School Nursing: It’s all about the ice pack

This is coming on the end of my second year as a school nurse and oh what a year!

Here are a few things I learned in two years of being a school nurse.

  • Ice packs fix almost anything. I didn’t believe this but it’s true. Ice packs seem to be a magic fix.

I think what it boils down to is the littles just need to feel like something is being done and what better

way than to put ice on it.

  • Care is holistic. I’m not just there to fix upset stomachs, but to help in other areas. Physical

needs are a priority, but emotional and spiritual needs are also important. All aspects are interconnected.

If a little is upset about something at home, more chances than not, I’ll probably see them sometime that

day with an upset stomach. Sometimes all they need is a hug and to know that someone cares. The key

is time. If I perceive that they need a little TLC and have time to give them, I often give it to them with

regards to the teachers’ schedule.

  • Littles say the bluntest, sweetest things. They have no reservations when it comes to

asking things. I had one little ask me if I was married. I said no. She asked if I was planning on

getting married. I responded with, “that’s the plan eventually”. Her response was, “Tomorrow?”

I just internally laughed because she asked it with such a straight face. They’re not afraid to say

it like it is. They are also not ones to mince compliments so if they say “you’re the best “, they

mean it.

  • Sometimes, seasons are designed to push you but also let you heal. This season came when I

needed it the most. It allowed me to take the focus off myself and my problems for a while. I may not

have been able to fix my TBI on a grand scale but a littles stomachache or headache while working

on myself in different areas. I grew in SO many areas these past two years. It definitely pushed me out of

my comfort zone-in that it was like nothing I’ve ever done but it was also comfortable in that it was at my

alma mater.

  • Just because it’s not what you pictured yourself doing doesn’t mean it doesn’t matter. At the

beginning of the school year, I sat in my office hearing all the hopeful voices and I felt deep

down in my spirit that this was where I was meant to be but it was nothing like I pictured 2 years

ago. This was the perfect job for right now because it allowed me to still practice nursing without

all the stimulus and fast pace of hospital nursing. It gave me lots of little success that boosted my

self-esteem.

  • Never underestimate the power of a smile and listening ear. Half the time, littles are in my

office for a minor time but they just need to know someone is listening and cares. I treat their

pressing ailment and send them back to class with the option that if they can’t do it, they can come

back to the clinic. Often knowing they have that option reassures them, and they are good for the

day.

  • Littles give the best hugs. I definitely think in this season of my life I needed to hear that I’m needed and wanted. After something traumatic happens, you start to doubt yourself and wonder if you’re still a valuable member of society. Being at MCS showed me that I’m still valued as a human being and nurse. Recently, I saw a little outside of school, and she smiled shyly and waved. My heart simply melts every time I hear a little voice say “Miss Walthour”, see those bashful smiles, or receive those timid hugs.

Yes, it’s definitely not as fast paced as hospital nursing, but just as impactful on lives.

25

25.

A quarter of a century.

How am I going to be that old? Sometimes, I still feel like that awkward 12-year-old changing cultures and continents. But, I’ve become comfortable in who I am and who God made me to be-quirks and all.

Here are 25 things I’ve learned in almost 25 years in this big world.

 

  • Be yourself. Those who care, don’t matter and those who matter, don’t care.

 

This took me YEARS to figure out, but it’s so true. Just simply be yourself.

 

  • My heart has space for multiple countries.

 

Every time I travel somewhere new, I fall in love. My soul falls in love with undiscovered places so fast. Each place is no better or worse than the last, but they all have a unique story and journey.

 

  • Sometimes, you need to simply need to put yourself first and rediscover God in the wilderness.

 

This may seem like common sense but awfully hard to put into practice. I was in a relationship and it ended. I blamed him, but I have since realized, I didn’t have the energy to heal myself and support him. Also, I shouldn’t have expected someone else to like me if I didn’t really even like myself. After it ended, my dad (the wisest man I know) encouraged me to take a break from dating and put my energy into myself.

BEST DECISION EVER.

I labeled last year, “The Year of Me and Jesus”. I choose to put my energy into becoming the most whole “Sara” I could be and figuring who “Sara” even was. This year, I’m better able to be a good (definitely not perfect) girlfriend.

