down with the sickness, part 3

now, lost in the shuffle of all the far-more-important ear infections was the fact that SpazMonkey crapped himself just before school let out last Friday afternoon. He had some story about how he SAID he needed to go and the boys room was not working and the teacher wouldn’t let him go and yadda yadda yadda, but it sounded an awful lot like one of his stories where you’re feeling really sorry for him because the bully did this and that and nobody helped him… and then the alligator appears. (i’ve already explained to the boy that his stories often “jump the shark.” not surprisingly, he likes that particular turn of phrase.)

so i had no idea if he had just decided to try to hold it himself, gambled and lost, or if a teacher had really not let him go to the bathroom when he asked to, or if he was just plain sick. then i got to dealing with the ear infections, and forgot about the crap in his pants – until sunday night, when i thought i was going to die. at 5 pm, i was calling my mathematics-brain-trust friend EvilRedHead to ask what the heck the formula for the height of a triangle is (so i could cut some “fact triangle” math flashcards for EvilGremlin,) and by 9 PM, EvilGremlin was putting his brothers to bed while i lay facedown on the living room floor wondering if the prospect of spending the night in a pool of my own vomit was enough to motivate me to try to drag my face to a toilet or not.

so i spent the entire night sunday alternately puking and laying in bed shivering and sweating, and crawled around the next day – yet another thing that is damned near impossible with gimpy elbows – while PositiveRoleModel was yet again out of the house.

by tuesday morning, though, i was in decent shape, and by thursday had decided that, yay, nobody else in the house was going to get sick. of course, SpazMonkey had picked it up from school, and it was still getting passed around the school, as i discovered when the school called me at 10:45 to say that EvilGremlin was “not himself” and his teacher had sent him to the office insisting that he was sick, though EG was denying it (which he always does, not wanting to miss school.)

when i showed up to the office, there were three other kids laying on their separate cots and couches in various stages of contorted, pitiful moaning. and i must say: good call on his teacher’s part. she avoided the pukepocalypse going down in her classroom by less than ten minutes. as i was signing EG out, he stood up to go, and got as far as the carpet in front of the secretary’s desk before bending over and ralphing all over the carpet. the secretary, principal, and nurse all stood there and watched it with a complete lack of alarm or even disgust – they’re pretty much numb to anything involving puke at this point in their careers, god bless them.

i had MonkeyBeef with me, barefoot and thrilled as shit to be allowed to walk into the grade school. this is a kid who, at the age of 18 months, smashed a baby gate, unlocked a front door, broke a screen door, and walked his own ass 3 blocks toward the school before being picked up by the police, all in the 5 minutes it took me to poop one morning last september. this is a kid who angrily kicks at his brothers as they exit the van in the morning, and then works furiously at his own seatbelt until the van doors shut, and then howls all the way home in outrage at not being allowed to go to school with them. as far as he’s concerned, this is the most awesome shit that he has ever seen go down IN HIS LIFE.

now, granted, EG approaches the business of puking very much like his daddy: balls out. PRM has dubbed the technique “screaming at the toilet.” when they puke, it’s not just “urk” *splash.* it’s more of a “HEEEEEYRRRRRRROOOOOOOWWWWRRRRRR!!’ sound, followed by the splash, then some ragged breathing, some follow-up spits, and a couple more rounds of “HOOOOOYEEEEEEEEERRRRRRRWWRRRRROOOOOOOOOWWWWW!!!” MonkeyBeef cackled so hard at the ralphing that he could hardly breathe, looking around to beam at all the onlookers as if to say “did you see that? and wasn’t it AWESOME?” after each retch, he’d yell “YEEEEAAAAH!” with his hands in the air, and then he’d spit on the floor right along with EG, until the next round of retching forced him to dissolve into helpless cackles again.

in the midst of all this, another kid came flying into the office, having been sent to see the nurse about some sand in his eyes. adorable fat little kindergartener, eyes squinted nearly shut, careening from wall to wall, saying “i got sand in my eeeyes…” and of course, the four adults in the room basically chanting “stop, stop, stop, stop!” had no effect, and he plowed inexorably toward his date with “sandals full of some big kid’s puke.” this made him cry. which made MonkeyBeef laugh. which was good, because it covered up my laughing.

