Wednesday, May 09, 2007

A fire, a flood, a plague, and a miracle.....

Well, it's a sho'nuff real live hospital, now. We worked pretty much round the clock the last two weeks doing the final cleaning, touch-up painting, checking electrical circuits and filling medical gas cylinders. We had the kitchen to get fully on line, operating rooms to sanitize, x-ray and lab equipment to commission, and HVAC controls to program. And most everything went smoothly, except for the fire, the flood, and the plague.

Opening day for any project can be hectic, so it's not unusual for the run-up to actually opening the doors to be like trying to organize a litter of kittens into a marching band. And that's if there are no surprises. There are always the odd late deliveries to deal with, or equipment glitches to tweak out, or subcontractors that disappear at the wrong time or show up in the wrong place, and we generally have contingency plans to deal with those kinds of things. There are some events, however, that just plain defy the logic of planning. And knowing the history of this job, I should have known that things were going just a bit too smoothly here at the end. After all, over the last three years we've had to deal with hurricanes, heart attacks, bankrupt subcontractors, falling precast panels, labor unrest, immigration round-ups, and concrete rationing, to name just a few of the dozens of unusual events and mysterious happenings that have come up during the course of construction here. So I should have known that although it had been really frantic in the last months trying to get the work done and inspections signed off it was all just a little too, uhmmm......normal.

So....when I looked out at the building from the office trailer compound and saw a huge column of smoke billowing out over the roof of the loading dock I was actually surprised. "Dammit bubba, that just doesn't look right," I thought. Three years of construction, and now, less than a week away from handing over the keys, we're gonna burn the place down? Perfect! Luckily, it was a dumpster full of cardboard that caught fire, probably from a carelessly tossed butt, and not the actual building. And we were able to get a forklift over to it and pull it away from the building before it caused any damage. The fire department came, and after doing a thorough investigation of the scene decided that the only real hazard was to the dumpster itself, so they decided to take advantage of the opportunity to try out their new ladder truck in a variety of positions and ladder / hose configurations as they soaked the dumpster and loading dock area.

That next morning I got some good natured ribbing from the folks in the hospital as I walked through the building. No big deal, just glad yesterday's incident didn't really do anything to disrupt the ongoing setup work, especially here in the kitchen where the chef was starting up the kitchen equipment in preparation for the upcoming open house event. As I walked across the atrium floor one of the hospital staff, in a panic, came running up hollering "Andy man there's a toilet overflowing in the kitchen you've gotta come fix it!" No big deal, right? How bad could a stopped up toilet be to fix? So imagine my surprise when I opened the door into the kitchen to see a couple of inches of toilet water (to be polite) standing on the floor of the kitchen, and a steady stream of fresh toilet water streaming out from under the door of the staff restroom and into the food prep area. Yeah. Gotta love that. Luckily, the chef was pretty cool about it as he flashed his big butcher's knife at me and let me know that there would be filet on the menu that night and that it was completely up to me to determine if it would be beef or not. Also on the lucky side, we've got a great bunch of folks on the job, and once I got the 911 call out on the radio to our superintendents and labor crew we got the situation under control pretty quickly. In less than five minutes we had the source of the overlow isolated and shut down, and the cleanup and sanitizing completed in time to allow the chef to finalize his menu selections in a favorable manner. And it turned out that the root cause of the problem was towels that had been flushed down one of the toilets upstairs in the OR area. Curious, huh? Like you, once I heard that's what the problem was I immediately wondered how and why someone would be flushing towels down the toilet and just exactly how many flushes would it take to get the entire towel downward bound?

And then....everything went quiet again for a few days. On the day of the VIP reception and open house the morning came in clear and cool, with a light breeze off Biscayne Bay that gently rustled the fronds on the royal palms in the parking lot. All the workers and staff had gotten situated and were busy with their tasks, and I had just finished my morning meeting with our Owner's rep when I got a call on the radio. Our superintendent Mark, a physical giant of a man and one of the calmest, most laid back people that has ever walked this planet (he's from Elmore County, Alabama, by god) called from the parking area right next to the hospital front entrance, which just happened to be the place where all of the VIP attendees for that night's reception would be parking. "Uhmm, hey bro, you got a minute?" "Sure thing, Mark, what's up?" "Well, ahhh, you know anything about bees?" "They sting and they make honey, I guess. Why?" "Well, I gotta tell you, man, it looks to me like we're either gonna have a bunch of honey or a whole lot of bee stung suits tonight. Maybe both" Long pause, then "What the heck are you talking about, Mark?" "Maybe you oughta come out and see this, bro, 'cause there's the biggest swarm of bees out here I've ever seen, and it looks like they're settling right in to these live oaks out here." Sweet.....

