Thursday, December 13, 2007
Smack Talk in the ER
The other night this patient in respiratory distress rolled into the ER around 11pm. This is during the three glorious hours when my 9p-7a shift overlaps with the 2p-12 midnight doctor and there is actually double coverage with two docs in the ER. I grabbed the chart and went into his room listen to his lungs and find the paperwork sent form the nursing home to try to figure out which meds he needed acutely to fix his breathing. I decided he was probably a mixed clinical picture with both CHF (congestive heart failure) and COPD (chronic obstructive pulmonary disease) contributing to his breathing problem, and I barked out a slew of orders to treat both.
I walked out of the room to chart all of my orders, and I saw my newest colleague and Gill the charge nurse standing there smirking.
"What?"
Dr. H was egging me on. "I was just telling Gill that I've never seen you intubate," he said with excited anticipation regarding what he thought was about to happen to my patient.
Gill was quick to get my back. "Oh she's good. She's good."
I just sat there and charted and said "No sweat."
I went and checked on the patient's breathing again, and Dr. H was still watching with baited breath. I couldn't resist... "Intubating's easy. You haven't seen me intubate because a good doctor can save a patient from intubation by fixing him."
"Oooooh. Touche." He feigned a slap across his cheek. The nurses laughed.
Nothing like a verbal bitch-slap to relieve a little tension. And damned if the patient didn't get better, and, yes, avoid a tube down his throat, shortly thereafter. Maybe I should talk a little smack more often.
Thursday, December 06, 2007
'Tis the Season
Monday, November 26, 2007
Our Family's First ER Visit
Graham had one of his typical little accidents... lost his balance, bumped his head. I didn't actually see it. Cole and Graham and I were all in the hallway upstairs and they were doing their "super speedy" nightly race up and down the hall before winding down for bed. There was an empty pampers box in the hallway, and Graham kept climbing into it between races and then tottering over. The last thing I saw was him pushing his Pampers box into his bedroom. About thirty seconds later I heard a wail and found him on the floor with his feet in the pampers box and his head up against his changing table.
I picked him up and loved on him, but he didn't stop screaming, which is really uncharacteristic since usually he's so tough. So I tried laying him down in bed with some blankies and he STILL didn't stop. By this time Dan had made his way upstairs to see what all the raucous was. When he picked up Graham and held him, I saw the back of his head for the first time and noticed a spot in his hair that looked wet.
I did what any trained ER physician would do... I totally freaked out. "Oh my God!! Is that BLOOD!!!" Let me tell you, it is an entirely different ballgame when it's your baby who's bleeding. I was definitely not the doctor who can take care of mangled trauma patients. I was just a frightened mom, and I couldn't even approach his head to inspect the injury without feeling overwhelmingly nauseated. I was so paralyzed by my fear of how bad it could be that Dan had to step up and take the first look.
Fortunately, it was just a simple linear laceration, about 2 cm long. It was gaping open so much that there was no way that sucker was going to heal on it's own. So we threw some sneakers on him and a coat over his PJ's and I took him into my ER for some staples (yes, that is the standard of care for scalp lacs).
I called ahead to tell them I was on my way and even though the ER was SLAM busy with people waiting for hours on end, Graham and I waltzed in and were whisked to a room that they had reserved for us. Aaahhh, one of the few perks of my job. We were in and out in about an hour.
At first he thought his ER visit was great. He was making friends and running around like a little wild man. At one point we were playing peek-a-boo through the exam room curtain and he ran full-force into the curtain thinking he was going to run into me on the other side; Instead he slammed head-on and full-speed into the metal stretcher with his forehead. That made another big hematoma (goose-egg) smack dab in the middle of his forehead, and it was the beginning of the end of his good times in the ER.
