Wednesday, April 16, 2014

Large Ziplocs you say?

Los Encinitos, Honduras
You may remember the excitement of readying for summer camp? Well…..my knapsack has been packed (and repacked several times) for the Honduran mission. To make it clear, I located online maps to show you just where I'm headed, seen here right and left. I watched a couple of the 
Topographical view
videos and followed the instructions to 'mark clothes for the laundry to avoid mixups' so initialed my belongings. I also purchased large ziploc baggies in which to store my footwear as instructed - creepy crawlies like to hide in dark places. Instead of the $120 sleeping bag liner which Mountain Equipment Coop had on offer, I bought a twin sheet at Frenchy's for $3.50 and with 10 minutes at the sewing machine created a rather intense floral version of same which is now rolled up in the bottom of the backpack. I did however invest in the MEC travel umbrella as it is extremely lightweight and will come in handy in the UK if not the tropics. To qualify for free shipping on orders over $50 (because of course the offer of free shipping on all shipments only came on AFTER I ordered) I also shopped for freeze dried food (strawberries, ice cream sandwiches and raspberry granola), which I will take north with me to try out as they won't add to my grocery weight or bulk. The greatest difference between arctic and tropics is obviously the climate but other than that, minimalist living is quite similar. The final awaited parcel was a pair of Columbia zip off travel pants/shorts off eBay which arrived yesterday - fit well and look better/newer than expected. And since I discovered that Honduras has the highest murder rate in the world, I think it's time to give up on the research. Especially after a former co-worker told me her sister and husband had done an eco-tour in Honduras and found it intense - especially when 'they were delayed after dark and driving into the mountains the Israeli sharpshooter who was security got nervous'. I'm counting that the good will of a well established mission (which haven't had an incident yet in almost two decades) will provide better protection than a sharpshooter with tourists. I did however take note of the security document sent by Cape Cares which indicated they had registered us all with the US Embassy so I registered myself with the Canadian Consulate for Honduras as well. Read through the various listings on the Canadian Embassy website for levels of concern of countries and some of the major tourist destinations (Cuba excluded) were noted as 'exercise a high level of caution' so not getting myself too excited. Start the antimalarials next week and have lots of pepto bismol which is a practical plan. 

As I have online shopped for survival gear…..I got distracted and purchased a dress from Lands End which will be nice for the European vacation. It took two tries (hazards of shopping remotely) though as the first one was extremely frumpy, heavy polyester and reminded me of one my grandmother wore about 50 years ago. It looked so ugly even in the bag before I opened it that I checked the catalogue photo to see if I'd ordered the wrong dress - it didn't even look the same but the # was correct. Yuck. The keeper, pictured here on the right (albeit in a size 2) it is soft, light and flattering. It's an Italian ship on an European destination so the local passengers will be dressed from Milan not Target so I'll need to keep up. 

I've found some time to visit with friends - recruiting one for northern work, cajoling another to begin studies towards her certification, counselling a former coworker to move on with her life, having a group over for a feed of lobsters, greek salad and biscuits then a choice of apple pie or butterscotch brownies with ice cream and homemade butterscotch sauce and watching Netflix movies with the life partner on a fairly regular schedule. Getting used to fairly long periods of unemployment. 

Spring lobster gear
Since Fuji condemned my underwater camera which died in Mexico (don't have parts now) for the total of $100 (which covers labour + taxes) replaced the XP20 with the latest model (worth at least $250 + tax) of XP70 - I am quite pleased with the exchange as I really do require a dust, shock, freeze and waterproof model. There are some nice features with the upgrade (besides speed and size which area always better in a new model) especially the ability to take a photo while filming a movie and view all photos in portrait mode in the viewfinder so you don't have
Gary
 to rotate each one. Will give it the true test on my next little adventure. There was a parcel card in the mailbox so I'm guessing the repaired / replaced / overpriced point and shoot replacement purchased in Mexico which didn't work properly to be picked up. The new XP70 does take nice photos as evidenced on the left by the wide angle shot of Gary on a plastic bag on the floor - he and Stanley fight over this bag as evidenced by loud howls and tufts of fur following - above a telephoto shot of a buoy along the road where I walk.


I attended my physio appointment last week and yes all the old parts are staying aligned, but you have to keep a check on that. As I sat waiting on the bed for the therapist I could hear the staff discussing a Mexican Riviera vacation as it was the first day back to work aka insert conversation about the trip as frequently as possible day. The ex-pat British receptionist speaks with a strongly accented Queen's English and one of the local staff was excitedly describing a resort she'd stayed at before. When the dialogue ran to "yes, yes but was your room near the boofay or the pool?" I giggled and told the physio that I thought I was listening to a British radio sit-com and she said "oh I just have to tell them" and we both chuckled. 

I washed my (down here) winter jacket and put it away until…..May 8th, then have had to wear it a couple of times when the weather changed again. But I have decided that spring is here as the peepers began singing at top volume last weekend. I took the car to the garage to have the snow tires switched off for regular and the mechanic asked if I had hit any potholes. Ya think? How could I avoid this with the state of the roads? Another sure sign of spring are the craters post frost heaves. He had straightened out the dent in the rim he said. I cleaned the car as well and noticed the new car smell is still there and it is only on it's third servicing. With the price of fuel it is good that it is not moving much - imagine….$75 to fill a Dart! And thinking more positively, we have had two BBQ meals and I've gone gloveless and actually had to remove layers of outerwear on the way home when walking - practicing being too warm in anticipation of the mission, mind you that was a few days ago now - spring please hurry.

I have been puttering and organizing so have a few things ticked off the 'to-do while home list. I printed the receipt for the donation I made for Southern Sudan crisis. I chose:

wadeng.org

as I've followed the story of Jacob Deng, one of the Lost Boys who has settled in Halifax and is raising his family there while contributing to African relief. I am beginning to understand how my father felt when he mailed cheques to Oxfam in the 80s saying "how can I not support them when they send photos of starving children and I look at my beautiful healthy grandchildren and think how lucky they are to be born to so much and how fortunate we are?" I also printed the list of 'what's stored in Nunavut' and developed my shopping list for Edmonton. Will be packing for north before I leave for south as it's a tight turnaround of only two days in between. 

I have been busy purging and sorting - dragged five full garbage bags of my clothes to the donation box. I simply don't require as many clothes now that I'm a) only home for about half of the year b) not doing an 'office job' where different outfits are required c) wearing uniforms when working and scruffy clothes when hanging out. And seriously - how many pairs of grey dress slacks do you need? Trust me, my closet and bureau are far from empty but I am now at least able to close the doors/drawers and find something to put on without frustration. Since I hadn't done the dreaded task for a few years I sorted/purged for the upcoming summer season as well and stored them in the closet awaiting my July return from work. My buddy also assisted in the large task of inventory and organizing of stored donated medical supplies which I need to work on finding a home for. Some can be distributed by travellers simply taking an extra suitcase to a developing nation but….larger items (crutches, raised toilet seats for example) will need to be part of a container shipment so that is a project for 'sometime this year'. 

