OB Nurse. Cannabis Nurse.
Welcome to health hats learning on the journey towards best health. I'm Danny Van Lewin two legged six gender old white man's privileged living in a food oasis. Who can afford many hats and knows a little bit about a lot of health care and a lot about very little. Most people wear hats wanted to time but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all of this Good James Brown. I didn't know how I tied this episode together. What was the story? We're going to hear my conversation with Jodie. Churchill Service Bond and Mogi nurse ten years. She supports moms delivering babies and she advises people on the use of medical marijuana. How do those two while and editing this episode? I'm also working out Horn of I feel good on my very new clam eyeball deep and Kobe. Nineteen maintaining my best health routine and trying to stay safe all disclosure. Medical Marijuana is part of my routine along and connecting people on their journey towards best. I need to feel good. Some of the got him Jodi. Thank you for joining me. I really appreciate it. We met just. I think a couple weeks ago on call Bill Woodworth. Call Right yes. It was her one hundred episode. Her one hundredth episode was really a moving. The call and the thing that I felt that was moving was the everybody was dealing with so much. I don't know what were their twenty twenty five people on the call. There was a good amount. And then some people that kind of came in and out right It was selected by people that Jill knows and interviewed and there people who are dealing with many family challenges and what was striking to me was well just the range of challenges and the complexity of the challenges that people were just alluding to by saying like my son's just been having seizures in. We're trying to figure out whether to use telehealth or do we need to go to the Doctor. But they were like upbeat. This is just another problem that they were trying to solve. And Mrs just like real life. The reason I called you are got in touch with Jill to say who was that lady and introduced me. Is that well? I felt the affinity because we're both nurses and you were talking about the challenge of being an ob an OB nurse. Now you're kinda crushed lamb. He yeah I maybe what we should do first is. If you're like in a social situation how do you introduce yourself? I usually tell people that I'm a nurse. I've been a registered nurse for over thirty years in a hospital setting with an extensive background in women's Health and labor and delivery. I am also when I'm not delivering babies at a local hospital. I am partner and director of nursing for Green Nurse Group and green nurse. Group is profit whole health consulting agency that serves as a liaison between patients and professionals in the medical cannabis industry so they really are two opposite ends of the spectrum because you're not usually talking about cannabis and labor and delivery and and so they're they're really two separate hats at this point in time. Take this introduction. Jody rift for a while social distancing. I can't accept what I'm eating into this new normal. I'm adapting fine but I. I'm touching hugging retired nurse. I feel As far as as me having to deal with a lack of of of touch and and being able to like I think my biggest thing with this whole Kobe did and social distancing I think in regular public. I'm okay if I'm somewhere where I don't know people with staying six feet away from them. I'll give them their distance most times. I don't want to be that close to them anyway but where I find it really difficult is when I'm around people that make me feel good. I'm a hugger mugger. Amac Kisser Matai Jerry. When I'm talking to someone I'm touching their arm their shoulder when I'm at work. I mean labor and delivery it's it's an interpersonal nerd. Where very personal were into touching? So we'll sit there at the nurses station if someone's like oh. I got an ache. I'll go right open like I even have. Cbd oils emotions in my in my bag that I would whip right out and I work on the not in a shoulder or or what have you. And now that's taboo now. We can't even sit near each other to talk close. Our computers have to be six feet apart and word in our masks and everybody's wearing their surgical caps now and it's just so it's so distant even when going into a patient's room usually I go up. I go close touch them on their leg of their arm. Hi How are you? I'm jodie shake. Shake their partners hand after getting to know them for the shift then at the end end of my shift. I'm giving hugs at the end of a delivery and now none of that is happening and actually I'm feeling so lost like that's that's where it hurts. The most is when I go into like when I'm used to going in to give a hug then I have to step back and it's like am. I being punished for this which I mean. I know it's not me personally but it's like what. What did I do that? The Universe is is doing. This is something that felt so good something bad when when you can't fix anything when you can't fix