Choices

A few years ago I made a choice to return to the medical field. Since then I have had some experiences that made me want to quit. Being hit, being spit on, punched in the face and chest, kicked, being yelled at by angry people using, well, not so nice language. under-appreciated, under paid, long hours, frustration and so on. While working with a patient today I thought seriously about quitting.

This patient was so frustrating and full of anger. He rudely demanded things be done, even things he could have done himself. He used belittling words while instructing me. He was just impossible to deal with. But I did realize something. He thanked me every time I was done helping him. I found out later he was in a lot of pain. I noticed his foot had swelled and it was red. He also had tiny blisters on his calf and his ankle was turning dark grey. He lost his other leg to diabetes a couple of years ago. He had called me to his room a few times not really needing me to do anything for him. Then it dawned on me. Maybe if I just sit with him for awhile he’ll feel better. So I did. Within a couple of minutes he began to snore. I felt like an idiot. All he wanted was for me to be by his side and I thought he was being a rude old man.

I made a choice a few years ago to take care of sick people and those in need. Today I almost gave up on my dream. But now I’m happy my feathers were ruffled. Today, I was inspired to run the race I remembered why I do what I do. I love helping people. Who am I to give up on my dream. Who am I to give up on people in need. I refuse to quit.

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Surfing

Last week I went to the surfing championships on the North Shore. The waves were over twenty feet high. In other words, they were about the size of a small building. Waves that size are impressive to look at but can be very dangerous. The professional surfers that rode the waves were extremely brave and possessed a high degree of skill. Even one mistake could mean a broken surf board or serious injury. In case something went wrong there were boats in the water to rescue the surfers. Yet, the waves were so unpredictable that one wave actually knocked one of the rescue swimmers off of his boat. As a spectator, the contest was amazing to watch. The weather was gorgeous with nothing but blue skies and lots of sunshine. People filled the beach to watch the show. Sometimes, the waves were so strong that they moved far up the beach. If people weren’t careful, then they got wet. Some people even had things washed away. All in all, I had a lot of fun but was really glad to be watching from dry land.

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STONES SURROUNDING



by colored leaves
and stones surrounding
my feelings swell


This is a continuation of the story I began yesterday about going to my neighborhood’s park to see the fall colors.There was a guy selling roasted potatoes in the park. The potatoes were surrounded by stones, and the fire roasted them all the way to their core. It was truly the embodiment of fall. As I stuffed my face, I was surrounded by the beautiful leaves.When I realized this, I felt like I, too, had melted into the fall scenery. My mood was greatly uplifted.



囲まれた石と紅葉で我れも高揚

かこまれた いし と もみじ で われ も こうよう



これは先日、紅葉を見に近所の公園に行った話の続きです。


公園には、石焼き芋を販売しているおじさんがいました。
芋は石に囲まれ、芯まで火が通った状態でした。
まさに、秋の味覚でした。
それを頬張る私は、たくさんの紅葉に囲まれていました。


そんなことに気付いた時、
私もこの秋の風景の一部に溶け込んだ気がしました。
私の気分は高揚していました。



– Oda Umi
– English by Chay Schiller




紅葉 舞岡公園3

舞岡公園 石焼き芋2

舞岡公園 石焼き芋

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“konnyaku sweeps away the body’s sand” (蒟蒻は体の砂払い)


Most cultures include a smattering of homespun wisdom regarding the benefits of certain foods. In American culture, it is said that carrots are good for the eyes, roughage (like lettuce) is good for digestion, and chicken soup is good for illness. Let’s examine some Japanese parallels and see how they match up.

Konnyaku is thought of as a digestive aid in Japan. It is called the “broom for the intestines”; it is said that “konnyaku sweeps away the body’s sand” (蒟蒻は体の砂払い). Konnyaku is made by harvesting a portion of the root of an odd plant known as the Devil’s Tongue, and then converting it into jelly. Konnyaku is valued for its texture as well as health benefits, and is used as an ingredient in many dishes throughout east Asia. The interesting part about this “food” is that it doesn’t actually have much nutritional value – most of it consists of water and fibers that are nearly impossible to digest. However, it is beneficial for this very reason. The fibers drag across the walls of the intestines, functioning literally as brooms that sweep away toxins. Aside from this fiber, there is some protien, starch and minerals in Konnyaku.

In spite of Konnyaku not having very many calories, it tends to fill you up due to its gelatinous texture and bulky size. So, it is also used as a diet food by many who wish to lose weight. However, be careful not to overdo it. In 1970, the writer Ooya Souichi was advised by a friend to eat konnyaku as a means of reducing his weight. He decided to eat nothing but konnyaku, which resulted in death by malnutrition for the poor writer. The gelatinous konnyaku has also been a killer of unwary children and elderly people in the West who assumed they could swallow it whole as with typical gelatin .

In the west, we have identified lettuce as the portion of our diet that is good for digestion. This food is downright benign compared to the deceptive konnyaku, but the benefits we reap from it are also not as great. While konnyaku is processed and concentrated, lettuce remains in its uncondensed, natural form and few people eat as much lettuce as they would need to really benefit from the fiber, vitamins and minerals in the leaf. Salad, the only dish that really contains a significant amount of lettuce, is typically served with fatty cheese and dressings that temper the benefits with downsides. In contrast, konnyaku is versatile and comes in a variety of forms and tasty dishes in a quantity almost always large enough to provide some benefit.

That’s it for today. Next time, we’ll explore foods of the eyes found on each side of the Pacific: carrots and shijimi.

