Tag Archives: parenting

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Daily Evil: K is for Katherine

K for Katherine. The picture is one of my grandmothers, Katherine White Burling. My mother drew this from a photograph with conte crayon. I am named after this grandmother. This is a big drawing, more than life size, 18 by 24. I photographed it through glass, avoiding most reflections. My grandmother is wearing a cameo. We have a photograph of her grandmother wearing it as well. I do not know exactly when Helen Burling Ottaway drew this, early to mid 1990s, I think. The story is fiction but my grandmother could be quite wicked, so she inspired this. After all, Katherine means “purity”.

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Don’t get the Willies

“Caitlyn.” says grandmother. “You are 13 now.”

Caitlyn sighs internally. Another lecture about becoming an adult? This is the unpredictable grandmother, sharp as a knife. She will never behave like the book grandmothers. Though some of her friends say that their grandmothers don’t behave either.

“Where is your phone?” says grandmother.

“I left it in my coat.” says Caitlyn.

“I think you should take off your shades, too,” says grandmother gently. “Tea?”

Caitlyn reluctantly removes her internet connected sunglasses. Pale pink, but this grandmother isn’t fooled. Was it her eye motions that gave her away?

“Yes, please,” says Caitlyn politely. Her grandmother has an elegant tea service out and heats water by boiling it. Completely archaic. Maybe this is about net overuse.

“Are you observing males or females or both?” says grandmother.

Rats, thinks Caitlyn. Sex after all. She prims her mouth.

“I want to talk to you about the willies.” says grandmother.

“Being scared?” says Caitlyn. Good, not about sex.

“There is another meaning.” says grandmother pleasantly. “You will encounter certain men when you are old enough to date. I encourage you to study the boys for now, but you are more mature than they are. That is less true with the girls.”

“Hmmm,” says Caitlyn. She is studying her teacup, eyes down.

“Certain men will try very hard to control you. They will make promises that are silly and statements that are lies.”

“Ok,” says Caitlyn. Next comes the embarrassing part.

“You will recognize them in part because there are places they will not go and people they will not speak to. They are very very rigid.”

“Uh-huh.”

“As they get older, their territory will shrink further and further. They become more and more isolated. You do not want involvement with one of these, for two reasons. One is that they will try to isolate you.”

Caitlyn smirks. As if.

“The other: well, you know the story of Pinocchio?”

Caitlyn blinks. “Uh, yes.”

“In the story it is the doll’s nose that grows. In people the nose can grow, but it is really other parts that shrink.” says grandmother. “So it is important not to get the willies.”

“Yes, ma’am,” says Caitlyn. And they both sip their tea.

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Vaccination talk

My cousin asks me once, why do doctors say, “This will only hurt a little?’ when they give a shot.

I thought about it. “It’s a matter of scale. Picture this: in room one, I have a woman who thinks her lung cancer is back and it is. In room two I have a mother and daughter crying because the daughter is pregnant and frightened. In room three, I have a well adult who needs a vaccination. Scale their levels of pain.”

Room one is very high, room two is very high, room three barely registers on my pain scale.

Poll: 1 in 7 parents have not talked about vaccines with their child’s doctor

I would give out a health department vaccination information booklet by 24 weeks to my pregnant patients, especially the first pregnancy. I previously had given it later, but then I had a woman who refused the child’s vaccines at visit after visit after visit, saying that they were still doing research. The child still had no vaccinations at 9 months.

Remember the woman who refused vaccinations for her children? She had more than four children. They all got whooping cough, pertussis. They whooped for months and were on quarantine. They were not allowed out of the household, any of them, until they were no longer infectious. The mother said she now was for vaccines and got them vaccinated.

I have seen adults with pertussis. Adults do not whoop but they cough. They can cough until they throw up or until they break a rib. For months. It is not fun at all. The adult Tdap stands for tetnus, diptheria, and acellular pertussis. I have never seen a case of diptheria and I don’t want to. It sounds horrible and can kill.

Have I seen a complication of a vaccination? One in 30 years of practice. And I know a person who had a complication, but they were not my patient.

