Creator Villa

As diverse as the people of the world are, there are few things, in principle, that have the power to bring them together. The first example off the top of my head is sports. As I write this, there is an NFL game streaming in the background, with players of various backgrounds competing, and millions more people watching in person and on television. The language of food is another universal. In my city, you can find an ethnic restaurant for nearly every major people group in the world. I have observed that even the people most reserved toward other cultures are highly outgoing when it comes time to consume their food. The third item, which arguably belongs atop any list of its kind, is music. Music, as they say, transcends language. It also transcends the human race. Humans are not the only species to create music, and we may not even be the best at it (birdsong, anyone? lol).  While musical taste is a dime a dozen, music itself is notorious for its universal appeal.

This week, I reached out to my friend and former classmate, Makayla Briggs, to shine a light on the ancient art. Makayla is an artist, singer, and musician. Her talent and passion for music is common knowledge to everyone who knows her. (Makayla recently threw a fancy “Sad Girl Fall Party,” complete with red wine, elaborate charcuterie, and lavish desserts to celebrate the drop of Adele’s new album “30”). Makayla, in simple terms, is the ideal person to do this interview. While I’ve attended her performances in the past, this is the first time we’ve had an in-depth conversation on the topic. The following is the account of a live 90-minute interview conducted in person. The interview begins with a personal narrative and progresses to addresses a number of fascinating questions about music in general. FYI, you can find Makayla on Instagram @MBriggs2_

[For the complete archive of interviews, click here.]

Tell the people a little about yourself. 

My name is Makayla Briggs. I am 28 years old. I am the Music Director at East Side Grace Brethren Church, and I sell solar panels. I think church is where my love for music kind of sparked. Church gave me an opportunity to get more involved. I love country music, but I can say that I appreciate most music that’s made. I sing, and I play piano and the guitar.

I have a dog—Penny Lane—that I love so much. I’m a foodie. I like to host. Charcuterie is life. 

When did you realize you had a passion for music? 

I would say I realized I had a passion for God before I realized I had a passion for music. Music was my way to express my love for the Lord. As far as my passion for music, I’d say I knew when I was probably 18. After high school, I planned to play volleyball in Kentucky and study God-knows-what, because music for me at the time was still just a hobby. I was singing in praise bands, and I would write little heart-break songs, but it wasn’t a huge thing in my life. I was entertaining the idea of studying something like accounting or social work.

It wasn’t until I got out of high school that I thought, “You know what? This is for me.” And more so, I realized that worship is more my passion than music. So now, in my adulthood, I have developed this love to create and consume music.

Did you end up going to school for it?

I went to Valor Christian College and graduated with my associate’s. At Valor, I studied Praise and Worship Leadership. I worked as a music intern for a year and a half, and put together band, vocalists, and worship sets. I’m super thankful for my time there because I got to study under Lisa Brunson. She absolutely changed my life. After graduating, I moved to the teeny-tiny town of Culloden, West Virginia, to join the staff at Grace Life Church as the Creative Arts Director. The church had a space for me to stay, and I was living there while working part-time as a barista at Starbucks. After 6 months, I needed to get out. Living, working, and attending worship at the same place was suffocating. I rented an apartment nearby, while continuing to work at the church.

I left Starbucks and got a job as a receptionist at a hair salon, which I loathed. I could just not vibe with the people I worked with. I wasn’t their type of creative. It was terrible. It probably didn’t help that it was a high-end salon, from the clientele to the people who worked there. I am not a boojy person. I’m approachable and down-to-earth. I felt I stepped into a world I didn’t feel like I belonged in. My boss, however, was one of the most amazing people I have ever met. Her name was Joy, and she lived up to her name. Joy passed away recently due to cancer.

After I left the salon, I started teaching pre-school music. I was going through a difficult end to a relationship, and my pre-schoolers just brought me back to life. I’m super thankful for that season. I’m thankful, really, for my entire 2 years and 8 months in West Virginia. It was my first “big girl” job. I had a lot of learning and growing to do as a musician and worship leader, and my church family was super gracious. Pastor Wright had way more confidence in me than I had in myself. He encouraged me to learn the piano and step out in other areas.

What prompted you to leave West Virginia?

I decided in 2019 that it was time to go back to school to get my bachelor’s. I attended Ohio Christian University [OCU] and studied vocal performance. My experience at OCU was amazing. It was there that I got introduced to classical music. Prior to that, I had never really been able to genuinely appreciate it—not just to listen, but to understand. I think sometimes you just listen to listen, but it’s a difficult ballgame when you’re listening to understand music.

