The day after Christmas, Jamie noticed Mel had a pretty substantial growth in his mouth. As Mel's gotten older, he's grown these weird little lumps under his skin. We got the first few removed over two surgeries (three?). Essentially the growth in his mouth was a similar lump, only in his gums.
They had scraped a similar lump in April and had it sent off for testing. It came back benign, and we didn't really think too much about it any more.
On Friday, the results from Mel's December surgery came back. Our vet called me on my cell about 3:00. After a lot of explanation of words that really didn't mean a whole lot to me, the bottom line was that they'd found cancer cells in the growth. Mel, my pal, has cancer.
As hard as it was to hear, I also knew it was now my responsibility to share the information with Jamie. And so I asked about our options. Mel is not yet 10, and he's still as frisky as he's really ever been, so letting him just be an old dog and try to just keep comfortable until it gets bad isn't an option.
Apparently there's now dog radiation and dog chemo. For people, who understand what's going on, that's the path you go. For dogs who only know you're taking them to get sick over and over every time they get in the car. There's also a dog oncologist in Round Rock (of course), and so we had options, anyway.
I did my bit of steeling myself on the way home. We were headed out to dinner with Steven and Lauren, and while I wanted Jamie to know, I also didn't want to tell her over the phone. So while Jamie was getting dressed and made-up to go out, I had to drop the bomb.
Jamie is, despite outward appearances, the toughest person I know. She's never given up on anyone or anything, and certainly knows that before you shed too many tears about bad medical news, you grit your teeth and start figuring out your options.
What made it easier to share, of course, was seeing Mel when I walked in the door. As usual, he was sitting on the couch, ears pitched forward, tail spinning wildly and happy as a clam.
"You aren't sick."
"Nope."
"Look at you."
"Yup."
"We've got a long way to go before we write you off, pal."
"Thanks!"
And so on the way to dinner we discussed our options, and talked about the fact that Mel was okay right now. So what we have to do, we decided, is just make sure he's a happy boy.
Saturday we took Mel and Lucy to the dog park, where Mel ran around just as happy as ever, playing king of the dog park while keeping that nice safety zone close by, with Lucy playing the little tag-along sister.
He is not sick. He is fine. He can play and chase the ball and goof with other dogs, and when he comes back to check in with you, his eyes are still that same bright brown, his tongue still pink, his ears still perked and eager.
On Monday Jamie went to see the vet and got the name of the Oncologist and Surgeon team. Yesterday Mel went to the oncologist for a CAT scan and to get checked out.
They think they can get it with surgery. He's going in next week for a consultation. He has no idea what's going on, but he's still Mel.
"Do you have any idea what's going on?"
"None."
"They say you're sick. You've got the cancer, pal."
"The heck you say."
"Yeah. On your gum."
"Oh. Yeah. That figures."
"It's not supposed to metastasize. They think they can get it with some surgery."
"Oh."
"So it's gonna get cleared up. But it's going to take some tough days ahead."
"Okay. Jamie will take care of me?"
"You know she will."
"Okay, then."
"We're gonna have you around for a long while yet."
"And then where will I go?"
"A place full of couches and tennis balls, other dogs to play with and an endless sea of Milk Bones."
"Will you be there?"
"I'll catch up sooner or later."
Thursday, January 17, 2008
More Real Life Superheroes
Here's an article about the tiny (but growing) subculture of Real Life Superheroes (or Reals, as they seem to call themselves).
I certainly think its a terrible idea to dress up in a costume and try to patrol your city. The article does mention the potential for violence, and certainly The League is a lover, not a fighter. And as good-natured as I think it is to dress up and head down to the homeless shelter to help out, do you need a superhero outfit to do that?
Well, honestly, it sounds like it worked out for the guy in the article when he uses his time to read to kids. But, let's be realistic... you don't need a super suit to help people.
Let me be perfectly clear: I think its a good idea to wear clothes if you want to go out and help the public. Otherwise, you're looking at some jail time. Ask Randy.
I don't honestly know what to make of the Reals. Part of me thinks its really cool, but I'm also aware of the potential for this get really bad, really fast. So in what capacity, if any, is there room for Real costumed do-gooders?
