I had a great weekend. Nothing truly spectacular happened. I, for the most part, tucked the blog away in my top drawer. I wasn’t on call and didn’t connect into my clinic computer. I tried to be really present with all 3 boys in my house.
I played with my kids. We did the typical things that dress up weekends for normal people: errands, a grocery store trip, naps, dinner, test drove a car, met friends and their kids for lunch, met friends and their kids for dinner, went to IKEA, had dinner with grandma, took out the recycling, rearranged the living room.
Usually, that little “trip to IKEA” sandwiched in there would be a back/mood/weekend breaker. This time, no.
In the midst of this wholly normal yet stupendous weekend, I had mentioned to a friend how F was having a hard time with the concept of single digits forming greater numbers, especially in the teens. That is, he can count pretty easily from one to fifty, but when I point to the clock and ask what time it is, he says “seven, one, three.” Read full post »
Welcome to wait list country. That sounds like some bad pick-up truck ad. But it’s true; Seattle is known for mountains, water, coffee, grunge, rain, evergreens, and the Space Needle. And then as it turns out, wait lists. I know what it feels like being stuck on a list. Hip deep stuck. Somewhere between the Andersons and the Steins just above the Grahams on page 6. Buried with no chance for arrival or survival.
The wait list: are you on one of these lists? Is your equivalent w-e-n-d-y-s-u-e-s-w-a-n-s-o-n spelled out and nestled nicely on some school, pool, or horseback-riding list? I think about these lists a lot more now that I have two kids. I generally let all people involved (the kids, the husband, the babysitter/nanny, the MIL, my own mother) down due to my inability to follow through and get on the list, let alone get off the list. Any list. I know you turbo moms and dads out there are really good at this. For me, it’s usually well after the list is formed, a true tardy, and only with 3 people telling me about an activity, that I get on the list. Precisely why I’m at the bottom, I suppose. Read full post »
I had the fortune of seeing Dr Atul Gawande speak last week in Seattle. Truth be told, I entirely invited myself. I heard there was a group from the hospital going and I begged my way in. I sat in the corner. Flashbacks to finding a seat in the junior high cafeteria. I made it through and forgot all about the awkward act of my self-inviting and seat-finding by the end. Despite my disrespect for Ms Manners and my loud mouth, my pushy ways afforded me the opportunity to witness a leader in medicine.
I enjoyed what Dr Gawande said about his work in using checklists to ultimately decrease complications and death in the surgical setting. I have read Dr Gawande’s books (or parts of them, I admit) and many of his articles in the New Yorker (whole thing, thank you). I marvel at his skill and ease of writing, his ability to translate complicated problems and make you feel like you thought of them yourself due to their apparent simplicity. His assertions, however, are not simple. It’s just that his skill in expressing his position, explaining the breakdowns in the system and offering opinion wed with solution puts us all at ease. His article, The Cost Conundrum, remains one of my favorite articles of all time. I have read it numerous times and think about it when caring for children on a weekly basis. He has affirmed the way I feel about over-testing in medicine. As I have said previously, in pediatrics so often less is more. Read full post »
Twenty Ten, Two Thousand Ten. However you say it, we have arrived. Welcome back to school days. The rigor of productivity. We had the tantrum of the century this AM at our house which we’ve decided to include in our new in-home, Swanson special list of “mega-tantrums.” In medicine, mega is inserted into terminology as if to clarify like in, “mega meatus.” Translation: a big meatus. Re-entry to real life is mega-tough stuff. In the hope that we can continue to live out our previous week’s break from the route schedule that is upon us, I’ll hit rewind and go back 3 days. Read full post »
Sometimes good health feels like magic. Lately more than ever. I’ve had a number of friends and family diagnosed with serious medical problems and medical set-backs in the last few weeks. Like patients that I have been fortunate enough to care for with serious illness, it scares me, makes me sad, sometimes wakes me up at night. These episodes in illness are disorienting to the order of things. These diagnoses, uncertainties and realities are especially weighty this month amidst bags of gifts, holiday music, lit trees, and piped-in joy. Fear amidst cheer. Ultimately, these diagnoses and fears feel really real and make the rest of life blur. I suppose I just feel more angular, vulnerable and then compassionate right now. Ever-aware of the good health that surrounds me, too. Perspective defined. Read full post »