Seeing the world through the Nurse's Eye

Category: Life in England (Page 1 of 2)

Saying Goodbye to England

The last few months have been tough. The three of us have been juggling an array of emotions as we prepare our journey back home. The liberty of a leisure Sunday stroll into town has now been swapped with packing.  We are slowly finding new homes for the items we have accumulated the last three years.  Moving here had its own struggles, leaving is proving to be the same but for different reasons.

I am learning to take in the moments of happiness, even amid grief. I find myself in a peculiar situation in which I am joyfully immersed in our quaint English life, but it is stained with the knowledge it will soon be only memories. What was supposed to be a two-year jaunt to be able to travel more easily has evolved to a period in our lives that has changed how we see what is important in our everyday life.

Winchester Cathedral

The day I found myself embedded in English society was about two years after our arrival. I was sitting in Winchester Cathedral not visiting but attending the graduation of a good friend, an adoptive daughter of a sort, along with her parents. I realized then, that I was no longer viewing the culture from the outside but living within it. One of the keynote speakers shared the history of the huge west window. The vibrant stain glass window that welcomes you as you walk up to the cathedral. It lacks the traditional biblical scenes from the period and instead has a mosaic pattern that glows brightly on a sunny day.

In the 1600s during the English Civil War Winchester was the capital of England. The Cathedral represented King Charles I, and he believed he ruled by divine right, giving him the authority to raise taxes as he wished. Parliament protested and in 1642 they destroyed the majority of the cathedral including throwing rocks through the primary west glassed window. After the soldiers left the townspeople came around and picked up as much of the glass as they could and stored it in boxes under their beds in hope that when things improved the windows could be rebuilt.

A lifetime later in 1658 the Winchester community brought out their boxes of glass to see if they could put the West Window’s biblical scene back together. It proved an impossible task. Instead, they gathered all the bits of broken glass and made a mosaic, resulting in what exists now, a glorious window.

Community

For me the window represents the endurance of the community, and with it came together a beautiful window. The sense of community is something we have witnessed whilst living here, especially during the pandemic. Being part of this community has been a gift. We first felt it when we joined our street (the Honeysuckle’s) WhatsApp group. A group of people that make you welcome signs when you have been gone for more than a week or that bring in our rubbish (garbage) bins without a request.  And then we saw another layer of community when we became assistance leaders of Alvin’s cub pack, the Scouting community.  And of course, my work family, hard-working diligent carers from near and far. Now, when we walk into town, we always run into someone from our community. This only after three years of living here.

And now we find ourselves saying goodbye to this English community. I have never embraced a placed like I have England. Maybe that is why it is hard to leave. Always a nomad at heart, I’ve always felt most comfortable on the move yet here, within these communities, I found a home.

Life in England

As you walked into our home you could tell our life here was temporary, a mismatch of free furniture. We thought two years living overseas was going to be enough but when the two-year anniversary arrived, it felt like a blink. Therefore, we decided to let Alvin finish primary school here adding another two years to our original plan. But the universe had other plans.

Last Christmas we celebrated with friends who happen to be another expat family. Both of us without family around we joined together. But it highlighted our physical separation from our loved ones. The only comfort was knowing the following Christmas would be our last in England. It was going to be the start of many lasts, last Guy Fawkes celebration, last Hat Festival, last neighbourhood street party.

Spring

However, as spring arrived family was calling. First it was minor incidents, a bike accident with one of the older boys and personal frustration not being home to help heal his wounds. My mother and stepfather requiring additional medical needs and not being close enough to talk to the doctors in real time.

And then this April, the unexpected passing of my brother-in-law, one of the most gentle, kind souls I have known. He was young in my eyes, only a few years older than Gary. He had a heart attack, very unexpectedly, and was taken too soon from our family. Grief overtook us. The reality he would not have any more lasts. He had an appointment scheduled the week after he died to get his passport renewed. So he could visit us. His time with us over. That stark reality made us realize that our love for England is outweighed by our love for our family. We want our lasts to be around family.

Dave, Gary, and Alvin 2018

We are still grieving; it comes in waves. Grief for my brother-in-law. Gary’s last surviving brother. Grief for leaving a country we have fallen in love with. We now will not have our planned lasts like we had imagined. But it is a reminder to cherish every moment, you never know when it will be your last.

Preparing to Leave

We have two weeks left in England and are cherishing the moments. Our bucket list of places to see was cut short but not due to time, but because we have enjoyed being home. Being in Winchester, taking long walks on the South Downs Way. Or day trips to obscure pubs. We are sneaking in weekend trips to the Jurassic Coast. But it is also the small treasures, the sunrise peeking in through the bathroom window. The difficulty distinguishing my chirping alarm from the birds outside. Our weekend walks along the clear water of the Itchen River. Or the pink sunsets on Whiteshute ridge.

A temporary move has left a permanent imprint. I did not know life could feel so safe and secure. No gun violence, no lockdown drills or fears as I go on jogs at 9pm. Giving Alvin the liberty to walk to the park on his own without concern. Even knowing that Gary’s medications are all covered on the NHS. I will not only miss the beauty of England but also the security it has provided. Minor stresses that have been relieved, I only hope to carry that calmness back to the US.