We got the local beekeeper out, of course, and he weaved his magic and the bees disappeared.

And the open house events that weekend went really well, with no further Murphyisms or Steven King type episodes. And the last week was busy and stressful, but predictable, and, to paraphrase Ms. Piercy, there's real comfort and satisfaction that comes with bending your back to a task and slogging ahead through the muck towards an end in common rhythm with a team of men and women pulling equally at your side. And that's how it went, all the way up to Sunday morning when the old hospital closed their ER and we opened up the doors here. It took until around noon to transfer the hundred or so patients from there to here, and by early afternoon the new place was in full scale operation.

So, a little before noon on Sunday, May 6, 2007, after three years of fitting together countless puzzle pieces of concrete, steel, wood, and glass, and two weeks of fire, flood, and plague, we could really call this place a hospital when the first miracle happened here - little Ramona Quiala came squealing into the world at six pound fifteen ounces. I was up on one of the patient floors when they announced her arrival over the intercom, and for an instant my mind flashed to the thousands of men and women whose efforts made this moment come together, and all of the long days and sleepless nights that have passed since I got here from Denver. We all bitch about our jobs from time to time, and I know I've done more than my share of that, but to have been able to play out my small role in making this miracle happen here is rocket fuel for the soul.

Cool stuff brothers and sisters, very,very cool stuff.

Gotta run now, and get to bed before it gets too late.

Monday, April 30, 2007

Grand Opening



So, we opened the hospital in grand fashion this weekend. And I say we but it was really a pair events organized and put on by the hospital - a VIP reception Friday night for the hospital doctors and staff, the Board members, the architects, and community leaders, and then the public ribbon cutting and open house on Saturday. The Friday night event included some speechmaking, some fireworks, awesome food, and seven, count 'em, seven, open bars set up around the atrium. A good time was had by all, if I recall correctly.

The Saturday event had a crowd that was estimated to be between 7,000 and 10,000 people. All wandering around in my building scuffing the floors, dinging the walls, flushing diapers down the toilets. Ahhh, serenity now..... Anyway, it was rewarding to me to see the excitement on people's faces as they walked around their new hospital, and the hospitaldoes seem to be serious about their message to the community that this is indeed intended to be their hospital. There was face-painting, free food and refreshments, and the local Nascar folks even brought a race car out for the kids to climb in. Cool stuff all around.Another thing that I think is cool is that the hospital didn't skimp on artwork for this place. The walls are lined with the works of local artists and photographers that depict scenes from this area and it really solidifies that idea of this being a community building.

Zeke and Judy came down for the weekend, and it was fun to hang out with them, although I kept getting pulled away to shake hands, visit, smile for pictures, etc. and didn't get to spend as much time with them Friday night as I had hoped, but we did get a chance to take a long, leisurely, and private behind the scenes tour on Saturday.

And Sunday we went sailing on Florida Bay under a beautiful clear blue sky with a nice breeze and a cooler of beer and sandwiches. Wish you could have been there.....



So, gotta run. Here's a link to a news story that one of the local stations ran last week right before the opening, and a couple more photos from Saturday. Including a nice one of Zeke & Judy.




Tuesday, April 24, 2007

TCO

Good news tonight from Homestead, brothers and sisters. We received the TCO from the City today. Tee See O'Hellyeah. That's what I'm talking about. I've never seen a more beautiful, official, bona fide beauracratically originated piece of paper. The freakin' Mona Lisa of construction documentation and that ain't much of an exaggeration, trust me on that my friends. We have overcome our ob stacles and seen many wonderous things along the way, too. This time of tribulations is coming to an end, and I know there's a glorious new day gonna come a-dawnin' soon. Praise the Lord pass the biscuits and damn!!!

