Wednesday, May 27, 2009

Memorial Weekend in Chaco Canyon Cultural Monument

My next few posts will be about our trip to Chaco Canyon in northwestern New Mexico. What an absolutely magnificent, magical place this is. I haven't visited since I was a young kid in the '70's. It was a terrific visit and the history... incredible.

Visiting in the spring was beautiful, with all the wild flowers in bloom. We did get quite a bit of rain while we were there but it kept the temperature down. Here are some pics of the wild flowers we encountered on our visit. Too bad I don't know the name of any of them.

As I get time I'll post photos and information about Chaco and the people that lived there.















Sunday, May 17, 2009

Weekend in Pep, NM

We headed to Pep on Friday afternoon, after I got out of school. We made it to Portales around 6 PM so stopped by Heartland Recovery Center to visit with Grandpa. Grandpa fell several weeks ago and broke his hip, after hip surgery in Lubbock, TX he was transferred to the rehab center in Portales, NM. Having him in Portales makes it easier for my parents and Grandma to visit him.

It was very sad to see him in there. He has lived in Pep, within a quarter mile of where he was born, for almost 91 years (his entire life) - it is so weird to not see him at home but in this small, drab little room. He has always been so very active up until the past few years so it's not so much he can't get out & about, he pretty much stayed in his house anyway... its just not where he belongs. He belongs on his ranch in Pep!!!

After visiting with Grandpa we headed on in and stayed a couple days with Mom & Dad. We visited with Grandma a bit and went back into Portales on Saturday to see Grandpa. We were able to watch the Preakness with him and his roommate; much disappointment that Mine That Bird (the NM horse) didn't win.

Grandpa's therapy is going well, but he needs to use his arms more so that he can get upper body strength. Today he walked 90' the first time and then over 100' the last time - almost twice as far as he had been walking. With help of course, he had a PT and a walker but that's better than not walking at all. I giggled a bit as I pushed the wheelchair behind them as the PT kept telling him big steps - Grandpa hasn't walked big steps in 15 years... the past ten years have been more like a really, really slow shuffle than steps.

On a good note, Grandma seems to have bounced back - in February she seemed to really be declining, but now she is off of oxygen except at night and getting around a lot more and without her walker. Back to 'ol Grandma almost. I think having to make the trip into Portales to see Grandpa and having to walk around more has really helped her. She was getting very sedentary which wasn't like her at all.

Hannah & Maggie LOVED playing with Jake (parents dog) for the weekend. They wore themselves completely out - last night was a great night as they slept all the way thru! Friday night they kept wanting to go outside and 'find' Jake... URGH!

Mom & Dad seem to be doing OK too. Dad & Bryan went to shoot prairie dogs but the weather was so crappy (think Seattle in December) they didn't shoot anything.

Monday, May 11, 2009

What is a Respiratory Therapist?

So, I've a few people ask me just what a respiratory therapist was or what they did... so here's your answer - according to the Bureau of Labor Statistics.

Now RT's need to have at least an associate's degree, although you can get a BS in respiratory therapy and you must be certified and/or registered. The program I am currently enrolled in should allow me to sit for the RRT (registered RT) exam. You can also specialize in certain fields - neonatology, acute care, diagnostics, home care, etc... each speciality comes with its own requirements and certifications. I haven't even begun to think about specializing yet, although there are a few women in my class that want to go into neonatal-pediatrics care.

PER BLS:

Respiratory therapists and respiratory therapy technicians—also known as respiratory care practitioners—evaluate, treat, and care for patients with breathing or other cardiopulmonary disorders. Practicing under the direction of a physician, respiratory therapists assume primary responsibility for all respiratory care therapeutic treatments and diagnostic procedures, including the supervision of respiratory therapy technicians. Respiratory therapy technicians follow specific, well-defined respiratory care procedures under the direction of respiratory therapists and physicians.

