Brie Gowen

Savor the Essence of Life

If These Walls Could Talk

by

I heard weeping. It was soft at first, as if trying to be kept at bay, but it suddenly grew in volume and intensity. It wasn’t the tears of a simple disappointment, like ruining your favorite pair of jeans with a bleach incident. No. It was guttural. It was the sound of pent-up grief spilling over.

It wasn’t an uncommon sound. Not in the ICU. Not for an ICU nurse of twenty years. Yet, despite the familiarity for myself, I still felt my eyes sting. Her cries. Oh my goodness, the pain underneath each whimper; it made my own heart break.

I knew what was transpiring. Even though I currently sat at my patient’s bedside, as I had for days, the poor woman too sick to be left without watchful eyes for more than a few minutes, I had been next door. One room over, but hundreds of miles apart in terms of prognosis. My lady was improving, slowly, but as I always say, slow and steady wins the race. Not so next door.

Fifteen minutes prior I had heard someone call out, “you got some atropine in there?”

I walked one ICU room over, perusing the bedside monitor as I entered. It was serious. Nothing on the screen was compatible with life. I began increasing the IV medications dripping into the patient’s veins, hoping to stave off the impending doom. All in vain, the EKG line went flat. The nurse at the bedside began compressing his sternum to keep the blood flowing, and I ripped open the crash cart to draw open the medications to try and bring him back to us.

In a flash the room filled with warriors, wearing scrubs and flying into action. One round, two rounds, three rounds.

“No pulse. Asystole. Resume compressions.”

With an entire room full of helpers, I had excused myself from the bedside. They had enough hands. Some nurses thrive on the adrenaline of a code blue, but I had seen so many through the years, far too many to count, that I was fine to sit this one out and allow the other professionals to drive.

They got him back, and I’d like to say it stayed that way, but it did not. His heart stopped again. The family stood in a huddle outside the room, holding each other. One young woman was in the floor, her grief too heavy for her legs to hold, and that was the source of the painful wails. A chaplain brought a chair. Someone else grabbed some tissues and water. These were the things we could do. We couldn’t save the loved one in the bed, anymore than we could take away the pain that released itself in heart-wrenching tears.

When I first heard the crying in the hall, after nearly weeping empathetically myself, it occurred to me how often these halls held the tears of grieving family. They cradled the disappointed spouse after hearing bad news. They steadied the angry son who couldn’t believe there was nothing more that could be done. Many times, thank God, these halls even expanded with the joyful laughter of miraculous recovery. If only these walls could talk!

They’d be shouting emergent orders from a physician, “get the RSI kit now!”

Or the muttering of an exhausted nurse, on the fourth day of a string of twelve hour shifts, “just an hour to go.”

There would definitely be a lot of questions.

“How did this happen?”

What do we do now?

What would momma have wanted?

And plenty of expressions of surprise, coupled with confusion and disbelief.

“But he was doing better. He just asked about the dog.”

“She’s only 28 years old! Parents aren’t supposed to outlive their children!”

“I never knew he was so depressed!”

There would be expressions of hope.

“Dad is a fighter. He’s gonna make it.”

And expressions of love through surrender.

“Mom wouldn’t want to live like this.”

There is so much these halls could say, if only they could utter words, but they’ve kept the secrets whispered within their walls under tight lip. I sometimes wonder, on days like today, if the walls stay silent simply because they don’t have words. Some of the deepest pain of loss is spoken through silent tears, agonizing cries, and even resigned sighs from the warriors who lost the last battle. Maybe the walls don’t talk because even mere words would be too difficult to express the emotions that course through its halls. Perhaps silence, a listening ear, and a space to lean on is the best these walls can do.

I Cried on the Way Home Today

by

I cried on the way home today. I wasn’t expecting that.

The past few days I cared for a patient with a chronic condition. Medicine had done all it could do, and today she came to terms with that. She decided to withdraw aggressive care and seek comforting measures in the little time she had left. A difficult, yet brave and compassionate decision.

Family came to the bedside from all over, as far as California. I’ve never seen so many people in one ICU room. I could barely move inside the room, and at one point I came in to find family members criss-cross applesauce along the floor. No critical care unit could muster that many chairs, but I had to at least bring in an armload of hospital blankets they could use as cushions. The rules went out the window as newborn grandchildren arrived at the bedside to meet grandma for the first and last time, and I for one was glad. It was the most beautiful farewell I’ve witnessed in a hospital setting. Stories were reminisced, and at one point my patient said, “thank you for this. It’s like a party!”

I replied, “it is. It’s a celebration of your life.”

Daughters were there, even up until I left, holding the wrinkled hand of their sleeping mom. I couldn’t help but think of my own mother. I didn’t get to say goodbye like these women, but I did get more time. Momma should have died in the car wreck, but she soldiered on ten more years. In that decade we had a lot of fun and made some wonderful memories that I still cherish now. I didn’t cry at the bedside when that occurred to me.

