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Archive for the ‘agent 86’ Category

no more stitches!

Monday, June 20th, 2016

Max has his last (I believe) eye surgery last Wednesday, woo! It was really just an exam under anesthesia as well as removing the rest of his stitches, which is essentially what we’ve been doing these last three times.

As before, we had the first (7:30 — aka obnoxiously early) appointment, so that our ophthalmologist could accompany, and we had the same surgeon go in and take a look at both eyes. The main difference this time was how we pre-medicated; I mentioned that he was slow to wake to the anesthesiologist, who recommended that we forgo the Versed and have me come in for the masking, instead. I gave Max both options and he also wanted that route (although knowing him, I think he was more interested in the part where I said that I would be with him), but having gone through it before, I was prepared for it being somewhat difficult for him to go down… we wheeled him into the surgical suite and he instantly no longer wanted to be laying down, he wanted me to hold him, and he started fighting and being obviously frightened. So, he ended up going down hard — I described the noise that he made as he screamed into the mask being like a tornado siren winding down — and I went back into the waiting room feeling sad (because even if I know that it’s for the best, it’s awful).

I made friends with some of the families who had been there when we arrived as well, talking to a mom of twins with CF who had traveled from Bishop to be there for a procedure for one of her twins (non-CF related, but not only did they have a very genetically rare form, their other daughter had had repeated heart surgeries) as well as a dad who had a son who was born at something like 28w. It was interesting that all of us were “repeat offenders” in the surgery center, so we were all fairly lax and laid-back. Dr. Cooper showed up REALLY quickly and let me know that they could take all the stitches out, and to express again her admiration of Dr. Ta’s work, which felt great. Then, they told me that I was needed back in recovery…

…because Max came up as hard as he went down and they were restraining him as he SCREAMED HIS HEAD OFF. I could actually hear him when I walked in, and I had had no idea that he was having a problem — but I recognized that scream/yell/cry :( He was trying to hit and kick everyone, and pull his patch off and his IV out. I tried to calm him, so he started yelling at me, but we worked through a very difficult recovery from anesthesia to the point that he was able to lay still and rest.

We won’t likely need another surgery, from everything they’ve told me, but we have a follow-up in July to see how his vision is progressing. He IS opening his eye more fully, so while he still will squint that eye shut, he is opening it as much as the other was opened, as well. :D

insurance

Friday, May 20th, 2016

I was looking at the EOBs that have been generated by Max’s accident today, partially because Brandon and I had been realizing how privileged we are to be able to have essentially immediately been able to send him to the local children’s hospital without even a thought to the expenses we were incurring (due to the fact that we have insurance and a savings account). If we hadn’t been able to get him to LPCH and into the hands of the corneal surgery team there, he would not be in the state he is right now — where we’re expecting that, all things given, he’ll have reasonably correctable vision down the road.

What I saw is that for dates of service that have actually been charged, between the accident on 4/2 and 5/26 (assuming that some have not been received or processed yet), our total out-of-pocket without insurance for Max’s accident would currently be totaling over $152,000. Meaning that Max’s accident, without insurance, would have financially ruined any family that had to endure it, and for a family in our position (with insurance and savings), we will still be fairly affected.

It makes me ill to think about that first moment in the ER, when we would have had to choose between possibly saving his sight and bankruptcy. At the time, we weren’t sure that there would be any saving of his vision in that eye, and I could easily see how we would have trended towards believing that a different, less expensive course of treatment may have been appropriate.

I know that this is not news to anyone, but when you are intimately familiar with it, reading through these EOBs is like a slap in the face to anyone who doesn’t recognize how necessary universal coverage of some sort is. The most outstanding example is that LPCH charged $89,000 just for the room, but our insurance paid $7,000 and marked $75,000 as above what’s termed “reasonable and customary” — so essentially no one needs to ever pay that per agreements and incentives between the hospital and insurance company. This means that a family without insurance would have had to eat that cost and then have it forgiven by bankruptcy — and how is that an acceptable solution?

more stitches gone!

Thursday, May 12th, 2016

Yesterday we had another exam under anesthesia, with the hope of removing all the stitches. Unfortunately, I had come down with a cold and was completely out of it the day prior (thanks to inconsiderate coworkers who come to work ill), so I was wearing a mask for most of the day. Max was much perkier on his way into the OR, having his head up and watching TV in the waiting room, and watching his iPad in the recovery area. We talked to the nurse about flavoring the Versed so that it was more palatable this time than last, and he actually drank the whole thing (!), so he was pretty out of it on the way to the OR (I, of course, took a video of his little drugged self because it was adorable) and I didn’t have to accompany him. (I won’t lie: I wanted to. I wanted to be there the whole time.)

The procedure was, once again, straight-forward. They took out 4 of the remaining 9 stitches; if he was a sedentary guy they would have removed them all, but since he’s a bouncy 5yo they’re leaving them in for another month. Dr. Fredrick said that essentially, the scar isn’t as “opaque” as he’d like to see in something fully firmed up. However…

Amazing news:
– the retina and back of the eye still looks good. They didn’t mention any irritation like last time.
– the lens still looks clear, so it’s doubtful that he’ll develop cataracts!!!!! This is amazing. He’s been complaining about how his vision is blurry in that eye, so I’ve been asking circumspect questions about the quality of the blurriness to ascertain whether or not it’s related to cataracts forming. I pretty much could not be happier about finding out that the lens still looks clear.
– the work of the original surgeons, Drs. Ta and Tittler, is so excellent that it’s also doubtful he’ll need a corneal transplant. Dr. Cooper drew me a picture of the original injury, which wasn’t just a beveled incision across his eye; it was y-shaped. This means that the first surgery involved stitching the incisions as well as connecting them together with a separate stitch.

