Wednesday, January 31, 2018

"Could it have been worse?" Wednesday

Wednesdays are my hardest day at work.  I am in family medicine clinic all day, after a gap of a few days since being on OB call (and clinic) Mondays.  Although I sometimes drop by on my "day off" Tuesdays to clear some things out, and work on my electronic inbox from home Tuesdays and before work, there is always a ton of "urgent" paperwork "waiting" for me Wednesday mornings. Before starting my full clinic day, I often have to stop by the hospital and round on/discharge postpartum moms and babies from their deliveries Monday-Tuesdays.  My Wednesday scheduled is always packed and I rarely have no-shows (my medical assistant, Jenn, jokes she should always wear skates on Wednesdays). There are always many complicated, chronic disease management-type appointments and sometimes acute double-books. I rush home over lunch to walk the dog (and today had a zoom-in women's health phone meeting) before getting right back at it in the afternoon. I. (and my MA) Hate.Wednesdays.


Today, things were just a wee bit worse. As I drove into the clinic parking lot just before 8 a.m., a woman leaving the bank didn't look behind her before leaving her parking spot, and backed her SUV right into the rear passenger side of my (new) car, creating quite a bit of damage despite my blasting the horn and swerving (the good news is that it was very low speed, I was not injured in the least, there was no child in the car, thankfully, and she was very apologetic about her fault as well as insured).  I hardly have three extra minutes to pee on Wednesdays, much less to be on the phone with the insurance company, damage appraiser, car rental office (because a rental is covered), body shop, and more, all in between patient visits booked every 15 minutes (when, on a good day, it is already a huge stretch to stay on time with visits and charting).  It was an especially rough day.  While we don't know for sure, I estimate the car will be out of commission for many weeks, unfortunately. And it's hard to plan things when you're still working in clinic for two weeks (including a 96-hour OB delivery call starting Friday morning) with little flexible daytime hours of "free time" for being on the phone and coordinating drop off,  pick-up, towing, etc., as well as being 36.5 weeks pregnant, 2 cm dilated, and not sure if/when labor is going to start or when a newborn will be added to mix of this all.

Additionally, while exchanging insurance information, I realized that my driver's license was not in my wallet. I have no idea where it disappeared to (but Iver swears he didn't remove it from my wallet to play with it as he sometimes does with cards, and I haven't to use it in a couple of weeks, since we got the new car, so I don't know when it could have fallen out).  I can't pick up the rental car without a license.  So I have to spend my "free time" tomorrow at the DMV getting a temporary one, after I locate all kinds of other supporting documents, like a social security card, utility bill, etc. I hope the DMV in Eureka is not as bad as those I've been at before in other metro areas. But the first "appointment" is February 21, so walking in and waiting for as long as it takes is what I'll be doing. Wish me luck...

Then, midway through the afternoon, I realized that in the flurry of all of the above, I forgot to brown the turkey dinner taco meat and start the crockpot for dinner.  And, in my rush to then cook on the stove top after an incredibly long day, I burned the taco shells in the oven.


We have had a bit of additional stress this week because our spirited son has been pretty defiant with fighting pretty much all instructions and is back to waking between 4-5 a.m.  He's leaked through his overnight pull-up twice, resulting in daily laundry.  Pepper has been under the weather (vomiting several times yesterday).  My pelvis also hurts. I'm getting sharp, dagger-like nerve pains in my groin and pelvis (and sometimes down the back of my right leg) with walking or standing sometimes, which makes me yelp randomly in pain (and is far worse than labor), and it seems to be getting more frequent.

This Wednesday put them all in perspective... I don't think a Wednesday could have been worse. I could have used a stiff drink.  Except there's that fetus. At least tomorrow is not a Wednesday.  Thanks for letting me whine and vent.

Sunday, January 28, 2018

Good Guys (sometimes) Finish First


Thank goodness for "good news" stories every once in a while, in the relative escape of sport, when sometimes the best man(/person) does finish first.

Here's congratulating Roger Federer, a great athlete and person whose skill, grace, and empathy continue to shine through as he continues to excel in the sport of tennis.  I love this guy.  He won his 20th Grand Slam tennis title (6th Australian Open) today, defeating Marin Cilic (nothing against Cilic but I am and will always be a Fed Fan) in a great five-set match.

If only we could all be as on top of things/one's profession at age 36!

And here's to men who are genuine, gracious, compassionate, humble despite greatness, and who aren't afraid nor ashamed to show emotion in stadiums full of thousands of people. I hope to raise two of them.

Image result for roger federer australian open 2018

Thursday, January 25, 2018

+/- Electricity

Our electric company, PG & E, notified us that we would *likely* or *possibly* have a 9-hour power outage during day hours on Tuesday. It was "planned" in advance for them to do some line-work.  While we appreciated the heads-up, it still didn't make it easier to be without power, on a day I usually spend at home!  Kelvin was at work, and Iver was at school a half-day, but Tuesday (my post-call day) was my home day. I did sleep a little (which doesn't require power) after an OB admission overnight, but I realized that being home alone without power is really not that fun. I did get a lot of reading in, but here is what was lacking:
  - Food options! We duct-taped our fridge closed in advanced, to keep things cool and remind me not to open the fridge. I pulled out lunch food and snacks ahead of time, but then that was all I could choose from. I was gambling on whether the power would be on before I cooked dinner, or whether I'd have to last-minute scramble for take-out. Thankfully, it did return with time for me to cook the thawed chicken in the fridge.
- Heat! It's been raining, and was pretty cold (relatively, for CA-- like 50-60) in our house. I had to layer up, but couldn't run anything electric, including my heating pad (for my back) or a space heater. Poor Pepper was also freezing!
- Hot water. I forgot that heat was needed for hot water, so I did without a shower rather than take a cold one (I HATE cold showers).
- TV!  I don't want much TV, but I do love watching tennis, and my recorded Australian Open was on (but unwatchable when I had the time to do it).  The ESPN app on my iPad was also not working, so I was tennis-less until the lights returned.
- Internet. Wireless Internet was down alongside the power. So while I could turn my iPhone into a wireless hotspot, I didn't want to blow the battery on that.... because I couldn't charge my phone (Kelvin actually does external battery/juice pack but I preferred not to use it except for an emergency). I elected not to do an EMR inbox work at home due to the above.