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ヴァイオリン演奏~ グリーンライフ湘南


藤沢市に、グリーンライフ湘南という老人介護施設があります。
今日は、12月の誕生会とクリスマスの集いということで、ヴァイオリン演奏に招かれました。

一人での訪問ですので、1時間のプログラム作りに工夫をしました。
クラシック音楽の小品、映画音楽、日本の歌を交互に演奏しました。

皆さん、楽しそうな表情で聞いてくださるので、どんどんどんどん弾きました。
気がつくと1時間15分、弾き続けていました。25曲ほど演奏しました。

喜んで頂けて嬉しかったです!
明るい職員の皆さんも元気な手拍子をありがとうございました!

Nakamura Michiko




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system of hospital No.1〜conference〜

病院ではカンファレンスというものがあります。

そこでは、患者の現在の状況や、
今後の見通しについて、それぞれの専門家が情報交換します。

私が働く病院では、
医者、看護師、理学療法士、作業療法士、言語聴覚士、
栄養士、社会福祉士、薬剤師などが集まり情報交換しています。

専門家同士の意見を統合し、最終的な判断を下すのは医師の役目です。

意見の統合がうまくいくと、患者の全体像が浮かび上がります。
その結果、治療方針やリハビリテーションの内容が明確化します。

逆に、意見がまとめられない場合や、
必要な情報収集が十分にされていない場合、
患者の治療方針はちぐはぐなものになってしまいます。

意見をまとめる医師の技量はもちろんですが、
それぞれの専門家たちの、正確な評価と判断が必要となります。
また、専門家同士が足並みを揃え、協調しなければ、
患者の生活を改善するための医療は提供できないのです。

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奥秩父(おくちちぶ)へ



冬晴れと静寂映す治水の湖畔

ふゆばれ と せいじゃく うつす ちすい の こはん




職場後輩と3人で自転車を持ち寄り、
埼玉の秘境の地、奥秩父に行きました。

朝6時から電車に揺られ、
標高約500mにある秩父湖まで、
往復約50kmの山路を攻めました。

秩父湖は二瀬(ふたせ)ダムと言うそうです。

名前の通り幾度となく氾濫した
荒川を静める役目を持たされたそう。

つまり、人工の湖です。

そんなダムはただただ静かに
自らの役割である静寂を守っていました。

私など簡単に飲み込まれそうなほど深いダムでした。




秩父湖

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ロコモティブシンドローム②


「日本の老人の寝たきりだけでなく、日本で入院期間がダントツ長い原因について考えた事があります。第一に、居住条件からみて個室や寝室がないため、家では病人が生活しにくい、第二に、椅子に腰掛けずに畳に座る生活が寝たきりにつながりやすい、第三に、病院や寝たきりが唯一の逃げ場になっている、等が思いあたりました。ロコモの予防では、以上の問題をどのように解決するのか興味があります。」

以前、陽子さんとのやり取りの中で、ロコモティブシンドロームについての話題が出ました。
先日のナコスカンファレンスでの議題の一つにあげて、みんなで考えました。
前回はロコモティブシンドロームについて調べたことを記載しましたので、
今回からは、本題について考えたことを書いて行きたいと思います。

まず、第一のご意見
○居住条件からみて個室や寝室がないため、家では病人が生活しにくい
これについては、そうとも言えますし、そうでないとも言えます。

確かに、日本の古い家屋や昔ながらの長屋には個室や寝室がないことが多いです。
(もちろん最近建てられた家にはあります)
印象としては、皆それが当たり前の環境なので、何とか工夫しています。
居間の隅にベッドをおき、家族の生活空間で介護をしている家庭を何度も見たことがあります。私の家でも、祖母の看病をした時に居間にベッドを置いていました。
昔の方は個室ではなく日中を居間で過ごすことが多いので、あまり違和感はないように感じます。また、家族皆で見守ることができるので、安心です。
よく外国の映画などで、病人が大きな寝室にある大きなベッドで過ごす姿を見かけますが、日本の家屋環境に慣れている私としては逆に違和感を感じてしまいます。

ただ一つ心配事は、小さく狭い家屋の場合、車椅子が通るスペースやベッドを置く位置がない可能性があることです。
このような時は、家具を移動したり、処分したりしてスペースを確保します。
どんな家屋環境でも、ご家族の協力さえあれば、何とかなることが多いです。

また、病院に入院している患者さんの場合、退院する前に理学療法士や作業療法士が出向いて家屋環境をチェックし、どのような工夫をすれば安全に生活できるかを検討します。これはリハビリスタッフの大事な仕事の一つです。患者さんが家で安全に生活できるような環境設定を考え、必要とあれば家屋改修も検討します。

少しロコモティブシンドロームから話がそれたような気もしますが、私たちの考えはこのような感じにまとまりました。
皆さんまたご意見をください!

続く…

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Why such a Fuss

Yesterday, My Wife and I attended a birthday party for a one year old. The son of a really good friend I had not seen in almost a year. A party he wasn’t to thrilled to have. And I could see why. Why throw such a huge party for a child will have no recollection of it ever happening? Plus, it really just seemed like people showed up for the free food and live band, which not many people seemed to intrested in either. I could ony imagine how much money went into preparing for something of that size, as opposed to a small gathering of close family and friends. They were clearly stressed throughout the night, and my friend was relieved when the band packed up an hour early and everyone else followed suit. he said, “Good. It was over sooner than I hoped. Thought I was gonna be here until midnight cleaning up” We stuck around awhile and gave him a hand. All in all though, it was good to see my friend again. Sometimes life can be so busy.

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里香のオアフ便り27:Happy 1st Birthday!

昨日、主人のお友達のお子さんのバースデーパーティーに行ってきました。こちらでは、一歳の誕生日を盛大にお祝いすることが多いようで、軽く100人を越えるゲストの方々が参加していました。やはり規模が大きいなと感じるひと時でした。

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