In clinical practice, many of the daily duties of therapists and technicians overlap. However, therapists generally have greater responsibility than technicians. For example, respiratory therapists consult with physicians and other health care staff to help develop and modify patient care plans. Respiratory therapists also are more likely to provide complex therapy requiring considerable independent judgment, such as caring for patients on life support in intensive-care units of hospitals. In this Handbook statement, the term respiratory therapist includes both respiratory therapists and respiratory therapy technicians.

Respiratory therapists evaluate and treat all types of patients, ranging from premature infants whose lungs are not fully developed to elderly people whose lungs are diseased. Respiratory therapists provide temporary relief to patients with chronic asthma or emphysema, and they give emergency care to patients who are victims of a heart attack, stroke, drowning, or shock.

To evaluate patients, respiratory therapists interview them, perform limited physical examinations, and conduct diagnostic tests. For example, respiratory therapists test a patient’s breathing capacity and determine the concentration of oxygen and other gases in a patient’s blood. They also measure a patient’s pH, which indicates the acidity or alkalinity of the blood. To evaluate a patient’s lung capacity, respiratory therapists have the patient breathe into an instrument that measures the volume and flow of oxygen during inhalation and exhalation. By comparing the reading with the norm for the patient’s age, height, weight, and sex, respiratory therapists can provide information that helps determine whether the patient has any lung deficiencies. To analyze oxygen, carbon dioxide, and blood pH levels, therapists draw an arterial blood sample, place it in a blood gas analyzer, and relay the results to a physician, who then makes treatment decisions.

To treat patients, respiratory therapists use oxygen or oxygen mixtures, chest physiotherapy, and aerosol medications—liquid medications suspended in a gas that forms a mist which is inhaled. They teach patients how to inhale the aerosol properly to ensure its effectiveness. When a patient has difficulty getting enough oxygen into his or her blood, therapists increase the patient’s concentration of oxygen by placing an oxygen mask or nasal cannula on the patient and setting the oxygen flow at the level prescribed by a physician. Therapists also connect patients who cannot breathe on their own to ventilators that deliver pressurized oxygen into the lungs. The therapists insert a tube into the patient’s trachea, or windpipe; connect the tube to the ventilator; and set the rate, volume, and oxygen concentration of the oxygen mixture entering the patient’s lungs.

Therapists perform regular assessments of patients and equipment. If a patient appears to be having difficulty breathing or if the oxygen, carbon dioxide, or pH level of the blood is abnormal, therapists change the ventilator setting according to the doctor’s orders or check the equipment for mechanical problems.

Respiratory therapists perform chest physiotherapy on patients to remove mucus from their lungs and make it easier for them to breathe. Therapists place patients in positions that help drain mucus, and then vibrate the patients’ rib cages, often by tapping on the chest, and tell the patients to cough. Chest physiotherapy may be needed after surgery, for example, because anesthesia depresses respiration. As a result, physiotherapy may be prescribed to help get the patient’s lungs back to normal and to prevent congestion. Chest physiotherapy also helps patients suffering from lung diseases, such as cystic fibrosis, that cause mucus to collect in the lungs.

Therapists who work in home care teach patients and their families to use ventilators and other life-support systems. In addition, these therapists visit patients in their homes to inspect and clean equipment, evaluate the home environment, and ensure that patients have sufficient knowledge of their diseases and the proper use of their medications and equipment. Therapists also make emergency visits if equipment problems arise.

In some hospitals, therapists perform tasks that fall outside their traditional role. Therapists are becoming involved in areas such as pulmonary rehabilitation, smoking cessation counseling, disease prevention, case management, and polysomnography—the diagnosis of breathing disorders during sleep, such as apnea. Respiratory therapists also increasingly treat critical care patients, either as part of surface and air transport teams or as part of rapid-response teams in hospitals.

Saturday, May 9, 2009

April 10 - Walnut Canyon National Monument

The Sinagua lived in this canyon over 700 years ago.  It is fascinating, and a bit scary, to see how they built their homes in the small caves and outcroppings that line Walnut Canyon.  In the midst of the canyon, there is an "island" and there are several cliff dwellings along its walls as well as small pueblo ruins on its crown (not accessible to the public).