 

  • No matter how bad it gets, you can rest in the simple fact that you have a Father who loves you more than you can ever know.
  • Nothing is ever so bad that a well-timed dance party can’t bring a smile to your face.
  • God can take the seemingly endless tragedy and turn it into a tool to bring him glory. He uses the whole of the story.

 

I really should stop being surprised by God how He uses our messes if we let Him.

 

  • There is no such thing as coincidence, only God.
  • You’ll regret more of the things you didn’t do than the things you did.

 

Moral of the story, if there is even a question, be brave (don’t let fear hold you back) and do that thing you are scared of.

 

  • Do not plan your life out according to a time table. You never know when life will throw a curve ball at you.

 

Make a plan, but hold it loosely because you never know what could happen.

 

  • Every person-those put in your life and taken out of it-has a purpose.
  • Comparison is the thief of joy.
  • Make each moment matter-be present-cause you never know how many you have left.
  • People matter.
  • Talk to random people in social settings. This will make you well-rounded, and chances are good you’ll make a new friend, too.
  • It’s better to put your energy into a few things than to spread yourself too thin trying to do everything.
  • It’s okay-healthy even-to say “no”.

 

A well placed “no” is just as important as a “yes”. You aren’t superwomen and you can’t do everything.

 

  • Your life isn’t defined by your vocation.

 

Your job may be your calling, or it may not be. Either way, what you do doesn’t define who you are.

 

  • Self-care isn’t selfish.

It may-scratch that-it will look different in every season. Nevertheless, you need to take time for yourself.

  • Life is more about the journey as opposed to the destination.
  • Who you were at 20 doesn’t define who you are at 25. Your mentality changes as you explore more of life.
  • NEVER stop learning.
  • Self-awareness is underrated and undervalued as a skill.
  • Some people will bring out the worst in you. Some the best. And others, the most. Hold on tightly to the ones who bring out the most because they are special.
  • You become who you surround yourself with.
  • Just because you don’t talk every day, it doesn’t mean you’re not important to them.

 

You are going to have friends that are in different stages. Carve out time for them, but don’t get upset if you go days without talking. The best friends can go days without talking and pick up exactly where they left off.

A Heart for the Nations

I leave part of my heart in every country I’ve been. The Dominican Republic is no exception. Here are some things I learned about myself and God.

  • I need to remember to breathe.

This month has been full of good surprises, but my head has been spinning by all God’s been doing. The first part of the week was well spent in just sitting with God-simply sitting in the awesomeness of God’s movement. It was refreshing to revel in His glory rather then cower in fear. This season, I’ve learned a lot about rest but sometimes, I forget to actually practice it. This trip was like a breath of fresh air.

  • God is really good about pushing me out of my comfort zone, but also showing me that I am loved more than I could ever know.

One day towards the end of the trip I ended up stitching a goat’s ear. I had learned about sutures, but I had never done them in real life. Plus, my right hand doesn’t work as well. So when I was asked, I said yes but I was scared silly. It wasn’t perfect by any stretch of the imagination, but I accomplished it. That night was church, and God knew my soul needed baby cuddles. I ended up holding a child who fell asleep on me and at that moment, the world felt right.

  • Everyone has different gifts-you need to push yourself, but be willing to use your gifts for His glory.

We were doing several different projects this week, and I struggled with not being physically able to do all the manual labor that we did, but I had to realize my nurse skills and ability to remain calm under pressure came in handy time and time again. So I may not have concrete mixing abilities, but God gave me a quick mind and calm spirit. I just have to be open to letting God use my gifts instead of wishing I was someone else.

  • God always shows up-especially when you don’t expect Him to.

There were many times that God showed up whether it was impromptu relationship and life talks or a cool breeze on a particularly warm day.

God ALWAYS shows up. You just have eyes to see Him.

  • Sunsets on some dreams and sunrises on others is an aspect of God that I love.