I did cry on my drive home. I was thanking God for a good day. While sad, it was also beautiful, and I felt honored to have shared in the celebration of a life well-lived with a legacy of amazing family left in its wake. Yet my thoughts circled to her. Momma.

“I miss you so much,” I prayed, hoping somehow she could hear me.

I don’t guess that ever goes away. This will be the fourteenth year since her passing.

I felt that burning knot of emotion in my throat, that one I hate, yet yearn to go ahead and come out already; grief spilled to quiet the ache. At that moment I heard the song coming from my playlist.

Highs and lows, Lord, your mercy is an even flow. Should I rise or should I fall? You are faithful through it all. You’re too good to let me go.

He’s too good to let me go. He holds me always, through my grief, and through my happy memories. Losing someone you love is never easy. You never stop missing them. The ache of their empty space descends upon you when you least expect it. In the low of sentimental sorrow, and in the high of rapturous remembrance. Today I was a witness of both degrees of emotion before me, and I held in my heart the same.

When a Haircut Is a Kick in the Sack

by

I stood in the kitchen with my husband putting groceries away. My oldest child and I had just arrived home from a trip to town for some food essentials, plus a trip to the Barber Shop.

“I wasn’t prepared for that,” he whispered, while pointing into the other room. “It was like a kick in the sack.”

He looked down, at a loss for words, but none were needed for me. I knew exactly how he felt. I had felt the same emotions watching the first haircut nine months ago, and again today, as the barber took the hair down to the scalp, the shortest it had ever been. It was grief, plain and simple, yet not simple enough for others to understand what I mean.

I see the news stories, read the articles, gape at the vitriol on social media. I can’t say I understand the current political environment, but I do see it. And it frightens me. The commentary often centers on the parents of a transgender teen. Like, how dare they abuse their child in that way?! I can say this wasn’t my idea, nor my husband’s. It wasn’t society, the leftist’s agenda, or even TikTok to blame. It just happened. My beautiful, confident daughter started puberty and hated what her body was becoming. She didn’t know why. But she did know that death seemed better than existing in a body that she didn’t feel was her own. Fast-forward through months of therapy following suicidal ideation and self-harm, and you come to this place where you shop for clothes in the boy’s section for the first time. Something so simple, a request granted that brings that first smile in six months or more. Strange.

I guess people only see the end result, not the agony that brought you there. They see the proud, yet hesitant announcement, but don’t see the tears shed behind closed doors.

I love being a girl mom. My husband is amazing at being outnumbered, so gentle, loving, and strong. I love the pink, frilly dresses, and learning how to french braid all that long, blond hair. I can remember three Christmases ago begging my oldest to please wear the matching dresses I had picked out for photos, “for your mom, please.” Now, no dresses remain in the closet for him. Him. The child I now call son.

Fathers dream of walking their daughter down the aisle. Mothers dream of their daughter having children, so they might share that bond of parenthood that childbirth brings. My husband and I are grieving those things. We’re close to the year mark of when Chloe asked to be called Noah, but for us, it’s still like it’s yesterday that we laughed at little feet clopping around in pink, plastic heels. We no longer say the non-preferred name or pronoun, but we do still have ton of brick, kick to the sack moments. Those moments where, to no decision of our own, we have packed away the dreams for our daughter, replacing them with hopes for our son. It’s a surreal feeling, a loss of sorts. We chose to lose our daughter in gender, rather than to lose her all together physically. We cried for our daughter who wanted to die, and now we laugh with our son who made the brave decision to live.

To live in a world that hates him! I think that’s what worries us the most. I shared with him last night the recent stories and posts I had seen about Dylan Mulvaney and Bud Light backlash.

I said, “I hesitated telling you because I want to protect you from a cruel world that hates you, but I also knew that for your awareness and safety, we have to talk about these things. You have to be careful. There are people out there who will hurt you.”

And I didn’t just mean emotionally.

What parent allows their child to make a decision that could get them killed?

What child makes a monumental choice to become the most hated, most judged, most incorrectly labeled (eg, pedophile) people group of all times?!

We got hens recently. My husband was going to pick one up, and in her scurrying, frantic fear, that ole hen put her head through the fence hole and tried to break her own neck! That’s what I think of when I consider the past year (more than) of our life. Our child was frantic, confused, and fearful. Our baby would have rather died than live an identity that didn’t feel authentic to him. My husband had to gently calm that chicken, and we had to gently love our firstborn, whether he went by his birth name or not, whether he ever wore a dress again, whether he got haircuts at the barber that were severely masculine. That didn’t mean they weren’t still a kick in the sack.

I reckon folks forget that part. They’re so focused on blaming the parents for bad parenting, that they neglect the emotional toll that led to this place. They’re so busy making something a battle to fight, where one doesn’t exist, that they miss the war raging in the minds of suicidal, transgender kids. They forget that whether a boy wears a dress, or a girl gets a shaved head, that inside them that beautiful soul is the same. That is one thing that keeps us steady in the sea of the uncertainty and worry that is being a parent of a transgender child.