something when when someone is sad and you know that you can't you don't have the right answers a touch a hug a kiss and that that's not happening. I I just feel so starved. Can only you can only give so so much self love many times? I break down and start crying. It's hard it's hard. It is hard it is. I'm a nurse and The thing one of the things that that has been glorious for be about being a nurse is it's sort of legalized nosiness and this opportunity to have these odd fleeting intimacies. Whatever setting. I've done home care? I see you urgency department home rehabilitation and and yes. I think that fleeting intimacy is really precious about nursing and the part of it of course is as you said the touch. The Hug the physical expression of empathy is really important and I know now the hardest thing for me is that I can't hug my kids and my grandkids. Like just her heels. Crazy man very upsetting. This is early days but are you starting to see any alternative ways of expressing that caring and intimacy within these like ridiculous constraints that we have. Are you feeling like there's a glimpse of anything or is it at the point? Still words like this just sucks. It's you know I have fully gowned before and put an end ninety five on an I have embraced some of my closest. Because I can't go without it so I have put on p. p. e. just so. I can show affection that the only way I've found around it okay. I mean because I feel like right now our interventions are gross meeting gross as opposed to refined were managing with a sickle an or a sledgehammer. You know when I think we're we'll go is with a a needle or a scalpel where we get more like. What are the parameters so for example? You Know I. This is totally different. But you know the other day I was talking with somebody who had a bunch of kids and each child was allowed to have one friend that would be included in their pod. So Day could have play dates. So I'm thinking Oh my goodness. What are the implications of that? And I don't know I mean to me. It sounded a little risky but but I also thought okay people are trying to figure out. What can I do safely and maintain my sanity and continue with life. And that's part of this unpleasing and it sounds like you're getting up for a hud is an example in that third okay. What can I do like this? Hug is worth the dress up. You know so when I sort of that. It's like okay. Now you're like having to ration. Okay got prioritize. You know. There's only so many times I can gown up right exactly exactly. Yeah so that is interesting are so what are you seeing around you with your colleagues? How are they adapting? What are they coming up with as a ways to be a nurse? I mean you know I mean being a nurses special right. You know what it's it's lots of verbal encouragement because now that we are having to wear more protection. I'm finding now many of us are are now wearing scrub caps whether we're going into the operating room or not. We are wearing our masks. We are wearing even even protective glasses around because women can come in and deliver babies and huffing and puffing in aerosolize ing all around us. But what we're finding is that we're the scrub caps. Were getting different kinds different things because we're finding that our noses are are getting worn down our years around comfortable just helping each other different ways to to wear our p. e. now but the encouragement. I think the encouragement is a big thing and when we recognize that. Somebody's having a hard time. We pull them side and give them a little extra. I've had to be signing crying room so meaning. Your colleagues are calling my colleagues right. I think Just just trying to to encourage each other because it is. It is difficult to perform our jobs. You know and then I mean then when we get to the patients as far as the patients go you know. That's that's something that that takes a lot of encouragement as well because these patients I mean it's stressful trying to gear up for a Labor. You know and and birth process any way but now so much being taken away from them so many rely on their own support group. They'll have their their significant other. They'll have a Dula. They'll have other family members in family. Members will be waiting in the waiting room charing on from far now. All of that has come to an a halt. They're only allowed one one person in with them during that birth process in a has to go through the whole visit. You can't interchange anybody at that. It's that one person that's with you. From Labor Delivery Birth Postpartum and mome that processes shortened to now of Agile. Birth is twenty four hours where it used to be forty eight hours and now a c section is forty eight hours where it used to be a seventy two hour stay. So even that's been been shortened up and then you get into if you have a patient. That's up E. Y. Which is a person under investigation or Kobe positive? Gosh than they have even more taken away. They're not allowed their visitors. They're put in isolation the babies put Nice Latian. The babies