The illnesses cause way more damage and disability than the vaccine. In residency I care for a young man in a group home. He can’t talk and has an odd skull shape. His mother got measles during the pregnancy. Measles is one of the infections that can cause severe birth defects. Get vaccinated before getting pregnant, though half the pregnancies in the US are “unintended”. That usually means “unbirthcontrolled”. I do not really understand that, since the risk of pregnancy in a fertile woman is one in four every time. Twenty five percent seems a pretty high risk to me.

I’ve written about my response to my last Covid-19 vaccination. It’s not a complication. It is an antibody response and it means that my immune system is WORKING, though admittedly it is weird and annoying. I don’t like the muscle dysfunction, but I will get the vaccinations anyhow.

I have a very alternative young woman in for prenatal care once. I give her the vaccination booklet. “Oh, my child is getting every vaccine there is,” she says.

“May I ask why? I was not expecting you to say that.”

“I was in the Peace Corps in Africa. I have seen kids die from every single one of the diseases we vaccinate for. My kid will get ALL the vaccinations.”

I said, “Please would you talk to my other moms?”

She smiled at that. “Maybe.”

I hope she did and does.

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The extroverted feeler and responsible behavior

My son is an extroverted feeler and my daughter is an introverted thinker.

When he was 12 and she was 7, their father and I were working out the details of a divorce. Their father moved out for a year, moved back in for a year, and now was out again. It had taken me two years of couple’s counseling to decide that yes, we did need to get divorced. Now we were in the year of hammering out the details.

One day he came over and was obnoxious and rude. I got angry and yelled and threw him out. I slammed the door after him. I didn’t usually do that and it felt both good and bad.

The kids were conferring. I wondered if I’d scared them, losing my temper. They both came to me.

“Mom, we don’t want you to yell at dad and make him leave.” said the EF, arms crossed. The IT stood beside him. “And no slamming doors.”

“But he was rude first!” I said, realizing as I said it, uh, lame. And where have I had this conversation before?

“We know that he was rude. But we aren’t talking about him. We are talking about your behavior. We don’t care what he does.” They both looked stern and fierce.

“So I have to behave no matter what he does.” I said. They nodded. “You are right. I apologize for yelling at dad, throwing him out and slamming the door. I need to behave anyhow. That’s what I tell you, right?”

“Yes, mom.” And then they both hugged me to comfort me.

I felt sheepish for behaving badly, but mostly proud. Proud that my kids felt comfortable confronting a misbehaving adult and the one with whom they were living, me. Right after a yelling tantrum, too. And proud that they were giving me back the message that I’d given them for years: I don’t care what the other kid did, that is not acceptable behavior. And overall I felt pretty good that I really had not yelled and slammed doors very often: we’d done the majority of our fighting in the counselor’s office and had tried to make it very clear that it was not the kids’ fault.

The photograph is of my son in Thailand. He was a Rotary Exchange Student, to Trang. I don’t know who took the photograph.

Previously published on everything2.com.

 

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Stepping out

For Mindlovesmisery’s Sunday Writing Prompt: “Take a walk“. Writing from another’s point of view.

Stepping out

We’re trying to get our steps in today. Mother thinks we’re too high too much and wants us to practice being more grounded. Silly mum, but we’re trying to humor her. Down to the beach, no shoes, keeping track. Step counters, we’ll walk all day…

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Ooooo, what has my sis got? I am heading over. Dang! She ate it already! I don’t see anything in the water. Bit murky here.

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Wait, but who is that? We agreed to walk, but if that one comes this way! No way! I am out of here.

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Rats, mum is still watching. She’s got her fierce look on, don’t mess with her.

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And look, people! And those awful four legs. It’s not that I’m scared, mind you, but their mouths give me the creeps. All those stalagmites in there. No smoothness and their faces have all those expressions!

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And there goes dad, heading by, checking on us. Jeez.

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Ok, ok, we’ll walk.

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young alone

I have a double lot, L shaped, because the 1930s garage extends 5 feet into the second lot.

I don’t mow the second lot. It is in the center of the block and has an apple tree, a plum tree, a maple with a tree house, wild roses and weeds.

