Sunday, October 29, 2006

A Smoker's Struggle...


After reading recent blog posts regarding the harms of second-hand smoke, I would like to share a recent happening in our lives. Though I agree with everyone that smoking is harmful and that it is annoying and can cause allergic reactions, reduce quality of life in people's own homes, and can cause anger and frustration, I have to stand up for smokers. This is not meant to be hostile towards those who want clean air, reduction of smoke, and elimination of allergy-inducing toxins. This is not meant to offend people or ruin friendships, but I feel that I should not be looked at as some sort of pariah either.

About a month ago we received a certified letter from our upstairs neighbor reporting that her allergy to cigarette smoke had been exacerbated due to the horrible smokers that are currently living below her. This neighbor noted that rugs had to be removed from her home due to the stale cigarette smell and that quality of life had been drastically reduced. The neighbor requested that something be done to reduce, if not eliminate the cigarette smoke entering her apartment. I would also like to add that this letter was sent to both her lawyer as well as to our landlord, following over a year of co-habitation with said neighbor.

After speaking with this neighbor while downstairs (smoking outside), we (Sam) elaborated on the measures taken over the last year and a half to keep the cigarette smoking from bothering other neighbors. When we moved in, we purchased an exhaust fan for the window that would gather the smoke and send it outside. This kept the smoke from invading our apartment and our neighbor's apartments as well. We always had a fan going in the apartment to circulate the air so that stale air was not a problem. We only smoked at the window to keep the smoke in a concentrated area.

After receiving this letter, we combed through our lease to determine whether or not we were doing something that could get us evicted. Though there is no clause in the lease that states that we cannot smoke in the apartment, it is mentioned that we must refrain from being a nuisance to our neighbors. Now, the cigarette smoke that was allegedly wafting into her apartment could be seen as a nuisance, but so could the receipt of a certified letter, the constant stomping on the floor above us that our neighbor continues to engage in, as well as the subsequent knocking on our door to berate us and the rude letter that was taped to our mailbox.

Sam and I decided to take drastic measures, short of quitting smoking. We chose to stop smoking in the apartment, even though our friends (who don't smoke) and my mom (who hates that we smoke) noted that our apartment did not smell like smoke and that they couldn't smell it even when we were smoking at the window! Every night, Sam and I would head downstairs to smoke outside. I have to note that we smoked outside, along with several of our neighbors. In fact, half of the building's units contain smokers -- could she really prove that the problem was us? We clean up our cigarette butts and don't feel that we are harming anyone but ourselves.

It was after smoking outside for two weeks that we received the nasty note taped to our mailbox that stated, "something has to be done about the smoking!" This letter never made it to us because one of our neighbors felt it was rude and removed it (she did tell us about it later).

I know that smoking is harmful and I know that it is bothersome, but it is what I choose to do to myself. Since smoking outside, the amount of cigarettes that I smoke has definitely decreased, but I'm still a smoker. I am mindful to not blow smoke in people's face or towards non-smokers. I am cautious when walking down the street to pay attention to those around me so as not to be bothersome. I agree with the ban on smoking in restaurants, clubs and cafes -- I don't want to smell the stale cigarette smoke either. I do not choose to do illegal drugs or to consume large amounts of alcohol. I am a safe driver and put people's safety as a priority. I am a social worker for G-d's sake. I have a stressful job and a stressful life and though it's not an excuse, my method of decompressing includes smoking cigarettes.

Ellen mentions the pollution of the large trucks in California. An article was recently published that noted that the Gowanus canal has such a huge amount of pollutants dumped into it each year, that the residents of that area have the highest incidences of asthma. Cigarette smoke is the least of their worries. New York City is an extremely polluted city with such poor air quality. Why would an allergic person ever choose to live here?

I know that this rant has gone on way too long and my fear in posting this is that I will be harshly judged and looked down upon for being a smoker. Everyone has their vices and overeating and smoking are mine. I'm sorry again if this is offensive or seems to be somewhat aggressive, but I want my side and my struggle to be heard. I contemplate quitting every day and know that it would be so much better for me if I did, but the time is not right for me. If I can't smoke in my own apartment, and can't smoke outside of my building, this basically relegates me to the inside of my car. Until cigarette smoking is made illegal, there should be a place that I can smoke!

