(We are Messengers – Maybe It’s Okay)
“But I’m just not that strong”
These were the last words of the video I watched a couple days ago. It bugged the h**k out of me that the whole story didn’t get told, but that last line left me feeling like I connected.
People tell me I am resilient. People tell me I am brave. People tell me I persevere…but I don’t feel like those things are true. Sometimes it just feels like life is going to drown me. The image I had in my head in high school was that sometimes there was like a flood and I was clinging to the ceiling rafters for dear life just trying to keep my head above water but also terrified knowing that if the water goes up much higher there will be no more possibility of keeping my head above water. Similarly, the image I get now is a raging river and there are bricks strapped to my body keeping me from swimming or fighting the current, and there are rocks and maybe even a waterfall coming up and I am desperate and grab onto weeds on the side of the river. I know eventually the weeds will break when forced to deal with the tension of my body being pulled against them. I keep fighting, but I know ultimately no matter what I do, I am doomed to lose the fight. But I am a fighter. I refuse to just give up. I fight and fight and fight just trying to survive when what I really want is to thrive, but I am exhausted and it is hard when there might not even be an end.
The radio dude today said that change is painful. Growth is painful, but staying stuck where you don’t want to be is the most painful of all.
Another radio dude was talking about how when someone is hopeless it should be a nurse’s job to either provide help or get help for the person to come to terms with their circumstances and move forward, but the American Nurses Association has now come out with the idea that nurses should be non-judgmental about patients’ decision to end their lives. Apparently in the guidance statement, the association recommends that nurses identify their own bias to help prevent it from impacting their care of a patient. The radio dude put into better words than I could have how wrong this position is. You are either for or against death, and there is no way to not be judgmental about it, and not only that, but this is a decision with deadly consequences. The wrong choice literally leads to death. How can a nurse whose role is supposed to be to promote healing possibly supposed to be non-judgmental about killing someone? Homicide is never okay even if the person you are killing thinks they want to be killed.
On Tuesday I was thinking on my way to my car that I wish I could go back to high school when supposedly I was throwing my life away because I could do anything and all I wanted to do was pharmacy. As much as I hated that people didn’t respect what I wanted to do and didn’t understand the potential challenges in pharmacy, and as much as I hated when people acted like I was perfect refusing to believe that I was succeeding not because I was so awesome but because I was working harder than anyone else, it did feel better for people to recognize I had potential than to be where I am now being constantly rejected and facing the words I heard over and over that I’d never make it; I’d never be wanted as a pharmacist. It feels true. Then as I was driving to work, the song No Matter What by Ryan Stevenson came on and it starts “a lot of us grew up believing at any moment we could lose it all…thinking we’re just too far gone.” And then it goes on to how now we should know no matter what God is there wanting to help us live our best lives. It caught me in those words how backwards that is of my life, yet how true it is that even when it seems like God has moved on, that I have value.
Thursday is going to the critical access hospital where they took out our pharmacy day when I work my critical access site. So I had a lot of time in my car…and there were three songs that I don’t even know why I liked them. Maybe it was the words, or the music, or both, or just that I had been struggling to find a radio station I could actually pick up, but I really loved “Famous For” by Alexis Slifer, “Something Broke” by Jeremy Benjamin, and “Is He Worthy” by Andrew Petersen. Also, funny story, when I pulled up the songs on youtube to find out what their names were, both of the first two songs music videos started with a girl laying on the floor in the clearing of a forest.
K. So the rest of this I prob shouldn’t have even thought about posting…but sometimes I don’t care that much about what I should or shouldn’t post. I was silenced for so long about things I should have been talking about that even things I maybe shouldn’t say sometimes I just want to say because I can. Of course there are certainly also times because of my social anxiety/selective mutism that internally I want nothing more than to share what I have been thinking, but once the focus is on me the words dissipate like the smoke from a birthday candle blown out on a windy day. The words are just gone and I can try really hard to get them back, but most people don’t know how to help me get there…the more pressure there is to talk the less likely I am to speak, yet I need someone to wait long enough before giving up that I have a chance to try…and the people who are really successful in communicating with me when I am struggling I will admit also do a lot of guess and check, and a lot of letting me just be involved in parallel play and come in and out of the conversation when I am ready rather than making it super formal but also make it very clear that conversation is expected so I don’t just go live in my own world. And sometimes people try everything and I still can’t talk and I just really appreciate being with people. People are super important to me, so just being with someone means a lot to me even if no words are exchanged. I would be thrilled to just live next to my friends. Once in a while I’m sure we’d more formally hang out, but just the nodding or waving hello and goodbye as we see each other in passing would do so much for my soul.
***And I started writing this post like a week and almost a half ago…and I think probably the reason I never posted it is because I was smart enough to realize eventually I would regret posting some of this stuff, so I have edited the rest of this post to tone it down to a more appropriately shareable post. It still probably isn’t all the way to something I should share, but it is at least a whole lot closer to being appropriate.***
At work a few weeks ago we did a few week positivity campaign…but here’s the thing, telling us to be positive is basically forcing toxic positivity on us. And a lot of that time I was feeling a lot less than positive. I’m sure positivity is great…when used at the right time in the right way…but you can’t force positivity and resilience down people’s throats and expect it to be a good thing.