Last weekend we had the unexpected upset of searching for a deaf senior dog - who was missing overnight and in total for about 20 hours (although she's been known to abscond for years - this was her personal record), I was contemplating what the wanted/missing posters should look like when we received a call from one of the neighbours about her being found. She had been fed cat food (not allowed at home) and looked very pleased with herself. Had gotten the clip from the cat run which she'd parted in her exodus caught in the rocks at a
Keely home
local fish plant and a neighbour had found her. She doesn't look the least bit contrite in the welcome home photo seen here on the left but she isn't known for that. Must've been a lot of sighing when 8:30 pm came and she wasn't able to put herself to bed on her soft dog bed in the mud room. We realized that we're not ready to be dog less just yet as both the shore captain and myself tromped through the woods, walked the shore, drove up and down the road and called the neighbours in the search - it did at least give us more physical exertion and we discovered that the rhubarb planted by our Polish farmer visitor is coming up yet again. As I walked through the woods in back of our 'old house' across the road where we raised the children I smiled when I passed a small plastic chair and roughly constructed wooden table where a playhouse had been. When I asked the life partner if he'd seen it as he searched, he grinned and acknowledged he did too. Ahhh, back in the day. Those were the days that camping was the upscale vacation. So speaking of which I offer the following link:


buzzfeed.com/peggy/camping-hacks-you-must-try-this-summer?bffbdiy

And for those of you who have lots of time on your hands ex. the retired, semi-retired, writers, those avoiding housework etc. here is a neat link to a site where there is telescopic text. Just keep clicking on the highlighted words - fun:

stumbleupon.com/su/6hZUif

Time to wrap up the rambling and head to bed as there will be Easter visitors here soon. I must convince the shore captain to put away those Christmas ornaments from the spare bedroom. 

Thursday, April 3, 2014

Coconut bras are optional

Have been settling in to my 'at home' routine rather nicely, if I do say so myself. Sleep in, drink tea and read the newspaper, check out the online world, putter about the house doing minimal amounts of domestic chores, walk the dog, read, make an effort to put together some supper, visit with the life partner and then decide later in the evening to take on a project - scrapbooking, crafts, sewing, downloading movies to take north or something else online and go to bed late. In between I can run errands, have tea with friends, plan trips or….truly not have anything to show for the day. Ahhhh, bliss. It is wonderful to travel but…a rainy afternoon spent on your own sofa with a dog and two cats napping beside you and absolutely nothing you HAVE to do is hard to beat. 

Now today however, I have done a bit of clearing up as the cleaning lady comes tomorrow and she must have surfaces to clean. She opened the oven door last Friday, looked in disapprovingly and suggested I get some oven cleaner for her and I had to admit that….the oven is self cleaning. There is no way to replicate the look she gave me but I'm sure you can visualize it yourself without much difficulty. We've been 'moved over' in this house for almost eight years and I hadn't used that feature yet, so…I had to unearth the manual and attempt it. The instructions basically said to take out the chrome racks and press the button that says self clean. Complicated eh? I was a bit concerned about the part where it spoke of providing good ventilation and mentioned some birds are particularly sensitive to the fumes (likely canaries I thought) so they should be moved to another room. But it was actually not too unpleasant and when I wiped out the ash which was left, the oven sparkled. I hope for a good cleaning lady reception tomorrow. I got the shore captain to bring the step ladder down from the barn and clean the blades of the ceiling fan in the living room as per her instructions as well. None of us (except the pets - she is an animal lover and spoils them) are safe from her plans. I cleaned out the plastic storage container drawer this afternoon in keeping with the 40 bags in 40 days theme and wanting to have something on the 'done' list today. Speaking of houses and life hacks, here are some neat ideas:


This week I was awake in the night as the life partner had a belly bug which acted suspiciously like norovirus. He certainly didn't count himself lucky but one 45 min. bout is a mild version. When I mentioned about having the bug for hours (about 10 yrs when I worked in long term care) and lying on the bathroom floor thinking I was dying - he could 'vaguely remember'. One of us does nursing care and one of us avoids it - can you guess? He has made an excellent recovery and is back on his workaholic schedule again. And as he didn't give me the bug, he is still allowed to live here.

There has been a great deal of media attention about healthcare this week as the government introduced Bill 37 which effectively means healthcare workers have lost the right to strike. This is because the NSGEU has pushed for nurse/patient ratios for safe care. A wildcat strike with a cease and desist order, then the legal strike today both of which were accompanied by pickets and demonstrations ensued. Presentations by nurses (many gave me goosebumps) to the committees in the legislature and lots of public opinion. It is amazing how many people state that the province cannot afford lower nurse:patient ratios but will be the first to drop Grammie in the ER as they are leaving for a tropical vacation - no worries that  the hospital per diem has to be paid by taxpayers. These same people would not hesitate to  phone the CRNNS (College of Registered Nurses of NS) if they felt an RN had not provided safe care (with or without just cause or even thought to the implications for this professional's license) to the aforementioned Grammie dump. The answer is simply to be found in science - all RNs must grow an additional arm. Those of us too old to do that will have to rely on cloning. It is a sad time to be a nurse in this province. I am glad to not be employed here but annoyed that the tax dollars I submit are paying for this circus. Capital Health the employer of the NSGEU nurses has made it mandatory that they all take a customer service course - big bucks spent - versus providing safe numbers of staff. Pretty clear they weren't interested in settling from the start. 

Yesterday I made my way to the bank just before it closed and picked up my Honduran cash (lempiras) which I'd ordered. Not a particularly popular order the clerk told me. No surprise. I also took my rolled coins, (which I save for a tropical nursing course) and after about five years I've managed to amass almost $200 so it's a good thing I have other sources of funding. As the central american mission date approaches I have managed to book myself overnight accommodation in Miami on the way down and back. Taking in to account all the negative reviews of facilities and services in Miami airport hotels + the strong Canadian dollar…I considered myself fortunate to have found room at the inn which includes a free breakfast, shuttle to the airport, and wi-fi with pool for under $115 per night while avoiding the poor reviews. It did take a bit of research. 

Last evening a travel buddy and myself planned our Boston gig for the Jimmy Buffett concert. Who are we kidding? It's all about the pre-concert (tailgate) party! Do you think it's the definition of greed to ask if Aeroplan miles can be earned on a flight booked with Air Miles? I mean, it is an Air Canada flight after all. Well, greedy or not…..don't ask, don't get.  I earned Aeroplan miles anyway on the taxes/fees as I paid with the Amex card which earns Aeroplan miles and will await the answer from Aeroplan. We went out for a late supper at The Lobster Shack and my travel partner treated me so life is good. I spent part of the morning watching videos of the pre-concert parties and now I'm a bit concerned about packing as I am hoping to only take a carry on and those grass skirts take up a bit of room:

Pre-concert party attire

I sent a message to my niece's husband, who's a Navy guy, about borrowing his coconut bra (which he had bought as a souvenir for my niece while on exercises a few years ago) if she agreed. He okayed the loan for sure but advised to not let it touch bare flesh so I think I'll pass. Boston in July is warm so I turned down the 'excellent wig' he offered as well. Think that Frenchy's will not disappoint when we go concert outfit shopping. The concert theme is surf boards. Learned today that the female steel drum band Chicks with Sticks will be playing as well. Good time ahead. 

