for my beautiful flowers that were leaning up against my door when I arrived home. I had gone into the common room where I was quickly informed that I had mail and was pointed in the direction of my room. I thought that was funny since I'd checked the mail slot, but sure enough, there were the flowers, a big bouquet of yellow, pink and white flowers along with a package from Mom. I figured the flowers were from Steffen, but the girls wanted to know. One girl told me they had barely resisted the temptation to open the card. Then there was the package from home, and when I opened it all I could see was air packaging, those big pillows of air, wrapped in tape. I couldn't see what it was, and I thought Mom had just sent me 11 dollars worth of air, but then I caught a glimmer of blue and red. There, packaged in the air pillows, snuggled safely in it's cocoon, was a Cadbury creme egg. I had actually been wondering if I was going to miss out on my annual Cadbury shipment, but I figured I'd survive since down here Cadbury is everywhere and 4 creme eggs cost $1. But, I have to admit, it was fabulous to get that package, and I'm leaving my egg in its packaging for the time being. Everybody keeps warning me it'll melt, but I'll put it in the fridge in the morning.

I found a store today that only sells hemp and bamboo clothing - it was so fabulous. I had Jeanet in tow, so I couldn't stay long, but I'm definitely going to go back and get a bamboo sweat shirt. That might be what people are getting from me for Christmas, bamboo socks and sweaters. They are lovely, much better than they sound.

Jeanet and I came home tonight and went to a free lesson of tai chi down the road. It was only 5 girls and the instructor, who was very sweet and patient with us. Jeanet and I haven't tried it before, but I ended up loving it, and Jeanet hated it. It was much like Pilates, there is so much concentration needed to do the moves that I couldn't bother myself thinking about hoovering (as they say in Oz [as they call Australia]) or my overdue postcards. I get one more free lesson, but I'm not sure I'm going to be able to get Jeanet to go with me.

The last detail of the day. I did home visits with the neonatal nurses today. So in Oz when a baby is premature, they send both the regular community nurse on home visits, as they do with term babies, but they also send staff from the department. It was very interesting and I got to see mastitis, which I immediately identified even though the nurse didn't see it right away. I was very proud of myself. The woman had breast implants, though, so I couldn't tell if the hardness of her breasts was mastitis or the implants. Either way, it was good to see, now I know what it's all about.

Only two more days in Special Care nursery which means.... only two more days of The Drag!!! And on that sweet note, good night!

Monday, March 17, 2008

Never ever!

So today is Monday and I'm tired as anything. I couldn't get to sleep last night and then the garbage man woke me up at some ungodly hour. Today it was back to the Special Care Nursery, as they call it, and the hands on the clock just didn't seem to move all day. Last week I had the time of my life following a midwife around for two days. Her name is Kim and she is the midwife for emergency c-sections. I was scheduled to follow her for 10 hours on Thursday, but ended up having such a great time that I went in on Friday, my day off, to follow her around again. Thursday I decided after the very first c-section that I will never, ever, ever have one myself. The surgeon cut a very small line on the woman's lower abdomen, then he put his hands in, and his assistent put her hands in, then they counted to three and pulled so she ripped open. Apparently this way the muscle heals more quickly...? Caitlin? Anyways, they also don't cut as big a snit as they used to, in an effort to replicate a vaginal birth as much as possible. So the doctor really just digs in half-way up the forearm and hauls that little baby out while assistant pushes on Mom's stomach. There is obviously a benefit that Mom doesn't get sliced open more than necessary, but it was all so violent. There were 4 emergencies on Thursday, including a very scared woman who refused to push. I can't go into the details, but she was hysterical. It was shocking, all the chaos in the OR. Anyways, no c-section and no epidural or anything for me. No needles in my spine! The next day I went back and we received twins. It was so fantastic, I got to take the baby from the surgeon and over to the trolleys. There was a surprising amount of splatter during the c-sections, but we were decked out of course, so no problem. I was totally shell-shocked Thursday afternoon, but by Friday afternoon I was devastated that I'd be back in the nursery today. I'm going to see if I can't take a few more study days and hang out with her. There is one more scheduled day that I have with her, but it's first at the end of April... I even got to cut an umbilical cord! And take a blood sample from the umbilical cord! And I got to examine the placenta! Seriously, it made my week, my particularly bad week.

