Take a deep breath. This is a boring one for most.


Vaguely heard the vibration from my Blackberry a few times during the night and saw several e mail messages from Japan
waiting for me. One, I checked right away, since it was from the editor of one of the intensive care medical journal that asked me to write an article. They sent me back the first edited draft last night and I had managed to review it immediately to reply. So, the second draft is back for review again. I checked but I went back to bed. So, that is sitting there for me to reivew right now. It is going to be published in the Jan issue of this magazine. Wish the content was not in Japanese so I can post it. I wrote about the quality of care issues and quality of life issues as two main pillars to provide excellent care that is also satisfying to the patient.
These last two monthts, I produced several long and short articles for 5 different journal sources. One was in English. Just 4 days ago, I also the finished the final editing of article that I wrote for another journal, a nursing one, Japan. Japan is trying to introduce NP into the medical system right now but it is up against some obstacles. This one, I wrote about the Synergistic Effect of Nurse Practitioners and Clinical Nurse Specialist. Well, one of the force against the Japanese NP movement in Japan is the nursing organization itself. CNS (clinical nurse specialist which is master's prepared specialized nurse )somewhat views NP as a threat so to speak so if we did not educate the nursing community that CNS and NP can build a synergistic model to support each other, PA (physicians assistant) concept will be adopted and NP concept will go down the drain. Which, I think could be a threat in itself for nursing. I can't imagine nursing organization that only has a few handful of CNSs and no NPs. We know from our experience in the US that nursing has become such a powerful and politically convincing force because of those who hold graduate level and above education such as CNS and perhaps more NPs. Certain level of education allow us see the bigger picture beyond the bedside care to advocate for patients and profession itself. Anyway, this nursing one is coming out anytime.
In Mid Nov, I completed the draft for the Japan Surgical Society Journal. They wanted me to write about the current status of NP in acute care environment. This one is a huge paper that will be divided into two portions. RIght now, it is single spaced 17 pages not including any bibliography. I finished the draft but I still have a lot of work to do on this by January. What they asked covered vast topic. I am not good at just chopping up the History.

All this started last Sep, 2008, when I was asked to help the Nurse Practitioner movement that began in Japan. There has been a constant request of some writing project since then. Which is 99% all volunteer work so I am busy but I am not producing much in terms of my bank account. But that is OK. Giving talks in Japan for various medical professionals gave me reason to go back to Japan, too. The photo is from one of those talks I gave in Tokyo.

Today, my gear is changed. I am going to do my occasional volunteer work that I do for a friend in Japan. I am translating an English sermon he wrote into Japanese. OK, that would be a nice break from all the medical stuff I have done this last few weeks. What am I going to learn from my friend's sermon?

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