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Location Notes for "Where You Begin to Learn New Things" - The Wordsmith's Forge
The Writing & Other Projects of Elizabeth Barrette
ysabetwordsmith
ysabetwordsmith
Location Notes for "Where You Begin to Learn New Things"
Here are the location notes for "Where You Begin to Learn New Things."


Evidence-based hospital design can make big improvements in health outcomes. This is common in Terramagne-America, but rare here. Locally, people know a lot of things that would help; they just can't be arsed to do much about it.

Triquetra Trauma Center in Santa Cruz, California is named after the triquetra symbol of trinity/unity. See the exterior and the north, east, south, and west elevations. There are cross-sections for Section A and Section B. Here is the site plan.

This is the ground floor plan. The Staff Breakroom is center right in the blue Outpatient Consulting area. The blue square above the Ultrasound Room is the ground floor Treatment Room for minor procedures. The rest of that blue block and those above it marked Exams and Consulting Rooms also serve emergencies. The Outpatient Consulting area covers urgent care and planned appointments. At the bottom of the map in the pink bathroom and kitchen area, the small rectangle above where it says WC is a quiet room. Then there's an accessible dottie, and the small square above where it says kitchen is a janitor's closet for bathroom and kitchen cleaning. Inside the kitchen, the small rectangular room is the pantry. The square room below it has refrigerator space along one wall and freezer space along the opposite wall.

The first floor lies above the ground floor. Theatre 1, with its isolated service rooms, holds the high-risk operations. See an operating room, recovery hallway and recovery bay for day cases, recovery room, and nursing station. The interfaith chapel is located near the bottom center of the map, in the pink rectangle immediately to the write of the gray area marked Store. It includes holy symbols and liturgy from many different traditions.



Patient rooms are on the second floor and third floor. Because nature views improve healing, every patient bedroom looks over the green roof. Bedroom food service is available for patients unable or unwilling to visit the café. In the lower left corner, the empty pink rectangle just above the wheelchair closet is the Meditation Room. In the lower left corner, the pink rectangle just above the Meditation Room is the Healthy Touch Room. It has a built-in cabinet and sink, along with peaceful decorations. Furnishings such as a massage table or chair can be added as necessary. On the third floor toward the center right, the pink rectangle immediately to the right of the Utility Room is the Counseling Room. It has a desk and chairs, filing cabinet, and bookcase. This room is staffed 24/7 so people always have access to emotional first aid, along with scheduled counseling sessions.

The parking lot and sidewalk lead into the main reception and its desk. Tables and chairs give people a comfortable place to wait.

Because art can improve healing, Triquetra not only hangs art throughout the hospital but also hosts a gallery of works by local artists which visitors or patients can buy. Nature scenes prevail because studies show that they have the most benefit and popularity, but a wide variety of topics and styles are offered to suit all tastes. While items in the gallery are for sale, many artists also donate a few prints to the hospital, as gifts for people who need something beautiful but can't afford it. Those often go to victims of abuse or other crimes.

The café serves a variety of light, healthy foods and beverages including snack boxes, soups, sandwiches, salads, fresh fruit, coffee, tea, juices, and smoothies. Juice recipes include Cherry Mango and Ginger Carrot.

Dr. G: Mediterranean Snack Box and Cherry Mango Juice
Riley: West Coast Snack Box and Ginger Carrot Juice

Among the magazines available in the atrium and waiting rooms:

Act Up! -- a magazine about exercise, sports, and vigorous hobbies including things to do, places to go, latest breakthroughs, safety equipment, and where to learn more.

Comfort Food -- what it says on the tin, a magazine that teaches people what comfort food is, the ways it works, how to establish a fondness for healthy comfort foods, and recipes for a mix of light to rich dishes.

Cope on a Rope -- an ongoing set of heavy cardboard cards with a hole in the corner for a thick string; available by subscription, a new card arrives each week to present a different coping skill, usually with a picture and text.

Edible Health -- vividly colored pictures of food, primarily fresh fruits and vegetables, news from the nutrition field, dietary tips for specific illnesses or injuries, lots of nutritious recipes, and detailed showcases of individual ingredients.

Forage! -- a magazine for wildcrafters with lots of colorful photographs, nature features, ingredient showcases, recipes, and advice on landscaping for wildcrafters.

Health News Weekly -- a newsletter that announces discoveries and other news in the field of medicine. The same company publishes flyers that doctors can subscribe to for handing out to clients interested in particular topics.

Health Sleuth -- believe it or not, a health magazine for mystery fans; about half news and diagnostic nonfiction, half fiction including fantasy and science fiction about solving health problems; a soup-friendly source of discovery updates.

Growing Up Great -- a health magazine for kids with basic health information, dietary advice on the level of Eat a Rainbow, simple recipes, "So You Want to Be a..." articles on various health careers, tips, games, puzzles, coloring pages, and other fun stuff.

The Healthy Hunter -- an outdoors magazine on all the things you can kill and eat, how they live, where to find them, how to bag them, how to clean and prepare game safely, recipes, the benefits of outdoor activities, and conservation.

