Preparing for our one week in Salem

The kids were done with their school work including CC review, 5 pages of math, writing their history sentence three times and reading by 10:00 AM.  It was a very good thing, with the car being tied up taking me to work for the next six days, we had some errands to run.  We had to pick up some documents that we had printed at Office Depot then on to Appleton Medical Center to pay for my PALS class and pick up a book.  I’m so glad that they are letting me borrow one because I wasn’t going to be able to get one in the mail quick enough.  Then we found a McDs (it is the easiest way to access internet here.) Chad was able to download the CC cycle three app.  I retook the PALS pretest, because the test repetition helps me to learn easier than with just reading the book.  We were also able to use the time to make Dr. appointments.  An appointment for Eve up at Doernbecher, well child checks and Salem Pediatric Clinic for all three kids, and a call to the dentist to see what we can work out there.  We were able to do some more research on the hospitals sent to me for consideration for our next assignment, and believe me we checked C/S rates and deliveries/month because I don’t feel like managers are overly honest about those numbers in the telephone interviews. We are also starting the wheels turning on a Christmas project.  We are hoping to get shoes to Uganda hopefully we can save up enough to send over 50 pairs. the shoe that grows

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Well I don’t at all feel rested enough or prepared for the next six days.  I am reminded that God is more concerned about my obedience than my happiness (although I’m sure he is delighted to see me happy.  As a parent he wants me to see the big picture and not be so focused on myself). (And the good news is I am happy and have so much to be thankful for)  I was reading back through my sermon notes from Farmington, and was especially struck with how God’s word meets us exactly where we are at when I stumbled on this.  (These are notes so it’s going to be fragmented)
• In this world you will have trouble but take heart for I have overcome the world.
• God does not explain the why’s and how’s
• Character is built in the valleys
• Not my will but yours be done
• He is good and faithful and just to forgive
• Be still and know that I am God.  Psalm 46:10
• Be not wise in your own eyes
• God will not overlook the fact that we have failed to trust in him, he will not overlook that we are doing what we choose to do over his plans for us.
• Break the pattern of trusting in our selves

Hebrews 12:1-2New International Version (NIV)

12 Therefore, since we are surrounded by such a great cloud of witnesses, let us throw off everything that hinders and the sin that so easily entangles. And let us run with perseverance the race marked out for us, 2 fixing our eyes on Jesus, the pioneer and perfecter of faith. For the joy set before him he endured the cross, scorning its shame, and sat down at the right hand of the throne of God.

These things have been on my mind, strangely, and although they do not make me feel more rested they do assure me that I’m where I am supposed to be, doing what I’m supposed to do, and God will do the rest.  He doesn’t ask me to have all the right answers or to be perfect, just to be willing and obedient.
This afternoon when we finally got back to our apartment there was a card in the mail from a friend with this verse.

1 Corinthians 15:58New International Version (NIV)

58 Therefore, my dear brothers and sisters, stand firm. Let nothing move you. Always give yourselves fully to the work of the Lord, because you know that your labor in the Lord is not in vain.

This verse and a chance to talk to my favorite MIL may have been just what I needed.

Categories: bible, new mexico | Tags: | Leave a comment

TIA or Seizure?

I am ok with never ever again seeing expressive emphasia in a childbearing age women especially coupled with her indicating that there is something majorly wrong with her right arm.  A few scary moments today resulted in a healthy mom and baby after a visit from the Rapid Response team, CT, and a C/S.

Other news, the kids dug into math before breakfast and were completely done with their school work by lunch.  Potty training with Eve was only so so (this is all second hand), and Eve fell off the stairs onto the concrete floor of the basement and has a goose egg that I haven’t yet seen.  As the kids were all in bed already by the time I made it home from work.

Now with full rolling headache I’m going to crash.  Good night all.

Categories: Family Time, Fun, Homeschool, new mexico | 2 Comments

Tin Whistle

We started tin Whistles today, oh joy!  It was actually quite fun, and Chad ordered a few extra tin whistle books.  It should be fun.

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Chad has the video of all of us playing Tin Whistle “Mary Had A Little Lamb,” “Jingle Bells,” and “Twinkle Twinkle Little Star.”

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Sunday, Sunday…I love that day!

We are going to the 11o’clock service here in Neenah and so Sunday mornings are slower paced and relaxing.  We got up late, everyone got a shower, we girls had time to get all pretty, and even put on some perfume left over from my trip to Europe in 2000.  It’s amazing that it still smells good, but it does.

