My babies

Friday, September 28, 2007

The truth about television

Today the local national public radio station was doing a show on television. They do this every now and then. Must be a slow news day. Anyway, as a preemptive strike I sent in a quick email to them and it got read on the air! Pretty sweet.

See, when public radio listeners start talking about television, there always is a snooty air of, "How plebeian to watch television. That is only for the uneducated masses. Why would my public radio station ever discuss television here?" (If you read the previous line in a fake British accent, it's even better.)

So I got the hugest kick from my email being read on the air. The host started with an email from one listener who grieved the television season ending last year. That she felt like her friends had gone away for the summer. The next 3 or 4 emails were along the vein that I referred to in the previous paragraph. And then he read mine, which went like this:

It always strikes me as funny when NPR talks about television. There are always dozens of self congratulatory people out there professing that they've kicked the t.v. habit. That it is a boob tube. That they never let their kids watch t.v. and if they do, they never change the channel from PBS, Discovery, Animal Planet, etc. You would think that there is no one watching TV at all.

I don't watch network news. I don't just watch PBS, and because I don't have cable or satellite, I don't watch any other educational programming. That isn't what my *relationship* with TV is. I watch to escape. I watch to distract myself from the other constant noise of life. For that 30 minutes or maybe 60 minutes, I don't think about my own stuff. And I love it. It is helpful and I appreciate the entertainment. I like watching pretty people. I like not thinking about what I have to do tomorrow and I really don't care to learn anything from TV. I'm there purely for entertainment.

I watch TV. And I'm not ashamed. Shocking, isn't it?


And I know I probably came across as somebody who watches all the time, all day long. I don't. I have a full life -- always busy. But every now and then, it is nice not to have to work too hard and let the television do all the heavy lifting.

Tuesday, September 25, 2007

Summer Vacation 2007, pt. 6 -- last one

JASPER

Gerry came home early on our last day there. We were able to plot out a course home that would shave a whole day on our journey. Instead of going back through Banff and through Idaho, he suggested we head due west through Jasper. I'm so glad we did so. It was an amazing ride.

Jasper was such a great drive. We're definitely going to camp there next time instead of Banff. It was there that we saw moose chowing down on some vegetation not 3 yards away from our car (what is that, about 2.7 meters?) and we saw a bear come up to the guard rail, consider crossing traffic, and decide to turn back and swim a little more in the lake. I don't even have to tell you how beautiful it was. I have no good words to express how much awe we experienced going through there.

THE QUEST FOR A BED


Gerry gave us a list of hotels for us to consider on our journey. He suggested we telephone along the way so we could arrange for accommodation the one night we'd have to sleep over. We made amazing time so when we got to the town Gerry had suggested we get a hotel in, it was only 7pm. My husband decided to keep driving a little bit longer.

We realized our error at around 10 pm and the cities were scarce and the hotels few and far between. We stopped at one little lodge that said that they had a room for about $140, but they only had 1 full sized bed in it and a couch. And by the way, it is a smoking room but the upside is that there was a jacuzzi. I didn't think I wanted to sleep in a jacuzzi while breathing in stale cigarette smoke. 5 people on a full sized bed didn't seem like it would be remotely restful. Might be better to stay in the car. I just wanted to sleep.

So we were on to the next town, Avola. When we stopped in front of the hotel, we didn't think that it was open for business because of the utter lack of cars out front. But there was a cheery neon "open" sign in an upstairs window, so my husband got out to check. While he was in the office, I soaked in the ambiance. Right next door was the Rednecks Roadhouse. I didn't know that Canadians had rednecks. I thought that was a purely United States American kind of phenomenon popularized by Jeff Foxworthy. Who knew? But that establishment too had only 2 cars out front of it. I was getting a little worried, but when my husband was taking more than a few minutes in that office, I knew we would be spending the night.

He got a suite.

In the suite, there were 2 double beds and 1 queen bed. There was a kitchenette and full sized refrigerator for our use. The kitchenette was fully equipped with china, pots, pans and utensils. There was no satellite television, but we were welcome to check out DVD's at the front office for no extra charge. There was room service which was provided by the Rednecks Roadhouse. How convenient! Out back, there was a kids' wading pool and also a hot tub. How great is that!

Imagining a 4 star hotel right now? Thinking there were satin sheets and mints on the pillows?

You would be wrong.

It was kind of like the Bates Motel because they were both built in the 1960's. The stairs were very rickety and I thought that I might break though a floor board because I was carrying the 30# baby with me. My husband walked on tiptoes so the extra vibration of his footfalls wouldn't shake the foundation and cause the whole structure to implode. We did wake the kids and ate a dinner of hotdog buns and canned chili which had been heated in the kitchenette. Nice not to use a camp stove.

The beds were as promised, but they also seemed to have been the original beds and bedding purchased to furnish the hotel back in the 1960's. I was thankful that each child would have their own sleeping area. Hubby and the toddler got the big bed, I got one of the doubles which I later ended up sharing with the middle kid, and our eldest got the other double bed to himself.

