Advocacy

Recent events, which included me accompanying Kelly to the hospital for 45 hours, opened my eyes to certain truths about health care. Questions of coverage and access can wait for another day (and, perhaps, another blog). What struck me was the usefulness of a patient advocate.

In the typical hospital setting, a patient will be seen by doctors on a periodic basis throughout the day and night, with more frequent visits from nurses and nursing assistants. The cast of characters can become astonishingly large in a very short amount of time. In the time we spent at the Children's Hospital of Oakland, we were seen by at least six nurses, three lab personnel, four volunteers, three interns/residents and four doctors. As the patient, Kelly did whatever she was told, but much of what she was told had to do with treatments to come or outcomes to be assessed. I found myself to be the central repository of information received from these many sources. Many times in our relatively short stay I guided both the doctors and the nurses in the course of treatment, advising one or the other group of what someone else had said, or done, or neglected to do. I stopped one nurse from administering a medication that had made Kelly sick when the intern had told us half an hour earlier that they would no longer give it to her. I made sure treatments happened on time, results of tests were tracked down and nursing assistance was procured when needed. Kelly's recovery would have occurred had I not been there, but I am convinced that she would have spent another 12 hours in the hospital if I had not prodded the hospital staff to do all the things they said they intended to do.

I imagine a significant distinction between conventional hospitals and children's hospitals (or wards) is that unlike ordinary patients, most child patients come with a built-in, full-time advocate -- a parent or guardian. They keep the hospital staff on its toes in a way that an adult patient, confined to a bed and often addled on medication, cannot. Our little adventure showed how crucial an alert patient advocate can be to ensuring that the care the hospital intends to provide is actually doled out.

Saturday Sports Update

The grippe has come to our household, knocking Michael out of school nearly all week, and taking Cheryl down today. Because he is still recovering, Michael missed out on week two of this season's sport: basketball. He and his fellow Buckeyes had their first practice and game last week:

Something Novel: A Project Completed

A few weeks ago (nanoseconds in the slow-moving calendar that governs home improvement projects), I completed the rough carpentry needed to frame a step in our living room that has been awaiting construction since before we moved in more than a year ago. While the raw lumber molded into the pleasing shape of a step was nice, the project begged to be finished. The carpet remnants were ready, just waiting for me to work up the courage to do the hardest part: the finish carpentry that everyone can see. Years of building plastic model kits as a kid taught me, repeatedly, the heartbreak of marring an otherwise brilliant project with one misplaced brushstroke in the last step that everyone can see. The chances of ruining my solid carpentry work with poorly installed carpet were, I figured, uncomfortably high.

In contemplating the final product, I decided to use the wood floor planks left over from the kitchen and breakfast room that leads to the doorway where the step is located, and only carpet the rise of the step. This required some sort of transition from floor planks to the edge, which I solved with a lightly beveled oak strip located at our friendly neighborhood Orchard Supply Hardware. I still had the issue of the double 45 degree angles, ensuring that several planks would require custom cutting on my indispensable miter saw. The first row of planks also had to be trimmed longitudinally by about half an inch to allow room for the beveled edging.

Amazingly, it all came together very nicely, using up every last piece of the leftover flooring, as if it had been specially ordered for the job. The vertical carpet went in well:


The floorboards fit nicely, leaving room for the border:



With the beveled edge, the project is complete:


Almost complete, that is. Far too much time spent on the miter saw yielded complex but satisfying baseboards to wrap the whole thing up:


Some putty and a little extra paint will tidy up those seams. I should get to that in, say, March.

Video: Kelly's Cooking

The latest school project that Kelly despised came from her video production class. So far this year, that class has kept her busy producing the morning news announcements for the school which are broadcast over the campus TV network. She typically edits the stories, runs the teleprompter, and appears as an anchor. They have some decent audio and video equipment, and use a green screen for much of their work, just like the real broadcasters do.

Until last week, the class did not have a homework load. Just before the Thanksgiving vacation week, however, the students were given the task of producing a short video, to be shown on the morning news to inspire other students to produce their own creative videos for a schoolwide contest. Griping, as usual, about receiving another long-term project, Kelly conceived an idea for a cooking show based on a dessert dish Cheryl made recently. With constant just a little prodding from us, she put together a basic speaking and shooting script. Kelly filmed on last Monday, edited on the computer on Tuesday and Wednesday (including adding all graphics), and turned the project in on Thursday. Cutting aggressively, she wound up with these two minutes and four seconds:



She became an instant celebrity. Friends and strangers (even eighth graders!) approached her about the video. Her teachers asked for the recipe; her friends' teachers asked for the recipe. She was compelled to type up the recipe for the teachers' bulletin this week.

As it turns out, this is one project that Kelly enjoyed.

Holiday Goodies

Halloween candy has a shelf life. That is equal to the time from October 31 to the moment the first batch of Christmas fudge is done.

As of today, the leftover Halloween candy is headed to storage. Yum.

R.I.P. Saab (1937-2009)

GM bungles another deal. After failing to sell off its Saturn line to Penske, GM's proposed deal to sell Saab to Swedish carmaker Koenigsegg has now fallen apart as well. Now Saab, like Oldsmobile, Pontiac and Saturn, will likely be consigned to the dustbin of automotive history. Of those four, Saab had the smallest market penetration but, for a time, had perhaps the strongest brand character. The company was an early pioneer of front wheel drive and turbocharging small engines, practices that are now industry standards.

Except for a very few exceptions, Pontiac and Oldsmobile products were differentiated from their Chevrolet and Buick brethren only by styling and marketing. Saturn started with great promise with an innovative (albeit crude) product and a way of building and selling its cars that was unique in the American automotive industry, but lost its way and became another "badge-engineered" GM line. Saab, in its day, particularly before GM took it over, did things differently. Nothing in the world was quite like a Saab, which was usually a good thing for the motoring public.

As a Saab fan, the demise of this venerable company saddens me, while I am indifferent to the elimination of other GM nameplates. GM has been far too big for its own good for decades. It is a shame that its comeuppance is delivered at the cost of one of the few lines that retained some real design quality.

Final Soccer Saturday, All-Star Game Edition

Kelly's first appearance in an all-star game was a good one. She started the game and had some good touches, including a clever change of direction and pass that shook off a defender and drew oohs from the onlookers. The game was played evenly in the first half, with each team scoring a pretty goal. Lafayette dominated possession in the second half, but they could not put a ball in the net. The game came down to penalty kicks. Moraga's first three penalties were unstoppable corner shots. Moraga's goalkeeper, on the other hand, utterly stoned Lafayette, stopping all three of their shots and ending the game (because the penalties are on a best-of-five shots basis). The girls now get to share the trophy for a few weeks each, just like the Stanley Cup.






So we close the book on soccer for another year. Just one more to come for Kelly.