Mr. Johnson

Saturday morning we got up and headed out to Centennial Park to see Jack Johnson in concert. It was only his second concert in 2 years, and it was worth the $90 AUD. When we got to town it seemed like the whole city of Sydney was going there, but we made it in good time and were there for the gates opening. We got some water and found a grassy spot to sit to the side of the stage, but under a massive screen. There were three opening acts, including someone called Matt Costa, who was actually okay, so I might have to look into him. The third act was a guy called G.Love and the Special Sauce or something like that, and after a while (a very short while) all his music sounded the same. Finally Jack Johnson came on at around 8 pm and played a two hour set. He forgot the lyrics a couple of times, but the audience knew them, so we just kept singing for him. He talked between songs about his wife and son, very nice. It was a warm night, and we were packed in pretty tight so I never got cold and the temperature was perfect. Afterwards we FINALLY got a bus back to town and headed home. It was a great night all around.

Blue Mountains

I better put some pictures of our trip to the Blue Mountains up before I forget. Here is a eucalyptus tree, peeling its bark.

A kangaroo posing a very Mr. Big Guy pose.
This connection is worth nothing, I'm going to try and publish this and see what happens. I'm scared that it's not working...

Okay, it worked. I'll try and add to it anyways.

Nope. Still not working. I'm going to leave this and come back to it later. I'm about to pull my hair out and my jawhurts from grinding my teeth. I'll put pictures in later, but for now you'll all have to deal with words.

Friday, March 14, 2008

Inhale, exhale

The last time I wrote was over a week ago, and it's been a loooong week. First of all, just an apology about the delay, I just haven't had the computer that much, and I've been pretty tired and busy after work, so it's just been supermarket, home, sleep. I'll try and update you about the last week or so, since many things have happened, good and bad.

Last weekend, March 9th, we went to the Blue Mountains National Park, after which we ended up in the ER until 10:30 pm. But we'll come back to that. The first thing that happened was that our bus was late, well, actually we don't know if it ever came. An elderly Australian man that walked by thought we were silly for expecting the bus to come at all, since the driver had probably come back late from the pub and was sleeping it off. When we couldn't wait any more, we called a cab. Our tour bus was also late, about 20 minutes, so I was starting to wonder if we had missed it, so I looked around and there was a girl, standing there also looking nervous. We started talking, she was also on our bus, and it turns out that she works for Arup, the engineering company...! She does fire engineering, so how will buildings best stay up during a fire. We talked about the World Trade Center buildings, and she said that they were so horribly designed that it was shocking. She described it basically as a square log cabin, where in the corners you have four columns, where the beams overlap and create the log cabin effect, so that when one of the columns, just one, collapses, the whole structure is compromised. As far as I could understand, she said that there should be many more columns around the perimeter of the building, and more inside the perimeter, maybe four or so. Then she said that there should be units, so that the same columns for floors 1-10 aren't the same columns for floors 11-20. It was all very interesting, and she has done placements with Arup in China, and seen all the buildings they're doing there for the Olympics. She said that she thought nursing was the wrong profession for me. And Mom, we also talked about affordable emergency housing, including tents. She was totally interesting to talk to. Anyways, moving on. The bus finally came and then it turned out that the company had overbooked, so somebody had to get off again. Charlotte, the Arup person, got off and took another bus behind us, so that was the end of her. On our way to the Blue Mtns, we stopped by the Olympic grounds, and saw the Olympic stadium, where hopefully I'll be able to catch a rugby game before I leave again. Back on the bus, we were given lots of facts and info about Australia and Sydney, including a little local info about a radio station that organized a breakfast to get as many nationalities together. They managed to get 163 people, all different nationalities. That gives you an idea of how diverse Australia is. After years in Denmark, I'm shocked again to see so many different types of people living and working together. Half the time you have to use sign language to communicate with the Chinese cab driver, or the African waitress. The Australians are very accepting of this and don't complain about it at all. Very different from Denmark. Onwards again, we got to the national park and got off at a camping site, where we were able to get some pictures of kangaroos. The air was very crisp and the forest was primarily eucalyptus trees, which I think smell great. There are also all kinds of great things about eucalyptus trees, including that their bark can protect the core of the trunk from fire, so they survive forest fires. Some of them are also dependent on fires to regenerate, and their seed pods, if I'm remembering correctly, open during a fire. But they also produce a lot of oil, which fuels fires, so... The bark on many of the trees was peeling off in large strips, which sometimes were curled tightly by the time they fell off the tree. It looks beautiful when they shed their bark, underneath they are smooth and pale. There are also apparently many, many different types of eucalyptus, so while some tolerate scorching heat, some have adapted to below freezing winters up in the mountains. Afterwards we were driven to a look-out point, where we hiked down to some falls. The whole thing was okay, but it was just tour bus after tour bus dropped off mass amounts of people. There was nothing wild or natural about it. We got to another look-out, the Three Sisters, where we were supposed to walk down 1000 steps, and then take a cable car up. We started down the path, got about 200 meters down the steps and next thing I know, Bettina is rolling by me. She sprained her ankle, missed the step, rolled down and couldn't move. Our tour guide being really helpful, decided to head down into the canyon anyways, leaving me and Bettina to get her back up the 200 meters. Bettina had surgery on the foot a couple of years ago, and had spent all Saturday saying that as long as her ankle was okay, she'd be happy. Long story short, we got her up, in a wheel chair, and down the canyon and up again by cable car. I had Bettina's leg across my lap the whole 2-hour bus ride home, but thankfully we got the bus to take a detour and drop us off at the ER at RPA (our hospital). We sat there for three hours, just waiting, but at least we saw where Jeanet is in praktik every day. Nothing broken, we were finally released and very exhausted we made our way home. We all had to be up by 6 am the next morning, which brings us to this week's nightmare.