BACK TO THE USA

We awoke early because hubby wanted to get back to the US as soon as possible. We had hoped to grab breakfast before we left Avola but we were out of luck. Hubby announced that after a quick look at the surrounding eateries, "Rednecks Roadhouse is closed.
Gas Food Store Gas is closed. And sadly, Restaurant is closed." We'd have to get our food elsewhere.

Now I would be remiss not to add that it was really beautiful there. There should be a better tourist economy for little Avola, because check this out.
Plus, the Avola Mountain Motel a.k.a. Bayside Pacific Inn has this great promotion. As we were the only people who stayed there that we could see, we're probably shoe ins for this prize.


3 hours on the road later, the kids completely hepped up on candy, we finally stopped and asked some guy who was trimming the hedges next to the Tim Hortons where a good place to eat was. He suggested a Waffle Haus that served these amazing Belgian Waffles. It was a nice place to eat and we were glad for it. Hubby was not handling the lack of food and caffeine very well.

We stopped in Chilliwack and bought some corn at a stand at a gas station. My sister-in-law laughed at me when I pronouced Chilliwack like this -- Chilly-whack. How else are you supposed to pronounce that? She said it should be more like -- chill-lou-whack. But if it is chill-lou-whack, I say change it to be spelled Chillouwhack, right? Anyway, Chilliwack is known for its corn. It was pretty tasty when we cooked it up at home.

We had more fun at the border crossing -- again brought to us courtesy of my husband whose brain had been completely fried after driving for 2 days straight. The border agent asked my husband where he was born.

And my husband stumbled.

He said, "Oh, I was born in... uh, where was that again? Oh, ummm..."

I gave him, "Thousand Oaks, remember?"

Then he said, "Oh, right, Ventura County. Man, I just couldn't remember that!"

I was again thinking that I would be holding my husband while he cried crouched in the corner of the shower about how the cavity search had been so rough. "Couldn't they have used lubricant?"

But the crossing agent was super cool. He laughed and said that somebody who was trying to sneak into the country would *NEVER* forget which county they had been born in. They'd have memorized that. He figured, rightly, that my husband belonged in the USA.

I was glad that I didn't raid Cindy & Gerry's freezer for some moose sausage and moose roast. I had considered it, but the crossing agent did ask if we had raw meat in the cooler and I wonder if he'd have confiscated it. That would have made me cry like a baby.

We made it to Alderwood mall in Lynnwood, WA early enough to return our broken Yakima Skybox. It was pretty nice to get that $500 back in our pockets, even though they pretty much said screw you on the sleeping bag that we lost. Supposedly they forwarded our request for payment for our lost sleeping bag to Yakima, but I doubt that we'll be getting that back.

Anyway, since we're back in the states, I figure I'll stop regaling you with stories about our Canadian/Idahoan vacation. Thanks for reading.

Peace out.

Monday, September 24, 2007

Why making a bed matters

As part of our preparation for an upcoming clinical in Medical/Surgical nursing, my class has been assigned a group of videos on clinical nursing skills. I've been wading through stuff like how to take vital signs and how to administer injections. In between those items, there's how to fix a bed and how to give a bath.

I remember bristling at learning those skills back when I was a 20 year old nursing student and I felt those hackles rising in me again viewing these videos.

See, I guess I have a chip on my shoulder about nursing. We're expected to make nursing diagnoses and decide on nursing interventions. We're expected to assess for and recognize potential complications of any disease process. In medical/surgical nursing, we're expected to know the potential complications of dozens of disease processes and surgical procedures. And still, what the profession is known for is bed baths and bed pans.

It is funny. My mom is totally shocked at the amount of sheer information I'm processing these days. Like her amazement at how big my Medical/Surgical book is.

I asked her, "So Mom, was your Med/Surg book this big?"

Her reply, "No. Back then we weren't trying to be doctors."

I don't think I am trying to be a doctor. Or that we as nurses are trying to be doctors. I'm just trying to be a good nurse. I mean, who really ever wants to be sick, in pain, or simply be in the hospital? We nurses diagnose and treat people's reactions -- physical and emotional -- to illness and disease. We nurses try to make our patients' experiences more bearable, let our patients feel more empowered, and at the core, more like themselves. Sometimes that means giving a pain med, or advocating for more pain med. Sometimes it means frequent assessments and vigilance to recognize potential complications. And yeah, sometimes that means changing a bed for a patient so they can feel more comfortable in a decidedly uncomfortable hospital room. And sometimes it means giving somebody a bedpan -- all without making a face, without conveying that it is uncomfortable for both the patient and the nurse, but at the same time respecting that discomfort.