The hike down into the canyon and along its walls is short but not for the unhealthy.  There are over 285 steps and some steep inclines - that aren't so bad going down but the trip up is a doosey!  

Here are a few pics from our journey.

Bryan on one set of the stairs 
we had climb

The small hole at the top was to allow smoke to leave the room.  The door at the bottom had small walls built up with a small slit to walk through.  A covering filled the top part of the doorway with just the slit open to draw in fresh air.
 


If you look closely, you can see cliff dwellings 
across the canyon
Inside one of the cliff dwellings
Walnut Canyon - dry now, but used to have 
a creek running through it.  The water was 
diverted several years ago.

Tuesday, May 5, 2009

April 10 - Wupatki National Monument & Sunset Crater

After visiting Walnut Canyon (not posted yet) we headed north on Hwy 89 to the Wupatki National Monument.  This is an amazing place to visit, there are several pueblos to visit along the park road.  The first that we came to was Lomaki (Hopi for Beautiful House) - there is a well-marked trail to two of the pueblo sites.  Both were built on the edges of small arroyos or canyons.   There are signs along the way that describe the life of the people that used to live here, sometime around 1190-1240 AD.  What I found most refreshing is that the ruins are left exactly the way they were first discovered (or re-discovered) over a 100 years ago. 

This area has seen several cultures come and go, this was the frontier of between three groups defined by archeologists at Singua, Cohonina and the Kayenta.

Welcome sign to Wupatki National Monument
Box Canyon ruin at Lomaki






The citadel is located right on the park road and it located high atop a rocky crag.  It certainly looks like it was built for defensive purposes but no one really knows for sure.  There is a fairly nice (gravel) trail to the top of the citadel allowing for some magnificent views from the top.  From there you are able to see eight other pueblos (we could make out 5, maybe six if we used our imagination).  At the base of the Citadel is the ruins of the Nalakihu Pueblo.

The Citadel

View of the inside of the Citadel
View from the Citadel of the San Francisco Mtns
View of the Jeep and the  Nalakihu Pueblo
from top of the Citadel
View of the Citadel from Nalakihu Pueblo
Wupatki is really an amazing site to behold. It is built utilizing an existing boulder as part of the structure of the pueblo.  At this pueblo, there as been some reconstruction, but some they removed to make it more true to how they found it.  The ball-court and ceremonial ring have both been reconstructed.  

Wupatki is derived from Hopi words that translate literally into "it was cut along" and recalls events in Hope clan history.  The story goes, "that people prospered here.  In time men began to gamble and ignored their crops and prayers for rain.  Concerned, their leader severed a ritual object and then went into exile.  When he returned the people awoke from their decadence."  knowledgeable Hopis feel the proper place name of this area is Nuvaovi (the place of the snow) and the site known today as Wukoki was Wupatki. (from the Wupatki Pueblo trail guide)

Wupatki stood three stories high in places, double walls were filled with debris as a core and the roofs were constructed with timbers, cross-laid with smaller beams or reeds.  Access was through roof openings.

Wupatki Pueblo

Close up of the rock that is incorporated into the
Watputki Pueblo



Ball courts in the Southwest (I have only heard of them in the far south, like Chitzen Itza in Mexico... who knew we had them here too?)  were not made of masonry, setting this one at Wupatki apart from others.  Speculation is that it could have been used for a variety of activities such as ceremonies, competitive games, and even perhaps as a reservoir after rains.

Near the ball-court is a natural phenomenon called a blow-hole.  I can't remember all the technical stuff that makes it works but basically it has to do with airflow and/or negative airflow.  At any rate, me and the little boy that was visiting with his dad got a kick out of watching his dad's cap float in the air above the hole.

Trail to the ball court and 
blow-hole
Ceremonial/Community Room

Nearby Sunset Crater last erupted sometime between 1040 and 1100 AD.  Wupatki was settled soon after but it is uncertain if there is a direct cause and effect. 

Sunset Crater