Thursday, October 23, 2014

Book Review: "God Chose ME to Carry THREE" by Lisa Frances Penn and Aaron Madison Penn



Title: God Chose ME To Carry THREE
Authors: Lisa Frances Penn and Aaron Madison Penn
Genre: Non-Fiction, Faith-Based


Dedication:

I have never done a dedication on a blog post/book review before. Mostly because I wasn't sure if people did that. Then I decided I didn't care what other people do. So, I dedicate this blog post/book review to the following people:

1. To my 12 angels. I will see you again someday.
2. To my beloved, late friend and brother of the author, Todd Christopher Jones. Without Todd, I wouldn't have met Lisa. All things come together for those who love the Lord. The Lord took you home but gave me Lisa. You are still missed my CAPA brother.
3. To the author herself, Lisa Frances Penn. The feat of being able to read your beautiful book finally settled the question long in my mind that I can read about such miracles without being in pain over my own losses. If you didn't write the book, I may have never known. Thank you so much for writing it and sharing this part of your life with me.

Review:

Imagine for a moment that you are a 40 year old woman and you have no children. Imagine you want children badly. Now imagine that you're concerned about having a condition in your reproductive system because your mother had it. Imagine having an ultrasound to check for that condition and you find out that you are not only PREGNANT, but that you are having TRIPLETS. No fertility drugs, SPONTANEOUSLY CONCEIVED TRIPLETS!

Now, imagine you're a man with a wife and your wife believes that she's got a reproductive condition that her mother had. Imagine that your wife is having an ultrasound to check for the condition so she can have it treated, if it can be treated at all. And because your wife is a NURSE, you have no reason to think she's wrong. Now imagine your wife comes home from that appointment and tells you she's pregnant. With TRIPLETS!

You have just received a fraction of a glimpse of what it's like to be Lisa Frances Penn and her husband, Aaron Madison Penn.

"God Chose ME To Carry Three" is the non-fiction story of The Penn's journey through learning about Lisa's spontaneously conceived triplet pregnancy, the duration of the extremely rough pregnancy itself, and what life is like raising identical triplets. 

In the interest of full disclosure, from January 2000 to December 2004, I personally went through fertility treatment and conceived a number of pregnancies. All were at least triplets. All of the pregnancies were lost. So, I have a total of 12 angels waiting for me in Heaven. 

So why in the world would I accept an invitation to read and review THIS book? Well, to see how I would feel reading about The Penns and Lisa's experience in particular. I also said "yes" to this book because when I met Lisa at her brother's funeral (he was a beloved classmate of mine) and subsequently got to know her on Facebook, I wanted to be a part of sharing this wonderful story with the world.

So, how did I feel reading this book? For starters, I was once again assured that God DOES still work miracles today. The day you doubt THAT, then read this book. There's no way one can doubt God and His ability to perform a miracle after reading this book. My own losses never really became an issue while reading this book. I didn't feel badly for ME. Faith restored, mission accomplished.

At certain times I felt badly for Lisa. Even though my pregnancies were all high-risk and Lisa and I have that in common, my experience still was not the same. After my first pregnancy failed, I was on bed rest immediately with all of the other pregnancies as soon as the tests came back positive. Lisa's bed rest experience was nothing like mine. She actually made it to having to be on bed rest in the hospital for months.

What was it like to be taken into the world of Mrs. Penn as she went through this journey, primarily left on her own by all of her doctors and nurses, with only her hard-working husband to support her emotionally? For starters, my head spun reading about it. There was a point closer to the beginning of her hospitalized bed rest where I kept finding myself in disbelief. The nurses who cared for Lisa, upon finding out she was a nurse herself, didn't tell her anything. I kept wondering things like "why didn't she push harder?" or "why not seek out a patient advocate inside the hospital?" And then my thoughts flipped. Maybe it was because I'm a nurse as well. But I began to wonder, "what the heck were these nurses thinking?" or "what was wrong with these nurses?" A woman stuck on bed rest, in a hospital during the winter, who can't even get out of bed to go to the bathroom while pregnant with triplets, has to be going NUTS. The hormones alone would make her brain more scrambled than the eggs on a Denny's Grand Slam Breakfast. Would she be thinking about pushing harder? Probably not. She's thinking about the three babies in her belly, right? 

