This Is Why I Drink

Yesterday was Monday and I got up for work. I put together food for Todd to take to work to get him started on a healthy diet and weight loss. It wasn’t a stressful morning. I even made him breakfast. We had a snow event Saturday and Sunday so we stayed in all weekend and cooked stuff and V’s dad brought her home for school yesterday so I wouldn’t have to drive in bad road conditions the night before.

Time to leave for work – completely flat tire on the rear left. Thank God Todd was still home so he fixed it and I was only 10 minutes late to work.

I was on phones yesterday in the morning. It’s January. EVERYBODY and their child has something. This week’s special: vomiting, diarrhea, and ear aches. I’m not mentioning the lingering cough we’ve all been reading about because, let’s face it, it’s now part of the regular menu.

Here follows an excerpt of my morning calls, or, what you shouldn’t do when calling your pediatrician’s office.

First difficult call of the day: I had to conference in a translator so I could register a new patient in Spanish. Patient is in his teens. We still accept new patients up to age 16, but Spock would say it’s illogical to go to the trouble of transferring in for only two years.

She wanted to schedule a well visit for him. Now. We need to have records in our office before we can schedule any appointments. I explained this, as well as the fact that we are scheduling well into March, April, and May. What? Oh no! He needs it NOW. She went on and on in Spanish for several minutes, because she was told by our office in November that she would have to call back in January. Ahem. NO ONE could possibly have told her that, because – need records first, then can schedule. Someone clearly misunderstood. She wasn’t backing down. Several more minutes of Spanish where I was able to pick out a handful of words which I shouldn’t have done because it made my head pound. Finally, I gave up engaging in this back and forth, since it wasn’t going to change anything. She still has to bring records in, she still has to change us to his PCP on her insurance, and we still DON’T HAVE ANY APPOINTMENTS BEFORE MARCH. Longest phone call ever, and it was still barely 10 a.m.

Next up: mom calling for a referral. That was the easy part. Then, both her kids needed well child visits; they’re due in February, and… SEE ABOVE. And – she wanted them both seen at the same visit. Easily spent 20 minutes on the phone with her trying to find a time for both children to be seen, NOT with their usual provider because that just ain’t gonna happen if she wants them together. Said she’d take any provider, but not the nurse practitioner (who has appointment availability sooner) because one child has “issues.” Found her an appointment in April with someone, and she happily took it. It just took forever to end this call.

Finally – and believe me there are several more I’ve blocked out – a dad called and wanted his son seen TODAY. By this time, we were completely booked and so I offered to have a nurse call and advise/direct him, or he could go to urgent care. This was before lunch.

Should I take him to the ER instead? That would be your decision… I’m not clinical so I’m unable make recommendations on that.

Well, can you schedule him an appointment for tomorrow?

I’m sorry, I cannot pre-book sick appointments for the next day. I can have one of our nurses call you and advise you and/or we recommend going to urgent care. Or, you can call back tomorrow morning and be scheduled then.

Well, who does the scheduling? I do, and nurses will schedule sick patients who need to be seen.

So why can’t YOU just schedule him for tomorrow?

I am not able to pre-book sick appointments for the next day. But again, I can have a nurse call you and advise you.

Where is urgent care? Will they take my insurance?

There is ******* in ******* or the CHOP urgent care location opens at 4 p.m. YOU will have to check with your insurance about coverage.

Well, can I speak to a nurse?

Absolutely. I will have her call you. What are your son’s symptoms?

He’s been vomiting and has diarrhea.

For the record, I always end my calls with a big smile, hoping against hope that it is felt through the air waves that I am very pleasant and not the least bit annoyed with difficult people.

Also for the record, we DO NOT see patients who have vomiting and diarrhea. And, in case you don’t already know, this is a VIRUS. It has to run its course and there’s absolutely nothing a doctor can do for you. Unless you are dehydrated and unable to keep even water down. THEN, go to the emergency room. Common sense, folks!

I’m just glad I wasn’t on phones after lunch, having to tell everyone who called that we have no more appointments left today. Sounds awful, right? But, this is the way it is in the winter. Everyone is getting sick and there are only so many appointments available in a day. That we were booked by 10:30 a.m. should tell you how many sick kids are out there. Which is why sick calls are triaged… so the nurses can determine who needs to be seen or who just needs home care.

And then today I woke up with headache and GI stuff and an enormous sore on my lip, something I’ve never had like this, ever. It started yesterday at work, and slowly grew but not terrible. This morning, it only added to the issues I woke with – and it is HUGE and ugly. And, it looks like there’s another one brewing on the other side.

The kids were fighting over the washing machine last night – imagine! So these are the arguments I’m diffusing nowadays. Now they’re both doing their own wash and I’m still reeling from the shock of having more time on my hands. Even Opac has taken on the challenge of unclogging a toilet – thus, I haven’t had to do this in a while either. Who ARE these kids living in my house? Still, no one is cleaning the bathroom.