It was in the Dominican 4 years ago that I first began to dream about studying genetic diseases as well as hemolytic diseases in underdeveloped countries. Dreams like researching hemolytic disorders and their testing to make them more accurate and accessible. This week that dream resurfaced, and I got a glimpse of what that could look like down the road. I don’t know how or if God will orchestrate it, but I’m starting to get excited about the possibility of this new adventure with Jesus whatever it will look like.

  • We don’t need to see the whole staircase to take a step.

It is definitely scary to take a step when we can’t see the whole road, but I think we’d be even more scared if we saw the outcome thinking we are insufficient and unprepared. It’s more about the journey and becoming more like Christ than the immediate destination.

5 Things You May Or Not Know About Brain Injuries

March is brain injury awareness month

Did you know that mTBI is often referred to as a “silent epidemic”?

It’s profoundly misunderstood, even inside the medical field. Here are a few things I’ve learned as I’ve been engulfed in traumatic brain injury world.

 

  • Brain injuries are like fingerprints-the same but different.

 

There’s something to be said about how diverse the brain is. It would depend on what part of the brain was affected. Most TBI’s have a combination of the inability to focus, speech difficulty, problems with memory-short or long term-, difficulty walking, slurred speech, and balance issues. I know every TBI is different, but the first time I went to my TBI support group, I realized that I wasn’t alone in my difficulty with my brain. There were certain things that people would say that I thought, “Me too! I thought I was just weird for doing that or thinking that!”.

 

  • We have good days and bad days, just like everyone else.

 

We have good brain days and bad brain days. Often, but not exclusively, bad brain days happen when there are certain factors present, like fatigue, dehydration, high blood sugar, overstimulation, and low blood sugar. It often takes a lot longer to recoup after one of these events. I’m often surprised that I can do one thing one day and the next day I struggle with the very same thing. There is a lot of factors that play into my wellbeing and if even one of those factors is a smidgen off, it will affect the whole event. I’ve learned to take advantage of good days and give myself (and others lol) grace on bad days. I also have to listen to my body because it often will tell me what it needs.

 

  • We are not our disability. We are individuals who have a TBI, but it doesn’t define us.

 

This took me the longest time to realize. I felt like I needed to explain why I was so different-weird if we are being honest. Now, I’m better able understand that yes, I have a TBI, but I’m so much more than that. I get overwhelmed, hangry, unfocused and at times, irritable, but I’ve learned how to manage it while not always blaming my TBI.  Everything I go through is affected by my TBI, but not solely because of my TBI. Some of it is just because I’m a 20 something trying to figure out how this whole adulting thing works.

 

  • We are still trying to figure ourselves out-even if our injury happened decades ago.

 

When I first went to my support group, I was amazed by how many people there were whose injury had occurred over 15 years ago. They are still figuring out the new person that their injury made them to be. It’s not a simple fix but a lifetime process of discovering who they are. Recovery, then, is a mental switch from constantly looking back to constantly looking forward to the adventure their TBI journey will take them-the good and the bad.

 

  • TBI survivors are literally some of the strongest people you’ll ever meet because they have overcome and are overcoming something that was meant to destroy them.

 

 

Anchored to Hope

Anchor.

That’s my word for this year.

Anchor.

Recently, I was challenged that I’m exactly where God wants me and that He has put people in my life that are meant to be there. When I think of “anchor”, I think of a ship’s anchor. The thing about that is

the anchor locks the ship down temporarily. It stabilizes it for the time being so the sailors can do what

they need to. When it’s done in that part of the ocean, it pulls up anchor and sets sail again.

That’s a lot less scary than the idea of putting down roots and God asking me me to uproot in a couple

months or even years. As I’ve begun to think about the practicality of anchoring to hope, here are a few

things I’ve learned.

  • Be open to the unexpected

Sometimes, the sweetest things come in the most unexpected packages. Things that I never expected

could be exactly my what I need in the moment. I’m learning to keep the door open to possibilities-both the

unexpected and expected.

  • Self-care is not selfish, but it anchors you.

Slowing down could be the exact thing I might need to help you remain present. It’s hard to slow the mind

down but sometimes I just need to breathe in and out. Breathing in and out anchors the soul and reminds

me that I’m exactly where I need to be. I need to take care of myself in order to take care of others. I could

get frustrated because I seem to need more rest than the average 24 year old, or I could use this time to

grow mentally and spiritually.

