Thursday, July 16, 2009

on the care and management of husbands

I feel dizzy, the Man commented. Four feet ahead of him, pushing a sandy, exhausted Toddles in the stroller, I nodded, noted and filed the remark. We'd spent hours at the park that day, relaxing in the shade while the boys played, picnicking on a patchwork of towels: luxurious. My brain niggled at me: dizzy? Not the word I'd expect to hear at that time, on that day. Tired, sure.  Sleepy, oh I'm right there with ya. Relaxed, absolutely. I tucked away dizzy, placidly certain that I'd understand it eventually, too busy floating on the pleasures of the afternoon to muster a proper worry. And oh, that afternoon.

The Toddles had stood under the jets of water, soaked and fascinated, his mouth open with pleasure - when it wasn't netting water. I'd filled my mouth with the tastes of summer shabbat: this week, it was Thai basil, grilled chicken, scallions and roasted plums. Ooooh. The Eldest, bolted barely enough to score dessert, then vanished to experiment with hydrodynamics. Dripping and banned from the sand until he dried (somewhat), he then found that the snazzy brushed metal of the park's slide and climbing structure made wonderful, resonant sounds. Boom, bim, bim boom, said the structure, as the Eldest swing his arms, concentrating. Nearby, the Toddles spluttered and laughed at his faceful of water while I grinned at the Man, who excused himself to help the percussionist. 

(and was promptly sent away, percussion being a solo affair, it seems)

So, I feel dizzy, the Man commented, and I barely blinked. Walking along, ripe with relaxation and smiles, I suggested that perhaps skipping his morning coffee did not help. It hadn't, as it happens, but that was merely ancillary.

Days before, the Man had felt dizzy - a moment here, a moment there, but nothing worth mentioning. He's made of stern stuff, our Man, and will lower his forehead and keep on keepin' on even when he's sick. I've yelled at him for it, and accidentally exploited him when he's done it. Sometimes, irritably, not so accidentally. The Man's lack of care for himself is legendary among the adults in the family, and hopefully not as well known to the children... Although today, the Eldest asked why the Man doesn't carry his own EpiPen - he carries one of mine. Um.

Over the week, our stubborn, determined guy felt his world teeter, then twirl around him.  Thursday was a fast day, and the Man felt - like the rest of us - lousy. And dizzy. He racked up some dehydration and didn't do much about it, hovering on the edge of slightly desiccated until Sunday. When the boys and I came home from a play&celebrate to find our guy in bed.

He had not eaten. (oh, wait, said he, a piece of toast. And, um, some jelly beans) He had not drunk. (well, perhaps some coffee) My raised eyebrows aside, it was clear that he could do neither now. And oh, he felt sick. I cultivated an air of mild irritation and pleasant care, and offered him some apple juice before going off to find out why Shaymin Level X was crucial enough for fratricide.

No apple juice.
No water.
Lemon slices? no, not helping the nausea. And urgk, the spinning room

There he lay, his eyes shut. I considered worrying.

The Man admitted at this point that no, he did not have a primary care doctor for me to call. I tamped down on a lecture that I'd given cyclically over the past couple of years - clearly, it hadn't been effective. Right, then. The ER it would be.

Dizziness is, apparently, a fairly common cause for a run to the ER. It can be triggered by stroke, by blockage in a major vessel leading to the brain, by dehydration, by something upsetting the inner ear - or even a canal of the outer ear. There could be a tumor in the brain, a viral infection, or a funny, spasmodic twitch of the eyes that fools the brain into seeing motion in a still, placid world. The eyes move, the world does not.

If I'm being fair, it sounds amazingly uncomfortable. My poor guy, staggering from the car and acting like he had the world's nastiest case of car sickness. He had an unstable, twirling world, and a zip through the potholed streets in our neighborhood had managed to give his internal twirl a nice high-kick and bounce.  

splaaaat.

So he won the door prize: IV fluids, dramamine, and a rookie doctor digging a ginormous chunk of eeewwwww, wax out of one ear. Whoa, said the doc, and carefully saved it. Ah, said the doc's boss, respectfully. That should do it, they chorused. And sent us home, where in fact, that did not do it. And so back we went the next day, this time to a different ER where the Man was again hydrated, prodded and invited to follow my finger with your eyes. The doc grinned, and showed me the slight twitch that was spinning the Man's world round, round, round. But, he pointed out, this muscular fillip should have responded to the dramamine. He offered some IV valium to the Man, and while our lad snoozed, the doc and I considered cheery things like tumors.

One MRI later, the boys were asleep in the Man's hospital bed, and I'd abandoned Cosmo (the Obama's sex life! your g spot!) for Good Housekeeping (spice rubs! pantry soups! remodel on the cheap!).  Muttering, I'd sewn together a felt fish that the Toddles had traced, ordered to be cut and designed. The boys had been admired, and shifts had changed. The Man had been lectured on the usefulness of primary care doctors while I made quiet-ish choking sounds, and had slept through the news that, in fact, he did not have a tumor. Nor a blockage of a useful vessel to the brain.