So, essentially we’re extremely lucky that we had such a talented surgical team on call that night, because in many ways, that has essentially saved Max’s sight (or reduced the other issues we were facing considerably).

The next steps are: an exam on Monday where we can assess his vision (assuming he’ll let us), patching to force him to start to use the injured eye more in order to keep his brain engaged and functioning, and another surgery in a month, where we will (hopefully) remove the rest of the stitches. At best right now, he’ll wear glasses for the foreseeable future — which is a pretty awesome best!

glasses

Friday, April 29th, 2016

Max went back to visit Dr. Cooper a few days after his exam and left with glasses! Woo! He got a pair of sports glasses to wear instead of the shield because it’s so much easier to not have to put tape on his face, and it gets him prepared for wearing them full-time going forward. He had been actually opening his eye under the shield as well, so having something that isn’t obstructing his vision in front of that eye would be better than something opaque (although his vision is still impaired there so it’s not like he has great focus, and is closing it probably to make it easier to see).

So, the glasses have no correction in them currently, and the lenses will be replaced by ones which do when we know more about his vision. He’ll have the stitches removed in May and then ~3 weeks later, we’ll measure his prescription and update, and possibly also get “normal” glasses as opposed to the sports frames, depending.

He looks mighty cute.

He went back to school this week every day for a full day other than yesterday (which was Bring Your Kid To Work day at Brandon’s work), and his anger is totally out of control about the whole thing. Hopefully, next week will be easier…

anxiety

Friday, April 22nd, 2016

Dealing with Max’s anxiety is one of the hardest things for me to emotionally cope with. Since he’s cleared to go back to school, we were trying to get him to go to school this morning early (Brandon would be staying there with him) because he said it overwhelms him when all his friends run up to him at once. I explained to him that he if was there first, his friends would show up one-by-one, and then he wouldn’t be crowded.

While the rest of the morning was fabulous, he wouldn’t let us put him in the car. (I did my absolute best jollying and hugging routine but he was not having it.) Brandon finally put him down, and since his eyes were closed, he bumped his arm on the door and totally FELL APART apart for a 10-min hysterical crying jag. I held him and tried to soothe him, and finally let him cry for a while, and then talked him down. At that point, he said he needed a nap so we made him a bed on the floor and I left for work. (As of now I don’t know if they’ve left, but that was 1.5 hours ago.)

I know that it would make me feel better if I saw him just pop back to old routines, because I’d feel like this overall eye thing was not a big deal to him… that somehow I’d done enough to lessen them impact on his little boy brain. Seeing him struggle is making my heart hurt.

exam under anesthesia

Wednesday, April 20th, 2016

Today was Max’s exam under anesthesia, the end result of which was AMAZING. However, getting there was … fraught with awfulness.

We were in the first surgery slot, so we had to be at the hospital (LPCH, same operating rooms as last time) at 6am. I had Max mostly dressed the night before, and everything packed and ready to go, but my anxiety was through the roof so I went to bed after midnight and woke up at 4am. I got myself ready, put everything in the car, then woke Brandon up so he could help me wrangle Max into his seat. He was pretty quiet the whole drive save asking for water once (no go, peanut). We parked and went into the surgery reception, waited a little while with him wrapped up in a blanket the entire time, and eventually got ourselves back into the staging/recovery area.

I got sleepyface all dressed in his pre-op clothing, and then asked the nurse if we could give him some oral Versed beforehand to help his anxiety — which had gone over literally awesomely at the ER when this all first happened. Not so much this time, it was difficult to wrangle him into even trying it and then after doing so, he flat-out refused to touch it again. Three of us had to try to bribe him and then ultimately force him to take it, and his gag reflex hit and he spit a bunch of it all over the both of us, then cried. The nurse and the person from child life were really caring and understanding of his angst, but then the anesthesiologist showed up and wanted to give him more, but he seemed to have gotten enough into his system that he was feeling a little better.

But not better enough that he was *at all* interested in the mask that they use to administer anesthesia! He wanted nothing to do with it; he hadn’t opened his eyes yet all morning and wasn’t about to and he didn’t want to see it or touch it or sniff it or discuss it. We did get him to talk about scents to put in the mask, and he smelled strawberry and watermelon and ultimately he decided on orange, but we also realized that it would be better if I went into the OR with him to help him pass out before they did all the necessary stuff.

So, we changed me into a super awesome OR outfit and I helped to wheel him back. I decided that we would pretend that the masks were SCUBA masks, but he still wasn’t having it, so I was laying very close to him, over him, talking to him and telling him about the sorts of things Brandon and I saw underwater while the anesthesiologist put the gas sort of blowing in the direction of his face. He asked what the funny smell was and one of the nurses brilliantly mentioned that she forgot to wear socks that day, so we all chastised her and then I said, “Hey, let’s smell the orange smell to cover up her foot smell!” He let us put the mask on, and then I motioned to the anesthesiologist to attach the gas, and suddenly Max started screaming. I could tell that it was going to be something he wasn’t going to remember, though, and he passed out REALLY fast afterwards, so they walked me out and I went to the waiting area (after divesting myself of the fanciness).

