Gratitude · Having A Good Partner Is Very Important! · Humility · Sometimes You Get to Think That You Have Accomplished Something!

Family Business

My daughter, let us call her Brenda, got married a couple of weeks ago. She has found a man who is made of righteous stuff, who complements her, and fathers (dad-s?) her children.

Since I am a step father, I respect men who step whole heartedly into the role of fatherhood, even if ready-made fatherhood. This man is such a man.

So, several insights occurred to me over the past couple of weeks.

First off, without The Plaintiff, I would not have this wonderful woman, who calls me “Dad”, in my life. For all The Plaintiff’s (and my, to be honest) imperfections and shortcomings, if she had not married me, there would be a Brenda sized hole in my life.

So, as the Father of the Bride, when asked, “Who gives this woman?”, I replied, “Her mother and I”.

Secondly, this amazing woman put herself through college, as well as grad school, working full time, and mothering what would turn out to be 4 children. Proud Poppa moment, right there.

I took the chance to tell her how proud I am of her, and in so many ways that she has earned that pride.

When she responded, “Thank you, Daddy”, well I nearly melted. I had told her how meaningful that Christmas powerpoint was to me, how, even now, it moves me to tears.

So, of course, the Father-Bride dance was to, “He Didn’t Have to Be”, by Brad Paisley.

Thirdly, The Darling Wife-Mark II is an unequivocal blessing to me, in my life. TDW labored to make the decorations, to make everything at this wedding Just Nice. Brenda nearly gushed over the wedding decorations, multiple guests made a point of approaching TDW, and complimenting her over how well her efforts had turned out.

Duty · Having A Good Partner Is Very Important!

The Heinlein Rule

Perhaps, I ought to initiate another tag, “The Heinlein Rule”. As Heinlein said, “Take a look around you. There never were enough bosses to check up on all that work. From Independence Hall to the Grand Coulee Dam, these things were built level and square by craftsmen who were honest in their bones.” (https://thisibelieve.org/essay/16630/)

I have spoken of Eloise in another post, as well as one particularly heads-up MA and how each of them, professional in their bones, acted on their own initiative and decisively to protect patients.

So, one day, TINS©, TIWFDASL©, when the registrar meandered back to the nurses’ station.

She opened her conversation, “Just checking. This woman reports that she is bleeding, and 3 days out from her delivery. You *DO* want her to go to emergency, right?”

Before I could contribute anything, my MA asked, “Does she look dizzy, or pale? Did she walk straight? Anything else going on?”

The registrar replied, “She looks pink, not sweaty, walked straight, no other complaints when I asked about any.”

My MA stated, “Please direct her to emergency.”

The registrar looked at me. I stated, “What she said. Does she have transport?”

“Yep, She is here with some family member.”

“Outstanding. She should be on her way, please.”

The Lord blesses me with partners who play “Heads UP!” ball.

Duty · Fun And Games Off Duty · Gratitude · Having A Good Partner Is Very Important!

Communication Breakdown

So, TINS©, TDW-Mark II had set out, because TSIL-Mark II (The Sister In Law-Mark II) had undergone surgery of some sort, and required assistance in the couple of weeks post operation. TDW does not work outside the home, and I flatter myself that I am sort of self sufficient. So, off she went.

Her journey to Another Fly Over State was unremarkable. She arrived, and notified me of this fact. I cooked up a batch of food, ensuring a supply of left overs for my work day repast. I laundered clothing and suchlike, and folded and hung same. I washed the dishes, and then put them away. I went to work, came home, played with the cats, and generally bummed around.

Just like I was a grown up, and had, oh, heck, maybe, done all this stuff before, right?

So, one evening I had changed into pajamas, hanging my pants and shirt up on the hook in the closet. My routine is that I will, the next morning, retrieve said pants and shirt, and transfer all my whatnot from old clothing, into the pockets of new clothing.