As I work my way through vacation planning, I found a nice link to some photos and since several of them are destinations we'll be visiting in September, I offer the link here:

http://www.worthytoshare.net/seeing-popular-places-almost-surreal-6-seriously-shocked

Tonight the life partner and I watched the Mel Gibson movie Get the Gringo on Netflix which was predictable in both format and brutality but Mel did look good and I got to practice my Spanish. This is what passes as date night in this house and I'll take it. Time to turn the sleep apneaic on his side as the snoring is reaching NIHL levels and crawl into bed as I must be on deck for the cleaning lady or….she finds me housework to do. 

Sunday, March 23, 2014

Nunavut to Mexico to Honduras

As I check the date on the previous posting, it is clear that the past month has been busy and….fun, which translates into not having / finding time to update. When I read about freezing temperatures and packing up my northern life I realize I am waaayyyy behind. So as the shredded wheat bread rises in the oven and the chili simmers on the stove I will fill you in. 

Yes (obviously) I made it home the end of February, but the amazing part was that I actually made all my connections as planned.  It was touch and go as I readied to leave Taloyoak on a flight booked for late in the afternoon with Canadian North. There are two airlines which fly into Kitikmeot - First Air and Canadian North with First Air being the more 'reliable' as in larger planes so less cancellations. On Mondays flying out of Taloyoak to Yellowknife there are two flights, First Air then Canadian North. As the caretaker drove me to the airport he said "Canadian North is delayed" to which I replied "you're joking!!" but his lack of response led me to understand he wasn't. A full waiting room at the airport as both flights of passengers congregated and visited. A number of prenatal patients travelling out for confinement sat quietly - imagine leaving your community and family for three to four weeks (perhaps longer) to await the birth of your baby! A prenatal aged 17 going out to deliver her second child stood with silent tears dropping down her cheeks. I approached her, squeezed her shoulder and suggested that she might deliver early and be home more quickly, the tears continued to fall. The waiting room filled as more and more passengers arrived and as far as I could tell all passengers were in some way being funded by the government - medical travel as patient or escort and duty travel for me. I approached the Canadian North desk aka packing crate and questioned Chuck if the delay would affect my connection in Yellowknife to Edmonton? As he checked I suggested that I would switch to the First Air flight if I was not going to overnight in Edmonton as my daughters were meeting me there and I WOULD be seeing them. Upon checking, Chuck reassured me that since the flight wasn't landing in Cambridge Bay on the way to Yellowknife there shouldn't be a problem. As I watched the passengers load and the First Air flight leave I hoped I had bet on the right horse. The Canadian North flight eventually landed and the crew exchanged freight/baggage with the plane as weather conditions deteriorated, even the Inuit passengers were commenting about the lack of visibility. The airline portable phone was in constant use (phones are popular because not all households have one) as the passengers spoke quietly in Inuktituit  with family and friends about their plans for Yellowknife. Since the ground crew was outside wrangling heavy objects from the back of a pickup into the side of a small plane in the whiteout, waiting passengers took turns answering the phone when it rang saying "Canadian North" and advising locals who were awaiting arriving patients / freight that the plane was here now. The pilot radioed in to the desk advising that passengers could begin loading and it was suggested that one of the ladies who had been answering the phone should answer the radio but she declined. We stood silently awaiting the return of Chuck to tell us to board, forming a line, looking out the door at a plane which was barely visible on the tarmac and no one made a sound, not even the children as the Inuit are a patient culture. Ahh how I miss those calm, smiling faces. Finally we were out into the frigid dark and onto the small plane with only two empty seats. As we settled, the flight attendant announced we were on our way to Cambridge Bay and I could easily have screamed - I'm sure if I was kidnapped my reaction wouldn't have been any different - as I again felt my connection in Yellowknife slipping away. When I questioned the flight attendant on the likelihood of making it to Edmonton she assured me that she and both pilots were heading home to Edmonton tonight so I relaxed. We stopped to pick up a tradesman in Cam Bay and then headed in to Yellowknife. Off one flight across the freezing tarmac, through the terminal, security and out to board a second flight to Edmonton. Uneventful (just the way I like my flights) trip to Edmonton and met by the oldest daughter with a cup of tea as the youngest circled the parking lot while I grabbed by luggage. As the carousel began spitting out suitcases and containers a lid of an action packer appeared bearing a plastic grocery bag containing frozen arctic char. The assembled looked at it and one guy said to another "is that what's left of your action packer?" but I stepped forward, picked up the lid / fish and said "whew at least the char made it as I can replace the tote pan" however after a few more pieces of baggage the remainder of the action packer arrived too. 

A visit with the oldest daughter before she travelled to her apartment for an abbreviated sleep and an overnight with the youngest daughter where we settled late after sharing 'war stories' of nursing. Up in the morning to retrieve luggage, have a nice brunch at Cora's and then off to pick up the kennelled canines which the daughter had stored in Stony Plain - turns out to be an hours drive from the airport - and they quickly settled into the back seat of the truck as they likely hadn't slept much last night either. Check in at the airport, through security, a short wait with a VERY badly behaved toddler and it was quickly apparent why as his parents found his behaviour amusing and had lengthy discussions with him about it. Sigh. On to the flight and after a nap I watched the movie Last Vegas which was actually very good. Morgan Freeman, Michael Douglas, Robert DeNiro and another old guy I can't remember - recommend it if you need a laugh. A short layover in Pearson where I grabbed a sandwich, cup of David's tea and checked email. And yes, it is true that I did not respond to the overhead page asking if there was "a Dr. in the terminal to come to Gate 42" as I calmly munched my sandwich at Gate 44 because….they didn't ask for a nurse and also because the paramedics were along shortly for the person who had a 'spell'. Delayed out of Pearson with a wait for a flight crew, deicing and then off. I watched Gravity, with Sandra Bullock on the way to distract myself from the turbulence but….although it received more Oscar nominations than Philomena, I wasn't as impressed with it, mind you George Clooney always looks fine but beyond that it was quite a stretch. In to Halifax 45 minutes late and the baggage took forever to come through, but it was reassuring that the prearranged taxi driver was patiently waiting not the shore captain sighing, pacing and whining about being up all night and having to work in the a.m. A quick cab ride to my classmates house to find my little car waiting for me in the driveway and off on the deserted highway home. No traffic and clear roads, only a stop for tea to perk me up and I was 15 minutes from home before I ran into any snow. It's a full two days commute even if the travel Gods smile on you so I was thrilled there were no glitches. Through the door as the shore captain arose for the day, quick greeting and I collapsed into my own bed for the first time in 55 days. Ahhhh. 