I barely had time to get myself a soda and something to eat when they were telling me they were wrapping up the surgery. After the 5 hours of awful last time I sat in that waiting room, I was in disbelief — like, this felt really good. (It was also weird being there when other people were there, as opposed to the weekend! Oh! And being less sleep-deprived!) Dr. Cooper came in and looked at me and said, “It could NOT have gone better.” And we hugged. THE NEWS IS SO GOOD!

Good stuff:
– No infection! Woo!
– They removed 3 of the 8 stitches, because they had come loose, and the wound near them was well-healed.
– His pupil is round again!
– His retina looks awesome still!
– We scheduled his follow-up to remove the rest of the stitches!
– He can go back to school!
– His lens appears to still be clear!

Just … stuff (as in — things to keep an eye on):
– There is some scarring across the cornea. This will likely cause an astigmatism at the least.
– His lens was obscured by the scarring and stitches so it could have a small cataract that we won’t be able to see until the stitches are removed.
– There is vascularity across the bottom of his eye developing, most likely from the healing process.
– His optic nerve is inflamed, possibly due to the injury. (We’re treating with steroids.)

I was like, elated. This is really good stuff, yo.

It took Max a long time to wake up and finally I started putting his stuffies all over his head and poking him. :) I brought him home to see my mom and Brandon, and we built the egregiously large Lego set we bought as a reward (which includes both Ant-Man and Giant Man). THIS IS SO GOOD!!!! ALL THE PUNCTUATION!!!!

We’re going to see Dr. Cooper again next week, and like I mentioned, have the stitches removed in May. :)

next steps

Saturday, April 16th, 2016

We had a second follow-up with Dr. Cooper on Thursday, and another this morning. On Thursday we did see that Max’s sight out of his injured eye is stable (and this was again confirmed today), but otherwise, we did no pushing to see if she could inspect his eye at all — and since he’s not opening it, all she could see were that the whites were inflamed. Since then, however, he’s complained about eye pain, is more light-sensitive (but we’re giving him a drop that dilates his pupils 3x/day so that’s expected), and has been even more reticent to open the injured eye (read: not at all), so today we tried to do a more thorough examination.

It did not go well.

Not only did Dr. Cooper not see anything other than the (still) inflamed white, Max’s resulting outburst was longer than any other he’s had so far. He was hyperventilating, and so distraught that it was clear we couldn’t continue to do anything productively :( In fact, it’s now hours later and he’s back to both-eyes-closed.

So: no school next week (week 3), and on Wednesday we’ll be putting him under general anesthesia so we can see how everything is healing, the state of his lens, another retinal ultrasound, etc. (We can’t send him back to school until we have a good feeling for the integrity of the wound.)

updates!

Monday, April 11th, 2016

Nicky: it was either a stroke or vertigo. He’s walking and eating! No lie, B and I thought we were driving him to the vet to put him to sleep :( So glad he’s on the mend!

Max: today was his follow-up with our normal pediatric optho. When the doctor first tested his vision, he was able to read nearly every letter off the wall, at all sizes, which was freaking B and I out (in a good way) — but it turns out that he was peeking with his uninjured eye through my fingers! Which of course, made it necessary for me to leave the room and cry, because the roller-coaster was a bit more than I was prepared to deal with.

Ultimately, though, the news was EXCELLENT. We changed his drops regimen because of his light sensitivity, but most importantly: we found that he does have an intact visual system! WOO! He could see enough to identify a birthday cake emoji thing on the largest setting, and the doctor’s fingers, in addition to being able to detect light. Brandon broke down sobbing, he was so happy, and Dr. Cooper threw her arms up in victory and we all hugged a lot.

We still don’t know what’s going on with his lens or his cornea, but damn, this was such an amazing thing to hear. His instructions for this week were to stay home and be a couch potato, so he came home and told Brandon he was ready to be a “lazy tomato”.

My kiddos. <3

post-op visit

Thursday, April 7th, 2016

We went to visit Dr. T, Dr. Ta, and Dr. Lee today for Max’s post-op. While it was incredibly traumatic for me, Max, and B (after talking to him extensively — and I mean EXTENSIVELY — giving him literally all the power in the world, we ultimately had to sit him in my lap, have me hold his arms and legs, B hold his head, and Dr. T do an exam using an optical speculum… at which point he then beat the crap out of me in anger and yelled and screamed [which I had given him permission to do before we started because I knew this was a violation of kiddo trust]), the amazing news is that his eye is properly inflated, meaning that there is no leakage, that his eye is appropriately white (a little inflamed but nothing alarming), and that his cornea was fairly clear. They could not make any prognosis update based on the visit because he still can’t see Max’s lens but it means that our heavily modified drop application program is working.

Essentially, we have Max do everything: he removes the “turtle shell” (plastic eye protector), lays down, and then we put a drop in, and he doesn’t quite open his eye, but he stretches the eyelid up and the bottom down just enough to try to get some of the drop in. And it’s working, woot!

So, we’re released from surgery, unless we see anything that looks infectiony. My voice cracked when I was thanking them for everything they did for us. Monday we’ll see his normal optho and have a clearer path forward.

