Monday, May 18, 2015

Happiness is…..a clothesline

The end of a long weekend is a good time to post as I've been home a week already - spent last weekend travelling and this one was a more tranquil affair. The time slips away and that leaves just 22 weeks remaining. Yep, you read that correctly - unemployed until October and loving it! I had forgotten how much I look forward the spring perennials here as it's been a couple of years since I enjoyed them in person. The forsythia and flowering crab are in bloom, the daffodils lungwort and hyacinth are lovely and the herbs are perking up. Those who mow grass are at it already. So to update….
Accessibility…...
As I made my way out of Sachs Harbour (did I mention I hate cleaning?) with the Dr (who is the age of my children) after her clinic and to the airport I discovered that one of the employees had his four month old son with him sitting in his bucket chair. The baby wiggled, smiled and cooed at the passengers arriving for the 3:30 pm flight and made the rounds of various arms. Ahhh to live in a community that loves you. Someone joked he was earning his keep as the security guard. The Aklak Air boss told me there had been wolf sitings earlier near the airport but they were likely waiting for things to quiet down so no sign of them now. My job share partner arrived and we caught up on the news a bit before she had to grab her food and head in to the apartment. It was a full plane and I took the advice of more frequent fliers to not sit in the front (too hot) or the back (too cold) with the middle being (just like Goldilocks) the most comfortable, put my earplugs in
Polargrizz in Ulu Airport
and 'enjoyed' the 45 minute flight to Uluhuktuk (Holman Island) where we flew east before flying west to Inuvik. The newish airport in Uluhuktuk sported a stuffed polargrizz, the combo of polar and grizzly bear shown here which reminds me of a Himalayan cat. Uluhuktuk is a beautiful community of approximately 400 Inuit tucked in beside snow covered mountains. At the station stop we watched a crowd of men carry a frail patient and her wheelchair onto the plane as we waited - nothing is automated in the north - then we climbed up the steep ladder and secured ourselves in the small seats again. I overnighted at the Nova Inn in Inuvik which is a basic hotel with a

hunting lodge theme in the lobby and gas fireplaces in each room - very warm (almost tropical) compared to Sachs Harbour so no need of additional heating in May. Time to catch up on email, eat snacks I brought with me and call them supper. No eateries close and coworkers tales of inedible $40 pizzas ran through my head. Pulled the blinds against the midnight sun and crashed. 

The morning didn't make Inuvik any prettier. It's a muddy, scruffy northern town trying to be a
Inuvik
city. I availed myself of the breakfast buffet which offered three, count em three choices in sugar sweetened cereal plus other carbs to fuel my exploring. Headed up the hill past the IRH (Inuvik Regional Hospital) and on towards the
Inuvik Regional Hospital
commercial district. Drunken girls in front of the Northmart, crowd of male loiterers in front of the drugstore and an assortment of dusty trucks parked everywhere. A more attractive structure was the round church, which was in need of some paint but rather unique.  I meandered as far as the
Our Lady of Victory
Inuvialuit Centre to buy t-shirts for two of my offspring who work in jobs where it's not a problem to wear a shirt which reads Tuk U and Tuktoyuktuk University below in smaller letters. I stopped at the Rexall drugstore (which most certainly sounds larger on the phone) and explored very pricey gift shops. Back to retrieve my frozen muskox meat from the hotel freezer and wait for a cab. After a 'reminder' call a Sudanese cabbie appeared and entertained me on the commute to the airport. An efficient check in at First Air and wait with a swim team flying out to Yellowknife for competition. We were entertained by a little guy with a remote controlled skidoo - didn't even know there was such a thing. An uneventful travel day through Norman Wells, Yellowknife and in to Edmonton by 7 pm. 


Met by the electrician daughter and we settled in and enjoyed some beverages and a snack. The next day found us having breakfast at Cora's and then shopping - it wasn't too painful considering we're both into Frenchy's more than regular retail. I managed to find three dresses, David's teas and some duct tape for my action packers at the $ store - a productive afternoon. Grocery stop and we headed over to our Cuban friend's place to overnight. A very pleasant visit, BBQ for supper and sound sleep. Morning found us at Cora's again for a mothers day brunch then a sit in the sunny backyard before heading to the airport. A quick goodbye and through security and into the departure lounge. On to the flight and although I was seated in the window (aka sleeping) seat the non English speaking East Indian lady in the middle seat who took up all of her seat and most of mine with her elbows, woke me not once but twice when the refreshment trolley came by, astounded that I didn't want anything. I discovered I didn't have my camera. Dang, must've left it at TSA screening. A stop at the gate for the phone number of the Edmonton airport lost and found and it was quickly located, gave my credit card (no, I didn't even ask what it cost) and Purolator was selected - camera was delivered into my hands 72 hours later. Now that is customer service!  After rushing to the (relocated) gate I discovered we were into a lengthy delay, attributed to thunder and lightening in central Canada (better union the cabbie in Halifax said, we work in that stuff out here). Lots of folks returning from warm vacations discussing DR, Mexico, Florida etc. For myself….what's an additional couple of hours when you've been travelling for almost four days? I had a nice conversation with a mental health nurse who I was actively trying to recruit for northern work - travelling is all about those you meet along the way isn't it? An uneventful flight, landing, retrieval of luggage, cab and car pickup. Middle of the night drive home was solitary and the only (live) wildlife siting was a deer and then tame ducks within 5 km of the house. Home in time to find the shore captain readying for work and I crashed into my OWN bed. Apparently I slept soundly (and too long) as when I awoke at 3 pm I found the painter having worked all day without my noticing. Good training from all those previous night shifts. Was wandering the house at 3 am of course as you can only sleep a certain amount of hours in 24. It takes the predicted three days (1 hr/time zone) to realign myself in my eastward travels. 

