TechyDad

You might remember that, a month ago, I had my nose electrically cauterized.  Well, yesterday I had my followup appointment.  Perhaps I should have known how things were going to go a few days prior when the doctor who did my procedure had to cancel due to emergency surgery and I was given an appointment with another doctor.  But I figured that these things happen.

Getting to the office and into the waiting area for the doctor went without incident.  Then the doctor came in.  She was nice, listened to my history and looked in my nose.  She got it to bleed which was a good thing because she seemed to be actively trying to find where it was bleeding from.  Doesn’t make sense to treat areas that you *think* are bleeding when another area might be the actual bleeding spot.  So far all good, but we’re about to head downhill fast.

She said she was going to put some stuff in my nose.  I didn’t quite catch the name, but I thought I heard "Afrin" which I had taken to reduce the size of my nasal blood vessels and so reduce the number and severity of the bleeds.  I figured she was going to pack my nose like was done one time before to help it heal.  As she stuffed a cotton ball up my nose, liquid ran down my lips.

"That’ll just numb your lips a bit," she joked.

Numb?  Excuse me?!!!  Just what was she planning on doing?  I told her that I didn’t want another electrical cauterization done.

"Well, I’m going to have to do something," she said as she walked out of the room.

Now alarm bells were going off.  Just what was "something" and why would she leave the room mid-discussion like that without giving me a chance to respond?  I was left to sit there and think this over (and text message) a bit before she came back in.  I reiterated my stance against another electrical cauterization.  I told her how painful it was last time, how I was so clogged up that I couldn’t sleep last time, and how I had nobody to drive me home should I not feel up to it.  She insisted that she was going to do a silver nitrate cauterization.  She said it’s less intense and I won’t get as clogged up.  I grudgingly accepted, half feeling like I was backed into a corner.

The procedure went smoothly, I guess.  The two main problems during it (for me) came when a flood of fluid spilled from another cotton ball stuffed in my nose into my mouth causing me to swallow numbing solution.  She made sure to squeeze the cotton balls better next time to prevent a recurrence.  The other incident happened when a gush of something came out of my nose and went *under* the bib they put on me right onto my white shirt.  During the electrical cauterization, a similar incident involved blood so I was fearful that my white shirt was now ruined.  Luckily, it was that numbing stuff again which is clear and doesn’t stain.  Still, her joke post-procedure that my white shirt is "too much pressure" for her was in poor taste.

After the procedure was completed, she said she wanted to see me on a weekly basis to keep an eye on the bleeds.  She explained that you can cauterize one area only to have another bleed form slightly higher up in the vessel.  Apparently, she was planning on repeating this procedure many times until the bleeding stopped.

I went to check out and was told I owed a $30 co-pay.  I asked why.  After all, this appointment was a follow-up to my electrical cauterization procedure.  I was informed that followups don’t need co-pays only when dealing with a surgical procedure and electrical cauterization doesn’t count as a surgical procedure.  Then I asked if this meant that my weekly followups would have co-pays as well.  Yes they would was the answer.  This was the last straw.  I can’t afford to spend $30 per week to have someone chase nosebleeds in my nose!

They gave me the number of their billing manager (the person at the desk had no authority to do anything except collect co-pays and schedule appointments) and I called the next day.  The billing manager told me that they had zero leeway with this.  This is what my insurance company mandates so this is what they charge.

Meanwhile, I had had a chance to stew about some of the problems with what went on in the doctor’s office and asked to speak with the patient representative.  I explained to her the situation and she (with my permission) said she’d talk with the doctor.

Now it gets *really fun*.  The doctor called me back and started all but blaming me outright for the situation, telling me that she "can’t read minds."  EXCUSE ME?!!!!  A doctor is not supposed to start a procedure on a patient and just assume they’ll get up to speed about things.  A doctor is supposed to give the patient options and discuss a course of action before starting something.

She said the only other option was packing my nose and I told her that’s what I thought she was doing before I felt the numbing stuff inside my nose.  I quickly realized that I wasn’t getting anywhere with her and got off the phone with her.  B called the patient representative back and lodged a complaint.  Curiously, the doctor didn’t want to see me and the doctor who did my electrical cauterization will now see me on my appointment this Friday.  (If I keep it.)