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The sermon was on Ecclesiastes and was an amazing message that had me re reading it after dinner, so I could take better notes and really understand the whole thing.  After church we went out to Indian food.  Mmmmm so yummy.

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After lunch we headed home and changed our clothes then talked to the land lord and his wife as they were cleaning the neighboring apartment to get it ready for the next tenants.  They are tearing out the cabinets and linoleum, and the wife said that the demolition is the best part.  She was elbow deep in her project, and all smiles, and she kind of reminded me of my mother.  We then headed to the library to get our books for this next week of school, and the Walmart for groceries.  When we got home and everything was put away, Caleb washed all of the dishes, Hannah and I folded the clothes and straitened the Living room, and Chad and Eve cleaned the kid’s room and straitened the upstairs.  When we were all done with our job the kids fended for themselves for dinner, which looked like tacos and grapes.  We watched a missionary movie about Papua New Guinea that was pretty interesting, and took us until 7:01pm, bed time.  Chad watched J. A. G. while I did my reading and took Myra for a walk.  Then we crashed at 9:00pm.  Pretty restful day in a nutshell.

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And Then There Were 20

Two great shifts in a row seem like an amazing gift from above, and as I drove to work I half thought to myself, half prayed for antepartums.  Low and behold that is exactly what I got three high risk antepartums…mag, twins, high blood pressure…the whole bit.  These patients are pretty fun for the most part, as they are often board and chatty and you really get to know them well, even having them only one shift.  Then, if you by chance get them back another time (they can be there for weeks) it is that much more fun.  Keeping up with charting all day, and not having to play catch up was an added bonus, and taking a lunch break plus an additional 15 min. break later on in the shift was the icing on the cake.  Really. I feel rehabbed, like I can do another twenty.  Thank you Lord for caring for me, loving me, and for not giving me more than I can handle, but enough that I am being pushed to grow.
I had time to make a list of the things I have experienced and learned here.
1. How to set up the epidural pump myself.
2. Caring for high risk antepartum moms, with all kinds if diagnoses, down to 18 weeks gestation.
3. Betamethasone- steroids for fetal lung maturity.
4. Transcutaneous Bilirubin (TCB) so much nicer than poking every baby, now if we could only do the metabolic screen with out a poke.
5. Amnisure- a swab test for the presence of amniotic fluid in the vaginal vault.
6. Epic is a frequently used program for computer charting in healthcare systems.  A lot of job postings require epic experience, and now I have it!
7. Post-op GYN patients…ok, I have had some experience with this in my med/surge/Ortho days but that was 10 years ago now, and minimal at best (only when I floated to the surgical floor from my Ortho home unit).
8. Being shared between two hospitals, it’s nice to feel wanted.
9. My first tiny patient with a testicular torsion.
10. My first tiny pt with the urethral opening going from the top of the glands all the way down the front to where the foreskin is attached. AMC joked that they were only going to give me baby girls from here on out. In this process I learned why you don’t circumcise the penis when there is an irregularity…they use the foreskin to make the needed repairs.
11. I learned first hand why rhogam and the antibody screen are so important when my very yellow 20 hour old baby had a bilirubin of 24.6 which I believe ended up needing a transfusion….I was so thankful for the NICU that day.
12. Patient on Methadone that only had half the doses she would need to get her through her hospital stay and the hospital protocols on that (being the go-between between the physician, pharmacy, and the methadone clinic.

I have twenty more shifts, let’s see what else I can learn.

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Few! A good work day!

All day at the same facility, with the same patients, minus the discharges and plus the fresh delivery, and it was my favorite one too.  Ahhhh.  So nice to come home smiling and glad to be a nurse.

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Pajama Day

After an all too hairy day yesterday, I am getting to the point of counting down the number of shifts I have left until our next adventure (22).  I feel bad for even having those feelings.  I wish I could pin point what it is about this assignment that has me wanting to run for the hills.  I know I’m not the only one, since the staff nurses are dropping like flies.  For a unit that delivers 100 babies a month, it feels at least twice as busy as Silverton.  Crazy shifts happen but should’nt be every day.  Yesterday four nurses were forced to stay over an extra four hours.  Inductions are never postponed for lack of staff so staff are forced to work extra for elective (provider encouraged ) 39 week inductions.  Needless to say after only working one shift I was needing a break.  Today we slept in until 7:30 and I stayed in my pajamas all day. Eve and I worked for most of the morning on her letters, and Hannah and I read about the Louisiana Purchase this afternoon.
The book quoted Jefferson’s motto, “It is wonderful how much may be done if we are always doing.” This totally convicted me.  I think I deserve my rests, but really I’m just shooting myself in the foot.

