Tiny

The new job involves a lot of little details. I'm slowly sticking them together into little clumps of knowledge and processing them. It's very easy to get confused and put them in the wrong way round or in the wrong order or in the wrong place, but I'm working through the problems. And I'm persistent, and remarkably patient with it all. 

 I learned this when I broke my arm, when speed was not an option, I would have to take three trips when once I would have used all my arms and taken one. That it would take twice, maybe three times as long to do simple tasks like making a cup of tea or using the toilet or brushing my hair. Those tasks filled my days for several weeks. Everything took longer, everything took a lot more effort. And there was no rushing it, or I'd be left with a far worse mess, and time would start running backward. That way lies madness...

I'm honestly a bit amazed at my patience with it all.  I'm at peace. The old anxiety is off sleeping it off. 

Got to scrub on two little hand cases yesterday, patient numbed but awake. Lots of good data showing that carpal tunnel releases and trigger finger releases are at least as safe, if not safer, done in a clinic/office setting than the way we used to do them in full ORs. I know if I ever need this done that would be my choice, keep it simple, no sedation.  

The LPN who runs the clinic talked to the patient, and she did the charting and support. She kept apologizing about being required to watch me and "check off" my skills, when I clearly knew that part of the job much better than she did.  Well, I'm used to being watched doing this, we all watch each other in the OR, it's easy to let skills and attention slip, develop bad habits. Yeah, I've scrubbed liver transplants and back surgeries, but that can be an asset and a trap at the same time when doing a finger cyst incision in a clinic. Easy to dismiss small cases as less important, just because they are less involved. Easy to say "I've been doing this for 25 years...." and then screw up a simple task. 

The little things are just as important as the big things. The big things are just the little things all in a big pile. 

My job these days is to sort through the pile, tease out all the little things and deal with each one.  The people I've met, the ones I'll be working with, are good folks. Serious and careful and competent. The patients have complex lives, and their hard stories and issues, demand my attention. People who joined the military often did so out of desperation, few other choices. And the experiences added more troubles on, marked us and left us forever changed. Even if it was only a few years when we were much younger.  

We've been watching The Repair Shop, and it's good for my soul. To deal with each detail carefully, and with love. Yes, it's a big job, made up of one little thing at a time. Watching someone piece back together a broken chair or ceramic vase or carefully clean a painting or a wooden chest or rusted bicycle, mend a tattered teddy bear or disassemble an old stuck clockwork, may not sound like a good show, but somehow it is.  Unlike some "antique" shows, there is no greed, only love and gratitude.  Craftspeople who love a challenge, and tell their own stories. 

I have nothing in my childhood I'd want to be 'brought back to', I don't want my own connections and history. I remember it all far too well, and could do with a lot less. So watching the people who bring in items soaked in stories they want to keep, is lovely and hopeful.  They bring in their pain and grief and loss, and ask for help to transform it into something beautiful again. 

 If you read only one thing about the current mess in Afghanistan,  let it be this.