How the Cardiovascular System Helped Me Find My Purpose

Music played from my laptop next to the couch. I pulled my blanket up to my chin and listened and prayed. A friend came to mind, and I thought about how she was a conduit, a vessel for the Gospel. My mind turned over the word "vessel" and since my friend is also a nurse, wandered to thoughts of blood vessels and the body's vasculature.

All at once, something clicked inside me, and I sat straight up. When I thought of my friend—and myself, and everyone—as blood vessels, something suddenly made sense to me. Bear with me while I give some backstory.

It's been a year since I have moved back to the United States. A year full of struggles, depression, hope, and growth only reentry could bring (it was so crazy I even wrote an ebook on it). One of the things I struggled with during the transition from life overseas to life in Waco, Texas, was finding purpose in my location and vocation Stateside.

While in Cambodia, I learned the missionary lifestyle is not so different from—or more important than—the lifestyle of a believer back home. However, this knowledge didn't prevent guilt from creeping up on me when I moved to the States. I felt guilty for abandoning those I loved in Cambodia, and I questioned whether I was weak for not staying there. The attention and applause the American church gave to missionaries no longer applied to me. Without a clear-cut outline defining my goals and my purpose, I felt lost, out of place, and particularly unimportant. 

Though the Lord has since provided incredible community, a sense of purpose and contribution, and relentless reminders of His love, in the back of my mind I have still believed that what I am doing here in the United States is less important—less vital—to the Kingdom than what I was doing in Cambodia. We often call missionaries the people on the "front lines," but where does that leave the rest of us?

When I thought of people as blood vessels, as conduits supplying life to other body parts, I realized it didn't matter what my location was. I could be a capillary in the pinky toe all the way in Cambodia, where the vasculature isn't as dense, or I could be part of the aorta at the hub of the heart. I could be a coronary artery, feeding the heart itself and keeping it strong so it could continue sending out blood to the body. I could be a femoral artery, a little farther from the heart but not in the boonies of the fingertips. Regardless of where I was, I was neither less important nor "more" vital than any other vessel. "More" and "less" do not exist as long as I pulse with the heartbeat of the One who gives life.

The goal of the cardiovascular system is to keep the body alive—all parts of the body. The aorta has no purpose if no arteries supply the brain; likewise, capillaries in the brain have nothing to give if the carotid is not functioning. My purpose is the same in both places, though it may look different. It may involve giving more of my financial resources (now that I have a paying job again!) and less time traveling to remote villages that have no blood supply yet. It may look like resting and soaking up the extra access to life-giving friends and community, hearing the Gospel preached in my own language every week, and feeling the pulse of His heartbeat, strong and regular as it reshapes my attitude and habits and life to be more like His.

When I was in Cambodia, I thirsted for community and soaked up every bit I received. I treasured phone calls and found Jesus to be my closest companion as I sought Him on my knees (in front of the oscillating fan, of course). I desperately hungered for the encouragement and prayers sent to me through friends and family and strangers, all the way from the heart of God to mine. I could not have survived without this. I am forever grateful for those who served as vessels at every step of the way: from the aorta to the arcuate artery, allowing hope to flow to me in the pinky toe of Kratie, Cambodia.

Here in the States, I am deeply grateful for community, for the people who draw near to the heart of God and who urge me to do the same. My soul feasts on the abundance of spiritual resources, and I am refreshed and restored. And I hope I too am a conduit. I hope I too am a vessel allowing hope to flow through me straight to the one who needs it, or to trickle from me to another to another to another, eventually reaching a girl on the other side of the world who is on her knees seeking the One who fills our deepest needs. I hope I get to play a part in her experiencing community and purpose and forgiveness. I hope she would know there is One who loves her, and this One who loves her most is there with her, on the floor in front of the fan, ready to refresh her soul.

To those who have been and to those who are conduits and vessels, thank you. What an honor to serve Jesus alongside you.

Lessons from the Bedside: Physical Therapy and Change

"They are NOT getting me out of this bed. They just make my pain worse."

"Whew! That physical therapist worked me too hard."

"I'm just not up for occupational therapy today." (No matter that the patient was also "not up to it" yesterday, or the day before, or the day before that...)

If you're a nurse, you have no doubt witnessed these scenarios. Though it's easy for me to discount patients' complaints and reluctance to work with PT/OT, I have to admit, I have a lot in common with their attitude—especially when it comes to change.