Then came the lidocaine shot (right in the cut) to numb it up. I pinned him against me in a head lock, and he squirmed and screamed and struggled and squealed. He fought so much that for the actual laceration repair, he had to be pinned face down on his stomach. I never thought sweet little Graham had it in him to be so bad. I had to lay on his torso and control his arms and legs, and the paramedic had use two hands to control his head... just so my colleague could put the staples in. It was very stressful for all parties involved. I was all sweaty and tired from the exertion, and Graham was bright red in the face, furious and covered with tears. This is the "after" shot:
4 staples total.
The good news is the cut is healing well, and Graham has forgotten the staples are even there. He only seemed to notice the morning after when I put him on his back on the changing table. I could see him rolling his head around like he felt something weird on the back of it, but now he doesn't even seem to care. And his hair is even long enough to hide the row of staples, so all is well.
Tuesday, November 20, 2007
Book Nazi
The child is relentless. There are books everywhere in this house, because I wanted to encourage a love of reading, but I never anticipated this overwhelming response. No matter what I'm doing Graham is always chasing me down, book-in-hand with a little persistent scream. "Abuh! Abuh!" (translation = "A book! A book!") He'll follow me and whine until he gets to sit in my lap and I finally open the book for him.
If I'm reading Cole one book and Graham has a different selection in mind, he will come over and try to slam Cole's book closed, throw it on the floor and hand me HIS book in it's place. You can imagine that goes over REALLY well with Cole.
He has his favorites and he'll demand the same book over and over and over again. "Agaih! Agaih!"
At one point his demands continued so persistently despite Dan's attempts to engage him in a nice game of catch with his brother, that Dan finally laughed and said, "Son, put down the book and pick up a football already!"
Someone is definitely his Mama's child. I couldn't be prouder!
Saturday, November 17, 2007
Tough Love
The other night a 70ish year old woman who had spent her career working for our local cardiologist's office came in with a really good story for chest pain of cardiac orgigin. She knew all of the cardiologists that cover our ER, and I assumed (stupidly) that she knew the ins and outs of a chest pain work-up. The history (what a patient tells you) is key in deciding how to proceed with a chest pain complaint, and this woman told me all the classic symptoms of cardiac chest pain, probably unstable angina. So I told her I was going to proceed with a high level of urgency, talk to the cardiologist on call, and probably plan on admitting her. She seemed sophisticated enough to comprehend all of this.
So I left her and ordered all the necessary medications, lab work and x-rays, and then, because it was already 12:30am, I decided to call the cardiologist and have her admitted to the hospital based on history and risk-factors alone, since I knew the cardiologist wouldn't want to hear from me at 1:30 or 2am when all of the test results come back. It was a slam-dunk admission, especially when I mentioned that the patient is the woman who worked in their office for years and years. So I filled out the admission paperwork and went back to give the patient a prompt update, assuming she'd be pleased at how expeditiously everything was handled.
"Mrs. H, I talked to Dr. B and he is going to admit you to the hospital because of how concerning your chest pain is tonight."
Well, damned if Mrs. H didn't go postal on me. She couldn't stay.... She had to go home and take care of her husband.... She didn't understand what about her chest pain was so concerning... Why couldn't it be done as an out-patient?.... blah-blah-blah. It was the same initial response most people have when they think they're just coming to the ER to get told there's nothing wrong with them and get discharged, but then their doctor tells them they have to stay.
Problem was, Mrs. H apparently thought her career as a cardiologist's secretary made her more qualified than me to decide what she needed. "I'm not staying." Then she proceeded to drill me about why her chest pain was so urgent. I tried to play along and re-hash all the eliments in her history that were concerning, and she fought me tooth-and-nail on every miniscule point... even denying some of her initial history. "I never said I was nauseated!" she snapped at me. Why the hell do people come to the ER when they're not going to listen to what the ER doc has to say?