Lessons Learned/Learnt

I have learnt not only about a different health care system (a dedicated post coming soon) but also life as a foreigner. I have learnt to not ask “where are you from” but “tell me about your accent.” People often ask us where we are from. We understand what they want to know, but we are currently from Winchester. We now can empathize with the pain of arriving to a country with a solid job but still no credit history.  And hence not being able to get a cell phone contract or a credit card.

I am also keenly aware of the privilege that comes with being an American citizen. My peers of international nurses cannot pick up and travel the manner our family has done. They must apply and wait to get a Schengen Visa which allows them to visit the European Union. Even UK citizens must apply for a visa to come to the USA, which requires sending in your passport. Yet here we are exploring as much of EU as time and money will allow without a worry whether we are allowed in the country. The liberty associated with being an American citizen is one I do not ever take for granted.

Saying Goodbye

We are leaving our beloved second home. We are exchanging walks in the moors for sitting at the edge of the Pudget Sound, taking in the saltwater breeze. Or afternoons in the pub with friends, for neighbours who whistle as they walk through our front door. We leave behind weekend trips to Malta but soon enough will have spontaneous family dinners, and the liberty to return when our hearts desire.

When we arrived the world was shattered, the peak of the pandemic. But as I looked up at the west window of the cathedral last fall, I realized no matter how shattered things seem, like the window, it can be put back together. We feel shattered as well but are healing with the little treasures England has taught us. The value of a good long walk. The therapeutic power of a cuppa (cup of tea). The value of living with less in a smaller house. The slower calmer way of life. We are taking all these little bits back home.  Even as we say goodbye, with sadness, we are being put back together by community. The community of neighbours, of nurses, of Scouts, of expats all which have changed us. Thank you, England.

Life is Never a Straight Line

Like walking down an unsteady path and having to curl your toes to steady yourself, the last six months have been a bit turbulent. Some may call it a midlife crisis, but I kind of went through that when I packaged up my family and moved to England. This period has been more of a career reevaluation. A turbulent one, but one in which I think I have come out ahead. Time will only tell. As any emergency room nurse in recent times will tell you, we are overworked and our light has been dimmed. Many of us have left the field. I did too, going into the field of anesthetics, then doing another a bit of a U turn.

But first,

Before I share that tale with you, I would like to share a conversation I had with a trusted friend years ago that is still fresh on my mind. I was talking with her on my commute home. Catching up after a tough day in the emergency department (ED), venting to her about not getting my break until 8 hours into my shift. It had been an especially grueling day. And now I had a scratchy throat and felt like I was getting ill. She said to me point blank, “Well maybe you love your job, but it doesn’t love you back.”

She was referring to the fact my job was not conducive to self-care. Regularly, I went six-plus hours without a meal and held my pee for ages, always putting my patients needs ahead of my own. By the end of most shifts, I was hangry, on the verge of a urinary tract infection, and exhausted. Talking to her, I got defensive. Didn’t she understand that I put my needs aside to care for others? To be there for them at the most vulnerable point. Didn’t she know how altruistic I was? Didn’t she get what it was to have a career, not a job, one that you’re passionate about, that you put your entire soul into. Why didn’t she see it?

 Maybe, I couldn’t see how much of myself, both physically and emotionally, I was giving, and how it was breaking me. And she did see it.

During COVID being an ED nurse also ment having marks on your face from the FFP3 masks

Fast forward, ten years later

I am living in England, working in a smaller community hospital and thanks to better management, I do get my breaks. The work is still hard. I am on my feet for hours. My system is still on high alert waiting for the next emergency. And as research has shown, persistent surges of adrenaline is damaging on blood vessels and puts you at an elevated risk of heart attacks or stroke.  Not to mention the toll of the night rotation every other week that is hard on this old mother hen. Even though it is rewarding being an emergency room nurse it comes at a cost, the cost of my own health.

I decided that I was ready for a new challenge, a career change, and it led me to anaesthetic nursing. It is a different field here than back home in the USA. In England, you are the assistant to the anesthesiologist, his helping hands, versus an independent practitioner like in the USA. (My next post will be about the lessons learned whilst an anesthetic nurse.)

In my new role as an anaesthetic nurse

A new way of life

The change in field also altered my hours and my way of working. I could be home for dinner most nights and on weekends. I not only had my lunch breaks, but additional tea breaks as well. It was easier on my body, and no more adrenaline surges. Then, as I settled into this new area of nursing, walking the sterile halls of theatres (operating rooms), I learned that the clinical educator in the emergency department was leaving.

Before leaving the emergency department, having been so recently in their shoes, I had taken on teaching and giving guidance to junior nurses and recently-arrived international nurses.  I found myself falling asleep at night thinking about how to describe a second-degree heart block to one of the newbies. The language of medicine lives with in me.I realized I get a thrill being able to share that language with others. Thus, the U-turn: I took a chance and applied for the position.

A Chance

I was short listed and granted an interview, my first ever management interview. That is the moment I started leading a double life. By day I worked as a new anesthetic nurse, and by night, I prepared for the interview. It consisted of creating and giving a presentation on the topic of “linking clinical education to recruitment and retention.” Two weeks later, days before the interview. I found myself walking the English coastline, practicing my presentation, titled: “Empowerment Through Knowledge: A Culture of Education”.

the coastline I walked as I recited my presentation

The day arrived, my heart was racing, my breathing exercises did little to relieve the dripping sweat from my armpits, but I felt I did well. The interviewing team, unable to decide that day, requested a day to think about it, uncommon in England. Over the following twenty-four hours, I realize the immensity of what I had just signed up for. If I got it, it was going to be a challenging position, and a difficult one to leave behind at work, as any schoolteacher well knows. Was I again choosing a job that I loved too much?