I went to the store on Saturday, which we’ve already determined is to be avoided at all costs. But, necessity boiled over. I turned up an aisle of the parking lot and sat still in my car while three different people, WHO WERE WALKING TOWARD MY CAR, took up the entire aisle. Not one of them thought to move out of my way. Todd said, I’d have blown my horn. And I said, that’s precisely why I left you at home. People inside the store are no better. The rules of the road should apply to shopping cart etiquette but clearly most of these folks missed the memo.

The animals remain constant, though. Sabra is still freaked out by gunshots (we live in redneck land where no celebration is complete without gunfire). She’s shaggy and stinky again and needs the groomer. She runs from me when I pull out the brush. She acts uncomfortable on the couch when we’re home, but I KNOW she’s up there when we’re not because I see paw imprints.

Oliver lies on the couch every day, usually right after I’ve cleaned all of his fur from it. He continues his morning whine for canned goodness, and afterward waits on the kitchen stool for one of us to turn on his video game. For reals. There’s an animated mouse video on YouTube we put on for him, and he stands on the counter and bats at these mice like Rocky Balboa. Hey – it’s exercise. At least until he tires himself out and lies down on the counter and just watches them go by.

 

Miscellaneous:

Other things to keep in mind when going to your pediatrician:

We don’t prescribe birth control pills.

Pink eye = extremely contagious. You will not be seen for that. Prescriptions are called in.

You cannot be “billed” for your copay. (Well, it does happen, but generally speaking, NO.)

Do not, I repeat, DO NOT “walk in” to the office without an appointment. And, to that end, if your child fell through a plate glass door and is bleeding in multiple places, DO NOT go to the pediatrician’s office. You need to go to the ER.

Fevers that come and go with ibuprofen – will come and go with ibuprofen. In other words, fever returns when the medication wears off? Of course it does. And there’s never a dumb question or first time parent who doesn’t worry about what seems like the smallest things. Don’t be afraid to call for the nurse. Just don’t holler at the front desk person who has parameters to follow for scheduling sick appointments.

Likewise, please don’t holler at the scheduler who can’t pull well visits out of their ass for you. First come, first serve is a real thing ya’ll.

Don’t get mad at the front desk when your ex-wife told you the appointment time was a half-hour earlier than it actually is. Also, by the same token, do not involve us in your domestic disputes. There is nothing we can do about it, unless there are court documents.

When your child turns 18, they are a legal adult. They should be transitioning to an adult provider, but until they do, please know that without your new adult’s consent, we are unable to discuss his/her healthcare with you. It’s the LAW.

Finally, realize that your child is one of hundreds of patients in a practice. We care about all of them, but there are only so many doctors and nurses, and we can’t always perform miracles. Use patience and kindness when asking for what you want, and that kindness and patience will be returned.

 

 

 

No April Fools

Today’s post is brought to you by this:

Oh my God, Trix! We were talking about what we eat for breakfast – my friends and I were talking about it – like what kind of cereal we like and Hope said she loves Fruity Pebbles and I love Trix which is really just the same thing except they’re little balls, you know? Oh, and mom – you might not get to sit with [a mom friend] on the field trip because you have to choose your bus ahead of time and she may not be on our bus. And we have to get tickets to Mary Poppins because Reena is in it and I really want to see my bestie and be there to support her. And guess who’s playing Mary Poppins?  I don’t remember what part Reena plays… I have to text her and ask. And you have to buy the tickets TONIGHT.

And this:

Opac tried to hug Veruca and she yelled at him to stoooooooop! She didn’t want a hug. His response? You weren’t held enough as a child.

Meanwhile, back in Spring Break land….

Todd got the flu. It was ugly. And then it morphed into pneumonia. After work I drove him to urgent care where they can do everything under one roof, which they did, and I’m happy (well, not happy happy) to report he tested positive for flu and pneumonia, and is currently recovering.

He announced in the car on the way there that he did NOT want to spend his entire night in urgent care, and I told him to shut the hell up that it wasn’t going to be that long and that it’s better than spending the entire next day traveling to three different locations to accomplish the same goal. And he knows I’m right, because he left there already feeling better because he was ranting about the family doctor all the way home and he’s now a fan of Patient First.

So this week is spring break at the college and he’s got pneumonia. Todd is so not the right person to get long-term illness. It’s one of the few differences between us: he is not a sitting-still person. He needs to be doing something. All the time. It’s been a week and two days, and he has watched every episode of every car show and American Pickers and Pawn Stars and Forged in Fire, and he’s pissed off.