The deer leave their young to stay. Intemittently there are young alone in my lot. I went to go in the tree house this weekend, but this small one was alone. I don’t like to scare them into the streets or more exposed yards, so I backed off.

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sleepy head

This is a story my mother told. When we were little, my sister and I lived with our parents in a small house near Ithaca, NY. We each had a bedroom downstairs. Our parents had their bedroom upstairs. We were not allowed up there, because the stairwell came to the middle of a hall and there was no railing at all. They were afraid that we would fall down.

I am three years older. I’m not sure I was always a good sister.

One weekend morning, my parents were lying in bed in their room, quite early. Suddenly a very round three year old face popped up at the end of the bed, with a wicked gleam, and spoke:

“Boodie with a yellow bill
hopped upon my windowsill
cocked his shining eye and said
“Ain’t you shamed, you sleepy head?”

And then my sister raced out of the room and down the stairs.

My mother said that when they got over their stunned laughter, they came downstairs to talk to us. I had coached my sister until she could recite perfectly, aside from the missing r. I think we got a mild scolding about the safety of the stairs, but since they were still laughing, I don’t think we took it seriously.

previously published on everything2.com, a slightly different version

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At what age should we talk to our kids about drugs?

I am a rural family physician and my recommendation: before age 9. Before third grade.

WHY? Your eyes are popping out of your head in horror, but my recommendation comes from surveying my patients. For years.

The biggest drug killer is tobacco. However, it takes 30 years to kill people. It is very effective at taking twenty years off someone’s life, destroying their lungs, causing lung cancer, heart disease, mouth cancer, breast cancer, uterine cancer, stomach cancer, emphysema, heart disease….

I ask older smokers what age they started smoking. This is informal. This is not scientific. But most of my male older smokers say that they first tried cigarettes at age 9. I think parents need to be talking to their children about cigarettes by age 9.

And then start talking about alcohol and illegal drugs and the terrible dangers of pills.

“My innocent child would never….” Unfortunately my daughter said that as a senior in high school in our small town, there were 4-5 kids out of the 120+ that were not trying alcohol and marijuana. But there are kids trying far worse substances. We have methamphetamines here, and heroin, and pain pills sold on the street.

The perception that pills are safe is wrong too. Heroin is made from the opium poppy and it’s rather an expensive process, not to mention illegal and has to be imported from dangerous places. But teens take oxycodone and hydrocodone, bought on the street, to get high. And now drug sellers are making FAKE oxycodone and hydrocodone and selling that on the street. It contains fentanyl, which is much much stronger. If the dealer gets the mix wrong, the buyer can overdose and die.

Talk to your children young! NEVER take a pill from a friend, never take someone else’s medicine, never take a pill to party! YOU COULD DIE! And if you have a friend that is not making sense, that you can’t wake up, DON’T LEAVE THEM! Call an ambulance. Your friend may have used something illegal, and may not want you to call an ambulance. But if you think they are too sleepy….. don’t take a chance. People can get so sleepy, so sedated, that they stop breathing.

And parents, you are the ones that have to set a good example. Don’t drink alcohol every night. Don’t use pot every night. Take as few pills as possible. Pills aren’t necessarily safe because they are “supplements” or “natural” — hey, opium and heroin are plant based! Stop using tobacco and if you have a hard time doing it, tell your children you are struggling. It takes an average of eight tries to quit smoking. Get help.

Lastly, we talk about childhood innocence, but we let kids babysit at age 11. That is the Red Cross youngest age. My daughter took a babysitting course at age 11 and babysat. If we think they are responsible enough to do CPR, call 911 and do the heimlich maneuver, shouldn’t we also be talking to them about addictive substances by that age?

Talk to your children about addiction young… so that they can avoid it.

I am submitting this to the Daily Post Prompt: calm. I am not calm about this topic, but the photograph is calm…. and if we can help more children and families…..

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Mergansers

These are some of the creatures that I saw last summer at Lake Matinenda. A whole family of mergansers swam around the point in the early morning. I was drinking tea and writing in the very early morning. Suddenly they startled at something in the water and all rushed up on the rock ten feet from me. I froze and when they didn’t notice me, I slowly picked up my camera.

What were they scared of? There are pike and lake trout and otters…