My advisor’s name was Doctor Nolte. He is the reason why I went to OCU, and the reason why I graduated. He was on top of everything, and just super great at his job. Dr. Nolte cared about his students and their successes. He saw us through one lesson after the other, and always made sure we were where we needed to be.

My vocal coach, Dr. Bennett, was such a talented lady. I was 27 and had been singing since I was 9, but I had never taken vocal lessons before. I found out I had been singing wrong my entire life. It wasn’t that I was singing bad, necessarily, but my technique was non-existent. I recall that when I was living in West Virginia, I would get hoarse after every single worship set. We would sing three, maybe four songs, which is not a ton. That would only be a ton if you were singing classical music, because some of those pieces are 20 minutes long. Dr. Bennett changed the way I was singing. I’ve been hoarse one time ever since, and that was because I had gotten sick and still needed to sing anyway. Dr. Bennett changed my life, for sure.

I remember attending your graduation recital in the spring of 2021. Can you tell the people about that?

Part of my graduation requirement was to do a recital. The goal of the recital was to show what I had learned during my time there and capture a piece of me, musically speaking. I performed a German piece, a French piece, and several English pieces, as well as three additional theater pieces. I love musical theater. You get to be extra. I love being extra sometimes. And I did a song that I wrote, because I write music and wanted to show the audience a little bit about me. I also I did a worship set at the end, because worship is a huge part of my life.

I’ve thought about going back to get my master’s. It’s something that I really, really want to do, but I haven’t landed yet on if that’s what I’m going to do.

In what ways has your music ability or tastes evolved over the years? 

Growing up, I wasn’t allowed to listen to secular music, but my dad, my sister and I would always watch “The Sound of Music” on Friday, and we would have pop and popcorn. The main actress, Julie Andrews, played a character named Maria. I would say that Maria is the one who got me into singing. In the movie, there is a lot of singing, and there is a lot of teaching on how to sing. Maria teaches the children that she’s nannying how to sing. They go over solfege, which is all of the notes of the key that you’re in. Do-re-mi-fa-sol-la-ti-do. Another exception was the Beatles. My dad would always have the Beatles on in his truck, but anytime we were with my mom, it was “Uplifting and encouraging 104.9 the River.”

Once I started listening to music for myself in my pre-teens, I started listening to country. I always loved country. Around middle-school-ish, I would listen to a lot of rap and R&B, because that is what was popular at the school I went to. When we played sports, that is what was on in the locker room, but I never listened to it for personal enjoyment. I only listened to it so I could sing with my friends and be a part of those moments. Throughout high school, my playlist was mostly country music.

I didn’t branch out until my early 20s. I started listening to jazz. I really like Americana now, as well. As I mentioned earlier, OCU has increased my ability to understand and appreciate classical music.

Why do you think music is so powerful? Have you ever tried to define it? 

Have I tried to define it? No. But music—without bringing God into it–music can be a pastime, but that’s not why it’s powerful. I think it’s powerful because it connects people, for one. Also, there are emotions that not everyone can put language to. And music can do that. It can do that with words. Honestly, it can do that with instruments. What’s really cool about instrumental music is that you can make of it what you want to for yourself. You can feel out what it means for you without having words to contain it. Classical music, for instance, is powerful, but it will only be powerful to you if you let it. Some people will listen to it and think, “Eh, this is really boring.” But sometimes it melts me. Sometimes you’ve got lyrics in songs, and the artist decides the direction of the song. With instrumental music, you don’t have those barriers.

Can you talk about the relationship between music ability, on one hand, and talent and hard work, on the other.  How much of it is God-given ability, and how much of it is human effort?  

The Lord gives gifts, but how we steward those is completely up to us. That whole idea, you know, that our gifts are in our hands. The question is, “What are you going to do with what’s been given to you?” I think it’s more so the hard work. You get out what you put in. Music is no different. You do have those crazy people, like Mozart. They’ll just write and write and write. They literally were just given this crazy talent. Not to say that Mozart didn’t work. He was a child prodigy. He absolutely worked at his craft, but he was just insane on another level. In general, for me, though, it’s hard work over talent. Talent sparks the interest. “I’m good at this.” From there, it’s how you take care of your gift.

When did you discover your gift?

I doubt my gift all the time. I doubt I’m as good as some people think I am. I doubt I’m as good as I think I am. But I would say the first time I recognized I had talent was when I was about 13.  

How much can a regular person expect to improve with practice? 