The Quandary

In the middle of the night following the interview, sitting in an empty staff breakroom waiting for an emergency worthy of an operation. I put down the book A Promised Land by Barack Obama and let my mind wander. Thinking about a possible future as the clinical educator for the department I heard the echo of Obamas words: the importance of inspiring others, is a worthy cause. Was it my fortune to guide other nurses on their journey. Or was I about to take a position that would consume me? I live and breathe the nuances of being a nurse, but can I leave it at work? Will this impede the precious moments I have left in son’s childhood?

As I crawled into morning, I was still unsure of which future I wanted. Truth be told, at this point in time, it was out my hands. But those 24 hours gave me the opportunity to reflect on the decision I was making, and the life I was choosing. Was it time I choose something for my whole self, not just for part of me.

The day before this, my wise husband asked, “will you ever be happy?” It made me chuckle and think, when will I be satisfied? Back in the States, I had strived to be a critical care transport nurse, then a pediatric emergency nurse, then the move to England, and into the operating theatre, and now clinical educator. What am I looking for? What is it I was striving for? I needed to remind myself to stop, and soak in the moment after a goal has been reached, instead of looking for the next goal.

I did not get the job.

A sense of relief laced with disappointment seeped in. I heard the universe telling me to focus on life in England, on home, my family, so I jumped fully into anesthetic nursing, no longer having to lead a double life.

The role expanded my perspective as a nurse, but it removed some of my best skills, IV starts (cannulation) for example, or thinking on my feet during an unexpected critical situation. But I had the space to let my mind wander, and the time and energy to learn new things. I found myself being thrilled during the first hours of an operations, but then I would just get on my phone and let time slip through my fingers. I became very good at Wordle and discovered Quordle.

With spring in full bloom, we headed on holiday. While soaking in the sun on the Costa del Sol, I got a call from Mobile Medics International, an NGO, to go to Romania and help with the refugee crisis stemming from the war in Ukraine. Still in training for anesthetics, I easily slipped out for a week and went to help.

On one of the days there, walking the streets of Galați, looking up at the tall cement buildings and the blue sky, my phone buzz. I had an email. It was from a fellow ED nurse at Winchester, letting me know the clinical educator assistant job (a part time, fifteen hours a week) had been posted. There I was in another country, helping to treat minor ailments, but using my skills. And teaching the local volunteers first aid as they prepared to go into Ukraine. Was the universe giving me a nudge? I put aside my fears of rejection and as soon as I got back, applied. And I got the job.

Teaching first aid in Galați Romania

Facing the Fear

So, after five months of anesthetics training me, with only weeks to go until I was practicing on my own as an anesthetic nurse, that I put in my notice.  The conversation with my manager was one that caused a tight knot in the pit of my stomach. I knew I was jumping back into the madness of the emergency department, working there part of the time, and the rest as the clinical educator. Was it the right choice?

That day, as I cycled away from the hospital, there was a group of monks chanting, a calming hum overtaking the traffic noise. It felt right. I was taking a risk in the right direction.

Learning to care for myself amidst chaos

So, I was back in the craziness of the emergency department. I felt a flutter in my chest but one of joy. A comfort to be back in a familiar environment. A feeling that any ED nurse knows after they have left the ED only to be drawn back. My first day back in the ED I was thrown right into the trenches working in one the busiest areas.  The pressures could have easily overwhelmed me, but I kept telling myself to breath. And my focus for the day was to keep everyone alive. I might not complete the hourly observations/vital signs right on time, but I would provide level of care that goes beyond the numbers.  

These two positions gave me balance. The two twelve-hour shifts as a staff nurse giving me an accurate pulse of the department. Then the two eight-hour shifts as the assistant to the clinical educator where I could I provide hands-on teaching and create education material for the department.

Teaching in the Emergency Department

The Unexpected

Then the day came when the clinical educator and emergency department matron (director) pulled me into their office. The matron was going on maternity leave for a year, (the standard in the UK) and her position was being filled by the clinical educator which left a vacancy. One they asked if I would fill.

My current balance suited me, even though I rushed around to provide the education I wanted in the  15-hour weekly limit. I was not sure how I would handle teaching full time. Should I take another chance?? My mind replayed all the chances I had already taken, from going to the visa department when the country was shut down to moving to England. The hard part was done.This was another chance that had to be taken. The new goal was not to lose myself in the chaos of my work.

I applied, I interviewed, and I got the job.

How do we learn to give it our all without losing ourselves?

There are a couple components to the question. First, to remember to care for yourself, otherwise you will not have the energy to care for other. Second, learning to be uncomfortable. Whether it be caring for patients or working with colleagues, we need to empathize and be uncomfortable with them, without losing ourselves. As Brene Brown famously states: to be able to connect with other we first must be brave enough to get in touch with our emotion. I also like to remember that a moment of uneasiness for us, it just that a moment. A moment for us to connect, but for the other person it is a permanent mark. So, by learning about ourselves, our emotions, we can hold on tighter and not lose ourselves.