Only three days at home before leaving for vacation so lots of errands / appointments to attend to. Trips to the spa, buying of sunscreen, packing of swimsuits are all fun pursuits. As well as supper for eight of us the night before we departed to catch up on all the news, eat the aforementioned arctic char with assorted other goodies and generally enjoy ourselves. 

Early morning start on the drive to the USA and an uneventful arrival in Portland, Maine ten hours later. Found a room (smoking rooms are always the last ones left) at the Holiday Inn there and after multiple tries for a reservation, found a spot at Yosaku - a sushi restaurant. Tried the plum wine recommended by another guest and sampled the warm sake while enjoying the wonderful service and menu. Off in the morning through New Hampshire then Vermont to visit our summer neighbour. Only took 90 minutes longer than planned after a 'detour' from the scheduled route. Had a wonderful visit, supper, sleep, breakfast and lunch and off again to Boston. Again driving with a dyslexic (I am sure) chauffeur did not help and we spent over an hour in several small towns at rush hour as he 'decided this was the exit' before serendipity caused us to find our way. We left the truck at the seafood wholesaler and Dave drove us to the airport hotel. A quick supper and early bedtime for our 4 am departure. 

Los Ojos de Agua
Shuttle to Logan airport, wait for US Airways flight to Charlotte, NC, delay, uneventful trip, long walk through the terminal, quick boarding of the flight to Cancun, longer uneventful flight. Whoosh into the heat, met by the oldest daughter with a cab (nice to have an in-house interpreter) and off to Puerto Morales for a couple of days. Beautiful beach, great food, wonderful snorkelling, visit to the botanical garden and generally enjoying the good life for the three of us. On the right is the view from our balcony.

Then a cab to Playa del Carmen, ferry to Cozumel and a two day stay there. Wonderful food, shopping, snorkelling and general good times. Back on the ferry to Playa del Carmen, taxi to BlueBay Grand Esmerelda and settle in to await the remainder of the family for the vacation who arrived in waves. By Friday midnight the girls and partners were present and accounted for and the festivities began. 

We had three suites in a row with a common swim up pool - so called our own private cenote by the patriarch (here left and right)  and very much enjoyed visiting as a group. Supper at 7:15 pm nightly at a series of a la carte restaurants, a group excursion to the Mayan ruins of Coba, swimming in a cenote and a great meal. The youngsters also chose to go shopping in Playa del Carmen, an excursion with zip lining, rappelling, cenote swimming and then snorkelling in Akumal as well as parasailing off the beach. Wonderful photos of great memories. Might be a while before we're all in one spot again. 

On Saturday we packed up our bags and headed out in a series of departures with the teacher daughter and son-in-law starting out first, then us at noon time. We made a very efficient trip to the airport and were met with the hugest crowd I have ever seen (without a cancellation backup) in an airport - you could not get through the doors and in to the terminal. "Spring Break Saturday" was given as the cause and realistic concern for making our flight developed. You couldn't see where the lines were even going while pressed into the back in front of you but someone indicated it was the waiting line for the kiosk to check in. A guardian angel in the form of a tour operator appeared to the family in front of us and we attached ourselves (as I noted did the couple in line behind us) and moved to the kiosk. We travelled for the ten days with only carry on luggage (vowing never again to check a bag) so were able to avoid the second line and head up through security. Attempting unsuccessfully to find wi-fi we finally called the resort and left a message for the kids to "start out at least an hour early as the terminal is nuts" and crossed our fingers. A delay of about 30 minutes and we were off. Looking through the plane window we were in a series of 17 flights departing from Cancun. Routine trip to Philadelphia then a long walk through the terminal to change gates. No wi- fi so two glasses of wine and smoked salmon snack at that wine bar gave me the wi-fi password and a $80 bill - who cares? I was trying to find out if the offspring had made it out of Mexico. Checked messages while the travel partner entertained several inebriated Acadian seafood businessmen he knew who had travelled early to see Philadelphia play Pittsburg but were unable to state the score of the game. An uneventful trip to Boston, cab to the truck and fairly painless drive to the downtown hotel. 

A couple of days at the Seafood Expo and Food Show, an industry cocktail party, supper with some of the seafood players and a bit of shopping for me the second afternoon. A nice walk as a tourist after all the inside air at least. Supper with the shore partner - Boston diners are VERY LOUD - but good food. Hoped to meet up with the team leader of the Honduras mission but he ended up working late so a phone chat instead. An early morning start and 13 hr. drive from Boston home with only a couple of pit stops. Lots of snow in the fields in Maine/NB but clear roads. Sure glad to climb out of that vehicle, I would make a poor long haul trucker. 

The big news of the trip occurred as we were all on our way home. The youngest daughter announced her engagement as they'd stopped in Denver and he'd popped the question. Quite an organized young fellow he'd brought the ring with him from Saskatchewan. He's been on the scene for over four years so not entirely a surprise. A summer of 2015 wedding in this area is planned so a bit of time to get things organized. 

The past few days at home have been taken up with the practical tasks of laundry, getting groceries, walking the dog, meals and baking, assembling the paperwork for the tax return, submitting my travel claim for work, mailing back the camera which died on vacation and the replacement I purchased which is also not working, booking airfare from Halifax to Miami to meet up with the Honduras mission and no I didn't chose to fly through Calgary even though it was the cheapest airfare I just couldn't bring myself to fly that route two more times, then airfare from Miami to Tegucigalpa (gonna have to practice pronouncing that capital city) with the team, a Frenchy's shop, booking with Aeroplan points for flights from Halifax to Lisbon return Aug/Sept as we exchanged our vacation share week for a week in the Algarve (Albufiera) and booked a week cruise out of Venice - link here:


picking up my antimalarial meds and oral typhoid vaccine for the Honduras trip, test packing my 10 days of gear into a knapsack, organizing some Inuit artifacts for a 'presentation' to my daughter's grade one class and making plans for a quick run to the city before the predicted weather bomb of late spring blizzard arrives on Wednesday. Will it never end?

Had a call from western friends who are heading east for a summer visit and was pleasantly surprised to discover that my spring/summer contract is booked for May 8/9 and returning July 3/4 (I had thought it was the following week) so all kinds of time for a visit and to ready for the Jimmy Buffett concert July 19th. To fly on points or take the Yarmouth to Portland ferry which will begin May 15th….decisions, decisions. 

And to close - since I have the best of intentions to simplify my environment - living by the quote "less stuff more life" here is a link to a plan for decluttering which was intended originally for lent I think but regardless:

http://www.whitehouseblackshutters.com/40-bags-in-40-days-2014/

I am sure that I have more than the aforementioned 40 bags and we've only been 'moved' for seven years. Here is a link to a site that would provide lots of ideas of how to upcycle some of the contents of said bags:
http://www.viralnova.com/upcycled-products

Off to bed as I'm tired of looking after the life partner with a man cold. As I told him tonight "I don't even know who the palliative care nurse is anymore as Jacquie has retired". Lots of moaning and sighing going on - do you think he'll make it? A man cold is serious you know! I'm sure more males die by smothering than any infectious process. sigh

Friday, February 21, 2014

In four, three, two…..