In any event, this whole situation could have been diffused by five minutes of sitting down with the patient (me) and telling me what our options were and what she thought was needed.  I’d have likely agreed and the rest would have gone the same, but at least I’d have known and agreed to the medical procedure *BEFORE* it was started and not *AFTER* the doctor began it.

Maybe it’s a sign that "Patient Representative" is the first option on their phone menu.

For as long as I can remember, I’ve had trouble breathing through my nose. The problem is especially bad in my left nostril. Over a decade ago, I had surgery back to cut back my turbinates, but didn’t get a deviated septum operation as my insurance company at the time denied it the day before the operation. (They claimed it was cosmetic only.)

Last month, I went to an ENT specialist concerning my nosebleeds. I was getting them on a daily basis and they were really troubling me. Now when I say nosebleeds, I don’t mean a bit of blood coming out of my nose, I mean a gush of blood necessitating constant pressure for 10-15 minutes. The nosebleeds always came from the same nostril, the left one. Yes, the same one that I can hardly breathe through.

Last month, the ENT packed my nose with special gauze to help my nostril’s blood vessels heal. This worked for a week or two. Then I got a nosebleed. The next week, I got another one. Then they started coming every 2 or 3 days.

Meanwhile, last week, JSL had strep. When I developed a sore throat (and heard that a few of my co-workers had sore throats), I wondered if I was getting strep as well. So I went back to the ENT, figuring I’d find out about the strep at the same time that I talk with them about my nose. They didn’t think I had strep, but did a culture just to be sure. (Results will take a few days.) Then it was time for my nose.

The nurse practitioner took a look in my nose and said that it was time to go for electrical-cauterization. They got their tools ready and here’s the intrument of torture:

First, they soaked a cotton ball with some numbing solution. They shoved this up my nostril, causing numbing stuff to run down my lip and into my mouth. YUCK! After it had a few minutes to work, and after B took JSL out of the room, they began the cauterization. Think of the static electric shock you get from time to time when you touch a light switch. Multiply that by 10. Now put that shock inside your nostril. Yes, it was painful. Very painful. And, even worse, I could smell my nostril burning. (This burning smell would persist for hours afterwards.)

As a side effect of this procedure, I can’t breathe through either nostril now. (Not going to go into any more details since I think I’ve already strayed into TMI territory.) Last night was spent passed out for an hour, then up for an hour hacking and coughing and trying to, somehow, get comfortable enough to sleep.

I know that, in the long run, this will help me avoid nosebleeds. It was also a prerequisite for even considering any form of surgery on my nose to correct my breathing problems. Still, in the short term, it was quite the nasty procedure. I’m hoping to be able to rest a bit more today so I can go back to work tomorrow. (Not to mention being able to breathe a bit better.)

I’m a fan of skepticism. Really, I am. I was reading a post recently about a necklace that supposedly cured eczema and I thought how ridiculous that might be that a necklace would cure a skin condition that it didn’t even touch. In cases like this, skepticism means looking for scientific evidence that a certain product works or doesn’t work. However, one thing skepticism should never involve is being mean.

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Unless you’ve been living under a rock, you already know that H1N1 seems to be spreading all too quickly and that the vaccine is in short supply.  Our doctor told us today that we are on a four page list of people waiting for the vaccine.  We also found out that 66 of the 270 children in NHL’s school were out today.  That’s nearly 25% of the kids out!

After picking up NHL, B told me that he was complaining of having a headache.  That sparked a memory of him complaining of having a headache this morning.  That, combined with B not being sure if he had a fever and the obvious rampant infection rate in his school, leads us to worry about NHL having H1N1.  B, JSL and NHL are off as I type this to get NHL some Tamiflu to have onhand in case he really has influenza.  Meanwhile, I’m going to keep my fingers crossed that he’s just feeling tired and run down and not H1N1-sick.

In related news, I checked out the CDC’s FluView website.  The map intrigued me and I wanted to see how H1N1 has been progressing.  I managed to locate all of the archival maps (except for week 16) and strung them into a Flash animation:

Note how the brown "widespread" states multiply starting the first week of September, aka When School Starts.  I have a bad feeling that NHL’s school in particular and schools in general are going to see worse infection rates before things improve.

Here’s hoping that everyone out there stays healthy!