A fellow nurse once told me a story of an elder woman whose husband had just passed. She was a young nurse then, and it had hit her hard. She was crying. The woman told her “Darling it was my husband, it is my loss. You have your job to do. It is not your grief to carry.”

Back to the beginning.

I started the year looking for a change in my career, something that brought more balance to my life, and in a roundabout way, it found me.

I am breaking in this new position, learning to be uncomfortable with unfamiliar tasks and duties. Advocating for staff to be given time off to attend courses in a department that has no funding. And in my spare time I am learning about male catheterization the English way so I can teach it to the department.

All with an effort to leave it behind at work and not bring it home. I have been pulled into nursing again, and pulled away from writing.

I am about to turn forty-two, and a goal in life, a purpose, it is to leave something behind beyond myself. To cause a ripple that surpasses my existence. Education fulfills that purpose. I am still figuring out the nuances of my teaching style but now it is a full-time job versus two shifts a week. I am learning as much as I am teaching, growing humbling.

Straight lines in life do not allow you to see things from different angles. I do not know what this year will bring, but I am learning to care for myself a bit better, challenging myself in a new role, and learning to let go of work on my ride home each evening.

A year later…

From youngest to oldest, personal reflections on our first year living in England

Alvin-

Alvin exploring Cuckmere Haven

Written in his own words, edited ever so slightly for ease of reading

Our street, Honeysuckle, has a bunch of children even children all the way down the street like Tommy, Riley, Ed, Kiara…Usually we play hide n’ seek. But now we play home. Home is where we have a home and we live in it, I am the dad and Rebekah is the mom and we have powers. The children are Harriette and George. I always have electric powers and George always has nature power. With the powers I can make fire and George can turn into different animals so if he was a cat he can track down bad guys, it is fun! Another big difference is that they are more children here.

a small portion of kids that gather daily to play
Honeysuckle Close early in the morning

And there are more foot paths; it is like walking is our driving. Walking has made my legs feel stronger.

The food is also more protective (less sugar). There are also more shops that sell different types of foods. My favorite is a little coffee shop that sells cakes; it is only like a mile away.

In the last year I have learned that you can’t us kids messenger (Facebook kids’ messenger) because they (England) are more protected. And schooling is better because you are learning longer words like breathe, tumultuous, or magnificent.  They teach us French, but I don’t know French totally yet.

Mrs. Jones is a really cool teacher. She is a teacher at Stanmore Primary, she teaches Birch class. Mrs. Jones ALWAYS makes learning fun. Like one time someone was not looking at her and she went up to them and made a funny face and said “lally lally lally.”

In England I feel more respected, I have more friends, and there are more people that see me.

Alvin’s key points he wanted to include in his piece

Tamara

England has grabbed me and shaken me to the core. But I had it coming, I did move here in the middle of a pandemic, pre vaccine. A year later and life here has changed me.

1/3 Just Pain Hard

The first third of the year was hard. Climbing the peak of the pandemic and dealing with the lows of lockdown. I had to learn to work through the stress. I imagine it as a tunnel to walk through, one step at a time, day by day and not a place to reside. We, Gary, Alvin and I, found solace in our adventure walks. Shops, restaurants, library everything was closed, so we walked. We discovered new paths admiring the old buildings along the way and took in the many rolling hills. With everything closed the neighbors opened their doors and kids came out play.

2/3 A Loosening Grip

The second third of the year the grip of the pandemic loosened. We got our vaccine. Shops opened and I thought hard about which errands were actually necessary versus manufactured to make my life busy. Do we really need a container for all the dog treats or is the box they have been in for the last six months good enough? Productivity=Purpose, right? Is this a revelation or midlife crisis? Or post pandemic life crisis? I started to really look at how I used to fill my days and how I will now, with a clean slate, use my time. I am more aware of where my day goes and slowly I have started to see the greater value of a long walk versus finding that perfect dog treat container. Or sitting in the middle of field just with my thoughts. Slowly I am learning these pleasures and having them be guilt free.

3/3 A New Normal

The final third of the year has evolved into a new normal. We are traveling and exploring as we had planned pre pandemic but with a new twist since they require a pre departure COVID test. With the ability to explore new places at my fingertips I realized I do not want to drink (alcohol). I turn away what use to be a regular beer. I want to be there for it all, I want to be more attuned with my life.  And a drink now is more of a setback since it will results in haziness the following day. Like I discovered during the second third of the year, time is precious and how we spend it is not something to be overlooked.  In my new world alcohol takes away from the ability to take in everything around me. Don’t get me wrong, I will not turn down a coworker’s invite to the pub, but I will make sure to just to have one because tomorrow I want to be able to run out the front door and take in a new adventures.

A year later…

A year later and I am slowly getting used to being happy and stress-free? England is that guy you cannot fall in love with because you know it will never work out, you have different plans for the future. But you just can’t help yourself, every time you look in a different direction he surprises you with yet another spectacular view or a hidden treasure. I smiled as I road into work the other day and a little orange chested robin brush against my helmet, as if to say hello.  Or the pop up Malaysian restaurant hidden within the walls of the Mucky Duck Pub.

I am not the same and I will never be. England has changed me. I have learned to sit in the front yard, watch the kids play, talk to the neighbors and to know that is enough. Those are the real treasures.

Gary

“What have you learned (learnt) in England over the past year?” This was the question posed to me after being here for 10 months. At first I thought ‘she must be working in metric years.’  But on further thought our adventure in England started quite a while before we landed here.