and this is why i love people who work in grade schools: they were all not only laughing too, they were calmly and efficiently calling the janitor, keeping the three other sick kids from getting up to see what was going on, and comforting the blind, pukey-footed kindergartener. i may think my job is hard some days, but those people are freaking superheroes.

so anyway, i’ve spent the day with a miserable EG curled up on the couch, trying to keep MB from bouncing all over a big brother who can’t stand the feel of so much as me rubbing his back, let alone a bowling ball butt trying to execute a flying teabag from the back of the couch. PRM made it through the day at work, sort of, but he’s down with the sickness now, too, and went to bed pretty much the minute he got home.

the best part about writing stories like these – in this case, about MonkeyBeef being a degenerate – is hearing his daddy’s laugh in my head as i do. whether he’s reading it or not, this blog has, from the very beginning, always been written for an audience of exactly one. i love you, dude.

down with the sickness, part 2

so monday, MonkeyBeef started drooling again. this is something that he did for the entire year that he had fluid in his ears, and something he hadn’t done since he got tubes put in 3 weeks ago. and SpazMonkey has a nasty ear infection. crap! so i took him in to his otolaryngology follow-up appointment today, where they confirmed that one of the tubes had crusted over and had a little fluid stuck behind it. not a big deal, we just started him back on the antibiotic eardrops he had used for the week following his surgery. i was planning on a speech pathology appointment and a hearing test unless the doc thought MB’s progress over the last three weeks was better than expected – and it was better than expected. he’s gotten almost all of the consonant sounds down individually now, and though he hasn’t yet started incorporating most of them into speech, he’s started saying some pretty clear words on his own (“up,” “ted up” for stand up, “off,” “appuh” for apple, “meenah” for mitten, and my favorite, “dick-dick” for tickle) and he’s started spewing out entire sentences of gibberish with all the intonations and rhythms of actual speech. so, all’s well on that front.

here’s the fun part. when it comes to doctoring, MB is just plain DONE. in the last 2 months, he’s had an elbow re-set in the ER, he’s had a head CT, he’s had anesthesia twice, he’s had his damned ears poked and prodded a bajillion times, he’s had enough, and he’s just. fucking. DONE.

so. as always happens in a teaching hospital, a resident saw him first at today’s appointment. probably a first-year resident. the guy walked in, said hi to MB, who stood there and regarded him stonily. he tried to engage the boy in conversation that would have been a bit over the head of a normal 3-year-old, let alone a 2-year-old that’s only been hearing for a few weeks. MB didn’t move, didn’t respond, didn’t blink. the resident pulled out his stethoscope. he approached the boy with it. the second he touched it to his chest, MB threw his head back and turned on the siren, and didn’t stop for a second the entire time the resident was in the room. the resident crouched down and hesitantly tried to look in the boy’s ears, and didn’t seem to know what to do when the kid jerked away and tried to take the otoscope away from him. he was relieved when i suggested that i hold MB in my lap, and showed him the straightjacket hold that would allow him to look in his ears without stabbing gray matter. the resident noted that one of his eardrums looked just a tiny bit infected, and maybe that was why he was screaming, because it hurt? i told him nah, the boy just hates you and your evil white coat.

MB hammered this point home – i saw it coming a split-second before it happened. he got this look on his face. it’s his determined/fuckally’all face. his eyes harden, his funny little pointy chin juts out as he sets his jaw, and you know he’s on a course that only the good lord himself could stop the boy from following. the last time i saw that look on his face, his brothers had just thwarted his 5th or 6th attempt to snatch a gameboy from their hands. after that look appeared on his face, he walked quietly out onto the back porch, and then came just as quietly back in, that look still on his face and a fucking baseball bat slung casually over his shoulder.

unfortunately, today there was only a split second between “the look” and “the explosion,” so i didn’t have time to stop him from suddenly arching his back and delivering a wicked tennis-shoed kick to the resident’s balls. i had to admire his professionalism; he winced, but finished looking in the boy’s ears before standing up, shaking my hand, telling me he’d be back with the attending doc in a moment, and limping out of the room.

of course, MonkeyBeef’s displeasure had been clearly audible throughout the clinic for the last five minutes solid. when the resident emerged, a passing nurse asked him what he’d been doing to that boy, to which he replied, injured balls in hand and a huge smile on his face, “establishing rapport.”