I’ve written before about the Sid The Science Kid on PBS.  Well, I was recently informed that Sid was going to have a special vaccination episode.  For children, vaccinations can be scary events.  Kids don’t always recognize that the small amount of pain now (from the needle stick) prevents a lot of suffering later (from the disease) and possibly even hospitalization/death.  Diseases that used to cause thousands of deaths a year just fifty years ago are rare today thanks to vaccinations.  Kids don’t see all this, though.  They just see an adult coming at them with a needle.  That’s why shows like Sid The Science Kid can be helpful.  If kids see their favorite TV characters getting a shot and being just fine, they’ll recognize that the shot won’t be that bad. Here’s a quick video of the Sid episode, airing this Monday, October 26th:

In related news, my employer just got in their supply of H1N1 vaccine so I’ll be headed down to Employee Health to get my jab.  Not just to keep myself from getting sick, mind you, but to also reduce the possibility that I will pass H1N1 on to NHL or JSL.  NHL and JSL will get their H1N1 shots when our doctor’s office gets their supply in.  I’d urge everyone to get their child vaccinated as soon as possible.  The more people who are vaccinated, the less victims the flu will claim.

EDIT: When I went down to get my shot, my Employee Health department told me that they aren’t giving them to people who don’t have direct patient contact.  This is a change from what they said before.  So I didn’t get my shot today, but I still plan on getting it as soon as possible.

Jenny McCarthy has long been at the forefront of the anti-vaccine movement. Despite all scientific evidence to the contrary, she continues to insist that vaccines are linked to autism. The method seems to change as each method suggested gets shot down, but still too many parents keep their children unvaccinated and exposed to dangerous diseases.  I won’t go into the reasons why the anti-vaccine crowd is wrong.  I’ll leave that to Bad Astronomy.  However, if there’s one thing I don’t like it’s hypocracy and I just found what I consider to be a big pile of it.  Jenny McCarthy doesn’t like vaccines, but apparently, she’s a fan of Botox.  Something just seems wrong to me about this.  She doesn’t like vaccine injections for fear of medical repurcussions, but she is fine with getting Bubonic Plague injected directly into her face?  Please tell me I’m not the only one who finds that odd.

EDIT: Charlie Young over at Bad Astronomy has corrected me:  "Botox is derived from the toxin produced by the bacterium Clostridium botulinum and bubonic plague is caused by the bacterium Yersinia pestis. So even though she is getting injected with a powerful paralytic neurotoxin, it is not the plague."

Fair enough.  Still, though, being injected with a paralytic neurotoxin just to ward off a few wrinkles is better than getting a vaccine to ward off a debilitating illness?  Not in my book.

If being a parent has taught me anything, it’s that your scariest moments in life will always involve your children.  Thinking back to my pre-parent/pre-married days, my scariest moments involved asking a girl out.  It seemed scary at the time, but it was nothing compared to my children’s Top Four (listed below in chronological order):

1.  NHL’s Febrile Seizure:  It was July 2004.  We had just moved into our new house and we were one month away from NHL’s first birthday.  We were supposed to visit my grandmother downstate, but the weekend was *NOT* going well.  B’s beloved cockatoo, Moose, had taken ill suddenly and passed away literally in her arms.  We stayed up late that night digging a grave for him and B was understandably distraught, so we cancelled our trip.  In hindsight, it was a good thing.

NHL was playing on the floor like he usually did.  I picked him up and happened to brush my hand across his forehead.  It was burning hot.  I remember getting the feeling that, if I didn’t remove my hand from his head, it would be burnt.  Yes, he was burning up so much it triggered my "fire hot" response!  We took his temp and it was 103 (if memory serves).  We called the doctor and he said to strip him, give him Motrin and Tylenol, and put him in a lukewarm tub.  We did all that.  While I sponged lukewarm water on his body, B went off to find a towel.  I felt NHL’s forehead again and felt it get very hot, very fast.  I called for B and she came in.  He looked up at her, but there was no recognition in his eyes.  Then his eyes rolled back and his head slumped backwards.  I quickly lifted him out of the tub and SCARY MOMENT #1 began.