An aside: If you ever have the privilege to watch Taylor's Video Guide to Clinical Nursing Skills Student Set on CD-ROM, you must catch my absolute favorite scene. It is on CD 2 under the heading, "Preparing a Sterile Field: Pre-packaged Kits." The scene is an elderly gentleman being faced with the prospect of having an indwelling catheter inserted. Sadly, we don't get to watch the insertion (at least not on that video) but right before the end, the instructor says something to the effect of, "Now let's begin the catheterization." She says this in the absolute most cheery Doris Day voice. But right at the end of the scene, she takes a look directly at the patient with an inscrutable expression -- reminding me of Dana Delaney in Exit to Eden. I don't know why, but it just makes me laugh each time I see it.

Wednesday, September 19, 2007

Summer Vacation 2007, pt 5

AND THEN THERE WAS THE MESS ABOUT THE DIFFERENCE BETWEEN WEDNESDAY AND THURSDAY

According to my husband, he told Cindy that we would be at her house on Thursday. But by my calculation, we were going to be at her house on Wednesday. As it was Wednesday and we were very close to her town.

"No, Tess, yesterday was Wednesday and today is Thursday."

"I'm sorry you think that, honey, but today is Wednesday. Yesterday was Tuesday."

"You're so mixed up, Tess. Today is Thursday."

"Honey, if yesterday was Wednesday, why were we able to get the Pasta Tuesday special at Boston Pizza yesterday?"

Unable to answer my question, he had to concede the point. He did not admit that he was wrong, because that does not ever happen. But he did concede that Boston Pizza clearly had made a mistake when they gave us the special on the wrong day.

So when we showed up on Wednesday evening, it could have been a disaster. Because of the mixed up days, Gerry's cousin and his wife were also spending the night at Cindy and Gerry's house. They were due to depart on Thursday so there would have been no overlap if my husband's days were right. They graciously gave up the room they were sleeping in and let us have it. My son was in hog heaven sleeping with his 3 boy cousins all around his age. As we made our way into McClennan, and we were greeted by nephews by the sides of the road. They were standing on street corners and running after our car as we drove by. Quite a welcome wagon!

DANGEROUSLY GOOD LOOKING


Cindy and Gerry do go on and on about how beautiful it is up there. And it truly is "God's country," as Cindy calls it. But then in the next breath, Gerry talked about the strange neighbor who owns the 2 vicious dogs that he goads into scaring the neighborhood children. And then he talked about the guy who survived a mountain lion attack by hugging the creature, working his hand towards his hunting knife, and managing to stab it before it mauled him. And then he told about the guy who got attacked by a bear and ultimately managed to get away after delivering fatal stab wounds to the bear with his hunting knife. All this happened pretty close to their neighborhood. I was thinking that I needed to arm my family with some hunting knives.

And then there are the bugs. Cindy says that she's gotten used to it now. She has special wiper fluid to deal with the bugs because they get splattered on the cars. No one ever breathes with their mouths open because of the high protein content of the air on summer evenings. There are scary hairy caterpillars that walk across the road as you drive by. Gerry said that they get so thick sometimes that one year they stopped the train. The tracks had gotten so slick from squished caterpillars, the train was unable to go up a slope from slippage. And Gerry warned us that the caterpillars should not be handled because their "fur" has the same properties as fiberglass.

ONE LESS THING OFF THE "MUST DO BEFORE I DIE" LIST


The next day (Thursday for the rest of the world but Friday for my husband) we found Gerry at work so we could fulfill my husband's fondest childhood dream. Gerry works for the city in road maintenance. He drives a huge Caterpillar grader. Ever since he was a young boy, my husband has wanted to drive a grader. He said it is because as a child he imagined that the grader looked the most like a stegosaurus. I don't really understand this testosterone driven desire to move earth. It's a guy thing. It really was a joy to see him grinning as he rode down the gravel road with Gerry.

THE QUEST FOR BIRTHDAY CAKE

Cindy's boss, Leona, from the Christian Bookstore, was throwing a big end of summer party at her farm on Saturday. They were also celebrating the baptism of Melissa, her daughter's nanny. Leona, knowing that Gerry's birthday was coming up, suggested that they make it a surprise birthday party for him as well. So Cindy and I were off to find a cake. There are 2 grocery stores in Falher. When we went to the first one's bakery, we discovered that the shelves were bare. The baker was on vacation. So we went to the second store. Cindy placed her order and all was well. Until we got the phone call the following day that the baker was going on vacation on Friday -- so the cake would not be done. What are the chances? I think that the 2 grocery stores really need to provide coverage for each other. There should be 1 baker in the city at all times. I mean, they do it for doctors. Why can't they do it for bakers? Ultimately Cindy was able to get her friend Giselle to pick a cake up from Grand Prairie. Their baker wasn't invited to the Falher bakers' vacation, apparently.

BEAR BAIT


On Friday (hubby's Saturday), we went to a beautiful freshwater lake. I'm sure Cindy will comment with the name of the lake but I can't remember. We grilled up burgers and roasted marshmallows. Even though Gerry said he had grown up just a couple of kilometers from there and had never seen a bear at that park, I still kept looking over my shoulder. Seriously, we were roasting marshmallows! What bear can resist marshmallows, especially after having a feast of tasty Americans?