I am thankful that I don't (yet) have a newborn, or frozen breast milk I would have had to salvage somehow with an outage like the above, or an electricity-dependent health issue... It could certainly have been worse.  Midday, however, I got really tired of being cold at home and went into clinic to do some work, then errands, and picked up Iver.  Thankfully, power was back on by 3pm (having been off for 6 hours but on sooner than the estimated 1730) and we all warmed up.

On the electric PLUS side.... I now have a new plug-in hybrid car that runs on electric for about 40 miles on one charge (except I couldn't charge it that day because of the above!), and then uses gas as a backup. I post reluctantly because I feel that "getting a new car" sometimes seems showy, but my 11-year-old Prius has been having battery issues and we don't want to have an unreliable car at this point in our lives. Kelvin (in consultation with my Dad, a Volt owner) did all the research, and we are now owners of a Honda Clarity, which I've just started driving this week!
 
Image result for honda clarity

It's big enough to seat five (which will be good for two carseats), and has better trunk space than does the Prius (and is less ugly).  I haven't had a new car in over a decade, and it's a bit new age-y, with buttons, not gears, on the inside, a rear and a side right "roadkill-viewing" (per Iver) camera, bluetooth (for my podcasts!) audio (but no CD player), and a remote start mechanism... but I do think these are all things that I can get used to (and love). I really love that I can now rarely fill gas with my low-mileage driving around our rural town(s), saving our wallets and our environment!

Electricity is good stuff.

Sunday, January 21, 2018

ANOTHER WHOLE HOUR

Image result for sleep

We have had a not-long-sleeping, early-rising toddler for about two years. Iver's preferred wake-up time has been between 4:30 and 5 a.m. after going to bed around 8 p.m. Every. Single. Day. (Luckily, he has been sleeping through the night most nights, so there is at least a continuous stretch of sleep).

However, when we went to my parents' house for Christmas just after his third birthday, we were getting him to sleep until 7 or 7:30 a.m. (which, yes, I realize is 4:30 in California); however, he was going to bed around the same time (between 8 and 9 p.m.) on the East Coast. We were so puzzled.  How could we replicate this 2-3 hours more sleep PER NIGHT when we returned home? What had we been doing wrong?

We wondered if it was the darkness, and so we removed from his room the stoplight ok-to-wake stoplight alarm clock which I think helped us teach him to sleep through the night at around 19 months (it had been staying red until 5 a.m., which is what we deemed an acceptable wake-up time). We replaced it with a small digital clock, which emits much less light, and it's helped (and he now can read time)!

Now, we are having a toddler who (still naps a couple of hours after lunch and) sleeps from about 8 or 8:30 p.m. until closer to 5:30 a.m. (and has even made it past 6 a.m. a few times, which buys him some extra morning raisins and us a lot of wondering whether he's still alive)!. One day, he told us he woke up in the 5 o'clock hour but stayed in bed until 6 just for the raisins! Although we have to now train our bodies to "sleep in" in rather than awaking early as we've been programmed, we are rejoicing!  It's incredible how much difference a later wake-up hour makes in your overall health, well-being, mood, and resiliency.  I am shocked, delighted, and of course questioning what magic happened in his brain (and how I can help this happen sooner than three years in our #2). This has been the parenting miracle for 2018!




Tuesday, January 16, 2018

Our little village


I was busy on call this whole past weekend, including being present on site at the hospital for fifteen continuous hours on Sunday. Kelvin had to spend some time doing paperwork and picking up our new wheels at the dealership (where being accompanied by an energetic three-year-old was not ideal) and he was lucky to have been able to arrange a fun outing for Iver with Lori, Craig, and Urijah at the zoo while we were both occupied. Without family around, we are so appreciative of the time and effort of great, reliable and responsible friends to help us with our child (future children)!

Lori took great photos-- I especially love the two of the boys in the tunnel!


 





Thanks so much for being there for us, Lori & Craig!

Saturday, January 13, 2018

Tot Soccer


Neither Kelvin nor I play or care for soccer. I remember watching one entire World Cup match and feeling like I wasted hours of my life. 

Nevertheless, seeing small children handle soccer balls is pretty darn cute. In the fall, a "soccer coach" came to Iver's daycare for some optional sessions, and we have him starting a 6-week Saturday soccer class at a local elementary school gym.

Many of his "friends" from school and the community also participated!  Thanks to Kellie for some of the pictures.

 


 


More from another week:
(small, but mighty fast)




Monday, January 1, 2018

Words for the New Year

 


To the New Year 
By W. S. Merwin (in Present Company)
 
With what stillness at last
you appear in the valley
your first sunlight reaching down
to touch the tips of a few
high leaves that do not stir
as though they had not noticed
and did not know you at all
then the voice of a dove calls
from far away in itself
to the hush of the morning

so this is the sound of you
here and now whether or not
anyone hears it this is
where we have come with our age
our knowledge such as it is
and our hopes such as they are
invisible before us
untouched and still possible