Well, when I do so, and leave my cellphone in my pants pocket, and retire to another room altogether to watch “Battleship New Jersey” videos (highly recommended, BTW!), or The History Guy videos (another enthusiastic Thumbs Up! Recommendation!), well, I cannot hear the ringer on my phone. Since I am not youthful, and do not have a pristine medical record, and, as well, TDW-Mark II is a bit of a worry wart, well, when I do not answer my phone, nor the texts, and this continues for something like a half an hour, well, she gets excited and calls a friend of ours, who also lives in town, requesting that he meander over and verify that I am not folded up on the floor, with the cats poking me and asking when I will arise, and feed them. Or something.

So, much to my surprise, our friend rang my doorbell at something like 2200 hours, and explained the preceding paragraph to me. I retrieved my phone, and promptly called TDW, and reassured her that I was NOT a crumpled heap of geezerhood at the bottom of the stairs.

The ringing in my ear, from the chastisement I subsequently received, has nearly resolved, as I write these words.

cats · Fun And Games Off Duty · Having A Good Partner Is Very Important! · Housekeeping · Pre Planning Your Scene

TASK STACKING

Eaton Rapids Joe, proprietor of the eponymous blog, must have been an engineer in a previous life. (and, I must have been dyslexic in my previous life, as the previous 5 words, pre-auto correct, read “enbgineer in a previous lidfe.”. Sheesh! I scare me!)

In any event, I seem to recall he once explained the concept of “tolerance stacking”. As I recall, however imperfectly, the concept might translate into, say, a rifle trigger pack, wherein one would take Part One, at it’s maximal permissible dimension(s), and add it to Part Two, similarly pushing the boundaries of out-of-spec-large, and add that assembly to Part Three, (ditto), until, finally, you had, say, a trigger pack, each part in spec, yet the assembly would not function, or else would not fit into the firearm at all.

Not so very long ago, I was reminded of that when TDW-Mark II assigned me (or, maybe, I was voluntold….) the task of cleaning the piles from the dining room table. I confronted the concept of “task stacking”.

To be honest, I had several probably 12-18 inch tall piles (more about that, in a moment…) of papers, magazines (the literary kind), boxes, and assorted whatnot, that (a) I had NOT addressed appropriately, (b) in any sort of timely manner, and (c) that TDW had, at long last, grown weary of seeing.

Along the way, may I observe that I share my home with several cats? And that cats are Agents Of Entropy? My appraisal is that cats are genetically incapable of viewing an organized stack, of whatever sort of stuff, and of whatever degree of righteous organization, without feeling the overwhelming need to Tear! It! Down!.

Of course, having several days off in a row, I was, well, “willing” probably overstates my enthusiasm for this task. Still, it will do. So, I was “willing” to address this problem, but I needed to have a space to take the stack-du-jour, in order to unstack it, triage each component, and then address same.

That meant establishing subsidiary stacks, one of trash (simple: stack same in the…wait for it!…trash can!), one of things to be shredded, and one of other, kind of valuable, things. That last stack would then be the subject of a re-triage, and once suitably thinned, put away.

This process was to be repeated, until the dining room table had my computer, and one (SMALL) stack of whatever needed to be addressed in the next couple of days. And, nothing else of my bullshit.

Well, in order to accomplish THAT task, I had to clear the table in the kitchen, that had, itself, become home to (yes, he admitted, embarrassingly) several stacks of things awaiting disposition to the garage, the trash, or other longer term, somewhat organized, rest.

The trash component, here, was simpler, due to being closer to the trash can, after all. The put-this-crap-away-somewhere-not-the-kitchen-table task, elicited it’s own task-stack, as my imaginings of organized stowage in the basement, required that there be horizontal surfaces, in that basement, that were unoccupied.

Do you, as well, see a pattern here?

So, I thinned the herd of bullshit in the basement, and changed the trash can. I imposed some modest organization in that basement, and then found homes, however transiently, for the keep-this-crap-just-not-on-the-kitchen-table items.

I shredded much of the shred-able stuff, and changed the trash can. Again.

I eventually had emptied the kitchen table, which I then re-filled with dining room table stuff.

Rinse and repeat.