  • Here is where I need to be right now.

Two years ago, I wanted to be anywhere but here. Honestly, I wanted to be halfway across the world, but

I settled for Akron. Through a series of events, God brought me back to Mansfield against my will. I fought

against it for awhile, but recently, I realized that this actually is when I’m meant to be. This place-the littles

at school, my bible study and my small group girls-have a piece of my heart.

So here we are – almost a month into 2019 – and I’m figuring out how to be present and anchored in my

corner of the world. Here’s to anchoring myself to God and hoping/believing that God is moving.

Step Off The Ledge

So.

I’ve been challenged this week on taking risks. I tend to play it safe when it comes to certain things. I tend to stay inside my comfort zone-willing everything to stay the same.

God is not about letting everything stay the same.

Following God means taking risks. If you don’t take risks, you’ll never understand and experience  the presence, power, and peace of God.

Sure, if you take the risk, it very well could end badly, but it might end up being SO much more than you expected. You don’t know if you never tried.

I had a boy in swim lessons this week say, “I’m terrible.” He proceeded to pout and cross his arms. “I quit.”

I looked him square in the eyes and said, “The only true way to fail is to not try or quit.”

Oftentimes, we are like that boy. We pout and won’t take the risk because it’s scary stepping of that ledge into the unknown. We like our comfy lives, just the way it is.

Sometimes, God upends our comfy lives. When we get a semblance of order in our lives, we cling to it, like a little clings to a safety blanket. We fear chaos again.

I know I did.

Life has been pretty good lately.

Too good. Or so I think.

I keep waiting for the other foot to drop. At the same time, I find myself clinging to what I do have afraid that it will get ripped from me again.

I’ve fallen in love with the littles at school.

I’ve found my corner of the world-right now. I’m content.

I was challenged this week to keep taking risks strategically. Keep pushing my limits for God because He has shown me again and again that He does more.

He continually bursts-like fireworks-out of every box I try to put Him in. Even this year, He did more than I ever expected-allowing me to go to Ukraine and fall in love with the littles at school. I returned to driving. I crossed oceans by myself and added two new countries to my passport. I grew closer to Him as He sought my heart. I returned to swimming.

Like my Mom reminded me tonight, it’s like God’s provision and goodness is like a rope tied around our waist. The other end is tied around a tree, but the only way we feel the tension on the rope is if we step off the edge.

It’s the same with God. The only way we are going to see-like really see God’s goodness-is if we step out into the unknown and step off the ledge.

That’s my prayer for the last month and a half of 2018 and the beginning of 2019.

Let go of whatever is holding you back and step of the ledge with me.  

2 years and Counting

730 days.

17520 hours.

1051200 minutes.

That’s how long it has been since my life changed. Well, it’s coming up in about a month. It’s a

time that I really could have done without, but I remember it because of God.

I’m alive primarily because of God.

These two years have been challenging and hard-often times seemingly impossible-but God has

held my hand through the fire.

Here are a few things that kinda summarize the past two years.

  • There are a few people that climb in the hole and hold you when it’s not their battle to
  • fight. Never let those people go.

These people are my people. My family have been through every high and low with me. There have

been some friends that have seen me at my worst and still chose to crawl into the hole with me. They

didn’t try to help me up right off the bat, but they sat with me for a while. Then, they started to help me

up and out of the hole. One of the reasons, I’m where I am today is because of the few people that never

gave up on me.

  • God can redeem and repurposed dreams that you thought were lost.

There are some dreams or experiences that got cut short-like working with my best friend-but God has

taken those dreams that I had as a little and grown girl and shaped them into his will. I love little humans

and now I get to love on them both in my job and free time. I wouldn’t change anything because these

littles have wormed their way into my heart. My dreams right now look a lot different now because some

doors have close, but also because my dreams have changed.

  • God isn’t afraid of emotion.

