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Monday, March 28, 2011

To sedate or not to sedate...that is the question.

I'm not really sure how I managed to swing it this year, but I got to get away by myself again! I went once at the end of February to surprise my sweet friend, Debbie, for her birthday. We had a wonderful weekend in Seattle despite record COLD temperatures. This past weekend, I got to sneak away to San Antonio for a continuing ed class on enteral conscious sedation. My office closed down Thursday last week and we go back tomorrow (3/29). I left town mid-morning Thursday and hit the road by myself to San Antonio. I haven't been on a road trip solo since before Joshua was born. It was really kind of peaceful in the car! I went at my own pace, stopped to shop in San Marcos and didn't have to worry about snacks, naps, diapers or screaming fits. I got an added bonus of catching up with a couple of my classmates from dental school. I hadn't seen one in 5 years and it had been at least 3 since I had seen the other. We had a blast and it was just like old times minus the stress of school!

My class was very informative. I have been wanting to take the class for quite some time as something to broaden my practice of dentistry. I am longing to get into the world of implants and most people don't want to face a drill going into their jaw without some sort of pharmacological therapy. So, off to class I went. I figure this is a stepping stone to a distant goal. Funny thing about that first step... I quickly realized that I have so much to do to get my office ready for this sort of procedure. For the most part the equipment is there, it's staff training that I now have to conquer. Not to mention increase in professional liability insurance, ordering of drug log books, DEA documents. The list goes on and on. So, I do plan to sedate at some point, I'm just not sure when that will be.

The rest of my long weekend has been wonderful. I came back Saturday night after the class finished and we spent the day Sunday as a family at the Arboretum for the Dallas Bloom Festival. I took a ton of pictures but we got rained out and chilled to the bone before I got to my favorite part of the garden. Who would have thought?!?!? The temp when I left San Antonio on Saturday was 88 and I think we only made it to 50 yesterday. Today we took the kids to school for a short while so Eric and I could practice for our upcoming rifle tournament. Oh yes, I will be shooting in a rifle tournament in 2 weeks. I phrase I thought I would never say. Anyway, after a leisurely early lunch with actual uninterrupted conversation we picked up the kids and headed to the zoo. We had an absolutely perfect day. It was cool and sunny and all the animals except the lions were out and active. Going back to work tomorrow is going to be tough!



Bloom Festival


Checking out the Meerkats.


Cruising the zoo in style

Friday, March 18, 2011

Typhoid Lily

It's been an interesting week around the Millner household. Unfortunately, for the most part I don't mean interesting in a good way. We've all been struck by a nasty little bug courtesy of Miss Priss but I'm getting ahead of myself.

Last Tuesday was my Dad's 70th birthday! He decided that he wanted to come to town for his birthday and go out to eat at our (mine and Eric's) favorite fancy dinner place, Lonesome Dove. The food there is wonderful and we've gone for many an anniversary or special occasion over the years. Mom and Dad are often here when we go and spend the night spoiling their grandkids! So we made our reservation and Mom and Dad came in last Thursday. I got a call at work that afternoon, about the time they were set to arrive, informing me that Lily had thrown up all over the place and needed to go home. I finished with what was thankfully my last patient for the day and scuttled off to collect poor Lily. I came in expecting to find her pail and clammy but she looked like her normal happy self. The only evidence of her mishap was the soiled shirt in a plastic bag. I brought her home and sat down with her and she had no interest in resting. She played, babbled and giggled like usual. About an hour after we got home she demanded a snack, ate it all and then had a sizable dinner. I figured she must have gagged herself on something because she sure wasn't acting under the weather. She went back to school the next day with no problems what so ever. In fact, everyone went about their normal business on Friday. I ran errands and shopped with my Mom, Dad tagged along for a little while and Eric was at work. We had a nice dinner Friday night that I fixed at home and no one seemed any worse for wear.