raw fucking style, yo.

down with the sickness, part 1

k. so SpazMonkey woke up crying friday night/saturday morning, sometime after midnight. he said his ear hurt. crap. he had just finished a 10-day course of antibiotics for an ear infection the previous monday, but either it didn’t quite work or he had another ear infection. so i loaded him up with tylenol, and cuddled under a slanket with him on the couch with a box of cap’n crunch while he narrated some shitty cartoons for me for a solid two hours. when he was finally feeling better at 3am, i put him back in bed. at 3:20, just as i was drifting off to sleep, i was awakened by screeching from the twits’ room. i ran in to find DramaQueen sitting bolt upright, looking horrified and bawling.

me: what’s wrong, baby? do your ears hurt?
DQ: i swallowed a lego!
me: you what?
DQ: i swallowed i lego!

i looked around uncertainly… there weren’t any legos in their room. and the boy was barely awake, so i don’t think he was playing with legos or anything else.

me: you swallowed a lego just now?
DQ: yes!
SM: I DID THAT ONE TIME! IT DIDN’T TASTE LIKE ANYTHING!
me: baby, were you playing with legos just now?
DQ: i don’t knooooooooooow!
me: i think you had a nightmare.
DQ: a nightmare?

he sounds even more horrified at the idea that he’d had a nightmare. SpazMonkey, on the other hand, was bouncing happily on his bed, chiming in brightly as he saw fit. which was often.

SM: I HAD A NIGHTMARE ONE TIME!
me: sweetie, i think you were just dreaming about swallowing a lego. i think you were just asleep and it didn’t really happen.
SM: YEAH I HAVE NIGHTMARES LIKE ALL THE TIME!
DQ: but i’m scared of nightmares!
SM: LIKE I HAD A NIGHTMARE ABOUT BEING BURIED UNDER THE DIRT! AND ABOUT EVERYONE ON THE WHOLE PLANET WAS LIKE DEAD! AND ABOUT THE ALIENS BITE MY HEAD OFF!

of course, this reassurance from his brother did nothing to calm DQ down. long story short, i finally got SM to shut up and DQ to sleep, and got back to bed around 4AM. you’d think i’d get at least 3 hours of sleep, but you’d be wrong. MonkeyBeef chose this morning to wake up screaming at 6AM. i looked at the clock, tried to beam the thought “ARE YOU FUCKING KIDDING ME?” across the hall to his room… but the wailing persisted. so i walked into his room to find a half-asleep MB trying to roll over… with his foot caught in between two of the rails of his toddler bed. none of his duck-footed brothers could have pulled it off, but he of the long, narrow feet can fit one in if it’s exactly vertical… and the minute it turns a few degrees off vertical, it’s stuck.

so i unstuck him. he of course woke up, planted a sloppy-ass “MUAH!” kiss on me, and then ran headlong down the hall to jump on SpazMonkey’s bed, because he doesn’t know the difference between a “school day” and a “mommy needs everyone to STFU for two more hours” day (or he does, and doesn’t give a fuck.) so, there was some more cap’n crunch, a trip to the saturday family practice clinic to get another round of antibiotics for SpazMonkey, and a whole lot of rockstar energy drinks, or as SpazMonkey now calls them, “MOM’S BIGASS ORANGE ROCKSTAR SODAS THAT SHE GETS SO MEAN WHEN I JUST WANT TO SHARE THEM.”

i think i lost that battle

MonkeyBeef notices stuff. he noticed that i often deny requests for cheetos. he noticed that i generally fulfill requests for goldfish.

i’m not as good at noticing stuff sometimes. it took me a while to notice that the boy in the camoflage overalls sitting quietly under the kitchen table stuffing his cheeks out of the golfish bag smelled strongly not of goldfish, but of cheetos. because he had filled an empty goldfish bag with cheetos.

dammit.

Grand Theft Auto VI: The Adventures of Thuggy


“lady, fuck your carseat. i’m drivin’ this bitch today YEEEEEEEEAH! suck it.”