I’m a very optimistic person. I think that you can do whatever you want to do. People can improve as much as they want to improve. Seriously, in the world that we live in, we have all the tools at our hands. If you want to sing, cool, then sing. Go to YouTube, and type in “free singing lessons.” The voice is a different instrument from guitar and piano. It is your body. It is your self. You grow that instrument based on how much you practice, which is the same as any other instrument. But with the voice, you just start. You just start singing, and you get to take that instrument with you wherever you go.

How much has your singing improved?

It’s super hard to give a solid, concrete answer to that because singing is an art. I don’t want to use terms like “better,” or “less bad.” I can’t say, “I was at a 4, and now I’m at a 6.” I can say that my range has grown over the years. Back in April, I sang the highest I’ve ever sang in public, and I had never sung in German before. The range shows improvement with effort, and I think the whole singing in German was just my willingness to do something different. I’m big on practice. I take my instrument with me wherever I go, and I’m always singing.

With music, there’s always room for improvement, whether that’s piano, the guitar, or vocals. That is, if you challenge yourself. Some people do the same thing their entire life. I like to try new things out, and then go back and refine.

What do you do now?

Currently, I spend about 30 hours working at East Side Church. I lead worship. I choose the music and create arrangements for the songs we do on Sunday mornings. I direct our choir, band, and vocalists. I work with the children for events like the upcoming Christmas special. I’ll teach the children songs, and then I’ll meet with team members. One thing that’s really important to our church is treating people well and making sure we’re caring for others, so I have meetings with team members and members of the staff on a regular basis. That’s the part I get paid for musically. I also plan events because I love to bring people together.

Do you have anything music-wise currently in the works?

I am working on a project, which will be out next year. I’m actually working on two projects, which has been a struggle. I really want to release my second project, but I need to finish my first project first. I’m really good at starting things, but sometimes I fall short at finishing them. My first project is an EP that I’ve honestly just sat on for years. It’s not going to release itself. I’m going to release it, and when I do, I’m planning on having a little release party. There will be charcuterie and wine, and I’m going to play some of my music. The EP is called “Different.” It consists of 5 heart-breaky, you-done-me-wrong kind of songs. They’re kind of jazzy. They’re kind of country. They fall into the Indie genre, because they don’t wholly identify with a single genre. 

My second project is an album. That will have more of a country feel to it. There’s a couple songs on there that I could hear on the radio. I’m not saying they will make it to radio, but they’re country-pop enough to be mainstream. My album is a little bit more fun than my EP. Right now, I have 11 songs that are completely written, ready to be recorded. With the EP, I’m in the production stage. 

The connection between music and emotions is undeniable. Is there a genre or instrument you prefer when you’re feeling a type of way? 

I will listen to Johnnyswim, one of my favorite bands. They’re so good. I love me some Adele. I love me some Taylor Swift. She gets a bad rap, and I hate that for her. To my mind, she’s one of the most talented songwriters of our generation—and I will back that statement until I die— because she’s able to say similar things in so many different ways. She’s mastered how to call the color blue by a different name, but she’s still talking about the color blue.

When I’m sad, I also go to my keyboard. I’ll typically start writing then. I like to pour a glass of mine, get my phone, and just record whatever comes out. I’ll revisit it later, put it on paper, and try to organize it a bit, so I can make it make sense for other people.

What’s your dream job or career in the music industry? 

I would love to be an artist. I am an artist, but I would love to be a successful artist, where I’m writing my own music, and that’s paying my bills.

A lot of people like to comment on trends in the music industry over time. What stands out to you about music produced today? Where do you see the industry headed? 

I’ll be the first to say that I’m no expert in music. I’m really not. But what I notice about current music is that there’s a lot of repetition, and that’s OK. Pop music, you kind of have to catch onto—that’s why it’s pop. People want to sing along to it. I would say music today is similar to music that’s from our past. Music that’s from 50 years ago or 20 years ago, which is really not a long time. New songs are being written, but nothing new is really being talked about, because we’re the same humans that walked the earth 70 years ago. We go through similar things and feel similar emotions, and that’s what we’re going to write about and sing about.

I definitely have my dislikes in music. Some music I don’t listen to because it makes me feel terrible, and I don’t like the direction of that music. As far as the future, I can’t say that I see us going any particular way than kind of how it’s already been going.

I’m a fan of technology. Can you comment on the influence technology has had on the music industry? 

Technology has made music more accessible to us. We’re able to work on music at our fingertips, rather than getting an entire band together. We’re able to create what we need to by ourselves at our house, with no other musicians involved. There is a productiveness in that, but you lose relational aspects that music has to offer.