I took him out Monday to buy a new kitchen faucet – we had a cheap one he’d installed before the renters had moved in and it corroded at the top so that when you turned it on it shot water straight out at your face. It was great. I kept forgetting and I’d turn it on and … you can picture this, right? I decided not to mention it to the kids, to see who got hit first. It turned out to be Opac, who hilariously exclaimed WTF?! It’s the little things, people.

One of my coworkers suggested putting a paper towel over the hole, since it will cling when it gets wet. Great idea! I really wanted to tape it up with duct tape. And I would have too, if I could’ve found it. And that’s another story in this great house of ours. The mystery of Where-Is-It applies to just about anything you might be looking for.

Usually it’s tools. But here’s the thing – if you know where it was used last, that’s where you will find it. Seems legit, right? Except that WE can never remember where we last used it. I am fruitlessly trying to apply that place for everything, everything in its place rule… but unfortunately it only works with those willing to play.

Anyway, Grumpy Gills got to spend the day out again on Tuesday thanks to another trip to the car dealership. My car – I swear is a lemon – there, I said it – is acting wonky again. Engine light came back on, on Sunday on my way to pick up the kids for Easter.

(Todd stayed home because, sick, and I took the kids for an early dinner at a Japanese hibachi steakhouse with my mom… because why not? V was in heaven and O decided to sleep in the car while we ate. Teenagers. I ate sushi again and I think I’m good for a few months.

I also remembered what I don’t like about hibachi places – feeling obligated to watch the show and then sit with mouths gaping like seals while the chef tries to land pieces of broccoli in your mouth. Three times. Because one sailed past my head, one hit me on the nose, and the other landed in my hair. There is absolutely nothing dignified about this.)

So anyway, the car. We sat in the waiting area while they ran diagnostics on it. The music was classic 80s rock and it was so loud I thought I was in a fraternity house. At 9 o-clock in the morning. The place was like an ant hill. People everywhere, hustling about. The waiting area sits back behind the showroom, so we have a full view of one gorgeous $72, 000 blue Cobra that was polished so bright I could see my reflection in it, and a fully-loaded F250 white king cab that Todd spent the better part of 78 minutes trying to sell me.

Given the state of the Edge, which is only a year old and has spent more time in a garage than my ‘77 Audi Fox in high school, Todd is becoming increasingly keen on trading it in. I love my car. I’d be happy to trade it in on an identical one. Todd was still pitching the merits of pickup trucks when I suggested that a) I’ve already driven two, b) I am too short to be driving something that big, and c) he can trade in the California GT if he really wants that truck. He smiled at me and then suddenly remembered that it’s been an hour and a half and no word on WTF is going on with the car, so got up and wandered back to service. I went to the coffee machine and loaded up on cup #3, which – if you know me – was not going to end well.

Nearly two hours later the Enterprise guy comes to deliver us to our loaner – a f*cking PICK UP TRUCK – because the dealer needed to keep our car. The entire ride home Todd is all, how great is this… this truck runs so smooth… and I’m all, I will fall out of this thing every time I drive it. But not really, because I know it’s short term and I can enjoy the adventure of driving a pickup again because I know it aint ever gonna be mine.

Other miscellaneous stuff:

One of our neighbors saw our exterior motion-sensored light going on and off like an SOS signal and was worried we were signaling for help, so she got another neighbor involved who called to check on us.

I returned to the chiropractor for the first time in 3 months. He’s feeling around my neck making “oh” sounds and I’m like, am I dying? You know it’s bad when the doctor is admitting it’s bad.

Buying tampons at 48. This is bullshit. Eight bucks for a box. Tampax PEARL. WTF does that even MEAN? Why can’t they just call them tampons and be done with it? Gotta make them sound all fancy and shit. Like, what difference does it make, really? I know this all sounds trivial, but it occurred to me when I emptied the last box that why the hell do I need to keep buying these?

I’m embracing the aging process, sort of, but some of the details are just BS.

 

 

My Left Foot, His Left Ear, & Other Things

Every morning I drive my two up to the bus stop, and every morning they find something stupid to piss each other off with. Usually it’s Opac pushing V’s buttons at 6:57 a.m. and she – being an already moody child who is also in the ugly grip of adolescence – gets instantly pissy with him, telling him to SHUT UP, loudly. And he, grand-instigator-of-instigating who never misses a beat, says something equally biting back that he knows will set her teapot whistling. And then there’s me, stuck in the ever-shrinking space of the car’s interior rubbing my eyes and envisioning how peaceful it’s going to be when I get back inside the house. EVERY morning.

This morning, though, was peaceful enough… Veruca pointed out that she heard me snoring last night. You did? I said. To which O pointed out that my door was open. I asked if it was loud, and she said no, and then demonstrated.

Yes – I snore. I have sinus issues. And currently on antibiotics for a sinus infection. (More on that later.)

