Sunday, June 29, 2008

A Team that Jewels together, Rules together


The Ass. What is it good for?

Physiologically, I won't go there. But Physically, I could rave about its functions long after the sun goes down. Offering the constant support needed to rest the sit-bones when you tire, the Ass makes a wonderful seat. While standing, the ass provides balance, so that your upper half doesn't topple over.  At any proper Dwyer family reunion, the Ass is an amazing expression of endearment. And while slow dancing with your sweetheart, the ass always makes for a delightful hand rest. 

This weekend, my Ass-appreciation was taken to a whole new level. 

'Team Jewels' has been riding in the MS 150 bike ride for well over a decade. Inspired by a sisters devastating diagnosis with Multiple Sclerosis, Kitty LeValley and the familial entourage have spent every last weekend in June, raising money to solve all the mysterious questions linked to this perplexing disease. How in the hell can we treat it? Where the F!!! does it come from? And why, of all places, does Salt Lake City have such a high incidence...especially among women?

We all know that the first moments on a bike seat don't bother the Ass too much. You slip your feet into the pedals, place your wrists shoulder distance on the handlebars and away you go, one knee-bending rotation at a time. 

The route winds the Logan Valley like warm caramel drizzled over a sundae. Looping streets climb the Cache county hills to offer breathtaking views of green pastured farmland dotted with old-school dilapidated barns. The bright red paint that once covered the splintered wood has seen its days of weathering seasons and now shines a rusty orange. Rows of miniature houses that shelter little piglets and chickens border fences while simultaneously emitting gaseous fumes of Pig pooh. Refreshing gasps of air are interrupted by inhales of post-consumption farm feed, while your legs are in overdrive, pumping your body weight up a steep incline.

I have ridden the ride once before, but it was years ago. What I remember, other than riding on a fairly crappy bike that clanked the entire 150 miles, nicely commented by everyone that rolled by, was that my brother suffered some serious swelling of his gonads. A result of sitting for hours on the family jewels. When I asked Charlie if he was coming home this year to partake in the family festivities, he simply remarked, "Are you kidding? Don't you remember what happened to my nuts?" 

I had every intention of investing in a solid saddle that would cradle the ass (as in mine)  from start to finish. The seat I had was by no means what we call "comfortable" but I decided it would suffice. Bad choice all around.  As mile 23 snuck its way into my life, watching riders nestled on top of what looked like a cushioned bench comparatively, I shook my helmeted head in regret that I didn't splurge on comfort. Lesson: always splurge when it comes to comfort. 

An ailment that attacks the central nervous system, Multiple Sclerosis is on the rise. Scientists, doctors and researchers have theories; environmental, hereditary, hormonal, autoimmune, bacterial, viral.....but to this day, even with $500 million annually being fed into the land of research abyss, the ever so vague Question Mark still looms in the illusionary bubble above our heads. How frustrating.

Anticipating that the lunch tent was near, a woman rode next to me asking what mile marker marked her next meal. I shrugged and apologized for my lack of knowledge of the map. It is not that I hadn't looked but merely because I couldn't read it. Seriously, it was a difficult map. (Am I dumbing down as I age?) Small talk about teams and good weather turned to Big talk about diagnoses and treatment plans. 

Karen started riding and raising funds for the MS society 11 years ago. What first started out as Good Samaritan way to kill some extra time, surprisingly turned essential when her doctor read her the results of her MRI. Many scars appeared on her brain and spinal column. She explained to me her devastation and even though a headwind was smacking our bikes from the west, I could hear the pain in her tone. I could see the tears drip down her sun-blocked cheeks. She had recently conquered a battle with cancer and now, what was supposed to be a downhill coast to retirement, was another giant mound of dirt that needed to be climbed.

Her story went from sad to straight up bizarre faster than you can say chaffing butt cheeks. Karen, raised and university educated in the Eastern state of Connecticut, lived with three roommates in college. Each consecutive year after her diagnoses, each roommate was handed their X-Ray. Each one revealed dark spots on their brains and spinal columns as well. Four women, same house, same disease, broadcasting somewhat at the same time. The only common denominator in the equation was their house.

My curiosity receptors went from tickled to stimulated. I was baffled. It was incredible to me. I immediately wanted the answers to so many questions.  What brand of paint? What scent of dish soap? What same boy did you all makeout with? Who was their local grocer? What is in the water? Where did they buy their furniture? Central Air? or Swamp cooler? Vanilla or Chocolate? Dust busters or Hoover? I wanted to analyze every millisecond of their time together.

She was strong. Biking hard to keep a steady pace, she reiterated her drive to live each day as if it were her last. She hasn't altered her eating habits or vices to make way for new habits but rather surrounded herself by all things positive. Each of her roommates have chosen different modes of treatment. One, no medication at all, another, a 100% pro-biotic diet and a third, full throttle: western medicine style. Sounds like good material for a book one day...