Inner Health -- a New Age magazine about enlightenment, meditation, yoga, Tai Chi, and similar topics.

Relaaax -- a magazine to relieve stress, this has dreamy photos and artwork, mandalas, coloring pages for all ages, some puzzles, meditations and other exercises, mudras, health news about stress and relaxation, articles on stress relief, and other soothing stuff.

Take It Easy -- a magazine touting adaptive equipment and activities for people with all kinds of limitations, aimed at enabling them to do more. Extremely diverse models.

Taxxi -- a tactile magazine with heavy pages embossed or otherwise embellished with patterns to feel and things to do, including both Braille and raised letters; more expensive than most magazines, but extremely popular with children and other tactile people.

Triskelion -- another New Age type magazine but with a strong mind-body-spirit balance and a bit more Celtic flavor, it features news, exercises, and other activities for all three areas and the magazine is color-coded in three sections.

And that's not counting the rack of pamphlets and magazines on specific health issues such as arthritis, fractures, domestic violence, addiction, etc.

There are also e-readers, usually on a cord attached to a coffeetable. If you have subscriptions to online magazines or the like, you can log in and read your own. However, they also come loaded with a large library of health resources, gentle fiction, and spiritual materials. As in most places, they subscribe to a service run by local authors. In this case, the St. Elmo Storytellers Association provides them with a weekly assortment of short stories, novel or series chapters, comics, poems, articles, and other goodies.

The quiet room is across from the exam rooms.

Triquetra uses a hospital gown which is warm, modest, comfortable, and convenient. The kimono style wraps across the front and then fastens with medical-grade magnets. The side seams also fasten with medical-grade magnets. The back seam is slightly offset from the spine to avoid pressure over bony areas, and it fastens with vrip.

More modest gowns and scrubs are available for those whose religion requires additional covering. Some Muslim women prefer the veil to a regular face mask. Here is a comparison of Muslim head coverings.

Local-America does a lousy job of sorting medical needs, especially when poor social planning routes everything into the emergency room or creates a wait time of months for routine care. Terramagne-America does a much better job, routing most people to a doctor's office or community clinic and reserving the emergency room for actual emergencies. To minimize no-shows, appointments should be booked no longer than two weeks later, unless part of a longer set that must be spaced out for medical reasons. As a good rule of thumb:
Emergency = something that can cripple or kill in about an hour
Urgent = things that need care today, or tomorrow at the latest
Routine = things can safely wait a week or two

Pocketstan is a planned pocket neighborhood for Pakistani families. T-America has a lot of little cultural clusters like this that allow people to socialize in their own group without isolating so much that they turn into ghettos. See the site plan and a typical floor plan. The houses cluster around a common yard with a branching path. Steps lead down to the beach. This structure encourages social ties and community involvement.

Dr. Nath's House is the yellow one here. The living-dining room and kitchen provide easy flow between spaces. A powder room serves the common areas in the house. The master bedroom has a bathroom and study attached. Upstairs, her daughter's room and son's room share a Jack-and-Jill bathroom.

A bike-and-hike trail and a park road connect with the wider community. Western Edge Farm offers community supported agriculture in the area. See the community clinic, Central Market, pub, and bakery.

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Comments
cat_sanctuary From: cat_sanctuary Date: June 22nd, 2018 01:58 pm (UTC) (Link)
I like the patient bedroom--cot for the private nurse or family member who stays overnight, and no roommate!
ysabetwordsmith From: ysabetwordsmith Date: June 22nd, 2018 06:00 pm (UTC) (Link)

Yes ...

Studies show that most people do better in private rooms, although some introverts need company and some situations (like mass casualty incident where victims have similar injuries) call for ward rooms. So in T-America, single rooms are the standard. Because some folks need extra help or company, additional sleepspace is offered.

Some of the many reasons why their iatrogenic PTSD rate is not equivalent to that of a warzone.
cat_sanctuary From: cat_sanctuary Date: June 22nd, 2018 06:52 pm (UTC) (Link)

Re: Yes ...

Warzone? I'd believe it...one hospital memory really ought to be a full-length post.
ysabetwordsmith From: ysabetwordsmith Date: June 22nd, 2018 11:03 pm (UTC) (Link)

Re: Yes ...

Among the highest rates of iatrogenic PTSD come from things like intensive care and childbirth -- places where doctors feel especially free to violate patient choices and/or patients have diminished ability to communicate choices. Mental care is dramatically worse, where patients are legally stripped of agency. In America, no doesn't mean no; power means no.

Rates of PTSD after combat vary, but tend to fall around one third of veterans. That's about the same as ICU and childbirth survivors. Mental care survivors, with traumatic experiences over 80%, have more than twice the damage compared to a war zone.

Health workers get very offended when when I point out these flaws in the system. Nobody likes to be told that their job actively makes problems worse. But an analysis of outcomes indicates that the health system is extremely destructive.
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