Sitting in the dark room, the sleepers piled on the beds we'd cadged, I began to breathe again. I'm often the only one awake at such times, it seems, standing guard over my family in the dark. Waiting for news to emerge quietly from corners. At some point in the long, well-trodden hours of that day, my carefully cultivated loving, mild irritation had faded. And I'd begun to worry. Just a little. By midnight, the worry had folded itself, origami-like, into a complex, fragile structure as I waited for the MRI's results. And then I set it aside, collected the sleepers and went home.

Why did you bring the boys? a friend would ask the next day, and I didn't have a good answer. They'd been left with friends on Sunday, but were very clear on Monday that they wanted to be with their dad. So I brought them. Because they wanted to go, and I suspect, needed to. Look! I'm learning so much! the Eldest exclaimed, maneuvering to be allowed to stay. I suspected that I knew what he was learning, and thanked the friend who offered to help relocate the boys. And yes, I knew that this trip would probably bolster our family myth that the ER is where you go to be bored and ultimately, fine.  I brought them partly to share the vigil, partly to distract us, partly because we have no fear of emergency rooms, and know that we can ask the nurses for an extra blanket, a couple of pillows, and we can make sock puppets from the silly, thick hospital socks. We can laugh.

And sometimes, we do all of that almost incidentally, focusing instead on the serious business of being together, loving and a family in a place that would otherwise leave you feeling silenced and alone.

The next day, I had a check-up. Women, mused my doctor, come in to the office for a range of reasons. Men, howevertypically come because their wives make them. The doctor paused. Maybe that's why married men live longer?

I went home, and tossed my ideas of respectful partnership out the window. Flipped open the laptop and found the Man an insurance-approved doctor of 20+ yrs experience, evening hours, working in a practice at a major medical center, checked a couple of patient reviews - and signed our lad up.  You've got a check-up in August, I informed my love. You'll be seeing Dr. Z

He nodded, and humbly thanked me. I patted him on the shoulder and went to try a spice rub.
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I'm doing a lot of cooking with the boys this summer, and they're happily recording their favorite recipes in their very own cookbooks. It's a mixed experience, especially when we're getting close to dinner time...but this spice rub was a lot of fun to put together with the Toddles. We smelled and touched everything, and grinding the spices was tops on the Toddles-O-Meter.

The Tilt-A-Whirl spice rub

1.5 tsp black peppercorns
2 tsp fennel seeds
1 tsp coriander seeds
1.5 tsp cumin seeds
.5 tsp coarse salt

grind in a coffee grinder, and use to coat fish or meat. I dredged some tuna steaks in it, courtesy of a friend with good taste in fish, heated olive oil in a pan, and seared them for perhaps 3 minutes per side.

oooh, yum, said the Eldest. That's the most yummiest I've ever had! the Toddles trilled, and briefly set aside his current dislike of edibles to eat most of a slab. With ketchup. (sigh) And our current favorite salad!

Summer's Just Peachy Salad:

Like all my salads, this is more narrative than prescriptive recipe. You have your basic elements: green, something onion-y, something crisp, something soft, sweet, salty, sour. Got that? Right.

For the specifics-lovers, try: a bowlful of greens, preferably one of those ridiculously soft, melting farm-fresh red leaf lettuces. Or romaine, if that's what's surviving in your fridge. Or a mix of anything - but go easy on the arugula, watercress and other tangy greens. 
2 scallions, chopped
a handful of pitted kalamata olives (I like Trader Joe's), or some other mild olive - pimiento stuffed olives are probably fine, too
2 rather crisp, underripe peaches
....and anything else you like. Can't imagine a salad that would go badly with toasted, slivered almonds, and this one is certainly happy with avocado, garlic croutons, and many other somewhat improbable things, including (no, really) a scant handful of blueberries.
 
Fill the bowl, then dress the salad. How? Well, try tossing with olive oil, sprinkle with chili powder (or cumin), garlic powder (fresh garlic will come in with big, heavy combat boots and stomp on everything in this salad, so don't use it - and did you ever think I'd say that?), salt and pepper, toss again. Drizzle slightly with a mild vinegar, and toss a third time. Woot!

Sunday, July 05, 2009

one reason to wish our TV worked...

..curiosity.

Hat tip to the Nome, for pointing out that USA Network's new show, Royal Pains, is starting with an, um, ooze. Yep: hemophilia.

Here's a short review done by someone who seems to know his tellyvision, and another done by someone whom, I suspect, knows his factor level. Shockingly, the show doesn't improve by having a bleeder on it.

And happily, curiosity isn't enough to impel us to shell out for a tv and the cable company's goodwill.

Tuesday, June 30, 2009

um, er, well - you see...


