My leukemia's back.

Yep, it's especially important when taking our kids in, isn't it, Cynthia? How is Richard doing? I haven't heard from you in so long! That young man is so special!!

When Kendra was in the hospital with pneumonia a couple of years ago, I not-so-politely made the nurse let me cath my granddaughter. The nurse meant well, but the local hospital here didn't even have a pediatrician and wasn't set up to care for kids. (They could stabilize them in an ER situation or treat the usual bones, stitches and colds, but then sent them down to up to Billings or down to Denver Children's if it was serious enough.)

I stayed with Kendra while Jen ran home to get her some diapers and such. We always have a bag hanging on the back of her wheelchair, but didn't have enough stuff for a long stay. Kendra's nurse was waiting for more staff to come in and help put a cath in her. What???? They were going to put in a Foley with a catch bag and leave it in while she was there. Um, NO! She was scared enough, and miserable, plus we can't explain to her what's happening, so if they were to come in en mass she'd totally panic anyway. I asked if I could just go ahead and do the cath but was told no, they'd do it. The thought of them ganging up on her and doing a procedure that she didn't even need was starting to infuriate me.

I tried to be nice at first. I reminded them that either Jen or I do this 5 times a day, and never have a problem because Kendra is used to it. Nope. It was on Kendra's chart that she needed catheterization, so that's how they were doing it. I tried getting firmer, telling her that this was part of Kendra's regular routine and it would calm her having that routine followed just as it is at home. Nope. Protocol was if a cath was needed, it had to be a cath with the bag. I reminded them that UTIs are more common in bag caths, and Kendra didn't need another medical issue. Nope. So I told her that they could either let me or Jenny do the caths while Kendra was there, or I'd be in Rick's office (the CEO) of the hospital so fast they wouldn't know what hit them. She looked at me like I'd grown two heads, just staring at me and still waiting for her reinforcements, so I grabbed a cath out of Kendra's little bag. I pulled her diaper down, started singing "How Much is that Doggie in the Window" and just like that we were done. Later on Jen came back and I'd told her what I'd done. Jenny said that later she could hear our family doctor scolding the nurses, telling them that their job was to make sure the IV stayed in, Kendra got her medicines, and was comfortable and monitored. Anything to do with her Spina Bifida was to be cleared through or handled by the family. Period! They were much nicer after that, and deferred to us if they weren't sure what Kendra's special needs were!

We have to always walk a fine line, all of us, between cooperation with the medical professionals and advocating for ourselves when we feel we need to. It's a little harder when suddenly life takes a turn and the doctors all seem like Doogy Howser - how did things get flip flopped so that now I'm older than the professionals treating me? Used to be they were older, wiser and I wasn't. Hmmmm

Good for you B! Every patient needs an advocate unrelated to the medical personnel in the hospital.
 
You are taking all of us with you right??

Oddly, ALL of the time. I guess they have given up thinking there is anything to eat out there. Thankfully they still mostly go out to their pile to poop, only had to pick up once a couple of days ago. There was a nice drift in the alley that blew through their open door. The snow came in on the NW wind, turned > 90° and travelled 15' before it hit the west wall. The door is held open about 18" and they push it as needed to come and go. Must be they didn't like the resistance of the snow on the outside of the door. Of course that didn't stop them from going out when I came in to fork out the poop. I guess they are still afraid I'm going to trap them and do horrible nasty things ... like TOUCH them.

Maybe they'll go out when it hits mid 40's Thursday and into Friday. Or maybe not, probably be too warm for them ;)

So are the chickens still petrified of them?

Good for you B! Every patient needs an advocate unrelated to the medical personnel in the hospital.

Amen! I feel for the person who is hospitalized who DOES not have an advocate available. And that advocate must be willing and able to stand up to the foolishness of an ignorant staff. And that advocate must know how to demand that their rights not be crossed.
 
So are the chickens still petrified of them?
No real difference. The 2017 girls will go through the gate to the Alpacas' end (north) though not usually when the boys are "home". I don't think any of the 2012's or 2015's ever go through the gate. Of course now that there is a mess of snow outside, the girls are just hanging in their part of the alley or the coop. When there was no snow most of the 2017's would "escape" the barn through the boys' door before I went down to open up. I don't know if they wait for the boys to be out or just go through. The older girls will go out (through the south door) behind the barn to scratch in the boys' poop pile but not if they are close by.
 
Yep, it's especially important when taking our kids in, isn't it, Cynthia? How is Richard doing? I haven't heard from you in so long! That young man is so special!!

When Kendra was in the hospital with pneumonia a couple of years ago, I not-so-politely made the nurse let me cath my granddaughter. The nurse meant well, but the local hospital here didn't even have a pediatrician and wasn't set up to care for kids. (They could stabilize them in an ER situation or treat the usual bones, stitches and colds, but then sent them down to up to Billings or down to Denver Children's if it was serious enough.)

I stayed with Kendra while Jen ran home to get her some diapers and such. We always have a bag hanging on the back of her wheelchair, but didn't have enough stuff for a long stay. Kendra's nurse was waiting for more staff to come in and help put a cath in her. What???? They were going to put in a Foley with a catch bag and leave it in while she was there. Um, NO! She was scared enough, and miserable, plus we can't explain to her what's happening, so if they were to come in en mass she'd totally panic anyway. I asked if I could just go ahead and do the cath but was told no, they'd do it. The thought of them ganging up on her and doing a procedure that she didn't even need was starting to infuriate me.

I tried to be nice at first. I reminded them that either Jen or I do this 5 times a day, and never have a problem because Kendra is used to it. Nope. It was on Kendra's chart that she needed catheterization, so that's how they were doing it. I tried getting firmer, telling her that this was part of Kendra's regular routine and it would calm her having that routine followed just as it is at home. Nope. Protocol was if a cath was needed, it had to be a cath with the bag. I reminded them that UTIs are more common in bag caths, and Kendra didn't need another medical issue. Nope. So I told her that they could either let me or Jenny do the caths while Kendra was there, or I'd be in Rick's office (the CEO) of the hospital so fast they wouldn't know what hit them. She looked at me like I'd grown two heads, just staring at me and still waiting for her reinforcements, so I grabbed a cath out of Kendra's little bag. I pulled her diaper down, started singing "How Much is that Doggie in the Window" and just like that we were done. Later on Jen came back and I'd told her what I'd done. Jenny said that later she could hear our family doctor scolding the nurses, telling them that their job was to make sure the IV stayed in, Kendra got her medicines, and was comfortable and monitored. Anything to do with her Spina Bifida was to be cleared through or handled by the family. Period! They were much nicer after that, and deferred to us if they weren't sure what Kendra's special needs were!

We have to always walk a fine line, all of us, between cooperation with the medical professionals and advocating for ourselves when we feel we need to. It's a little harder when suddenly life takes a turn and the doctors all seem like Doogy Howser - how did things get flip flopped so that now I'm older than the professionals treating me? Used to be they were older, wiser and I wasn't. Hmmmm
Good for you, and yes, as easy as it is to cath...and boys are actually easier for nures to.. ahem, figure out..they have problems at times. Once I just went for a glove in the room, and took the catheter from the nurse. No singing from me..lol.. I just said to Richard.. ready? Done!
 

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