As we sat on our deck in Tacoma Washington last summer, the world in the grip of a deadly virus that still had no vaccine, my passport seemingly lost in a shutdown renewal system, Tamara with work visa in hand but all offices closed that could process mine and Alvin’s, we posed a question to each other: “is it the right time to move to England?”  It was a short discussion. More or less confirming out loud what we knew in our hearts.  We could wait out Covid just as well in England as we could in the U.S..

Keep in mind MANY of these “things I have learnt” are actually things I am learning or still fighting to accept. So don’t hold me hard and fast to lessons learnt.

Lesson One

Lesson One: My wife’s “crazy ideas” are not always all that crazy. Example? “I heard there is a visa office that has opened in the Columbia Center in Seattle. They have no phone, or any way to make an appointment online at this time. Tomorrow we are going up to Seattle and trying to get your and Alvin’s visas.”  (Seattle,: 725,000 people. Columbia Center: 76 stories, 1,500,000 sq ft) Long story short, it worked out, only because we went on that day, at that time.

On arrival in England, I have learnt to say learnt, instead of learned. There are a slew of other words that are either new to me or pronounced differently. You walk on the pavement, not the sidewalk. Aluminum is far to easy to pronounce, so let’s say aluMINium. Washing up liquid, not dish soap.The list goes on. You have to live it. It’s lovely.

Walking: People do walk here. If I’m walking the half mile to the grocery or mile and a half into town, I am not the only one. If it’s raining, you grab your brellie and your Wellies. (Umbrella and boots)

Lesson Two: Less is more

The house we are renting is about 45% the size of the one back home. The yard is half the size, at best. Despite needing updating and remodeling, the area is just fine. Our salaries have been cut in half and we only recently realized it. We are VERY comfortable.

Retirement

Retirement is a bit different than I thought. Not being a planner, I just figured I would take it as it came, when it came. I married a planner though. England is a perfect segue to the rest of my life. It has opened my eyes to a whole world of possibilities. I can move to another country and still be home.

I keep busy with house work, walking to the store and town and doing things within reason to the house we rent since the separated owners seem to argue over which of them should do it. So, I’ve learnt that after owning homes for so many years, it is not in my nature to rent.

Lesson 3: Holidays

Eggnog is not a thing here. Not a single carton at the local grocery during the holidays. I got an idea…’Starbucks has egg nog lattes. I’ll see if I can get some there.’ No. They have a local dairy that makes batches special for them and they do not sell them. I also made hot butter rum batter last year. It was new to everybody I introduced it to. Thanksgiving? Nope! Want fireworks? Forget about Fourth of July, try Guy Fawkes Day.

Fireworks from Whiteshute Ridge 2020 for Guy Fawkes Day

But the true lesson…

But the biggest thing I learnt was that 4,500 miles away from where I spent the first 61 years of my life, I had a community full of incredible friends waiting for me to find them. As my brother Dave said, “it’s like you went off to college.”

Giving ourselves space to heal

The day Governor Inslee closed down the schools in Washington State was the last normal day I can recall. I was holding Alvin’s jacket as he was playing at the school playground. I wanted to leave, get home and start planning a solution to the crisis. I wanted to gain control to this unknown. I had to remind myself that I did not know the next time he would be allowed to play at the school playground.  So I started talking with a fellow parent. He was a fellow first line worker, a grocery clerk. He worked at night and slept during the day. He did not know what his days were going to look like now that the children were going to be doing remote learning, nor did I. That was the last normal day I can recall. I did not wear a mask or own one, I did not socially distanced.

On March 11, 2020 COVID was declared a pandemic. Alvin had stopped attending in person school and our society was seeped with fear.  As we cross over the one year mark, my body and mind are slowly decompressing all the emotions of the past year and yet they seem to be flooding back in all at once. I wonder how we are all doing. As the restrictions lighten up and the grips of confinement are loosened, how is our body releasing the emotions?

Recovery

After working 2-3 days, it takes another 3-4 days of being off before I feel like myself again. I am withered the first day off but eager to be outside in the fresh air. And allow my face to recover from wearing a mask twelve hours a day. The second day I attempt to blend into the family by cooking or helping with school work, but by mid-day, I need I nap. The third day, I finally wake up feeling rested, normal. I can exercise and be present with my family. The following day, back at work, the cycle starts all over again.

The last year has been rough, but the last two weeks have been really rough. The number of COVID cases at the hospital have dropped from 250 to 50 in less than a month. Things are getting better, the sun is out and Alvin started school this week. So why am I not getting better? Why am still drained, done, wiped out?

Survival

To survive I have distracted myself from the emotions. I am reminded of the peak of my postpartum depression in which I filled the days with task after task. Wake up, climb out of bed, shower, eat, dishes, nurse, play, laundry, bedtime, all detached. The days are carbon copies of each other. Every day I would move along, taking small steps until one day I started feeling again theses emotions that too many of us are now feeling. These emotions that are rising up, now that we can see the spark of light at the end of the tunnel. Happiness and relief are not waves crashing in, sweeping away the fear that has laid root in our communities, but rather a gentle knock at the door. A friend we are once again letting in.

We all have different stories from the last year and how it has affected us. We have different ways we have coped. For a couple of weeks, I went on a massive shopping sprees, only to return everything later. I needed to control something so I shopped.