We walked out to the lake where my nephew, Cameron, spotted hundreds of shrews hiding under rocks. I didn't see them myself, but I'm sure they were there. We also saw some pelicans on the water and a sunset melting into the water. The reflection of the waning day on the still water made the horizon almost indiscernible, so the water from the lake seemed to flow into the heavens. Several people were fishing, which made hubby very nervous. He has a phobia about fish hooks. Something about having to push the barbed ones through should you get one stuck in your finger or your eye. This is because pulling it out would cause even more tissue damage. I guess I have a phobia about them too in that sense. The mosquitoes were out in force that evening and just so you know, those mosquitoes consider DEET to be seasoning on humans, not a repellent.

DEPORTATION

On the way back, Cameron rode in our car with our son. We were talking about the Canadian National Anthem because Cam's older brother Sam had sung it at the opening of a business in McClennan. Sam has a beautiful voice -- like the ping from good crystal. Cam said he thought he could sing it too, so long as we sang along with him.

"Sorry Cam, we can't sing it."

"Why not?"

"We're Americans. It's against the law for us to sing the Canadian National Anthem. If the crossing agents find out we did sing it, they won't let us back in."

Long pause. "Really?"

Gravely, my son said, "Really. It's true Cameron." Short pause. "Wait, is it true, Mom?"

Hubby and I couldn't hold it in any longer and busted up laughing. But when we got home, Cameron was still a little unsure. He asked his dad, who without missing a beat, told him with all seriousness that it is against the law for Americans to sing the Canadian National anthem and vice versa. And while we all joined in and sang both anthems, Cameron was having a fit. We all assured him that nobody would tell the authorities, and we all could stay in our respective countries. But oh no! I've just posted this on a public blog. Oops!

WILDLIFE CAN BE BEAUTIFUL AND YUMMY

Saturday we woke up to moose sausage. Yup, what Canadian vacation could possibly be complete without moose sausage? Some of Gerry's friends had hunted a moose that season and had to empty out their freezer to make room for the new moose. This was great for us. Moose sausage is AWESOME!!! It made every moment of driving on the unfinished roads, splattering countless insects, enduring endless hours of "S/he's looking at me!" in the car. Yes, it was that good. I told Cindy that I wanted more of that and she said I could have as much as I want so long as I came up to McClennan to get it. I'm planning the next trip.

Moose was also used very cleverly by my sister-in-law to entice us into staying longer than we had planned. Every day she said that she'd make a moose roast for dinner, but strangely, every evening she ended up making something else or we'd end up eating some place else. She promised me the moose roast and managed to get us to stay through Monday so we could eat it. Let me tell you, it was worth the wait. Moose is delicious.

On Sunday, we got to meet a lot of Cindy's in-laws at church and some of her church family. My daughter met twin 6 year old girls who were absolutely adorable and gave her good girl playdate time. After church, my daughter went to their house for an afternoon of playing. She's trying to keep in touch by email. Cindy's friend Dar came over to the house bearing an enormous amount of chai tea. This girl takes her tea very seriously -- and it was fabulous. I tell you, Cindy has some really great friends in this little community. Later that afternoon, we went out to Gerry's folk's farm where Gerry's nephew has set up a paintball field. It is complete with old combines and rusting out cars which make great hiding places and sniper lookouts. While the boys were out doing that, Cindy and I were visiting with her in-laws, Lucille and Maurice. We had a great time playing a card game -- something about a witch. Maurice and Cindy were absolutely merciless to Lucille and me -- they beat us bloody! But we had a great time and I got to brush up on my high school French.

On Monday, my eldest nephew Blake had to go to Grand Prairie for a doctor's visit. I have to tell you, the kid is only 13 years old but he's already taller than me. And I know you all are snickering that it isn't much of a feat to get taller than me, I should mention that he's almost 5'10. That's pretty impressive by normal mortal standards. But I guess it isn't all that impressive considering that my own husband was 5 feet tall in kindergarten. I married a mutant. Back to Grand Prairie. I tagged along so I could go grocery shopping with Cindy. I bought candy bribes for my kids anticipating the drive home.

More to come.

Sunday, September 16, 2007

Summer Vacation, pt. 4

DINOSAURS ARE COOL

We broke camp in the morning and were on our way to visit the Royal Tyrell Museum. This museum is well worth the price of admission. If you are planning a trip to Canada, you MUST make the time to go there, even if you don't have any kids. In fact, it might be more fun for you if you didn't bring your kids. I almost nixed the idea of going there at all because we were having such a hard time finding it -- it too is way out in the boonies. But they built the museum near the site where they found the fossils and you get the feeling that if you just dig in the dirt a little bit, you will find a T-Rex fossil staring back at you.

We knew we were close just because we were seeing huge fake resin dinosaurs hocking anything from french fries and burgers to tires and turds. That last bit was a strange little sign we saw at a convenience store next to a filling station. "Turds: $3.99." We were thinking that turds in Canada were really expensive. We just make our own. For free. And occasionally use them as housewarming gifts.