“WHY THE BLOODY FUCKING HELL WON’T THIS GODDAMNED PIECE OF SHIT START?!?!?”

long story short: the unarmed standoff with authorities delayed the trip to the grocery store a good 20 minutes.

muther’s only half a word

my gift from EvilGremlin: an original work of art, sharpie and watercolor carefully mounted on black construction paper and ready for a frame:

and an original poem. he didn’t give it a title, so i’ll call it “deep thoughts in the key of mother.”

my card from SpazMonkey, quarto on pink construction paper. the outer cover:

i’m wearing an ice suit and wielding a plasma beam.

the inside of his card. with the space chickens. and mother brain, identifiable by her spikes. and ninjas. lots of ninjas.

my card from DramaQueen. folio on pink construction paper. he displays a rudimentary understanding of what girls like: pink, flower, heart, star. he also displays a love of manga, given that the “front” cover is the back by euro standards.

and the inside. sort of a family portrait. this was actually a lot more fun to post on facebook, since you can tag photos so that mousing over the photo causes the names of the people pictured to pop up. since i have no idea how to harness this nifty little trick on my blog, we’ll play it like a game of i spy: after you find all the family members, you can look for the cat, the sun, the ants, the pile of one thousand one dollars, and the dead martian. also, if you can identify any of the unlabeled creatures under the earth are, let me know. i think the cluster of three things on the right might be rock-paper-scissors, but that thing on the left looks like some evil shit.

this was actually a replacement for his first mother’s day card. this morning, he made me a paper airplane out of purple origami paper. i think it had flowers drawn on it, and a ninja pilot. from what i gather, it was later eaten by a nazi zombie, necessitating the replacement card. and the extra half-hour of staying up tonight to make the replacement. sneaky little shit.

and finally, they even sat together and sort of held still for a sort of portrait.

werd to your muther!

no brothers were harmed in the lighting of these candles

the twits turned 6 a few weeks ago. SpazMonkey got a darth vader cake, and DramaQueen got a spiderman cake (which is kind of funny, since it was SpazMonkey that was the big spiderman fan during the toddler years; DramaQueen was superman. period. he wore the same superman shirt for almost a year and a half straight.)



they got lots of cool toys, of course, but the one that was the most work was the special request for “bakugan hot wheels.” these, of course, do not exist. so i dug through the massive drawer of random hot wheels and matchbox and whatnot – some from PositiveRoleModel’s childhood, some from a huge tub of cars my mom picked up at a yard sale when EvilGremlin was 2. when presented with the tub o’ wheels, he was so blown away that he just climbed into the tub and sat there on his pile of treasure like a fat little dragon.

oh, and a good portion of them i acquired. as an adult. before i had kids. i’m awesome like that. i won’t even bother showing you my ten years worth of mcdonald’s happy meal cars (mostly because it would take forever to identify all of them.) but the cereal box cars? oh those are worth a picture. i don’t even think this is all of them, and in addition to the 12 boxes of sugary breakfast awesomeness i consumed to get these, there was some sort of elaborate ritual of secret order forms and boxtops and receipts involved in mailing off and waiting 6 weeks to get the crown jewel of my collection, the car-hauling truck thingy emblazoned with the mascots of enough nuclear breakfast sugarbombs to keep an entire kindergarten class acting like cornholio for a week:

so anyway! if you’re not familiar with bakugan, a quick primer: marbles that, upon being magnetically activated by a metal playing card called a “gate” card, pop open into little battley robot thingies. there are a few dozen different kinds, and each has one of 6 “attributes,” and each attribute has an associated color scheme. there’s ventus (seafoam with accents of green), aquos (blue with light blue), subterra (two shades of brown), haos (grey with gold), pyrus (red with bronze) and darkus (black with purple.)

so i found 2 cars in each of the right colors (except red. strangely, we own only 4 red die cast cars, and they’re all either wussy cars, like a model t, or convertibles that don’t leave a lot of space for customizing. so i did have to go out and buy 2 new matchbox cars.) i used appropriate-colored sharpies to color over some non-bakugan lettering and symbols on a couple of the cars. then, i got some bakugan sticker sheets, which had some stickers small enough to fit on hoods, roofs, and trunks. next, every bakugan package come with a little fold-out sheet of the rules, so we have several of those lying around. this is useful because the rule sheet has lots of tiny illustrations of the game being played. i sat and carefully cut out tiny attribute symbols, tiny bakugan cards, and itty-bitty bakugan logos to superglue onto the doors, bumpers, and grilles. coated it all in a couple of layers of a clear scratch-repair paint from the automotive section of walmart, and voila – instant awesome! okay… not instant. took me a good 6 hours. at least. not sure. the counting got all fuzzy after i busted out the paint, which smells strongly of the stupids.






