Everything I Know

Quick, shallow gasps. That’s all I could hear was a litany of rapid, shallow breaths. It was almost rhythmic, conducting an imaginary beat for the conversation my brother and I were having with our cousins. Seven years in the ER told me that this was the end.

I had one day off sandwiched between a string of three shifts in a row and a string of four shifts in a row. And that one day off consisted of my traveling more than three hours to Baytown for a memorial service for Msgr. Rivas, the priest that was effectively the main father figure my mother had after her own father had passed when she was nine years old.

The initial plan was to have an early breakfast with my family the morning after the service before I made my trek back to Austin for my upcoming night shifts. But, as always, my plans derailed quickly at the end of breakfast when my mother’s phone rang.

The AC kicked on. Suddenly, the rhythmic breathing was obscured by the whirring of the air conditioning. If I listened closely enough, I could still make out the gasping, but not as clearly.

My brother and I made our way to our aunt and uncle’s place from the restaurant. Our parents had already headed that way after reassuring them that as grown adults, we were capable of paying the check. We pulled into the driveway past the chain-link gate. The familiar home was obscured by a brand new Mossy Oak travel trailer that they were living in since their main residence was in a state of disrepair and disarray due to my aunt’s frequent hospitalizations for her myriad health issues.

We walked into the trailer where my parents and cousins were huddled around the bed. My uncle tearfully holding my aunt while my mother checked her blood pressure. 80/60. A far cry from the neighborhood of 180’s-200’s that her systolic blood pressure normally lived in.

My uncle rose from the bed tearfully and began sobbing in the living area of the trailer. I wrapped my arm around his shoulders in the only show of support I could think of in the moment. Admittedly, I’m not an emotions guy. The mood in the trailer was somber but eventually lightened. I found some amusement in the coincidental color-coding we’d unknowingly adhered to. My mom, my cousin, his wife, and I (the nurses) were all in shades of blue. My dad, another cousin, and my brother (the former priest and the two teachers) were in grays and blacks.

My parents stepped out to get something, and we cousins gathered in the living area to chat and catch up, our conversation rolling along as a song with the metronome of my aunt’s breathing in the background. My uncle laid in the bed with my aunt, savoring what was likely the last moments they would have together.

As the whirring of the AC halted, the noise was replaced by the light ticking of drizzle on the roof of the trailer. I started noticing brief periods of what sounded like apnea punctuating the breaths. My uncle asked my cousin to take out her IV so he could change her a little more easily after an episode of incontinence. He did, and we returned to the conversation.

Suddenly, we were jarred from our conversation by a single loud exclamation from my aunt. Nothing intelligible, but to be fair, nothing she had uttered since we arrived was intelligible.

Not long after, my uncle came out of the room and said she stopped breathing. My cousin listed to her heart sounds and attempted to take a blood pressure. It was official. Time of death: 1125. And just like that it was over. The suffering was over.

After the dust settled with the EMS, the police department, the JP, and the funeral home, my brother, his wife and I accompanied our uncle back to the main home where he placed the statue of the Virgin Mary back on their altar. It was then that I really took notice of the walls in their house. Every wall in the living room was covered with photos of them, their vacations, their children and their families, us. And their home was largely the same as when we were children.

The chimes hanging in one of the doorways that we used to have to jump up and reach to hit. The light-up fiber optic flower thing we used to play with. The dining set we used to sit at. The shelves and shelves of Reader’s Digest condensed book volumes that I used to admire as a child that loved reading. The pencil cup and clock party favors from my best friend’s and my high school graduation party. The yard where they tried to teach me how to ride a bike. For the first time in years, I looked past the clutter and the mess and appreciated the memories held within those walls.

In that moment, it reminded me of a song from In the Heights called Everything I Know. In it, one of the characters sings about her recently deceased grandmother after realizing that she was the historian of their block, the keeper of memories of all of their lives. As I drove back to Austin to go to work, I listened to that song again. And at the end of the song, that was the first time that day that I cried.