So, it turns out that I am not the only pile challenged soul. I get several days off in a row, that follows a stretch of many 12 and 10 and 8 hour shifts. When I am in the midst of my duty week, well, my ambitions do not particularly exceed “get up and get around”, “get to work”, and do the above in accordance with my employer’s expectations (that is, on time). So, being a geezer, after a 12 hour shift, I get home, graze a bit, and turn in.

I had requested TDW to thin the herd of home chores, so that I might kill of the remainder on my first day off, then to laze away the rest of my stretch of off days.

Hard fail. She injured her foot (neither of us has any clue how. It hurts, that limits her mobility, and that mobility is kind of mission critical to things like putting away the dishes, moving the laundry along, and so forth. In addition to nurse-maiding an ailing dog and ailing cat)(can’t say we don’t know how to have good times!)

Being the loving husband that I am, I offered to heat and deliver some supper to her.

Task stack. Be nice if I washed my hands.

Which would be helped by access to the sink.

Which would be facilitated by loading the dirty dishes into the dishwasher, thereby emptying the sink.

Which would be easier, from a no-two-objects-may-occupy-the-same-space perspective, it the dishwasher were to be emptied, and the clean dishes put away.

Which, aesthetically, ought to be performed by clean hands.

Which required soap and water, currently unavailable due to the mosh pit of our sink.

Which inspired my present blog post.

After the dish part of the foregoing had been accomplished.

Finishing the dining room table is Tomorrow’s Task.

cats · Fun And Games Off Duty · Having A Good Partner Is Very Important! · Uncategorized

Kitten Tales, Part VII

So, TINS…. OK, this is not another firehouse/”sea story”. I was lolling around the house one evening, and TDW-Mark II came to me, cradling our petite, mostly white (well, most of the time…) cat, Trixie. Said cat appeared to have settled herself, right side first, into an ash pile.

This was concerning, since when the kittens had first joined our household, four of them had taken to exploring our heatilator style fireplace. Said explorations were made considerably easier (for the kittens) due to the fact that one of the grates, in place specifically to prevent such explorations, had become loose. TDW-Mark II had (a) noticed that the kittens were not accounted for, and, after a frenzied search, (b) had noticed that one of the older cats, Max, had, pointer style, settled in in front of one of the fireplace warm air outlets. When she (TDW) investigated Max’s pointing, she discovered four grimy, meowing, kittens, noses pressed against the grate.

She removed that grate, and extricated the kittens. They were brushed off, and pranced away, none the worse for wear. Since I believe that too much of a good thing is just about enough, we expoxied the offending grate back in place, replaced the unscrewed-so-we-could-extricate-kittens grate, and placed the fireplace screen in a closet, and backed a piece of furniture against the opening for the fireplace, after placing a large sheet of cardboard over the opening.

Remember that cardboard bit.

So, Trixie’s ashen demeanor elicited some concern that other cats might have taken up spelunking. A hurried cat census revealed that everybody was accounted for, and the only problems remaining were cleaning Trixie, and more effectively securing the fireplace.

Inspection revealed that the cardboard had been bowed, producing a kitten sized sort of funnel devolving into the fireplace. Well, THAT was a permanent fix! Worked fine, as well!

Second things first. I retrieved a sheet of plywood (now, kiddies, once upon a time, mere mortals could afford this thing called “lumber”. Indeed it was so inexpensive that folks built entire houses out of the stuff! In a manner similar to the query, how did Californians light their houses prior to using candles? Electricity!) I placed this sheet in front of the fireplace, between the cardboard and the opening, and wedged it in place with that furniture I spoke of 3 paragraphs ago.

TDW-Mark II had determined that Trixie T. Cat had a bath in her future. Golly, I was so, so, soooo looking forward to that!

Fortunately, Trixie had previously decided that she needed to supervise my med passes, as well as my shaving and my tooth brushing. In the process, she would bat at the stream of water coming from the faucet, then licking her paw as if in surprise at that wet stuff appearing thereon. And, repeat. So, the water-running-in-the-sink thing did not concern her. She was even relatively copacetic with the run-warm-water-over-the-kitten part.