Please take this in the way that it was meant, just as an indicator of the struggle of smokers as well. This is something that brings me guilt on a daily basis -- I never wanted to be a person that causes others harm. I am a human and am entitled to poison my body if I choose. I try not to judge those who drink, do illicit drugs or live an extreme life, please don't judge me.

Now bring on the rage...

Saturday, October 28, 2006

Has is Really been a Whole Year?!

Well kids, it has! I have been keeping up with this blog (albeit spotty at best) for just over a year. I'd like to take this opportunity to reflect on the past year. It seems like the world has changed for me over the last year and that I have stuffed many years into the span of 365 days!

First the basics: 109 posts in the span of a year. That averages to 9 posts per month, one post every 3rd or 4th day or so. However, if you look at my track record lately, it's been just a couple per month and definitely more than 3 days between posts!

When this began: it was a way to chronicle my frustrations of having a really expensive master's degree in a profession where I was unable to find a paying job. It was meant to communicate my innermost thoughts having to do with what I was doing with my time while I was unemployed for five months after completing my degree. My goal was to write about all of the wonderful books that I was reading, comment on all of the interviews that I was sure I would be going on and journal about all of my emotional struggles.

What it turned out to be: a chronicle of our day to day (or week to week) lives including becoming a great platform to remember birthdays, anniversaries and to post pictures of friends and family. It has been a way to share the comings and goings of our life and to hopefully show how we were taking advantage of NYC. It has been a way to communicate with friends and family without calling and e-mailing (which falls by the wayside so often).

Important changes in the past year (In no particular order):
1) I did get a job about a month into blogging. In the span of a year, I have gone from plain ol' social worker to project director. I sat for my licensing exam and passed. I have learned so much about the social work profession, about hospice and palliative care and gained confidence in the job that I do.
2) We've hosted many friends and family in our tiny Brooklyn apartment and gone on numerous tours of Brooklyn and Manhattan.
3) We've taken advantage of having a car and have traveled to Pennsylvania, New Jersey, Connecticut and Massachusetts.
4) Sam and I celebrated our 2nd wedding anniversary and our 4th anniversary of being together.
5) I turned 29 and am about to turn 30!!!
6) I've gained so many wonderful friends that I met through my job -- I appreciate them all and am so blessed to have met them.
7) We inherited 2 cats, whom we have grown to love.
8) We have taken advantage of living in NYC and have allowed ourselves to spend more time enjoying life.
9) My mother-in-law completed chemo and radiation and now lives a cancer-free life!
10) Our nephew has endured a couple of hospitalizations for pneumonia, including a surgery to remove part of his lung and he continues to run around like a normal 2 year old.
11) My sister-in-law is about to bring a new baby into this world.
12) My best friend brought a beautiful baby girl into this world and I finally get to meet her in a couple of weeks.
13) We've overcome losing Sam's grandma, and are saddened by the recent loss of Barclay.
14) We watched Shelly and Joe finally get married!
15) I've watched Sam blossom in his job and get many much-needed kudos from his management team.
16) I have learned not to take myself too seriously and to take better care of myself.
17) I have learned to be a better wife and to cherish all of the time that I get to spend with my husband.
18) I have learned to be a friend -- how to make friends and most importantly, how to keep friends.
19) I have adopted a healthier lifestyle, including becoming a vegetarian, which has resulted in a 40-pound weight loss.
20) I have come to the realization that we may not be leaving Brooklyn any time soon, and I've made peace with it.

And most importantly,

I have learned so much about my self and I am loving myself more and more each day. I know that I still have so much more to work on, but I feel like I have made some major gains this year.

Plans for the next year:
More posting, more self-care, continuing to kick ass at my job, loving my husband more and more, spending more time with friends and family and getting the rest of this weight off!

Thanks to each of you that read this blog and continue to support me and shower me with uplifting and calming words. Thanks for enduring all of my bullshit and complaining and for being a sounding board for all of life's dilemmas...


Me on the beach at Coney Island last year...

Happy Anniversary Mom & Dad!


So even though I am a crappy daughter who forgot to get stamps so that she could send a lovely card to commemorate her parents' 22-year marriage, and I wasn't on the ball enough to get your gift to you prior to today, I would still love to wish you two a very happy anniversary.