Finally, she wore out my patience. When someone is threatening to leave AMA (against medical advice) and they have an emergent and potentially lethal medical condition, you do what you have to do and say what you have to say to try to get them to stay. I could have said "Whatever you want," and given up and walked out of the room. But, no, I fought for her well-being and I fought to get her to stay. And, yes, I was stern and, yes, I was threatening, i.e., you could DIE if you leave here tonight! I can count on one hand the times I've played the Yale card with patients, but she was so incredulous of my decision-making that I finally said, "Look, based on my education and experience, you need to stay. I know I look young, but I have a degree from Yale Medical School and I'm residency-trained in emergency medicine. I know what I'm talking about."
And damned if the stubborn old bag STILL would not consent to stay. So I just told her I wasn't going to argue with her and left the room, leaving her family members in there with her to hopefully convince her not to leave AMA.
It was a busy night and I had plenty of other patients to keep me busy. I optimistically kept the orders for Mrs. H's care active and went about my work. About an hour or so later I looked up and saw Mrs. H's daughter at the desk and I dashed over to get the scoop. "Is she going to stay?"
Well, according to the daughter, Mrs. H was, in fact, going to stay, but she thought I was very rude. Rude? RUDE? Excuse me for trying to save her life! I told the daughter, "Whether or not she thinks I'm rude, the important thing is that she's going to stay, and as long as she IS staying, I was effective."
But it really bothered me that this woman who, as my luck would have it, knows every cardiologist in town, thought I was rude, because normally patients love me. I'm not used to getting that kind of feedback.
I went about my work again but it kept eating at me and eating at me.
Finally I went back to Mrs. H's room and said "I've come to make nice. I'm sorry if you thought I was rude, but I was concerned about you and I didn't want you to leave here and die."
The stupid old bitch STILL wouldn't come around. She gave me this pouty nasty face and said in a condescending way "I accept your apology," in a way that was all too clear that she was going to hold a grudge to her grave.
Great, she hates me. This is what I get for trying to get her to do what was in her best interest. Sometimes you really can't win. Tough love is hard.
Son of Spaz
The other day I thought I was doing a great job of working with Cole on the football pass. We were throwing the ball back-and-forth and I kept coaching him to "keep your eye on the ball." Well, be careful what you tell a two-year-old...
Next thing I know Cole catches the ball and proudly exclaims, "Mama, I'm keeping my football on my eye!" Then he puts the football LITERALLY right on his eye like an eye-patch or a telescope, and he flashes me his proudest smile before he tosses it back to me, like that's how the game is supposed to be played.
Yup, that's definitely MY son.
Monday, November 12, 2007
Tough Little Dudes
Today was flu shot day for Mama, Cole and Graham. The boys had no idea what was in store for them. I told them we were going to the doctor's office to see the turtles and get a flu shot, and since they don't know that shots are painful, they were just excited about seeing the turtle tank in the pediatricians office.
I'm supposed to get my flu shot for free at work, but I decided it was worth it to pay $30 to get mine with them so they could watch me before they had to do it. "First Mama's gonna get her shot. Then Cole will get his, and then Gi-gi."
Cole ate it right up, since he loves to do everything that Mama and Dada do. So I stood there and got my needle and the damn thing HURT. (In fact, my arm is still burning and aching as I type this.) I smiled and said, "Oh, a little pinch," so they wouldn't be completely caught off guard that shots involve pain. Then I got my festive kiddie band-aid.
"Now it's my turn?" said Cole excitedly after watching the whole procedure.
"Yup."
Cole eagerly climbed up on the table and got all ready. I held his hands as she plunged the needle into his thigh and told him it might hurt and he could cry if he wanted, and damned if it didn't even seem to phase him. He just sat there and watched the needle go in, watched the band-aid go on, and then jumped off the table. Not one whimper or peep!
"Yay Cole!" He was soooo proud of himself.
Then little Graham, who wants to do everything Cole does, climbed right up on the table just as eagerly. And damned if he didn't even whimper once. I could tell it hurt, because he got a pissed off look on his face, but that was about it.
