You’ll have to forgive me another rerun. We’re just now back home from our family’s fifth Emergency Department trip. I’ll write about tonight’s trip soon enough, this story is about two years old as well. From May 2003, the bead crisis…
Ah, the bead crisis. It’s all a bit anticlimactic, I’m afraid, it goes like this….
My first clue to something amiss was the dog, running out under the garage door to greet me when I came home from work, I’m running late and I know that there just fifteen minutes before Bette needs to leave to be ontime for work. The dog should not have access to the garage, too much dog-incompatible stuff. I have to wait for the garage door to go up so that I can stop it. It has a certain point of No Return where if you’re not quick with the button you end up having to wrestle with the dusty dryrotted derelict thing to get it back down. A little sunlight found its way back to the pedestrian door so I can see Bette, Tia and Lizzie. I can’t quite make out the activity underway in the garage, and I’m partly concerned that the dog is loose in the driveway and might head into the road. I am just arranging the time of day alongside Bette’s nonhospital attire in my mind and am forming a temptation to believe that she has the night off when the dog sticks her nose in the driver’s door and the garage door passes No Return.
I am very quickly informed that I am needed immediately, and no, this is not her night off, and no, she has not been cancelled.
Most nights, even if I am as late as this, I am graciously allowed by my family to set the pace of my own reinvolvement, just like Mr. Rogers had his routine with the song the sneaks and the sweater, well, I usually get to change shoes too. This is like Lady Elaine and Mr. Greenjeans interrupting before the ‘Won’t you be my neighbor?’ song is half done.
“Tia has a bead up her nose. I need a light and I need you to hold her. We’ve been hoping you’d get home soon. We’ll have to take her to the E.D. if we can’t get it.” ED is professional-talk for Emergency “Department” because, it isn’t a “Room” after all, is it?
“Really?” “She seems to be breathing OK.” This is two messages in one: Tia is hollering very effectively, there is no risk of suffocation short of her inhaling the bead further and choking and she’s upset. Let’s all take a break from chasing her down with flashlights and tweezers for a moment to observe that she’s upset.
“Yes, really.” my question has obviously come across as possible spousal professional disrespect and my nonchalance must look akin to parental neglect while my functional airway observation is unwelcome sarcasm and a second helping of spousal professional disrespect. “I’ve been on the phone with day shift, and they agree that this is an E.D. matter.”
“So, you want me to hold her while you grab it with tweezers?”
“The foreceps are too big.” My dumb question must’ve sounded like more second guessing.
“Can I pee first?” This is legit. I try hard to drink 2 liters of water during the work day, and too often I don’t make the coffee-to-water switch until late in the day. It would’ve been a clever delay ploy if I had needed one, I didn’t need to ploy, I needed to, well, nevermind. “Are you planning on going to work?”.
“They know I’m already going to be late, and they know what we’re working on, but I’m not called in.” She started getting ready to go to work. Tia was glad to be released.
A little later, we reconvened with flashlight and tweezers. I took a look and saw nothing, or effectively nothing, after all I was looking for a small round pink translucent thing in a small round pink dark hole.
There was an extended, lengthy, difficult struggle while I held Tia and Bette probed for the bead, perhaps 7 seconds elapsed.
Try to explain blowing through the nose to a three year old in the midst of a crisis. “No. That’s your mouth. good, close your mouth, no, that’s in, we need out right now, ok that’s out but your mouth is open again, try again, through your nose, no, out, yes, no, your nose, no, out.” This is perfectly futile and as close as we got to success at home.
Next came a doomed effort to suction (vacuum) it out that was part drinking straw, part shop vac, all noisy, and all frightening. Let the record show that T was a trooper for these experiments, she was a squirmy trooper that screamed and cried alot, but she was well justified, we were vacuuming the inside of her nostril, you know.
“Do you girls want to watch a movie?” This was too off-track and off-task again for Bette who was determined to right the wrong before she left for work. I put a favored video in for the girls and got them juice. Bette was afraid that I had lost my marbles and was going to either ignore this until it went away by itself, or ignore it until she came home from work in the morning when she would have to make the trip to the ER, pardon me, ED by herself after a sleepless night. I had wondered if this might be better treated by the pediatrician the next morning, but I was clear in the understanding that there was a long evening at the hospital on my schedule. I had made this determination during the failed tweezing efforts. Father might know best, but mother gets her way.
The movie was just what Lizzie needed. For a little while she stopped trying to look up Tia’s nose and asking if it would be up there forever or would the Doctor have a bigger vacuum cleaner at the hospital or would they make her drink black juice* or some other colored elixir. Tia did not relax, but was probably pretty glad to be out of my headlock and freed of the tweezers, the straw and Lizzie’s eyes uncomfortably far up her left nostril.
I assured Bette that I would take her to the hospital without delay, and that this video was just a break for us all while I readied coloring books, juice sippys, story books, crayons, library books and pyjamas. She could go to work, and we’d visit her unit after our business was done downstairs.