There are questions you ask yourself. Like, will they one day decide to be the assigned gender at birth again? But for now, the answer doesn’t matter. What matters is how we love them now. We love them through those inner thoughts of “my daughter is gone,” and we love them through all the kicks in the sack. I love him as I look at old photos, seeing a daughter that used to be. I love him because even though my daughter is gone, my son is here. He is happy, healthy, and smiling. For now, that is enough.

The Scars That Don’t Fade

by

Three years ago. Wow. Looking at the black and white photo of my face, I feel… empty. Sometimes emotions are like that. It’s not a void of emotions, but rather an onslaught. Too many to comb through and pick just one.

This week the hospital I’m at put out a policy stating we didn’t have to wear masks anymore. After three years of wearing them constantly! After a shift without one, I felt so strange. Every time I rose from my computer I felt naked. I felt as if I was doing something wrong. I felt afraid, even. Like, shouldn’t I wear it anyway?! I saw other nurses with their masks still on the full, twelve hours. My comrades who remembered.

I cannot explain the emotions to you if you weren’t there, but I’ll try. It’s trauma in its purest form. I told my therapist that it reminded me of the pain I had seeing armless, legless, faceless Marines come into my care as a Navy Corpsman. It wasn’t war three years ago, like it had been in Iraq, but in a way it was. It felt that way. So many of my friends, family, and acquaintances couldn’t wait for masks to be a memory, but for the beside, ICU nurses, they were more than paper. They were more than a mandate. They were life. And that sounds silly saying it out loud, yet we clung to what we hoped would protect us.

In the beginning of the pandemic, we saw far too many people die. At the beginning, it seemed like they all died. My ICU at the time kept track of the deaths, and in nine months I saw 263 slip away. It did not matter what we did to try and make them stay.

263 doesn’t seem like a lot of people if you’re looking at national averages or through a political lens, but to those who wore respirators, goggles, gowns, and gloves, it’s too many. Each patient had a name, they were loved, and they were missed. They weren’t allowed to stay on an earth where people would become angry at a medical community trying to help. If they were, would they have stood up for men and women like me who only wanted the lucky folks outside of the trenches to believe us when we said it was bad?! I think so.

I think the immigrant, with frightened eyes, rapid breathing, and no understanding of the English language would have managed, to translate, “they saved me!” But he can’t, because we didn’t. He was my first, personal death to Covid-19.

So many would follow. The guy who through struggling gasps would tell his wife via phone, “I’ll talk to you soon,” had been the end of me. I had made eye contact with a fellow nurse, through perspiration and plastic shielding, eye contact that agreed sadly on a mental level, “no, sir, you won’t.” And he didn’t. I couldn’t take it as personal anymore after that. I just went on auto. We all did. Doing all the things, that meant nothing to combat that virus, and meant even less to communities who said we were stretching and fabricating the numbers.

It hurts too much to say much more. By the time other strains were rapidly killing middle-aged people like myself, I had completed insulated myself from a world that rolled its eyes at me. Yet, I still tried to help. I can remember trying to convince the man, three years my junior, why he needed to prone to get his oxygen levels up, while he groaned in broken, struggling exhalations that Covid wasn’t real.

I’m glad things are better now (in terms of virology), and we can finally have the option to drop the masks that protected us. But in someways, some things are worse. The pandemic didn’t just kill fathers, sons, mothers, daughters, and friends; it killed the community of togetherness that had helped so much in my previous, frontline battles after 9/11. Where did those people go? The ones who said, together we are better, and we can stand against this. It was replaced by factions. Factions made up of those who three years later are hesitant to drop a mask because of the things they saw, and those who never would wear them anyway, because they didn’t see the things I can’t forget.

The scars on my nose and cheeks faded, but the other wounds, they’re incredibly harder to dull away.

Where I’m At

by

I oscillate between sharing my life and withdrawing into an underground storm shelter. Remember that movie with Brendan Fraser, Blast from the Past? Yes, that sounds nice sometimes. To just spirit away with my family and Jesus, playing board games and eating nonperishable goodies. But alas, that’s not what God calls us to. I wish the calling wasn’t always so painful.

I’ve gone back and forth between sharing my life, my insights, or Heaven forbid, my opinion, or simply remaining silent in my own comfortable mind. I have had so many people over the years email, comment on the blog, or message me on social media sharing how much my words have comforted them, helped them feel less alone, or heard the voice of the Holy Spirit speaking to them through my musings. That kind of feedback encourages me to keep going. But then…

Y’all, I have been really hurt. I say I don’t care what people think of me, but let’s be honest, it stings when friends and family judge you. I’m not talking about Facebook acquaintances. I mean friends. I have had women I have known for over twenty years, women in the church who I considered mentors, completely write me off. Women who kept up daily contact and encouragement with me, suddenly ghost me. And when I see those same women encouraging and communing with mutual friends, yeah, it hurts. It hurts to be brushed aside. It hurts that we have become a people, a society, a church, I dare say, that values platforms or something as inconsequential as the opinion on vaccinations over loving relationships. Didn’t vote Republican the last election?! Sorry, your cool kid, insider pass to the Women’s Bible Study clique has been revoked. Why does that still hurt me?