Sunday night we were thoroughly knackered, as the Australians say. It was so hot here that night, easily in the 30's, even at 11 pm. We had been in the hot sun, in a hot bus, all day. We went to bed, and all fell asleep right away. It lasted only two hours. Suddenly at 1 am I'm jolted away by the sound of people outside my door thumping up and down the hallway, drunk and laughing. I managed to fall asleep again, as they moved down the hallway. Then again at 2.30 am I heard the girls, back in my hallway, still shouting and singing. Again at 4 am, at which time I'm starting to really get irritated, since my alarm is set for 5.5o, and when it finally goes off, I feel as if I hadn't even slept. I went to work and overlapped with Gill, one of the girls, who I complained to about the noise. Maybe because I was tired I was feeling bitchier than normal, so I came home and talked to Bettina and Jeanet about it. Bettina complained that she couldn't sleep at all, so we together wrote a short, informal email to our contact person, "Betty", to report it. Most of the girls in our hall either didn't sleep at all, or were woken several times that night. I'm not sure what we were expecting, but we wanted a general reinforcement of the rules for the entire floor, not just these girls. Apparently, simultaneously, Betty is receiving other complaints about the same girls from Friday and Saturday night. All together I think there were about eight complaints, but I can't be sure. Since I work with Gill, I wanted to be kept anonymous, and I certainly didn't want anything drastic to happen to Gill, just a general reminder of the quiet rules after 11 pm. Next thing I know, I'm being called to HR on Tuesday to tell Betty about our complaint, which I quickly withdraw since I can sense that it's getting a little out of hand. No matter, she says, they have other complaints. Tuesday afternoon the girls are called in to a meeting, and told they have individual interviews with Betty Wednesday. Tuesday afternoon Betty shows up here, asking to speak to me in front of 15 girls, who quickly put 2 and 2 together. Bettina and I deny the whole thing because we think we can, but on Wednesday, after their interviews and their evictions from the housing, I realize this has gotten way out of hand. A lot of letter writing and meetings and whatnot later, the girls and I are good, the girls are staying and I am much wiser. It's funny how you grow up more in 5 days than you do the rest of the year's 360 days. You learn about management, loyalty, owning up to your actions, sucking it up and apologizing, and all the rest of it. More than anything, I'm glad Gill and I are good again. I was called to the office of the Executive Director of Nursing in NSW who told me that Betty is being given other job functions, and was basically apologized to for everything getting so out of control. EXHALE. Gill is amazing, and I'm not stupid enough to think that everybody would be that sweet about this, but it was good to learn.

More later, time to get ready for a concert this afternoon at Centennial Park, Jack Johnson, straight from Hawaii!

Friday, March 07, 2008

Rain rain go away...