taken away from them. Twenty four hours. I mean it is so and now that we're finding that women without symptoms day symptomatic. Women are also positive. We've had women so now any woman that comes in that's going to be admitted automatically gets test. Cova test regardless of her symptoms the significant other their temperature is taken and their denial of Cova questions is also documented in the patient's chart which I've never ever in my life documented. I've never taken a partners temperature. Vital sign let alone documented in my patience chart. So that's a little weird but I mean I think. They require a lot of encouragement. Because they're being forced to make choices on my. Gosh should I stay home and deliver this baby if I have possibility of being taken away but not everybody has set up for a home? Birth and there aren't enough providers there that will assist them with the Harbor. So that's scary too. That we have to reassure them that it still safe to come into the hospital. Yes you might not be able to follow through with everything that was on your birth plan which I mean. Oftentimes many people can't follow through with their birth clamper plans change but especially with this that they know that there's restrictions right up front and I think what we're going to have to deal with what we're going to have to watch for is postpartum depression because people build up to this one day and then it's it's deflated because it didn't turn out the way they wanted. And this just sets them up and then their hormonal imbalance from having a baby and then once they get home. They're back into being quarantined. I think in. That's huge because I think these cases are going to be missed because they might not call on the doctor for a visit. They might not be aware that telehealth Visits that can happen. So I'm I'm concerned. Yeah Yeah yeah no I I I appreciate that. I think in my work right now. I'm focusing on people at home that I feel like the industry is dealing with acute care and the medical settings but as you're alluding to hear now my words more than eighty percent of dealing with Cova does not happen in an institution. It happens at home and we are woefully inadequate. In how are we going to deal with that? You're bringing up of unimportant. Area is okay so now I'm going home with a newborn and my girlfriends aren't coming over by friends or my my extended family and it's it's all on me or it's all on being my partner and then there's three kids who need me too and I'm exhausted and I've been through this experience and so those are the kinds of things like I think about right now. And how do we offer answers to those every day? Questions that there's millions of them very few of them are about. Pp you know it's is. There's just this lifestyle you know ran. We're going to get help taking care of a newborn baby. I'm going crazy. I'm exhausted. Young these are the right the bright and y right it. It sure is and they're you know the struggle is real. The concerns are real so with anxiety and depression are increasing postpartum depression and also child and spousal abuse. That's that's going unreported now to people on quarantine it's scary it is it is room. So what do you recommend like okay so now you you've now had eight weeks or whatever of experience in this maternity support world so if there are families women and partners they're pregnant they're anticipating. What do you advise? Like how can they? How can they go into the situation and maximize the health of that situation? Well I think I think their biggest fear Is that they're going to deliver alone. Isn't that art breaking? Oh my Gosh Ryan Alone Ryan Dot com delivering alone dying alone but but alone without you know. He moved that they that they trust that they were planning. And then we come in and they see our is you know we have our scrub caps on. We have our masks on. Oftentimes we have gowns on gloves. And I mean I wear glasses and goggles so I am completely garbed up. You know and it's like an alien is coming to deliver your baby. And that's that's not what they sign up for that right there. Certainly there's the call hard of people who are going to be. This is so strange and they're overwhelmed but then there are that smaller group of people who are more take charge and there are things that they could do before was bring your partner. Bring your do Make sure somebody's taking care of your kids that you trust so that you can focus on. You're going to have a baby okay. So now. That isn't enough now. They've got. They need more tools in their toolbox to have a successful experience. So what do you some of those things might be? I think what they at this point. They need to trust their bedside nurse. I mean it it. It really comes down to you. Know how we help them through because now we have become their prime support personal. They're there one other support person so where there for both of them so we have to could put back on all of the hats again. It's not just about clinical care. It's now about support and