And bonus: Max got a lovely care package from his school which included a gift card to GameStop, so we split the cost of Lego Marvel Avengers, and HE OPENED HIS FREAKIN’ GOOD EYE FOR THE FIRST TIME TO PLAY THE GAME AND HE KEPT IT OPEN FOR AN HOUR AND I COULD NOT BE MORE THANKFUL FOR VIDEO GAMES RIGHT NOW HERE’S A PIC!

there’s not even a title for this

Tuesday, April 5th, 2016

For a couple of weeks, Max has wanted to have a “Superhero Party” with his two best friends, D and C. They’re twins, and he’s been pretty close friends with them since we started at our current pre-k; we’ve even all gone to the beach together. I really, really like them and their parents, so it’s been a friendship I’ve been happy to kindle :) He put a lot into planning the party: he bought each kid special hot wheels cars, he bought superhero napkins and snacks, he made chocolate cupcakes and had Brandon decorate them with Batman signs, he put out a bunch of different games for everyone to play (Pop the Pig, Super Pop Pirate, Uno, etc). He dressed up like Spider-man and they showed up dressed as Batman (D) and Robin (C), and they immediately set out to play. (Katie also invited her best friend L, and her little baby sister, R, and their parents — who are ALSO great people.)

Around 6pm, as Brandon was making dinner, I was sitting there when I heard a scream I have never heard before. I literally didn’t think it came from either of my kids because … I’d never heard anything like it before, it was shrill and filled with fear and just awful. It turns out that C had chucked his car and it had hit Max square in the eye. Max had a cut on the inside of his nose and a bruise on the outside near the eye bone, and he was in an incredible amount of pain; for the next two hours he asked me to put pressure on his eye, needed ice packs, and was sincerely crying intermittently. He still wanted to play with D&C, but he wouldn’t let me not press my hand against his eye. He opened the eye once for me and I barely could see in there, but it looked slightly inflamed (I really couldn’t see but I thought that maybe the inside of his eye was red?), but I finally took him to the hospital at 8pm.

On the way to the ER, all Max could tell me is that he didn’t want eye drops. I told him I didn’t know what was going to happen but I did remind him that the only eye drops we ever give him that hurt actually sting for a minute before they take the pain away, but he was not convinced :( And, of course, the first thing they gave him was … numbing drops that stung and he screamed his little head off. Even with the numbing, he absolutely would not let them look at his eye, so we had to give him Versed, and even then it was a struggle. (Although damn, he was hysterical — he started to play with the melted water in a ziploc back that they’d given him as an icepack like it was the most magical thing ever. Brandon got mad at me for not taking a video so I did later that night, which was even better.)

At 9:40ish, the on-call docs took a look and could tell that there was a laceration but were concerned about his pupil, so they called the ophthalmologist on-call, who arrived at 10:30. They also told us to STOP PRESSING ON THE EYE, which made me feel like an ass (how was I supposed to know, I ask myself?!) because they were worried about the eye integrity. And, they started an IV, which was funny because D&C had just told us about how they’d had an accident in Tahoe and had an IV and hadn’t cried — and Maxie didn’t cry, either! Anyway. The on-call optho? He was weird. He had me stand behind him and told me to look when he was (which of course I was), but then he turns to me and says, “Draw what you saw.” Yes, that’s exactly what the mom of the severely injured kid should be doing, as opposed to waiting for you to tell her what’s going on?!

Here’s my drawing:

You can see that he drew the sutures over my line, but apparently I’m a good artist, and this drawing became useful for every other doctor I saw that night. He could tell right away that Max had an anterior ruptured globe with a ~5mm laceration, meaning that it most likely disrupted his lens (there are only 3-4mm between your cornea and your lens), and he went on to tell me that Max would most likely develop a cataract as a result and needed both the laceration sutured and the lens removed, which would have much further-reaching implications for his vision. The reason his pupil looked weird was that when your eye loses pressure that way, things go towards the rupture, and that distended his pupil. Because this optho was not a pediatric one, he called our normal optho (who he had a working relationship with) to discuss options — he didn’t know she was our doctor, actually, and I only piped up that I knew her when I heard him say her name. She was visiting family in Arizona when the doc called her, and was traveling to Vancouver for a national conference of pediatric ophthalmologists this week, which… was disconcerting, but there wasn’t anything to be done about it.

He went on to tell me that the lens is “like a princess, it needs to be perfect”, or it will develop cataracts which would completely obscure Max’s vision. He also told me that he couldn’t do surgery at Sequoia because he wasn’t pediatric and Max was under 13, and he was sad about it. (Sorry, I guess?) So… his call to our normal doctor was to figure out how to deal with the lens, because the implications of replacing a lens in a 5 year old are very different than with an adult — in fact, you don’t replace the lens. (One doctor of the 4 that we saw since then has said that we might be able to replace it, but most of them said that he’d end up with a contact to focus the light until he’s 18 and can get a lens replacement, like you would for anyone with cataracts). Max needs to have the lens dealt with as soon as it clouds, or his brain will stop using signals from his eye.

We were supposed to transfer to Stanford via ambulance around midnight, so Brandon brought a bag and included a toy of his from his childhood that Max clung on to for the rest of our hospital stays. Max passed out on the cot while we waited, but he did briefly talk to Brandon while our wonderful neighbors hung out at our house with a sleeping Katie. Unfortunately, there was a big accident on 101 closing all the lanes, so I passed out with my face on Max’s legs until the ambulance showed up at 1, and were admitted around 2. (The ambulance folk were extremely kind but I spent most of the ride feeling like I was going to barf on them, thank you so much motion sickness!)