We might find that our music is more and more “in the box,” meaning, it’s not using real guitars or real violins. You get to press a button, and a “C” plays on the violin—or whatever. That’s kind of where we are now. I expect more of the same. The technology is going to continue to develop, as it has over the years.

I’m going to ask you several questions in quick succession. You can limit your answers to no more than a few words or sentences.

Favorite artist? 

My favorite songwriter is Taylor Swift. My favorite artist is Kasey Musgraves.

Favorite album? 

“Diamonds” by Johnnyswim.

Favorite single? 

“Unwritten” by Natasha Bedingfield.

Favorite karaoke track? 

“We are never ever getting back together,” by Taylor Swift.

Genre, artist, album, or single you believe is overrated? 

Rap music.

Most underappreciated instrument? 

The trombone. There’s just so much life and amusement in it. It can be really powerful.

On a scale of 1-10, how much do you love Ohio? 

7 and a half. Just put an 8. I do. I do love Ohio.

What country or city would you move to if you had to leave tomorrow? 

Venice, Italy. I’ve been there, and man, it’s gorgeous. Venice for the views.

You recently threw a “Sad Girl Fall Party” to celebrate the drop of Adele’s new album. Where did you get the inspiration for that?

I heard a rumor in the summer of 2020 that Adele was working on new music that was supposed to be released last fall. The person said that “Sad Girl Fall” would be in full swing. It’s definitely not a term that I coined myself or was creative enough to come up with. I guess you can say I thought it was a very comical phrase. You have Adele, who writes sad music, and she’s dropping her music in the fall time. The music came out a year late, but since it was still in the fall, the name still works.

What’s next on the playlist for you life-wise? 

I want to challenge myself with my current job at East Side Church. I want to put myself in situations where I’m outside my comfort zone. For example, I recently started directing choir, which is not my forte. I love it. Fake it ‘till you make it is a real thing. It works in some cases, and I feel like that’s one of them. But there is preparation involved, of course. There are times where I completely lack confidence, and I’ll just attack with all the fake confidence in the world. It gets me through.

I also want to be faithful to finish my projects. I mentioned that I have an EP coming out next year. That, right now, is the next big thing that is most important to me.

A big misconception is that you need to feel motivated to get going. You don’t. Motivation often follows action, not the other way around.

Don’t confide your dreams in people unless you have the fortitude to deal with them not responding in a resourceful manner.

The inner man or woman — who we are independent of circumstance—gets exposed in times of crisis and deprivation.

[You can follow me on Twitter @creatorvilla.] Today I want to share a short clip I transcribed in which navy seal and motivational speaker David Goggins discusses his relationship to drugs and alcohol. Goggins knows a lot about sobriety as someone who went through hell week training three times and routinely competes in ultramarathons and other excruciating athletic events. For Goggins, sobriety is about staying in control of his mind and living authentically. To be sure, this is not a knock on anyone or any lifestyle, just one man’s perspective that I found thought-provoking.

I want to make sure that every single thing I feel is real. I want no masking. I want nothing to mask my ability to feel fear and to overcome fear, whatever it may be.

David Goggins

Transcript:

Interviewer: And I know one thing that, —we spoke about it before [we were on] camera. To most of the world, you’re super clean. You’ve never done drugs. You’ve never had alcohol. You don’t drink alcohol.

Goggins: I’ve tasted alcohol, but no, I’m not a drinker.

Interviewer: Do you think that has to do with your father who used to drink a lot?

Goggins: It’s probably due to him, but it’s also due to—at a young age, I realized that I had a very weak mind, a very weak mind. And I want nothing to interfere with my own thought process. A lot of people before they go on stage, they get a little bit tipsy, get a little buzz. Maybe smoke a little something, do a little something.

I want to make sure that every single thing I feel is real. I want no masking. I want nothing to mask my ability to feel fear and to overcome fear, whatever it may be.

I’m not saying people who drink or do these different things are trying to hide. Some people just do it. For me, I think it’s almost a masking agent, so then your mind doesn’t have to work as hard. That means I’m losing.

Fear ends where faith begins.

Insecurity and envy drive us to be resentful of the success of others. But when we take a step back and realize the world is abundant and we are all connected, the success of others should inspire hope and gratitude.

I identify as a night owl. The evenings are when I tend to be most relaxed and productive. I enjoy talking to friends, surfing the web, reading, meditating, and watching live sports into the wee hours of the morning. My current circumstances enable this lifestyle. However, I’ve also come to realize that there are powerful psychological benefits to waking up early.