I guess it was the calm before the storm. I got sick in the middle of the night that night and stayed in bed ALL day Saturday. I haven't been that sick in a VERY long time. I think I got the brunt of the bug. Saturday night both of my parents fell victim to the evil bug and Sunday caught Eric and Joshua. I think I have know bleached my house top to bottom 3 times this week. I have washed everything that I can think of....sheets, blankets, towels, cups, pacifiers. If it stood still long enough it was thoroughly cleansed! I was just thinking the other day how easy we've had it this winter. Aside from Lily's ear infections we have all been healthy. I think we made up for it in spades this past weekend! It may feel like spring here but it's still winter for another week or so. Needless to say, we did NOT get to go out for fancy birthday dinner. Maybe next time.... My parents usually head home on Monday when they come for the weekend. I was so thankful they were able to stay on an extra day to recover and be home with Joshua. This week has been spring break here and I am always slammed with patients and really can't miss work. I am still tired and worn out and I think it's from having to hop into a hectic schedule right after being so sick. We're all still a little off our game but things are definitely getting back to normal.

Thursday was Eric's birthday so we did a small birthday dinner with just us and were supposed to go out for the big family celebration tonight. You notice I said SUPPOSED to. We are all hale and hearty, thankfully, but my mother-in-law fell while running this morning and broke her arm and wrist in two places. She underwent surgery late this afternoon to have 4 pins placed and another birthday dinner went on the back burner. She is doing well and was even released to go home tonight. She has quite the contraption in her arm for the next month and a cast for a month after. I guess from now on we'll do birthday dinners on the spur of the moment, it's safer for all of us that way!

Typhoid Lily had her 15 month check up today. It's a couple weeks late since she had her ear tubes placed the morning of her original check up appointment. She has grown 3 inches since her 12 month check! She is now 33 inches tall and still only 22 pounds. She's a string bean just like her brother. Her ear tubes are working wonders. She has been babbling SO much more and has slept through the night every night since surgery! This is a MAJOR improvement. Before, she would wake us up in the middle of the night at least twice a week. She has added several new words to her little vocabulary. She says mama, dada, bubba, she-she (Hershey), Cocoa, kitty-cat, puppy, baby, bye bye, uh-oh, cracker, poopy, milk, cup, more, fish, done, down, grandma, grandpa, diaper, chair, shoe, eye, hi and the current favorite NO! She has also started telling me when she needs a new diaper. Her descriptive despite her status is always "poopy" but she will head to the gate on the stairs, point up and tell us poopy. When I ask if she needs a new diaper she'll nod yes and rattle the gate to get up. She has 15 teeth now and number 16 is just days from breaking through. She does NOT like to have her teeth brushed but she loves to have her hair (more like peach fuzz) done. I pretend to put mousse or gel on my hands and rub it on the back of her head. She is very much a girlie girl and loves bracelets, necklaces, purses and shoes. If we pass the shoe department in a store she will select a pair and desperately try to get them on her feet! I think I'm in trouble and I know Eric is! One bat of her big blue eyes and Eric turns to silly putty.

Friday, March 4, 2011

Do you hear what I hear?

Lily had surgery this morning to have tubes placed in both ears. I am praying that this will put an end to the non stop ear infections! She started getting ear infections at 4 months and has had 7 (that we know of) since! Even at well baby visits, our pediatrician always remarked that she had fluid on her ears. The last infection took two rounds of antibiotics to clear and she still had the ever present fluid. I also noticed this last go around that Lily didn't seem to be hearing very well. All of a sudden we could sneak up behind her and she would jump when she turned and realized we were there. We've also noticed that her speech patterns are behind in comparison to Joshua at this age. I realize that all kids develop at their own rate, but Joshua was starting to put two words together and was pretty clear. Lily is still on simple words and doesn't combine any words for early phrasing. The ENT assured me that her speech would take off once we got her head out of a barrel!

Lily did remarkably well for surgery. We had to be there at 6:00 this morning and she couldn't have her usual cup of milk and oatmeal. I figured she'd be a real bear but she giggled and laughed in the car all the way to the surgery center. She did NOT like having her blood pressure taken and she spent a good deal of her time trying to pry the pulse ox off her big toe. I am amazed how quickly is was all said and done. They took her back to the OR at 7:10 and the surgeon was out and talking to us at 7:14. We were home by 8:30. We had one round of vomiting in the car on the way home. I think the motion of the car was too much with all the drugs in her system. Since then she's eaten a normal lunch and has taken two lengthy naps. I've gotten a lot more done today around the house then I expected! I imagine she'll be back to normal tomorrow and will be able to hear all that we hear for once!