NHL was lifeless in my arms.  I seriously thought he was dead.  He began to turn blue as we put him on our bed.  Then he began to twitch.  B frantically called 911.  I felt useless.  There was my baby in front of me in serious trouble and I couldn’t do anything to help.  I searched my memory for something, ANYTHING that I could do.  I remembered something about not letting them swallow their tongue.  (Yes, now I know this can’t happen, but I didn’t know at the time.)  I pried his clenched jaws open and tried to move his tongue out.

By the time the emergency personnel came, NHL had started breathing again, though he wasn’t conscious.  We got into the ambulance and headed to the hospital, B in back with NHL, me in the front.  Hearing NHL scream bloody murder never sounded so good.  It turned out that he had Koksaki virus.  That caused the fever which triggered the febrile seizure.  That night B passed out from the sheer exhaustion of the weekend’s events, but I couldn’t sleep.  I’d look down at NHL sleeping next to us and could feel myself getting more anxious every time his fever went up and less anxious every time it went down.  Luckily, after a few days, his fever broke and he was ok.

2.  JSL’s First Febrile Seizure:  One night, last February, after NHL was asleep, we noticed that JSL was running a fever.  We called the doctor and B’s parents.  They got in first and the doctor recommended the same course of action that he did the night of NHL’s seizure.  I objected to the tub since that’s when NHL seized, but I was reassured that it would help his fever.  Nevertheless, I insisted that B have a towel at the ready and not stray from the tub.

JSL went in the tub and after some time splashing, my worst fears came true and SCARY MOMENT #2 began.  JSL began to seize.  We picked him up, but he decided to one up his brother.  Instead of turning blue, like NHL, he turned grey.  He also stopped breathing (like NHL did), but didn’t start breathing again on his own.  As my mother-in-law did rescue breaths on him, I ran from the front door (looking for the already-called-for-ambulance) and the bedroom where JSL lay.  My father-in-law offered to look out the door for me.  He meant well but he didn’t seem to understand.  I needed to *DO* something.  Even if that something was completely useless.  If I wasn’t doing something, then I’d be just staring at my baby’s lifeless body and I couldn’t take that at the moment.

Finally, JSL started breathing again and the emergency personnel came.  They took JSL to the hospital.  I followed in my car with my mother-in-law.  My father-in-law stayed at our house to look after the still-sleeping NHL.  We spent the entire night in the ER.  Literally.  At around 4am we were given a room at the pediatric ward.  They didn’t know what was wrong and wanted to keep him under observation.  It worried them that he didn’t begin breathing again on his own.  For the next 4 days, that room was B and JSL’s home.  Finally, an ear infection showed itself and could be treated.

3. JSL’s Fall:  JSL has had a lot of self-inflicted head injuries.  Whether it be him trying to head-butt someone/something, or just trying to run faster than he can, he seems to have a bullseye on his forehead.  This usually results in a gooseegg, a short screaming session, and then another daring-do JSL run.  This December 2008 night, though, was different.  We were at B’s parent’s house with a bunch of her family.  Dinner had already been eaten and we were playing for a bit before dessert.  JSL was running after B’s father with only socks on his feet.  They ran into the kitchen and we heard a loud klunk!  B’s father came in carrying JSL and said he went up in the air and hit the back of his head.  (This Charlie Brown and the Football.)

He cried for me so I tried to soothe him.  That didn’t work.  So we figured that dessert would be a good distraction.  He refused chocolate.  Now we knew something was definitely up.  SCARY MOMENT #3 was about to begin.  B’s grandmother mentioned that JSL looked pale and then, as the rest of us concurred, he spaced out.  Seriously spaced out.  We took him into the kitchen, kept NHL occupied in the family room with the TV, and called 911.  Tons of emergency workers came out of the snow outside and filled up my in-law’s house.  As they prepared to take JSL to the hospital, B slipped on a wet bootprint and jammed her hand.  It wasn’t serious, but it’d hurt her for some time to come.

B and JSL went in the ambulence while I went in the car.  As I pulled out, and the ambulence pulled away, a neighbor of my in-laws stopped me to ask what was going on.  I quickly told her but then excused myself because the ambulence was getting away.  The ambulence wound through a bunch of side streets and I did my best to keep up.  Did I mention that it had just snowed?  No?  Well, it did.  The roads were really slick and I was afraid that I’d wind up slamming into a parked car while trying to follow the ambulence.