Since I have spent the past two hours updating the blog and have somehow through a computer glitch lost the entire post, the replacement will be briefer. I noticed the previous posting was almost three weeks ago and so yes….I am amongst the procrastinators.

theatlantic.com/business/archive/2014/02/why-writers-are-the-worst-procrastinators/283773/

It has been a busy three weeks, even though we did get a third nurse transferred in from another community as there were six nurses there and only four required. Obviously someone in staffing can't count. I had pulled an all nighter at one point and fallen asleep the next evening on the couch with the laptop. Apparently I was doing online banking as the next time I signed in I had to jump through some pretty stringent security hoops. This contract was a little calmer than last year this time as there weren't as many sick babies in the community - maybe due to the 'above and beyond' immunization program here. I'm into the home stretch of trying to get the pap smear and depo provera lists current before I leave as the creation of documents is something I can handle.

I mistakenly dipped an elders urine for pregnancy test - good thing it was negative as I wouldn't want to have the discussion about termination through the interpreter. I had a lady in last week, who actually speaks pretty good English but as I was giving her instructions she didn't want to follow, she asked for the interpreter. As the clerk was repeating what I was saying, she was answering in English faster than Louise could translate, she just didn't want to follow directions. Today there was a lady in who is now an elder with limited English and has adopted five children. She came with the baby (was a 32 wk premie) for his immunization. It's school break week so the 11 year old who was 'packing' him was quite helpful. I gave him three 'pokes' and he blew kisses to me after, so I consider him a forgiving sort. I told her that she was doing a great job and she smiled and said "you are too" made my heart sing.

I've been doing my part to support the local economy, as one of the crafts producers assured me, when I purchased a pair of snow goggles. They're carved out of caribou bone / antler and are used to prevent snow blindness, especially in the spring. The inuit have been using them for centuries. Yes, they work, but aren't great for peripheral vision. Today you're more apt to see locals wearing aviators. It is getting to be time for that spring tan.

There has been some protesting about the price of food lately:

http://grist.org/list/28-cabbage-65-chicken-and-other-insane-food-prices-in-northern-canada-2/

And really when you consider that these carrots are just a week older and wrapped in plastic for the same price…. there needs to be some backlash. I was at the COOP last week and one of the RCMP who is new to the north said "I don't really care for 1% milk" and her partner and I both said "it's got a great expiry date of four days from now and there is actually milk here". She'll learn. I bought whole milk (which I haven't been drinking since we had someone under age two in the house) and it tastes like blend if you're used to skim milk. But there were only five 1L containers as the flights have been sporadic lately so…milk is milk.

Working in the north feels as if you're employed in one large out patient paediatric unit and most of the children are great but for 'the others' here are two cute links:

http://themetapicture.com/why-my-kid-is-crying

scarymommy.com/10-things-i-said-my-children-would-never-do/

I always think back to when our children were like a daycare going on a field trip when the four of them in less than five years went out "hold your sisters hand". They were certainly normal kids but I used to feel that others sedated their children before taking them out in public. The oldest daughter had a tea visit with a new friend who has four children under the age of seven and I think was having some flashbacks to her childhood by the sounds of it.

I was out walking and heard the sound of giggles so peeked out from behind my scarf to see a group
of children making their way home from sliding. It was -50c but they were acting as if it was -5c in the Maritimes. It was 2:30 pm and just getting dark as the days are getting much longer quickly. Regardless, I am looking forward to peering out from beneath a palm frond instead of the fur on the edge of my parka.

As I think ahead to various travels, I'll share some links for your researching pleasure:

lonelyplanet.com/travel-tips-and-articles/buyer-beware-the-hidden-costs-of-budget-air-travel

For Americans who are unable to travel to Cuba as they are penalized on their return, the option of a cruise with a non US based cruise line is a possibility

cruisecritic.com/blog/index.php/2014/02/07/live-from-cuba-cruise-first-impressions/

And this researcher really makes global development come alive in this video presentation:

flixxy.com/200-countries-200-years-4-minutes.htm

I've invested in an American Express visa which gives me 30K of Aeroplan points for signing on. The key is to cancel before they start charging the annual fee - the first year is waived. Will need all those points to travel across the pond in August. Lots of exciting travel with both Mexico and then
Honduras before I come back to work. Getting excited as I've had an email exchange with the team leader for Los Encinitos and so will hopefully chat with him tomorrow night and perhaps get together in Boston next month. The big news for the summer is that….a friend and I are going to see Jimmy Buffett in concert near Boston on July 19th. That's our seats in section 13 - can't you see us just jumping around? Apparently the tailgate parties are almost as good as the concert - can't wait!!

As I think of heading home to my family and fur children, I am telling patients that I will see them in May, when it is 24 hours of sunlight, nice weather, they are out on the land fishing, hunting and camping and everyone and everything is coming to life. The following link is a travel blogger who writes about his wanderings:

nomadicmatt.com/travel-blogs/place-called-home/

And since the readjustments come when I head home and we go back to being a couple, the following is good advice:

http://thoughtcatalog.com/tim-hoch/2014/01/the-50-things-you-need-to-do-for-a-relationship-to-last/

So, I'm out of here (flight dependent) on Monday afternoon to Yellowknife and on to Edmonton after 10 pm to overnight with the baby daughter. Out by 3 pm so we can spend some time visiting and then in to Halifax by 2 am for the three hour drive home. Have a busy three days with errands, appointments and visiting, then off on a road trip to the US. Leaving Saturday to drive through Maine, and visit in New Hampshire with a summer neighbour before heading down to Boston to catch a flight to Cancun. March break family vacation and then back to Boston for the Seafood Show and home again.

Before all that happens, I have to eat up the perishable food, clean the apartment and survive two more call shifts and two work days. Busy, busy.

And of course just to give you courage to get through the day as it is sometimes tough to be a grownup:

uthas.com/2014/01/15/19-hard-things-you-need-to-do-to-be-successful/

Saturday, February 1, 2014

Do I Need to Bring a Container?