I have had family laugh at me, ignore me, lessen my feelings. I feel the judgment in an almost palatable way. Am I seeing things that are not there, like whispers at the lunch table, assuming the worst is being said behind my back? Perhaps. Perhaps I am, but it doesn’t change the feeling of brokenness inside.

I have spent the last two years discovering a side of humanity I wish I had never seen. On the other side, pre-Covid, pre-Trump, sat a naive woman, who felt certain that people who loved Jesus, loved people. Sure, there were hypocrites, but overall the Christian community was one built on love. I was sure of it. Now, on this side of a pandemic, after the loss of a presidential election on the Right, I see an abrasive, hardened heart of a community I’ve been a part of for over half my life. I cannot comprehend the actions of the majority. I cannot find the connection between the actions of Jesus and the actions I see on social media. The Sermon on the Mount and the rant on Facebook or Instagram are not parallel. The church I have always known and loved has let me down, and I’m still coming to terms with that.

Here’s what I don’t want. I don’t want my picture of my Savior, or my relationship with Jesus to suffer. The loving King who died for me, who died for the immigrant at the border, who died for the atheist at my workplace, who died for the two married men that live next door. This loving Jesus has never left my side. When I’ve felt the hurt and betrayal from friends and family, He has never let me go. So, I think He and I are good. I just keep clinging to His character, so often imagining myself sitting at His feet like Mary, listening to His truth.

The church, however, has fallen from me. I have not returned to corporate worship or any religious gathering in a group. I want to, but I’m afraid. The hurt I have experienced has broke me, and I’m not sure I could take anymore. I want my babies to be around the church. I want to return. I have just been unable to cross that divide. I listen to a church sermon every Sunday, I read the Bible for hours a day, and I spent countless hours in prayer and conversation with my Father, but I’m still licking my wounds. I’m just being honest. You guys know I’m a sensitive soul. My hurt still rears its ugly head almost daily, and I spend just as long laying it back down at the feet of Jesus.

Please pray for me, my friends. Pray that I will find healing, that I will be able to see that Jesus is the balm that covers my hurt. This I do know. I will never be the same. I will never again be the woman I was in 2019. And while that hurts, I am grateful that my eyes were opened to the insincerity of my fellow man.

It’s hard for me to even write this, as I know there are people who will judge me for it, assuming I’m “woke,” progressive, or even worse (LOL), liberal. They’ll pray for me that God open my eyes to the evil of this world, never seeing the evil in their own hearts and actions.

I do find solace (of this world) in the fact that I am not alone in my feelings. There are other Christian, lovers of Jesus, who want to love like Him, not just like the church club says. It helps to hear their hearts that mirror my own. Beth Moore, Skye Jethani, Greg Boyd, Phil Vischer, David French, Russell Moore. Organizations like Women of Welcome, Faith and Prejudice, The Lincoln Project. Personal friends (that I will leave unnamed) who I reach out to with my frustrations and hurt. Thank you. And most importantly, the amazing spouse the Lord has given me. I was raised initially in an atheist household. He was raised quite the opposite, not allowed to watch the (demonic) Smurfs or He-Man growing up. Together we have found this loving Jesus who healed our brokenness, forgave our sinfulness, carried us through addiction, and leads us even now. Because of Him, we are forever changed. Because of Him, we are encouraged to love like He does. Sadly, I’ve discovered that radical love like Jesus doesn’t always sit well with the religious. It didn’t in His day, and it doesn’t in ours either.

I’m not sure what this post is supposed to be about. It seems like I simply vomited my feelings into words, but trust me, you have no idea how much of my gorge I’m holding back and swallowing down. Perhaps for another day. Or, perhaps I will take my baby chicks under my wings and disappear from the grid of public opinion. I suppose only time will tell.

No One Understands What Nurses are Going Through

by

“God’s got this.”

“He holds you in the palm of His hand.”

“None of this is a surprise to God.”

“Heaven, help us.”

These are the sentiments spoken in response to what critical care nurses like myself are seeing, and while these comments are absolutely true in my book, they don’t quite give me the reassurance I’m hoping for. It’s not that the thoughts and prayers aren’t appreciated; because, they are! My spirit thrives on them, and His strength makes all things possible. But after hearing the well-meant words of others, especially after a brutal day, it occurred to me what the human side of me really wants.

I want people to understand.

I can’t really blame them, though. Other than my spouse, I’m usually pretty nondescript when it comes to my day. When asked how it’s going during a pandemic, we’ll use bland words like “hard” or “bad.” Perhaps even “exhausting.” Yet those simple syllables say little to what’s really going on. I’m not sure if it’s too painful to rehash or just easier to say less. I think, for many nurses, after having close acquaintances, or even family members, act over the past year and a half like Covid is not a big deal, it makes you place a wall around yourself. To see folks neglect simple things like masks, or to chastise vaccines and science, it makes you crawl inside a hole. Then, later, when you need someone to understand how you’re feeling, they don’t.