For a long time, I felt conflicted. I felt like I couldn’t have doubts about God’s goodness. At the same time,

I didn’t believe God was good or had a good plan for me. I needed to face that emotion-that doubt-and

give it room to breathe so to speak. When I gave myself permission to have those questions and sit with

them, I discovered the ways God has been good to me throughout-giving me people to come alongside

me, getting a job etc. That’s when the most emotional healing happened, because I gave myself

permission to have those doubts. In the end, I fell in love with the person I’m becoming shaped by

my experiences.

  • God is love. He oozes it, and it encompasses everything He does.

Love. That’s a had emotion to pin down. Often recently, I’ve heard the argument that if God is love,

why do bad things happen. I was thinking, if God is love then why was 2017 so awful. I don’t know the

answer but this is what I’ve figured out. (This is my opinion based on scripture and my experience so I

would take it with a grain of salt.) God doesn’t cause bad things-hard things-but He walks right beside

us-loving us fiercely through it. I mean, look at Joseph’s life. God didn’t cause him to be sold to the

Egyptians-sin nature caused that, but he orchestrated it to be used in the saving of Egypt and Israel.

  • Everyone gets overwhelmed looking at the big picture, so smaller goals are needed.

I think if I realized two years ago that I will never be done with my TBI journey-that I will never not have

a traumatic brain injury-I think I would have fallen into a deeper longer depression. I needed to set my

mind on the simple fact that the most recovery will be done in the first two years. I focused all my energy

on getting better in the first two years. As the two year mark fastly approaches, I’m better able to mentally

wrap my head around the fact that I’ll always deal with this and be recovering.

Selah

Selah.

It’s a word that is rarely used. It’s thought to mean pause-a break.

This has been on my mind recently because sometimes I hate the fact that my brain hits a wall and can’t function without rest. I want to do everything and I feel bad for having to need rest a lot-and I mean a lot.

Selah.

Kristen Kill in Finding Selah says, “When we practice peace, it is always about embracing the rest God provides. He always goes first.

Into waters, into suffering, into new lands, into great joy, into glory, and into rest—there is nothing He gives without giving thoroughly

of Himself.”

The thing about that is we often think rest comes after we do the things-after we finish, THEN we can rest. But what I’m learning is

that rest comes first. Lauren Daigle, one of my favorite people, said in an interview that we need to function out of a place of rest.

First, we rest-completely-then we complete the To Do list. We’ll be more efficient as we complete the list because we are running on

a full tank so to speak.

That’s changed how I look at Selah. It’s a pause that refreshes me to do all that I need to do. So maybe I need to rest more than a

typical 24 year old, but when I look at it as needed to better prepare me for what’s next-to better prepare me to do ministry in my

corner of the world-it’s less daunting. It becomes less of a chore because I want to love my girls well. I want to love the littles at

school well. To do that, I need to rest well.

Find Selah in the midst of chaos.

Sometimes, Selah looks like reading and writing.

Sometimes, it looks like forgoing my diet at eating custard with my family.

Sometimes, Selah takes on the persona of drinking coffee and dreaming wild dreams with soul friends.

Sometimes, Selah is simply just breathing and living with attentiveness-inhaling and exhaling as the leaves fall and snow

blanketed the world.

Selah.

Pause.

Selah.

4 More Things My TBI Has Taught Me

It’s been almost 22 months since my accident. I think when I hit the two year mark I’ll stop counting but right now, it’s still pretty relevant in my life. I’m not to the maximum recovery mark yet. Here’s just a few things that I’ve learned about myself and God though this hard-oh so hard-but holy season.

  • It’s okay to not be okay.

The longer this season goes on, the less I believe this until I’m hit upside the head with reality of this. It’s been 22 months, for Pete’s sake. I should be okay, but there are times, I’m still not okay.  I started It’s Okay Not to Be Okay by Sheila Walsh. She hits me upside the head with this fact when she says, “The scars tell God’s love story. Some of our scars show on the surface, but some are hidden deep inside, wounds from things that were done to us, or from choices we’ve made and secrets we’ve kept. The love of God invites us to bring our scars into the light. We don’t have to hide anymore. It really is okay not to be okay.” Regardless of whether I feel like I should be okay, it’s okay to still have bad days-to still have days where it takes everything I have to breathe and remain standing.

  • I”M NOT CRAZY. I’m not alone.

