Thursday, July 09, 2009

Change of Shift Begins Year Four of Publication!

Change of Shift, nursing blog carnival extraordinaire, is celebrating it's third birthday and the beginning of it's fourth year of publication. I am honored that Bob the Nurse is once again featured in this week's edition, and perhaps Bob will receive more invitations to travel the country from this continued exposure. 

Speaking of Bob, please stop by his blog and check out his latest adventures in Hawaii. He leaves for Arkansas soon, so new travels and destinations await, and he will no doubt pop up on Change of Shift regularly!

Tuesday, July 07, 2009

Moving Towards A Dream....

Well, dear Readers, we are back from vacation and I feel it's time for me to publicly share what's been happening for us here on the home front.

For a long time, we have been feeling that a change has been coming, and a new life has always been just around the corner. The last decade has seen us through chronic pain, developing Multiple Chemical Sensitivity (MCS), the murder of a dear friend, the death of my great aunt, euthanizing our dog Sparkey after a protracted illness, and midwifing my step-father to his death. There has also been community, friendships, fun, travel and other great times as well, and we will leave our New England home with a mixture of joy and sadness.
So, taking into consideration where we've been and where we want to be, Mary and I are in the process of selling our beloved home, jettisoning as many of our belongings as we can, putting the rest in storage, and preparing for a mobile lifestyle on the road for the foreseeable future. The plan is to buy (and renovate, if need be) an MCS-friendly and non-toxic RV (perhaps running on vegetable oil) in which we can live full-time. We will then travel the country, bringing Laughter Yoga, health and wellness coaching, nursing, writing, and our various and sundry other skills to individuals, communities and businesses across America. This will be our Great North American Tour, and we will eventually be coming to a city, town or farm near you.

It has long been a dream of ours to live lightly, to lessen our footprint, to let go of the trappings of the middle-class lifestyle and homeownership, and take our lives on the road. So, the wheels are in motion, so to speak, as we wait for a buyer for our home and search for the perfect vehicle that we can call home.

I will be reporting updates on our progress here on Digital Doorway, and once we hit the open road, we will probably have another blog that will detail the specifics of our itinerary and adventures. Meanwhile, we are developing our Laughter Yoga website and honing our skills so that we can bring Laughter Yoga to willing audiences and participants nationwide.

So, the cat is out of the bag, and our process on this journey is now public. We hope to bring you along for the ride.

Thursday, July 02, 2009

On Vacation

Dear Readers and Friends,

Digital Doorway will be on a brief hiatus until the end of the Fourth of July weekend. Mary and I are on a brief vacation in celebration of our 20th wedding anniversary. Please stay tuned, and visit again next week!

Happy Summer!

Keith

Wednesday, July 01, 2009

Exclusive Early Peek at Wikio Health Blog Rankings!

I am honored to have been given a sneak peek at the latest rankings for health-related blogs on Wikio. Digital Doorway is lucky enough to consistently be in the top 50 health blogs on Wikio, and I am happy to share this preview of the newest rankings with my readers. Enjoy! 

1Highlight HEALTH
2Kevin, M.D. - Medical Weblog
3Diabetes Mine
4In the Pipeline
5DB's Medical Rants
6The Covert Rationing Blog
7The Carlat Psychiatry Blog
8John Goodman's Health Policy Blog
9Junkfood Science
10Her Bad Mother
11InsureBlog
12The Doctor Is In
13Healthcare Economist
14Schwitzer health news blog
15Health Care Renewal
16Six Until Me.
17Disease Management Care Blog
18ScienceRoll
19Musings of a Dinosaur
20Fight Aging!
21The Rotund
22StevePavlina.com
23The-F-Word.org
24The Last Psychiatrist
25MSSPNexus Blog
26Pallimed
27retired doc's thoughts
28AIDS.gov blog
29Cranky Fitness
30hospital impact
31Beyond Meds
32Brain Blogger
33Doctor Anonymous
34Dr. Deb
35Digital Doorway
36The Trouble With Spikol
37Postpartum Progress
38Weighty Matters
39Caustic Musings
40PixelRN
41Surgeonsblog
42fat fu
43Autism Vox
44Medicine for the Outdoors
45Genetics and Health
46Brass and Ivory
47Eye on DNA
48soulful sepulcher
49Adventures in Autism
50Inside Surgery
51Autism Street
52Natural Variation - Autism Blog
53Autism News Beat
54Capital Health WW-MD's Notes
55A Nurse Practitioner's View
56AlexShalman.com
57The Voyage
58The Urban Monk
59Mauzy's Musings
60Pinwheels
61Hard Won Wisdom
62Jung At Heart

Ranking by Wikio.