Discovered the neighbour's elderly lab (which had habitually chased us if I attempted to walk to the east) had crossed the rainbow bridge so the weekday routine now includes a 3km walk to the community mailbox - serving two purposes. Mind you the poor dog was nervous and looked over her shoulder in both directions for attackers the first couple of days. Better option than her trying to retrieve the tame ducks from a neighbours pond - she is a NS duck tolling retriever but….not live ones - in the other direction. She's still pretty spry at age 15 if you show her the leash. 

As I caught up on my sleep and did a reconnaissance of the house I discovered that yes, the clothesline pole was installed  - not tight enough to hang anything of any weight of length as it stretched and no way to reach the line to pin anything on - so I dragged the platform across the yard and strategically arranged my laundry on the line. Requires more pins as there is an active breeze in that part of the yard. Ahhh the only housework I enjoy - laundry on the line.  I also discovered that several plants had succumbed in my absence. Memo to self 'drought resistant plants required for 8 wk rotations' although the life partner insisted he had faithfully watered the plants. An ivy - do you know how difficult it is to kill one of those if you want to? The painter / landscape designer called mister on it, especially as he suggested that the gyproc dust had contributed to the demise. An intense discussion ensued where I directed that gyproc filling, painting and housecleaning - three tasks NOT on the shore captains' list - if done by others were to be tolerated without whining, especially as he had made footprints throughout - the reason I pay the cleaner extra while I am away. A bit of painting remaining but that is tolerable, just glad I escaped the dust! Apparently there were multiple opinions that mister was 'living like a bachelor' as the counters were stacked high and the laundry basket still contained my clothes from two months ago. Why do we have cupboards and bureaus? The trade off of meals, housework and errands with my return is a fair one for a clothesline. 

We spent some time Sunday afternoon organizing parts of our South American journey for January. The two week cruise was already booked but there was the issue of the Argentine visa - which turned into quite a project between the Spanish, extensive documentation required and a cumbersome online program but of course in the end our money was transferred and we printed two receipts to allow us entry. Glad to be spending some extra days there as the $92 US each would be a bit steep for a couple of port calls. The complexity explains why the email was archived for my return. We used Avion points for airfare and it was very painless to only spend $382 return for both of us vs $7500 to fly Halifax- Philadelphia- Miami- Chile and reverse from Buenos Aires home. Locations have various taxes and fees so it was the discovery that the Martimes to South America is a good deal which began the cruise sale search. Online booking was painless and two one way routes weren't a problem. We bought airfare for Buenos Aires to Mar del Plata return to visit a friend for a week for a for about 1/3 of what a one hr. flight in Canada would cost. She has come to Canada twice to visit but now is married with two children so not as mobile. So only a hotel in Valparaiso, Chile for two nights (will plan to take the bus from Santiago) pre cruise and the Mar del Plata accommodations post cruise to decide. Looking at some of the scenery and temperatures is reminiscent of the Norway cruise - packing a lot of exploring into this one too. Speaking of travel photos I am including this link:


Planning a trip to Halifax to attend an immunization workshop so shall run some errands along the way and reconnect with my tropical nursing course buddy. Not that we've received our diplomas yet - good thing that it wasn't important to me - they're finishing up another class now actually. The greatest LSTM efficiency was related to processing the tuition fee now that I think about it. Friday I have an instructor recert which will be a day trip and next week and appointment which I am planning to continue on from and visit in the city, eventually reaching Cape Breton. The shore captain is (as usual) keeping long hours with the final weeks of the lobster season so won't notice I'm gone. 

The last word of the day is for Anthony Bourdain:

airows.com/travel/23-brilliant-life-lessons-from-anthony-bourdain

Sunday, May 3, 2015

White Fox Jamboree

Health Centre on right 
Into the countdown now and the routine of cleaning a little bit then rewarding myself with something more fun is in full swing because……I leave on Thursday! Mind you, it's late in the day when I depart so I get to work for at least the morning and it's the first of three travel days but…I am headed home and to my non working lifestyle for almost six months. So some dusting, scrubbing and storing are a small price to pay. Especially as I'm able to leave my clothes in the closet and bureau and food (what remains) in the cupboard to await my return. Yes, this apartment is spacious enough for two of us to share alternately without disturbing each others things. The time has gone very quickly (despite this being a quiet gig) and it seems like last week, not eight weeks ago the job share partner and myself were switching at the airport. 

In my review of manuals for orientation requirements I came across one with the region
demographics and infrastructure. I'm including a map of the various first nations areas of Northwest Territories which as you can see here on the left is complex. Also a larger non native presence in this territory than Nunavut. I was surprised to learn that the 4000 x 100 ft. gravel airstrip had been built in 1955/56. Many communities in Labrador were still using planes with pontoons and skis in the late 70s when we flew up and down the coast. I got a better grasp of the geography of the area and history here as well.  And of course when thinking of flying over the high arctic in a small plane, the question of air safety is sometimes raised so I offer this article:

independenttraveler.com/travel-tips/travelers-ed/how-safe-is-air-travel

Flying through Edmonton, both Nunavut and NWT government employees are booked at the Royal Executive Inn which is a basic if worn hotel with an airport shuttle and a restaurant. The shuttle necessitates dragging of luggage to the stop, a wait, at least one phone call to summon the van, a tip to the driver who is a great sherpa and then dragging of bags to the room with a repeat in the morning. The morning is a circus with at least a 60 min. head start required due to the need to retrieve bags, a waiting line and heaving of luggage on and off the shuttle. All in the early morning hours which are not my favourite time of day to begin with. The Dr. when over for clinic, mentioned casually that GNWT booked him in to the new Radisson at the Edmonton Airport when he travelled for locums. I am sure that someone of a more lowly job status has made it their cause to seek the same accommodation because the boss told me on Friday that we are able to stay there but have to pay the difference in rates between the two hotels. The fee will be subtracted from our travel claim as in 'money you haven't seen anyway so won't miss' which is relatively painless. What is convenience worth you ask? I was astounded to find that the cost was only $33/night more at a new hotel, onsite at the airport, pool, steam room, free wifi and parking. Obviously I sent an email to the travel clerk to request this perk. Will do reconnaissance to see if they can accommodate an action packer in their walk in cooler, and if so will utilize them for my trips in as well. Looking forward to spending the weekend with the electrician daughter as we do the work financed hotel on Friday night and a visit with a Cuban friend and his missus on Saturday before I fly out Sunday afternoon. 