Who should consider not reading this book? If you are a primary infertile woman who is still going through treatment, this may not be for you. If you've been through a lot of pregnancy loss and you haven't moved forward, may not be for you. Overall, if you're a female who hasn't dealt with your own inability to conceive and/or your losses, then this isn't for you. I felt I was far enough past my own losses to read this book and I was happy to find out I was right.

Now, if you do fit into any of these categories and you think you might enjoy reading a true story of someone else's good fortune, this book is definitely for you. There are those who fit into these categories who feel that reading about others having success in this area whether via spontaneous conception or, by assisted reproductive techniques (ART), makes them feel more positive. They receive a positive outlook and some feel better overall. So if you can read this type of book in order to build your own self-confidence, especially when the trying becomes difficult to handle, I would highly recommend that you read this book. It will emotionally uplift your spirit.

For everybody else, this is one of those non-fiction books that reads like a fiction novel. The story has suspense, it has some scary parts too. It's got joy. And, it's got some pain. It will most certainly get YOU. Once I got started, my picky self only stopped reading because the need to sleep won out. The only thing I wanted to see more of in the book early on was more of Aaron's point of view. However, the further I got, the more I felt that Lisa carried these three miracles and the amount that is Aaron's point of view was actually just right.

"God Chose ME to Carry THREE" is every bit as exciting as any good fiction novel. The story just happens to be true.

Wednesday, October 22, 2014

Cover Reveal: "You And Everything After" A Novel By Ginger Scott

Coming on December 5th, 2014…..

A Ginger Scott Novel


Book Two in the "Falling" series

I’m that teenaged girl who has MS. You haven’t met me, but you’ve seen me around. You probably know my sister. We’re twins, and she’s the pretty one. Maybe you’ve heard about my reputation, how much I like to hook up at parties—how easy it is to get me in bed, get what you want, and forget about me after.

Forget what you think you know. I’m leaving that girl behind.

College is all about new beginnings. So from now on—I’m just Cass. And the rest…it isn’t written yet. And no one else gets to write my story for me. 

--------

“Tyson Preeter doesn’t do can’t.”

That’s exactly what I want people to think when they see me. I am strong, invincible, confident, intelligent—arrogant. I’m the man who always finds a way around, over and through—until there’s nothing left. Since losing my ability to walk six years ago, I’ve relearned life. I don’t need sympathy. I don’t want charity. And I don’t do love. 

It’s better this way, saves my disappointments for me, and me alone, and it saves my strength for everything I want.

But Cass Owens is about to wreck everything. She’s about to steal all of my strength away from me, because she needs it more. She’s about to break all of my rules, and break down all of my walls. She’s about to own me…completely.

And I’m about to let her.

Wednesday, October 15, 2014

Reblogged: Ebola, A Nurse's Perspective (Please, Take This SERIOUSLY!!!!!)

This is reblogged from: 
http://dtolar.wordpress.com/2014/10/01/ebola-a-nurses-perspective/

After I sat and read this, I realized that this is how I'd try to explain it to people. So in the interest of not taking up hours to type the same ideas, I've decided to reblog it here. This is submitted exactly as it was written. There are no edits. The goal is for people to LEARN, to take this SERIOUSLY.



So a few months ago the country was enthralled with the idea of a few patients, infected with the Ebola virus, coming to the United States. Up until this point, we had been safe from Ebola due to the fact that bats can’t fly over the Atlantic. Some people were completely indifferent, while others had seen Outbreak one too many times. Most were a healthy mix, somewhere in between, but what bothered me the most was both the lack of education and the poor information that was spreading more virulently than the virus could ever hope to.