Anyway, the drive was pretty cool, except all that new oil money out in Canada has made the big road projects affordable, and the Canadians are wasting no time. We drove through miles (oops, I mean kilometers) of dusty gravel roads because they were resurfacing and widening everything. The kids really enjoyed seeing the huge earth moving machines and the graders. When there wasn't road construction, we were traveling through some of the juiciest bug swarms in the country. It was GROSS. That really did continue for the rest of the trip. They were splattered on our windshield, our luggage box, the front grill, -- just everywhere. And when we were parked, the wasps would swarm around the carcasses of these bugs and chow down. How's that for yummy? I guess the ones smashed over the engine were cooked too so I can almost understand that. Even wasps want variety in food preparation.

When we left there, we went off to find a hotel for the night -- further north of course. We ended up at the Norseman Inn. My son rated this hotel as a 4 star hotel. The beds were super comfy. I don't know if it was comfy by comparison to the gravel ground or just comfy because they were inherently comfy. But it was nice and clean so I was glad for it.

POUTINE

Our next stop was thankfully Cindy & Gerry's house in McClennan. I suspect that if anybody from McClennan stumbles on this blog, they will know exactly who Cindy and Gerry are. It is that small of a town.

On our way to Cindy & Gerry's house, we stopped by an A&W Express. It was there that we were introduced to a Canadian delicacy called poutine. It is french fries and cheese curds smothered with brown gravy. That is the flavor of the gravy-- brown. Very salty but pretty tasty. The kids had been just awful in the car. There was screaming alternated with crying and the shouts of, "Stop (touching, looking at, copying, etc.) me!" So when we stopped at the A&W, my husband said, "Let's get floats but none for the kids since they've been so awful." I decided that wouldn't be fair because they had no idea that consequence was even a possibility. So I got them small rootbeer shakes with their food. My husband told them to thank me for letting them have a treat. But then I laid down the law.

"I'm pretty sure that you can survive on peanut butter and jelly sandwiches. There is protein, fat, and carbohydrates all rolled up in one sandwich. It would not be neglect to feed you nothing but peanut butter and jelly sandwiches for the rest of the trip. And should you continue to scream, cry, and fight with each other in the back seat, you will have nothing to eat but peanut butter and jelly sandwiches. If you're hungry -- pb & j. If your aunt prepares a feast for us, you get pb & j. If we're all having a dessert of ice cream and cake -- you get pb & j. Do you understand the consequence of more fighting in the back seat?"

They were angels for the rest of the ride to Cindy's house. Praise God. And thanks to pb & j.

Friday, September 14, 2007

Name of my future nephew


My brother and his wife are expecting their 3rd child -- a boy -- on December 25, 2007. Some of you might make an interesting connection, knowing a little about our family's history.

My dad was visiting us from Hawaii, for a Christmas family reunion when he died suddenly of a heart attack on Christmas Eve 2002.

My 3rd child was conceived on the 2nd anniversary of my father's death. Strange that. And my brother's wife's due date is Dec. 25, the day after the anniversary of my father's passing. I think it is no accident that they -- this new generation -- are coming at a time to change that anniversary of death into an anniversary of life.

But anyway, about my future nephew's name. My brother had considered the name Nicholas, which I thought would have been perfect, considering the time of year, but he thought that it might be too cliche. So instead, he asked me and my mom what we thought.

I did what any self respecting computer user would do. I googled for baby names. I found a wonderful site called, http://www.babynamesworld.com

I do want to give you a little bit of back story about this though. My brother called me on the last day of April sounding a little bit out of sorts. He said that he was thinking that Mom should come up for a visit. I asked when. He said in about 9 months. My brother was in complete shock. Their twins had just turned 2 years old. So when his wife called and asked when he would be home because she had something to tell him, he knew instantly. While on the phone with me, he missed the exit he was supposed to take to get home, the same one he takes every day. To say he was distracted would be an understatement. He was looking forward to his wife getting back to work when the kids were in school the next year. But this baby had his own timing and that timing was now.

So back to babynamesworld.com. Mom and I found a great name in the "a" section that means "Navy Blue." That is a very strong and masculine meaning. And when you say the name, it is quite possibly the first utterance my brother made upon hearing that his wife was pregnant. You'll have to click the hyperlink because this is a purely rated G blog. Let me tell you this though, you have not lived until you have heard my saintly 70-year-old mother read this name and cackle uproariously afterwards.

Peace out.

The first life I saved was my own kid's

I know you're all just itching to find out what happened on our summer vacation next, but I have to let you know about this one. My youngest just had her 2nd birthday so I brought her in for her well child check. (She's 36.5 inches tall and 30#.) She had a routine blood test to see if she was anemic and bummer -- she is. So while I was off at school, my husband picked up the iron prescription for her. (School is great, btw. Most of the students are in the same boat as me, returning to nursing after getting the kids out of diapers and into school buses.) Instead of writing out what happened, the following is the email I sent to the store's corporate offices. And hopefully, by the time of this posting, I will have printed it out and sent it to the local store directly.