As I am having as much of a 'day off' as a CHN on second call in a remote arctic community can, I shall update this blog while I wait for the FaceTime date planned with the life partner. It's only been ten days since we we've been 'working short' but it feels like longer, and it doesn't seem as if it's about to change anytime soon. I was asked if I could extend my contract here past the February 24th planned departure and I had to decline due to the Griswalds go to Mexico vacation that is upcoming. At least with the increased workload there is the recognition of additional pay as we will both be paid at the level of a two nurse health centre vs the usual three while we are short. This a new concept for me after almost 38 years of RN employment - I'll take it. The following link is not in any way related to my present employment although I sure can relate in some former positions:
http://www.ragan.com/Main/Articles/Top_10_ways_to_ensure_your_best_people_will_quit_47779.aspx#

As 2014 is to be the year of travel with multiple trips - two south and two across the pond - planned, I'll be taking my pennies saved to the money exchange. Here is link to a Globe and Mail article about nursing in Nunavut. It is for the most part true although a bit overly dramatic and some bits don't apply here. For example we do NOT suture dogs:
http://www.theglobeandmail.com/news/national/the-north/in-nunavuts-remote-corners-nurses-form-the-backbone-of-health-care/article16480170/

Regarding travel plans…..I did have confirmation from Cape Cares that I can transfer over to Los Encinitos (the original trip I planned for) in Honduras so that will mean a quick turn around the first week of May from tropical to arctic adventures. I had forwarded my trip deposit and the administrator sent a message saying the fees for my Canadian cheque were an additional $75, now I just have to figure out how to get them a cheque in US funds or do PayPal or something. Doesn't sound like there are many Canadians volunteering with them, or perhaps they understand the complexities of US/Canadian money exchange or with the changes in the exchange rate this is simply the cost. I shall consult with the shore captain on that one. He and I have been discussing a cruise to include with our Portugal jaunt in September and there are some good sales - the recent norovirus outbreak has led to good prices. And looking ahead to December and the tropical nursing course… a friend who had visited Liverpool, UK mentioned tours of the Beatles former homes and a maritime museum eerily similar to Halifax, NS except the Titanic visit is the before the sailing info. The Beatles museum is of course already on the list. And although I have no intention of going to the lengths described in this article when booking flights - I'll take my chances unless I happen to be up on call at 1 am on Wednesday night - he does makes some good suggestions:
qz.com/169299/how-to-avoid-every-common-mistake-when-booking-a-flight

But in the meantime, this contract (as they all seem to) is moving swiftly along. I am past the midpoint and so it's a slid to the finish with only three weeks left. I'm often asked by my southern nurse friends about the traumas, workload, busiest shifts and general excitement and I can honestly say that it is much more hectic to work in a small rural hospital. Yes, even working short here. There are many similarities (despite the wide cultural gap) in calls/visits to the nurse. For example….a grandmother brought her 17 yr old daughters two year old for an appointment saying that the child had been crossing her eyes at times for several days. My first old nurse / mother of four children instinct was to think that the toddler had discovered how to do this and get a reaction however the grandmother was very concerned and would not have appreciated this diagnosis. So, I patiently questioned how often? (three or four times per day) how long? (few seconds) does she just stop? (she stares really hard - grandmother pantomimes the stink eye or hyperthyroidism) and do you notice any falling, walking into things, dizziness? (no but she says she can't see and asked me for my glasses) I ask if she's had any visual problems? (she had a lazy eye when she was a baby and wore a patch) for how long? (a week) oh really? This while I looked into the very straight and perfectly aligned gaze of the two year old, checked her pupils, six directions of gaze etc. Now I consider myself pretty educated on amblyopia (lazy eye) having some experience with this in our family and am able to pick children out on the street with a bit of an eye turn and wonder why they aren't wearing a patch or glasses. Suddenly the grandmother points out "there she just did it again" and I have to calmly say "I didn't notice any difference". I suggest that if this continues it might warrant a referral to the eye team (they come in twice a year) and she says "you're going to call them and she'll go out today, should we wait in the waiting room?" Um, no, not an eye emergency. As the appointment concludes the grandmother says "do you think she has kidney failure?" which gets my attention. "Why do you ask as I don't make any connection between strabismus an renal failure?" and she says that she's seen a program on TV where some kid had to be on dialysis. Since I don't watch TV I dismissed this as a misunderstanding but my co-worker had apparently seen the program and understood the visit. I later answered the phone and a patient was explaining which staff member she'd seen "the short nurse" she says and on further questioning I realize that it was me she saw. Although I am taller than most of the community, I am shorter than my coworkers.  I have learned to interpret the statement "I try to let her take it sometimes" as the child is being given the medicine sporadically. That this is a question "where YOU'RE going?" which means where are you going? When did you take that "before" which is 'not today'. I had a lady call who has lived here all her life and gotten medications for decades from the health centre. She calls and asks for advil and tylenol - we dispense for free, why would you buy it at the Northern or COOP? When I agree I'll get the pills for her she asks if she should bring her own containers? What? We don't do refills here so I just say "no". And I have learned not to lock the apartment door - who is going to come and get me anyway? There's an outside locked door and what if I locked myself out at 2 am after making the 14 stair commute to work? The wheels turn very slowly up here and I have finally received my immunization certificate (from October 2012) as someone did an audit and discovered that I never received it. Yep, you're right…I gave up asking for it but have lugged the proof I did the work for it across the region for more than a year as I am just paranoid enough to think someone will ask for it. It came by email in the return reply. A lady who had brought a child in last fall came to tell me when she realized I was back that he had told his friends that he'd gotten his medicine from "the grandmother" which I think was meant to be a compliment in a culture which values its elders. We are starting to a bit from the sounds of the following articles but have a ways to go:
www.theguardian.com/society/2014/jan/22/nana-cafe-embraces-talents-grandmothers

http://life.nationalpost.com/2014/01/22/older-brains-slow-down-because-of-greater-experience-levels-not-necessarily-mental-decline-germany-study/

Speaking of cultural differences, one of the local staff was complaining that the school bus driver picked up the little kids who were at the stop but didn't wait for her older son and she'd had to chase the bus up the street. I assured her that the bus 'down south' didn't wait while you ambled out when you felt like it. And while I'm on the subject I continued - if you showed up at work repeatedly at noon time because you were tired from staying up all night playing poker or simply didn't come to work at all because you were 'sleeping' you would be out of a job - especially if you didn't even phone to advise this was going to happen and most certainly if you acted like this was normal when you did finally decide to attend work. "Yeah, I know" she said and shrugged. Last night we had a staff supper (no wine although I do like the wine pairing guide below) with a great menu of lobster chowder, biscuits,
chicken soup and homemade bread, salt fish and ackee (Jamaican national dish - made without the scotch bonnet peppers for Canadians) from the shore captains' salt pollock, rice, salad, scalloped potatoes, and musk ox steak. The local staff chose the date and time but only one of them attended, arriving about half an hour late and leaving early. The remainder when polled for planned attendance were going to be playing bingo, getting ready to go out on the land, shopping or didn't know what to bring, one still maintained she was coming (didn't) and the bingo player asked if I'd save some lobster chowder for her even though she wasn't coming "nope!". The four of us 'outsiders' who whipped up the feast enjoyed ourselves but certainly could've chosen a time more convenient for ourselves. Such is the life of an ex-pat living in another culture. And for those who ask about the cost of northern food and how do locals afford it, well….they don't very well:
http://www.theglobeandmail.com/news/national/the-north/why-is-food-so-expensive-in-nunavut-shop-for-yourself-and-find-out/article15915054/

I had made a chocolate birthday cake for the mental health worker on Monday and told her we'd take a little break in the afternoon and share it. I went to her office and we retired to the staff room where we found the cake half eaten so asked who'd devoured the cake as it wasn't their birthday and I was told "Rita and David said it was good". Sigh. The positives are of having my own private hunters market of fresh musk ox tenderloin delivered to the door, fat arctic char or the offer of redfish (which I confirmed had something to do with it being a sexually active char who had beige not pink flesh and none of the local staff cared for it as much as the real char) which I politely declined. Here's a link to a Globe and Mail article with some good pics and yes it is a long (but excellent) read :
http://m.theglobeandmail.com/news/national/the-north/the-magnetic-north/article16364070/?service=mobile

In a repeat of the article outing today the home care nurse arranged to go out on the land with a local hunter and was hopeful of seeing a muskox (they didn't - just signs) but they stopped and fished in the lake through the ice and he brought back a nice lake trout he'd caught. He was pretty pumped! One of the benefits of working Monday to Friday with weekends off, to plan such excursions. He had a great day for it a it's been warmer at about -30c and was sunny from 9 am to 2 pm. Since the sun has returned the days are getting longer very quickly as they start heading towards the 24 hours of sunlight.