Not such a fan of the baby-shampoo-on-the-kitten part. Pro Tip! If you have occasion to bathe a cat, even such a placid cat as Trixie, bathe said cat with DROPLETS of baby shampoo, NOT streams. That latter initiative will lead to a prolonged period of cat rinsing, and, well, cats have a limited desire to play in the water. Particularly when said water is all over them. Trixie rapidly reached the part of our tale wherein she declaimed “Let me the fook out of here! I. AM. DONE. HERE!”

That is the bad news. The good news is that she articulated this complaint with pushing at us with her paws, claws retracted. Good on’er for the retracted part!

Soon, we had rinsed the shampoo from her, and wrapped her up in a bath towel, halfway drying her. Another towel, and she was as dry as we were going to get her.

We released her, and she walked away, pausing from time to time to shake one leg or another, as if to shake the remaining water off. She still looked bedraggled, but considerable less sooty.

By the following morning, between her own cleaning efforts, and grooming from her siblings, she was nearly entirely clean. And dry.

Duty · Fun And Games Off Duty · Having A Good Partner Is Very Important! · Life in Da City! · Pains in my Fifth Point of Contact

9-1-1 Follies

So, TINS, TIWFDASL…. er, well, OK: I was NOT FDASL, rather, this was long, long ago, and far, far away, and Doug, my partner, had his car in the shop, and so I picked him up, and we went to headquarters in order to pick up our paychecks.

I was driving him home, and we were chatting about inconsequentials, when I had stopped at a traffic light. Coming from our right, a soul had stopped in order to make a right turn, and once he attempted to make his turn, another idiot (wait for it!) had stepped out in front of the vehicle.

The driver slammed on his brakes, and chastised the pedestrian-idiot (who had not been paying attention), whereupon the pedestrian rejoined with some unwelcome insights about the driver’s mother, and her lifestyle choices.

The driver exited his vehicle, displaying a knife (that was clearly visible from across the street!), and chasing the pedestrian. He (the driver) was bellowing, “You sunovabitch! I could have killed you!”, as the pedestrian retreated around the parked vehicle, retreating for his life.

Just past this dance, was a pair of pay telephones (remember them? Another artifact from my youth!). Doug went to one, and dialed 9-1-1, and I took the other, deposited some change, and called our dispatch Bell line.

My call got answered first. Ronnie the dispatcher answered my call, took my information, and passed it to another dispatcher. Then, he chastized me.

“Mcfee, you DO get, that you are off duty. Right? Why don’t you let the other guys get some excitement, for a change?”

I laughed, said my goodbyes, and hung up.

Doug was still awaiting 9-1-1 to answer his call.

We got back in my car, and drove on.

Fun And Games Off Duty · guns · Having A Good Partner Is Very Important! · Life in Da City! · Pre Planning Your Scene · Sometimes You Get to Think That You Have Accomplished Something!

SNIPPETS V

STORY THE FIRST

So, TINS, TIWFDASL, just a couple of weeks ago, and, as I entered the room, I was greeted by the younger of the two women seated in the exam room. “There he is! You saved my mother’s life!”

While that certainly was a welcome greeting, I admitted that I was confused. The younger woman, evidently the daughter, filled in the missing pieces. Several weeks previously, she (the narrator) had accompanied her mother (the other soul in the room while we conversed) to a visit to our clinic. She (the mother) had been having a cough of some sort, and I had felt that something in the experience did not sound right. After some assessment in clinic, I had sent the mother to ED, and those worthies had identified a 100% occlusion of one of mom’s coronary arteries (the arteries feeding the heart). Mother had received a stent, and been sent home, and was still among us. Indeed, she was here, today, due to another cough.

Thankfully, today’s cough appeared uncomplicated, and I recommended my usual measures to ameliorate the post nasal drip that seemed to be the source of the cough.

Sometimes I get to think that I really do, from time to time, positively impact people’s lives. That’s nice to think.

STORY, THE SECOND.