This email is just to let you know of a potentially dangerous medication error that your pharmacy failed to catch and could have been lethal for my child if I had not caught it myself.

Yesterday my husband went in to pick up a prescription for my daughter from the (name of the pharmacy and city) location. It was Ferrous Sulfate drops 75mg/0.6ml. The label read "give 2.4 milliliters by mouth daily." I am an RN. When I got home, I was surprised to see such a large dose being prescribed. I checked on the internet to see what the usual dose is, and also looked at the box the drops came in. For severe anemia, the dose is 4-6 mg/kg daily. My daughter weighs 13.6kg. Even at the maximum dose (81mg), it does not come near the 300mg that had been prescribed. I also verified these numbers in the current Davis's Drug Guide for Nurses 10th edition.

Here is where the ball was dropped.

I called the pharmacist after having checked these numbers on the internet telling her that I thought that the dose was far too high. I was telling her about the situation, that the prescription said that I should give 4 droppers of the iron. The first thing she had commented was that she should have included a larger dropper so I wouldn't have to refill the same dropper 4 times. Then I asked her about the dose. She said that she had questioned that large a dose as well, but told me that in cases of severe anemia, doses that large are appropriate. I told her that I didn't think that was right and she suggested that I call the doctor to verify the dose.

I did speak to the MD today and he said that his computer was supposed to calculate the dose based on my daughter's weight, but unfortunately, it did not. He was very apologetic and said that in fact the computer had prescribed a whopping 5mls which would most certainly have caused her injury. The clinic has just adopted this computer system so I can understand some of the confusion.

Thankfully a very dangerous situation was avoided because of the luck that my daughter's mother is a nurse. But I worry that there are many children out there whose mothers or fathers are not nurses, pharmacists, doctors and the like. I am so thankful that my husband didn't take it upon himself to administer the iron before I got home yesterday.

As allied health professionals, we are the last line of defense for med errors. In hospital and in clinic, it is the RN or LPN who plays this role, but in our communities, it is the Pharmacist. I think that the pharmacist must have reduced the prescription to half of what had been prescribed but still not within a safe range. I think she must not have called my daughter's doctor to verify the dose. I think that asking the parent of the child to call the doctor could be a dangerous and irresponsible action. A lay person might have thought that because the pharmacist had already checked the dose, had even adjusted it, that it was not essential to call the doctor, that the problem had been solved.

Thank-you for your attention to this matter. Perhaps you might want to do an audit of the ferrous sulfate prescriptions received from the (name of my daughter's doctor's) clinic considering how grievous this error could have been. Please contact me with the resolution to this matter.

Tess Haddon, BSN, RN


So anyway, no babies were harmed in this incident and my kid is fine. FYI. If a person receives about 10mg/kg of iron, they will have symptoms of iron overdose, like bloody diarrhea, abdominal cramps, and basically pretty nasty stuff. You would need to bring the child into the emergency room and get an IV medication that binds with the iron so she can pee it out. But that doesn't mean she would be out of the woods after treatment. She could develop scarring on her intestines which might lead to a blocked intestine which would be another life threating event. She could get liver failure which would be a life threating event. The dose as prescribed, was about 20mg/kg.

My brother was a pharmacist before he became a dentist. He said that while pharmacists have some limited prescriptive authority (like changing a brand name med for its generic counterpart), it does not include changing a dose all together, as this pharmacist clearly had. And yes, the doctor is at fault as well because he should have verified that the correct prescription had been ordered. I think I am more apt to forgive him because when it was brought to his attention, he was apologetic and absolutely mortified that it had happened. The pharmacist, however, was not.

I have shined up my chest badge that reads, "SuperMommy," knowing full well that I deserve it, at least for today.

*UPDATE* I received a follow up phone call from the pharmacy a full 6 days after the prescription was filled. The pharmacist had finally contacted the prescribing physician and verified that she should be receiving 0.3mls after all. All the refills at the dangerously high dosage have been cancelled.

Monday, September 3, 2007

Summer Vacation 2007, pt. 3

ROGER & MARLA'S MOST AWESOME PLACE

By the 3rd day at the Sleep Inn, we were pretty sick of the waffles. For now, my kids deny ever having done the happy dance when the waffle iron was spotted. This morning was for toast, muffins and fruit. I grabbed some of the hard boiled eggs thinking that maybe the family would enjoy having some protein, but I was wrong on that count.