I looked at the nurse in disbelief, "Did they get the same shot I did?" She assured me they did. And, really, I don't understand how they weren't screaming in protest, because that shit was PAINFUL. Even the nurse remarked that it was really rare for kids not to cry. She was going to brag to her colleagues that she had just given two shot without tears!
And now it's my turn to brag: My sons are TOUGH. It really was amazing.
I was so impressed that I took them to the toystore immediately after and let them pick out two new toys. They earned it!
Friday, November 09, 2007
For Dada, kid-at-heart.
Yeah!
Oh, you know already! What?
I dunno....
Dada's Birthday.
No... MY birthday!
Yes, that's coming soon too... after Christmas, but Dada's birthday is before Christmas. So, Cole, what kind of birthday present would you like to get Dada?
Blue!
Blue what?
A blue present!
Oh.... a present wrapped in blue paper?
Yeah!
What do you think should be underneath the paper?
A box.
Yup. Good idea..... And how about inside the box?
Ummm... How about a T O Y ? !
Wednesday, November 07, 2007
I'm here!
HERE.
And of course we had all the usual October festivities like Halloween
with cute costumes
and candy.
Our little Pooh (Graham) just made himself at home at each house he visited. He walked right in to each and every foyer and tried to keep going like he lived there. At one house he shut the door behind him, leaving me on the front porch with my two kids inside!
The boys are doing great. Graham is talking now: He'll say "Again!" when he wants a book repeated, "Bubble Bath," "Dora" & "Boots," and he surprised me with "Paci" the other day. Of course he says "Mama" and something resembling "Dada" (but sounding more like "Nana") and lots of others, including some colors. His favorite word by far, though, is "DOGGY"! He is a HUGE animal lover and squeals with glee when he gets to play with our two corgis, Savin and Winston. He has learned to give the sweetest little kisses on command, too. He's our sweet baby!
Cole is a pistol. He is getting more and more independent and he wants to do everything "all by myself." He loves to do anything he sees Dan or I doing... even housework! About a month ago he got put in time-out for misbehaving and he was PISSED about it. When Dan went to check on him, Cole was standing in time-out with a pouty little stance and looked up at him defiantly and snapped "DOUCHE BAG!" at Dan. Like father, like son. Since then Dan has curtailed his language around our little imitator.
I'm going to try to do a better job blogging their day-to-day memorable moments because the things they do and say are priceless.
So, those are the whirlwind highlights of the past 3 months... presented at the only pace appropriate for this family -- really, really FAST. I will say one thing, though...
It's NEVER boring!
Saturday, July 28, 2007
Saving that anatomy lesson for later.
The other night Cole was running around naked while I was bathing Graham, and I heard it: "Mama, I got a boo-boo."
I looked up at him and he was standing there staring down at his bare chest. He had found his little nipple.
In an effort to keep him from being the only little pervert at daycare who points out his nipples on the changing table, I decided not to enlighten him and kept my mouth shut.
A few seconds later: "Mama, I got another boo-boo."
For now, as far as he is concerned, he'll always have a pair of "boo-boos" right above his belly.
Tuesday, July 17, 2007
Cole vs. The Crib
This past Saturday morning Dan went to wake him up and he was in his room with the light on pulling his toys of his dresser. When I went to wake him up that afternoon, he was standing on the nightstand flicking his light on, having just escaped the crib, looking particularly proud. Since then, if he wakes up in the morning or after nap before we go in his room, he climbs out, turns on his light and starts playing by himself.
I was dreading this milestone for so long, fearing that we'd put him down at night and he'd get himself right back up, or that he'd wake up and open the door to his room and go roaming all over the house. So far it's not as bad as I feared.
The next step will be converting his crib to the toddler bed configuration (you can get an idea at the link). Then I will be REALLY impressed if he still stays in bed at night and doesn't come out of his room in the morning.
So far so good. Keep your fingers crossed!
Thursday, July 12, 2007
"Don't talk to my son that way!"