When we wake up at the last possible minute before some obligation, or after we’ve exhausted every minute of sleep, we become passive players in life. Our circumstances and obligations bully us into doing things we would rather not. Waking up earlier than necessary changes the narrative. It communicates an embrace of the challenges and opportunities of life and transforms us from passive to active participants. There is a reason why most successful, high-energy, go-getter personality types tend to wake up early. Human beings have also evolved to be highly competitive and conscious of others. When we are awake in the morning while others are asleep, we often feel at a social advantage, and vice-versa.

Recently, I re-discovered a powerful life hack that started working for me almost instantly: intermittent fasting. Intermittent fasting can be a powerful tool for waking up earlier and with better energy. My routine right now consists of me not consuming any calories after 3 or 4 PM. This creates a powerful incentive for me to go to bed earlier and rise earlier to fullfull nature’s most primal instinct. And it tends to have an energetic carry-over effect the rest of the day.

This routine may be difficult to execute, even for people who have extensive experience with intermittent fasting. I, for one, intermittent fasted for more than a year, and my feeding window was always sometime in the afternoon and evening. When I recently stopped eating in the evenings, I realized just how much I enjoy doing it, when all the work for the day is complete and my mind is in entertainment mode. The evening is also when I hang out with friends and family and like to socialize over a meal.

Abstinence requires forethought and discipline, especially when I know I’m going to be around people or engaged in some athletic activity. It means I have to be disciplined to eat enough calories during my feeding window to sustain me for the rest of the day and not to cave to the temptation to eat for pleasure when time, company, and good food are abundant.

Some say the only thing that matters is what you eat, not when you eat it. My experience leads me to believe otherwise.

Note: Fasting is not for everyone and you should do your due diligence and consult your doctor before beginning any fasting regiment.

Any year the word “pandemic” is among the most popular search terms in Google, you know you’re in for a ride. If you’re like most people, the word itself is synonymous with some special challenge or circumstance you’ve had to endure. Many people have gotten sick. Many people have died. And an even great number have been compelled to make unwanted lifestyles changes. I have a few friends who entered the year physically and mentally unscathed, but they are the exception to the rule. The rule is that pandemics suck, and it takes special coping skills to make it out on top.

This week, I brought in my guy and newlywed, Chase Ridgway, to serenade us with his wisdom on the theme. Chase is the ultimate insider. He graduated from Capital University in Columbus, Ohio, with his Bachelor’s degree in Nursing. Chase worked in a pressure cooker environment for four years in the Cardiac Intensive Care Unit [ICU] at Ohio State Wexner. Chase also recently spent a few months on assignment to a unit that treated a number of Covid 19-positive patients. Due to his background and even-tempered personality, our interviewee is uniquely qualified to address the topic of stress management amidst a global pandemic. Never at a loss for words, I hope you find Chase’s experiences and reflections, taken from a 90-minute in-person interview, to be exquisitely practical, eye-opening, and down-to earth. FYI, I defined a few medical terms in brackets to save you time and give your thumb a break from all that scrolling.

Tell the people about yourself. 

My name is Chase Ridgway. I’ve been a nurse for five years. I spent my first four years in the ICU before transitioning over to endoscopy [procedures to look inside the body’s digestive system]. I am also currently taking classes to become a Family Nurse Practitioner.

As far as my personal life goes, I am recently married and the proud father of a black and white greyhound named Franny, and two black cats, Arnold and Mena. In my free time, I like woodworking, lifting weights, yoga, biking, boxing, and frequently hiking with my wife and family. I try to maintain an active lifestyle to stay healthy first and foremost, and to make sure what I preach and what I practice are one and the same.

What informed your interest in the medical field?

It was a family thing. My sister, my cousin, and my aunts were nurses. They liked their jobs. I’m also a people person. I knew I wanted to do something that involved people. Nursing is also a pretty steady occupation. You are never going to run out of people to treat. In fact, the healthcare profession is actually gaining patients.

I was also a heavy kid growing up. I had a really cool pediatrician, Dr. Heiny, who helped me get on the right path. Dr. Heiny didn’t ignore me and talk to my parents. He was very personable, very friendly, and talked to me on my level. He was also very upfront with me about losing weight, and told me very plainly in middle school that I was prediabetic, and without lifestyle changes, I could develop type-2 diabetes. To help combat this eventuality, Dr. Heiny made getting healthy into a point system and a game. He had me participate me in Weight Watchers and count the calories of everything that went into my body. He also suggested trying out sports to see what I liked. This led me to volunteer to play football in middle school, which along with many years of baseball, helped me trim down about 90 lbs from my freshman to senior year of high school. My background explains part of my interest in bariatric care [management of obesity] to this day.