We went to visit some friends of my husband who live in Idaho. They purchased several acres overlooking a lake and are working on building their dream home on the property. Roger and Marla have a gorgeous view -- truly breath taking. Marla has some pretty high end taste and it really shows. They have 3 buildings on the property so far. The first one they built was a 2 car garage which they lived in for a while as they built and completed construction on Roger's wood shop. When it was completed, they moved themselves and their furnishings into the wood shop, where they will live until the house is completed. The house exterior is built but the interiors are still unfinished. The house is up the mountain a bit and has amazing vistas of the surrounding range and the lake. They do live a little removed from the city but it is worth it. This visit has given my hubby nothing but grandiose ideas for what we can do with a little piece of property we own about 45 minutes drive from our home which has water and mountain views plus beach access. True, I would love to do what they're doing. But that is for a time when we are feeling a little less pinched than we are now. As we were leaving though, Roger said something to me that made me feel less pinched. He said, "This place is our legacy. You have yours riding in the back seat."

Marla made an amazing lunch of grilled burgers and corn on the cob for us. We were stuffed. Knowing we had at least a 6 hour drive ahead of us, we told the kids to go potty and took that advice ourselves. I began to get worried about my husband after he had been in there for 10 minutes or so. He joined the rest of the party outside while I was trying to get the kids back into the car. Hubby asked, "Do you guys have a plunger?" As awful as it is, the toilet had gotten clogged. Here's what's even worse. Marla and Roger only have the one toilet. Both of them went scrambling around their property looking for the plunger that both swore they had bought on a recent trip to Home Depot. But alas, no plunger was to be found. And then my husband said something that reminded me why I married him. "Well, it isn't the conventional house warming present, but I'm not a conventional kind of guy." Funny keeps marriages strong.

BANFF

We headed north. We took a border crossing out of Idaho that was really quick. Seriously, there was only one car ahead of us in line. It is, incidentally, the place where the border crossing agent didn't know where the heck McClennan is. After driving for what felt like forever, we arrived at our campsite at Banff. The ranger who checked us in told us that sadly, there wasn't any firewood left for us to take so we would be getting a refund for that expense. We found our site and using braille and our 2 flashlights, hubby managed to put up our tent while I heated up 2 cans of chili over our camp stove. We didn't have firewood and I looked over at our neighbors and realized where all the firewood had gone -- they had enough for a small bonfire. Well, just because you're out camping doesn't mean that you're not jerks. Jerks in the cities just become jerks in the wilderness when they go camping. It had been a horribly hot day so we didn't even bother to put the fly up over the tent. We came to regret that later.

I had bought foam pads for us to sleep on. When you set up your tent on gravel, like the rangers ask you to do, a little 1/2 inch - 3/4 inch pad of foam doesn't do much to keep you comfortable. We were exhausted, so we did fall asleep eventually, but at around maybe 3 or 4 in the morning, the wind was ripping through the tent and we were just miserable and cold. I had considered going and "camping" in the car. At least the car seats are padded and the wind can't get through. I kind of just kept rolling over like when you're on the beach sunbathing. One side of my body would get sharp pains from laying on gravel so I'd make a 1/4 turn. Then I'd catch a couple of minutes of sleep. Then that part of my body would wake me in pain so I'd make another 1/4 turn. And so on, and so on, through the night. Anyway, the next morning I cooked up an amazing breakfast -- mostly amazing because I did it on our camp stove using a very tiny frying pan. We had sausage and eggs and some bread. And after we breakfasted, we were off to explore.

LAKE MINNETONKA & BEAR PROOF TRASHCANS

The first place we went was a mountain lake. It's called Lake Minnetonka. And I may be making that up because my memory is not too good. It was a gorgeous place. The water was an amazing turquoise blue. There weren't too many tourists, but the ones we ran into were from all over the planet. Even the Canadians there spoke French, just to make us feel more and more like we were in a foreign country. Hubby calls Canada, "Europe Lite."

A remarkable thing about the parks there is that every outdoor trashcan is a bear proof one. You need to use your clever human fingers to deftly unlatch the lid and insert your garbage. What I didn't realize was that not only are the trashcans bear proof, they are also idiot proof. I don't mean that in the sense that it is so simple to use, that an idiot can use it. I mean the phrase in the same context as the bears. If you are an idiot, you cannot figure out how to open the trashcan. I cannot tell you how many coffee cups and food wrappers I found just placed out in front of the trashcan like it was a shrine to trash instead of a receptacle, because whoever brought them up to the can just couldn't figure out how to open it. Sad really. But maybe that means that the education system EVERYWHERE in the world is just kind of shoddy and maybe we Americans should stop beating ourselves up about our education system. But who is to say that the idiots who couldn't open the bear cans weren't US graduates of our public schools? Oh well.

That afternoon, we went up Sulfur Mountain in the gondola. That was an amazing ride. There is a sense of vertigo as you get higher and higher. Older daughter was a little freaked out so being the supportive and loving family we are, hubby, son and I swayed back and forth in unison, rocking the gondola but not coming anywhere near close to capsizing it. Oh now, don't think she was freaking out completely. She ultimately thought it was funny and joined in the swaying, but at first she did get a little scared. When we reached the top, we got to see some mountain goats pretty close up. We walked the entire pathway up to the higher observatory peak and former camp of a weather guy for the range. I learned recently that you only retain about 10% of what you read and I cannot for the life of me remember the name of that old weather guy who used to hike up Sulfur Mountain back at the turn of the century, so he could monitor snow & rain fall levels and temperature readings. I read that information and it is amongst the 90% of information that fell out of my brain a.k.a. the sieve. The little one did great and walked the entire way. The way down was just as fun as the way up. We didn't buy the way overpriced picture of us on the gondola but we did take pictures up there that were pretty spectacular.

