Thursday, February 23, 2012

The things my kids say...

Whenever I tell stories about my kids, everyone says I have to write these things down.  So here are a few or so things that just crack me up.

When we told Munchkin she was going to have a baby brother, she was a wee bit upset.   And by wee I mean Wee bit.  She really wanted a baby sister.  So for the next 4 months, we heard on a daily basis how mad she was about having a baby brother.
"He's going to live at the circus.  He's NOT going to live with us."
"I'm going to trade him for cousin Addie."
She then developed several imaginary sisters.  Tutti, Lolli, and one other that we heard about.  They live in the blue house.  She still talks about them.  One has since gotten married and now she's called something else (got that from when her teacher at school got married and changed her name).  But now they all live in Virginia (because we are officially moving to Richmond, VA this summer!).  And they like Virginia because they don't have to wear snow pants, boots, mittens, or hats.

She also kicked me quite purposefully and quite hard in the throat one night telling me how mad she was that I was going to have a baby boy.
But then the Tank was born, and she was happy.  Thankfully.

Sisterly love.

Today she told me (yes 2 years later she is still at it) that we were going to have another baby - a sister - that is going to be named Rainbow Unicorn.

When I was BF/pumping with the Tank, she asked me when she was going to get big "belly buttons" and have milk.  After the above discussion about Rainbow Unicorn, she asked when she was going to have a baby.  My reply was when she was old, old, old.  She said, "Yep. I am going to be a mommy and then have a baby.  And I am going to have big belly buttons."

And then at dinner, she had to relay the whole conversation to the husband.  And she promptly pulled up her shirt, "And these little pink things are going to be big belly buttons when I am a mommy."

Yep.  That's my girl.

And to be fair - a few words from the Tank.  Well he was severely deaf (65 db) hearing loss until he was 15 months old.  So he sounds like a deaf person talking.  Well - a deaf toddler.  We are finely getting some words - or sounds - that have meaning.

"nana" - nookie/pacifier.  He doesn't get it at school, but it is in his cubby because he has it in the car and then we can trade off drop off/pick up.  You walk in the door and he starts yelling "nana" and runs to his cubby waiting for it.
"mi" - milk
"Hi" - perfectly clear - heard that last week and had to look around to see it.  So cute to finally hear a real word pronounced perfectly from the little man.
"Bye"
"Rea-gy" - Reagan.  Just heard that tonight.
"Ni nigh" Night-night.  Just heard that tonight too.
"Beeee"  Bean.  The kid loves beans and lentils.  These days it is all lentils but he calls them beans.
"Bow" ball.  There is the history of being hard of hearing.  This was actually his first word.

And because he takes after me and my food preferences.
"Chuc chuc"  Chocolate.  The kid would eat it all day.  He asks for it as soon as he gets up in the morning and as soon as we get home.  He goes and stands below the cabinet that has it and just starts signing "More.  Please.  More. Please"  While yelling "chuc chuc".  I almost have to give it to him because it is so darn cute.  And for those of you who don't know what "please" is in ASL - it is rubbing a circle on your chest.  But when the Tank really wants something - he pounds his chest - aka baboon style.  So cute.
Did I mention he is 125% for height and 50% for weight.  He hasn't gained weight in 4 months.  So maybe not so much a "Tank" anymore.

And that's what I have for you.

Tuesday, February 7, 2012

To be a better doctor

I am so close to the end, I think I can taste it. 7 years of training since medical school. I have a contract from one place and will have another in the next week or so.  Then it is decision time.  I get to choose for once.  Not a computer.

(If you don't know the system that tells medical students and fellows where they go for training, it is a computer program.  Trainees rank where they want to go, and institutions rank who they want.  Then some program tries to create the best match.  And you get an email telling you were you go. And then there are the years that the program malfunctions - like my final year of medical school.  Urology has an earlier match, and the program messed up.  The match had to be redone.  Talk about devastating a lot of people - they think they got their 1st choice and then they didn't.)

So yes, I get a loud say in where we go.  We haven't decided yet.  But I can tell you it will not be where I am currently.

Every time a medical person nears the end of a training period, there is usually a freak out period.  You realize how under prepared you are to take the next step.  But you are not really under prepared.  Again it has been 7 years in my case.  But now all those decisions are finitely mine (well not really all).  A bit overwhelming.

And here is where you all help me.  I have had a long standing goal of asking families that were in the NICU, what can we do better.  Yes there are surveys and this and that with information that tells us how we can be better.  But I mean, how can I be better a doctor.  Better than what you have experienced.  Better at informing you of what is going on.  Better at telling you bad things.  Better at telling you good things.  Better at preparing you for life beyond the NICU.  I may have never taken care of your baby, or maybe I have.  Maybe there are things that other doctors did great.  Maybe there are things that other doctors didn't do so great.

We do this all for you and your family.  And in the end, I want to know that I gave it my all.  That I listened when needed.  That I spoke when needed.  That I cried when needed.  That I pushed on chests, placed lines/ needles/ tubes when needed.  That I recommended dangerous surgeries/procedures when needed.  And the rare times when the only thing I had to offer was for you to hold your child during the last breaths of life.

So please help me.  Tell me what makes a great doctor in your mind.  I would love for you to post directly on this blog so I can keep them all in one place (instead of FB).  I have made it so all comments have to be reviewed by me before being posted so that you can be honest and real.  Tell me if you want the comment published or not.  Either way, I still get to see your thoughts (you can leave them anonymously).