Jamboree Games
As this has been the weekend for the White Fox Jamboree, it has been a full social calendar. On Thursday night I made potato salad for the community feast as requested and the ingredients were supplied. I was dismayed to find no peas/carrots in the box of potatoes, mayo and eggs. Everyone I quizzed about their recipe for potato salad (and remember they
Community Feast
were all central to western Canadians originally) didn't use anything but potatoes and eggs, maybe celery. I was astounded and hoofed it over to the COOP after work to pick up a can. The manager is from NB and lived in Yarmouth for decades and he did not disappoint as there was one can of peas and carrots. Talk about your cultural immersion! There were games on the shore on Friday afternoon (egg and spoon races etc) with burgers and hotdogs being cooked in the canteen - no one but me seemed to be aware of the cold wind. 

The evening feast was a grand meal which was like a pot luck supper in any community. The only traditional food was musk ox meatballs which our clerk made - delicious. I am used to Nunavut feasts being a more rowdy affair with traditional foods. A nice chance to socialize over a great meal however. After supper the games continued with nail pounding (no Inuit games here) and as I was on call I got to glue one of the participants thumb back together and give him a tetanus booster. No further excitement than that. Here a Jamboree doesn't include alcohol or the shenanigans it brings. 

This morning there was a community breakfast sponsored by BP (positive marketing to the Beaufort Sea area) so I ambled over to the school for 10 am and had a lovely cooked meal. Not a large crowd but likely about 25 fed.  During the day there have been various games ongoing and tonight a bingo game which the boss attempted to convince me to attend stating it was "fun". It would have been rude to say that bingo and fun don't go together in the same sentence in my mind so I graciously declined. I am holding out for the jigging contest which is tomorrow at 5 pm. Tomorrow morning the health centre staff are cooking a community breakfast so I'll be a bit more involved. I tried to lobby the boss for making real pancakes and she insisted on pancake mix, I explained they are not much more work and I'd make them all myself but she decreed that there weren't adequate eggs at the store to make enough. sigh. I am taking real pancake ingredients and feeding the clerk and myself as we were outvoted. 

So a run to the finish and home to spring of ticks and mud. Here the brown is just starting to emerge, lots of snow and skidoos on the go. I noticed there is open water in the ocean which is new to me at this time of year, but the NW Passage is slower to open than out here in the Beaufort Sea. The hunters are awaiting the return of the ducks and geese and there is 'darkness' if that's what you call dusk between midnight and 4 am. Will be odd to not wear sunglasses at 11 pm. I have my permit to export muskox applied for - wouldn't do to get busted for that while I'm still on probation. Next posting is likely from about 7000 south and east of here. 

Saturday, April 25, 2015

A Minister at the Airport?

Just finished my supper of scalloped potatoes, baked squash and ham - yes I am eating my way out of the community - so I shall update this blog. I am on call today which has meant one prearranged visit and an otherwise undisturbed day. As I ate my meal, I thought of first call days in other communities where I have been careful to eat breakfast before starting call at 9 am and ensured I have snacks in the desk drawer of the office and leftovers to heat in the microwave should I get a few minutes to eat during the day. Here I've managed all sorts of domestic chores, crafts and baking while on call. Most certainly not complaining. 

The weather here has been milder (for the most part) and although still snow covered there are streaks of dirt showing through on the roads. With the longer days the snow is beginning
Main St in the spring
to shrink a bit. Today it is -13c with sunrise at 5 am and sunset at 11:30 pm. To insert a little science to this blog I'll paste some data from Nav Canada here……At Sachs Harbour (72ยบ N), the sun rises on May 8th and does not set again until August 3rd. The sun sets about November 15th and does not rise again until around January 26th. However, even around December 21st, there are still two hours of civil twilight.  Civil twilight is defined to begin in the morning, and to end in the evening when the center of the Sun is geometrically 6 degrees below the horizon. This is the limit at which twilight illumination is sufficient, under good weather conditions, for terrestrial objects to be clearly distinguished…...So there you go, civil twilight is the official name for that weird dusk about noon in the high arctic during the 24 hours of darkness. 


Since I'm on the subject of air travel and when you live in fly in communities, it is a matter of interest / reality to all, some connected comments. A senior manager told me that he had to "go open up the airport as no one came to work in the hamlet office". Well, it was Monday, in the spring and the sun was shining so….not really a surprise. He unlocked the terminal door and the flight doesn't land until afternoon, by then someone showed up to check the runway. As the boss was expected back on Thursday we were discussing her route to BC and I hadn't considered that she flew through the Yukon, but it does make geographic sense. The airline which flies in Yukon is called North Air and the route from Inuvik to Whitehorse is via Old Crow and Dawson City. Flights from Dawson City to Vancouver aren't a problem. The replacement nurse and clerk were discussing the old DC3s but the website boasts new planes so hopefully their stories are from 'back in the day'. Duct tape holding up rattling overhead bins and freight in front of the seats under a non secured net, stacks of boxes which would've tumbled backwards but a passenger in the front row got up and fastened the net to the floor as they taxied to takeoff. My coworker thanked the good samaritan and said "I didn't want to die by freight today". He agreed. This week the very large Anglican minister was in community. He used to belong to a biker gang and looked like a DOT employee in his XXXL reflective jacket. He had introduced himself to an elder who said "do you work at the airport?" and he explained he was a minister "a minister at the airport?" she asked and was perplexed. 