how to get them how to make the situation better for them because we've also taken away walking in the hallways to them to. We don't allow anybody in our kitchens. Either where they could usually walk around help themselves to anything in the kitchen food so many things have been cut short so we suggest to them bring in your own snacks. Snacks bringing a cooler. But it Kinda zero way to meet you ahead of time. So that they they have a sense that okay. Jodi is going to be there and yeah. Our unit is too big ships change. It's tough to know because I mean I wear few different hats at work. I'm triage nurse. I'm charge nurse Labor and delivery nurse. Okay yeah it's it's really the luck of the draw off. It is so the. Oh my God you know. Trust Trust game. That is a huge. Trust game well you know what is interesting though I mean so. Then the science or the art are both is. How do you build that trust in five seconds? Then that's on you as anchors so you know I'm going to go on a limb here and say you're pretty good at that. So how do you do it? You know what I go in with a positive attitude and granted. They can't see my smile behind my mask but you smile big enough. They can see it in your eyes. It's really feeling them out. I mean I think that's the great thing about having so much experience in the triage department because you're seeing many people in and all of their significant others in their baggage and issues that they might carry when you walk into the room. You kinda gotta get a feel for the room for the patient. It comes with years of experience. I mean you walk into a room and you can. You can tell the vibe whether they're going to need that gentle hand or whether you can joke around with them and throw out some profanities you just kind of. He'll feel the room be able to read the room and play your cards accordingly because some people want lots of information some people want nothing But the biggest thing is just to let them know that it's all about them. You never let them know that it's busy on the rest of the unit. You never let them know that you know you're having a tough time with other people that somebody without a fetal heart rate just came in. You have to make sure that when you walk into each and every room that they know that they're the only patient so one of my absolute favorite episodes I ever did was with. What's his name Jason Stewart? Who was the clown supervisor at Boston? Children's they have a clown unit that goes from room to room and when I worked there I worked there and I led their patient family experience initiative and when I worked there he hosted a class on reading the Rue and it was one of the more valuable lessons I ever learned when I interviewed him for my podcast. I that's what it was about. You know reading the room and I agree. I think that that being able to trust myself that I could read the room in five seconds and what was going on and you know I was. I was probably right. Two thirds of the time. It wasn't like a huge amount but I wasn't terrible at it but you know what I mean. It's like yeah. Yeah the Ruben. Get it right every time you right. There's just too many permutations and but I did think that sometimes I thought. Why didn't I learn US IN NURSING SCHOOL? This read the room like vast and it was it. There was some you could learn. This was not that big of a mystery right so I appreciate you saying net the the ability to read the room. I think that's that's a gift that on. That's a gift here patients. 'cause coming in coming in with the with this might work and I think part of the ability of learning to read the room is trying something and in the next five seconds realized Euret Rock and shift right and right because I mean you got to trust it. I think this is what going on and you know then if you blow it it'll happen. Quick Oh yeah and that share has That has sure happened before. I've walked out of the room. It's like damn he goes away. I expect the next time you go in with a different approach. Exact which is okay. That's good I mean that's learning times no matter what approach you bring in. There's no winning in. It's like you just okay. Somebody else's up pod got so I do have another question sure. So how do you keep your family safe as a person in a high risk occupation? That's a great question because that's that's a huge fear with obviously ways weighs heavy on my mind when I'm working with patients who are either infected and those who we don't know that are infected with covert nineteen? I'm very concerned about bringing it home to my my family and loved ones especially because we hear that there's so many people that are testing positive that are a symptomatic or false negatives people that are symptomatic yet they show up negative and then a couple days later or you know re-testing than they show up positive. You have a routine that you do that when you leave the hospital. You have a routine when you walk in the front door of your. I I do. I mean you know as usual. I use all the appropriate precautions at work