What am I feeling…

But what are the feelings? Last week I started listing the emotions: lost, worried, guarded, hurting, scared, anxious, tired, overwhelmed (boiling over), drained, bored, disconnected, weeping, tense. After I had the list in hand, I sat with each one feeling it, pulling it from its roots. I cried, worried I would not be able to stop. With Alvin in the next room, I gathered myself and stopped, only to continue while I showered.  I grieved.

The year has been a loss, a literal one for many.  The loss of a family member, a job, a business, or the life we had planned. Without grief, we cannot mend and move forward. We need to give ourselves the space to grieve even though we have beauty lighting the way.  The angst of letting go of what you had hoped it would be and grabbing on to what is. Don’t get me wrong, I am still working on it every day.  Some days I am still decompressing from the emotions of being a frontline worker, but other days, I have the whole day in front of me with a lack of purpose. A replica of the day before, a decent life, so should I be grieving at all?

We actively state our gratitude nightly before dinner. Gary and I constantly remark that we could be in lockdown back home or in England, so why not have it in England? As Gary wisely says, we have made friend that have always been there, but we just didn’t know it until we moved. But now the emotions of moving during a pandemic are still fresh, and now the loneliness of being strangers in a new community are what I live with.

Reaching out, not alone

As we surpass the year mark, I am slowly learning to sit with these feelings. Feelings I have summed up as grief. If you look at the cycle of grief, you can say I am at the bargaining stage. I am reaching out to others, andI am very okay with it because it means that I, that we, are moving forward in the cycle, one tiny step at a time. And we are not alone.

The days will have purpose soon enough, and our “dream” life will not be in lockdown. But we still grieve for our previous life, and the people we miss back home, because without grief, we can’t embrace what is yet to come.  

Our silence about our grief serves no one. We can’t heal if we can’t grieve; we can’t forgive if we can’t grieve. We run from grief because loss scares us, yet our hearts reach toward grief because the broken parts want to mend

Brene Brown

As the NYT opinion video “Inside a Covid I.C.U., Through a Nurse’s Eye” ended I was hanging on to her final words.  I was looking for wisdom, hope, faith all the things I have been lacking. But the only thing she said was a simple thank you.  I wanted to reach through the screen and tell her, I feel yeah too. The trauma of the loss is still too near to articulate all that has been endured. So we just have to stick together, acknowledge each other’s grief, and say thank you for being there.

Why England?

Jumping Out

I clearly remember the day I first read those words. I was twenty three, in Kolkata sitting in a WiFi café, hiding from the heat, catching up on emails. Then my father’s email appeared with a simple remark “glad you jumped out of you fishbowl.”  I looked at it over and over again and then it hit me. I was out of my fishbowl. I looked around the café filled with many faces, a plethora of tones. My glance drifted onto the street where cows mingled with cars and an elegant woman’s sari lifted the dust off the ground. I strive for the uncomfortableness of swimming in new waters and that is the drive for our adventures.  

Since that moment I have continued to jump out of my fishbowl and now pull along with me Gary and Alvin. So why did we choose to jump out of the safety and comfort of our home? During a pandemic no less? Why England?

the sun room back home, our comfort
the place we gathered for morning coffee and long conversations with friend

 Questions frequently asked by friends and strangers alike. I often answered with a nonchalant “why not?” I attempt to wipe the smugness off my reply and explain further that it fits my motto in life. “You only live once, but if you do it right, once is enough”-Mae West.  So why not live in another country, experiencing a similar yet different way of living and talking?

Nurses at work are especially intrigue as to why I left the higher wages, more autonomy, and a bigger home. And specifically how I arrived in Winchester.

Choosing England

After a year of research we chose England as our new home base. It was not our first choice. With Gary’s retirement in sight we looked at many options to fulfill our/my dream to live overseas. We considered military bases, embassies, contract positions and several locations. The main goal was to find a location that I could continue to work as a nurse.  As many of you know, I am Gary’s retirement plan (just joking). After narrowing it down in order of preference (New Zealand, England, and Australia) and after additional research we decided against New Zealand for one reason, our family back home. One emergency back home would deplete our savings. A last minute flight out of New Zealand is a pretty penny. England, next in line, ticked off many of the boxes and some we did not know existed.

Winchester chose us. The international nurse agency I worked with provided us three choices of cities to work/live in: London, Cambridge or Winchester. The agency, based out of London, guided me on my nurse application process, helped me prepare for my exams and assisted in finding me a job. Winchester was the most affordable; therefore it was our only realistic choice. A blessing in disguise since it is a marvelous city. 

The spring of 2019 we came to England and Winchester for the first time. As I mention to Gary, it felt like an episode of Twilight Zone. People were so kind and welcoming it felt awkward. We were not used to it but there was calmness in society. One of the main reasons I was motivated to move, even in the middle of a pandemic.

Winchester Cathedral

The stressors that have been lifted

Image being five years old in school in the middle of learning your letters, then stopped for a drill in which you must be silent and hide in the corner of the a dark classroom to protect yourself from a possible intruder. After staying as still as possible to protect your life, you then go back to learning your letters. For Alvin and many children this is part of their kindergarten education. Lockdown/active shooter drills are done at least quarterly along with fire and earthquake drills. Alvin was not prepared for this drill. Gary and I naively thought we would get some sort of notice letting us know prior to the first drill.  I laugh now thinking of about it. The drills have been around for over 15 years. The first drill affected Alvin hard, requiring us to go to the school and console him. In a recent study it showed active shooter drills increase depression, stress, anxiety for months.