How did you start out working in the Cardiac Intensive Care Unit? Was your temperament a factor in the decision?

I knew it is what I wanted to do straight out of college. I thought the intense stuff would be the most interesting, and I thought it would give me the opportunity to help the largest number of people. In reality, it was mostly about managing preventable conditions. A lot of people were chronically ill. Some had done permanent damage to their bodies. I watched the health of a lot of our patients deteriorate. This led me to want to shift to primary care to focus on the prevention side. People in hospitals often need band-aid care. We fix them up so they can return home and go about their lives. As a Nurse Practitioner, I want to help fight health issues before they develop and prevent these terrible conditions that people get admitted to the ICU for. It starts early, by being proactive and with the proper education.

I am generally a calm guy, but the stress of the ICU will take its toll on anyone. There were a lot of sad cases of drug abuse and overdose that were very difficult to manage. We also had cases where a single sick patient might have 10-12 different medications running through their IVs. Family members would often ask questions that nobody could be sure of. And about once a month, one of my patients would pass away. I was also working nights. I would typically work 7 PM to 7 AM, several days a week, and pick up a lot of overtime. On days I worked, I would sleep from 9 AM to 4 PM. I barely saw anyone, and when I did see someone, I would lose sleep. Whenever I had several days off in row, I would typically sacrifice two of them just flipping back to a normal sleep schedule.

My first few months in ICU were rough. I had a hard time going to sleep, thinking of everything that happened that day and playing out different scenarios in my head to make sure I was prepared. I got better at stress management over time, but it’s something you have to constantly stay on top of in that environment. ICU was intense, and it was fun. I liked it, and I learned a lot, but I knew it wasn’t something I could continue for life. Around year three, I could sense that it was time for a change.

What’s the most chaotic situation you’ve ever had to deal with? 

We once had a patient who had just suffered a heart attack. He was in cardiac arrest and came to our catheter lab to receive treatment. By that time, he had already been unresponsive for a couple hours. His blood pressure was very low and his organs were starting to shut down, and began doing CPR and giving meds. It was basically I and a few nurses running a code [trying to save a dying person], and we were fortunately able to get him back. The patient had a bunch of occlusions in his heart and was admitted from the cath lab to the ICU floor. He had like 20 family members with him, and they all wanted answers. They stayed up all night in the waiting room because they didn’t know if he would make it to the next morning.

The patient wasn’t showing any signs of life neurologically. His lab values from his blood showed massive organ breakdown and death. His family was camped out, praying, hoping for the best. They wanted to wait until his daughter could come see him before he passed. And so we spent the whole night trying to keep him alive long enough for his daughter to say goodbye. As for the doctor, he was sitting outside his room the entire time, ordering meds and directing us what to do. The patient’s electrolytes would get out of whack, and we’d have to correct it or he would go into cardiac arrest again. He needed blood drawn every hour and meds every 20 to 30 minutes. He had 5 or 6 IV drips going. Three of them are called vasopressors to help keep his blood pressure high enough.

It was a chaotic situation. I would go out and talk with the whole family as often as I could, every 2 or 3 hours, to give them updates. One thing they talk about is not giving false hope but remaining positive, which is not easy to do. It’s hard to tell the truth and be honest about his condition and not inspire false hope. “He’s still fighting, and he’s not doing any better.” You try to ride the line and be as respectful as you can.

The man wasn’t in good shape, but he made it through my shift. We stabilized him long enough so his daughter could some see him the next day. When I came back the next night, he was gone. The family decided to reverse his code to DNR [do not resuscitate], and turned off all the medication. It was a tough situation for everyone. I’ve had a lot of patients in critical care, but he was one of the most difficult to keep alive, and one of the most emotionally taxing to take care of.

How do you stay calm under pressure? Is there a special motto or breathing technique or prayer or meditation that you resort to?

I’ve always been a guy who doesn’t overreact to things. Some of it is built into my personality. I can’t say that I have a special secret or mantra, but I have learned from working in ICU that work stress isn’t worth bringing home. Don’t worry about anything you can’t control. I don’t think about it or dwell on it. At the end of the day, it’s a choice. I know it’s not always easy to do, but knowing that is what makes the difference for me.

My calmness also comes from being sure that I am in the right place doing the right thing with my life and that I have the right knowledge to help. I gave it my all in my schooling and in my training and I felt like as long as I kept learning and getting better, I could remain calm in every situation. Listen to those who know best in an area, and you can feel confident enough about what you’re doing to experience that same effect. Knowledge is key here, as is the ability to keep learning and listening.

