Sunday, November 7, 2010

"There’s no such thing as too much hug!” -Winnie the Pooh

It amazes me how often Winnie the Pooh gets it right... man that show had great writers back then. There really is no such thing as too much hug!

When I think about the importance of touch in my own life, images of my friends and family surround and embrace me. To hug, to be hugged, to hold, to be held, to stroke, to be stroked… for me all of these forms of touch will always be filled with love and compassion. I am so grateful to have been given the gift of love so freely in my life… I feel as though I am surrounded by love wherever I go and until recently I am not sure that I fully understood what a blessing that truly was. On the days when it seems as if all the walls are crashing down around me, when I cannot pull myself up alone… I find comfort in those around me. I find comfort in the loving arms or the loving words of a friend. Be it one embrace, one look, or one loving word… be it physical or unspoken… the healing power of touch is incredible to me.

Here at work I am reminded on a daily basis the importance and power of touch. Some days when there is a lull around the hospital I often find myself sitting in a ward holding or rocking a baby and singing to them. To hold a neglected, lonely or scared child and for just that moment in time be a presence in that life, no matter how little it seems, I know makes a difference. In my own life, the simplest touch on some days has made all the difference when I am down or in pain. Child Life takes on all sorts of different roles at the Red Cross Hospital, one of which I cannot pull myself from... the treatment room on the Burns ward. The simple loving, caring touch and smiling face I know make it a brighter place no matter how horrible it may be. It breaks my heart to see what some of the children have to go through on a weekly basis in the treatment room... but to be able to be a part of that in a non-threatening way, to be able to hold the children gently during the dressing changes or blow bubbles with them or just talk to them makes me feel like I am able to be a part of something that really does makes a difference, even if it is just for one day in the life of one little guy.  

Last week on C2, the burns ward, I was working with a child when across the room Cadida, a baby of less than two years old, started gushing blood from her head like a little geyser!! One of the doctors on the ward had picked at a scab on the child's face and reopened a wound that wasn't even dressed. The child has been in the ward for the treatment of fire burns that cover half of her face, one of her arms and the majority of her legs. The child was of course screaming and crying at the top of her lungs due to the fact that there was blood pouring down her face and into her eyes and mouth. The doctor continued carrying on and joking with the nurses in the room while shoving an old sheet on the child’s head in a passive attempt to stop the bleeding. After hearing the baby wail I ran over to see what was really going on. The doctor had the child’s legs pinned down to the crib with his huge arm in attempt to keep her from kicking him. He screamed at her for being “so naughty” and carried on his light conversation with the nurses in the room. I was horrified. While he continued to hold the sheet to her head, I began to wipe the blood out of her eyes and mouth and move the sheet out of her face so she could see the world around her.  The blood wouldn’t stop pouring out from her tiny little head and the green sheet was soon covered in her blood. In order to slow/stop the blood flow she needed to stop crying and the doctor reminded me this over and over again. I told him I understood that quite clearly… but couldn’t help from thinking what in the world are YOU doing to calm this little girl down? Why would she stop crying when she is half pinned down to her bed, blinded and covered in blood? I sure as hell would cry my face blue if I were her! I had been stroking her, wiping her down and talking to her but I was near breaking point with the doctor who was still acting as though this child was nothing more than a loud noise in the room. I couldn't take watching her flail anymore... so I scooped Cadida up into my arms and held her close to my chest with my hand on the sheet holding pressure to her head and in the very same moment that I picked her up and cradled her in my arms she stopped crying. I don't think that I have ever seen such a drastic or more powerful change appear before my eyes before. In an instant she had calmed her movements and stopped her crying. After we moved her to the treatment room the doctor disappeared and I stood singing and rocking Cadida waiting for him to return to take care of her dressings. Before he got back she had fallen asleep in my arms. The magic and power of that moment astounded me… all she needed was for someone ANYONE to hold her.

I was so taken by my experience with Cadida and my recent “m-technique” course that I have been inspired to learn more about the power of touch and what people have to say about it. I love finding all these studies and articles that have been done on touch and the importance of touch.  They make me smile just thinking of how beautiful the whole thing is… the power we have as beings to share our love through touch.. agh I just love it! It's ELECTRIC!

The power of touch is grossly underrated, undervalued, and underutilized in today’s world. We are energetic beings in a constant flux of creating, radiating, and receiving energy. We crave energy in the form of love and touch…. Believe it or not, we all possess the healing touch. The power of touch in the form of a caring, reassuring hug or pat on the shoulder, has been repeatedly demonstrated to have a powerful impact on healing. Patients will frequently get better just by touch alone. Part of the process of healing is the bond between patient and physician/healer. Call it trust, faith, or placebo. Ultimately, call it love. The power of love is the power to heal!”  -Dr. Corey Sondrup

May I 'M' you?