I had a nice message from the nurse daughter stating she had been charge nurse on the busy 36 bed
medical unit where she is a newly graduated nurse of only six months. Pretty impressive progress as there are some who are still struggling a few years in. She commented that she had been in charge of the Gong Show and all patients and co-workers were alive when she left. All that you can ask for. And for nurses everywhere I offer the guide on the left to interpreting physician's handwriting, I can use it this week as the Dr is coming in to do his monthly clinic. It took me a minute but it was a laugh out loud moment, maybe it's just nurse humour. Anyway, its no surprise that she is following along in her sisters footsteps of being a responsible employee and grownup. According to the newspaper article I read this morning she (and her siblings) are apparently in a group known as cord-nevers which is described as those under the age of 30 who don't subscribe to cable but use the internet to watch their programs. More easily done where one doesn't pay for bandwidth by the GB.

Off to study a bit of tropical medicine. Joined MEC (Mountain Equipment Coop) and ordered a water filter and purification chemicals. Am sure the life partner will be pleased to have to make a trip to town when the card is delivered to pick that up.

Sunday, January 19, 2014

Stress Test

As I sit snuggled under the LL Bean down filled throw to counteract the -54c temperature which is trying its best to get in through the 1980 windows of the apartment, with the on call phone at my elbow….I shall update the goings on of my January / February location life. Hard to believe that I'm looking at my through the third week of this two month contract. Fairly steady day of call - about seven hours of routine visits and calls. I spent a couple of extra hours clearing out the 150 emails which accumulated in my work email in my absence. The only call since 7 pm has involved a transaction for a lovely filleted arctic char. 

The big news of the weather locally isn't the frigid temperature as they are expected although, when a local said "it's cold, really cold" today, I was pleased to be on call and not expected to venture outside. Rather, the weather site is predicting a sunny week as the sun rises above the horizon here again. Albeit for a brief appearance, but every day the light will remain for half an hour longer. This I have on authority of one of the CARS operators, who I have until now understood to be a version of local air traffic controllers. I was alarmed to discover their priority is recording the weather. I have apparently had a false sense of security that they were assisting the planes to land on these high arctic air strips. Obviously current weather conditions are extremely important but…..it is simply those pilots peering through the windshields and at the instruments of those turbo prop or jet planes in rapidly environmentally changing remote locations who ensure we take off and land safely. Nice to know. 

This past week I survived what has become my traditional second week of contract viral illness. I am guessing the usual head cold is a combo of airplane travel - recirculated germs, large numbers of people, not enough sleep and the change from the moist maritime air to the arctic desert devoid of free humidity. Add to this the examining of large numbers of ill children bearing a cold virus I haven't been exposed to and it's a perfect storm. The fact of simply have to work again after being a free agent for two months is enough to cause the body to rebel. 

This week through a period of trial and error (and need to do it myself as my junior sidekick who enjoyed doing them and was good at them has abandoned me for another area this contract) I finally wrapped my head around doing manual white blood counts. It's not something we do regularly so you have to follow the 'recipe' but I have finally mastered the concept and when I practiced on myself with a fingerprick (glad I don't have to do that regularly) I got a 9.3 - which is likely pretty accurate for an old nurse with a cold. 

Oh, and I also had a bit of a stress test last week. I had examined a two year old and his mother who then followed me out to sit in the waiting room while I dispensed the medicine I was treating them with. As I walked back from the pharmacy I handed the mother (who was chatting with a friend) the bag of medication, repeated my instructions for yet another time and returned to my desk. I sat down and started the process of lengthy documentation - for any nurses reading this we use the SOAP charting method and record a complete head to toe exam including vital signs - so it takes a few minutes of steady concentration. I was a few words into my note when the little imp (who had apparently hidden himself next to the bookcase) jumped out at me and yelled "RAHR". Those who know how easily I'm startled will not be surprised to learn that I screamed loudly, jumped up out of my chair, then fell back into it with a loud thump hyperventilating while grabbing my chest as I tried to catch my breath. The little fellow was very pleased with himself and doubled over at the waist giggling. By then I had a good chuckle myself. I took him out to his mother and told her that he was lucky a woman of my age with four children hadn't wet herself in the office chair. "Oh he's learning to scare people like that" she said smiling. I am sure he'll repeat this as it worked so well and he was very entertained. And, true to form in healthcare, the screaming did not lead anyone to investigate if there was a problem. Takes more than that to get attention. 

Speaking of getting attention….I can tell you that if you are a CHN on first call and you hear loud yelling outside your window as you're settling for the night - you pay attention. The health centre with apartments is next door to the arena which is a busy spot for many months of the year. As I looked out the window I saw the zamboni which had been driven out through the back door surrounded by a group of at least eight people, lots of yelling, running around, jumping on and off the machine and arms waving. First thought 'oh no, someone has been run over by the machine or a body part is stuck in it' but a few seconds of voyeurism caused me to realize that the zamboni had been too vigorously driven out to dump the ice shavings was embedded in a snow pile and quickly frozen there. It was the equivalent of a crowd of teenagers lifting up a volkswagen. A large cheer arose when the machine was freed and steered back through the doors. Whew. 

If I was tempted to use the descriptor 'very' there are always lots of occasions up here. However the chart on the right outlines lots of options for the writers amongst us. Which is the reverse of the Mark Twain quote "never use a five dollar word when a fifty cent one will do". Less syllables are better when dealing with a population using English as their second language and basic concepts are easier for the clerk interpreters too. As I listened to the clerk relaying my instructions to a patient I asked "what does the word that sounds like pee mean?" and she thought for a moment then said "it means umm, like I'm thinking of what to say next" and we both smiled. We had an interesting appointment this week where an elder (who is usually quite chatty and smiley) was extremely angry about a situation and the eyes were just snapping. You don't have to understand the words to grasp the emotion. We went through the "tell me what the problem is to I understand your frustration, this is how it has to be just for now, I would be frustrated too if it was me, is there anything I can do for you?" scenario. All this through an interpreter, who was clearly NOT interpreting the entire blast and was quite flustered at how I was being talked to. As we concluded I instructed her to tell the patient that I did not take this personally, that I understood it wasn't about me and that this situation would be dealt with. The final translated statement from the patient was "you took this very well and I appreciate it" and I instructed the clerk to say "I'm a nurse, this isn't the first time I've been in the line of fire, I've had lots of practice" and I added "I know you were just worked up and I'm not writing down your blood pressure because if I do you'll find yourself in here for weekly B/P checks"! That was something we could both agree on.  