anyways. Even pre cova good handwashing and you know trying not to touch my face but definitely go through through appropriate precautions but when I show up to work. Luckily on my unit we are required to change into hospital. Scrubs because in labor and delivery you've been Head to the operating room the surgical suite on any given notice so we are lucky enough that we get to leave our street clothes and are a locker room. I wear a separate set of shoes at work than I do mall so that I put away as well and then during the shift using the appropriate hand hygiene an appropriate a tire and then before I leave work once I change into back into my street clothes. I make sure that my education is all wipe down and anything. That's coming home with me where before I used to bring a big work bag in that had all sorts of things in it any snacks. I wanted any extra socks. Whatever I mean by my mag was always filled. I don't bring in a bag anymore. I have a little one gallons ziplock bag that has my Scrub CAPS in it. I have a couple of extra received your masks that are in it just in case. Something's not provided. When I I walk into the hospital I have run into that that they weren't there to provide me my my mask when I first walk in but I minimized anything. That's coming out of the hospital with me. If I bring food in I eat it. I leave anything there but I bring minimal home and then when I arrive home I change out of my clothes. I wash up. And I constantly monitored myself or any symptoms before we were appropriately provided our P P. We actually had a quite a few nurses test positive on our unit early on because we were only allowed to use our and ninety five if there is a. Ui or a Kobe positive which at that point. A patient under an investigate. Good okay so and we had to sign out our protective equipment for those patients in it and it wasn't until a couple of our pregnant nurses showed up positive then bum-bum-bum-bum-bum-bum-ba seven more nurses right after them showed up positive that they were like ooh okay. We're GONNA need more protection around here what's going on. I think it was because pregnant. Women are showing up a symptomatic. People weren't getting the testing or people coming in with them where denying their symptoms. So I think you know I was. I was a lot more nervous back when we weren't provided the P. p. e. but now that. I go into work. I get on my end as soon as I walk onto my unit. I get my surgical or my procedure mask. When I I walk into the hospital. Everybody gets that you actually have to show up a Kobe. Pass for the shift an hour or two before the shift starts. You have to go through. You have to log into an APP say that you don't have any symptoms. Sign that you don't have any symptoms and then show them that. Get your surgical mask night. You can work once I get to my unit and get I get my and ninety five on my surgical cap and either glasses or goggles and I think I feel more protected definitely. I'm I'm better about washing down computers and anything that I might be using before I even use it over over washing sanitizing. I before I I would wash all the time but now even if I haven't been anywhere I find myself anytime I go by. I'm constantly using so so I mean my hands and arms are guard crazy dry from that but I do live with my husband and one of my children. My other two older children live out of the house. But you know I'm still around them. We share bathrooms we together my husband and I still or in the same bed you know. It's but in the back of my mind thinking who is that a little dry cough. Ooh Do I feel warm to the patient that I had the other day? It's always in the back of my mind but I am ready. I have a bug out bag ready to go. If I find out that that one of my colleagues or or that I'm symptomatic. I have a bag packed in I now. I know I can go to a hotel for free. They have hotels. Were before it was a little more difficult before. They had closed the hotels to the the regular public. So you know I feel confident if I have to pull myself away from my family that I could do it I have the means if I have to. I don't want to but it's it's a concern. I just have to hope that it passes by my family. My loved ones my my myself. I'm boosting my immune system every way I can. I have a suppressed immune system anyway. Add PSORIATIC arthritis You know so so my immune system is a little out of whack anyway but I think just with these last few years of really kind of changing my my life habits that I've been able to boost my immune system properly and I just hope that that's that everything I'm doing is GonNa keep this nasty virus away now. A word from our sponsor a bridge US A Bridge to record your green nurse. Visit push the big button and record the conversation. Oh transcript or listen to clips when you get home check out the APP. A BRIDGE DOT COM A I G E DOT COM or download it on the apple APP store or Google. Play store record your healthcare conversations. Let me know how it went. Well just because I'm nosy. What do you do for fun? What do I do for