On Thursday, when the boss, her hubby and dog were to return home and the clerk's husband as well as a few others, it was windy, blowing snow and low visibility.  Aklak Air flew to Sachs Hbr and could only see the road not the runway - back to Inuvik to try the next day. The COOP driver told the replacement nurse who was trying to get out and on to Paulutuk that you can usually see the belly of the plane when they overfly but could just hear them this time.  The clerk received a text from her hubby as they flew over the runway so we knew they were turning back, as you can call and text on the plane - oh yeah, no electronic navigation equipment to interfere with - is that a good thing?

Her husband is a resource officer of some sort - I'm not sure there is a direct correlation in other areas as he deals with all sorts of wildlife and resources. He travels frequently and is heading off to Durban, South Africa in June for a meeting. I asked what animal and she replied "probably polar bears" which I questioned as to the amount of in Africa. "Oh they talk about bears all over the world" she said. When I shared the information I'd read online on one of the adventure sites (you know the ones written by someone under age 30 who is a self professed expert) about what to do if you encountered a polar bear - because I didn't believe it - she was appalled. I reported "you're supposed to roll into a ball and play dead".  She said "absolutely not, where did you read that?" When I questioned the best plan, she was thoughtful and said "well, you could try to run and…..pray". Reassuring. I sure hope those mister polar bears are still looking for ladies out on the ice until May 7th. 

I phoned the school and asked them to send three students over for immunization after class. In about five minutes, two giggling students arrived saying "I'd rather have a poke than do math" which I had to agree I would've chosen as well. They were checking their pulse rate and it was up. Their cheeks were pink with cold and exertion so I explained the physiology of tachycardia and one offered that "we were being baby reindeer". The third who came after school was less brave about the needle and apparently chose math to delay the visit. 

I found a beige curtain panel in the linen closet and thumb tacked (no curtain road) it over the bedroom window blinds. It gives a rather strange shade which is reminiscent of backyard camping in a canvas tent, but does block out the light as it increases. More attractive than the usual aluminum foil look, although that is an alternative next to the glass as an additional help for May/June. 

Such sad news throughout he world with an earthquake in Nepal. I posted on the LSTM FaceBook group as one of the young students in our diploma of tropical nursing class was posting photos from there this week. She is safe, although the fatality count is climbing and it looks like a major disaster is unfolding there. I thought of the class as well this week with the article below written by someone from Doctors Without Borders. We are so spoiled and fortunate in our first world existence. Please try to help.

theguardian.com/global-development/2015/apr/22/sicily-more-unaccompanied-children-migrant-boats

Sunday, April 19, 2015

Escorts are always the question……

Well another week in my rotation has whooshed by and when Thursday rolls around I'll be looking at only two weeks remaining. The Nurse in Charge will fly in and my co-worker will fly out on Thursday. This gives me four days to get my act together in the NIC office. I have had a taste of the NIC role with a travel issue. Patients in the north with benefits (FNHIB - first nations health insured benefits) are covered for their travel and accommodation when accessing care not available in their community - for example if they need to travel to Yellowknife for surgery. A battle of wills ensued as a patient (who had been approved in a previous situation) to have an escort - family member, not that kind of escort - to travel with him when he'd had an operation. This time medical travel (a large department in each of the territories) denied him an escort to travel out. After several calls and emails back and forth to medical travel I discovered that when the patient had his surgery they would fly out the escort to travel home and assist with lifting the bags etc. Why did it matter which day they sent the escort as the ticket is $1500 return from here to Inuvik every day? It didn't. The problem was…if the escort travelled out with the patient and the OR was cancelled (which happens fairly frequently) then they both had to be returned and sent down again, but if only the patient was there, they would just be sent home. There was no way to justify that the patient needed an escort on the way out as the Dr had clearly written in his chart that he was out on the land recently and managing well. The patient was annoyed and told the clerk that he would cancel and not have his surgery. I spoke to him and said "if I sign your travel form stating you need an escort and conjure up some medical proof, we'll both be up for fraud if they check up on us and read your chart". He acknowledged this and agreed to go. I spoke to his escort when the itinerary was picked up and explained the reasoning behind the situation. Always important in small places (home or here) where you will see folks again to ensure they realize that decisions are often made at a distance and out of local control. No one was happy, but it seemed to be a settled situation. In hindsight someone was looking after me because……after all the posturing and chest beating the drama unfolded a few days later. The patient didn't appear for the pre-op appointment in Yellowknife and the search was on. Detective work (good to have a local clerk with connections) revealed that the patient had not left Inuvik but was staying in his wife's hotel room while she went to meetings. Wait a minute…w-h-a-t??? Yep, you heard me. When not approved to travel as an escort his wife went over to meetings, the patient went on a bender and I would've sure looked like a schmoo with medical travel if I'd advocated for an escort! Medical travel said they would not pay for the patient to return without a rebooked appointment. Not sure who that is punishing - he'd get two trips if they couldn't fit him in for surgery. In the end it was agreed that the patient would travel down to Yellowknife the next day and go to OR without a pre-op appointment. There are agreement forms to sign stating that patients (and escorts) will behave, not drink, attend appointments and return when booked or medical travel won't pay but they don't really seem to install any fear, just make work for staff. 

Speaking of travel….I was checking my Aurora points - loyalty points from Canadian North - and discovered that in addition to travel rewards you could redeem for Bass Pro Shop prepaid cards, berry picking scoops, fishing lures etc. Clearly a northern airline despite their charters to cruises in Miami. After my small airplane experience on my way home where it will take me three hours to get to Inuvik as the flight goes to Uluhuktuk on Victoria Island and then back to Inuvik where I overnight and the next afternoon I will fly First Air (they have great cookies) from Inuvik (likely via Norman Wells) to Yellowknife and then down to Edmonton and spend the weekend there. Funny to be looking forward to three travel days.