Currently, I'm in the midst of quite a bit of change. I'm shifting careers, learning new skills in the writing world, and trying to keep up with an ever-changing healthcare system, all on the coattails of moving from Cambodia back to the United States and working through reentry. Change, like physical therapy, is difficult. As I've observed my patients in the hospital over the years, here's what I've learned about both change and physical therapy:

1. It's painful.

Some patients won't move their feet off the bed for PT/OT until they've had their pain medication. I don't really blame them. Retraining your body to stretch and move and function in a new way can be very, very painful. Change and transition can be the same: a season of retraining our bodies, minds, and spirits to try new things, form new habits, and leave the comfort zone of our beds (or homes, or jobs, or cities). Yet just like with therapy, increasing our activity in these uncomfortable areas only increases our strength and ability to thrive in new ways. It may be painful, but it's worth it.

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2. It's scary.

"Don't let me fall!!" patients will exclaim when they transfer to the chair or the bedside commode for the first time. Their legs are weak and shaky, or their balance causes them to sway. Yet the therapist is always there, providing support and holding onto them, a trustworthy safeguard even when patients doubt their abilities. Similarly, in times of transition I too am fearful, and I do my fair share of crying out to God, warning Him I'm losing my balance and am going down, fast! How often I forget He is there, holding onto me, supporting me, even if I don't believe He's strong enough to catch me. It can be terrifying to walk when we're weak because there is always the possibility we will fall, but when we take wobbly steps forward, we arrive to new and important places (like the bedside commode! Just kidding. Kind of.). It's scary, but it's worth it.

3. You'll want to quit.

To be honest, sometimes I have a hard time not judging patients for "being babies" about PT/OT.

"I can't go any farther," they state. Or, "I just can't go anymore. I just want to go back to the bed."

As the patient healthcare professionals they are, our physical and occupational therapists encourage the patients to keep going. They remind them of the benefits of therapy, and they point out how far the patients have already come. Still, some patients refuse to keep moving.

Unfortunately, with all my judging of patients, I am the same way when it comes to anything new. New location, new method of transportation, new routine, new job—anything new throws me for a loop, and like a grumpy old woman who's stuck in her ways, I sit and pout and complain that I can't go back to the way things were before. Even if "before" meant I was bed-bound and my muscles were atrophying.

Like most people, I enjoy comfort. Neither getting out of bed to retrain muscles to walk nor getting out of old routines to form new, healthier habits is comfortable. It's hard, and we'll want to quit, but it's worth it.

4. It's a process, and it takes perseverance.

I wish physical therapy only took one session to accomplish all its goals. I wish one day of accepting change completely reformatted my brain to eliminate all anxiety and stress about new things. However, both physical therapy and change involve growth, and growth is a process. Processes require time, and time requires perseverance.

Little by little, cell by cell, muscle fiber by muscle fiber and neuron pathway by neuron pathway, as we persevere our bodies and brains shift.  The old, unusable junk is broken down and rebuilt into a new, healthier, stronger version of ourselves. Over time, we find ourselves able to jump higher and run faster than we did before knee surgery; we find ourselves utilizing stronger character traits of leadership, servanthood, and compassion as we relate to and lead those around us. It doesn't happen overnight; it's a process, and it takes perseverance, but it's worth it.

5. It's possible.

Though I witness many people who, like me, grudgingly swing their legs out of bed to start therapy, I also watch incredibly motivated patients work day in and day out to regain their strength. These patients focus on the positive and rarely complain. Nothing can deter them from finding something to be grateful for—including the opportunity to participate in occupational and physical therapy. Each time a therapist knocks on the door, they never refuse to get up or tell the therapist to come back later. They are willing to move forward in their healing.

Change and growth, whether physical, mental, emotional or spiritual, inevitably involve pain, fear, exasperation, and teeth-gritting perseverance. Change is all of these things, but it's possible. And it's worth it.

"Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God’s will is—his good, pleasing and perfect will." Romans 12:2 (NIV, bolding mine)

To Hell with Politics, and Happy Nurses Day!

It was a long day at work. Thirteen hours later, my apartment remained just as I’d left it. I placed my empty water bottle and coffee cup on the table and sat down for a moment. A quick scroll through my emails and social media quickly overwhelmed me with news and opinions about the new healthcare bill. Pros, cons, and mostly anger. 

I searched for an unbiased report and skimmed a couple articles. So many opinions. So many numbers. So much money. So much talk.

Votes. Parties. Critics. Supporters. Right. Wrong. Pushing. Blocking. Winning, but someone always losing.

It made my head swirl. As I read, I thought of different people I knew who would be affected—and how they would be affected. I thought of friends and family and patients. There was no perfect win-win situation.

“To hell with politics!” I finally said aloud as I tossed my phone down and stood up to head for the shower. 

When I walked into the bathroom, the sight in the mirror made me smile and then shake my head. My hair was flying in a hundred directions due to repeatedly donning isolation gowns and an N95, a special mask for airborne diseases. I was a mess!