fun? Well I mean right now. There's there's kind of a restriction on fun so right now I I have just the quarantine teen I have a segment on a show. It's called green nurse on the grow. It's on day mornings and Sunday mornings at ten o'clock on disrupt America Good Morning Shut Ins. Is the variety show. That's on disrupt America and it's through. Facebook live youtube twitter. There's there's different platforms but basically I'm a novice grower. I can't grow tomato but you know really once I got into this industry and working with other people and connecting with people. I was able to connect with some cultivators and people that are helping coach. My my lack of ability and going on this show is amazing because each time I go on they'll bring a cultivator on and I'll bring them through my garden my grow. I have a couple of tenths. This is a plant that has changed my life. Just four years ago was when I was kind of introduced to it I had learned about the Endo cannabinoid system and from there. You know it just expanded when I saw. This plant changed my life now. I can have a hand in growing my own medicine and medicine for many others as well. But it's something that that takes up my time. I'm Kinda stuck in the house when I'm not working at the hospital. You Know Endo cannabinoid so an Endo cannabinoid system. Oh so that is a system. It's a it's a a system of neurotransmitters of receptor sites all over your body and it incorporates every single other system in your body the cardiovascular system the respiratory system the immune system I mean every single system it it's Connected to and what I found. Is that when it is imbalanced? It can affect one or many of those other systems. And you know what I found is when I started incorporating cannabis as a healthy routine partake as adult US occasionally here and there but once I really started delving into it and learning what it could do a for my body you know. I got off many of my pharmaceuticals. I was victim of Poly Pharmacy. I was on more than ten meds with autoimmune disorder. I've had a brain hemorrhage chronic pain spinal stenosis and just the typical stress of being a nurse trying to raise a family a married. I have three children working shift work. I was charge nurse of my labor and delivery unit. It's a very busy unit so just being filled in many different directions and my body was just you know compensating and what I found is that I was. I was running towards more unhealthy habits at that point so once I started changing things. I hid started utilizing cannabis in a healthier way. I was able to sleep more. I had more energy. I was making better choices. When you feel good you're making better choices on what you eat. And then how you exercise. The energy level had gone up. How has your experience with cannabis helped you negotiate this change in your work life as a nurse all gowned up and not able to hug in touch with how how his CA? I sense that you've been really challenged by the shift into this highly protected persona as a nurse. That's been really a challenge. And so I'm wondering has the has your growing experience with cannabis and the benefits of cannabis for you as that helped you deal with the stress of work. Well I think cannabis helps me deal with the stress of life in general whether it be work whether it be family it his balanced my mood. It has allowed me to not fly off the handle if I find that if that I'm overwhelmed with life whether it be work whether it be home I'm able to take a step back. It's almost. It's taking that breath. It's it's forcing need to take a breath because whether I smoke it or whether you know I ingest it you know it's it's bringing me into focus. It's Kinda making me step back and say hey things thank things might seem bad but we can get through this. We've been through worse and and it's just another blip in the road. Thank you so thank you Danny. It was awesome. I was really nervous at first of all like. Oh my God. How am I going to prepare for this by GONNA awesome spot? Yeah it was. It was a lot of fun. You made me feel really comfortable good good. Hey we're nurses yet. We we Arnuhar says we are and it is. The Year of the nurse Will Jodi. Thanks for all you do. This has been a great conversation. I YOU'LL BE IN MY HEART BANK. Thank you. It was awesome. It was it was really good. Okay see bits together staying sane in insane situation how do our frontline essential workers all of them juggling duty new passion family and come pressure. I'll do moms babysitting. Their partners managed mering tragedy and trump and hope and possibility. I know accepted. Zahn even been grateful for that learning most of my life but most people don't for most people it's not yet nevertheless. I'm grateful for nurses like Jelly. You're in. Let's celebrate the year of the nurse so good got it so good so good. See The show notes previous podcasts and other resources on my website. Www dot health dash hats dot com slash pod. Please subscribe or contribute if you like it. Share it. Thanks see around the block.