Categories: new mexico | 2 Comments

How we road trip/ entertain the kids/ keep it affordable

Road trips are just as expensive as you make them.  That being said, with gas prices the way they are, depending on the distance, that is one expense that will be consistent no matter how you do the math.  The other three big things are food, lodging, and activities.  These are the three big ones we will discuss here.
Food: wow food can get expensive quick.  We brought our cooler even though space was limited thinking we would use it for day trips, and the first few months we pretty much didn’t use it for anything besides an extra chair in the dining room.  (We still use it for that).  Before long Chad was telling me we either can’t do that activity or we have to pack a lunch. With eating out running us about $50 a meal it was adding up quick.  We might go an hours drive (or four) to do a free day long outing, but if we ended up paying for two meals at restaurants it was an expensive day.  So we started packing a lunch, and in typical camping style, it was cheaper but not much.  We had to decide if we really want to go out and do these outings, or eat well, and it wasn’t going to be both all the time.  So we eat mostly out of the cooler now.  If we have a four day trip, we will stay somewhere with a continental breakfast so we don’t have to worry about that meal, and we pack our lunches and dinners.  We don’t really eat snacks, but really, do we need to be snacking all the time? Lunches are usually peanut butter and Jelly sandwiches and fruit.  Dinner is usually baked sweet potatoes and more recently cold chicken, baked beans, potato salad, and occasionally hot dogs.  I won’t be able to tell you that this is healthy, plant strong, non GMO, or organic.  We will eat out of the cooler for the whole time besides one meal, and we will pick one meal and eat out as a special treat.  In this way the cost of travel food is already part of our weekly food budget, and not an added expense.
Lodging: We are headed into winter now, which limits the amount of camping we will be doing, but camping, if food is kept to a necessity not buying all of the traditional camping food for a single trip (I’m not saying don’t buy marshmallows, just don’t buy six kinds of chips, boxes of bottled root beer and ribs to grill on the fire all for one trip) can significantly cut our lodging costs from $100 a night to $30 a night.  KOA campgrounds are not usually the most forested or out door adventure type campgrounds, but they are everywhere and even close to big cities if you are trying to stay fairly close to where you will be doing your scheduled activities.
Hotels also come in a wide range of costs.  People are funny about their preferred hotel chains and you are right, there are often big and noticeable differences from one chain to another,  but if you want to travel and make those family memories just figure out what is important for you. This is just one area where there is some flexibility and the choices you make can give you more wiggle room and the opportunity to get out more. We usually opt for La Quinta, mostly because they allow pets to stay for no additional charge, they have a nice continental breakfast, frequently have a pool, are reasonably priced and have a membership type thing that has a stay 10 nights get one free deal, (it’s actually a points system) but if we are staying in a hotel as much as we do, we might as well be earning a free night’s stay.  As soon as the summer weather comes again, we will be out taking advantage of the opportunity to tent it, and be in nature. Oatmeal in the woods is just as good or better than any continental breakfast.
Activities: So far everywhere we have been has touted an large variety of activities.  We could take Moab Utah for example, but really, you will find this anywhere.  You can fill your time with the most expensive forms of entertainment paying out big bucks for jeep rides, hot air balloons, and an endless list of $12 a person museums.  It is sometimes so hard to choose since unless you just fell into some kind of lottery winnings, inheritance, or you are Bill Gates, you aren’t going to be able to do everything that piques your interest.  We have picked three favorite activities which are most often free.  They are: touring the Capitol buildings of the states we visit, hiking, and visiting national parks and monuments. (this one is not truly free but with the America the Beautiful pass that we were given by the Silverton FBC as a going away gift, they are free to us.  The pass is about $80-$85 a year.) We save the activities that cost money for a special occasion.  We plan ahead for them, and look for coupons online that help with the cost.  It also puts it in a different perspective if you think, it will cost our family $50 to do this activity.  We would think nothing about paying that much for a dinner out, so let’s not go out and do this activity instead.  Knowing that we can’t do everything allows us to do our research and narrow the list down to the activities that are truly worth the time and money.  Things like zoos and amusement parks are mostly all the same, we want do the things that are unique and only experienced at this location.
Entertaining the kids in the car: we want the kids to be looking out the windows a lot and we also want them to learn how to entertain themselves.  Chad would say that Audible has been a life saver.  We do listen to a lot of audio books. The kids also have their kindles and they read.  Another big entertainer is their notebooks where they draw and write stories.  We watch for cool new license plates, and which house we would want to live in when we grow up.  That is pretty much the extent of it.  The kids would tell you that they like their long car drives because it is uninterrupted reading time that they wouldn’t get at home.  There are times though, when it is particularly scenic that we make them put their books down and look out the windows.