Friday, June 26, 2009

The Nurse as Coach

Life coaching has become big business, and now health and wellness coaching is hot on its heels as the next big wave of wellness for the masses. So, why would a nurse make a good coach? What would give a nurse an edge when it comes to coaching willing clients through the process of getting well, maintaining wellness, or increasing one's aptitude for health, wellness and well-being?

Nurses are trained to examine patients/clients in a holistic manner, taking into consideration myriad aspects of an individual's "biopsychosocial" self. From the beginning, nurses are trained to look for areas of both strength and weakness, and nurses are then taught to assist patients in learning new skills which will allow them the maximum amount of independence and quality of life possible.

Coaching and nursing seem to be a match made in Heaven. Coaching is all about helping people to maximize their health and well-being, create a wellness plan, be held accountable for their actions, and produce concrete results in their lives.

As a case manager and a visiting nurse, I have worked with the sickest of the sick, those with multiple life-altering illnesses, and underserved inner-city populations struggling with cycles of poverty, poor health, chronic illness, substance abuse, and institutionalized racism. On a personal level, having removed myself from that front-line world for more than year, I am now ready to work with the well, with those who are motivated and anxious to improve their health, those strongly desiring to take their level of wellness and personal well-being to the next level. Coaching seems to be one of the ways to do such work, and it feels like the right fit at the right time.

Nurses are coaches, for all intents and purposes, and grafting professional coach training onto a nurse's education seems to be a fail-proof avenue to create a new way to make a meaningful living in the world while serving others. If there are any readers out there who have had a positive (or negative) experience with a health and wellness coach, I would love to hear about it. And if there is anyone who would like to experience coaching with me for a very low introductory rate, I am very willing to work with any person committed to their health and open to engaging my services as I power up a new and exciting vocation.

Tuesday, June 23, 2009

"Natural" Beauty

Looking at different natural health and yoga magazines, I am sometimes shocked (perhaps unnecessarily) at how the publishers of such magazines follow the lead of mainstream fashion magazines, ubiquitously populating the pages of their publications with beautiful, flawless young women with clear skin, taut muscles, ample cleavage, exposed bellies and long, tan legs. 

One would think that so-called "natural" magazines would be more apt to use "real" people for their ads and articles, but in this culture dominated by a fascination with youth and beauty, I shouldn't be surprised. 

Perusing the pages of one such magazine, my wife and I were both independently struck with the fact that the pages of this "natural" magazine were filled with nothing but young white women, all of whom were displaying some combination of the attributes described in the first paragraph of this post. 

This type of natural lifestyle is not necessarily just the purview of the young, white and beautiful, yet, if I were an alien and happened to pick up several of these magazines soon after landing, I would be convinced that anyone who did yoga or drank soy milk had the legs of a gazelle and blinding pearly white teeth. If the same alien went to a yoga class, he or she might be disappointed that many of the yogis and yoginis did indeed sport some modicum of body fat and hints of cellulite. 

Alien visitations aside, I am simply appalled that yoga and natural health magazines all need to jump on the homogeneity bandwagon, delivering a bland and culturally narrow image to the soy milk-drinking masses, subtly convincing their readers that the products sold amidst their pages will deliver beauty, smooth skin and glowing health to anyone who happens to be young, white and female. 





Saturday, June 20, 2009

Coaching Myself

I am moving closer to making a decision about becoming a Certified Health and Wellness Coach. This training would help me to synthesize my training as a nurse, massage therapist, yoga instructor and Laughter Yoga Leader into a vocation that can assist others in achieving optimal wellness and self actualization. 

Nurses are natural coaches in that our training revolves around creating care plans that target aspects of health and wellness in need of strengthening, support and change. At its core, nursing is about health promotion, and the heart of health and wellness coaching is the promotion of optimal health and wellness. Taking that alignment into consideration, becoming a coach seems to be a very intelligent career move for any nurse intent on hanging a virtual shingle, so speak. 