As I pulled my hair out of a ponytail, I thought again of all the politics surrounding healthcare. I looked again at my reflection in the mirror. I was a mess, but it didn’t matter. I care about healthcare laws, but I care more about people. Isn’t this where my mind had naturally wandered when I read these articles, to real live people and how they would fare with these changes?

Today is National Nurses Day. This is what nurses are about: people.

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We care about people. We care about people with no insurance and people with insurance, people receiving Medicaid or Medicare and people paying out of pocket. We care about people who are black, white, green, and blue. We care about people who are Democrats and Republicans and everything in between. We care about people who are born in our country and those who came here later in life. We care about people when they take their first breath and when they take their last. Short, tall, heavy, light; two legs, one leg, no legs, five legs! We care about people.

Because we care about people, we care for people when they are sick. This is what sets nurses apart.

In order to care for people, we set our differences aside and form a team (a family, really) that will do whatever it takes to help people recover: dress wounds, give medications, wipe bottoms, start IVs, perform CPR, call doctors, answer phones, and so much more.

Certainly, we have strong political beliefs and opinions, and we know money is a factor. But if we were called today and told, “A disaster has struck and you will not be paid, but people are dying,” our hospitals would be overflowing with help. With nurses. 

As nurses, we care about you! Truly, nursing is an amazing profession. Each nurse makes dozens of sacrifices each shift to care for our patients and for each other. It's quite normal to sacrifice our comfort, our lunch (half) hour, holidays with family, and even our bladders' urges to pee. We do not do what we do for attention or applause (we often encounter more poop than thank-you’s), but we do appreciate knowing others care about us, too! 

To all my nursing friends, thank you. You are brilliant, humble humans. Even though I hope I never have to care for you in the hospital, I care about you!

This National Nurses Week (May 6-12), we invite you to celebrate nurses with us! Take time to thank a nurse or tell them how much you appreciate what they do.

However, regardless of whether or not you appreciate a nurse this week, we still care about you. We will still care for you. It’s who we are as nurses. It’s what we’re about.

Happy National Nurses Day & Nurses Week, friends!

When Failure is a Guarantee

As many of you may know, I am currently in shift toward copyediting and writing as a career and away from nursing (see Why I Quit Full Time Nursing). The transition into the writing world has taken place over the past few weeks, and though I mainly feel peace and excitement about the change, I'd be lying if I told you I'm not nervous.

I am. I'm nervous, and I'm worried, and sometimes I'm overwhelmed.

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Yesterday as I drove down the road under the cloudy Texas sky, I thought about my fear of rejection. Over the past few days I've submitted freelance articles and queries to various websites, with the knowledge I will eventually either be rejected or accepted. At one point in life (okay, for most of my life), the possibility of rejection would have prevented me from trying at all. My fear of failure and the belief I had to be the best simply wouldn't allow for such a huge, unnecessary risk. For all those years, failure was not an option.

As I slowed my car down for a red light yesterday, I suddenly realized that still, failure is not an option.

Failure is a guarantee.

Over the years, I've read accounts by writers and bloggers about the rejection letters they received from editors, publishers, magazines, and websites. They described heartbreak and frustration and anger and discouragement, and they also described perseverance and perspective.

As I submit my articles, I know my work will be rejected sometimes (probably more often than not in these beginning stages). It's inevitable. Yet I am learning to maintain my sense of self-worth and identity so I can move past it. I know who I am, and I know my work is not a reflection of my value.

Still, it is disheartening to know failure is a guarantee—and about the only one I could think of that comes with writing. That, and a low budget.

All afternoon, I pondered the change within me from being terrified of failure to accepting it as a part of life. Later that evening during a time of worship with my church small group, I had another realization, just as sudden as the one about failure. I knew in that moment I had to lay down my editing career and writing dreams at Jesus' feet, and I had to leave them there. For the first time in my life, I found how easy it is to become a workaholic (now that "work" was something I loved). I had to invite Jesus into every word I wrote and every article I completed. If I did these things, I knew:

Success was not an option either. It was a guarantee.

Success is living and breathing in the presence of Jesus, holding onto the hem of His robe and offering my talents and gifts at His feet. It is using my work to glorify Him, yes, but more than that it is a continuous, desperate, building desire for more of Him. With this unquenchable thirst for more of Jesus, with Christ as my whole world, there could only be success. There already was success. Perhaps success isn't something attained or accomplished but something as fluid and active as recognizing the presence of God.

Moving and breathing and talking in His presence is success. I have success in my lungs as I breathe and type now because I am breathing and typing with Jesus. Success will never be a thing that can slip from my hands because success is knowing Jesus, and His Spirit lives within me. And if ever I become desperate to grab hold of success again, I have only to remember:

Turn to Jesus, for not just success but life is found in Him.