A week ago today the boys started their new daycare by our new house. We chose the place with the not-as-nice physical facility but with the very convenient location and warm attitude and environment (at least that's what I thought when I toured it). It was an angst-filled decision, and an even more angst-filled transition.
It's been a rough week, which was to be expected, since we pulled them out of the place they'd known since they were each 2 months old. Yes, I expected them to cry when they were dropped off at a foreign environment, but I also expected someone to give a shit and pay attention to them!
If they ever cried at drop-off at the old daycare, they were cuddled and loved on until they forgot about Mama leaving. Not so at this new place: The first day I had to literally tell the teacher in Graham's room that she should pick him up and hold him until I was out the door.
Dan and I have been literally having to drag Cole in from the parking lot, and then once inside his class he claws at the door to get back out. (This from a child who would happily run right into school and start playing before.) Tuesday he came in screaming and upset and neither of his teachers even acknowledged him. It wasn't until he got about a foot away from the one teacher with his pathetic wailing that she casually said "Oh Hi Cole." I left and he was wandering around crying getting no attention. It took every ounce of restraint for me not to gather him up and curse them out and take him back home with me.
Today takes the cake, though. Today he did a little better and willingly went into the classroom and didn't cry until he saw I was leaving. I kissed him and left and then went back to the door to spy to see how he did. They got a chair for him and sat him at the table for art. All the kids were gathered around getting moons and stars with glue on them, but the bitch at the table was handing them out like it was an assembly line, not smiling, not talking to the kids, not teaching the kids.... just gluing white moons on the blue papers in front of them like she was miserable. Cole continued to cry and call for me from his chair. He had Terence the tractor with him and was clutching it looking generally pissed off. I think one time the teacher acknowledged him by saying "Mommy will be back for you," but no affection and no real re-assurance.
Finally she looked at him and threateningly snapped, "Do you want me to take your toy away?"
Cole just looked at her with his big sweet blue eyes, half-shocked / half-afraid and said "noooooo."
"Then CALM DOWN!" she snarled.
Then, she quickly jerked her head toward another little boy who wasn't sitting at the table but was over playing with some other toys. "And YOU GET OVER HERE!"
Nasty bitch.
Cole stopped crying, but he wasn't happy.
I went to the front desk where the director is, and I immediately voiced my concerns. The director did not share my level of concern. She gave me some "blah, blah, blah, we'll talk to her" kind of answer. At that instant nasty bitch herself came out of the classroom for some more glue and I took the opportunity to tell her, in a nut shell, that nobody talks to my son that way. When he is upset and trying to adjust to a new school he does not need to be threatened; he needs positive reinforcment and affection.
I looked at the director after my confrontation for some back up, and she didn't have too much to say. The assistant director said something along the lines of, "If we need to address some things to make you feel better, we will." Make ME feel better? Like I'm the one with the problem? PLEASE!
I went back and spied through the door on the boys one more time to make sure everything was kosher, then I stormed out, got in the car, broke down crying, and called Dan. When Dan got wind of what had happened he called the director and reamed her a new one. Good ol' Dan... I can always count on him to be "the enforcer" when someone messes with me or the boys.
After an hour working out at my new gym I was a little calmer and more composed and decided I'd check on the boys one more time before going home to go to sleep (since I work tonight. Trust me, if I weren't working all night and didn't need sleep right now, Cole would not still be there with Ms. Nasty Threats.)
I went back into daycare and the director just looked at me. I matter-of-factly told her, "I'm just stopping in to see how everything is going with them," and walked by towards their classrooms to spy on them again. I want everyone there to know that I am going to be dropping in and out keeping tabs on everything until we can find a better childcare alternative.