Some references to prove what itinerant folks like myself believe…that travel is good for you:



Both of the replacement nurses had worked here before years ago and both have commented that it is much busier here than previously - how slow was it?? Mind you, we have been kept busy with various educational pursuits - a new immunization program (which my coworker is going to ask to have a PhD awarded from she says) various quality control for POCT (point of care testing) lab tests - urine dipsticks, glucometer etc. as accreditation is coming up shortly, new well child forms, I participated in the hypertension in pregnancy telethealth on Friday (a review but always learn new things) and of course all my orientation requirements such as WHMIS, TDG, online incident reporting, health net viewer (online records) which it will be good to NOT have to do my next rotation. I'm sure that the powers which be will design some new form of punishment by then - such is the lot of the nurse vs bureaucrats struggle. 

Sachs Harbour Airport
MOT/DOT Area
I did a little drive of the area, under guise of checking out the vehicle which has been noted to have a "burnt smell" so I drove up the hill to the airport, seen here on the left, over to the 
Beaufort Sea
MOT/DOT area which needs remediation, past the muskox harvest area which hasn't been held for a few years, the water treatment plant, sewage lagoon and the dump. Beautiful vistas over the frozen Beaufort Sea. Makes you want to sing the Stan Rogers song Northwest Passage when you're looking at it. Opens up before the passage itself so will be a different view by July. 


I have been holding crochet college here for the other RCMP wife who is a quick study and has already mastered a scarf and a hat. She is thrilled to come to this large quiet apartment (versus her small RCMP housing bungalow which she shares with her husband and active, very cute 14 month old) so the crochet instruction is a bonus. Last night her hubby arrived with warm cinnamon buns to go with our tea. They have visited the health centre with baked goods a few times for coffee break - mice being away and all.  The replacement to my boss' husband is one of those charming African men who answered that he had two children, one in Ghana and one in Winnipeg when I asked. I said "that you know of" jokingly and he responded with "that's why I don't answer the phone on father's day". He and the blonde haired, blue eyed toddler have formed a bond and Zach puts his arms up to him first - they make a very cute, if stark contrast pair - and both Zach and his mother will miss Charles when he moves on. There is a relief pool of RCMP who just fill for vacations, courses etc. For the most part single folks who don't mind moving around. I was surprised to learn that the RCMP require they keep (and pay rent for) a house and so Charles has a house in Inuvik that he's slept in a total of six nights since last fall. Bureaucracy at its best.

You know when your children were young (especially if you lived in an old house with heavy wooden doors) and there would be slamming and you'd yell "stop that or someone is going to lose a finger!"? Well thankfully we made it through the four offspring with their digits all intact but that doesn't mean it doesn't happen. Got called down to assist my coworker with bandaging the end of a toddler's finger back on which turned out to be a four person job - attempting any kind of reattachment would've made it worse for sure and the physician on call today agreed with me when I phoned to say they were heading over on a charter so would drop in to ER. Should've worn ear plugs as I think we're in line for a noise induced hearing loss claim from Workers Compensation. 
And to add to your education, should you be of a certain age, here are some new terms:


Off to get ready for the workweek ahead. 

Saturday, April 11, 2015

Umm….the shorter one

Well, hello there. It's Saturday and I'm on call which means I have time to update the blog as my one phone call so far has been to give an elder the number for the dental team who are in for the week and a call from them to dispense some antibiotics. I hope it's a situation where they are very good at work but not so much with life skills because it's a constant battle to keep the bathroom doors unlocked. There is a note above the knob in both the public and staff washrooms reminding you to unlock the door before leaving but….at least four or five times a day someone announces they can't get in to the BR. sigh. The dental health is MUCH better in this area than western Nunavut and the smiles here are very complete which is a good thing. I have seen only one patient with dental pain in over a month and it was just that a filling had fallen out. 

My namesake left to go home on Thursday as she is preparing for a trip to France. They are doing a home exchange in Bordeaux (likely no wine imbibed there) and visiting various regions for a few weeks. She diligently studied her French over her time here so it should go well. We received a new EKG machine this week and it is a beauty. We convinced Terrance (the DPW maintenance dude) to assemble the cart and then it took both of us to read the instructions and set it up. The dialogue ran to "what's a WAM? do we need it? oh excuse me I think my WAM is in the way" with accompanying hysteria as the leads were wrapped around my neck and I snorted. The clerk did some photos and videos of the shenanigans which if shown to the boss would get both of us canned. The machine was very user friendly and we found the one page of the manual with useful information, copied it and put it in a plastic sleeve. 

With two of us sharing the same first name it did lead to some 'situations' and I am unable now to say "it was the other one" when confronted with issues. Last week someone called to follow up with some paperwork and asked for the nurse by first name. When the clerk asked him to clarify which one, he replied thoughtfully "well….it's not the skinny one, it's the……shorter one". I asked the clerk if he was a politician or just a married guy and she confirmed it was the latter. When the clerk and I were discussing body types and family traits she shared that her family were all large and she "had to work at it to be this size" so I showed her my much slimmer self in my wedding photo and said "my family is skinny, I have to work to be this size now too" and we both chuckled. She'd given up food for lent and survived on strange blender created juices so had lost 26 lbs. Clearly I'm not in her league - nor do I wish to be. In my mind the term cleanses fits with soap not drinks. 