I recently took a certification course in the ‘M’ Technique and just about keeled over I was so happy to be able to be a part of such a wonderful experience. This course has given me the tools to take my ability to communicate with patients while also relive pain, anxiety and stress in their lives to the next level. In our certification we not only had the opportunity to give full body 'm' treatments but also receive full body 'm' treatments.... oh so heavenly!!

What is the 'm' technique?
Touch is one of the basic forms of communications, yet many of us are afraid to touch those who need it most. The ‘m’ technique is different from massage and can be learned by anyone! The 'm' stands for manual to separate it from massage which needs many more hours of study

Dr Jane Buckle created the 'm' technique® as a communication tool for nurses. Her patients were critically ill: many had breathing tubes and were unable to talk. She wanted to find a way of communicating with her patients and felt that touch was the way. She trained in massage, but found that much of what she learned was inappropriate in a critical care setting. So, she started experimenting with slow stroking movements. Gradually a pattern emerged and the 'm' technique® was born! After Dr Buckle moved to the USA, the 'm' technique® became an integral part of her certification program, Aromatherapy for Health Professionals. This program has been taught in almost every State in the USA since 1994 and is one of the most respected trainings in clinical aromatherapy. 

Student found the ‘m’ to be a valuable tool. It was particularly helpful to nurses as it enabled them to ‘be’ with their patients. Nurses in critical and palliative care appreciated being able to do something pleasurable for their patients, or to do something when there was nothing that conventional medicine could do. Massage Therapists enjoyed being confident to touch very fragile clients. The word spread and a separate certification course was created for those wanting to learn the ‘m’ technique® without doing the Aromatherapy for Health Professionals course. The word spread to England and in 2004, the first courses were held in Colchester and Oxford, UK.

Non-health professionals wanted to learn the 'm' technique® too, and in 2006 the 'm' technique® course was opened up (in the UK) to anyone wanting to touch a sick loved one to relieve pain, anxiety or distress. The 'm' technique® is suitable for all health professionals, but also caregivers, family members, or volunteers.

The 'm' technique® is a method of structured stroking. Each movement and sequence is done a set number of times, in a set pattern, at a set pressure and set speed that never changes. This makes it extremely easy to learn. And because the technique is structured in terms of order, number and pressure, the technique is almost completely reproducible and therefore useful in touch research. The 'm' technique® works on skin receptors that send signals to the brain. The technique has been described as physical hypnotherapy and a 'spiritual dance'. The ‘m’ is also effective through thin clothing.

In 2005, research was carried out at University of Pennsylvania using SPECT (Single Photon Emission Computed Tomography) analysis. A radiopharmaceutical was injected intravenously into subjects who were SPECTed then ‘m’ed and then SPECTed again. The scans before and after the 'm' technique® were compared (65 areas of the brain). This research is being presented at The American Massage Therapy Conference in Cincinnati September 2007.

(www.mtechnique.co.uk)

Friday, October 15, 2010

Just think how much you can do in just one day!!

Where am I? What am I doing?? What is a Child Life Specialist??


Some of our toys sitting out to dry
I am currently interning with the Child Life Program at the Red Cross War Memorial Children’s Hospital (RCCH) in Cape Town, South Africa. And I love every moment of it!!!  I cannot even begin to express in words how good it feels to finally find something that I love to do that fits me so perfectly and fully. For the first time... in a long time... I feel like I have actually found a true balance in my life and it feels so incredible!! Who would have thought that waking up at the crack of dawn and going to work Monday through Friday would be right up my alley? Not me.

Buddy gets an amputation
Setting: The Red Cross is the only pediatric hospital of its kind south of the Sahara, RCCH has about 200 inpatient beds as well as outpatient clinics and emergency departments. Roughly 250,000 children receive care annually at this medical facility and the need for supportive services is great.

Mission: Our mission as the Child Life Team is to apply child life principles and interventions to best meet the needs of the children and caregivers treated at the RCCH, reducing their anxiety and fear and empowering them with culturally effective coping skills.

Our Motto: Just think how much you can do in just one day!!!!!