Anyway. V continued to demonstrate the sound I made which, for what it’s worth, wasn’t that bad. Opac, in the back seat, ordered her to stop it – it was making his head hurt worse, because he’s congested. She fired back at him something about being stupid, or who cares, or something like that, and now he’s the pissy one.

I might have said something to him like calm down and, as he was exiting the car, he bitched about how he can’t calm down because she was “snoring at me.” He stalked away from the car toward his bus and then suddenly turned back, because in his pissy-ness he’d picked up the tissue box I keep in the car (which is bright pink, btw)… stalked back to the car, opened the back door, threw the box in, and took off.

Meanwhile, back in paradise, we had a snow day after my last post. V’s friend, the Boss, came over again and the two of them shook the roof down. If I ever had my doubts about who makes more noise – girls or boys – I’m sure now. They wanted to play Xbox, which Opac will not share because he doesn’t trust them not to use up all his data or delete something important. I suggested they play on a different system, and of course there were no AA batteries in this house. I sent out a desperate plea to my neighbors, and was soon walking down the street to retrieve 4 AAs so these girls didn’t make me go completely insane.  Opac left the house to go to his friend’s up the street, and I told him it wasn’t fair that he was leaving me alone with these two. He was hardly sympathetic.

Todd had a bowling tournament on the 10th. I worked in the morning and came home to shower and change. I lost my footing in the shower and slipped, doing the Scooby shuffle before my left leg went completely out and my toes broke my fall on the frame of the sliding doors. I was sure I’d broken a toe and I was in this weird juxtaposition of hysterical laughter and pain. I couldn’t wear the shoes I’d planned to wear because now 3 of my toes were swollen and turning black and blue, and I couldn’t walk on them.

Then I burnt the back of my neck with the curling iron. I sat down on the couch to avoid further injury to myself, and texted my bestie to tell her I almost died and I wanted her to know, in case it happened again and I didn’t make it, that I loved her. I sent a similar text to my dad, who was hundreds of miles away in Kentucky (another post for another day) and he called me immediately and made me feel bad for worrying him as I laughed myself silly. I reminded him that if it were true, I certainly wouldn’t text him so casually.

And before you judge me harshly for fooling with my dad that way – when I told him what really happened, he laughed at me. Laughed. Obviously my sense of humor came from somewhere.

So two days later I was back at work because one of my coworkers got The Sick. Hers was the stomach variety and I briefly worried, since we’d worked together on Saturday, if it was coming for me too.

Well, dodged that bullet, but by the end of the day my head was swimming in congestion. I’ve had so many sinus infections I know one before it’s fully arrived, so I called for a doctor’s appointment. I waited for an hour and ten minutes before being called. The front desk people never acknowledged my wait and when I asked if I’d been forgotten, the lady said, oh – they must be running behind. I’d love to try that line on for size at my job, and see how long it takes a parent to spontaneously combust.

So the NP I saw checked me out with the door never fully closed… which I thought was odd and not private, but I hardly cared. I just wanted to go home. She left the room to call in my prescriptions and then I was on my way. Four hours later the pharmacy still had no record of my prescriptions, so I called the office. I was on hold, and then suddenly someone picked up and started talking really fast about Medicaid and so on. I had to interrupt to let her know I wasn’t who she thought I was, and then she asked me if I wasn’t calling about Mr. Peterson – hello! Huge HIPAA violation. This isn’t my first rodeo with this practice and this is just another in a long list of mistakes.

I was supposed to work at the restaurant on Valentine’s Day but was too sick to do it, and I had to work the next day so I needed the rest. Opac woke up that morning with a 102 fever and sore throat, so I gave him Motrin and care instructions and went to work. I checked in on him frequently and he mostly slept. When I got home I fixed a fast dinner, and then he and I drove to urgent care. His symptoms were different from mine, but he felt equally as awful.

I was worried about flu, like so many people are, but he had nothing going on in the chest. His left ear was inflamed and so the PA prescribed him antibiotics. We were there for 2 hours. The waiting room, when we arrived, was three-quarters full of sickly people, and the mask box was empty. When someone restocked, I grabbed two for us. Someone in triage was vomiting violently and the sound was echoing through the entire clinic, and my own stomach filled with dread. I couldn’t wait to get out of there.

In other news, Todd lost his glasses on an airplane and they were not found, both pets are spring-cleaning their digestive tracts, I’m drowning in dirty laundry and sleep deprived, there’s a missing drone in the neighborhood, and the car hasn’t been washed since November.

This week, things are on the upswing… the temps reached 78 yesterday and the Bible thumpers took advantage of the sunshine by dropping by my house. I got a hug from my mom and got some major scrapbooking done while bingeing Gran Hotel. There’s also the promise of some Walmart footage from Kentucky by way of Silverfox, who’s taking Bourbon County as we speak.