The replacement nurse who came in on Thursday lives in my home province as well and does casual contracts. She works on coast guard ships such as scientific research vessels and icebreakers, usually in the summer. She mentioned that CGS is crying for electricians when I disclosed I have an electrician daughter. Will have to track down just how to apply as it sounds like a good lead where they do four to five week contracts with the same amount of 'lay days' and are paid for both work (12 hr days)  and non work times. Would allow for travel when off - obviously something I consider a perk.  My coworker offered to do call every day (something she had apparently done here years ago when there was one nurse and she was brought in to give her a break) which I graciously declined. She got that 'this is my not impressed look' on her face and tried to convince me but I've raised four kids and so ….I smiled and said I'd "let her know if I changed my mind". Call is not busy, no worrying it's going to be and it adds to the base salary so….not gonna happen. Glad that my outgoing co-worker suggested I do the acting nurse in charge position these two weeks so there wasn't a challenge. Not like I'm anyone's boss as there's not enough work here for one nurse but we are going to share call… I spent the afternoon attempting to find my way around the binders and computer in the NIC office. We checked the crash cart and the lab, ordered supplies and attempted to have the cleaner actually clean. Well that part was the largest struggle. Today I noticed that after my insistence he had emptied the garbage cans but…. hadn't replaced garbage bags. sigh

The SUV had a "burning smell" according to the clerk who had taken it to pick up the mail - post office is open for 90 minutes two days a week so you need to be on your game for the timing. We called Terrance (our go-to DPW guy) and he said it was low on coolant and it took a couple of days to locate the person in the hamlet garage who had some. The most amusing part of our service call was that Terrance used the command start for the vehicle. The Equinox has been here since last fall when it came in on the barge and the clerk had no idea it had an automatic start! When she was going out to start her skidoo (her Bravo as she calls it because they are often named by brand vs 'my machine' in Nunavut) before lunch I asked if she used the command start and she grinned before heading out to pull the cord. Terrance (the clerks nephew because everyone here is as related as rural NS communities) had gotten a polar bear this week which she showed me a iPhone photo of - nice fat one it was too. So with 26 community tags and only 80 residents the odds are much better here than in my last Nunavut community with pop. 850 and four polar bear tags. 

And while on the subject of the post office I decided to give northern mail a shot. I haven't bothered in the past as am never sure if I've been returning to the same community but this time with my residency established and general talk about online ordering from various companies coming with an additional surcharge (even Amazon and Walmart which had previously not put limits) I have chanced it. I noticed that MEC (Mountain Equipment Coop) had a free shipping deal on. I ordered some trekking poles and backpacking food to be shipped here because who wants to schlepp more stuff than you have to 3/4 of the way across Canada when you commute to work? The order has been shipped without shipping fees on the invoice and with an anticipated delivery date of April 29th which will be good for me to examine it if so, if not it can be stored here in the apartment.  Not sure how the shipping date relates to three (possible) flights per week.  There was no milk at the COOP so the clerk kindly added a carton of milk to her food mail order and even delivered it to me on Thursday pm from the flight before they headed out on the land to the cabin for the weekend. She looks after me well at and outside of work. 

As I have climbed to the midpoint of my contract and am now sliding down to the home stretch with less than four weeks remaining I am always amazed at how quickly the time passes in the north. I am looking forward to my travel home (even though it involves three travel days and two overnight stays (you can get back to the Maritimes from Asia quicker than that) and have been thinking about the small plane and how much better prepared I'll be for the experience. With my infection control experience, I abhor airplane bathrooms so always make a trek to the terminal facilities before departure, but I will make sure to pick up a beverage as well as I coveted my neighbours orange juice on the flight over. When the Dr. visited he shared the story of having flown over to Inuvik one fall with some local folks, including two elders who were taking their crafts to the Christmas market to sell. It was a very rough flight and as he looked out the window he realized that with the blowing snow he had no idea where they were as the small plane smoothly landed at the airport. Everyone on the flight exhaled a sigh of relief and one of the grannies leaned over and said quietly to the other "some good pilot" in a moment of clear understatement. "Spiritual" he said. Even in an extremely quiet spot such as this the days unfold in rapid succession. I continue with my crocheting and have offered to help the RCMP wife learn. She does lovely sewing so will be a quick study I'm sure. My sealskin slippers are languishing in my bag at present but perhaps I'll sew while she stitches and get more done. Haven't done much writing (although I promise myself I will) but I always do some entries in the Mom Journal my firstborn gave me at my birthday celebration in Edmonton as I left for my initial Nunavut contract. I do keep a daily journal when working (how else can I record material for the Same Country Different Planet memoir I'm going to write) but am considering doing a daily one line recording for my busier at home times as per Gretchin Rubin of The Happiness Project:

gretchenrubin.com

Before the coworker with the social life left we watched a borrowed copy of The Theory of Everything about Stephen Hawkings life which was a great flick. I've watched a few of the movies I downloaded and enjoyed Paddington, St. Vincent, Wild and Stand Up Guys (even though it was silly) and The Hangover Part 3 and Anchorman 2 were as expected - a diversion. 

I had started to do an online course from Future Learn called Medical Arts and Humanities, which I really enjoyed but….it ate up my bandwidth as we pay for satellite internet service measured in GB of data so….those courses aren't ones I'll be able to do north. My coworker had tried to use Rosetta Stone and it chewed up 1 GB/day of my 10GB per month account so she was cut off too. Netflix or any kind of streaming and excessive videos of any type are on the banned list. Likely most of those in this list would meet only my 'down south' criteria:

the-open-mind.com/11-amazing-sites-to-teach-yourself-anything

Thinking of taking the vehicle out for a little spin tomorrow to check out the area as the coworker was contemplating that today. With more hours of sunlight and a 10:30 pm sunset 
and continued dusk until midnight, the locals are gearing up for springtime (although at -22c with a wind chill it's not top of my mind). They approach this season (which is a combo of east coast summer camping/fall hunting) with an almost manic fervour and head out 'on the land' to cabins or those large white tents en masse. By the end of May there will not be much 'in community' activity on the go. Never enough hours on the clock….how can anyone say they are bored? So I leave you with a quote for the day:


“Any pleasure that does no harm to other people is to be valued.”
- Bertrand Russell,

Monday, April 6, 2015

Around the Horn it is….