There are a lot of things about my job that I am really frustrated with aside from the residency issue.
Our survey results came back. The managers’ perspective is that it is great that every category improved and overall satisfaction increased 13% which is highly significant. From my perspective, only 55% of us responded. That is highly concerning because after the last survey people were frustrated because the results were never addressed so most likely the most upset people didn’t bother using their time to fill out a survey they felt no one was going to acknowledge.
One of our lowest scores: engagement. We ALL were trained to do everything eventually…but they keep scheduling us as if we still had two separate teams. The schedule says that there are four clinical practice guidelines positions…if you ask anyone, they will tell you there are three and attribute the other position to an order entry position. That makes me angry. If I am somehow not good enough to do all the things then why is it okay for me to do the things with some patients but not others? Do those patients not matter as much? If so, that is even more infuriating. I am so frustrated. I totally understand asking if there are areas certain people don’t want to work and honoring those requests as long as there are enough people who don’t care, but I am frustrated with how things are.
And we have people who use safety reports to try to tear people down. And it is frustrating on both sides. I don’t like my coworkers being torn down. I don’t think it is an effective way to solve disagreements, and it isn’t the intended purpose of safety reports. I am not going to say I have never done it before. I have done it one time as well when I was just way too upset to express myself more appropriately and safety reported a coworker for dispensing 144 packets of ointment instead of one at a time…and really I don’t fault people for the once in a while doing that. My problem is the people who do it constantly.
…And…we’re just going to skip the next entire page because I can’t figure outhow to make that more appropriate…
But really I don’t hate my job most of the time. Most of the time I really am able to pretend to be content and just do it, but when there are other issues like the residency thing, my ability to have any margin to be able to cope with things kinda disappears.
I am so frustrated with the residency process. I agree with the majority of articles that the match doesn’t work, and very much disagree with the small minority of articles praising the efficacy of the match. I also think it is ridiculous that each application has a fee associated with it. My opinion is that there should be one flat fee for applying, and that fee should either be refunded or used as prepayment on membership dues if a position is not obtained. Not only do I think that would be much more fair for the students (and non-students like me in the process), but it would also give ASHP (and the corresponding organizations for the other professions using centralized application systems with the national matching service) a much needed incentive to reform the system if they weren’t allowed to just keep all the fees paid in. It would also mean that programs that participate but intentionally do not rank anyone in order to hand pick later would not end up causing unsuspecting candidates to be penalized financially for falling for the trap.
I am frustrated that the further out I get from school the lower the ratio interviews to applications. I am frustrated that no one is willing to give me a chance. I am frustrated that I am stuck here.
I feel really disrespected that one particular program told me in phase I that I was on their waiting list if that was okay with me, but would not get an interview in phase I unless someone else was unable to accept the interview offer. They didn’t match and I re-applied in phase II…and didn’t get an interview. Not only that, but they didn’t even give me the dignity of a you’re wait-listed again or you are no longer being considered. That made me angry. It made me feel like the whole waitlist thing was pretty much a lie so they didn’t have to actually say no since they weren’t even interested in acknowledging me in phase II, much less taking me from waitlist to actual interview. I also wish the rule was removed that made it okay in phase II (and the scramble) for programs to just ignore applicants they are not interested in. Even the mass email form letter saying sorry you’re still a loser is better than nothing. We are real people, not just little numbers that didn’t quite line up.
Part of me really really really wants to be hopeful and believe this time I might finally get a residency…but there is the other part of me realizing that the more excited I get about a residency the more it will hurt when the answer is no again. I want to be excited and start making plans…and I’d be lying if I said I hadn’t already started working on travel plans for licensure in another state…and started thinking about what is important to me in where I live and how I am going to move and…well….I haven’t been guarding my heart very well. I tried to balance that out by thinking about maybe doing like respite care this summer if I don’t match…but if we’re being real, I am very aware that if I don’t match I am probably not going to be emotionally available enough to really give a child the attention they need to thrive…Failing to match is so real in my world. It is kind of the norm and I don’t know where I am going if I don’t match, because I am so frustrated with still being here but don’t really have much in the way of options to go anywhere else.
Sometimes I am excited for the possibilities…but then minutes later I am just trying to hold my world together as the reality of potentially failing again comes crashing back into my world. Sometimes the mask rips off and I am crying…and other times I am doing just fine…
…but also, I’m still staying up late to make sure I give myself every chance possible of falling asleep without crying…and I’m still playing way too much of games like Vegas Nights and Bejeweled Blitz that let me keep my mind distracted enough to feel at least numb…and sometimes I totally will take numb. It is better than feeling bad. It might not feel good, but it is still better than feeling bad.