That evening, we put the fly on the tent. Lesson learned. More to come.

Saturday, September 1, 2007

2007 Summer Vacation pt. 2

JUST SAY NO TO DRUGS

The novelty of waffles and waffle iron had kind of worn off by this time but we hung in there and ate our misshapen waffles cheerily. The kids had begged to start the day with more swimming but we told them that this was the day for Boulder Beach -- Silverwood's water park.

I really want to commend Silverwood for being creative in keeping kids off of drugs. I say this because they sure have come up with clever positions for teens to take during these hot summer months instead of hanging out in the Safeway parking lot and listening to hits of the 70's, 80's & 90's which is piped out of the store speakers, while trying to score a six pack of beer. Paid positions like the Locker Key Boy (LKB). See, you rent lockers at Boulder Beach for $5. They give you a bracelet to wear. Then you show your bracelet to the LKB on duty. The LKB walks you to your locker, unlocks it for you, and hopefully, you can figure out the rest. If you can't, the LKB will be more than happy to explain how to lock your locker. Just be sure to show him your bracelet.

Most of you have seen my husband and know that he is 6'9. These locker geniuses at Silverwood gave him a locker closest to the floor. Does this make any sense at all? No. But, since they have LKB's, clearly they're not looking for logic much. Many times, there were not enough LKB's to be found and you just had to grab one from across the locker room and drag him over to your locker. To their credit, they never once huffed or complained or said, "that's not my sector..." They just walked over and unlocked our locker for us. Good on them.

WATER FUN & THE QUEST FOR FOOD


The water park was the most fun of all. It being Saturday, the crowds were fierce, but we spent a great deal of time in the wave pools, Polliwog Park and Toddler Springs so we didn't have a lot of line waiting. Well, sort of.

We decided to splurge and buy lunch at the park. A prime table had opened up in the eating area so I sat and fed the baby. My husband got in line and waited. And waited. And waited. After about an hour, in which 2 families had sat beside me, eaten their food and left, my family finally returned with enough fried food to kill even a marathoner. My husband is incredibly intolerant of lines, but he did okay. I was proud of him after it all. He didn't whine too much but he overcompensated on the food because there was no way he was going to wait back in that line again. I was also proud of the kids. They didn't complain too much and didn't say the dreaded, "I'm hungry," over and over again, when really, we couldn't do anything about it. We did decide, however, that we would never, ever, on any future trip to Silverwood, buy food from the park. It was overpriced, over greasy, overly long waited for, fried food. What's the point? The only thing that kept us going was the thought of returning to Cafe Chulo's at the end of the day. It shone like a beacon for us in the distance. Fresh salads and roasted meats. Tasty fish tacos. Yum.

The older kids and I went on the Avalanche Mountain ride which was an absolute blast! My 6 year old laughed like a maniac the entire way down and both kids directly disobeyed my order to remain calm and not scream. (I was only kidding.) It was so much fun that hubby and the boy went for a second time. The girls and I spent a lot of time in the toddler springs and polliwog place which was a blast while the boys went to tackle the large water slides.

THE JERK AT POLLIWOG PLACE

Cool thing about Polliwog Place is that they have sprayers and hoses that you can blast perfect strangers. It's all in fun and people are generally pretty cool about it. I was holding the 2 year old to walk her up to the little slide when some jerk just started blasting me in the back. Usually, I'm pretty game, but I was walking the baby!!! I blocked her from the blast with my back but this jerk was relentless. When we finally made it down the slide, and I got the baby out of range, I turned back to deliver a scathing evil eye, only to realize it was my darling husband manning the hose. He did catch the evil eye, but it only made him laugh harder.

After we had dried off, we went back to the dry part of the park so the girls and I could explore the Garfield tree house (pretty cool) and the boys could get to the roller coaster they had missed the previous day. Turns out they waited extra long so they could be in the absolute first car. They had a great time. While they did the big roller coaster, the girls and I went on the tiny roller coaster. It went around part of the tree house 8 times. I know it was 8 times because the baby decided that it was too boring after the 5th revolution and tried to climb out. Thankfully, the coaster went so slow, she barely would have skinned a knee but I held onto her tightly anyway.

Cafe Chulo's hours are open until 10pm on Saturdays so when we pulled up at 9:30pm and saw the lights out, we were crestfallen. We went to the drive through and they said that it was so dead, they decided to close up early. What is wrong with the people in Coeur D'Alene? This is AWESOME Mexican food. Support this restaurant! But they were so great, they made up 4 fish tacos for us and we ate it in front of the Safeway while listening to the hits from the 70's, 80's & 90's.

More to come.