I’ll add that physical activity is the number one way for me to de-stress in the moment. Early in my career, like I said, I was very stressed out. During the first few months, I’d be so keyed up from work that I would come home and work myself out to exhaustion and hope to be able to fall asleep after that. I would get home at 7 AM and wouldn’t go to bed until 1 PM, because I was so focused trying to remember everything and make sure I did the very best I could. I eventually got better at the work-life balance, but it wasn’t always easy.

Music is another big one. I rarely ever drive in complete silence. Music and comedy, but between the three, physical activity for me is king. They were also pretty big on deep breathing in my undergraduate program. Whenever you can, take a moment to deep breath, focus, and try to process as much stressful input as you can.

Based on your reflections, it sounds like there is a lot of grace built into our biology. In a word, physical and emotional health is capable of changing for the better.

Health outcomes can always be improved with diet, exercise, and stress management. Even in cases where permanent damage has taken place, lifestyle changes can help prevent the situation from getting worse. Take diabetes, for example. The pancreas is no longer able to secrete its own insulin after irreversible damage has occurred. However, diabetics who make lifestyle changes will likely need less insulin, lose weight, and generally feel better. Immune function may go up. Fatigue may go down. It’s not a cure all, but it makes a huge difference. And that is a kind of grace.

Hypertension [high blood pressure] is another example. Depending on the cause, hypertension can be reversible. Salt intake. Fat intake. Caffein intake. Weight. Stress. And some people also have other conditions that influence it and need managed. You should always first develop a plan of treatment with your doctor, but generally anyone can improve their health at least a small amount with lifestyle changes. The goal is to get your body working better, feeling better, and hopefully living longer.

The sicker and more out of shape you get, the harder it becomes to reverse health outcomes. If you’re immobile, for example, or if you’re very old. It is always best to make lifestyle changes as soon as you can wherever you are.    

How has the pandemic influenced the healthcare industry, in general, and your occupation, in particular? 

Healthcare has become a lot more careful about what visitors they let in and who is being treated where. They’re a lot more careful about making sure employees call off when they’re sick. I know a lot of nurses who are workaholics and would come in no matter what. With Covid, they realize their health can deteriorate if they put extra stress on themselves, and they also run the risk of getting their coworkers and patients sick.

I also see a lot more people doing touch point cleaning in and around our work stations. As a nurse, we wear a lot more PPE [personal protective equipment]. Masks. Gloves. Eye shields. For example, we all wear N-95s or respirators whenever administering an upper endoscopy to patients. These tests look for infections, inflammation, ulcers, genetic diseases, things like that. And we have all our patients get tested for Covid before entering our unit.

You recently got assigned to a unit that saw a number of Covid-19 patients. What was it like working in that environment?

It was an in-patient Covid overflow unit. About fourteen of us from endoscopy received this assignment. The unit was created because Covid cases were rising and they were trying to isolate Covid patients on the units these people came from. It was difficult for everyone. I was gone from in-patient nursing [overnight care] for about a year, and some had been gone even longer. And so we were all worried about patient safety and making sure we were back to being competent and patients were getting appropriate care. It was dicey at first. I oriented for about two weeks, and there was the option to orient for even longer for those who needed it.

We took care of patients who had tested negative and others who ended up testing positive. It was a brain and spinal hospital, so a lot of people had neurological issues. Some patients had liver disease and some were there for surgeries. Time management was the biggest thing. It’s a skill that often gets lost in the moment. In endoscopy, we would hyper focus on one patient whereas on this unit were taking care of 3 or 4 patients at a time and needed to divide that time adequately to care for each patient. In this way, it resembled the ICU.

A few weeks ago you received a vaccine. How did that go?

Healthcare workers were one of the first populations to get offered the vaccine. It wasn’t required, and some were hesitant, but most went ahead and got it. A few weeks ago, I got my second dose of the Moderna vaccine, which consisted of two shots four weeks apart from each other. My only symptom after the first shot was a sore arm. It felt just like a flu shot. People who had got it before me said the second one was pretty rough, at least rougher than the first. After my second shot, I felt very fatigued. I had body aches and nausea. Not everyone experiences these symptoms. They say two thirds of all people don’t feel anything beyond a sore arm.

To my mind, it’s well worth it. If you do contract the virus, there’s a less likelihood of developing severe symptoms. However, it’s still unclear if you can spread it after you get the vaccine. People still need to be careful, wear masks, and take all the other precautions.

What’s the most challenging part of working in healthcare? 

It’s very physically exhausting. You’re constantly in motion, gathering resources, going from room to room to take care of different patients. It’s not an easy job. Some patients are less appreciative of your help than others, which can be frustrating.

