Thursday, March 30, 2023

Whew, what a week!


Solo parenting (even for a week) is not for the faint of heart! This was a rough week!

Sunday, 1:00 a.m.: Niall wakes up vomiting and this continues several times over the subsequent 12 hours. 

Sunday, 10:00 a.m.: Kelvin leaves town again via car for an out-of-town trip with Tory (CEO) for a Best Practices medical conference in Calistoga, CA. Niall is thankfully better as the day goes on but still cranky, and I arrange sick-care for Monday, when I'm on call and Kelvin is gone. I do three full loads of vomit-laundry.

Monday, 6:00 a.m. both kids are up early. Niall is still feeling and acting sick, with loose stools and two accidents but thankfully, no more vomiting (the WORST bodily fluid, by far! And this includes the blood and amniotic fluid sprayed in my face more than once.)

Monday, 7:30 a.m.: Babysitter Maggie arrives to take care of sick Niall and I manage to get Iver to school, inherit a labor patient, and attend her rapidly-progressing birth at 12:31 p.m.  I make it through a full clinic day without even rescheduling patients since she so courteously delivered over the lunch hour. One of my colleagues in FP is out of town and I'm fielding inbox messages and urgent calls, refills, results in addition to my own inbox work and patient-visit charting. There is another storm/high-wind alert and I pray that the power doesn't go out! 

Monday, 16:00: My phone text messages stop working altogether (outgoing and incoming which I found out later), despite multiple reboots of my phone. I am trying to trying to relieve the at-home sick-care babysitter while coordinating pick-up of Iver after Jiu-Jitsu from Shannon's house by Gloria (overnight babysitter in case of laboring patients) while I'm still on call, hoping I don't get called for any emergencies and that the phone actually receives incoming calls.

(I'm still giving Pepper her up-to 18 doses of meds per day for her corneal ulcer. It doesn't look much better).

Thankfully, I did not get any overnight OB calls on Monday, and kids go to their respective schools on Tues as planned.

Tuesday night, 22:30: I go to bed a bit later than usual since I was finishing a great Netflix movie "The Swimmers" which tells the story of Syrian refugees Sara and Yusra Mardini, who fled the war in Syria via boat and one of whom (Yusra) goes on to compete in the Olympics.

Tuesday, 23:15: Niall wakes up screaming (?nightmare) and runs into my room. I walk him back to his bed. 

Wednesday at 00:30: Iver comes into my room, stating Niall's second round of screaming woke him up.  Both kids want to stay in my bed and end up sleeping with me. 

Wednesday, 2:00 a.m.: Pepper the dog wakes up, whining, and needs to go out to pee since she drank a lot of water before bed after snuggling in blankets.  Dog goes back to her bed.

Wednesday, 3:00 a.m.: Dog whines again, jumping up and wanting to be let into the bed as well. Dog gets put on our (very full) bed (THIS IS WORSE THAN OB CALL). I think I finally fall asleep despite getting kicked in the face by horizontally and diagonally lying children.

Wednesday, 5:30 a.m.: kids wake up (earlier than usual and despite the long night) ready to get started for the day. 

Wednesday, 21:30.: I fall asleep during prayer at my regular Wednesday night Bible Study/community group on Skype. 

Wednesday, 23:30: I wake up with all bedroom lights on, give Pepper her last meds (fourth set, all separated by 5 minutes) of the day, and let her out.

Thursday, 4:40 a.m. I wake up via pre-set alarm for my regular AM workout to beat the kids awake (they manage to make it until past 6 a.m.). 

Thursday, 7:30 a.m.: Kids fight the entire way to school (which is less common than fighting on the way home). Niall is upset because Iver is singing along to the music and "looking" at him.

Thursday, 7:50 a.m. I have decided that Iver (8) is old enough to walk from his school parking lot to before-care without being walked all the way there. I did actually put the car in park before he jumped out (he offered to just roll out while the car was moving!). I get to work a few minutes late but not too late.