I certainly think its a terrible idea to dress up in a costume and try to patrol your city. The article does mention the potential for violence, and certainly The League is a lover, not a fighter. And as good-natured as I think it is to dress up and head down to the homeless shelter to help out, do you need a superhero outfit to do that?
Well, honestly, it sounds like it worked out for the guy in the article when he uses his time to read to kids. But, let's be realistic... you don't need a super suit to help people.
Let me be perfectly clear: I think its a good idea to wear clothes if you want to go out and help the public. Otherwise, you're looking at some jail time. Ask Randy.
I don't honestly know what to make of the Reals. Part of me thinks its really cool, but I'm also aware of the potential for this get really bad, really fast. So in what capacity, if any, is there room for Real costumed do-gooders?
Wednesday, January 16, 2008
Chron Snob can't just "let it be"
Chronological Snobbery has an interesting post on the album "Let it be... Naked", a stripped down version of the Beatles' efforts formerly produced by Phil Spector.
I'm a fan of Spector's work with the Ronettes and others. I'm also in a cultural blindspot when it comes to the Beatles. You should check out the article.
I'm a fan of Spector's work with the Ronettes and others. I'm also in a cultural blindspot when it comes to the Beatles. You should check out the article.
Tuesday, January 15, 2008
Bug Comes to World of Blog
League pal Erica (aka: Bug) has come to the world of blogging.
She's a teacher in the Houston area, and so I look forward to seeing her tales of Zen-like-Calm in the face of chaos as she manages a herd of kids.
You can read Bug's blog here.
Welcome new blog: The Polka Dot Bug
She's a teacher in the Houston area, and so I look forward to seeing her tales of Zen-like-Calm in the face of chaos as she manages a herd of kids.
You can read Bug's blog here.
Welcome new blog: The Polka Dot Bug
Whip It! coming to a multiplex near YOU
Hey, Leaguers...
League-Pal Shauna is a screenwriter in Hollywood. Looks like her latest project is headed for a green light.
Read up on Whip It!
And they got Ellen Page from Juno. Kind of wild.
There's a chance they'll shoot in Austin, so I'm hoping I can catch up with Shauna (whom I have not seen since 2000) if she comes to town.
League-Pal Shauna is a screenwriter in Hollywood. Looks like her latest project is headed for a green light.
Read up on Whip It!
And they got Ellen Page from Juno. Kind of wild.
There's a chance they'll shoot in Austin, so I'm hoping I can catch up with Shauna (whom I have not seen since 2000) if she comes to town.
Monday, January 14, 2008
It Ain't Grey's Anatomy
Apparently Glenn Beck has never been to the ER.
I'm not dismissing the man's health issues, his misery or his concerns. And as much as I don't really think his show is... good... I will be curious to see what happens based upon his recent escapades at the hospital.
You can read Beck's account here.
You can read the story here.
But, from the description I see here, his visit is either par for the course for the average trip to the ER, or maybe marginally worse.
I'm not sure if Beck's surprise comes from his expectations of a clean and happy ER based upon years of TV shows filled with caring doctors who weep whenever someone has a boo-boo. Or, not to be a jerk, but it could also be that Beck has been living in a celebrity cloud long enough that he is shocked to find out about the sort of service the average person expects, even when in dire pain. In either case, the only thing in the story that surprised me was that they found dirty bandages in the shower. Which might just mean that they didn't get to clean the room between patients because they were running patients through so quickly.
The League doles out advice: By the way... if you start to think you need to go to the ER because you're in pain, go... Waiting at home just adds to wait time you're going to get when you get to the ER. We've done 8+ hours of just sitting in a waiting room before seeing so much as a nurse. There were reports of hospitals in Mesa with 16-24 hour waits in the ER.
Sitting for hours in the cheapest chairs the hospital could buy while you wait to get a room and talk to someone about your pain is not where you want to be when your eyes are bleeding out or whatever.
There's really nothing like the ER to remind you that you are not a special snowflake in need of special attention. No matter what you came in with, if you didn't come passed out in an ambulance or with a piece of metal in your head, 50% of the people sitting around you are as bad off as you are (or worse), and they've been waiting longer than you.
Here's what I want to stress, and where I think Glenn Beck is off-base: The people who work in hospitals have the hardest job in the world. I'm including them with combat soldiers.
No matter what these people are making, its not enough.