I spied some more, and both boys were on the playground. Ms. Nasty was telling all the kids to stop touching the "dirt", which really is playground mulch, composing the ENTIRE playground surface. Everytime a kid bent down to touch it they got "corrected." She was civil about it, but PLEASE... the mulch is everywhere. If you don't want them touching it, put down grass. Cole was filling a dump truck up with the mulch, and he was looking at her with his "guilty" face, like he was waiting to get yelled at. She didn't actually yell at him... maybe I got through to her. He had made his way to the slide by the time I left and seemed okay, but just not HAPPY.
What infuriated me even more though, was that after the scene this morning, when I stopped there the second time, the director didn't say one word to me. She let me walk in and out without addressing the big elephant in the room, which was me being back there because I was so worried about my babies.
Undoubtedly she thinks we're "difficult," and maybe she wants us to disenroll our kids. But we're no strangers to daycare, and we don't have unrealistic expectations... because the last school was able to take care of Cole and Graham in a way that met our expectations and we never had to be difficult. I'm going to keep being difficult until these people become competent.
Meanwhile, I think the time has come to consider a full time nanny. At least until they get into where I initially wanted them to go, The Cedarhouse School (where they've been on the wait list since February).
It almost makes me want to quit my job and take care of my kids myself.
Wednesday, July 11, 2007
"Gi-gi pick my pee-pee off!"
"What?" I demanded to know what was so funny.
"Look!" pointed Dan.
I looked down into the tub -- Cole was looking very pissed off, and Graham was very intently pulling on Cole's little wienie.
"Tell Mama what's the matter, Cole."
"GI-GI PICK MY PEE-PEE OFF!" he whined.
I had to laugh. "Pick it up? or Pick it OFF?"
"OFF!" He wailed. "GI-GI PULL MY PEE-PEE OFF!"
When Cole noticed that Dan and I were too busy laughing to take care of the situation, he took matter into his own hands. He turned to Graham and assumed a very authoritative tone and shook his pointer finger in Graham's face. "Graham Daniel Simons, NO-NO!" he scolded. Then he looked at Dan and I and shot us his proudest grin, pee-pee intact and all.
Tuesday, July 10, 2007
4th of July at Oma and Opa's
I need a vacation to recover from my vacation... not to mention some serious dieting after all the excellent home-cooked meals. Graham agrees!
Monday, July 09, 2007
Top 10 Chief Complaints (minus 1)
1. "My toe is swallowing."
2. "A spider crawled across my arm earlier today and I want to make sure it didn't bite me."
3. "I had sex with a hitch-hiker and need an STD test."
ALL IN ONE NIGHT!! I kid you not. I couldn't make this stuff up.
This rounds out a list of Top chief complaints that I've been accumulating -- all real patients from my ER:
4. "Feeling Overwhelmed"
5. "Buttock Laceration"
6. "There is stool in my vagina."
7. "Pregnant, Vaginal bleeding & Cramping. Fetus noted in bed pan."
8. "My Cooter Hurts so Bad."
9. "Every time I pee out my peterpecker my peterpecker hurts."
When I get the 10th one I'll let you know...
Stay tuned!
Monday, June 18, 2007
What's that smell?
So, always trying to increase his vocabulary, I've started explaining to him, "Oh, you PASSED GAS."
The other night Dan forced out one of his huge, offensive Coke burps and Cole looked up and commented, "Dada pass gass out his mouth." So I thought the "pass gas" terminology was sticking.
Until the other day...
Cole and I were sitting in McDonald's having lunch together and I smelled shit eminating up from his crotch. There were people at the table next to us, and I figured it wouldn't be long until the stench wafted over to them, so I tried to be pro-active and address any diaper-changing needs before the smell was too widespread.
"Cole, did you poo-poo?"
"No, just pee-pee."
I leaned over and checked his diaper, and, lo and behold, it was clean. Noticing how perplexed I was, Cole explained, "I farted."
"What did you say?" I was horrified. This was not the vocab term I had hoped for. I didn't even know he knew what a fart was. What happened to "passing gas"?
"I FARTed," he said, loud enough for all the surrounding tables to hear.