There's no real way to follow the previous posts. I'll offer a proper coda in due course, but for now, allow me to detour long enough to offer today's quote, spoken by a really lovely (and puzzled) parent:

I just found out that dairy isn't allowed in the first grade classroom anymore! They should send out an email to let people know, don't you think?

[insert strangled guttural sound here]

oh, where to begin. When did they allow dairy in the Eldest's allergy-friendly classroom? And why, exactly, did they stop? Hmmmm? And yet (counsels a less panicked section of my brain), this might just be one of those times when it is better just to nod and smile. 

Which, of course, is exactly what I did.

The allergy thing has finally begun to make any number of little encounters uncomfortable, and I'm getting the distinct feeling that a proportion of the parent population now think I'm a flaming idiot.  They're building effigies, and while last year I might have been determined to go forth and educate, this year I'm tempted to light the thing up myself. I'm tired of being an idiot. I'm tired of not understanding enough to explain things to people. Oddly, I don't know isn't an answer that tends to build credibility, or to reassure. But there's a lot about the Eldest's allergies that I don't know. What, exactly, will kill him? What, exactly, will scar him psychologically? I don't know. And the docs can't tell me.

Oh, yes - and puzzled mom? she's throwing her son a birthday party. She told me about the menu, and I failed to edge a useful, educational word in. Natch. I have a feeling that the simplest thing to do is to go for the fun, and just leave before she brings out the food. Avoid the issue, avoid the baffled and hurt expression on her face when she realizes that the treats that she's already bought (allergy friendly! she said), won't really work.

(this is me, not being nastily snarky, btw, because she really is a nice person. This is also me, not banging my head on the wall. And yes, this is me, adding overhaul school allergy policy to my summer To Do list.)

Oh, but the allergy thing has turned messy, then frustrating, and now I'm flinging my hands up and looking for a sledgehammer. Take that, o unenforced allergy policy. Take that, ye complaisant staffpersons. I'm not swinging at the parents, because, hell, I have to function with these people. Worse, I really like some of them. (Although those aren't the ones who should be carrying rain-o-fire proofing, anyway) But for the miscreants, well, y'all can watch me go and tell the Grand High Idealist that all is not well. 

And then, beware all ye peoples, for lo, there shall be A New Policy. Shiny, sparkly and who knows. somewhat more functional? Which yes, lacks a certain shock-and-awe quality, but I'm just so absolutely sick of this allergy mess that at some point any anger turned into a muted, resigned mad.

And sad. The Eldest is just not a good advocate for himself right now, he's not being responsible about handing his EpiPens to adults in charge. We've gone over this ground ad eyeroll, the kid and I. When you get into someone else's car, hand them your backpack. Show them where the medical kit is. Pull it out. Show them the EpiPens. Always, even if it's someone you know.  He nodded, solemnly. And yet, today I watched him bounce into a friend's car, never before ridden in - and he didn't check first with me, or ask if the car was safe for him. And he left his knapsack (and EpiPens! and contact sheet! medical etcetera!!) dangling in my hand.  I flagged the other mom down before she drove off, and stood there, smacking my head on a reality.

Okay. So the kid is not a good advocate for himself right now. I understand why, and that understanding may be useful, once my blood pressure drops back down. I can see how the urge to socialize, to blend in is trumping any sense of responsibility (need?) to be safe. It's not even a strong need right now, really, since he's been safe for so long that he's forgotten what it's like to have a reaction, a bleed, or who knows. He's been swimming happily in the class' social currents, and now doesn't want to be fished out, or even slowed down in order to be some mom-determined concept of safe. Good grief. In keeping my child safe, I've put him at risk?

really? ack?

I can just see the little LED headline strip scrolling around the inside of his skull: ALLERGIES NOT THAT BAD...KID LOSES ALLERGIES, PARENTS NEVER NOTICE...IMMORTALITY GRANTED TO FIRST GRADER, FRIENDS CELEBRATE WITH PLAYDATES AND PEANUTS... 

Please, please let this be a phase. (of course it's a phase. I do know that. And yet, please please please please) I don't want to think too much about a future for a child who is this medically challenged *and* problematically impulsive. I will if I have to, of course, but I just don't wanna. And, I can't help remembering a story the child told me about the last time that the grandparents babysat for a weekend:

Oh, yes, the Grandparent let the Toddles pet a dog.* And he didn't clean him up, after. But he DOES know a thing or two about allergies, you know. [pause] But I did tell him that the Toddles is allergic to dogs. [thoughtfully] I guess he's not, anymore.

It would be unfair to blame the Eldest's lack of caution? fear? internally monitored responsibility for himself? on the Grandparental One, and I won't. But dang, that didn't help the stew bubbling away in my psyche.

Sheesh. 

*the Toddles is, of course, allergic to dogs. And cats. And feathers. This is hardly news.
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