They don’t understand.

Other than my spouse, and a few family and friends I’m comfortable enough to share the intimate aspects of my day, no one understands the pain of what I see. Deep down, I don’t want them to. I don’t want that for anyone. But sometimes, I just wish I could open a curtain into my ICU for the world to see. I think we wouldn’t have another record-breaking surge going on if I could. Maybe I wouldn’t feel like crying, like I did yesterday, all alone in my angst. Even when the tears don’t come, because I’m too afraid to let them loose, worried that I won’t be able to rein them back in.

As it stands, in lieu of a magic window, you’re left with the fact that no one understands, unless they’ve been behind the curtain with you.

Words like “hard“ don’t accurately depict what it’s like to watch people slowly die of a virus that takes away their ability to breathe. “Bad” isn’t adequate to describe the fear in their eyes of dying with a feeling of cruel suffocation.

When you hear the “numbers are going up,” you don’t see the numbers I see going down. The oxygen saturation numbers that keep alarming too low to oxygenate the blood and sustain life. They don’t tell you on the news (no matter the network) what it feels like to watch a person turn gray, and blue, and purple. They don’t describe the feeling of your hands when ribs crack beneath them during CPR, no more than they tell about the hopeless feeling in your heart when a family member asks you over the phone if the patient is getting better.

I’ve never fought such a losing battle, and it’s hard to put that into words. When you’re in the business of healing, Critical Care Covid doesn’t play by the rules, and it just ends up feeling like a bad luck streak that won’t break. Does anyone understand how hard that is on us?!

I can’t speak for everyone, but I know that personally my heart is broken. It’s excruciating watching people suffer. It’s beyond demoralizing when the majority don’t get better. I’m angry at people who ignore the suffering of others. I’m pissed that this is still happening! I’m frustrated at staffing problems, and I totally understand why nurses are fleeing the bedside in droves.

The thing is, I can write out all of the above, and most people still won’t understand. Not totally. Until you live it, until you can’t unsee the things you wish you had not seen, and until you spend your off days in a depressed daze, despite your best efforts, you’ll never understand. For your sake, I’m glad you don’t.

The Broken Heart of Nursing After a Pandemic

by

Well, I guess that’s it, huh? CDC said we can go without masks (to the vaccinated), and you see businesses everywhere taking down their “masks required” signs. Disney World is taking advantage of our good numbers in the U.S., and while I’m just as excited as anybody to return to a normal, pre-covid world, I’m also having a hard time.

When mask mandates fall, plexiglass partitions are taken down, and social distancing requirements are slackened, it doesn’t just usher in the happy feelings of going back to the good ole days like I would hope. You see, it also feeds the wrong fires, and it perpetuates bad theory.

Who doesn’t know someone who thinks COVID-19 was a political ploy?! Like, I could probably count on both hands, and have to take off my shoes too, to total the Facebook friends who are certain the pandemic was an attempt at government control of its people; without them even noticing that a lot of the behavior in 2020 proved maybe a little government overreach was necessary. But that’s another topic. No wonder the Podcast I listened to earlier called social media “Satan’s cesspool.”

Point is, as the pandemic blows over, the chance of forgetting its seriousness flies away like the wind as well. It’s easier to lessen the virus when it’s not affecting anyone you know. When it’s a distant, news story from India, it’s fairly simple to blame the Democrats for going overboard to keep people safe. Heck, you could even believe COVID-19 was never really a big deal. Except… it was. To me, it was.

I am a critical care nurse, and in the year 2020 I experienced the worst year of my nursing career. I would even go so far as to say it was worse than my time in the military, in a post 9/11 world, watching scores of young men medevaced to my facility with only one limb remaining. At least the brave soldiers I saw in my stateside care lived. Not so with the Covid pandemic.

I personally saw hundreds in our facility’s care die. Not just old people, or people with multiple health problems. I especially remember the mother of three children who was younger than me. I tried to warn her she might die if she didn’t lay in a prone position. At the time, it was the thing that seemed to help those patients the most. The next day, she was intubated. A week later, she was gone. It was like that for way too many patients this past year.

I watched my coworker dress out in PPE to hug her husband goodbye before he died. I cried on the phone with more family members than my heart could take. I saw the hope go out of otherwise strong men’s eyes. Each day they fought in vain to breathe, the light in their eyes dimmed more and more. It was a fight they couldn’t win. And sadly it was a fight the nursing community couldn’t win either.

As a nurse, my job is to make people better. In my twenty years of nursing, I did a two year stint in Hospice Nursing. Y’all, I loved it. It was extremely rewarding to care for patients and families during a difficult end of life experience. I was able to prepare, support, and comfort them. All that to say, it wasn’t the morgue being too full to take any more bodies that got to me. As a nurse, I can handle patients dying. The problem with the past year was, they all died. If you came into the intensive care unit, you were only leaving in a bag! Back to the counting fingers… I can count on one hand how many patients got to leave my critical care unit alive. That’s bad odds.