First, I want to stress that I am a nurse, not a virologist, and hopefully throughout my post you will see that I am not pretending to be one. I have a Bachelor’s in Nursing and am currently a graduate student. I have worked extensively with Infectious Disease Specialists. I have been exposed to almost every infectious disease known to the modern world. I have taken courses in Biology, Microbiology, Anatomy, Physiology, Pathophysiology, Advanced Pathophysiology, Pharmacology, and an assortment of others. However, I am not and will not pretend to be an expert, just an experienced professional. When it comes to an epidemic of any sort, my first focus is on the patient, protecting and healing them, my second focus is on protecting the community. I don’t care about which strain does what, or what we can do with in lab. As a nurse, I concern myself with the current patient and future possible patients. I feel the first thing we should examine is Ebola itself. It is foreign to the US, both literally and figuratively. What it does to people and how it harmonizes with nature are both things that most westerners have little concept of. It is a virus, not a bacteria. This means that it is not its own organism. It is actually much smaller and basic than you can imagine. It is nothing more than a few pieces of DNA/RNA and some proteins. No cell wall, no cytoplasm, no metabolic functions. This is both their advantage and their downfall. Viruses require a host. For this example I will use the HIV virus. HIV gets into the human body and invades the host’s white blood cells, T4 cells to be exact but I won’t get that involved. The proteins help get the virus into the cell and those few small sequences of DNA/RNA write themselves into the host DNA/RNA. Now instead of the white blood cell attacking invaders, it is nothing more than an HIV factory. All of its metabolic functions are redirected at producing more of the virus, which pours out of the white blood cell like a sieve until eventually the host cell dies. This is why HIV infected patients have poor immune systems. The virus re-writes the DNA of the host cells. This is not something we can stop. New viruses are pouring out of the white blood cells at a rate of millions a day. We cannot filter them out. We cannot “kill” a little chunk of DNA and we don’t know enough about the human genome to correct the DNA sequences. This is why a lot of viral infections like HIV, Herpes, and Hepatitis are life long infections. HIV invades the white blood cells, Herpes invade the nerve roots, and Hepatitis invades the liver.

Now that we have a better grasp of viruses, we will focus on Ebola a bit more. In tropical Africa, Ebola naturally lives in bats. It is nice to the bats and doesn’t cause them many issues. It is rumored that there are many viruses humans carry our entire lives and have no idea because they show zero symptoms. Therefore, they have never been studied. If this sounds crazy, just remember that it was in recent years the we discovered there was a virus behind cervical cancer. A virus that men can carry and spread without ever knowing they have it. Where the problem arises is that in tropical Africa, people like to eat bats. Sometimes they get infected with Ebola and it spreads. This process is called Zoonosis and can be true of bacteria or viruses. Racoons carry Rabies, Armadillos carry Leprosy, Birds carry the Flu, Bats carry Ebola.

When I said Westerners don’t really understand Ebola, the primary aspect that I am talking about is the patient. We don’t ever see what Ebola does. Our media is too censored, we hear how many died, and see people in haz-mat suits. Speaking of suits, we’ve all seen the pictures. Rubber gloves are adequate for AIDS and hepatitis, a simple mask (N95) stops Tuberculosis, but this requires space suits, just keep that in mind when you think its no big deal. So here is what happens when you catch Ebola, I figure you’re getting bored with reading right about now, so I’ll spice it up. First the virus gets into your system, I’ll elaborate on that later. Then, it hangs out for a few days, even up to 21, growing, multiplying at a rate of millions a day, and guess what, you’re infectious. Now at this point it would pretty much require a straight blood to blood interaction so the only real threat here is for IV drug users who share needles. Just like with the flu or hand foot and mouth disease, you can be spreading it to others before you show a symptom*(apparently not many see the *, so please read the elaboration at the bottom). Remember, nurse mind set, protect the community. At first it’s not bad, little nausea, some sweating, diarrhea, much like a stomach bug. But then the virus really starts to build up in your liver and adrenal glands, after it has saturated your blood cells, the lining of your vessel, your skin, and bones. Hepatocellular necrosis occurs, which is fancy term for your liver starts to decompose.Your liver is what regulates blood clotting. This causes your blood either clot up and turn to jelly in your veins, stay liquid and bleed profusely, or a combo of both. The adrenal glands then do the same, causing your blood pressure to drop. This requires lots of IV fluids to keep your circulating volume up. At the same time inflammatory cytokines are released which causes vascular leakage. Cells don’t do a good job of holding things together so it all becomes a bloody goop. Anywhere in your body that blood vessels are shallow, like your nose, ears, gums, throat, GI tract, urethra, vagina, rectum, all start oozing fluids and bleeding because the tissues that normally keep it contained are disintegrating. So now you bleed from every orifice, including your eyeballs. Every time someone or something touches you, your tissue gets damaged which further the cycle, so a shot in the arm can turn into a massive blood blister. Those who survive are left with massive scarring. Since the adrenals cannot keep your blood pressure up, and you are losing blood and fluids, we have to put IV fluids in to keep you out of hypovolemic shock. This in turn reduces your blood concentration, lowering your oxygen carrying capacity, which causes your heart to race. So you lay in bed, oozing fluids from everywhere, all while feeling like you just ran a marathon, with bloody diarrhea, oh and did I mention pain? Lots and lots of pain, but you can’t have any pain medicine because your liver and kidneys have failed. This why it pains me when I see this outbreak ONLY has a 50% death rate, when in Africa it is up to 90%…ONLY 50%. That is literally worse than cancer, and people are blowing it off. Imagine if cancer was infectious, and you lived in a country with zero cancer, and someone thought it would be a good idea to fly a few people in. I think there would be a different attitude.