I was pleased to receive a conditional acceptance to my query about the diploma in tropical nursing program I'd applied to for December 1 - 19, 2014 in Liverpool, England. Will have to save my pennies from these contracts for airfare. A little bump in the road with the plans to do a mission in Honduras as the dates for the Oparato trip had to be moved to later in May (I'll be back to work) but I am hoping to transfer over to the Los Encinitos trip which is April 26 - May 3rd. This is the original date I looked at and scheduled my northern contract return for but….it'll be a bit tighter than Oparato. I leave a lot of things here now and the commute is getting more routine so… I really must study Spanish more diligently. 

Hopefully I will get some shut eye tonight although on the weekend there isn't a full workday awaiting. And should the sun return about noon I may even manage to sneak out for a photo as I'll only be second call. No good to make plans in a small health centre as there are only three nurses to manage whatever comes through the door and even on an evening 'off' there can be one of those "all hands on deck" calls - have been involved in a few of those. I had an online chat with a former high school classmate who has gone on to be a paramedic and is now heading in to northern Alberta to do camp work. I asked about the number of employees and he responded that it was about the same size as this community. When I enquired about how many medics he advised there were two ACPs (advance care) and four EMTs (emergency medicine techs) so….exactly double the number of nurses we have here to handle a different culture north of the arctic circle with limited resources, prenatals, babies and children, chronic diseases, trauma, communicable diseases, immunizations, lab work, x-rays, casts, dental issues, suturing etc all without ground transport, first responders or medics and medevacs weather and logistically dependent. So, I assured him that he was extremely well staffed for a working population of essentially well employees. 

FaceTime date with the life partner is the highlight of the week tomorrow. One of the staff who had gone out on vacation for six weeks had lost some plants in her absence due to house sitter neglect and I told her that I make the shore captain show me the animals and plants on video chat. Not that I don't trust him but ….the cleaning lady is still making a good post op recovery and thus isn't doing the weekly checks on him. Hasta. 

Friday, January 10, 2014

Traffic jams and lobster sandwiches

An update just because I can and….because it's too early to call it a night when I'm first on call. Never good to settle down too soon, then get called out all disorientated and try to get back to sleep.  There has to be a balance however as I had one of those 'went to bed too late and then got called at 5:30 am nights' my first night on call, resulting in only four hours of sleep.  An hour is not quite enough time to get back to dreamland before the alarm rings and the total of four hours is not enough for even this night owl. 

Part of the reason for staying up too late on a weeknight was the excitement of hearing from the team leader at Cape Cares and finding out hat I was in for the April 12 - 19th volunteer mission in Honduras with the added carrot of a second (optional) week at an orphanage with some vacationing tossed in. Yes, please sign me up. So, you can logically see there was good reason to be up until 1 am downloading Spanish medical dictionaries and texts to my Kindle. Truthfully - I was just too pumped to get to sleep! Only three more months, but who's counting?

It is of course, the usual for this time of year in Nunavut weather here, which means -40c and 24 hours of darkness. So you can imagine that there is a lot of smiling and shaking of heads about 'down south' where folks are caught in a 'polar freeze' this past few weeks. One of the locals shared that he'd seen a story where the Chicago Zoo was taking the polar bear inside as it was too cold - this was funny to him on a number of levels. I cautioned him not to be so quick stating "I flew through Chicago in December and it felt colder than here" and he left chuckling. The weather in western Canada has been colder many days than north of the arctic circle, there was the nasty blizzard in the Maritimes which I narrowly missed and then this week a snafu in Toronto which is still working its way out of the system. A nurse from NS flying into a neighbouring community here left Halifax early Monday morning and only made it out of Pearson today, is overnighting in Edmonton as I type and will make her way north of 60 tomorrow. Just a five day commute! And usually it's the northern travel which gets a bum rap. 

The large weather system which wrecked havoc in central Canada moved up through Nunavik (northern Quebec) and then Baffin / Kivalliq causing a major blizzard which had winds of over 120 km/hr with low temperatures, blowing snow and lots of folks without power - not a good thing at those temps! This of course made the news and I had some thoughtful inquiries about my safety from southern friends. I reassured that Nunavut is huge - 2 million sq. km and three time zones - so here on the NW Passage (see red arrow) we were well and truly away from all the action. I shared this route map from one of the airlines to illustrate my point. And you really should enjoy Rick Mercer's weather rant on Youtube (just Google) it - it will cause a smile. 

I am not suggesting that I am finding the temperatures balmy here as I go through my second annual readjustment to Nunavut in January. It is eyeball freezing cold as that is the only part of my anatomy exposed to the environment! As i shuffled (only way to describe walking in that many layers) up the hill to the health centre/apt back from the COOP I muttered to myself about my choice of work areas etc etc. But I had been on a mission to buy bread (and yes I asked someone if there was bread at the COOP before I ventured out - the second option would have been to call the store) as I had promised lobster sandwiches to the local staff. None of them had ever eaten lobster (no surprise) but after today they are all eager lobster sandwich fans. 

Today as I made the sandwiches and grabbed a quick lunch, I looked out the window to see
Traffic jam
the school bus at the intersection near the health centre as it prepared to make its way to Netsilik School for the afternoon. There are very few vehicles here so snapping a photo with the bus and a truck together - constituting rush hour - is quite a coup. And as someone who used to work in the community commented " wow a traffic jam and with Disneyland in the background too" as that is what the area of coloured houses are known. And yes, it is as cold as it looks. 

My first week back after resting my brain for two months has been a busy one. Perhaps folks are getting back into the routine with the kids in school again after 'fixing their sleep' which some loyal blog readers might remember as discontinuing staying up all night and sleeping all day as they did over the Christmas break. There was the combined frantic schedule of having both the physician and dental team in a small health centre at the same time. The dental team arrived on Monday unbeknownst to the Nurse in Charge after there had been a lot of effort employed in readying the space for the Dr. clinic. Not good. There are just so many available spaces to be used and it was a game of musical offices for the nurses until late this afternoon. And of course extra blood draws, procedures, requests for information by the Dr. because as any nurse knows…. that is what physicians do best. Now we go back to just doing our thing and using the phone. The H1N1 influenza outbreak is moving across Alberta and it will be only a matter of time before we find ourselves dealing with it. Some of those who chose not to, or couldn't be enticed to have influenza immunization have now changed their minds and are asking for it. Too late as all the vaccine has been given. 

Now that I've finished my pistachio dreams tea perhaps it's safe to take the phone to bed and read a few screens of The 100 Year Old Man Who Climbed Out the Window - it is a wonderful read!