When we walked in (or in Max’s case, wheeled in, in a gurney, looking impossibly small) to Stanford, they walked us directly to a room and immediately handed me a turkey sandwich and a cup of coffee. We went through the fun of more admittance while Maxed dosed, and then we had to administer a second dose of Versed to Max around 4, when their pediatric optho arrived. (Dr. Tittler, aka Dr. T, who was fab.) They didn’t realize that Max had an IV so they gave it to him nasally and the nurse totally LIED to him and it burned (this made me mad, why did they have to lie?) and then she gave him a bear and he calmed down watching one of their hospital relaxation channels featuring pictures of puppies and music. He started hallucinating — first he was looking at his finger lit red by the pulse/ox monitor like he was ET, then he started seeing flying ants and talking to me about them, and I took a video for Brandon. It was brilliant, and it is everything about my sweet little boy that I adore.

Dr. T told me that the wound had happily been self-sealing, but confirmed that he saw what the other doctor had seen with regards to the severity of it. He decided to attempt to book any OR possible between Stanford and LCPH, and told me that they were going to just attempt to fix the laceration, because it would be too difficult to tell what was happening with the lens when looking through such a damaged cornea. He added the fact that we’ll likely need a corneal transplant if the scarring on his cornea was bad enough, and that the range of options at the time were the most minimal an astigmatism because the scar on the cornea would change the smoothness of the eye, to the most extreme, which is that he’d be monocular. We talked very briefly about what that would mean — essentially he couldn’t be a commercial pilot or an astronaut. My poor, Earthbound boy.

He also told me that I was one of the most balanced parents he’d ever dealt with, which was reassuring, I guess!

Our surgery was scheduled at LCPH for 8:30am with a top corneal specialist (Dr. Ta) and Dr. T, so we transferred to our room at 6:50am. The room was super kid friendly and the nurses were amazing, wiping Max down with warmed bath wipes and putting him into the most wee little hospital gown, with a pull out sofa thing right next to it, for me. I couldn’t sleep, really, as different doctors and nurses came in to acquaint themselves with the situation, but they gave me a cup of coffee from the nurses’ station because they are HEROES. Max again passed out soundly, but not before he asked to watch 102 Dalmatians (we had watched 101 downstairs, and he declared that Cruella DeVille was Jaclyn, Katie’s pre-k teacher and our friend).

About 7:50, we wiped Max down with pre-surgical wipes and changed him into a different gown, and then walked him down to the OR, where I met everyone who would be attending. They predicted that the surgery would take 2 hours.

It took 5. (We called back at 3 hours and 5 hours post-start, and both times, they were like, “Oh, it’s almost done.” Reassuring…) I started out by getting something to eat (which was really more like forcing myself), then I hung out in the waiting room, partially because I had no idea where our room was but also because there was not a chance in hell that I was going to be going anywhere. Brandon brought Katie to L’s house and then met me there, at which point I felt free to pass out in a chair in a weird position. Dr. T told us that it took 5 hours because the laceration was beveled and so oddly shaped that every time they added fluid to his eye to check the integrity of the sutures, they leaked. Our normal optho called while we were waiting and asked me to give her cell number to the doctor, and also told me that she called her office to tell them to schedule an appointment with her as soon as she was back. Dr. T confirmed with us that there’s likely lens damage, and pretty much all the things he said earlier, but they did an ultrasound on the eye and found the retina intact… thank goodness. I don’t know that he will be able to ever see out of his eye again, but at least his retina’s good. :(

When he came out from anesthesia he was cute and loving and happy we were there and said it didn’t hurt and that he could see the black spot that C gave him, then he spent the rest of the time in the hospital sleeping and asking me to be in bed with him. I got him to eat jello the first night, and two bowls of rice krispies the next morning (side note: LPCH’s meal ordering service is freaking amazing — you can literally get your kid anything from the menu at any time, and it’s all kid-friendly, with some nice adult options). The docs and nurses told me that he couldn’t get mad (because of the eye pressure), so I was careful to not stress him out, but he was pretty chill so it wasn’t an issue.

He’s out of school for about 2 weeks minimum. We have to give him 2 types of eye drops five times a day, and he hasn’t opened either eye since his surgery, which is making me sad :( He hates the eye drops so much that he screams every time, and since he can’t open his eye at all right now (not sure if it hurts, or if he’s scared, since the doctor who gave him his first exam post-op was frickin’ rough as hell and I’m pretty mad about that), I can’t really do any methods of giving them to him that don’t involve touching his eye. I have talked to him so much about his fear, and he’s tried to make deals with me, but we can’t really afford to NOT give him the meds… and since I have been giving them to him, his anger and fear are directed at me as much as his desire for comfort.

D&C’s mom has set up a dinner train for us. She’s so incredibly upset, which I understand, because she has so little control over this whole accident :( Katie is not handling Max’s attention well so we’re working at giving her some special attention (it’s her spring break), and setting up little playdates for her. She was so funny, the first time I talked to her in the hospital, she immediately demanded pictures of Max “in the hopsital” and was very concerned that he’d be wearing glasses (which he will, since we have to preserve his good eye no matter what).