Next time I'll just let the smell of shit waft up from his crotch and leave it at that.
Wednesday, June 13, 2007
Opa's Song
Sometimes he mixes it up and yells "Mama's song," at which point I play My Wish. Sometimes he yells "Dada's song," at which point I play Higher. But his favorite is "Opa's Song." Now he will yell "Hail! Hail!" both when it plays and sometimes randomly when the song is not even on. I think we might have a future Wolverine on our hands!
Tuesday, June 12, 2007
Moving Up, or Maybe Moving Out
The day care dilemma is a hard one. They are both still in the phenomenal Goddard School right by our old house, the one they've been in ever since they were each 6 weeks old. Not all Goddards are the same, but this one is award-winning and we've loved everything about it. In February when we put the contract on our new house, I began my tour of high-end day cares near in our new part of town. There are two other Goddard Schools near us, but neither of them are as good as the one they currently attend, which is now a 30 minute drive one-way. On my tour of the Goddard house right up the road I saw a number of warning signs: a teacher yelling at her class, an infant room teacher (who would have been Graham's) who was condescending to me beyond belief, one classroom where only one teacher was in the room when there were supposed to be two, art gone wild in another room - with no art smocks and purple paint consequently all over the back of this kid's light pink shirt, no windows low enough for little eyes to see out of, and no bathrooms in any of the rooms (kids have to leave the rooms to go poddy). The other Goddard was farther away and didn't really get me excited. I also toured a nearby PrimRose, but that was too, too rigid, i.e., "We pride ourselves on being an ACADEMIC center." Give me a break! They are babies! My FIRST choice is The Cedarhouse School, an independent place started by a mom who didn't feel like any day care was good enough for her kid. When you walk in the classrooms, you feel like you're in a pottery barn kids catalogue. And both kids and teachers are happy. It was like a little day care utopia. They have a big beautiful gym and bring in private companies to do their classes there, so you don't have to haul your kid around trying to get him the same experience. They do foreign language. They do it ALL! Problem is, there is a KILLER wait list and I don't know if and when I'll ever be able to find two baby spots.
So, I'm stuck with two kids in a great school that's 30 minutes from our new house and am spending too much of my life in the car. Yesterday I kept Graham home with me to have Mommy-and-me day, and by the time we dropped Cole off and then picked him up later on, Graham had been strapped in the car seat for two hours on a day that was supposed to be his fun day.
So I looked a little further and found this day care called Chesterbrook that is literally 4 minutes from us. And, even better, they have spots for BOTH boys right now. It was recommended by another doctor at work who had his kids there and LOVED it. I have incredibly high standards, because nothing is more important than my kids. I went and toured it and the physical facility fell short of my expectations (everything needs a new coat of paint), but I liked the attitude there and I liked what I saw happening in the classrooms. And I like that we'd have TWO LESS HOURS of travel time, and the boys would be right up the road from us if they got sick (which they often do). And... they are open earlier in the morning and later at night. AND... they provide all meals (breakfast, snacks, beverage and lunch), which would save me 3o-40 minutes of chopping, bagging, labelling food and packing up their breakfasts/lunches at night. Basically, I like it because it's convenient for me... which would translate into a better home life and more of it for them.
Dan is going to look at Chesterbrook tomorrow to give his opinion. It is such a dilemma. Do we want them close for better quality of life at home for all of us, or do we drive all over God's creation for maybe a few more amenities that they may not even notice? The other thing is that when they turn school age, all the other schools in question do not even provide buses to their elementary schools. But Chesterbrook will bus them to and from their elementary school when the time comes. I'm thinking maybe enroll the there while we wait for something to open up at The Cedarhouse. Then, if and when they get spots at The Cedarhouse we can re-evaluate (the drawback for Cedarhouse is that it is a good 15-20 minute drive, better than what we are doing now, but still not quite ideal.. and they won't be able to bus when they become school age).