Children from a young age in the USA are taught about fear and anxiety in a place that should be a safe haven. As a student from Marjory Stoneman High School stated, it was not a case of IF but WHEN it would happen next.

Lockdown, Lockdown. Lock the door.

Shut the lights off, Say no more.

Go behind the desk and hide.

Wait unit it;s safe inside.

Lockdown, Lockdown, it’s all done.

Now it’s time to have some fun!

Seen on a poster at Arthur D. Healey School, Somerville, Massachusetts. Sung to the tune of “Twinkle, Twinkle, Little Star

The true cost of Healthcare

The other layer that has been washed away is the cost of healthcare. In the United States we were one of the few fortunate enough to have incredible health care coverage through work but this is not just about us. Our family and people around us are affected by the high cost of health care coverage. How many people in the USA hold on to a job just because of the health care coverage? People here do not keep a job because they require coverage for their son’s asthma; they keep the job because it suits them.  An unforeseen illness or accident does not drain the family savings account.  In the USA few have the liberty to follow a dream job partly because you must first look at the health coverage it provides for your family. 

People here have an ease to them. I believe it has to do with their ability to choose a job that they want or love. Lorraine, a Canadian nurse I work with in Washington, once told me when you allow the artist to be artist, society smiles back at you. Having a “free health” care system, one which you pay into with taxes, allows people grow into who they are meant to be. I do know the argument “why should I pay the taxes for other people to stay home and not work” or be that artist. In my humble opinion, it is because health care is a human right. Not to mention the world is a bit sweeter when you are not forced to hold on to a job just for the health care coverage it may provided. It is our way of holding our community up, giving each other space to grow into whom we are meant to be.

Two gentlemen playing music in the town center mid week

Learning about Socialized Medicine

I also wanted to jump into socialized medicine. I wanted to experience it firsthand, not only as patient but as provider. Most of the site revolves around my experience in healthcare; therefore I will let you read more about this topic by strolling through the site. But I will say it has been nice seeing patients get treated for what they need and not necessarily what they want. I am no longer hunting for an admitting diagnosis that will be covered by Medicare or the insurance company. We are admitting because of the patients’ needs, even if it as simple as a social admission due to an elder living alone with increase falls. 

We hope to keep swimming in different waters and travel around the neighboring countries. On my bike ride home I am no longer seeing it as new. I have become accustomed to the whistle of the train and the brick lined homes. The land is becoming familiar and comfortable, as Bruce Cockburn sings “it’s my beat, in my new town.”

Soon it will be time to find a new bowl to swim in…

The middle of life

We have fallen into the middle. The part of life that is routine, basic and possibly boring. The things which make up childhoods, things we do not deem important but are at the core of who we become.

Alvin

Alvin’s routine consists of waking us up by climbing into our bed followed in by Jasper. He wakes up running and only cuddles but a moment. He has always been eager to get the day started. For the last five weeks we have homeschooling again. School days consist of on line lessons, writing, reading, and then in the afternoon we head to the park or for a long walk. Today we changed things and during lunch hour we walked with the neighbors into town to pick up library books.

I wake up slower. Pulling open the drapes attempting predict the weather by looks of the clouds or lack of. Ironically I am no longer am an avid tea drinker. I now start the day off with instant coffee, a much better selection than back home. You have already been introduced to my days. I start those off before sunrise riding my bike into work and they end riding back hours after sunset. On my off days I linger around the house resembling a sloth. I help Alvin with his school work, I write, and attempt to help Gary with the house chores. I am trying to embrace the lockdown; the lack of commitments, swim lessons or volunteering, but I often find myself making lists just so I have something to cross off: laundry, dishes, get dressed. The simple act of crossing something off adds some sort of purpose to the humdrum time we are in.

Gary’s Retirement

Gary has been keeping himself busy restoring our backyard. He put in a new fence and made planters out of the salvageable parts of the old fence, a true renaissance man. Gary and the owner of our rental house are off to a good start. She bought the material for the new fence after Gary did the research. The previous one was falling over, and Gary graciously did all the labor. If I attempt to add tasks or activities to his day, like the local Spanish lessons at the community center (pre lockdown) he is quick to remind me that this is his retirement. My renaissance man has also kept himself busy since our arrival by putting in new shelves in the kitchen and becoming friends with the neighbor who helped us arrange the installation of our gas range. We attempted to live with an electric range but after a month we decided it was a luxury we did not mind investing in.

The progression of the Backyard

Even though the pandemic and most recent lockdown has made it difficult to get to know our town past a one or two mile radius, it has allowed us to really know every walking path within the two miles. I see it as getting to know the water we swim in. And there is still much we do not know.

Saturdays have become a treasure

Saturdays are our highlight; we walked into town to buy food for the week. As we start weekly journey we must choose to walk along the Itchen River or along the street, both have their treasure. Either way we are lead to the exterior aisle of Winchester Cathedral, placing us in the middle of High Street, the center of town. We purchase our meat from the local butcher and fruits/vegetables from the farmer. Sometimes we go to Poundland (UK equivalent of the dollar store) and stock up on sweets (aka candy). We do need to keep an eye on the weight, not ours, but the bags we must carry back home.  