My heart is so broken right now. I can’t really dive into my feelings because I’m very pragmatic in the face of these things — I am not going to hypothesize about how things will end up — but at the same time, he’s my baby :( I hate everything about this.

the goings-on!

Saturday, March 26th, 2016

I’ve started updating much less frequently than in the past, mainly because I feel like both kids are old enough that writing about them is a possible intrusion on their privacy. And, I am CONSTANTLY WORKING. So, in ye old tradition, here’s a listicle!

– I am finalizing a proposal for a panel at the Grace Hopper Conference (in Houston again this year, in October), about redefining the technical interview. I am pumped.
– Max is doing incredible with his reading. He literally sounds out everything, and is already well past where Katie was when she entered Kindergarten — probably a side-effect of having an older sibling, but it’s incredible to watch. He writes these adorable journal entries at school that are practically short-stories in length (so much better than his “this is a cat” lazyman entries of a few months ago).
– Katie’s reading is great, too! She’s already a grade level above, and her motivation continues to grow as a side-effect of being able to unlock more and more information. Her math is also astonishingly good. This is all great, because we’re now investigating some pretty serious testing for her, and it relieves me that she won’t be struggling academically on top of everything else going on.
– I am working way too much and I miss seeing my family. But it won’t be like this for always…

the rare public post

Wednesday, January 27th, 2016

Looking back over my recent forays into bloggery, it occurs to me that most of this stuff is locked down (with friends-only copies going to Livejournal, which I can’t believe I still use, although the flow of posts there is ridiculously diminished compared to the days of yore pre-Facebook). So, boom! A public post!

I have, as usual, been concentrating on myself as a parent, and the quality of my interactions with both K and M, as well as B. We’ve made some changes at home (mainly between Brandon and Katie’s interactions) which have had the side-effect of mellowing K out a bit — she’s been better across the board in staggering ways. I can’t decide if part of it is that my commute is so much less intensive (seriously, I went from a ~45 min drive to 10 min, it’s amazing in nearly every way) so I’m present to support B more or what, and I am probably jinxing things in every possible way, but I went from such abject panic about our situation at the beginning of the month to satisfaction that it’s making my head spin.

Here’s a little quizlet from FB I gave the kids over the last two days:

1. What is something I always say to you?
“Sweetie bean, you’re my sweetie bean.”
2. What makes me happy?
I’ve got a good one, “I care if you die!”
3. What makes me sad?
“I don’t care if you die!”
4. How do I make you laugh?
Saying “Maxie is a sweetie bean” and then you tickle me!
5. What was I like as a child?
I don’t know!
6. How old am I?
I don’t know? 20?
7. How tall am I?
30 inches tall.
8. What is my favorite thing to do?
Play video games! I mean, make your children happy!
9. What do I do when you’re not around?
Punch your nipple, that’s what I think!
10. What am I really good at?
You are really good at work!
11. What is something I’m not good at?
Saying “nipple”.
12. What do I do for a job?
Work. You sit at your desk and look at stuff on your computer.
13. What is my favorite food?
Holy Toledos! Tacquitos!
14. What do you enjoy doing with me?
Get Legos!
Answers by: Max; 5

1. What is something I always say to you?
“I love you.”
2. What makes me happy?
Seeing me and Max getting along and brother and sister stuff.
3. What makes me sad?
When me and Max fight.
4. How do I make you laugh?
By tickling us and doing silly jokes.
5. What was I like as a child?
I think you had glasses and dark long hair, clothes, shoes, books, and a school.
6. How old am I?
39.
7. How tall am I?
You never told me this! Thirty inches?
8. What is my favorite thing to do?
Be with your family and do stuff with them and play games with them and tickling them and cuddling with them and loving on them.
9. What do I do when you’re not around?
Go to work.
10. What am I really good at?
Making people happy.
11. What is something I’m not good at?
Drawing.
12. What do I do for a job?
Computers.
13. What is my favorite food?
Mint chocolate chip.
14. What do you enjoy doing with me?
Cuddling with you.
Answers by: Katie; 7

When I talked to them, I found it weirdly satisfying that they replied in ways that make me think that they think I’m not so bad. I spend so much time teeth-gnashing about whether or not we’re totally messing them up that it’s good to know that in their minds, we’re not totally the worst. :P

new jobbery!

Sunday, January 3rd, 2016

Starting tomorrow, I will no longer be a BrightRoller/Yahoo; I decided to abdicate the throne and am moving to a small biotech that is in the same city I live in. I’m nervous and excited! WOO!

I am hoping not commuting 45m+ each way every day will leave me more time for ponderings that aren’t just “here’s shit my kids did”. But who knows. :D

In other news, I just turned a year older yesterday, and it began with me taking my littlest to get an emergency root canal. In my defense, though, that’s what he gets for getting to go to Legoland and Universal Studios (oh, and his grandparents’ house) with his sister for two weeks. So ha on him! HA! SILVER TOOTH FOR YOU, BUDDY.

so big! (inevitable passage of time edition)

Friday, August 7th, 2015

Max started pre-k on July 13. Originally, we had wanted him to go to the same school that Katie did for pre-k, but getting into that place is nigh impossible even for people who have been on the wait-list for multiple years (us) and who have priority through work and sibling (us). They give first priority to city employees no matter when they apply, so that, combined with the fact that they’ve pushed back the starting date of kindergarten a month over the past two years, means that there hasn’t been space for him, and we weren’t willing to wait anymore.