Today is another hot day, with a few clouds here and there. There was a massive party here last night (one of the students graduated), and that meant even more noise than usual. Yesterday we had our little welcome meeting at the hospital, it was the eight of us from Denmark, our clinical managers, consultants and educators, along with two Danes, and a whole bunch of other people. They served refreshments and we had our picture taken, it was over quickly, but it was kind of nice that my department was so well represented.

Afterwards we went to town to find a beach towel and hangers, but I quickly forgot about hangers and only ended up buying a beach sheet, as they call it. It was massive and bulged out of the store's bag, but I hauled that thing around with us all night. After the stores closed, Jeanet and I decided to go to Circular Quay and see the Sydney Opera House and the Harbor Bridge. Night was falling and when we got there the first thing that happened was that clouds rolled in and it began to drizzle. All the ferries are docked by Circular Quay, so we walked along the waterfront and towards the SOH (they have acronyms for everything). There are restaurants and bars and shops all along the waterfront, so we walked along them, protected by the buildings from the rain. Luckily, Jeanet had an umbrella with her, and that came in very handy when it started pouring. We walked as far in the SOH as possible and then around the front. It's enormous, I'm not sure what I was expecting, but it was considerably bigger than I expected. Prices for Carmen were $240 AUD, $90 for La Bohème. We're going to try to see something there, just probably not Carmen. When we came back out, it had begun to pour down. Really pour. There were no drops of water, just water. The umbrella did all it could, but when we finally got home over an hour later, we were soaked through. We had decided at a very early point to bust out the towel and wrap it around us while we sprinted from dry store front to dry store front. And where were my rain clothes, the ones I insisted I have with me for the trip? Home, in my room, hanging on a hook on my closet. Sigh.

Here you can see the Harbor Bridge, a docked ferry, and the shops along the right side. The SOH is over to the right, behind those buildings.

Here is the Opera Bar, with everyone packed in under the umbrellas. The SOH is a really gorgeous building, much nicer in real life than in pictures. The last picture is of the time and the temperature. Still warm enough to keep me happy!

So I've had a reader complain that he doesn't like that Dragon Lady is DL, so from here on out she will be The Drag. And to any more of you who might be wondering, no, this blog is not read by any Australians.

Thursday, March 06, 2008

Friday at last!

It's Friday here in Sydney, and I'm free for the weekend! Today is my "study day" and I choose to interpret that as a day to study Sydney, not neonatology.

First of all, thanks to everyone for the emails. I'm still borrowing a computer, but yesterday I was given permission to use the doctors' computers in my department.

Dragon Lady update. Only one incident to report. One of the babies needed hourly documentation of resp/circ observations, which I did at 0800. An hour later, needing to do it again, I searched through his journal, but I couldn't find the chart. I looked again, still couldn't find it. I was a little concerned because I knew I had seen it at 8, but started to worry I had misplaced it, maybe in another journal, maybe lost it on the floor, maybe a parent stole it? It had all the baby's info on it, social security number etc. So after carefully checking all the other journals I find my adviser and ask her to help me. We ask the other nurses, and when we get to DL, she says, yes, she has it right here, and produces the chart. I'm standing there, curious why she has the paper and my adviser asks her what she's doing with it. She explains that she was waiting to see if I'd notice it was missing - that sometimes students forget hourly obs and she was "testing me" (her own words!). Nice. Real nice. At least she was off on Thursday so I had a different nurse who was fabulous.


My schedule is all worked out, and I have lots of time off at the end to travel. I'm done at the hospital on the 23rd of April, and don't leave for Denmark until the 5th of May. That means I have almost 2 weeks off...! Anyways, at the individual orientation meeting with my adviser and my "educator" I was asked if there was anything special I'd like to try while at RPA. I said that well, since they asked, I was interested in participating in a pickup or transfer. Either by ambulance, plane or helicopter. Either local transfer (the biggest trauma center is at another hospital called Liverpool, but ours is still big), or out in the bush. Child or adult. I would take whatever, even if it was just standing on the roof and receiving the patient on the helipad. So they said they would see what they would do. So yesterday my adviser told me that I was on a list to go on an emergency transfer, and that it would most likely be by helicopter. Obviously, this will only happen if a) there is an emergency transfer and b) I'm around at that moment. I'm totally giddy about this. It reminds me of the scene in Dumb and Dumber where the main character is asking his crush what his chances are of hooking up with her. She says 1 in a billion and he gets all excited, "So you're saying there's still a chance?" That's me, the odds are low, but I'm thrilled. Other than that, things at the hospital are getting better, I'm learning people's names, learning where to find things, learning the rhythm. Today we're going to "afternoon tea" with the Dane that heads the program in Silkeborg. She arrived in Sydney yesterday I think, and requested to meet us at the hospital today. What a job, having to travel to Norway, Thailand and Australia to see all her students...