Hands from the memory tree

What is a Child Life Specialist?? In the hospital Child Life Specialists work with patients and family members providing procedural support, procedural education, caregiver support and emotional support. Child life specialists are trained professionals with expertise in helping children and their families overcome life’s most challenging events. Armed with a strong background in child development and family systems, child life specialists promote effective coping through play, preparation, education, and self-expression activities. They provide emotional support for families, and encourage optimum development of children facing a broad range of challenging experiences, particularly those related to hospitalization. Because they understand that a child’s well being depends on the support of the family, child life specialists provide information, support and guidance to parents, siblings, and other family members throughout the hospitalization and bereavement process. They also play a vital role in educating caregivers, administrators, and the general public about the needs of children under stress (Child Life Council).


The Child Life Team at the Red Cross works with the Palliative Care and Pain Management team. We currently work on the Oncology/Hematology ward (G1), the Burn Rehabilitation ward (C2), the ICU, the Tracheotomy ward (E2), the Cardiology and Medical specialty ward (D1), and Day Surgery (A7).  I spend most of my time on G1 and ICU and I float onto C2 as often as possible. I am also currently working with the Cystic Fibrosis Clinic. Each and every child that I spend time with brings so much light into my life. Every day is filled with new challenges and struggles... coupled with so much joy and light that some days I feel like I might explode. I have found that in the very moments that bring me to my knees, in the very moments where I almost feel like it could be too much to take... I am reminded more than ever the reason why I am supposed to be here. It is in those moments that I am reminded of the power we have to make a difference (in whatever we do) in just one moment, in just one hour, in just one day.  AGHHHH!!!!!!

Monday, September 27, 2010

Truth is Both Spirit and Flesh

Truth is both spirit and flesh

by Malika Ndlovu on June 9, 2010


Truth is both spirit and flesh
It is the hotel bill or photograph discovered in a pocket
The open mouth saying nothing in defense
It is the fact splattered across the courtroom
Exposed to cameras, microphones and strangers ears
It is the addict at the brink of suicide
Frozen between picking up a fix or the telephone
It is the vibration in your chest and stomach pit
That hits when you hear or read a real guru’s words
It is the breath absent from the body of a beloved
Who will not wake up or ever laugh into your eyes
It is the child speaking without thinking
Unaware of the adults they have suddenly stripped naked
It is the cut, the scar, the wrinkle, the rash, the swelling
The illness revealed in the face, in the shaking
The toxin reflected in the skin
It is the uninhibited hug projected from the heart
The electricity of a long time lover’s touch
It is the smoke or the stench
That cannot be dismissed or disguised
The bone that waits decades to be found
The memory in our cells
The irrepressible rising of tears
It is the current in our veins
The universal rhythm of our hearts
It can be understood in any language
It lives within the word and the sound
It is liberation and source of great pain
It is both water and fire
It is the visible and the invisible
It is the written and the unwritten
The space and the line
It is different
It is the same
It is buried
It is the silence before
Beneath and beyond
The lie
It waits for you and I
It will not die
Truth is both spirit and flesh

Today I was given the opportunity to attend a bereavement conference here in Cape Town. The crowd was filled with people and professionals from all walks of life. During the conference I was honored to have the opportunity to meet Malika Ndlova... an author, poet, performer and mother who describes herself as a Durban-born performer-word-weaver-story-lover. She filled the room with her presence the moment she opened her mouth and touched me deeply with her performance this afternoon. She began with an enchanting, echoing song that poured out of her little body and into the entire conference room. During the performance of one of her poems I struggled between sitting with my eyes closed, listening, taking every word she said in and feverishly attempting to write down every single word she said. The poem began with a description of the human form that I will carry with me for the rest of my life: we are light beings. Malika then slapped her chest, her legs, and her arms and stated, "We are so much more than this... this body, this life, is simply a veil... we are born to bring light... we are light beings, portals of love, makers of peace, creators of beauty..." Every word she spoke held such strength and gravity that I could almost see it dripping out of her mouth and slowly falling down and out into the space around her like water flowing from a faucet. I have been searching for about an hour online and sadly have yet to find the full poem anywhere online... but luckily I will have the opportunity to see her again within the week and find out which published piece of her work I can find my light beings poem. She will be delivering a copy of her book Invisible Earthquake to me at work at the Red Cross Hospital due to the fact that she ran out of copies today. Only here does it seem so natural for a woman such as this to offer to personally bring me a copy of her book after she drops her boy off at school in the morning! Such a light being!! I think that might have to be my new favorite comment... rather than, "oh she is such a doll," I'm going to say, "oh she is such a beautiful-little-light-being!" (http://www.malika.com.za/)

The Violet Moon
By Ilana Slomowitz

The moon drags her violet veil
into the jewelled night,
her sail gently brushed
with strokes of pastel light.
Silent, still, she slides
into suspended bliss,
floating gold in mystic blue
mixed so fine to violet hue.
Sparks ignite, and twinkling bright,
transform the ink black night.
Visible the dancing shapes
that set the night alight.
Jewelled sky’s now fading light,
dawn cracks fresh with dew
The moon still trails her violet veil,
then, in a breath, takes flight.