I thought about her and her roommates the rest of the ride. I thought about Kitty and how her ironic diagnosis, after years of sweat and work for her sisters cause, turned much more personal just a few years ago. (Kitty's energy alone could sustain five rocket launches from Cape Canaveral.) I thought about my sore (getting more sore) Ass and was feeling lucky that the numbness, from practically sitting on a shovel all day, was temporary (or at least I really hoped it was). 

Later that night I modeled our jerseys on the MS catwalk. Apparently choosing me for this was a bad idea because I was beat by a bunch of Donkeys. Literally, The Bad Ass Coffee Company has a donkey for the mascot and a pack of bikers that do century bike rides on their days off. Surprising right? As we have a naked, flaming woman on both front and bike. But everything about them screams Bad Ass. Not fat ass, sore ass, numb ass...just Bad Ass.

Sunday came and the attraction of golf and sleeping-in stole a few of my fellow cyclers.  But camping must have been the secret trick this year because Kitty and I rallied. After a night of watching bugs scuttle across my tent, I woke up ready to endure another long day in the sun. The second I lowered onto my seat, pain immediately shot up my spine. It felt as if I was straddling a pogo stick....if you can imagine.  Swinging boring golf clubs didn't seem like such a bad idea after all.

But than I got a glimpse of Kitty. She was rounding up her gear, cleaning up the campsite, packing up the car. Even after all these years of planning, scheduling, fundraising, organizing, team captain-ing, she still wore the spandex diapers and Velcro-ed the clunky shoes when all others were exhausted. And I thought about Karen and her 3 sclerosed roommates. And about Paul Matlin who can not feel sensation when he touches things with his right hand. I also thought about the 25 pound ice-pack I will be needing but it seemed so insignificant when held against such inspiration. 

With SPF 32 smothering my skin and Mike Grisley making me laugh with every comment he uttered, we rode the last day bitching the entire time about how much pain we were in. But our asses will heal and next year we will don the ugly shorts, and I am sure I will still be too cheap to buy a more suitable seat, and I am sure Kitty will still kick everyones ass.






Sunday, June 22, 2008

doubt in remission


I have been having my doubts, as I often do, why the hell I work in a hospital. Long days with adrenaline pulsing through your veins is no way to live a relaxed life. Especially in labor and delivery, you never know what the day may bring you. 

When I woke up this morning, I thought I would rather weed thorny bushes in the Kalahari desert, with 3rd degree sun blisters and no ice water in sight, than go to work. It is hard enough working on a Sunday, and when the weather is the least bit enjoyable, it is gasoline to the bonfire.

The moon is full right now and for those who follow the ebb and flow of lunar waxing and waning know that the full moon brings the babies. This month has been no exception. We have been exploding out the roof with babies and more babies.  At one point yesterday, every room on the postpartum floor was full, every room in the labor factory was full and we had women lined up out the door as if it were some hot night club. Needless to say, the underpaid and overworked nurses have been pulling double time. 

Despite the fact communication is practically non-existent on this unit, everyone seems to get by and luckily the babies turn out just fine.  Phew. 

This morning was looking rough. Five, I repeat FIVE, nurses was all that was scheduled. (P.S. Clinical Coordinators, It is not smart to down-staff on the weekends.) Unlike the mail, labor doesn't cease on Sundays. To give you a taste, my patients blood pressure was 154/102 and this was her fifth baby. The cord was wrapped tightly around the neck....blah blah, baby was fine and mom was healthy but I was miserable.  There are only so many 300 pound women I can move on my own until I start to think how uncool my job can often be. It was at the exact moment when the patient barfed up buckets of bile that I was wishing I had a nice little office job, nestled into a cubicle with the hum drum of computers buzzing in the foreground. 

4 o'clock rolled around and I get a new patient. She is a certified hypnobirther (self-proclaimed). Some of you may be thinking "Oh, marvelous! Right up your alley Jamie, you tree-hugging, yoga loving hippy. Just how you want it." But just to clarify; I love trees and I love yoga but I also love the convenience of epidurals and modern medicine. I have no shame! It's not like you get a metal or a fancy trophy if you deliver your baby without medicine. (In fact, the only thing you get is more pain for longer amounts of time.) These patients, these all-natural patients, from a nursing perspective, are some of the most dramatic and can often be very nit-picky and annoying. 

When I asked her to tell me her pain level, from 0-10, 10 being your arm sawed off with a very dull knife and 0 being nothing at all, she scoffs and says "I opt out of this question."
In all my experience (just two years) I have never gotten such a weird response. I gathered she had some type of a revelation that if she were to verbalize her pain, in number form, just the thought process alone would send her hormone receptors into overdrive, perhaps making her pain "real".  She was already a pain in the ass and I had only been in the room 3 minutes. Just appease the nurse lady, I have to chart something. 