Categories: Family Time, Fun, Road Trip, Travel | Leave a comment

Back to the Grind

Sometimes it’s such a drag being a grown up. If only it was always the “weekend” and never the work week. We have been having so much fun with our family that no one wanted to leave. Hannah informed me that when we meet new cousins that we should get to be with them for at least a week. (Some unwritten rule I didn’t know about.) We all ate breakfast together and filled the entire dining room at the hotel with one person standing. The kids were chatty and lively and for the most part well behaved. Eve’s volume is rarely in check we are working on that one. She remembers faces, not names and knows no strangers. She informed the clerk at the front desk that she loved the pool in our room (the hot tub) as she was the same person who checked us in and gave us that room. We tried to take one last group shot but didn’t fit everyone into the frame. I should have thought about a panoramic photo but it didn’t cross my mind until later.

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GPS told us it was 7 1/2 hour drive back to Neenah and we were gaining an hour, so even though we didn’t get that early of a start we made good time. We stopped at a rest stop for lunch and as I walked Myra to give her a chance to use the bathroom I noticed some movement in the grass and was pleasantly surprised to see a garter snake slithering through the grass. I quickly grabbed it up with Myra’s poo bag and showed it to the kids. After a few minutes of captivity it took its opportunity for freedom giving us all a short lived fright.

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We didn’t run into bad traffic in Indianapolis, Chicago, or Milwaukee area and are pleased to be getting home well before dark. A friend texted and asked if I was ready to go back to work and my answer was no, absolutely not, I don’t plan on ever going back to work, but of course I will bright (dark actually) and early tomorrow morning. What really sounds good is a girls weekend to Seattle, hmmm yep that sounds good. Or, a full weekend of crocheting or knitting at the Best Western Suites in Lincoln City just watching the surf come in.
We miss you all and really truly are so thankful for this opportunity to travel and yes, this opportunity to work too.

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One Wet Nature Hike

The weather report for Madison Indiana stated clouds all day maybe some lightning and thunder but there was no little raindrops coming down from the clouds and it was supposed to be warmer than yesterday. That was good, we had planned for a cold windy hike on Friday with Mary Beth but had left most of our coldest weather clothes at home. We ate our breakfast, packed our lunch, dressed in several layers and headed down to the car. There was a sprinkle trickling down from the sky which surprised me we weren’t exactly dressed waterproof. I was a little scared of being cold and wet all day. We planted a car at the beginning and end of the trail because it wasn’t a round trip or big-circle hike, and then we headed down to the river. Not too far down the trail was a watch tower where we got a glimpse of the Ohio River and Kentucky.

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The excited kids (except Eve) kept pretty far ahead of us until we got to the creek bed. Most of the hike was meandering back and forth across the creek bed.

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The kids found so many fossils and cool rocks.

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They also found clay that they were working over in their hands.

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It never did stop raining and throughout the hike the rain gradually picked up. We were all pretty soaked but as long as we were moving we were warm enough.

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It was only three miles but with the rain and very slippery rocks that required careful steps as well as the multiple times we crossed the stream the kids were quite tired our progress had been slow. There was even a few tears about being cold. We finished right about lunch time which was perfect and shortly after we made it to shelter the raining stopped. Although we were freezing we shed our wettest layers Which helped a lot. After the hike and lunch we checked out the Nature Center. The kids loved it and I snuck in a few pictures.

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I had received a text from Stephanie about an Ultrasound with heartbreaking news her little sprout #5 has gone to heaven. We do not understand why all of this is happening (4 losses in a row all from very different reasons) we would appreciate prayer for her and her family.
We got done at the Nature center at 4:00pm and decided to cross over into Kentucky before heading to our hotel. It didn’t seem right to look at it across the river then not go there. We didn’t stay long but we have been to Kentucky now.

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We got back to our hotel. We could smell the crockpot lasagna as we came up the stairs. We peeled off our wet clothes and climbed into nice warm, dry clothes. Then enjoyed the old fall Zim’s Hotsprings special.

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We ate until we were full then pulled out the flux deck. Chad attempted to teach us flux. With 5 new players and only one who knew what he was doing it was slow paced and not as fun as it could have been but by the third game we were getting it.
We kind of said good bye to Michael and Kristen tonight but we are hoping to go to breakfast with them in the morning before setting in for the 7 1/2 hour drive back to Neenah.
This six days off has gone by too fast. We will be quite sad to leave.

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