Wednesday, April 12, 2017

My Spirit of Nursing Story

         I always knew I was going to be nurse.  I am intrigued by the human anatomy and its intricacy, all the way down to the complex DNA.  Following in my mother’s path, I pursued a degree in nursing immediately out of high school.  Even while in high-school I began taking the prerequisites for the nursing program as night or summer courses at the local community college.  Although the summer of 2005 offered me more than any nursing program ever could have on what is to be a nurse.  I had already completed my first year of Nursing School and had just one more to go.  Despite the challenges it presented, some concepts can only be learned by wearing the gown of a patient.  
          June 22nd was a busy day that I spent with my younger sister driving around completing my list of errands. I wanted to get to the gym before dinner time, so I said goodnight and dropped her off.  I stopped back at my apartment to briefly grab my gym bag and off I went, back in the car. I didn’t make it to the gym that evening.  While making a left turn through an intersection I was hit by a driver as he ran a red light.  My passenger side door was smashed into the center console so that my head was banging against both driver’s and passenger’s side windows.  With the banging of my head and the rotation from the impact I suffered from what Doctors’ called a contra-coupe, diffuse axonal injury with subdural, subarachnoid hematomas and an intraventricular hemorrhage. 
         Once help arrived I was intubated at the scene but from my combativeness, extubated myself.  Due to weakness I was unable to protect my airway and was reintubated. I was flown by helicopter and admitted to AtlantiCare, Atlantic City hospital.  There, I spent two weeks in ICU, sedated on a propofol drip and ventilator-dependent.  More often than not, I was on four-point restraints because of my agitation.  I would flail my arms and legs banging them on the bed rails.
         On July 5th, I was transferred to trauma step down.  By this time I had a tracheostomy serving as my airway and received my nutrition through a Percutaneous Endoscopic Gastrostomy (PEG) tube.  Family would stay at my bedside around the clock and prayed over me.  I am told that I would briefly open my eyes and inconsistently follow commands.  Even in the sleep of a coma, I continued the terrible habit of cracking my knuckles. 
         On July 12th, I was transferred from the hospital over to Betty Bacharach to begin my rehabilitation.  My first day at Bacharach is the first time I had been sat up in a chair and showed signs of awareness.  This is the first day I can remember of the whole summer.  I couldn’t support the weight of my head and had a head rest applied to the wheelchair.  My mom who had not seen me yet that day, walked in freezing in the doorway of my room. 
         “Hi Mommy.”  I struggled to use the vocal that were being paralyzed by my trach. tube. Those were the first words I had spoken since June 22nd.  She ran to me and squeezed me covering my face with her kisses.  “Why are you crying Mommy?” I asked.  I didn’t understand what was happening.  I couldn’t understand.  I would ask repeatedly about what was happening.  Or I would ask why I wasn’t the same, and would understand for that moment but have to ask again only minutes later.
         That summer was filled with the tears I cried every time I looked in the mirror and saw a tracheostomy in my neck.  Tears of the hunger pains I felt that went unalleviated by tube feedings.  “Homesick” is how I would describe feeling the entire summer.  Weeks were spent in physical therapy, speech and occupational therapy.  I had to learn to walk again.  My fine motor skills were also impaired.  To control the movement of a pencil was difficult.  Even to this day running feels awkward. This is hard to accept since prior to the accident I was running daily. 
         By August 1st, when I eventually proved to my therapists and doctors I was strong enough to return home independently I was discharged.  It was also recommended to take off from the approaching school year to recover and recuperate.  I, on the other hand, had a different agenda. I wanted to be normal again so despite everything, I jumped right back into school.  It didn’t take long for me to feel settled and I was soon replacing my Nursing 101 books for Nursing 200.  I knew and accepted the challenge, but no one could have prepared me for the hours I would have to dedicate to studying.  I would have to read and re-read chapters for endless hours.  Sometimes I would close a book for the night to pick it up in the morning looking at the same pages as if I had never read them before.  There wasn’t a moment that I didn’t have a book in my hands for that entire semester as well as the following one.  My grades had dropped but I was happy with any grade that was passing.  Teachers were happy to accommodate my needs when I asked to test alone because I was too distracted in a room with one hundred other students. They saw the effort I put into all my studies and the desire I put into all of my clinical time.  Not one other student wore the Nursing Cap and Gown or recited the Nightingale Pledge as proudly as I did at Pinning and graduation.  I had survived! 
My experience in the summer of 2005 made what would have been just my occupation into my passion.  My mom gave me the strength to continue my education and overcome every challenge to make a difference in the lives of my patients.