When you or I go off to work, we sit at a desk in front of a computer, or put on a tie and depose people all day. These people put on clothes specifically designed to be cheap and washable because they will be covered in blood, vomit, and other bodily fluids before they finish their 12-hour shift.
When I screw up at work, a project slips a day. When these people get a new client, which is every few minutes, their client could potentially die on them. And I've spent enough time in hospitals and ERs to tell you, most people walk out of the ER after they've been seen. But sometimes people, despite herculean effort, do not walk back out again. If things are taking a little while for you to get your shot of morphine, Mr. Beck, it could be because the guy on the other side of the curtain was in cardiac arrest and heading into the light.
I've seen kids with lite-brights shoved up their noses, people who had bugs stuck in their ears, people so constipated a doctor was going to have to go in manually, people who were in kidney failure and didn't know it carrying gallons of extra fluid around, knees completely shattered from a bad touch-football play, people with broken limbs, folks with mysterious stomach ailments that have lasted weeks and only now become unmanageable... And I do not work in the ER. I am an observer.
And these people do this every single working day. Every day.
On the regular hospital floor, its a bit different, but there it's often even more life or death. People check into the cardiac floor because their lives are at stake, not because they need some vacation time. These are people with dignity being asked to wear a flimsy robe and sit still for days while they're poked and prodded. Some of them have other ailments. Some are in pain.
Here's the other thing.... if you're not feeling well, and they keep asking you if you need more pain meds, and you keep saying "sure", they will give them to you right up to the point where you might slip into a coma. After all, they have no idea how much pain you're really in except by what you tell them.
If the employees seem a bit callous, you have to understand the wall they set up between themselves and their patients. I think that's more than understandable for people who live around misery every day of their professional lives. Ask a cop, soldier or even a person involved in criminal law if it doesn't all get sort of detached after a while... Glenn Beck can walk into a hospital and walk out again, in relative certainty he need not visit again for years. Doctors, nurses, techs, administrators, janitors... the people who keep the hospital working are the same folks who see thousands of Glenn Becks in a year, and will see just as many next year.
I can't say how much asking questions, and not expecting nurses to treat you like a customer, helps. They aren't working on tips or commission. You are not always right. Be nice. Say "please" and "thank you". If you think something is wrong, ask. But ask politely. These people are dealing with people in eight other rooms, each as sick or sicker than you. And before you start buzzing the nurse for a cup of juice for the tenth time, think about how you'd want other patients to be if you were in need of immediate help and/ or croaking.
I think this is also worth calling out: as scary as it is, medicine is not an exact science. No two people are alike, nor are the ways in which their particular ailment will be managed.
Glenn Beck may be an individual snowflake regarding body chemistry, and it may be true that his system did not know how to manage the meds he was given in order to help him. When you enter the hospital, they are making the best decisions they can based upon the best info available as it relates to the most people. Any time you take a pill, it can have unknown side-effects or known side-effects.
I don't think I'm telling anyone anything that you don't already know.
What I find ridiculous is that it took Beck having a bad few days of health to take notice that people can't be cured with a pill or that their problem won't be resolved in an hour, as if they were dropping clothes off at the dry-cleaner. Further, he's asking each and every hospital worker to care as much about his woes as he does, and, Leaguers... that isn't going to happen. Hospital staff do care or they wouldn't be there. The pay isn't good enough to put up with the day-to-day insanity of healthcare work if they didn't care (and I've personally talked to one young nurse who confessed he couldn't take it any more and was quitting after years of schooling).
I find it a bit unrealistic that Beck identifies the necessary emotional detachment required to work in stressful conditions day-after-day as a sign of a failing healthcare system. There's probably some grain of truth in that insofar as there are not enough hospitals and too many people going into ERs who could just as easily head to the local minor emergency center. And, yeah, the ER nurse didn't do everything exactly to Mr. Beck's satisfaction. The ER's are overcrowded, but it doesn't sound like Beck was seen any faster or slower than when you see other folks fast-tracked. The delays he experienced weren't done out of spite, they were part of procedure so each person is seen and given full attention. Further, "doctor's orders" isn't just a term from the movies. It's what nurses and techs must wait in before doing anything. It's procedural, and not always lightning fast. 40 minutes is fast.