Last night I went to an outdoor film festival at the Belvedere Amphitheatre at Centennial Park. It's been running for three months, with a different movie every night (everything from The Sound of Music to Pan's Labyrinth). Sunday is the last night, so last night I saw The Jane Austen Book Club. The girls weren't interested in going with me (maybe they don't get anything out if it without the subtitles?), so I went alone. It was fabulous and they missed out. Here's a pic from where I was sitting. A very bad one, but you get the basic idea.

Here you are seeing Sydney in the background, and the white dot by the top, left-hand corner of the screen is a plane. The airport was over to the left, so we saw planes taking off and landing during the whole film. We didn't get any sound, just planes every minute flying by. Then, even better, to the left of the screen, out on the horison was a thunder and lightning storm. Every five minutes or so there would be a huge flash of purple or orange lightning. It was far enough away that it felt like watching a storm in a globe, we could see the edges of the storm. The weather was fabulous, too, around 24 degrees at 10 pm! This whole week has been between 24 and 29, but today there are some clouds floating around. Anyways, the movie was good, and the people were even better. Australians are some of the most polite, considerate people ever. We are in a massive city here, and still people are friendly. Last night I sat behind some folks in low chairs, which meant I had to sit a little further up the hill. This left a big patch of green grass right in front of me, and people would see it, roll out their blankets, realize the chairs were blocking them, move back up towards me and block my view. Two seconds later they would turn around to check for people, see me and jump, literally jump off the blanket, apologies flowing from their mouth in a continuous stream and move along. They'd say things like, "Bugger mate, why didn't cha say sommin?" And as they were leaving they'd say, "Cheers love!" And of course, I'd be sitting there, steam coming out of my ears, used to Danes, where they would have just stayed put, and tough shit if you can't see anything. Danes are the kind of people who stand up the second a movie's credits roll, see you craning your neck to see the credits, and stand there buttoning up their coats, stretching, doing basically whatever pleases them regardless of the others around them. So Australians are at the complete opposite end of that. I've had people stand for 10 seconds holding a door for me - count that out - it's a long time. After the movie ended, there were tons of people waiting for the bus to town, and I just got all strategic about getting on the bus. Where should I stand, front or back, left or right? Then I got into standing-in-the-chosen-location mode (now it has to be protected at all costs!): elbows out, feet firmly planted shoulder width apart. Everybody else was milling around, and when the bus finally came, there was no mass dart for the door. People said, "You in a hurry, love? Go on ahead then, we'll catch the next one." The next bus was 22 minutes later. Afterwards I got some dinner in town, caught up on some New Yorkers, watched some Australian Football (very odd) and got a late bus home.

It's always a nice feeling to discover that we can swim out a little further and a little deeper, even alone, and that everything turns out all right anyways.

Monday, March 03, 2008

Monday and Tuesday

So the big issue Monday was whether I was going to be allowed to stay in my department, or whether I was going to have to move because of my vaccinations. I had asked them to let me know asap seeing as how I'd need to communicate with my school if I was expected to move... Instead I was sent to the Staff Health and given a pDiTe vaccination and sent on my way. Thus, having no other obstacles, I was shoved out into duty in my ward. There is a woman who I will call DragonLady. She is the meanest, most miserable nurse I've ever met. I found out that she has only been in her position for a mere 9 months, but the way she bosses people around you'd think she'd been doing it for decades. Here are some of our interactions.