All to be expected though. Her husband never once referred to 'them' as contractions, but rather preferred the more gentle term; 'the waves'. 

"The waves come about every 2-4 minutes."
"Her waves are increasing in strength and length."
"These waves are making her legs shake."

All the time I am thinking...I could file papers. I could develop photos at Walgreen's. I could.....

And just when I thought the day couldn't get any more taxing...it doesn't! I meet Cory and Rick. The breath of fresh air I had been gasping for all day long. You would have never guessed this was their first baby, they were calm as cucumbers on a 65 degree day at a Farmers Market. She was miling as I entered the room, gown on, laying in the exact position she needed for me to do apply her monitors. I crossed my fingers (in my mind) that they were not fanatics of a bizarre religious sect but rather fanatics of pain medication and ease. 

And how. 

She is from Washington state. He runs a non-profit film organization. They met on the campus of UW in Seattle. She spent her 30th birthday at the base camp on Mt. Everest. He backpacked all over Asia with his two best friends in the late 90's. She wanted her epidural right away. He cracked funny jokes about not knowing anything about being a dad. They were perfect. Our conversations bled together like runny ink and white paper. On a scale from 0-10, they were a perfect TEN.

I nearly forgot that I had another human (or two rather) to tend to, because I was so interested in Ricks Delhi story. 

After traveling for months throughout the high Himalayas, Pakistan and Nepal, him and his two buddies were traversing their way through India, later to spend 3 months in Thailand teaching (I told you...perfect), finally ending amongst the likes of the Koreans or Japanese before returning stateside. While waiting for their train in the New Delhi train station, the place I have come to loathe so much, with temperatures exceeding 112 degrees, something of an animal nature swept over his friend. His description reminded me of a scene from The Birds, when the feathered rodents attack and the people go spastic. And to this day it still remains a mystery why, but he began ripping his clothes off in a violent fashion. Like a bodybuilder too pumped with steroids, he started screaming loud, incomprehensible remarks.  Claiming that his "balls were on fire" he was grabbing for anything cold to pour it down his pants and desperately reaching into thin air to find relief from the intoxicating warmth. Rick and the other friend couldn't gauge exactly what was happening, but the very nice Indian family they had befriended were starting to slowly inch away, keeping a safe distance from what appeared to be a very crazy man.

A long story short and 1 centimeter more dilated, I was engrossed with his travel tales. I didn't really want to go see if the "waves" were turning into "tsunamis" next door. What could they possibly offer that was more to my liking? I clearly wanted to know what was happening to the flaming ball sac!  

So, hours later at the hospital (India not Salt Lake), the burning fire turned to ice cold chills and as this nameless friend got up to use the restroom, he snapped into reality and couldn't for the life of him pinpoint why he was in a grimy Indian hospital with mice crawling in and out of the garbage cans. No recollection at all.

Had I not been delirious and starving I would have stayed all night to deliver their baby, that is how much I loved them. It is always flattering when the patients and their entire family whine and sob when it is time for you to head home. That is when you know you are doing something right. I could see that I had made them feel comfortable just by merely talking about things that were uncomfortable. They clearly didn't know what they were doing having a baby just as I was simultaneously unsure of why I didn't major in journalism. 

And just as love sneakily winds its way into your heart, without expecting it or wanting it, I noticed how much I enjoy my job. It just snuck up on me...at a time when I absolutely didn't see it coming. As I passed them on to the night nurse I told her I would break her arm if something were to go wrong with this delivery. "Guard them as if they were your own", I said, gazing into her eyes as if I meant serious business.

I was beaming as I skipped out of the building. My doubts began to fade, as they often do, when I mine the diamonds in the rough; when I connect on a level much deeper than riding the waves of labor. I sailed a tide of a much more important regatta today and decided to set aside my plans for a major career shift. At least until tomorrow, when the gaze of the moon is only slightly askew.  


Friday, June 6, 2008

NISTER IS GETTIN' HITCHED!!!

I am starting to recognize a pattern here.


Mid 1980's....Sam is dressed in a white leotard and has her hair sloppily pulled into a side ponytail. I of course follow suit and dress in my ever-so-flattering full body spandex ensemble. If I hadn't spent my entire childhood looking like a boy, if I too had hair long enough to even brush, I am sure I undoubtedly would have screamed until my locks were also lopsided on my young head.


Fast forward to 1991...Sam likes Trolls? I love Trolls! Sam wants a pair of Girbaud's colored jeans? So...do...I. Sam would rather buy the game Jaws on Nintendo than Rollerskating? Even though Jaws is the scariest creature ever and could jump out of the TV screen at any given moment and rip your face off with one razor blade chomp, giving me terrible nightmares for months? Ummm, so do I.