The biggest part of the discussion is how Ebola is spread. I will say two things on the topic, no, it is not airborne, and yes, basic hygiene plays a HUGE factor. But while on the topic of whether it is or is not airborne, the definition of an airborne contagion is one that can freely float in the air, survive lengths of time, and infect someone else. VERY few things fit in this category, most have been eradicated, Small Pox, Tuberculosis, Measles. Things that are also NOT airborne, are the flu and the cold. For the flu, you have to come into direct contact with the patients body fluids. How then, do you explain why people catch it and have no idea how. Well for one, people can spread it before they show symptoms, just like Ebola, and one other HUGE factor…droplets….let that word really sink in. The virus may not be airborne, but the droplets are. I’m going to digress for a second and get back to HIV and Hepatitis, while I let droplets dwell in your mind. Everyone knows that HIV and Hepatitis are spread by blood contact, and sexual fluids, I don’t mean a drop of blood on the skin, or even a mucous membrane, it has to get INSIDE of you. This is why only gloves are required. HIV and Hepatitis are not found in urine, stool (Some forms of hepatitis are, but you have to eat the stool to get infected) saliva, sweat, tears, or mucous. This is where some viruses are different. The flu gets into your mucous and other secretions, Ebola tends to stay in the blood, but remember, every one of your bodily fluids are full of blood now. So a person with the flu sneezes, and now millions of little droplets (remember those guys?) shoot out of their nose at nearly mach 1, all across the room, same for a cough, all it takes is a little microscopic droplet to land in your eye, nose, mouth, or the unlikely scenario of an open wound, and you’ve now been infected, because you came in CONTACT with their bodily fluids. I see the word contact thrown around a lot, but most people think of mass amounts of contact with blood, but what they don’t realize is that contact also includes microscopic mucous and saliva droplets, each one chock full of Ebola. Bacteria can survive for long periods of time without a host because they are their own organism. They can feed on just about anything and be happy. Viruses lifespan without a host is much shorter. Their goal is to infect, replicate, and spread, if they cant replicate, they die. Measles only lives 2 hours. But Ebola, depending on what data you look at, can survive for several days.

So with all this information, lets have some role play, so that you can see exactly what this means, to a nurse, in the real world. Imagine it as a cheesy PSA or lifetime movie. You go to see your doctor because its that time of year, you need some blood drawn and refills of your blood pressure med. You sit patiently in the waiting room, thumbing a magazine while your 2-year-old plays with her toys. Like all two year olds, she touches everything, and everything goes in her mouth, toys, pens, her own fingers. She is a 22 lb drool factory and you love her to pieces. You see the doctor, get your goodies, and go home. A week later your angel starts vomiting blood and within 3 days she dies because her heart raced so fast it finally gave up while trying to maintain a blood pressure. Her eyes are blood red and demonic, her skin falls off in sheets. What you don’t know is that 3 days before your visit, someone thought they had the flu. It is October you see and they sneezed while thumbing through that very same magazine you thumbed through. The same thumb you grabbed her pacifier out of your purse with in the waiting room. The people caring for Ebola patients wear space suits, and burn the bodies, yet it still spreads. Here in America, we have much better protocols, and much better hygiene. So if it spreads, it will be contained much better. Still, it spreads prior to symptoms and survives will outside the body, just like the flu. Despite vaccines and good hand washing, thousands still get the flu every year. But while the flu kills 1-2% of its victims, Ebola kills 50% on a good day, and spreads the same way. So please, do not write it off as hype. It is a real thing and it is here.