Just the other day, I was shopping. Such is the life of a life saving, disease fighting, internet blogging champion (of sorts). As it develops, I am middling tall: 5-7 or so. It turns out that the pasta I was hunting for was on the top shelf, and several other people had purchased some, before me. THAT meant that I could just barely not reach the boxes. I had just realized that I, a tool using animal, could open my knife and extend my reach, tipping over the needed number of boxes, and add same to my cart. That is, I had just realized it, when a gentleman, taller than I, reached up, grabbed a box, and handed it to me, asking me if I needed more.

I requested two more, and thanked him, moving forward with my shopping.

A few aisles over I observed a woman attempting to retrieve an item from a shelf beyond her reach. Before I could respond, another (taller) gentleman stepped up, retrieved the sought item, and handed it to her.

Everyday, plain folks, acts of civility and kindness.

STORY, THE THIRD

We visited my wife’s sister, and her husband, recently. They live in rural Kentucky, and it is rather a change from their previous neighborhood in Metropolis. Indeed, it is a considerable change from my table-flat neighborhood of Un-Named Flyover State.

We arrived, following the directions provided, and noted that the terrain was, well, “hilly” does not really do it justice. As a consequence of that terrain, roadways tend to meander, circling around this hill, or weaving their way up to, over, and down that ridge.

We had spent something like 45 minutes meandering , as the road took us up in elevation, when I noted a sign ahead, announcing “Curves Ahead!”.

I turned to TDW-Mark II, and exclaimed, “Wait, what? THAT was the STRAIGHT part?”

STORY, THE FOURTH: OOPS!

So, TINS, TIWFDASL, and, well, things had come to a slow down. I was working with a physician, on this day at this clinic, and she had never handled an adrenalin autoinjector. We had one handy, and I handed it to her so she could examine it.

I was not quite quick enough, to admonish her to not remove the guard, nor to handle the trigger, on the one end of the device. Therefore, she did, successfully, remove the cap, and then trigger it, sending the needle into one of her fingers, along with some of the adrenalin therein.

The Good News was that, since she was youthful, she promptly withdrew her hand, and therefore only received a fractional dose. The bad news is that adrenalin is a very, very powerful vasoconstrictor, and therefore her affected finger became very, very white, and also burned. Oh, yes, it burned. I cast about, wondering if we had any phentolamine. (an alpha blocker: used to reverse the effects of, among others, adrenalin, when injected into an end capillary bed, Like you would find in your fingers.) Since ours was not an ICU, nor an ED, we did not have phentolamine, nor anything that would serve.

The good news, such as it was, is that due to her youthful age, good health habits (spelled n-o-t s-m-o-k-i-n-g) and the fractional dose of adrenalin she had received, well, after around 20 minutes, her finger regained it’s color, the burning pain faded, and she returned to normal, simply just a bit more shaky than previously.

Subsequently, I obtained, and CONSPICUOUSLY labeled a trainer, specifically intended to harmlessly teach folks how to handle and operate an adrenalin autoinjector. This one has no needle, and no drug.

STORY, THE FIFTH

So, TINS, TIWFDASL….well, okay. I was NOT FDASL, rather, I was off, and, having accomplished all my chores (or, such fraction of “all my chores” as I was going to accomplish that day), my step son (son of TDW-Mark II) called. I had spoken to him about a range day, and he was off work that day, I was off work that day, and it was off to the range we went.

I took my Garand, my .380 pistol, and my 9 mm pistol. Of course, I grabbed the ammo can labeled 30-06 (for the Garand), .380 (surprisingly enough, for the pistol in caliber .380), and the ammo can labeled “9 mm” for, no doubt surprising, the 9 mm pistol.

Now, recall that I have been an RN for, lo, these many yeas. That I have passed uncounted thousands upon thousands of doses of medications, and double checked myself each time, so as to accomplish the “5 rights” of med pass: right patient, right drug, right dose, right route, and at the proper time. This was effected by reading the order, the med container, comparing each with the other, and then, DOING SO AGAIN.