By the time I got to the hospital and got in to see B and JSL, JSL was finally alert.  They examined him and determined that his fall had given him a concussion.  After awhile, he was walking around the ER both to our delight (he’s ok!) and fright (he’s wearing socks on slick tile flooring!!!).

4.  JSL’s Second Seizure:  This one is probably my scariest moment ever for the simple facts that it: Happened only a few days ago (Saturday night) and involved choking which scares me to death.  We had bought a new bike and helmet for NHL and were trying the helment on to see if it was too small.  (It is.)  While we were doing this, JSL was playing on the floor about 2 feet away.  Suddenly JSL leaned forward and grunted.  I first thought he was pooping.  He hadn’t gone all day and could be constipated.  Then, B realized that he wasn’t pooping.  "He’s CHOKING!" She shouted.  Queue SCARY MOMENT #4!  I ran off to get a phone while B did the heimlich manuver and administered back blows.  We had no idea what he could be choking on, but whatever it was wasn’t coming out.  I called 911 and told them my child was choking.  JSL wasn’t responding and was quickly turning blue.

NHL, spared from the previous JSL scares by sleep or TV, was a full witness to this one.  He saw his little brother go limp and lifeless.  He saw JSL foam at the mouth.  He saw Mommy and Daddy panic as JSL wouldn’t respond.  He saw Mommy try to pry open JSL’s mouth to work her fingers inside.  She managed to do it, but then he clamped down again, trapping her fingers in his mouth.

I opened the door and looked out for the ambulence.  No sign of them.  From experience, I knew they were less than 5 minutes away, but suddenly 5 minutes seemed like an eternity.  Finally, I heard a siren.  I ran inside to tell B that the police were here.  NHL ran to the door and shouted at the officer:  "He’s here!  He’s here!  My little brother’s right there!"  The officer didn’t seem to do much to help, but luckily the emergency room personell came soon after.  They flooded the room and I was quickly pushed away from B and JSL by the crowd.  I put NHL on the couch to get him out of the way.

In a display of 5 year old coping mechanism, NHL shifted from being worried about his brother’s well-being to being upset that he couldn’t see the TV.  Then, after B’s parents arrived and were getting him ready to go to their house, he began crying.  He was upset that he’d miss Hebrew school tomorrow!  5 year old coping again.  Your mind can’t handle the big issue so focus on a small one.

B’s father took NHL to his house while B’s mother and I went to the hospital.  By this point, we knew he wasn’t choking.  After all, he would have been unconscious long before the first responders showed up.  In hind-sight, the seizure signs were all there:  Clenched jaw, convulsions (though seizing up muscles, not twitching which threw us), foaming at the mouth, etc.  Our only question was whether this was a febrile seizure (he didn’t seem sick before) or due to some head injury (see SCARY MOMENT #3).

At the hospital, we got our answer.  They took JSL’s temperature and it was 103.5.  That pointed to a febrile seizure.  They listened to his chest and looked in his ears but couldn’t figure out why he had a fever.  After some prompting, they looked in his mouth, but didn’t find anything.  They also didn’t do any blood tests.  Instead, they gave JSL some Motrin and sent us on our way.  Rest assured that an angry phone call is planned.

That’s the end of SCARY MOMENT #4, but not the end of the story.  For the rest of the story, head on over to B’s blog and read: 13 Months later – the nightmare returns, Two febrile seizures in less than 30 hours, and Spring FEVER update.

There was a post on ProActiveDads.com today referencing an article about the Amish and Autism.  The article claimed that the Amish don’t raise their children and also don’t have any instances of Autism.  This, the article implied, was proof that vaccines caused (or at least were somehow linked to) autism.  Something about their reasoning didn’t sound right to me, so I did some digging.  It wasn’t hard.  A simple Google search for "autism Amish" turned up another article.  This article pointed out that many Amish do indeed vaccinate and that there are autistic Amish.  Their rates may appear lower, but there’s a reason for that:

[Dr. Kevin Strauss, MD, a pediatrician at the CSC] says a child in the general population is more likely to have autism detected early and to receive a diagnosis than an Amish child. "Amish child may not be referred to an MD or psychologist because the child is managed in the community, where they have special teachers," he says. "We know autism when we see it, but we don’t go actively into the Amish community and screen for ASD."