She saved everything we gave her
Every little scrap of paper

All our lives are in these boxes
While the woman who held us is gone
But we go on, we grow, so
Hold tight, Abuela, if you’re up there
I’ll make you proud of everything I know
Thank you, for everything I know

– Everything I Know from In the Heights

Rest in peace, Tita Tess. Thank you, for everything I know.

Where are you Christmas?

The holiday season has always kind of been jam-packed for our family because this is what it looks like:

  • Dec. 24 – Christmas Eve
  • Dec. 25 – Christmas Day
  • Dec. 26 – Dad’s birthday
  • Dec. 27 – Mom & Dad’s anniversary
  • Dec. 29 – Grandmother’s birthday
  • Dec. 31 – New Years Eve

This year is even more so because of the fact that it’s my parents’ 25th wedding anniversary this year, so they wanted to do their silver anniversary back in the Philippines with their family, so here we are. My biggest complaint so far is that this does not feel like Christmas in the least bit. Yes, are Christmas trees and snowflakes all over the place (even in the Philippines which I seriously doubt has seen a legitimate snowflake in real life). And yes, places are blaring Christmas music (including inside the airplanes during boarding and disembarking). But the fact of the matter is that Christmas is no longer the same as it used to be. And it’s not just this trip that’s making the difference.

Faith Hill over here looking like some crimpy-haired Elsa from Frozen

The song that this entry is named after has the lyrics “my world is changing / I’m rearranging / Does that mean Christmas changes too?” Yes, Faith Hill, that’s exactly what it means. The first real shock was two years ago. I had just started working as a nurse in an emergency room north of Austin. The problem was A) my family lives 3-3.5 hours away depending on who is driving and B) I had just started, so I was literally at the bottom of the totem pole on choosing holidays. So I was working Christmas Eve and Christmas Day. TL;DR I was bawling my eyes out like a damn baby out in the parking lot on the phone with my parents at midnight of Christmas Eve because I was missing the family tradition of sitting in my parents’ living room opening presents with my brother.

Thankfully, last year, I bought a house, so I hosted Christmas, which was nice because I could work have Christmas Eve off, work Christmas Day and not miss anything. But I missed having the extended family around.

Now this year, we’re halfway around the world. First off, I worked the three days prior to our departure from Houston, so I got off of work on day three, finished packing, and my brother and I drove down to Baytown. Needless to say, I was already tired going into the trip. Second, I hate traveling with other people. I’d rather do my own thing, but Christmas (and my parents’ anniversary) are a big family thing, so we traveled together. We started off in Manila sharing a one bedroom condo between five people. On top of the culture shock of getting to the Philippines, I started this trip off basically irritated with everybody.

This is probably supposed to be a six-lane highway. But they can fit nine cars and a few motorcycles and trisikads across, so YOLO.

Then we get to the whole thing about how, other than my family, I don’t really identify too well with the Philippines. Food, meh (except they have seafood and lots of it, so I’m eating the hell out of that). The language…I’m relatively fluent in Ilonggo, so it hasn’t been a huge issue here in Bacolod, but in Manila where they speak Tagalog, and I don’t…yeah…screwed. And don’t even get me started on the whole three-day anxiety attack that was me coping with Philippine traffic.

But then yesterday, we had just gone to an Aguinaldo Mass at Redemptorist(4am Mass complete with a dance routine during the Gloria), finished an AYCE breakfast at L’Fisher Hotel, and I’m browsing Facebook on my phone while my dad drives, and I see a post from some random relative that friended me seven years ago after my first trip to the Philippines saying that Tito Toti died (Tito/Tita is just like the Spanish Tio/Tia for uncle/aunt. Toti is a nickname. They come up with the weirdest ones here. Don’t ask me how). So I ask my parents who this cousin is and who Tito Toti is. And my parents answer me, so I’m just like wait, this cousin just said he died. At that point, I realized I should have chosen my words a bit more tactfully (which is not my strong suit in the least bit) and we rerouted to my mom’s family’s “complex”* while my mom was frantically dialing an aunt to verify this story. The worst part about this whole thing is that literally a month ago, this uncle’s sister died of cancer, so their mother just lost two kids right around the holidays.