Example 1:
I have been ordered to change the diaper on a baby, a baby who has a very active digestive system, and has managed to poop out the legs of the diaper. He also screams the second his pacifier falls out of his mouth, which happens to be while I'm standing there, up to my neck in "LYS" (Large Yellow Stool). Meanwhile, the doctor is doing the rounds with about 6 med students. As they are examining the neighbor baby, DL approaches me to say in a very sarcastic voice, "Uhm Abby? Maybe next time you could wait to change the diaper of a screaming baby until we've done the rounds?" I reply, being the dork student that wants everybody to love her, "Oh yeah, sure of course! Sorry..." Then, seeing an opportunity to quiet the baby that doesn't involve my poopy hands, I add: "Could you do me a favor?" What, she says. "Could you put the pacifier back in his mouth for me?" "No, can't you see I'm busy doing the rounds?" Fabulous, thanks so much.

Example 2:
A baby is having spasms, which means that his sheets keep coming off. He is naked from the navel up and I take his temperature - 36.5. Okay, I think, in Denmark the limits are 36.8 to 37.2. So I figure I'll ask what DL recommends I do (and I'm not looking for trouble, she's just the only non-student available at that moment). I don't know what their policy is on this and maybe they'll say turn up a heating mat, or maybe put clothes on him, maybe give him a fuzzy swaddle. Maybe a hat even.
Me: "DL (I didn't really call her that, but I better watch out or it'll slip one day), he's at 36.5, what would you recommend I do?"
DL: "What's normal?"
Me: "Well, I'm not sure. In Denmark normal is 36.8 to-"
DL: (Interrupting) "In Denmark? Where are you right now? Where are you RIGHT now?"
Me: "Sydney..."
DL: "In WHAT country?"
Me: "Australia..."
DL: "Yes, AUSTRALIA. So I couldn't care LESS about what normal is in DENMARK."
Me: "You know what, I'll go talk to Jane about it instead, thanks though."
She does that really annoying emphasis on specific words that's completely unnecessary and hostile... What a miserable woman.

Example 3:
A mother tells DragonLady that she lost a child a couple of years ago at birth. She's crying, scared at having to turn over her new baby to us, and just in general a mess. DL's response: a slap on the shoulder and a "That's too bad - now let me tell you about the general rules in our department."

I can already tell that she's going to be my archenemy. I'm generally not impressed with the nurses - there are of course some that are excellent, but many of them seem burned out. People have told me, though, that all neonatal wards are stocked with bitchy women, but that wasn't my experience in Århus. So we'll see. I'm up for the challenge though. I'm willing to be treated like a first semester student, since they don't know what I'm capable of doing, but I'm absolutely not willing to be treated like crap at the same time. This is when I'm concerned that I've been in Denmark too long - I'm not used to the idea of paying your dues or whatever. Anyways, on the way home I got to talking to one of the other girls who ended up telling me her horror stories about the same woman, which in some sad was great since it meant that it wasn't me personally she hated.

Other than that, though, I took care of my little people and just did my own thing. I have a meeting tomorrow to plan the next 9 weeks of praktik, and I intend on looking at the roster (here they plan 3 months out) and signing myself up for the same shifts as the good nurses. I'm anxiously awaiting the outcome of the election tonight in the US - Ohio better get its act together Caitlin! I won't get the news here until around 5pm Wednesday, but I hope they cover it on the news. As far as I can tell, the Sydney Morning Herald is NOT going to be my news source. I'll have to keep looking...

Sunday

Sunday was just bumming around. Laundry, reading, grocery shopping... A church up the street has a great Sunday market, complete with Chinese massage and handmade ceramics. Jeanet went with me and got a massage while I scoped out the stores on Darling Street. There was a second-hand book store where I found all these gardening books based on Australian gardens. Bonsai gardening with native Australian trees was my favorite, though. I drug a whole carton of Diet Pepsi home in the bus, so my little fridge is packed to the brim with Cadbury's Mint Chocolate ice cream and Diet Pepsi. We got some take-out up the street at this Italian place, watched Grey's Anatomy (without Danish subtitles for once) and headed to bed. All together an excellent day....! Doesn't hurt either that the forecast for the coming week is temperatures ranging from 24 to 30 degrees Celcius.