So the Amish aren’t as likely to take their children to the doctors who would diagnose the child as autisic.  Since the child wouldn’t be diagnosed, the autistic Amish child wouldn’t be listed in the statistics and the Amish would appear to have few, if any, cases of autism.

However, there’s a deeper flaw in the original Amish-Autism article that goes beyond lack of facts.  Even if the Amish didn’t vaccinate and even if the Amish had a lower, or even zero, rate of autism, that wouldn’t mean that vaccinations cause autism.  Correlation does not imply causation.  There are a lot of other factors that could lower the Amish rate of autism (assuming still that it was indeed lowered and not a statistical fluke caused by low reporting numbers).  Perhaps all the fresh air helps the development of the brain.  Perhaps working in a field has some benefit.  Perhaps the Amish simply tend to reproduce within their own community and their gene pool doesn’t contain as many genetic risk factors for autism.

To put the Correlation-Causation link another way, imagine a study that was made counting the number of firefighters at a blaze and how big the fire was.  You’d be sure to find out that there were more firefighters at the biggest fires.  If correlation equaled causation, you might conclude that firefighters caused fires and a lot of firefighters caused BIG fires.  In truth, the cause of the fires would be completely unrelated to the firefighters’ presence.

The Internet is a great resouce, but with the good information comes misinformation.  One must always take articles one reads online with a grain of salt and a critical eye especially if said article claims a conspiracy theory (that the author somehow uncovered despite the best efforts of the hugely powerful conspirators) or a scientific breakthrough found out by someone who hasn’t had (or won’t have) their work peer reviewed.  If the author is claiming a scientific conspiracy to keep something quiet, then your BS detector should be blaring sirens and flashing red warning lights like crazy.

The autism-vaccine link has been looked into multiple times and, save for a few isolated instances, no link has been found.  (One of the major studies used to back up the autism-vaccine claim was recently accused of falsifying data.)  If multiple studies don’t uncover a clear pattern, then any outliers that seem to indicate links are likely the result of other factors.

No, we don’t know everything about autism, but a few things are clear:  1) Vaccines protect us from dangerous diseases.  Look up Polio one day.  Images like this one have all but vanished in our modern world thanks to vaccines.  2) Not vaccinating your child puts them at risk.  Many diseases (e.g. measles) are making comebacks thanks to a growing number of unvaccinated children.  You can’t simply not vaccinate and trust that your child will always be surrounded by vaccinated children.  3) Children are exposed to millions of germs every day.  The one to five that they get in one vaccine is nothing for their immune system.  It is certainly preferable that they be exposed to the vaccine versions of the germs (which are mostly incapable of causing the disease) rather than be exposed to the full disease-causing version.

We just had a scary weekend.  We were at B’s parents house Saturday night celebrating Chanukah a night early.  Gifts were opened, kids were excited, a meal was eaten – so far, so good.  Then – before dessert was served – we took some more time to play with the kids.  JSL went chasing after B’s father and slipped on the kitchen floor (he was in his socks which apparently didn’t have enough traction).  He landed right on the back of his head.

B’s father brought him right to me as he screamed.  He’s hit his head quite a few times, so we first thought nothing of it and proceeded with dessert to try to distract him from the fall.  During dessert, he refused a chocolate covered pretzel.  (JSL refuse chocolate?  Something *must* be wrong!)  Then we noticed that he was extremely pale, started shaking, and was glassy eyed.  We called 911 with visions of his febrile seizure running through our heads.

The paramedics came and checked him out.  During the checkout, he didn’t complain at all.  (Another non-JSL-like reaction.)  They decided to take him to the hospital.  B ran to get his stuff.  Of course, they were coming in from the snowy outdoors and B didn’t notice the water they brought in.  She slid and jammed her finger and arm.

We headed to the hospital, B in the ambulance and me in the car.  NHL stayed with B’s parents.  I heard him complaining to them that he couldn’t sleep there tonight because he didn’t have his "buddies." I followed the ambulance across some pretty treacherous roads (unplowed narrow city roads with cars on both sides).

Finally, we got to the hospital.  I had to wait 10 minutes for them to get checked in so I could see B and JSL.  (Technically, I was a visitor since B was the one who came in with him.)  When I walked in, JSL seemed a bit better.  He actually requested his binky – something he hadn’t done the past hour.  (Another *HUGE* non-JSL behavior.  He’s a binky addict.)  He also walked around the ER, taking off away from me to see something that interested him.