Sometime in 2007....Sam wants us all to raise a ton of money and climb a really tall mountain? So dooooo I!!!


Like most younger sisters, I have looked to my eldest sibling for all the answers to all the questions that bother me so. What to wear, what to watch, where to go, essentially how to live. Maybe it is the curse of the middle child or maybe I just have one bad-ass sister, but Sam has been one of the most influential companions I have. If you retrace every major decision I have made in the past 6 years, alot of them will lead to one common denominator. The Nister.


I like to see it as my ability to be flexible. Some people use the term "pushover" instead of "flexible" but hey, beauty is in the eye of the beholder. Chicago was a perfect fit for me and couldn't have been a better choice had I made it myself. (I did...but a slight sway in my thinking was alllll sister.) I fell in love with all things Chicago. I delivered my very first Arabic baby from midget parents there (not technically midgets but they were short). I fell in love for the very first time, walking the very vibrant Clark street and being dumped in a very Midwestern native bush. Yes. Chicago was witness to my process and transition to adulthood. And the very best part of living in that great city, was that Sam was a short bike ride away, living her exciting urban life, in a studio identical to my own. (Just guess who rented theirs first?)


My love for all things Nister even took me to the ends of the earth. Or rather, the top of it. Three months in Africa doing nothing but climbing mountains, losing all my belongings and following orphans around made for the best vacation of my life. Not many people know this, but after my wallet was stolen (the first time) Sam schlinged out all of her own shalingi so that I could eat copious amounts of avocados and write emails home.


So when the news came that her and Scott decided to make the stomach turning plunge into forever-ness, after I hysterically cried and hysterically laughed...at the same time, my happiness was suddenly trumped by slumping despair. Oh no! The time has finally ticked into reality...the sister following will need to come to a halt. But who am I!? Where am I!? Whaaaaat am I!!? If there is no nister-badister-babushka-shister close by?


It was a tie-dye composition of emotions. Ecstatic that I would be gaining the worlds coolest older brother and ambivalent that the timing was...how do I put this...not good for me. I thought I had at least another solid year until they engaged. Plenty of time to run off into more adventurous terrain, like the back jungles of Peru to fight communicable diseases with hot French doctors. At least with that itinerary, I strategized (if thats a word?) I would be ready to move to New York for the continued version of sister love. So? What? Just because they are 'super duper' in love and 'aren't getting any younger' they feel they can just press the fast forward button...on my life plans? And how ecstatic can Scott really be when they are 6 months post-honeymoon and Miss "I need my Nister right here right now!" comes a knockin'? I need to face it that we are nearing the end of a very comfortable and pleasant Jamie and Sam era. Is anyone else feeling this pressure?


The few moments of palpitations calmed and vanished when I realized that our bond is tighter than the silly notion of an era. Sam and I have a loving (in a totally I love you! I hate you! fashion) relationship. And although she has been so very paramount in my Vida Loca, I actually attribute a lot of her life successes to my doing. Had I not been young and impressionable, she would have never peed in a cup, sprayed toxic hairspray in it and than forced me to drink it saying that is was lemonade. I allowed her to be the decision maker, the boss. And look! Columbia-bound! You see, we need each other.


Once the realizations come...they just keep coming. Most of you know that my next stop on the life-train was due west, to this little place called San Francisco. I have been talking about it for months now. But, duty calls. I have a sister to follow! If Sam have less than four-hundred and something days as a bachelorette, than by god, she needs one dedicated sister right by her side to make sure she doesn't get:
1. Lonely
2. too stressed
3. stiff...from the lack of bending on a regular basis
4. Lonely
5. bored...cause what is there to do in New York?
5. DEPRESSED...because that is surely to happen when I am absent. Ask anyone.


So yes....let me reiterate my flexibility. I have an ass-kicking job that will lead me to all 50 states (but never West Virginia) in the union, including Guam and Puerto Rico. I want to live in as many places I can before I have a house payment and before my uterus gets leased by something that kicks and has a heart beat. I am not in school, I am not gagged and bound and ooglie-googlie in love with anyone and the little possessions I have managed to hang onto, all fit in just a few bags. Who better meets the criteria? Flexible...I am the definition.


So the jury is out. I have both California and New York Nursing licenses pending. I am a pendulum and I can sway either way. It is kind of like when you are eating an ice cream cone on a sultry summer day. The scoop begins to melt and you notice streams of cream running down the right and left sides, making no plan to brake before it hits your knuckles. They both pick up speed and you get all confused because you don't know which side to lick first before your hand gets all sticky.


Here are my feasible options...vote for your favorite....


A: San Francisco...rollerskating association, Napa, surfing


B: New York City...NISTER, David Letterman, Central Park


C: Peru...Hot French doctors, Machu Picchu, Latin Flair






*****The Dwyer sisters are equally obsessed with each other...just for the record*****