So, we arrived at the range, uncased the Garand, and set up targets. Several dozen rounds later, we placed the rifle in the case, put the ammunition away, and took out the .380 pistol. Fun times.

When it came time to take out, and shoot, the 9 mm pistol, well, I went to the “9 mm” ammo can, opened it, and beheld something like 200 rounds of RIFLE AMMUNITION.

For those in the studio audience who are unfamiliar with Things Firearm, well, 9 mm is a pistol round, and rifle rounds are (a) the wrong size overall, (b) with the wrong projectile (bullet), propelled by (c) an entirely wrong charge of powder, leading to (d) entirely way, way more pressure once the cartridge is set off, for any common pistol to contain, meaning (e) should, somehow, a rifle cartridge be forced into the pistol that I had before me, anyone firing it, should they survive the resulting explosion, would forever after be known as “Lefty”.

Not mentioning the emotional distress I would experience should this pistol, one of my favorites, be reduced to shrapnel.

Sigh. It appears that I had horribly failed the ammunition labeling process, leading to jovial kidding from my step son. Other than that, a good day at the range.

And, the ammunition got re-(and correctly)-labeled.

Duty · Having A Good Partner Is Very Important! · Pains in my Fifth Point of Contact · Sometimes You Get to Think That You Have Accomplished Something!

PARENTING STRIPES

Another blog had an entry that reminded me of one of my own parenting moments. As I recollect, Number One Son was misbehaving, and so The Darling Wife-Mark I and I imposed some limits: grounding or some such thing. We observed that a repeat performance would elicit a spanking.

He responded, “Well, I’ll just call the police!”

I smiled. Told him to get his shoes, and get in the car. Now.

We had a leisurely drive to our local small town police department. I asked if I could speak to an officer. The nice desk lady asked, why?

I responded, “This child just informed me that should he require a spanking, and I administer it, he will call the police. I simply do not want to wait. May I speak to an officer, please?”

She bade us sit, and soon an officer arrived. I introduced myself and Number One Son. The officer asked, had I spanked the lad yet?

I replied, no, not yet.

He asked, in what manner would I spank the child?

I responded, with my bare hand, since the point was not pain, nor injury, but, rather, recalibration of his behavior. Once my hand started to hurt, likely my purpose had been accomplished.

So, the officer asked, you intend to spank this child, if other measures do not change his behavior, in order to discipline him?

Yep, was my answer.

“Isn’t that kind of your duty as a parent, to correct misbehaving children? I do not see anything you are describing as actionable by me. You’re simply doing your job as a dad.”

I turned to my son, and asked, “Do you have any other questions for the nice officer?”

Duty · Gratitude · Having A Good Partner Is Very Important! · Sometimes You Get to Think That You Have Accomplished Something!

Jes’ Folks. Plain, Everyday Folks

Glenn Reynolds, proprietor of Instapundit, wrote an article for USA Today, nearly three years ago. Read it, please. And, reflect on who benefits when we are set at each other’s throats.

https://www.usatoday.com/story/opinion/2019/07/22/fatal-car-accident-reveals-fundamental-american-decency-column/1790753001/

I have had similar experiences, among them one chronicled here. It was as if we had our own “Insert Name Here County First Responders Association” meeting, there on that highway.

Again, this tale recalls a similar event. In this case, folks trudged their happy asses out of their warm, dry, non-windy homes, to help push a nearly (lessee: nought goes into nought… divide by zero…. carry the eight… three guzintas…) 10,000 pound ambulance out of a snow drift, at night, while it was snowing it’s freaking ass off.

So, tell me again who benefits when we are set against each other? If we are demonizing each other, how likely is it that we can ever (a) agree on a list of priority problems, (b) discuss rational maneuvers to address these problems, and (c) agree on any sort of effort to implement these interventions?