And, of course, we got it at the last possible minute before not having it would have been a huge problem. The state hospital licensing folks are coming tomorrow morning (yeah, that's right, tomorrow 8 a.m.) for the last of the pre-occupancy inspections, and their mission is to make sure that there are sheets on the beds, pills in the drawers, supplies in the cabinets, etc. and that the hospital is all set up to be able to treat patients the minute the inspection is over. And, of course, having documentation from the City that the building is fit for habitation is one of the first items on their list of things to check. So, there I was, sitting at the building department at 4:29 p.m. this afternoon going over a computer printout with the chief building official showing where we stand with inspections and open permits one last time to make sure we had gotten all of the i's dotted and t's crossed. The office closes at 4:30 sharp, one of the few things down in this part of the world that does happen on a rigidly observed schedule. I saw the official glance at his watch a couple of times as he sifted through the stack of paper in front of him. An administrator came in and reminded him that it was time to close up and she was taking off. For a minute I flashed to a scene from some cheap action flick where the battered hero is struggling to defuse the bomb as the timer ticks down toward zero.....

But we all know how those stories end, and that I am no hero. We did get the piece of paper we needed, though. Today. In hand in time for tomorrow's last final inspection. Dadgum I wish I could bottle this feeling and sell it cause Coca Cola ain't got nothin' on this.

I've gotta scoot now. Time for bed and hopefully some rest tonight. Buenos noches mis amigos, y sueños felices.

Monday, April 16, 2007

Slow down and listen

I ran across ths story this morning. If this had been printed on April 1st I would have assumed it was a joke.

Saturday, April 07, 2007

Decompression


Today was another in a string of just achingly beautiful days here, friends. Wish you were here to experience this. Cool morning, bright blue sky, and the air just absolutely transparent. Everything had an almost too colorful glow in that early morning sun. I assed around the house for a while enjoying the morning before heading off to work, and the lure of the water as I crossed the bridge was just too powerful to resist. I did a quick run-through at the jobsite to make sure there weren't any disasters brewing, checked e-mail, shuffled piles of paper from my desk onto other people's desks, and high-tailed it back to my little island paradise.

A day on the boat is good and powerful medicine even on a gloomy weather day, but on a day like today the natural beauty of the bay and the peace and quiet are almost disorienting. There was a gentle breeze coming out of the northwest today, so Reprieve was facing out into Florida Bay, and sitting on the foredeck I enjoyed a couple of bloody marys and gazed out at squadrons of pelicans ghosting just inches off the surface against a backdrop of about three miles of placid water. Four hours passed before I knew it, and for the life of me I can't recall if I fell a sleep or just spaced out on the view and the gentle bobbing of the boat on the incoming swell. I'm pretty sure a man could get used to that feeling, though, awake or not.....

~~~ _/) ~~~~
~~ ~~~ ~~~
~~~ ~~~

Thursday, April 05, 2007

Hurdle cleared...



Hey friends....good news. We had the AHCA inspection team here today for a final final inspection, and at the end of the day they granted approval for occupancy. This isn't the end of the inspection process - we've still got the fire marshal inspections to finish as well as the local building department inspections, but getting AHCA behind us is HUGE. We're almost finished with the other inspections, and by the end of next week we should have the temporary certificate of occupancy, which is the document we need from the City that will allow the hospital to move into the building.

The grand opening is April 28th, and if you're reading this you're invited.

I think it's time for a cold beer. Cheers!

Saturday, March 31, 2007

Hole in the head gang - new member


Welcome to the club, brother Rick. My sympathies on the upcoming headaches and aggravations that come with having a piece of your skull removed so someone could go rooting around in there with a stick, but, you know, it's all worth it in the long run. I understand that it was problems with typing that tipped you off to the problem. For me it was not being able to make left turns. Pat's awareness of and enrollment in the hole in the head club came with much more immediacy, of course, but it kinda makes sense that everyone would take their own route to membership in the perforated cranium society.