The case in Dallas has been confirmed. The patient had contact with five children and adolescents prior to admission. Those five kids attend four of the largest schools in Dallas. One sneeze and we could already have thousands of people, who don’t know it yet, infected.

Thank you for reading. Please feel free to comment.

Symptoms* I have had a lot of comments in regards to this. I picked my words carefully, but I never imagined getting thousands of views an hour, or my article getting picked apart, but I will try to elaborate now. I said spread, the virus, I did not say you were contagious. What I meant by this, was the summation of two concepts. To fully explain everything I could write a book, but this is meant to be short and sweet. The first concept is that of a fomite. We have established that the virus can survive for an unspecified amount of time outside the host, and we have established that sneezing/coughing is a perfectly logical method of transmission. So if patient A is infectious/contagious, they sneeze on patient B, but then patient B goes home and picks up their sisters 1 6 month old, who rubs his face, and licks all over your shoulder, he could very well have just orally consumed large quantities of the virus, therefore become patient C. Patient B never got sick, the virus never entered their system, yet they are responsible for spreading the virus to someone else. This is why the 5 exposed kids are so important, there may only be a 2% chance or whatever that they’ll get sick, but if they went to school, and each rubbed up against 500 kids in the hallways, you now have 2500 exposed kids, 50 of which will statistically become infected, 25 of which will probably die. No I do not have a source for the 2%, that is just an EXAMPLE number used to represent the relatively low likelihood of contracting the virus if exposed, granted the R0 factor of R2 is correct. Remember, heal the patient, PROTECT the community. The second concept of this is defining “symptom”. Lets assume it means anything other than your baseline condition. That means the first signs of being contagious, are also the more mild symptoms, sneezy, achy, nausea, flu-like symptoms. So who is going to wake up, feel a little under the weather, and think, crap, I have Ebola, better get quarantined, no, THAT’S how you start fear mongering and mass panic. Again, flu season is upon us, the initial stages of Ebola are like the flu, and its human nature to be in denial, so many people, if infected, would hope its just the flu and wait it out, they are not showing symptoms indicative of Ebola, but they ARE symptomatic of something, and therefore, by the CDC definition, would be contagious. Its also normal procedure for people to be symptomatic BEFORE seeking medical care, so technically, everyone will be contagious, BEFORE knowing they have Ebola. But like I said before, I omitted this lengthy explanation because I didn’t feel it was necessary for the point of the article.

ADDENDUM: Sadly, I feel the need to point out that the title of this blog is “Ebola, A Nurse’s Perspective”, not “A Nurse’s Guide to Surviving the Apocalypse”, or “How to Become an Ebola Expert in 15 minutes”. It could just as well be “Hamburgers, A Chef’s Perspective” and no one would be hounding me over grammar, a misplaced comma, or wanting citations as to why I say it should be on the grill 5 minutes per side of 7 minutes per side. The point is those things are irrelevant to the goal of the article, this is MY perspective (a particular attitude toward or way of regarding something; a point of view.) I don’t have to prove anything, the point of my article is to take what the uneducated (in a medical sense) journalists say, what the talking heads on TV say, and then let you know what the people say who are on the front lines. That’s like discrediting your grandads account of what happened when he stormed Normandy beach, because its not what your history teacher told you. Have I experienced Ebola first hand? Nope, have I experienced a WHOLE lot of other things that the majority of the population has not? You bet your ass I have, and I felt the need to take the time to hopefully help other people out a little. So please keep that in mind, I’m not perfect, but my experiences are my experiences, and I wanted to share them with you, to let you inside the head of a nurse for a minute.