Glen the butcher

City Treasures versus River Walks

The evening revolve around eating sweets, playing the piano, watching Alvin play with his Legos as we listen to Gary read or an audiobook. Simple times we have now but it is the core of his childhood.

Tell me about your routine, the mundane things of your life, your core?

We still do not have television but we have a projector that we watch movies or as in the photo important moments in history

Grabbing onto to Hope

Today fear was softened. Among the death and sadness the virus has also inoculated our culture with fear; the fear of the unknown, of uncertainty toward our future, the fear of each other. But today the fear was softened as I received the COVID vaccine.

I received the Pfizer vaccine and my next dose is 12 weeks. England wants to vaccinate as many people first before giving out the second dose, the greater good. Studies have shown after the first dose you have 70% immunity and there is no harm in waiting for the additional dose.

This past week I cared for many young patients with respiratory illness or other unique symptoms that now fall under the COVID umbrella. I witnessed the rise in numbers first hand as the mutation spread in our community. We are no longer in Tier 4, we are in full blown lockdown and are only allowed out for essentials. No more alcohol takeaways. Alvin is once again at home doing remote learning. Gary and Alvin learned about the Ice Age and European geography today at “school.”

Boris is helping my Dry January efforts

COVID has permanently altered society. Words like lockdown, essential (key workers here), or PPE now have more meaning. I wonder in the aftermath what will stay and what will go. Masks, will we continue to use them when sick? I hope so, I hope this does not change but I can do without the fear. I hope we can overcome the isolation, stresses and disconnection from one another. As a friend reminded me often during the pandemic “this is not normal, give yourself grace.” Today I felt the grace, I felt the hope, here’s to tomorrow.

Life after Isolation

Last Saturday, just as we finished dinner and started on a game of Bananagrams we heard the “thump, thump, thump” of someone at the door. I was in the living room away from the front door setting up our beloved game and I asked Gary who was there.

Alvin with his sparklers given to him by the neighbor

Cheerfully he responded “the neighbors!” “Which ones?” I ask. “All of them” he sputtered. It turns out a gaggle of neighbors were at the door, they had come to guide us to the ridge for the Guy Fawkes Night celebration. A firework show was being put on by the city since due to the pandemic the traditional bonfire was not possible. The group waited as we masked up. They handed Alvin a light sabre sort of glow stick, he was in heaven. I felt like the first kid picked at the schoolyard. The fireworks illuminated the city. An appropriate celebration for us since earlier in the evening we had learned about Biden and Harris’s victory.

Fireworks from the Ridge

The neighborhood…

Our neighborhood is chatty and filled with playmates for Alvin. In the morning in unison we all walk to the neighborhood school. Alvin’s second grade curriculum (here referred to as year three) consists of cursive writing, fractions, multiplications, and Roman history. The students at public schools wear uniforms. An even playing field in my head; even if it is only a figment of my imagination, I’ll take it. We no longer have to figure out what to wear in the morning rush.

We walk, forced to be active keeping our health and spirits in good terms. Ten minutes to Sainsbury (think Fred Myer) or thirty minutes into town. The walks are lined with homes that remind me I am in a country that was bustling and industrializing when the United States was figuring out its independence. I reflect on the meaning of time as I pause and take in.

A door at The Hospital of St Cross built in the 15th Century
https://en.wikipedia.org/wiki/Hospital_of_St_Cross
A Sunday walk through town

The weather is crisp, the foot paths are layered with golden leaves. Our small home with a cupboard under the stairs includes a simpler way of life. No dishwasher, television (for now) or excess furniture in part because of a lack of a vehicle. It allows us to focus on the details previously covered with things. We laugh at words like pipping hot or heat on the hob listed on the back of food labels. We read, play games, still dance and take family walks. Two weeks out of isolation and I still feel as though I am in a dream.

Goal Accomplished….

So now what? I have reached my goal.  Do I create a new goal? Do I rest and take a breath? Taking in the accomplishment that took years in the making, but for how long is acceptable? During isolation we occupied ourselves by unpacking, settling, and distracted with Alvin’s school work. Alvin now in school and with the days free I sit taking it all in. We are in England. I reached my goal.

A distant view of Hospital of St Cross

The peace and joy that comes with this accomplishment are like a foreigner in my house. We see each other but we speak a different language. I could distract them with a drink or creating unnecessary tasks, but I am glad they here. In the past they have only visited, never stayed. Intrigued by these visitors my anxiety comes out to greet them. I recall reading once that happiness is like an organism. If you think about it too much you lose it. My anxiety takes the lead reminding me to not focus on the bliss.  I am trying to sit with them but they are such strangers. I feel like an introduction at an AA meeting “I have a problem I do not know how to live with joy or peace.”

Brené Browns’s says, as a society we have a hard time accepting joy. It makes us vulnerable. I gently ask my anxiety to sit in the corner while I try to get comfortable with peace and joy. I voice my gratitude the neighbors, the vast open fields, the walking paths, time to write and read, a small minimalist home. All there to make them feel welcomed.

Things have changed.

We do not have the spectacular views of the Narrows Bridge at sunset, cocktail hour with neighbors or family stopping by for a quick visit. We do have children running down the street, big meadows for long walks and old buildings to remind us of the scarcity of time. And the space to learn to live with peace and joy.

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