What about the most rewarding? 

Making a positive impact in the lives of others. Helping people get home and live healthier lives and hopefully not have to come see us again. The job can be demanding, the job can be stressful, but I know the work we do is meaningful. And, in spite of everything, there have been very few days where I didn’t feel like going in.

How does your current job in endoscopy compare to working in the ICU and the Covid Unit?

Endoscopy is all out-patient, so people generally go home the same day. There are 30-40 employees on any given day, and we see anywhere from 60-80 patients in a day. It’s a very high-functioning environment, and we get each patient in and out of the hospital within a couple hours. Each procedure lasts anywhere from 15 minutes to an hour or more, and they take place in any one of 9 procedure rooms. I prefer endoscopy not because it’s low pressure but because we deal with one patient at a time. This allows us to get know that individual a little bit and fully focus on what we’re doing. We also have a good camaraderie among the staff, as we take care of the same patient in different phases. There are also fewer life or death situations, and so that helps with the stress. The biggest difference I find is I’m physically but not mentally exhausted at the end of the day.

The flexibility is one of the things I appreciate the most about nursing. There’s opportunity to try something new if you get bored or unhappy where you’re at, no matter where that may be.

You’re currently in school. Tell us more about the endgame you have in mind.    

My end goal is to become a Family Nurse Practitioner. FNPs can prescribe medication, examine patients, diagnose and treat conditions, whether that be with medication or other kinds of interventions. A typical visit covers a lot of what you would have done during a normal doctor’s appointment. Eventually I’d like to specialize in bariatric care, preferably with kids, or diabetes, or maybe become a general practitioner who sees patients of all different kinds in an out-patient setting. I’ve got about a year and a couple months left of the 3-year program. OSU Wexner has a full-time work, part-time study program where they offer tuition assistance.

I’m currently taking around 9 credits. We’re learning assessment techniques and pharmacology, where you learn about all the different drugs to prescribe and their various contraindications [reasons not to prescribe a medication]. It can be stressful to work full time and do school, but I feel like with the time management and study skills I’ve acquired, it hasn’t been as bad as I thought it would be.

Your wife is also a nurse. How has being married to someone in the same field influenced your life? 

I think being married to someone in the same field makes it easier to destress, especially for people with stressful occupations. Megan works with cardiac patients at Nationwide in the ICU, and I’ve already said a lot about the challenges of working in that environment. It helps to connect with someone of similar interests or work because you have shared experiences, and communication become that much easier.

Healthcare, in general, is a specialized thing where there is a lot of intimacy between patients and coworkers and everyone involved because it’s the work of improving lives and providing the best possible care. Healthcare is a lot different from other fields. There’s a very real healthcare community, and it helps to have someone who is a part of that and can relate to that. When my wife and I first met, we were both on the night shift, which helped us connect and made it a lot easier on our relationship. Megan is currently studying to be a CRNA [certified registered nurse anesthetist], and so were both doing the work-study thing and can relate to each other’s experiences in a big way.

What advice would you give someone who came to you for help with stress management and emotional control?

The key is to take a minute and think about all the resources you have, whether that’s knowledge, giftings, skills, or people. My ability to stay calm and in control, in my relationships, work, and the goals I’m working toward, is about having confidence in those resources. It’s also important to have good coping skills to destress, and to find activities or hobbies that have a relaxing effect on the mind. Stress management, like good health, is all about prevention. You don’t want to wait until you’re in an emotional crisis to act. You want to take steps now to set yourself up for success in the future.

Boundaries are also important. Don’t pull yourself in too many directions. Don’t get too emotionally involved with your work. Don’t take things personally. And don’t dwell on negative experiences. I know that’s easier said than done, but it’s a skill that can be developed. I made the choice to sacrifice social time, and time spent on hobbies, to dedicate to being a full-time nurse and student. My lifestyle works for me, but everyone should weigh their emotional health and well-being before taking on any new commitments. Think about the sacrifice that will be involved and whether you will be able to follow through. And remember, you can still be happy while you make sacrifices to pursue your goals and ambitions.

They say success in nursing is as much about taking care of yourself as it is taking care of patients. The same applies to other areas of life. Self-care is important because it affects your outlook on life, how others see you, how you see yourself, and how you interact with the people around you. If you’re not allowing yourself time and space to decompress and relax, whatever that looks like for you, then you’re setting yourself up for failure.

You have the last word. 

Wear your masks. Stay away from people when you can, and be safe when you can’t. Also, maintain communication with the ones you love. Don’t take for granted the time you get to spend with them because tomorrow’s not promised.