The League doles out more advice: If you're as jacked up as Beck claims he was (and I believe he was that bad), call an ambulance. Beck has a lot of money and no doubt decent insurance. If you can get into an ER under your own power, the ER staff are going to make their own decisions. They aren't always the right ones.
But what Beck experienced was "Fast Tracking". That's the coveted position of the ER visitor. They saw he was messed up. They got him back second. He doesn't know how long the person who was seen before him was there, he doesn't know which nurse or doctor that person was going to see. Most often you do NOT go from triage into the back. That's what they do with you when they actually care ow you're doing.
If his wife had to hoist him, its because neither of them asked for a wheel-chair or help. Which is... not a great choice and doesn't tell anyone you're in the level of pain Beck was in.
They have these charts at the hospital with a pain scale of 0-10. They even have little descriptions and/ or faces for you to match your level of pain. I'm not sure "I'd lost all hope and wanted to die" is exactly how they put a 10 on the chart, but it also doesn't sound like they avoided trying to help beck outright. It sounds like he got the same treatment I see everyone else getting.
For an interesting response to Beck's rant, check out this nursing forum.
Of course a lot of what the nurses have to say about orders, side-effects of meds, etc... is going to get ignored by Beck, lest he admit he just had a bad experience as a side-effect of surgery and medication and not get a new cause to rant about.
I'm not dismissing the man's health issues, his misery or his concerns. And as much as I don't really think his show is... good... I will be curious to see what happens based upon his recent escapades at the hospital.
You can read Beck's account here.
You can read the story here.
But, from the description I see here, his visit is either par for the course for the average trip to the ER, or maybe marginally worse.
I'm not sure if Beck's surprise comes from his expectations of a clean and happy ER based upon years of TV shows filled with caring doctors who weep whenever someone has a boo-boo. Or, not to be a jerk, but it could also be that Beck has been living in a celebrity cloud long enough that he is shocked to find out about the sort of service the average person expects, even when in dire pain. In either case, the only thing in the story that surprised me was that they found dirty bandages in the shower. Which might just mean that they didn't get to clean the room between patients because they were running patients through so quickly.
The League doles out advice: By the way... if you start to think you need to go to the ER because you're in pain, go... Waiting at home just adds to wait time you're going to get when you get to the ER. We've done 8+ hours of just sitting in a waiting room before seeing so much as a nurse. There were reports of hospitals in Mesa with 16-24 hour waits in the ER.
Sitting for hours in the cheapest chairs the hospital could buy while you wait to get a room and talk to someone about your pain is not where you want to be when your eyes are bleeding out or whatever.
There's really nothing like the ER to remind you that you are not a special snowflake in need of special attention. No matter what you came in with, if you didn't come passed out in an ambulance or with a piece of metal in your head, 50% of the people sitting around you are as bad off as you are (or worse), and they've been waiting longer than you.
Here's what I want to stress, and where I think Glenn Beck is off-base: The people who work in hospitals have the hardest job in the world. I'm including them with combat soldiers.
No matter what these people are making, its not enough.
When you or I go off to work, we sit at a desk in front of a computer, or put on a tie and depose people all day. These people put on clothes specifically designed to be cheap and washable because they will be covered in blood, vomit, and other bodily fluids before they finish their 12-hour shift.
When I screw up at work, a project slips a day. When these people get a new client, which is every few minutes, their client could potentially die on them. And I've spent enough time in hospitals and ERs to tell you, most people walk out of the ER after they've been seen. But sometimes people, despite herculean effort, do not walk back out again. If things are taking a little while for you to get your shot of morphine, Mr. Beck, it could be because the guy on the other side of the curtain was in cardiac arrest and heading into the light.
I've seen kids with lite-brights shoved up their noses, people who had bugs stuck in their ears, people so constipated a doctor was going to have to go in manually, people who were in kidney failure and didn't know it carrying gallons of extra fluid around, knees completely shattered from a bad touch-football play, people with broken limbs, folks with mysterious stomach ailments that have lasted weeks and only now become unmanageable... And I do not work in the ER. I am an observer.
And these people do this every single working day. Every day.
On the regular hospital floor, its a bit different, but there it's often even more life or death. People check into the cardiac floor because their lives are at stake, not because they need some vacation time. These are people with dignity being asked to wear a flimsy robe and sit still for days while they're poked and prodded. Some of them have other ailments. Some are in pain.