Sunday, March 02, 2008

Saturday

Ahhh, Saturday. It was nice to wake up to the exotic birds instead of the annoying alarm clock. Today was Sydney's 30th Gay and Lesbian Mardi Gras Parade. It was a huuuge event, and you couldn't go anywhere without hearing people talk about it. It was like a holiday, people in stores would wish you "Happy Mardi Gras!" as you walked out the door... First we went to a barbeque at a nurse's house (he's from Miami), where we had delicious food, great music and good sunny weather. The website states about the history of Mardi Gras: "The first march took place on Saturday 24th June 1978 at 10pm and it met with police violence. The Mardi Gras was Sydney’s contribution to the international Gay Solidarity Celebrations, an event that had grown up as a result of the Stonewall riots in New York. Two thousand people followed a truck with a small PA system down Oxford Street to Hyde Park and then dispersed up to Kings Cross. After harassing the marchers for much of the route the police swooped and violently arrested 53 people. Over the months that followed more protests and arrests took place and the actions of the police came to be seen as heavy handed." The parade started at about 8pm and is only a mile long, but it was incredible. The participants included, among many others, the New South Wales Police Force, Jewish, Catholic and Muslim gay groups, IBM, the NSW Fire Brigades, the armed forces and staff from Royal Prince Alfred Hospital (my hospital - "Sisters marching for sisters"). We met so many friendly (and very drunk) people, the weather was balmy and it was great. Here are some pics from the day...

Lu (Lucinda) cooking our food. She shares the house/apartment with David. It's a great place...

One of the floats... I'm not even sure which one, but most floats included lots of basically naked, buffed up men dancing around. This float was no exception.

Just a picture of the crowds and the pre-parade. It was gorgeous weather the whole day and night.
A picture of me and Lu at the end of the night waiting for a cab to drive us and our step stools home.

Friday

Friday was finally my first day on the floor, and it was fantastic. I got to take care of a little guy who was so mild and quiet, a total pleasure for the first day. His "mum" was around and helped me more than I helped her. My ward is divided into three departments: special care, high dependency and intensive care. I am starting on the special care side and will hopefully be working my way up to the itty-bitty babies on respirators before I go back to DK. The babies in special care are typically on their way home. They take SIDS (Sudden Infant Death Syndrom , for the Danes reading this) very seriously here (which is funny, because it made me realize that I'd never heard them talk about it in DK), so the babies are swaddled and tucked very tightly into the "cots". I'm still horrified by the hygiene of the department, and as far as I can tell, so are all the other foreign nurses living with us here at Callan Park. I'm trying so hard to keep my mouth closed, but there are some terrible things. They'll change a baby's diaper and move the dirty, poopey diaper from under the baby, roll it loosely, and put it down in the cot, instead of just put it in the garbage can. ACK. They don't wash the cots daily like in DK, only weekly. Seriously though, I'm going to have to really try not to focus on it because I could go on and on. After in-service (about discharging the babies), I got home and died. It's always like that after the first couple of days in a new praktik.

Thursday

It's been a while since I last wrote (sorry Mom), which means that I have tons to write, but I think I'll break it up by day. So just when I thought all the intro was done, I show up at my department and find out that it's just more intro. Of course! After talking for the entire morning with my two advisors, I was sent to what they call "in-service", which is just basically nurses teaching nurses. I am not sure how they divide it up, but it's rather smart. The last hour of every day the nurses on the day shift go to in-service and learn about something, today it was thermal regulation in neonates. During the morning talks, we discovered that I was lacking a vaccination against pertussis - this wasn't popular with my department. The thing that pisses me off, though, is that these people have had photocopies of all my medical records for the past 10 months - you'd think they would notice this before I get there on the first day...! I was told that if I wasn't vaccinated against pertussis, I wouldn't be able to stay on the ward. GREAT. There was tons of confusion about the issue, and it was decided that I'd call my doctor in Denmark and find out what the deal was, since he'd only given me Di-Te, not pDiTe. SIGH. The Aussies looked it up and couldn't find any shot that didn't include pertussis, so naturally they assumed that I was confused about what I'd received, or that my Danish doctor was totally incompetent and couldn't record the vaccination properly in my booklet. And I wasn't about to let them poke me with needles either - these Australians are crazy with the meds! The nurses all have MRSA (ORSA in the US?) and they hand out antibiotics like candy (which then of course nobody takes for the prescribed period of time). Anyways, I said I needed to talk to my doctor before they poked me with anything, and they said if I didn't get poked I couldn't work there. But just in case I could, they sent me home with 100+ pages to read for the next day...