Another Cape Town artist that I has fallen into my life since my arrival in Cape Town is Ilana Slomowitz. Ilana is an award winning ceramic muralist, artist, and dancer who's ability to spin words has grabbed my heart. I just now discovered one of her poems about the moon... which of course hits a high note for me! (http://www.ilana-slomowitz.com/)

Monday, September 20, 2010

Open Happiness

Every night when I go to bed and every morning when I wake I am constantly reminded to “open happiness” by the vibrant Coca Cola billboard outside my bedroom window. How fitting it seems that I should make my way all the way to Cape Town to be reminded on a daily basis by a 30 foot can of coke to open up my happiness. The billboard is of course one of the many remnants the world cup left behind in its wake; the coke bottle itself is exploding with colorful soccer balls, stars, peace signs, music notes and vuvuzelas.  It’s funny though, a bottle of coke.. no matter how huge or how South African it may appear (decked out in its world cup gear) will always remind me of Chattanooga.

The last few days I have been seriously out of commission and a slave to my room, hot baths, liquids, and movies.  The wonderful news is that there is a place called Mr. Delivery in Cape Town that was kind enough to deliver me two orders of Tom Kha Gai soup and an order of white rice straight to my doorstep late one night this week.  With the love and care of my amazing roommate, my wonderful girls here in Cape Town and a little hot soup I am on the quick road to recovery.  It’s almost funny though… nothing that I can think of about being sick makes me happy but even as I sit here in bed right now the lights of that open happiness sign literally glare at me through my window. It’s good though. I love my billboard. It reminds me now and again when I look out the window to open happiness in one way or another... even if it’s just a bowl of my favorite soup or a conversation with wonderful friends late into the night. Oh coke… always spreading the joy.

Every day at work I feel blessed to be given the opportunity to put in just a little bit of happiness into the lives of the children that I work with. If only they knew how much happiness they brought into my life!! Take bubbles for example, it is simply amazing to me the power of bubbles. I promise I know I sound like I’ve totally lost it to all of you who don’t get to hang out with 3 year olds everyday! But I’m serious… bubbles are like magic here. You walk into a room of screaming, crying children and begin to blow bubbles and if you’re lucky they might for just one moment be able to forget that they are in a hospital, or hooked up to a machine, or hungry, or in pain and remember that they are still just a little kid.  Oh bubbles… always spreading happiness!

So thanks Coke people wherever you are... for the delicious cane sugar Coca Colas down here and for the constant bright red reminder outside my window... I’ll try my best to look up, listen up and then try to open up a little bit of happiness today be it within myself or those around me

Saturday, September 11, 2010

With Love

I cry out into the night, bitter thoughts they choke my mind... sometimes I feel so all alone, lost and helpless hurt and blind. Restless sleep comes over me and a golden light appears... the voice of music speaks to me, but not into my earthly ears. It says, "lay down, rest your soul, the universe around you rings, I have come to take you home, bear you up on angel wings." Up we go into the night...

Often in my life I have found that the days seem to march by so quickly without my notice or reverence to the date or time or day of the week that they are gone long before we can stop to say hello. This summer in particular the days and the time seemed to disappear from right under my feet... after each month I couldn't seem to recall where the days had gone or how we had moved so quickly onto the next month. The numbers on the pages of my calendar seemed to fly by so quickly that I could never seem to keep up. Today however, forces me to pause and take a long deep breath…remembering the moment, remembering the day, remembering the date. Here in South Africa more than ever I am reminded to pause more often in my life. I seek to take more deep breaths in… to take the time to breathe in the beauty of each day we have here in this miraculous place.

In a seven day period we lost two children on the Oncology/Hematology ward (G1). On Wednesday the 1st of September, the first day of spring, one of my boys passed away in the night. Just a week later another girl passed away early on the morning of 8th. In the short time that I have been at the Red Cross, I have learned more about the importance of family than almost anything else. I am reminded daily of the importance of love here. The children, the mothers and the staff on each ward create their own family here… one mother told me that she arrived alone and afraid but in time has come to realize that she is not alone but rather surrounded by the love and compassion of those around her. In reflection of the most recent passing and her time on the ward another mother said, “I know that he is looking down at us right now and smiling. He will watch over us all from now on. As time passes me by I have been shown a whole new world which I never knew existed. This is a life experience which no one else can share with you outside of the ward. We have met new people and become a family. The only concern I have now is going back home.”