Nursing care is about helping. No one wanted to die of COVID-19! They wanted to live! And when we became (like) Hospice nurses to patients and families who had not requested those services, it was debilitating to the morale. Y’all, I still have PTSD-like response from 2020. My actions, even now, as the virus statistics improve, are impacted negatively by the trauma I experienced watching patients die, over and over, every shift, day after day.

I am a woman of faith. When churches began to open back up, I didn’t take my family back. I had seen too much! It wasn’t fear winning out over my faith. It was my trauma response. But you haven’t heard the worst part. I still haven’t taken my family back to church, but it’s no longer the corona virus that whispers to me to stay at home. It’s a whole other form of PTSD. It’s the response of people that has given me a lasting trauma. With the vaccine, time, and herd immunity, I can move past COVID-19. But the careless words, hateful attitudes, and selfishness of some, fellow Christians has created a lasting trauma in my life. It’s hard for me to share in fellowship with people who laugh at a virus that made 2020 the worst year of my life as an RN. I’ve just been worshipping God at home with my husband. God, my spouse, and my fellow critical care nurses seem to be some of the few who understand why my heart was broken into pieces this past year.

*Insert sigh.

I’m glad we are returning to a life without a pandemic. I’m happy to see my patients transfer out of critical care, and on their way to recovery again! I want my children to play with other kids, and I want my loving husband to go back to striking up friendships with strangers. I miss his outgoing self! I think these things are possible. I know they are! But then there are the things that I don’t think can return to before.

I can’t forget the way people spoke so nonchalantly and uncaring about the death of >550,000 American citizens, or over 3 million people worldwide! I watched friends be more concerned with having to wear a piece of paper over their face for twenty minutes of shopping than they were for the possible health outcome statistically of their neighbors over 65 years of age. Citizens worried more about their “personal rights,” as they perceived them, than they were staving off the spread of a disease that had healthcare workers going beyond the possibility of what they could do. I remember reaching a wall of what I felt I could handle as a nurse in 2020. Then we busted right through that mother, to the point I recall in tears asking a coworker, “is this real life?!”

We were drowning, and no one cared! Our patients were dying, and no one cared! And now, things are getting better, causing some folks to say COVID-19 wasn’t a big deal. And no one seems to care!! Except me, my coworkers, and the families of the 3 million dead people. We seem to care. We seem to remember the past year wasn’t just a political ploy to oust Trump, reform gun control, or God-forbid, raise gas prices.

I don’t guess I have much more in me to say right now than that. It’s exhausting and it’s heartbreaking. Just when I think my heart is healing, callous words step on the broken pieces.

My husband told me earlier, “Brie, people just don’t know. They’re ignorant.”

To which I replied, “I wish I was too. I would rather be ignorant to the reality of a pandemic than have gone through what I did as a nurse in Covid Critical Care in 2020.”

So, if you see a nurse friend with a distant, haunted look while you discuss the government’s mishandling of the pandemic, try and understand why. It was so much more than you’ll ever know to those it touched personally. I do believe politicians play circumstances like a fiddle, and I know things were and are still mishandled in regards to COVID-19, but we have to be bigger than that. We, as human beings, have to rise above politics and the noise of this world to care compassionately about one another. If anything could return to normal after a pandemic, maybe it could be that.

I Will Never Forget the Trauma of COVID-19

by

Numbers have been declining, face mask mandates rescinded, and I try to be hopeful. I haven’t taken care of a COVID positive patient in two weeks! I want this to end more than you know. I want life to return to normal. I want my outgoing husband to go back to ministering to strangers in love, and I desire for my daughters to play with other children without concern or worry. It’s not fear, you see, that drives me, but rather things I saw and cannot forget.

A few months ago I received my first dose of the COVID vaccine. I felt hopeful. In all honesty, I cried happy tears. I wanted an end to this pandemic more than anyone could ever imagine. I posted a picture to Instagram of me smiling with my vaccination card. A stranger commented about my lack of faith, and my obvious succumbing to fear. That broke my heart.

This morning my husband and I talked about it on the front porch. Before children wake, with coffee in hand, we’re allowed these private conversations. I mentioned how I wanted to see him engage with neighbors more readily, like he used to do. You see, the past year has not just impacted me. It had also scarred my best friend, my spouse who heard my pain after a long day at the ICU bedside. He knew the truth of it.

As we spoke of hope, of how things seemed to be getting better, I was taken back to this past summer. June and July of 2020. I had been working in a major, metropolitan area of Central Florida, and we had been hit brutally by the pandemic.

I said to my husband, “I remember reaching that breaking point where I knew we couldn’t take much more. There were more patients than we could handle. Every shift another person died. A woman my age with young children like us died. Then that man with daughters the same age as ours. Followed by the death of a coworker’s spouse. I took care of him. I helped her put on the PPE right before he died. I remember thinking that could be me, losing you.”