My chauffeur to supper
Gizmo post workout
The end of a four day weekend seems a good point to update you from. The Easter weekend is one of those holidays which gives you two four day weeks and completely disorientates you. It's quiet enough here in this spot that it is difficult enough to keep track of which one of us in on call to begin without adding in long weekends. My coworker seems to have more issues with finding things to occupy herself than moi - I told her that she needs to get a hobby, or maybe a few hobbies. She has been having those 'bored, bored, bored' with long sigh conversations with me on a regular basis but I can't help her as I've been working my way through various crocheted projects. I've crocheted boot cuffs for the second daughter's birthday - she was 29 today imagine!  Working on her Masters course. Yesterday I made sweet potato pancakes - yummy - I thought I'd invented them until I Googled them. Baked sweet potato rolls which were delicious and roasted sweet potatoes with onion soup mix to take to Easter supper. A nice outing at the RCMP house - ham, turkey, scalloped potatoes, salads oh and the desserts. ahhhhh. I got to ride in the back of the RCMP truck but I knew they'd let me out as I sat with the food. I don't think there has been anyone but me in the back of the truck (seen above) as they've had one call this month which was apparently very minor. 

Was a full week at the health centre as the Dr. came over to do clinic for us - we have a physician here every six weeks or so - and that went smoothly. We shared suppers and knew he'd been educated well when he asked about amounts and brands of foodstuffs on our list. He said "Shirley trained me well" when he disclosed his marital status of 45 + years. He not only brought fresh food but nice wine - we got along well. My contribution was creamed lobster and fried halibut cheeks - with cranberry pudding for dessert all of which were well received. I traded my last package of halibut for musk ox steak and ground musk ox burger from the clerk. I think I need a (free) permit to export it out of Northwest Territories which I shall investigate - don't want anything holding me back when the time for heading home comes around. 

The oldest daughter returned this week from a vacation in Cuba with news of all our friends and lots of photos. She had a wonderful time (of course) and was sporting photos of a handsome new friend. He had been intensely interrogated by her surrogate parents (both city and country) and so passed the test - her Canadian parents are the least of his worries. She has settled herself in for the final course of her electrician apprenticeship which means three months in Medicine Hat as that was the nearest seat in the program. Her journeyman (person) designation will open doors - perhaps even a chance to work in Cuba as there is a cooperative arrangement to train Cuban apprentices - she would be an obvious choice with fluency both linguistic and cultural. A goal to work towards. At present establishing email connection with the guy left behind in the land of fun, sun and rum would be good. Although there are cell phones, the technology is iffy and the bureaucracy is still cumbersome - there are only so many days you can wait in a line to be told '"sorry not today". 

The best recent news was that the life partner has booked us a cruise! We were watching a sale on a 14 day South American cruise 'around Cape Horn' from Santiago to Buenos Aires
on the Norwegian Sun for a while now and the price dropped over the weekend. Of course, being spoiled the last time with the great sale on the suite he felt the need to indulge again. Hope he's not disappointed as this category of suite isn't as luxurious as Costa but it is larger than the standard balcony room. I had a credit from a previous cruise, there was a free drinks package offered, Norwegian is very casual with wonderful food and he chose a port side cabin (having done his research on the itinerary - he is getting to be quite the booking pro working with Vacations to Go. The intent of heading to South American (first return since 1994) is to visit an Argentine friend and her family after the cruise so we will take a week post cruise in Mar del Plata. My job share partner confirmed that we can move the date for my February 2016 return to work ahead so that is all that mattered to me. Mister is now making noises about a pre-cruise junket to Easter Island so I have left that to him to investigate. I will be home just before Christmas from work so leaving mid January to summer south of the equator suits me fine. 

Most of the community has been out 'near the lakes' in their cabins or tenting for the weekend. It's cold and windy but spring is coming so they're getting ready. Apparently there are 26 polar bear tags for Sachs Harbour (don't tell WWF) annually so lots of hunting going on until end of April for the white bears. I have been doing hunting research for the various seasons should the shore captain find time to visit me. Unfortunately the most productive bird hunting takes place the end of the lobster season which is a busy time for him. We shall see. 

It has been a steady day with having seen two patients, had two phone calls, the dental team arrived and drugs were delivered. Life in the fast lane. The (too handsome for his own good) young dentist from Montreal asked me if there was a gym here and although the sarcastic reply would've been "do I look like I go to the gym?" I said "I'm sure you can use the school gym - ask the RCMP". When he asked if they worked out I said "I don't think so but they go to the school" and smiled. Heading over to the coworkers to watch a movie (which she borrowed from the RCMP wife) this pm. I have some downloaded on my laptop but that means they are solo viewing. I watched St. Vincent (with Bill Murray and Melissa McCarthy - I love them both) which was excellent - very irreverent but funny and a great story. Highly recommend it. Had a chat with a coworker heading north as I fly out. We'll both be in Edmonton on May 8th so have set a supper date. The north although geographically large is a small place people wise. 

Tuesday, March 31, 2015

Canine triage...I'd give him a 5

Sachs Harbour from the hill
Meant to update the blog on the weekend but you know how it is….the less you have to do the less you get accomplished. My boss left for vacation and the replacement nurse (who incidentally share my not very common first name - what are the odds in such a small place?) is staying in one of the other apartments over the health centre. Either I'm becoming more of a hermit or she's an overactive social butterfly….well maybe a little from column A and a little from column B. She invited me over for supper on Friday and we watched some of her series of DVDs called Pie in the Sky which is a British detective / chef yarn - the main character is most certainly built like the former not the latter. It was entertaining as those Brits can be at times. 
Library aka storage room
Storage for Cooking with Cops
Small classroom


We dropped over to the school on Friday (as seen above and here) to explore the two classes - small which is grades K-5 (except there aren't any grade 4 or 5 students this yr) and large which is grades 6-9 and a total of 15 students with two teachers. They are officially in class  until May 15th but as the principal stated "functionally school is finished by Easter". Families will soon be heading out on the land to their cabins and camping to fish, collect eggs, hunt ducks, geese, muskox, seals and caribou. Apparently the ravens have returned to Sachs Harbour which is a sign of spring as this far north even the ravens go south for the winter. Folks watch the weather and it's been warm in Jean Marie River and the ice is starting to breakup so summer is heading this way. 