I would like to take this time to commend my mother on her perfect use of "Jewish mother guilt" to make me feel horrible for not buying stamps or sending a card. In her words, "If it was important to you, you would have remembered to get stamps. Grandma had our card sent and she's in the hospital. Aunt Millie sent us a card - see, she loves us."

I get it. I suck! But, I would like to note that my lack of foresight does not make me love you any less. You guys have a wonderful marriage and have been great role models for me on how to have a good, lasting relationship!

Happy Anniversary!!! Love to you both! I hope you've done something very romantic today.

22 Years...That's a really long time!

Sunday, October 01, 2006

It's Official, I'm no longer JUST a Social Worker!

Most of you know that my job description has never just been a social worker. When I interviewed at my company, I was offered a job as a social worker in our new research study that would begin as soon as I started working. Unfortunately, my project was not ready to get started, so I was drafted into Hospice for a "two to four week stint" as we were losing two full-time social workers. I continued in Hospice until...well, last week! I've attempted to get out of Hospice a couple of times, transferring my patients to another social worker who was subsequently fired, leaving me with my old patients. I was finally able to transfer three of my Hospice patients last week to another new social worker. Just my luck, she'll quit in the next month and I'll get my babies back, but here's hoping that I'm not stuck again.

As I continued with Hospice patients and was working diligently to get the project started, they fired the Palliative Care social worker and I assumed most all of her patients. As of today, I still have 10 Palliative Care patients. They continue to promise me that they're working on hiring a full-time Palliative Care social worker that will be able to take all of my patients, but that hasn't happened yet.

In addition to Hospice and Palliative Care, the project manager for the research study left on maternity leave on February 28th. As of March 1st, I assumed all of the project management duties, which included creating the psychosocial assessment, creating all of the forms for the welcome packet, attending management meetings, acting as a liaison between us and ALL of the funders and writing interim reports for the funders to maintain the grant. Unfortunately, assuming all of these duties did not come with a new title or more money.

So, let's recap: I'm managing the new project, which has now included contacting new referrals by telephone and knocking on their doors, doing initial psychosocial assessments and maintaining a new caseload of five high-risk, time consuming patients. Also, I'm attending the Palliative Care team meetings weekly, taking on new Palliative Care patients, seeing my current 10 patients, helping the billing department with gathering the necessary information from patients to bill them, managing the Palliative Care database, and being the go-to gal for all Palliative Care questions due to the fact that I'm the only team member that has been around since the beginning of the Palliative Care program. Did I also mention that I have 1 high-risk, time consuming Hospice patient who will leave behind three small children when she dies?

In case that wasn't enough for me to do, I was assigned an intern two weeks ago. This intern (who is awesome!) will be with me three days a week from now until May! As much as I relish the idea of having an intern to share my case load with and to have an extra hand to help me with menial tasks, unfortunately, I have to train her and teach her about social work. She's originally from Japan and has been in NYC for four weeks. She's a first-year student and doesn't have any sort of background in social work. So a great deal of my time in the last two weeks has been spent training her, orienting her and creating a social work resource binder for each of the 6 interns and 9 social workers. How I got stuck with that task, I have no idea, but I completed it and it was beautiful!

The new project is really taking off and I've mentioned before that I've been having some difficulty with the nurse that I am working with. Because I'm only "acting" project manager, she refuses to listen to me when I tell her to do something. So, the true reason for this post was to tell everyone that I finally went to the VP of Hospice & Palliative Care as well as the VP of Research and the Director of Psychosocial Services to request that they either appoint someone as project manager or give me the position, along with the raise.

Well, they agreed that it was very important to have a project manager and that the choice that would be best for the program and everyone involved would be to give me the job title. As of two weeks ago I was officially given the job of Health Plus at Home Project Manager. I should find out this week how much my raise is, and the best part of the raise is that it's retro-active to March 1st!!!!!

I'm so relieved to have the title, even though it doesn't change anything that I've been doing. So, after 10 months of being at my job, I have risen to the ranks of middle management. I couldn't be happier with the promotion and I am so excited that I have proved myself to the "higher ups"! So I'll continue to keep my fingers crossed that someday soon I'll be out of Palliative Care for good and full-time into my new project!

Wow, I never planned for this to be such a long post, but I tend to be long-winded sometime. Sorry readers! I'll take this opportunity to sign off and start working on my plans for my intern this week...