Sometimes, I feel like I’m the only one in the world that has gone through this because my brain works so much differently than the rest of my family. I can say or do something and everyone looks at me with a puzzled expression. It is so hard to let people into my brain, and I wouldn’t wish this on my worst enemy. At times like this, the tendency is to isolate myself, but that further feeds my anxiety and depression. I’ll found a support group of people who have suffered a TBI. They offer suggestions of things I haven’t tried yet and remind me that I’m never alone.

  • Life looks totally different now, but that’s okay.

They say comparison is the thief of joy and they are correct. I definitely don’t have an area of my life that even closely resembles“put-together”. It’s hard not to feel jealous or sad because it seems like everyone else my age has at least one area of their life going for them. I’m challenged to take a deep breath whenever I’m tempted to feel that way and remember that 22 months ago, I almost died. Yes, my life looks totally different because things that were important then are not important now. It’s okay to still be searching for that spark and not have life figured out. I’m breathing. It’s a good day.

  • It’s okay to need A LOT of rest. And I mean A LOT.

Sometimes, I forget that I have a TBI and I try to do everything, then my body knocks me on the ground with a headache that won’t quit. In those times, I find that I sleep for hours and hours. When I wake up, my first instinct is to be upset at myself for the hours “wasted”, but then I realize that my body needed that. I remember then of the need to pace myself and my energy so I don’t hit that wall again. The key is to REST. A lot. Like crazy amounts. Like newborn baby or cat amounts.

Embracing This Life of More

These past months have been quite something. All my energy has been spent on simply surviving-putting one foot in front of the other.

A year ago, all my energy was focused on myself and my healing. I resigned myself to this life of second best. Let me explain that. I had my life planned out before my accident and then all of that seemed to have been taken away. I was striving to accept my life as it was then but I couldn’t shake the feeling that it was less. I still had hopes and dreams but I couldn’t grasp them. I didn’t know if it was even possible to grab them without having them slip through my fingers. Recently, I had the opportunity to go to Ukraine. I was simply excited to travel not knowing that the country itself would stamp itself on my heart.

Ukraine.

This summer has been one of the most life-changing ones in my short life so far. This summer was hard, but oh so holy. First, I started to get back into hospital nursing, then I went to Ukraine. I was nervous and didn’t know how my brain would react. I was pushed beyond my limits but God was sweet in that. In it, God was showing me I could have a life that I had dreamt of-a life of more. Here are just a few things God is teaching me as I embrace this life of more-more love, more freedom, and simply more God.

  1. Contentment doesn’t equal complacency. This has been something I’ve been wrestling with lately. I want more out of life but it’s hard to explain because people assume I’m not content with my life. In my wrestling, I’ve come to the decision that it’s okay to have plans and dreams but to hold those dreams lightly. I’ve come to the mindset that I’ll be okay if cross cultural missions is in my future. And I’ll be okay if it’s not.
  2. God can still use me. I was terrified standing in front of people and sharing my story but it’s not about me. It’s about God. I think I knew He could use me, but I didn’t quite see how. Sharing my story and about the God I love made seeing that possible. I shared. My speech didn’t have to be perfect, but He used my story to bring Himself glory.
  3. It’s easier to embrace the new me when I attach pleasant emotions to the new me. I’m pretty sure I went through every emotion this summer from heartbreak to joy to terror to happiness to anger to surprise. I’m pretty sure I can encapsulate this whole summer using the word “surprise “. I didn’t know what to expect but God blew my expectations out of the water. I’m definitely not the same Sara who left the States. My soul is lighter and I’m learning the sweetness of trusting God. In the past year, I wrestled with accepting the new Sara because I didn’t know (believe really) that God could use me as broken as I was. God though put people in my life to show me that He could still use me, my thoughts are still needed, and He loves me-the new me-more than I could ever know. Because I’m bravely accepting the new me doesn’t mean the door is shut to everything that I used to love but I’m looking forward not behind now.

As I’m chasing after and embracing this life of more I realize this starts with an attitude of expectation. What’s done is done. Here I am, sitting at the feet of Jesus, patiently waiting with expectation of this life of more that He desires to give me-more love, more freedom-simply more life.