As I explore the world of coaching, I can see that there is a vast amount of room in this burgeoning field for innovation, entrepreneurial development, and personal fulfillment. Even more, coaching is work that is 100% portable since most coaches provide their services by phone, email and web-based applications. 

If I move forward with the training over the summer, I may be searching for subjects willing to receive free coaching sessions during my 13-week course, so stay tuned for the day when I send out the call. 




Friday, June 19, 2009

Swine Flu Fears

Over the last few weeks, I've received a number of calls from tourists planning to come to our region for vacation but fearful of contracting the H1N1 virus, previously known as Swine Flu.

Although the outbreak has now been classified as a global pandemic by the World Health Organization due to the number of countries involved as well as other epidemiological factors, the virus is still no more virulent than seasonal influenza. This may change, of course, as the virus mutates and develops in the months prior to flu season, but for now there are no travel restrictions or advisories for any region of the United States.

Still, the calls keep coming, and the nervous visitors fret that they may wind up acutely ill and hospitalized when visiting our sleepy college town.

When these calls come in, my consistent response has been the same: H1N1 is relatively mild at this time, cases are coming to light slowly and steadily, and the number of severely ill patients is small. While there have been several deaths, we must bear in mind that seasonal influenza kills approximately 36,000 American per year, something that can help us all keep the current outbreak in perspective. I also remind the erstwhile travelers that flying on a commercial airplane---with its recycled air and passengers coughing and sneezing---is probably much more risky than a visit to our town could ever be.

Now, my tune may change if H1N1 evolves, mutates and becomes more virulent in the autumn, a potential outcome that may indeed come to pass. Realistically, there are germs and bacteria and viruses everywhere, and I see no reason to live in fear. But for those for whom fear is the paramount factor in the equation, perhaps they should just stay home.

Tuesday, June 16, 2009

Bat in a Basket

So, there I was this afternoon, innocently playing the part of Public Health Nurse Extraordinaire, when I decided to reach for my laptop and sync it with the town network. But, lo and behold, a furry little bat had decided to make its home on my laptop bag, and as I stood, aghast and dumbstruck, it began to crawl and creep in its inimitably bat-like way around the top of my file cabinet.

Closing the door behind me, I calmly made my way to a colleague's office. He's a health inspector and sanitarian, level-headed and pragmatic, and I recruited him in my bat-catching endeavor.

Meanwhile, while said colleague ran in search of heavy-duty gloves, my boss and our administrative assistant insisted on seeing the bat, peeking in behind me as I reopened my office door.

"Don't touch it, Keith. You can't. Please don't," said my boss.

By now, the bat had descended to the table next to the file cabinet and I feared I might lose him. I dashed to the kitchen, found a small wicker basket (the size that might, for reason of illustration only, hold two medium-sized lemons) and rushed back to my office to see the creature still lurking (in quintessential bat fashion, I may add) on the aforementioned table.

At the very moment my favorite health inspector/sanitarian arrived with heavy duty gloves donned, I raised my basket into the air, took three steps---not two, but three---and trapped the bat with a rapid descending basket-like arc.

The bat immediately began to squeal like an otherworldly creature from the Lord of the Rings, and my sanitarian colleague slid a piece of cardboard beneath the now quivering basket. Holding our prey tightly between the cardboard and wicker with our four hands, we traipsed through the Health Department to a blessedly large window intelligently opened by our boss, and the bat in question was released into the cool June New England air, landing with a confused yet simultaneously gentle thud on the roof below. Moments later, he (or she) lifted into the air and vanished into the trees.

Resting on our bat-catching laurels, we returned to our individuals duties, each to his or her own desk once again, and the bat summarily forgot all about us and its adventure inside a local municipal health department.

They don't teach you this stuff in nursing school.

Monday, June 15, 2009

Grand Rounds at ACP Internist

The newest edition of Grand Rounds, the venerable blog carnival of all things medicine, nursing and health care, is up at ACP Internist. Both Digital Doorway and The Adventures of Bob the Nurse are included. Cruise on over if you have a moment to spare.