They determined that he had a concussion and possibly a mini-seizure from the fall.  They told us to wake him up a few times during that night and the next one and take him in to see the doctor on Monday.  (B’s actually taking him tomorrow due to the weather.)  I’m hoping for a boring week this week.

I’m back from my trip to Charleston, South Carolina.  Everything went well there.  My friend is now married and I have over 1,100 photos of the time I spent there.  More on that later.

On Sunday, NHL woke up and was acting odd.  He didn’t want to eat breakfast and asked to go back to sleep.  Not on the couch watching TV, mind you.  He wanted to go back to bed.  (Sign #1 that something is wrong, a nap with no TV is *ASKED FOR*!!!)  After about an hour’s nap, he woke up and went to Hebrew School.

When we picked him up, he seemed tired.  We went to the grocery story to pick up some food.  He and JSL sat in a car cart next to each other.  NHL complained that he was hungry.  Fair enough, it was lunchtime.  So we tried to get him some food but he kept going between hungry and not hungry.  Finally, we got him some pretzel crisps and went through the aisles quickly.  At the dairy aisle, the second to last aisle we needed to go in, he suddenly gagged and hurled all over himself, the cart and the floor.

Now here is where my bad reaction comes into play.  Ever since NHL has been little, I seem to have this reaction when he vomits.  I instinctively try to catch it to contain the mess.  It never works, always gets me messy, yet the reaction persists.  It’s not a conscious decision either.  It just seems to be something that I do as a split-second reaction to my son vomiting.  I don’t know why I do it

So there I am standing with vomit dripping down my hands in the dairy aisle.  My wife took JSL to get someone to help clean up the mess.  (Luckily, NHL turned away from JSL when he performed the Technicolored Yawn, so JSL was spared the mess.)

When she came back, I cleaned us up the best I could and took NHL to the restroom.  He complained on the way that he was going to hurl again, so we hurried.  Once in the bathroom, though, he tummy must have settled a bit because he didn’t need to.  However, the restroom was equiped with a hot air hand dryer (a "blower" in NHL-speak) and not paper towels.  So I grabbed handfuls of toilet paper, wet them, and tried to use it to clean up the vomit on NHL’s clothes (as well as the specks of toilet paper that started ripping off and sticking to his clothes).  It wasn’t a great job, but it was good enough for the moment.

Back we went to B to find that they had taken the cart away to be hosed off.  They were coming with a new cart and a mop.  Meanwhile, B was guarding the "spill zone" with JSL while watching our groceries.  I took JSL and NHL and headed to the car.  (Along the way, I saw an employee heading back to my wife with another car cart.  He saw me taking the boys away and said he’d get her a regular cart.)  At the car, NHL was clearly distressed.  He wanted to go home *now*.  I calmed him down the best I could until B got back.  Then we headed home.

At home, we saw that NHL was spiking a fever.  Motrin went in and NHL went to nap for a bit.  His fever seemed to pass, but he still wasn’t hungry for dinner.  A juice box and half of a apple juice popsicle was all he had the rest of the day.  Luckily, this morning, his fever appeared to be gone and he actually requested breakfast.  Hopefully, he’s on the mend.

My Gross Day wasn’t over though.  JSL had needed a tub, and a dinner of buttered noodles didn’t help.  Just before his tub, he decided to poop.  I couldn’t change his diaper *AND* clean/fill the tub at the same time, so B agreed to change his diaper.  Unfortunately, she didn’t wait until I was ready and soon a naked JSL was wandering about the house while I waited for the "clean the tub" water to go down the drain.

As the tub drained, B told JSL: "Out of the living room.  I don’t want you peeing on the carpet.  Go to Daddy."  Can you guess what comes next?   I suddenly felt wet on my leg.  I saw that the water was way to low for me to have accidentally splashed myself and I saw JSL turning and walking away.  Yes, JSL did as Mommy asked and went to Daddy to pee.  (Ok, it might not have been what Mommy meant, but apparently JSL is very literal.)

So yesterday I was puked on by one kid and peed on by the other.  I guess that’s the payback I get for being out of town for 3.5 days.