He listened in that understanding way of his. Then I added, “I think a part of my depression at the worst of it had a lot to do with public perception. I would try to escape to social media to take my mind off what I was seeing at work, but I was met with people who made light of the very thing that was breaking me.”

I had to take a big step away from the world during all of this. I didn’t fear a virus, but I did fear the way my heart was feeling towards others who could not fathom what I was going through. Here I was crying into the phone with family who couldn’t hold their dying loved one, and the rest of the country was complaining about not having prom or how uncomfortable a thin piece of paper felt on their face for 20 minutes a day. I rubbed ointment of the reddened bridge of my nose, scarred by a respirator I wore for 13 hours a day, and I rubbed my bruised ego even harder.

It took months, and I mean months, for me to let go of the hurt and offense I felt at others negating my pain. I had to lay it all down and be grateful that they didn’t have to know the things I knew, see the things I had seen, or remember the trauma that could still pop up unexpected as I sat on my porch drinking coffee.

I have forgiven the offense, but I cannot forget the trauma I experienced. I know I’m not alone in this. I think of the wonderful, brave men and women, doctors, nurses, respiratory therapists, and other healthcare workers who served alongside me during the worst of it. We all had that hollow-eyed look, at the time, and I think even now are like a feral cat hesitantly approaching a bowl of food left in the garage. We want the good news. We want the numbers to go down, and a return to normalcy. Yet we can’t forget. The death, the hopelessness. We were supposed to save lives, yet there was a time where nothing we did worked. If you entered the COVID ICU, your chances of leaving it alive were slim to none. It’s not supposed to work like that.

I’m back on social media, and it’s about the same. It hasn’t changed, but I have. I realize I cannot change anyone’s mind. I cannot be a voice of reason or experience to anyone who doesn’t want to hear me. I let it go, as my daughter’s favorite princess would say. Opinions are still strong, and people like to voice them. People have their opinions on masks and vaccinations, and I won’t try to change that.

I would only say this. Don’t belittle what someone else decides to do, or God-forbid, question their belief system or faith. In 2020 there was this saying, “we’re all in this together.” While I could appreciate the sentiment, it just wasn’t true. We all experienced the COVID-19 pandemic, but exactly how it impacted us was very different. We were not together in the differing traumas we experienced. I didn’t suffer through financial hardship. I kept my job the entire time. Those who didn’t have money to pay their bills experienced a trauma I cannot relate to, but it’s also a reciprocal relationship. I saw things at the critical care bedside that the average person cannot fathom. That is why I try now to not be offended anymore. Others cannot understand my trauma, and I cannot understand theirs. I didn’t have family die. I suffered depression and anxiety, but not as much as I’m sure others did. I try to remind myself of that.

If someone continues to wear a mask when the mandate has been lifted, that’s their prerogative. If someone wants to wear their mask outdoors or in their car, with no other people in sight, that is their decision. You cannot know what they personally experienced the past year. Keep that in mind. If you’re totally against the COVID vaccine, I respect your personal decision, but I would encourage you to do the same. Every ICU nurse I worked with got the vaccination. Our work didn’t force us to do this. The trauma we experienced did. So, if I could offer any friendly advice as mandates and restrictions ease, it would be this. Don’t lessen someone else’s trauma simply because you didn’t experience it in the same way. Instead be grateful that you can have the perspective you do. Some of us, like myself, wish we could forget.

2020 Tried to Crush the Spirit of Nursing

by

“He what?!” I replied in shock.

“He died last night,” my nightshift coworker answered.

I didn’t tell him goodbye.

I didn’t say that last part out loud. I simply thought it to myself. I guess I couldn’t speak it out loud. It was as if I feared giving my feelings a verbal voice would cause the cool, professional demeanor we all strived to maintain to instead crumble in grief. I suppose that part is wrong, though. We didn’t strive to be aloof; we just had to remain disconnected in a sense to keep doing the job. Especially this year.

If any year could go down in history for trying to crush the spirit of nursing, it would be 2020, the year of COVID-19. As a critical care nurse I have watched too many people die this year. I mean, outcomes are often poor in the ICU, but this novel virus has taken things to a whole new level. There was a period of time this year where I watched at least one patient die per my shift, and many times more. One patient doesn’t seem like a lot, until you add them together, day after day, month after month, shuffling in for another crazy shift, praying that a success story would emerge.

A story. You see, it wasn’t just a room number or patient vacating a bed. It was a story, a beautiful life story, a real person, with family, friends, and a purpose in this world. As a bedside nurse you learned these people’s stories. You spoke to crying wives on the phone, you watched hysterical daughters try not to fall apart as they waved through the glass window to their mom who didn’t know they were there.

You said things like, “he seemed like he was doing better yesterday…”

Or you lamented, “I feel so bad for her three, young children at home.”