Sachs Harbour cemetery
Police Notice
Saturday was my day off and so I hiked up the hill to the cemetery to overlook the community and stopped at the COOP on my way back to read the community bulletin board. As you can see by the sign on the left, this is a real high crime area. ha! That evening found us both at sewing class which is going to be the last until August - a combo of funding lapse and 'out on the land exodus' so lack of participants. I managed to get two needles full of wax thread to connect about 1/3 of the top of one slipper to the sole - this is gonna take a while. At least the teenager who sews a pair of mittens in an evening wasn't there to make me feel bad about myself this week. We were discussing various plane crashes - the sewing instructor (two years my junior) remembered one here when she was 10 years old and had gone up on her bike to see the plane land "not many safety rules then like now" she said. I reassured her that as kids we'd picked blueberries along the train tracks after they sprayed with pesticide and when the train whooshed by. She pointed to the photo of the local man killed in that crash and said his son had been in a coma for 28 days but made a full recovery. The talk turned to various northern aviation disasters across the north which is a topic best discussed mid rotation I've found. Oddly enough when I checked online that evening the first news of the 'hard landing' of an Air Canada Airbus in Halifax was being broadcast. I think when you've clipped power lines and landed without the nose, front wheels, one engine and passengers emergency exit down the chutes it should get a higher rating than a hard landing. Lots of walking wounded and so the emergency rooms ramped up for their disaster plan. As one colleague said "at least the ER would be cleared out and those whiners with colds in the waiting room would be sent packing, the drunks with the police would be sent pronto to the drunk tank and the only ones remaining would be the granny drops who have been abandoned" Sad but true nurse logic. Apparently only one person still in hospital the next afternoon - angels on their shoulders. But enough grim talk. 

Last week saw us receive a visit from the social worker who travels over from Uluhuktuk (Holman Island) every few months as he has two clients here. He is a small dark wiry man from Ghana via Toronto who could win the 'young Sammy Davis Jr look alike contest'. Very nice fellow who clearly was searching for work. He stayed at the local (only) B&B for the two nights and disclosed that GNWT had paid $250/night for his accommodations. I asked if the breakfast was good and he said "no breakfast for that price" so I said "not B&B just B" and he chuckled and said "likely more than my per diem so I brought food". The per diem is about $140/day for the three meals so….Amazingly enough the replacement RCMP member is also Ghanian, also via Toronto and they had met in Ulu (the slang version of the above mentioned community name) so before the social worker arrived we'd already been informed that he owned a large chicken farm for fresh eggs in Ghana which he did confirm when questioned that there were 250,000 hens providing eggs in a company managed by his sister in Africa as he lived in the arctic. The RCMP of Ghanian origin had actually served in Bridgetown NS about 15 years ago so knew my province well. He now does relief postings in the north and likely is up there with the chicken farmer/social worker for personal wealth. The folks you meet north of 60 are entertaining. And speaking of chickens….how would you pronounce this name…..Tsiigehthic - yes that's correct Sick a Chick. Made me think of the Cape Breton classic take out the Lick a Chick.

Tiktalik Health Centre
And while on the subject of animals I must share a situation of today. I asked the phone "Tiktalik Health Centre" and a male voice with a local accent said "ah I'm wondering if you could have a look at my dog" so I stalled with "um, I'm not sure if we do that" but he assured me that this was usual practice if he "brought the dog to the front door the nurse comes out" so I said "I'll have to ask the other nurse" and put the call on hold. My co-worker gamely took the call and had an interesting discussion which began with "well dogs aren't my specialty" and continued on to "he bit you? if the dog is not nice I don't think I can" to the final answer to her query of the dog's appetite and activity levels "what you can't catch him? oh I think he's doing much better" and she concluded with "who is good with dogs in the community? you should go and find them to help" and he suggested his uncle who had a dog sled team would likely know what to do so happily signed off. I was a puddle of silent giggles in the chair behind her (which I fully admit was not nice as she had kindly taken the call) but as I gasped "your triage skills for dogs are admirable" and she smugly said "I'd give him a 5" which for those in my audience who do not understand the CTAS scale means 'there's not much wrong with you and you can wait up to 24 hrs without being seen' for example a rash. Well, that was it - I was NO good for about ten minutes of hysterical laughter. She further elaborated that she used the same approach to kids who tore apart the office after being brought in 'really sick'. Many endorphins were released in the telling of this story. 

The physician booked to come to our community for clinic this week arrived in Inuvik yesterday and returned our call today as we offered to feed him if he'd do some shopping for us - he volunteered fresh fruits and veggies as his contribution. He quickly denied any allergies and agreed to pick up blend when I suggested cream lobsters for supper. My coworker offered spaghetti and cheesecake for dessert and tentatively asked if he enjoyed a sip of wine would he pick some up for us. He quickly stated he'd brought a case of nice Spanish wine up with him. After she hung up I said "he must only have one pair of jeans with him if he's brought that much wine" and she said "I think we're all going to get along fine" and we both nodded. So I spent the morning getting the paperwork ready for the clinic as the clerk just returns from a week away tomorrow. 

I have been working on some crochet projects dishcloths, tea cozy, coasters, boot cuffs and now I've started an afghan. Watched Midnight in the Garden of Good and Evil last night which was a great revisit of Savannah and am almost finished the Dreams From My Father by Barack Obama ebook. Nice retreat this is. Now I really must get myself off to bed but since I am a known nite owl I am leaving you with this link to an article defending myself and my clan:

www.huffingtonpost.com/benjamin-spall/night-owls_b_6903804.html

Another good list:

elephantjournal.com/2014/12/8-powerful-questions-we-should-ask-ourselves-immediately