The good part of this is that from now on you've got an official bona fide medical excuse for being as goofy as you want to be, and, as I'm sure you've noticed, that's something that Pat and I have taken full advantage of every time the opportunity has presented itself. And on some occasions before the opportunities have arisen, but that's not something we need to go into here, of course. Anyway, from now on you've got license. Forget a birthday? - dadgum hole in the head. Go to the grocery store for bread and milk but come home with radishes and light bulbs? - doggone noggin' knockin' gotta be the reason. Wear red sneakers everywhere? - well, you get the idea.....

Seriously, though, I hope you get back on your feet as quickly as you want to and you don't have too many unpleasant side effects. If there's anything I can do to help please let me know. There's a comfortable spot for you here at the Crazy Cave for convalescence if you're interested.

And, also seriously, let's all try to have fun out there but be careful not to end up brain side down too much, OK?

Saturday, March 17, 2007

Progress

I took a few shots of and in the building before I left work tonight. We're getting close to being able to call this a built.....



I climbed up on the roof of the building next door to take these next shots:





This is the Pediatric ICU, called "Speediatrics" because the Nascar folks are big contributors to the pediatric program here:



This is the ICU nurse's station:



This is one of the operating rooms:



This is a view of the surgery waiting area on the second floor from across the atrium:



Cool stuff. Our state inspectors will be back at the end of next week for what we hope will be the last of their final inspections. After they get done we'll still have the fire department finals to complete (they've inspected everything but the first floor already), the health department (for the kitchen), and then the last of the City finals. We've got a lot of loose ends to wrap up, but I think we're gonna gitter done.

Gotta scoot now. It's bedtime and I need some sleep.

buenas noches y sueños dulces, los niños....

Tuesday, March 13, 2007

See the sky

When was the last time
you really saw the sky?
Not through the windshield
or out the kitchen window
but full on
head back
eyes open
falling in

Lying in the grass
in the afternoon sun
under the bright blue dome
my mind wandered back
to you
and your eyes
and the first time I really saw the sky

Sunday, March 11, 2007

Warming trend

These are the glory days, as far as the weather is concerned, anyway, here in the beautiful Florida Keys. Cool clear nights, warm and bright days. It seems like everything sparkles, and the water....good lord, the water....it takes my breath away every time I catch a glimpse of it. I bolted from work today after lunch, and the view from the top of the Card Sound bridge, with the calm green of Barnes Sound to the south and the deep blue of Card Sound and Biscayne Bay to the north, was almost unbearable. Like driving through a picture postcard. I had intended to spend the afternoon looking for birthday presents for my March birthday friends and relations, but I hauled ass to the house instead, got my gear, and rowed out to Reprieve to spend the afternoon. Please accept my apologies if you're among the many who are still checking the mailbox for a package from the Crazy Cave, OK?

Anyway, it was a glorious afternoon, and it seems kind of funny now, but for the few hours I was on or on the way to and from the boat I felt like a kid skipping school, which is something I have a lot of memories of somewhere. The sun on my face, the sand under my bare feet, the deck rising and falling on the swell....no phones, no fax machines, no inspectors, architects, subs, or superintendents. Peace and freedom, by god, and I highly recommend it.

Peace and freedom. I don't know if those are necessary partners with independance and solitude, but for me they sure do seem to go together pretty well.

Hanging out with Susie a while back reminded me how powerful and soothing it can be to have someone to be close to, and how unfamiliar I've become with the comfort of a close ear to whisper in. It also reminded me how much work is involved in being in a relationship, and how if you're gonna go for it you'd better make sure you've picked the right person.

There was a wedding at Snook's this afternoon. They have a jetty that goes a little ways out into the water, and the bride & groom exchanged their vows as the sun disappeared into Florida Bay behind them. I stopped and watched from the dinghy for a few minutes as I was rowing in. It was a beautiful scene, but it made me wonder if maybe getting married at dawn wouldn't have a more hopeful symbolism.

I stopped at the cafe on the way home for some frijoles negros y maduros, and flirted with an incredibly charming woman. Usted tiene la sonrisa más hermosa, I said, and she replied with, I believe, my smile is for you. And she was right, because I left with the smile she gave me.

The weather forecast for the next few days here is sunny and warm......