Here's the other thing.... if you're not feeling well, and they keep asking you if you need more pain meds, and you keep saying "sure", they will give them to you right up to the point where you might slip into a coma. After all, they have no idea how much pain you're really in except by what you tell them.
If the employees seem a bit callous, you have to understand the wall they set up between themselves and their patients. I think that's more than understandable for people who live around misery every day of their professional lives. Ask a cop, soldier or even a person involved in criminal law if it doesn't all get sort of detached after a while... Glenn Beck can walk into a hospital and walk out again, in relative certainty he need not visit again for years. Doctors, nurses, techs, administrators, janitors... the people who keep the hospital working are the same folks who see thousands of Glenn Becks in a year, and will see just as many next year.
I can't say how much asking questions, and not expecting nurses to treat you like a customer, helps. They aren't working on tips or commission. You are not always right. Be nice. Say "please" and "thank you". If you think something is wrong, ask. But ask politely. These people are dealing with people in eight other rooms, each as sick or sicker than you. And before you start buzzing the nurse for a cup of juice for the tenth time, think about how you'd want other patients to be if you were in need of immediate help and/ or croaking.
I think this is also worth calling out: as scary as it is, medicine is not an exact science. No two people are alike, nor are the ways in which their particular ailment will be managed.
Glenn Beck may be an individual snowflake regarding body chemistry, and it may be true that his system did not know how to manage the meds he was given in order to help him. When you enter the hospital, they are making the best decisions they can based upon the best info available as it relates to the most people. Any time you take a pill, it can have unknown side-effects or known side-effects.
I don't think I'm telling anyone anything that you don't already know.
What I find ridiculous is that it took Beck having a bad few days of health to take notice that people can't be cured with a pill or that their problem won't be resolved in an hour, as if they were dropping clothes off at the dry-cleaner. Further, he's asking each and every hospital worker to care as much about his woes as he does, and, Leaguers... that isn't going to happen. Hospital staff do care or they wouldn't be there. The pay isn't good enough to put up with the day-to-day insanity of healthcare work if they didn't care (and I've personally talked to one young nurse who confessed he couldn't take it any more and was quitting after years of schooling).
I find it a bit unrealistic that Beck identifies the necessary emotional detachment required to work in stressful conditions day-after-day as a sign of a failing healthcare system. There's probably some grain of truth in that insofar as there are not enough hospitals and too many people going into ERs who could just as easily head to the local minor emergency center. And, yeah, the ER nurse didn't do everything exactly to Mr. Beck's satisfaction. The ER's are overcrowded, but it doesn't sound like Beck was seen any faster or slower than when you see other folks fast-tracked. The delays he experienced weren't done out of spite, they were part of procedure so each person is seen and given full attention. Further, "doctor's orders" isn't just a term from the movies. It's what nurses and techs must wait in before doing anything. It's procedural, and not always lightning fast. 40 minutes is fast.
The League doles out more advice: If you're as jacked up as Beck claims he was (and I believe he was that bad), call an ambulance. Beck has a lot of money and no doubt decent insurance. If you can get into an ER under your own power, the ER staff are going to make their own decisions. They aren't always the right ones.
But what Beck experienced was "Fast Tracking". That's the coveted position of the ER visitor. They saw he was messed up. They got him back second. He doesn't know how long the person who was seen before him was there, he doesn't know which nurse or doctor that person was going to see. Most often you do NOT go from triage into the back. That's what they do with you when they actually care ow you're doing.
If his wife had to hoist him, its because neither of them asked for a wheel-chair or help. Which is... not a great choice and doesn't tell anyone you're in the level of pain Beck was in.
They have these charts at the hospital with a pain scale of 0-10. They even have little descriptions and/ or faces for you to match your level of pain. I'm not sure "I'd lost all hope and wanted to die" is exactly how they put a 10 on the chart, but it also doesn't sound like they avoided trying to help beck outright. It sounds like he got the same treatment I see everyone else getting.
For an interesting response to Beck's rant, check out this nursing forum.
Of course a lot of what the nurses have to say about orders, side-effects of meds, etc... is going to get ignored by Beck, lest he admit he just had a bad experience as a side-effect of surgery and medication and not get a new cause to rant about.
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