Por ejemplo, howzabout covid? Could we have discussed risk vs benefit of lockdowns, of “two years to flatten the curve” (had our governor been honest), or, even, “two weeks to flatten the curve”? Could we have had a real, ya know, two way, conversation about vaccination, efficacy, adverse drug reactions, liberty, personal autonomy (remember “my body, my choice”? Seems so long ago. Good times, eh?), risk vs benefit? Instead, anybody who speaks about any sort of disincentive to accepting vaccination, like, say, severely truncated testing protocols, or, say, known (even if small in magnitude) incidence of cardiac adverse reactions, or any of a dozen (that I can think of off the top of my head) risks genuinely presented by the extant vaccines, gets shouted down, deplatformed, or, worse, fired and hounded. So, I ask, who benefits when that happens?

In stark contrast to the Chattering Class, above cited are first person narratives of genuine Americans who, in a crisis, come together and identify what needs doing, and then, quietly, FREAKING DO IT. These folks identified one of their neighbors, identified that this neighbor was in need, and set to work. No command, no haggling, no bullshit. Simply, “How can I help?”

Tell you what: I resolve to be inspired by good examples. I will try to NOT buy into name calling, and, rather, own disagreements with others, and seek to see those disagreements as honest differences of opinion, where I am able to do so.

I resolve to try to be inspired by volunteer firefighters who interrupt Christmas with their families, in order to respond to a neighbors catastrophe.

If we open our eyes, there are uncounted examples of folks living up to their ideals, even as there are examples everywhere of those who fail. Sometimes fail horribly.

Mr. Reynolds, thank you for reminding me that most of the time, most folks simply try to get through their day, and, maybe, help their neighbor. To paraphrase his thought, I will try to let myself be reminded that, given the opportunity, most folks will reveal their fundamental decency.

Duty · Gratitude · Having A Good Partner Is Very Important! · Sometimes You Get to Think That You Have Accomplished Something!

Telemedicine: Threat, or Menace?

One fine day, I was at work, FDASL, and received a text from my daughter, let’s call her Brenda. She related that her second child had developed what looked like pink eye, to Brenda’s assessment. She (Brenda) had contacted whoever, and that medical soul had video chatted/e-visited/virtually visited/some other bullshit with my grand daughter, and had prescribed an ophthalmic antibiotic.

Brenda was not altogether certain that this assessment was spot on, and wanted her clinician dad’s take on things.

As you may have surmised, MY take on non patient contact, not in the same room “visits”, is not filled with much enthusiasm. There is something to the gestalt of being in the physical presence of somebody, that provides you with clues that are neither evident, nor are they provided across a video screen of any sort. (Ever smell the fruity breath of diabetic ketoacidosis? Ever smell it over a phone?)

Placing that aside for a moment, I asked for some pix. (I am aware that this amounted to the very same thing I had just, 11 words ago, railed against. Wait for it.) My grandchild’s eye appeared red, and (uncommonly in pink eye), so did the tissue surrounding her eye.

I asked if this grandchild could move her gaze left and right, upwards and downwards, painlessly. Was there any change in her vision?

The response I received was that the vision in her affected eye was “blurry”, as well as “it hurts when she looks up”.

My response text, verbatim, was, “Who is going to see her in person, in the next half hour?”

Brenda took her child to our local urgent care, which clinician, to THIS clinician’s credit, is reported to have entered the room, taken one look at my grand daughter, and turned to her mother, and said “So, I’m not going to charge you for this visit. Do you know the way to Big City Referral Hospital? Good. Do not dawdle. Go directly there, now. Yes, I mean the emergency department. Thank you. Drive safely.”

THOSE folks examined her, CT’d her, and started an IV (a process that Grand Daughter did NOT approve of!), and IV antibiotics, and admitted her for several days. The CT had revealed a peri orbital cellulitis (mild, but, nonetheless…), which responded to the medication.

She is now home, sassy, and none the worse for the experience. Take home points: Brenda demonstrates many, many of the affirmative attributes of The Plaintiff: she is smart, decisive, has a finely calibrated and high functioning “shit don’t sound right” detector, and is a bulldog advocate for her children.

I loathe “telemedicine”.

Sometimes I am both blessed and lucky. This time, to the benefit of my grandchild.