The place where we ended up sending him has been amazing so far — he really enjoys being one of the big kids, but not the biggest, and he’s soaking up information like a sponge. Right know he’s smack in the midst of obsession with Jurassic World (the lego version mainly), as well, so everything is about dinosaurs and Jurassic Park and the like. (He and Katie have been playing through the Lego Jurassic World video game and it’s spawned two of his worst tantrums to date, because he loves it so much but also gets SO incredibly frustrated by it.)

He is not a baby anymore, which I am having a weird time coping with — like, I like it, but I also sort of abhor thinking about his age because I feel like he’s still a baby and he’s very nearly 5. That is firmly NOT a baby. When I went to Maine over the 4th of July weekend to visit userinfosilsbycarr (B made me), Brandon took him to get his first not-by-Grammy haircut and they did the sort of cut which made him look like a full-grown young man as opposed to my little beeble. However, he is still my most physically affectionate and cuddly human, and for that, I am hugely grateful.

Katie is almost through the bulk of summer camps! We made the critical error of having her do different camps every week, so on Mondays she’s having some adjustment issues. Happily, we’re almost through them, though, and she has learned so much. She is reading at a fairly good clip, and worked on things like programming, flying a drone, and going to a marine biology camp and coming home with mud from the bottom of the bay painted on her face like she’s a warrior.

She is a lot more focused in her normal activities, as well — she was awarded a patch for perfecting Form #3 (Greenfields) in taekwondo, and is doing well in gymnastics, too. She can kick-turn and do all of the strokes for swimming, and we can take her to a pool without floatation and know that she won’t immediately perish, which is exciting :D I also can depend on her for a lot more at home, including getting herself ready for things in the day without totally getting distracted (especially if I give her a good reason for doing so — dessert, or screen time, or whatever), and she is trending towards being a driver of positivity in her relationship with Max (except when she’s really tired, and then all bets are off).

Yahoo is pretty demanding, but the kids really are my port-in-a-storm. I’m working hard on being patient with them and in general, I am rewarded. I am happy to be a mom to such awesomesauce little folk.

i hate zoos

Monday, June 29th, 2015

For Father’s Day, we went to the SF Zoo, which was a great day — we parked far away because we got there when the parking lot was full, but had a good walk there and enjoyed the park, doing things that we hadn’t done before (the carousel and the train) and spending a lot of time using the play structure. Which was preferable to me, actually, because I generally hate zoos, and hate watching wild animals in enclosures of any types. (The petting zoo and the bunnies/guinea pigs, etc, I’m cool with, because those enclosures are like their real life places o’ housing… but man, lions? Elephants? Bears? Barf.)

However, there was one moment which sticks out for me because to me, it was fairly horrifying. You know those videos that people take and post online of their child at a zoo (or other place) where they are laughing as an animal lunges as their child through the glass partition? We were all standing at the grizzly enclosure, watching the bears through the thick glass walk towards the water for a dip, and Katie was standing at the very far edge, close to the glass, holding a closed container of cotton candy. Where she was standing was where the edge of the land and the beginning of the water connect, and one bear was walking that way, looked up as it approached, and then tried to just… bite her face off. It hit the glass instead, and didn’t make a sound (that we could hear), and the response of Katie and Max was laughter, but I was completely dumbfoundedly horrified.

I hate zoos.

yet another update

Thursday, June 4th, 2015

I think I am pretty much terrible at blogging these days. Honestly, the issue isn’t everyone moving away from LJ, although that certainly led to me being less constant… right now my life is so dang busy that I just don’t have time. I should actually be working right now, while the kids are in tae kwon do with Brandon, but I am burnt out enough that I figure taking a break isn’t such a bad thing. :)

My commute now that I’m working at Yahoo has gotten significantly longer, which prompted us to get an electric car, since I can use that to sail by a lot of the commute traffic in the HOV lane. Since I just got it this weekend, I don’t have the stickers yet (you need plates first), but I was so frustrated by 101 today that I used it anyway and shaved 10 minutes off my commute — and I didn’t get in it right away or use it the whole distance because I was feeling pretty guilty about doing something that’s probably illegal (although I’m not 100% sure, since it IS an electric car). It is incredibly adorable AND super peppy, which is such a change from my minivan! I didn’t sell the minivan, though, because it’s also VERY wee (a two-door Fiat 500e), and ironically, the van broke down the day after we bought the Fiat. (It’s all fixed now, though.)

In other world news, I’m healing fabulously, and recently apparently became the co-president of Women in Technology at Yahoo, which is exciting! Woo! My team is amazing (as usual) and I’m building relationships with the engineers who are on the teams we integrated with, who are all fairly great people. Max moved into the family class at TKD so the three of them are all taking it together (I’m not allowed to do that sort of exercise yet, it’s 45 days out and I’m still restricted to “walking”).

I went to the Mama’s Night Out fundraiser for Unravel (the pediatric cancer charity that Jennifer’s mom, Libby, started), with Ava. It was fun but sobering. I feel lucky to have motivated people in my life who are trying to make change in the world so that our kids have it better than we do.