The second time I asked Tia if she was ready to go to the hospital, she said that she was.
The garage door returns from above No Return with a lucky lurch, and we drive up to the hospital
I was pretty pleased with my own ability to act cool, like, this happens all the time, no big. I think both girls were able to relax in part because Dad’s eyes revealed no alarm. But evidence that I was not so relaxed came in the form of a hospital volunteer. I gave her all of the insurance info, told our little bead up the nose story, made a little small talk and explained that Tia-short-for-Therese is the little one. All of the visible panic was on Lizzie’s paled face, so besides the fact that the hospital forms said that the patient was a three-year-old (and Lizzie is frequently mistaken for a third-grader because of her stature and speech), she was presumed to be the one in need. Through the I’m-perfectly-cool-facemask I was apparently unable to recognize one of the only three beautiful women who ever have left me literally breathless, at a distance of just under arms length. She finally reached out and touched my arm warmly and said “I know you from work, don’t I?, How ~are~ you? How have you been?” She said this like she was a long lost dear friend, Miss Virginia 1999, Miss America 2001, and The Democratic Party’s nomination for Leader Of The Free World in 2004 all at exactly the same time. I responded in the same way I would respond if Coors beer’s buxom blonde twins spoke to me directly from the billboard and asked “How ~are~ you?”. I blinked and said “You mean besides the fact that my little girl has a bead up her nose, don’t you?”
There was lots of waiting, I was apparently not alone in my assessment that this was not a life threatening incident. And there was lots of crayon coloring. ESPN’s Baseball Tonight was on with the sound turned down.
It is an Emergency ‘Department’ isn’t it? There is no one-size-fits-all answer to emergencies. There are all kinds of folks in there. There are the hurt, the very hurt, the sick, the very sick, the EMTs, nurses, paramedics, firemen, cops, respiratory therapists, Doctors of differing stripes, the wheeled and the wheelers, the wheelless, the splinted, the cervical-collared, the wrapped and the back-boarded are all there. Lizzie’s daddy can’t begin to answer her questions about why they’re all there and what they’re all doing.
In the end, I get the honor of removing the bead myself. One hand holds the back of her head, another pinches her opposite nostril closed, a firm puff of air into her mouth forces the bead into plain view. It is, relatively, enormous. Her nostril is stretched wide and the doctor’s finger pushes it the rest of the way out. This, I think, you could have suggested over the phone.
The nurse suggests that a little neosporin in the nostril would help prevent infection, I think that’s utter nonsense, but manage an obedient nod all the same. The same nurse gives us directions to Bette’s unit upstairs and direction to the nearest elevator. I should not have asked directions to the ‘nearest’ elevator, I should have asked directions to the elevator referenced in the previous set of directions because the two sets of directions given, when followed in sequence, led directly into Surgery. Oops. “Lizzie, don’t go in there, come back, please right now.” The pressurized rush of sterile air did not faze her in the least. I followed with Tia in my arms lest the automatic door close behind Lizzie and strand her in with the blue people. After explaining and apologizing to a fully gowned, masked and beslippered OR nurse, I did a little indoor bushwhacking and made our way to the correct unit. Our arrival there was met with equally wide eyes, as the door we used was the ‘back’ door used only for going to surgery or the morgue. People sent out that way do not come back unannounced.
There is a cat in the parking lot on our way home who makes for good distractions from conversations about how Lizzie thinks Tia deserves an ice cream treat. He is stealthy and shy and each time I say “There he goes again.” in responses to suggestions of the Library and McDonalds it is always partially true and more intriguing than reasons like ‘the library closed hours ago’.
When I do get to take off my shoes at home, I set aside my employee badge for the next day and I realize that can’t conjure an image of what that hospital volunteer used to look like so many years ago.
Today, the girls remember the shadowy cat sneaking around in the hospital parking lot after our visit and sometimes wonder what it found to eat there. The beads of the broken toy necklace have all been thrown away except for one. It has been suggested that the semi-precious pink faceted plastic bead be incorporated into a handmade fishing lure that is saved for her use on a special occasion. That may happen one day.
* The Black Juice is the activated charcoal suspension liquid that was pumped into Lizzie’s stomach during her own ER visit as a two-year-old. She remembers it well and is sure that it is the terriblest of medicines reserved for grave situations.
Of course, you must realize that these comments are coming from someone with pineapples all over her site. I can’t help it. I love pineapples and palm trees. They were bound to show up somewhere on my blog. I’ll have to work the palm trees in there somehow.
You could always hire a blog consultant and have a blog makeover. I’m sure there are blog designers who’d love to take some of your hard earned money.
Happy 1 year!!
Where’d I leave that scanner anyways?Thanks for the comment, I agree that photos might brighten up the place a bit.
I’m sure you’re spending your extra time agonizing over the asthetics of your blog.
All you need in your wit and intelligence to have a great blog. You’ve got that, so don’t sweat it!