Thursday, 10:20 a.m.: My seventh patient of the morning arrives at her appointment time for her IUD, squeezed into a too-short appointment time and with her kids in tow, and passes out shortly after the procedure. (She is fine. But we need to flip the room for the second IUD for the day and are now running way behind).  I wryly view an e-mail wishing me a "Happy Doctors' Day."

Roads and God willing (the 101 was closed AGAIN on Tuesday due to snow!), Kelvin comes back later today. I will have another call weekend this weekend before our (much needed!) spring break. Here's saluting all the single parents out there. It's been quite the week! 

Addendum:

Thursday around 15:00: Kelvin arrived safely home

Thursday at 21:00: Either due to catching the bug that Niall had or due to eating that-pesto-was-not-still-good for dinner, I developed projectile vomiting that lasted all night.  My sleep was interrupted not only by the vomiting but also the very itchy (off chronic prednisone) doggie and her intermittent whining for unknown reasons (Kelvin thankfully took care of her).

Friday at 07:30: after some five-year-old Reglan (an anti-emetic drug in our cabinet) left over from my last pregnancy (expired meds are different than expired pesto) and some sparkling water plus a popsicle for breakfast, I drag my weak self to work because I felt bad cancelling on a full Friday of family med patients (I was the only provider there in the afternoon), lying my head on my desk in-between patients and charting, blessing the Lord for one no-show. (I channeled my inner "Kelvin worked through appendicitis" and do recognize that in very few professions does this seem a reasonable way to work). I was able to take a midday nap at home and felt way better in the afternoon but YIKES! Vomiting illnesses are NO JOKE. I learned my lesson re: expired food.

Friday at 9:00 p.m. I crash and had the best night of sleep I'd had in a long time.

Saturday at 7:30 a.m.: I take over OB call and go in to deliver a mom's second baby. 

A Bachelor No More!

Danny is one of Kelvin's best friends and served as a groomsman in our wedding. We're so thrilled for him to have found his life partner, May, and their wedding was last week in the San Diego area.  Unfortunately, multiple trips for us both and juggling work/a call schedule, two kids and school, the senior dog, and other pre-arranged travel in two months wasn't in the cards, and thankfully Kelvin (and Danny) were okay with K going to the wedding (held on a Thursday) alone. Danny and May also wanted to keep the event small and it worked out that just Kelvin represented us our family (and gave a nice monetary gift as is customary for Asian weddings).

Kelvin learned how to tie a bow-tie for this event!



Danny and May are both Korean and Christian, and Kelvin had to adjust his Best Man's speech accordingly! 








Old friends reunited (Tina, Chamreun also attended as guests)








Danny is one of the nicest guys around and we wish him and May the best in the future!  

Saturday, March 25, 2023

Redwood Forest Muddy Run

 


Due to travel and "life," we hadn't participated in other Six Rivers Running Club events since December in Blue Lake. This weekend, Iver (and Kelvin) were joined by adult and kid friends for a rainy (but not as rainy as one Arcata Bottoms run) few miles in the mud of the Arcata Community Forest (which has very hilly trails!).

Kelvin took one for the team and pushed the Bob running stroller with Niall during our last race (which is tiring!) and this wasn't a stroller-friendly course, so he decided to do the run while I watched N. Turns out that the weather wasn't super nice (rainy although not a downpour) so my fair-weather-running and middle-aged-injury-averse self was happy to stay at the base with my waterproof boots and electric hand warmer while the hard-core runners braved the puddles and muck to run a few miles in forty-degree temps. 

Kelvin, Shannon, Brian, Paige, Beth (the blue tag crew ran 5.5 miles)

Sophia, Olivia, Iver, Hudson





The 5.5 milers started off first at 9:30 followed by the two-mile crew at 9:45.



Xander a fellow second-grader that is in Sunday school with Iver, was the second place finisher in the two-mile event at ~17 min! 