AND TOMORROW IS KATIE’S LAST DAY OF KINDERGARTEN WHAT IS THAT EVEN

my baby! and mother’s day

Tuesday, May 12th, 2015

Today I have time to write a blog post because Max has officially moved up into the family class at tae kwon do, from the Mighty Monkees, where he was a white black belt. They let him start that class months early because he was so focused, and the same thing now. I am so proud, he looks adorable in his little blue uniform.

Mother’s day was pretty great, even though I was concerned going in because Katie woke up vomiting on Saturday morning. We had They Might Be Giants tickets for that night, so I stayed home with the kids and sent Brandon with his friend Greg … partially because I wanted at least one of us to get to go, and partially because he’s been so helpful, taking care of me and the kids when I was recovering. Happily, Katie was nearly fully recovered come bedtime, and better the next morning.

The kids made me breakfast (cinnamon rolls and strawberries, and coffee), and then gave me their gifts, which were mostly handmade and adorable (and they also each gave me a mini Build-a-Bear), as well as chocolates and some stuff from Lush. Then, I went to Marin and spent the afternoon with my mom and sister at the mall, where I spent too much money on a dress for the Unravel fundraiser on the 29th. Finally, I brought my mom back to our house, where she and my dad (as well as our friend Blaise and his three kids … his wife is in Korea right now) all had delicious steaks made by Brandon.

We are pretty much the most routine people ever right now… Katie knows what days are and are not TV days, Max loves Legos and asks me every day if he can have more (he can actually mostly build them himself now which is both good and bad for me ;) ), Nicky and Ash are old and annoying/jerky (in that order).

:)

kid-inclusive valentine’s day

Sunday, February 15th, 2015

We had a little shindig at the house yesterday to celebrate Valentine’s day, by inviting a bunch of friends over with their kids and having a LOT of beef wellington. (Brandon hasn’t made it in a LONG time!) We invited my boss Jason and his wife, and their three kids; Tom, who works on my team, his wife, and their two kids; Sonya, who works with Brandon, and her husband and two kids, and Ava and Shane, our besties, and their two peanuts.

The first, most important, thing that I did for the day was to order a huge bounce house, which was (as always) a hit. Brandon took Friday off to ostensibly work on cleaning, but that turned into him spending all day hitting up all the different shops around to make his menu… smashed baked potato appetizers, filled puff pastries, cheeses, and wine; I took care of the kid appetizers; and then the tenderloin and other assorted food items that are required for making beef wellington. He also developed this special cocktail pear martini with honey liquor that was frickin’ delicious, nom nom.

We also had bubbles, and sports equipment, and the hot tub (with a huge number of small people in it), and the people that we invited all seemed to really enjoy each other’s company, so it’s definitely something I would consider doing again. It made me feel extraordinarily fortunate to have all of the fabulous people in my life that I do. <3 (Bonus: my three-day migraine finally ended by the end of the day! And the puppies, who were at the kennel overnight, were so excited to see us today that when I took a spontaneous aggressive snooze on the couch today, Ash decided to sleep on me while Nicky slept next to me. Puppy love.)

old photo catch-up

Monday, January 5th, 2015

Breakfast of champions.

Super strong!

Birthday shenanigans: expanding the portrait wall

The dogs do not trust the selfie stick.

Max selfie

Katie selfie

staycation

Monday, December 29th, 2014

I don’t think we’ve had a really good staycation in a while, so this holiday break was definitely welcome. and unexpectedly wonderful. I appreciated the opportunity to not really have things planned out with the kids — even their TKD, swim, and gymnastics classes were canceled for the most part, so having unscheduled time with them was great.

Things we did included:

– Brandon and Katie took their TKD belt tests. They’re both yellow-white now, and Brandon was invited to the Black Belt Club (provided that his parents approve of this). Hee. Katie is actually doing much better in class now that Brandon is there with her, and he has an opportunity to work out himself with either a coach or another dad, so he’s not stuck to her side the whole time.
– Katie and I went to The Nutcracker with my mom, sister, and Riley. The Nutcracker itself was fun. The stuff that came afterwards is covered in a post that barely anyone can read because it’s locked down, yo.
– Random nighttime drives around to look at lights, with hot chocolate and cookies, in PJs. The first time, we came across a street dubbed Candy Cane Lane (Dewey St. in RWC) and we ended up going there purposefully a second time! (It’s a smaller version of the insanity that happens in San Carlos on Eucalyptus.)
– We went to Happy Hollow with Casey. The kids were totally amazing that day and it was a super fun time. :D The kids totally adore Casey, and I loved having time to catch up with her.
– We took the kids on the Niles Canyon holiday train, because our friends Carolyn and Peter were amazing enough to coordinate it so we could all sit together in a caboose! Both of them really enjoyed it, even though they were pretty maxed out by the end.
– Jordan, Elyssa, and Lexi came over; having a day with old friends is always wonderful.

Christmas itself was awesome. The kids were amazing about the presents they gave each other, and us, and the ones they received; it was a little more difficult when we went to my parents’ house later, because having all four cousins together made it a little more grabby-grabby (but not awfully so).

Overall, I think the best gift we gave each other was being together for the week; I got to learn more about their personalities and I finally settled into a more adept version of myself as a parent by the time that it ended. It’s hard sometimes to realize just how big they’ve gotten, because they still feel very little to me, and having time to “turn no into yes” and experience more of what makes them individuals is rewarding.