Sometimes we shared the stories. They were just too heartbreaking to keep inside. We didn’t mention things like names, but rather the way the father of four had made us appreciate life. I had told my husband about this most recent life story.

“Can you imagine,” I asked my husband, “being stuck in a glass box for over three weeks, not seeing your family, just strangers in masks who come in every once and a while? Can you imagine not being able to breathe good enough to even take a bite of food? I feel so bad for him!”

I had not taken care of him the day/night he died. They had given me another assignment. All day I had considered going into his room to say hello. I kept meaning to go in and try and brighten his day, but the hours had passed without me doing it. Whether it was the busyness of my own assignment, or the fact of all the personal protective equipment I had to put on to enter his room, I had missed the opportunity to say hello, or even goodbye. I knew he was doing bad, but I was hopeful he’d make it. I was always hopeful.

“I wish I could hug your neck.”

That’s what he had said, in between labored breaths and the roar of the sealed mask pushing air into his stubborn lungs. I had sang to him. He frigging loved it. He said I made his day. I had come in frequently, even though the gowning up was a chore, and we weren’t supposed to overly expose ourselves. Lord, I had even gotten down in his face, through his sputtering coughing, trying to hear what he spoke in his weak, short of breath conversations. I remember simply praying for God to keep the seal of my own mask tight. That man needed someone to know they cared, to give him a quick sip of water before he frantically asked to put the oxygen mask back on. And it made me feel good when I scratched his back and he said, “you’re the best!”

That’s what I thought of when I found out he didn’t win his battle with COVID-19. His story. And his personal story stacked on top of all the other stories from this year. The woman my age, who also had three daughters. Or the guy who couldn’t speak English and looked scared to death as we tried to explain emergent intubation without an interpreter present. I thought of all the weeping families, and I also thought of the gratitude they had bestowed our way even in the midst of their own grief.

I think about those sad stories, too many lost for a single year, and I try not to think about the coming months, the tragedy they could bring. I cling to things like memories of where I helped ease pain, prayed with a spouse over the phone, or the hope that this virus is getting weaker. I think of Queen Esther in the Old Testament, and how her uncle surmised amidst danger and possible death, “perhaps you were made for such a time as this.”

Maybe that is why we do what we do. Perhaps we were made for such a time as this. I’m pretty tired of unprecedented happenings this year, but I would encourage all my nursing peers with this thought. If not us, then who? Who would care for the hurting and dying? Who would scratch backs, offer a cool drink, or sing a joyful song in the middle of a trying situation?

2020 has tried to crush the spirit of nursing, but we’re pretty good at fighting back. Just know, I grieve with you. I recall life stories cut short with you. I link gloved hands, across the world, and I lift you all up in my prayers. We will beat this.

It’s Ok to Be Sad

by

I came across a beautiful word today that I felt needed to be spoken out loud.

Parakaleo.

Rolls off your tongue, right? Lol. It’s a lovely Greek word, meaning comfort, but breaking it down really got me going. It also means to call alongside. It’s actually formed by two root words. Para, which means beside or near, and kaleo, which is to call by name. When I read these definitions I immediately thought of my middle child.

Yesterday morning my eight year old daughter got upset. She had planned to spend the night at her grandma’s. She had packed a bag and made a plan in her mind. See, the night before she had gone to MeeMo’s, but when bedtime came she missed her mommy and daddy. Of course, I had gone immediately to pick her up and bring her back home. The following morning she felt remorse for her premature departure from the sleepover, and to solve her feelings of failure at being a big girl, she had planned a do-over. When I dropped the bomb that a second slumber party wasn’t in the agenda, she took it hard.

I wanted to be frustrated over her tears. I tried offering consolation that another opportunity would arise. I tried to tell her she had nothing to prove. I tried to explain my reasoning for saying “no,” but nothing was working. Finally it hit me.

“Come here,” I said, and then I took her into my lap.

I let her cry. She had made a plan, grown excited for it, and then felt the disappointment over it not working out. She needed to feel that disappointment, spill her tears, and receive comfort. Don’t we all?!

The reason this incident with my child came to mind when the word parakaleo left my lips is because of the wonderful parallel we can find in our walk through life. So often we experience times of grief, sorrow, disappointment, and plenty of situations that don’t work out. In those times we can almost feel guilt over our feelings, especially when others aren’t understanding, or become frustrated with us, expecting us to move on quickly. Yet in actuality we simply need the time to let out our feelings, grieve, cry, scream, and most importantly, be held.

Thankfully we have a Heavenly Father who calls us by name. He beckons us to His lap, to weep as long as we need. He is always near, beside us through every heartache, and endlessly understanding of our grief and discontent. Unlike me as a parent, our Heavenly Father doesn’t grow frustrated over our emotional outbursts, no matter how irrational they may seem. So whatever may be causing you sadness today, understand that your Poppa is always near, ready to hold you close, and wipe your tears. When you feel guilty for your sadness, think of my little girl, and remember that God sees you the same. He knows when we need to cry.