On top of that, I got news that another one of my aunts, who was already in the hospital for a syncopal episode probably caused by intractable nausea/vomiting/diarrhea, had severe rectal bleeding and was being transferred to the ICU. Unfortunately for her, she’s at the hospital in Baytown, which is a glorified “band-aid hospital” in which (between shadowing some nurses there and my mother’s stories from when she worked there) I wouldn’t entrust the care for anyone I even remotely cared for.

Regardless, it’s been a stressful week. And other than a “midnight mass” that happened at 7pm, there hasn’t been much Christmas to this whole holiday. It’s been nice to see the extended family for the first time in seven years, but I miss my house, I miss my bed, reliable plumbing, central air, reliable wifi, my friends, and most of all, actually feeling like it’s Christmas.

Despite all of this, I hope you and yours have a safe and blessed Christmas and take the time to appreciate who and what you have.

* My mom’s family basically lives within the same block of each other and most of their houses are connected and can be accessed through the same alleyway.

Call of the Wild

It’s been a while since a new post, huh? Well, now that things are starting to lull between bouts of crazy, figured this was as good a time as any to get a new post up. Anyhoo, so this past Saturday, a buddy of mine invited me out to his parent’s house on the lake with a few of our friends. We had a bonfire that night, and I laid out a blanket on the ground (which caused a level of discomfort I underestimated), and got on my back, staring up at the stars. And a moment of clarity hit me. There was a perfect balance of the elements: the stability of the earth, the warmth and the light of the fire, the serenity of the water, and the gentle motion of the air. All of this was experienced under a massive expanse of night sky, littered with stars. I felt so tiny and insignificant, but at the same time, I had an awareness that I was surrounded by people that made me feel like that wasn’t so. And I felt this intense sense of peace and joy that swelled in my chest. It was beautiful. And all the while alternating views of the sky and back down to the ground where my company was laughing, joking, talking. But the noise was all drowned out by the soundtrack from my buddy’s iPhone playing in my car. It was like one of those scenes on a TV show or movie where they fade out the dialogue and it’s just a scene set to music. And the view of everyone enjoying each other’s company was amazing. It was simple. It was life. No computer screens, no cell phone constantly drawn at the ready…it was just us, the elements, and the music. It was definitely one of the most spiritual experiences I’ve had in a while.

So the point of this story is that in this moment of peace, joy, and clarity, I realized that I know what I want. Well not completely, but for the most part. I know what is truly important to me. And that is the connection. The connection between me and my faith, me and my family, me and my friends, me and nature, me and the universe. And, yes, I know that grammar Nazis are going to cringe at putting the “me” first, but whatever. I mean money and success are nice, but why do I want money and success? So that I can further reach out to the people around me. So that I can serve them further as a member of a family, the human family, not just blood. Why did I opt for nursing over med school (aside from OChem being intolerably disinteresting)? Because I wanted to serve, to connect with the community.

A lot of people define their lives by the status symbols they own: who has the biggest house, fanciest car, most money, yadda, yadda, yadda. It’s nice to have quantifiable figures, but for something to define a life with, where is the life in all of those? These structures, these possessions have no life. So how can they effectively determine the value of one? Don’t get me wrong, having shelter, transportation, and income is important, but for me, life is defined by the people and the connections in between. Love is out there, this energy, this spirit ever-flowing. It is up to us to open our hearts and our minds to let ourselves be receptive to this love, to be vessels of this love, and to continue to let this love flow through us to others.

In any case, right now is the beginning of a major transition point in my life. I have ended up my lecture classes for my undergraduate career. I’ve tied up the loose ends for one clinical and will end the other tomorrow. I start my 120 hours of Capstone clinical (which Emergency Room experience is something I am excited about) at the end of the week. And then it’s graduation, NCLEX, and jobs, and I’ll be a full-fledged adult. In this time of transition, it’ll be really easy to lose myself in all of the tasks and stressors. But knowing what’s important to me, knowing why I do things, giving myself a reason to do so, that’s what will get me through this.