 2 Xander E                M08   17:53    716

 3 Kelvin V                M40   19:39    774

 4 Olivia S                F07   20:52    712

 5 Iver V                  M08   20:55    773

 6 Hudson                  M07   20:56    711

 8 Sophia S                F10   23:50    776

 9 Beth S                  F39   23:54    775



Kelvin was next and came into the finish line missing two of his shoe soles, as he'd worn 20-year-old runners to spare his "nice" running shoes from getting too muddy! 
(I think he may be having second thoughts and is not a fan of "barefoot" running!).











Olivia was next, finishing strong just ahead of the other two boys. She and Xander are classmates, topped the local cross country Championship podiums last fall.




(the time on the left is for the two-mile event)





We stuck around with snacks and water to watch our friends finish the 5.5 mile course. 

Jenna, whose birthday it was, came in in under an hour.


Shannon and Brian, the power couple, finished together.



Paige, a LL teacher and mom of a toddler, also finished with a smile!



I was proud of the kids and the adults! Running sole-less had got to be uncomfortable for Kelvin, and the muddy, hilly conditions were a challenge for all. I'm considering a May Mother's Day race and we'll see if Iver is up for five miles (and, with hope, we get SUN!)! 

Wednesday, March 22, 2023

Senior Dog Eye Saga

Our dear senior dog Pepper continues to struggle with health problems. We forked out some big bucks for sight-restoring bilateral cataract surgery in January via Bliss Eye Care, a veterinary ophthalmologist in Medford, Oregon. It was totally worth it.   And luckily we have had a wonderful experience with patient care and follow-up with this office.

A little over a week ago, we noticed a white spot developing in Pepper's right eye. Kelvin sent photos to the ophthalmologist in Medford and she responded promptly with suggestions about treatment of a corneal ulcer and hypopyon (liquid pus level) in coordination with our local vet. Pepper had two local visits with fluorescein staining and intra-ocular pressure checks as well as a complicated medication regimen beyond her maintenance ketorolac eye drops including 6-8x per day ofloxacin, 4x/day terramycin ointment, twice-a day doxycycline orally (I can see how patients struggle with compliance with multiple-daily dosed meds).  We thought the eye looked a little better (less dense whiteness) this week but, despite it being pretty inconvenient on short-notice, we arranged a bit of on-call coverage at the tail end off my Monday call and Kelvin agreed to take Pepper up to Oregon on Tuesday for a squeeze- direct in-person exam at their request. Her right eye looks perfect and she seems to still be able to see well out of it. 





The ophthalmologist diagnosed Pepper with "large temporal paraxial keratomalacia," described as a severe, melting corneal ulcer.  She said that this was unrelated to her cataract surgery but just due to her breed and age (her being on prednisone probably also had a immunosuppressive role). Treatment options were reviewed with Kelvin and included continuing medical therapy (~60% success), Corneal Collagen Crosslinking (CXL) intervention (~80% success in 21d), or surgery (conjunctival graft, curative, but leaving vision compromised).  The CXL was not cheap but, due to our limited time with capability of trips, we opted to proceed and the doctor was able to complete it the same day.

Pepper is now on even more medications than she was before, including atropine eye drops every 48 hours, EyeQ amniotic eye drops 4x per day,  Moxifloxacin eye drops 6x per day,  Terramycin eye ointment 4x per day, toradol to the left eye daily, meloxicam (a non-steroidal) orally daily, and twice-daily oral doxycycline. She was asked to continue her liver supplement Denamarin but hold her chronic prednisone for the time being. The topical meds are supposed to be separated by 5 minutes which is tricky to juggle (and remember! This is up to eighteen med administrations daily unless I miscounted!). She is supposed to stay in a cone and Kelvin has a return trip in two weeks, after two other back-to-back out-of-town trips he had planned (one for Danny's wedding and another for a conference). 

Prayers for healing for her are appreciated!  We obviously love our fur child a lot and wish she didn't have so many seemingly acute-but-severe conditions! With hope, she doesn't end up losing her eye (enucleation) but one working/seeing eye is still better than none!