The mothers here wander from room to room and bed to bed, taking on the children who are alone or upset as their own. Sometimes I must say it has been hard for me to even figure out which mother belongs to which child… but that in itself is the beauty of it. The children here have an unbreakable community of mothers watching over them every day while they play and every night while they sleep. The mothers have an unbreakable community of sisters to lean on in times of loss and pain.


When I first arrived at the Red Cross I was startled to see that on each ward there were rooms filled with at least two but often six children or more. Only when a child is placed in isolation are they given their own room. At first the laundry list of reasons why this could be considered horrible treatment runs through your mind, sanitation and privacy being at the beginning of that list. Beyond those though there seem to be countless reasons why you just can’t or rather why you just don't simply lump a whole group of children that are ill in one room. Why can't they see that? But then again who are they? Who am I? Coming from the states... with my western mindset so deeply instilled in me... sanitation and privacy seem to be number one and number two on my list. But then again, not every hospital has the support, money, or funding required to provide services such as private rooms for every child in the hospital. That extra funding is simply not available here. But from this lack of privacy, that lack of isolation grows an intricate web of relationships possible only because of the structure of the hospital. Because the families are all together, mothers and children alike are able to create these bonds of friendship with each other; they are able to become a support base for one another even if they are only five years old.


"If ever there is tomorrow when we're not together... there is something you must always remember, you are braver than you believe, stronger than you seem, and smarter than you think, but the most important thing is, even if we're apart.. I’ll always be with you.” -Winnie The Pooh

Sunday, September 5, 2010

"At the beginning... "

...We were strangers, starting out on a journey, never dreaming what we'd have to go through, now here we are and I'm suddenly standing, at the beginning with you..." -Richard Marx


After an early morning departure from Chattanooga and a 26 hour flight from Atlanta to DC to Johannesburg to Cape Town I finally found my way to Cape Town Backpackers Hostel in heart of downtown Cape Town late into the night on the 17th. Within moments of my arrival, Rachel came bounding down the steps of the hostel screaming my name… I must say it was the best welcome to Cape Town I could have ever imagined! The next morning we rented a car bright and early and left for the infamous Garden Route up the Eastern Cape.

It took a little time to get used to driving on the left side of the road and on the right side of the car... but the most difficult part was simply keeping track of where the windshield wipers and turn blinkers lived and getting around all the round-abouts on the left side of the road. We had doubled in size and by late that evening the four of us (Rach, Molly, Ian and I) had made our way past Mossel Bay, George, and Plettenberg Bay, and into Storms River… our final destination for the evening. We just barely made it inside the hostel when the South African rains began to pound down from the heavens
The next afternoon, we made our way to Tsitsikamma National Park for a day of hiking and beach exploring after a morning of bungee jumping (for the two brave ones). Then after a quick drive through St. Francis Bay we made our way into Jeffrey’s Bay to Island Vibe hostel for the evening. Two lazy, relaxing, long days of cold windy hammock time by the beach later, we began our way back home again. On Saturday we peeled ourselves away from Jeffrey's Bay and wound our way back down to Cape Town along the ever changing Garden Route. Sometimes the road looked more like a slice right out of Ireland… nothing like what you would ever begin to picture from a field in South Africa. The two lane roads curled up and down through mountain cliffs along the ocean and then past rolling green fields filled with yellow flower patches so large you could get lost in them. But of course... just when I was begining to doubt that I had actually made it back to South Africa … a few monster baboons decided to run across the highway… and I realized once and for all that I had actually made it back to the wonderful  and wacky world of South Africa!

After returning to Cape Town it was wine tour time. One very long day, lots of new found friends from around the globe, and four famous South African vineyards later we were filled to the brim with wine, cheese, olives and chocolate... can you ask for a better gluten free day? I think not!!

My life here in Cape Town thus far has consisted of big adventures, lots of new faces and lots of new places. My days have been filled with neverending bubbles with my new friends at the hospital, settling into my new home, napping in my new cozy bed, sleeping in the sun at the  Kirstenbosch Gardens, eating late night braai’s (cook-outs) with new friends, hiking around Table Mountain and Lions head, sitting on the beach at Camps Bay, watching lots of sunsets and rising moons… and of course eating LOTS of earth shatteringly-deliciously-divine food!!