I feel like a high-end day care connoisseur. I know what all the pros and cons are at each place but I still can't make up my mind because no place has it all and it comes down to what's more important. Anyone have any advice? It is such a difficult decision and has been more agonizing for me than deciding what house to buy and what job to choose. I'd love to hear any helpful insights!
Monday, June 11, 2007
32 and damn fine
So, we had our big night out with a our favorite local couple, the Thackstons. For a few glorious hours I was not a doc and not a mom but just some chic boozing it up a bit. We went to a new hotspot in town, Can-Can, for some French food, then we walked down Cary Street to Bev's for some hand-made icecream. Then we took the party back to our house so the babysitter could leave and we had some more drinks on the deck while the kids slept. My last two birthdays have not been particularly festive, so it felt GREAT to CELEBRATE!
I got exactly what I wanted for my present -- another "Cole & Graham" necklace. I got one for Christmas and I wear it everyday to keep my babies close to my heart. I asked for another one so I can mix up my colors a bit. Great gift for all the moms and grandmoms in your life, by the way!
Birthdays are AWESOME!
Sunday, June 10, 2007
Stepping out, Speaking out
Graham took his first unassisted steps last weekend. I thought his first two little steps on his own were from the chair to me, until Dan came down to the playroom shortly after and corrected me when I prouldy announced "Graham just took his first steps to me!"
"Oh... he took a step from the coffee table to me a few days ago."
You'd think MAYBE this might be something worth mentioning when it happened? Not until I tried to take credit for being the target of Graham's first steps did Dan claim that honor. That's okay, we'll give Dan that one, since overall Graham is a Mama's boy.
Then this weekend Graham REALLY got his confidence and has been taking 5 or 6 steps at a time. It won't be long until his little baby walker is retired!
Speaking out.
Cole is constantly being reprimanded and put in time-out for for hitting, kicking, and pushing down Gi-gi. But Graham LOVES Cole and continually goes back for more. The other day Cole was standing near where Graham was hanging onto the ottoman and Graham transferred right over to Cole and started hanging on him.
"No! Gi-gi!"
"Cole, what?"
Cole looked up at me and pointed at his little brother and tattled on him for the first ever time in the most pathetic little dramatic whine: "Gi-gi push me!"
And so it starts...
Sunday, June 03, 2007
Happy 1st Birthday Graham!
Saturday, May 19, 2007
I eat Gi-gi arm.
"Cole's in deep doo-doo," Dan reported.
"What did he do now?"
"As they were both waking up from their naps, I put Graham in Cole's crib with him and let them hang out together while I went and peed really quick in their bathroom. I was only gone for a few seconds when I heard Graham crying."
"Uh-oh. Why?"
"I went back and asked Cole what happened and he said 'I eat Gi-gi arm.' I looked and saw a big nasty bite on Graham's forearm. He even broke skin in one place. When Cole saw how upset Graham was, he started crying too. I had to give him a 'no-biting' talk."
When I got home from work, sure enough, there were three sets of Cole's teeth imprints up Graham's forearm, like a little snowman. The last one looked like it hurt -- with brusing and a scab.
Apparently, Graham is too sweet for his own good! What a trooper!
Thursday, May 17, 2007
First Family Beach Trip
Cole, always wanting to be like Mama and Dada, commandeered our beach shoes when we took them off, and did a surprisingly good job of walking in adult-sized flip-flops. So I bought him his very own first pair of toddler flip-flops. They are the most impractical purchase ever, because they don’t stay on his feet too well and he is continually giving me his trademark "I need heeelp" when he wants my assistance putting them back on. But he was so proud to wear them each time we walked to the beach that is was worth it.
The most endearing thing Cole did the whole trip was randomly and without solicitation start belting out "My Wish." I do sing this song to him sometimes, because it is the perfect parent-to-child song, and I guess he's been paying attention. One night while everyone was hanging out, Cole just sang out the first line, "My Wish...."