i’m thinking my next project needs to be some sort of storage/display structure for the bakugan. the commercially available ones are an infuriating combination of poor design, small capacity and high price – i’m not paying $25 for a shitty tin with two flimsy sheets of dimpled plastic that fit together poorly and hold a grand total of 18 bakugan (or $20 for the display case that i think holds 8, or $20 for the clear plastic box divided into 12 little boxes), when the kids have over 50 of the damned things.

and before you go gasping about how fucking spoiled my kids are having FIFTY of the goddamned things – just remember this is a 4-kid collection. you wouldn’t be shitting yourself over one kid owning 12. don’t be like the mom in the grocery store who felt the need to sigh indignantly and say “wow, i bet my son would love for me to buy him THAT MUCH strawberry quik,” with unmistakable disgust as i put about 8 canisters into my cart. (and no, she wasn’t pissed because i was cleaning out the stock… there were still plenty on the shelf.) i looked over at her one kid… and her two canisters of strawberry quik… and wanted to ask her if she was still pissed off about eating shit on the math section of the SAT. (as it was, EvilGremlin sweetly pointed out that, actually, his mom was pretty much doing the same thing as her, since 8 canisters for 4 kids worked out to the same 2 per kid that she was buying for her kid, so i didn’t even have to come up with anything witty. i just brought that one home by giving him a big hug and thanking him for helping the nice lady with her math, causing the nice lady to storm off making choking noises.)


so, now that we’re all on the same page, this is what i dug out for now. blast from the past; it’s a wooden display rack for holding a bunch of essential oil vials from back in the day when my mom owned a little antiques-gourmet-foods-and-gifts store downtown. it’s been sitting on a forgotten shelf in the toy room for a couple of years now, but it first entered our house as “mighty beanz stairs,” and worked nicely for holding all of EG’s beanz. it then became the epicenter of “the water game,” wherein the twits would run to the basement shower, stick their faces in the leftover water on the floor, slurp up a mouthful, and then run over to the mighty beanz stairs and try to spit directly into one of the wells, and repeat until we caught them running their cackling, soaking asses all over the basement.

they’ve grown up so much since then. like last week, when they were spitting water at each other in the tub, cackling? they were at least a foot taller.

it’s kind of like a shark cage

we calls it the “brother basket.” DramaQueen explained that he thought it would keep MonkeyBeef from slamming his ass into his lap to get the book read out loud to him.

yeah. not so much, as he found out the next time MB cruised through the laundry room and caught his big bro reading without inviting him.

it’s amazing how much ugly $200 will buy you

so. banjo kit. i am going to build a 6-string banjo. (someday. when my elbows cooperate.) i decided the best way to fit 6 strings onto what would have been a 5-string banjo was to simply replace the kit neck with a slightly wider neck.

so, i bought the goldtone orange blossom special banjo in kit form.

the neck accounts for the bulk of the cost of the $600 kit; the unfinished neck is a $200 item, and the finished neck sells for $300. so, i bought the wide neck (goldtone BC-350), which also sells for $300 finished; i’ll finish the original neck and ebay it for just under $300, making the upgrade pretty cheap. unfortunately, goldtone screwed up and what they sent me instead was the BC-350+, which sells for $500 finished.

yeah. that extra $200 buys you the same neck made of the same wood with the same fingerboard, nut, etc. the only difference is the fancy inlay. and by “fancy,” i mean, “not my style.” i recognize that it’s well done, attractive, and took a lot more effort. but i just couldn’t bring myself to do follow the american consumer code of conduct and keep the accidental “upgrade,” smugly pocketing the extra $200 worth of product.

i wanted the minimalist BC-350, partly because it leaves room for me to inlay my own punisher-belt-buckle skull on the headstock, but also because i don’t do $200 worth of fru-fru fugly. bleah. goldtone, of course, happily sent me the neck i wanted in order to get their ugly back.

here are the 3 necks:

top neck is the original kit neck; a little fancy, but not too bad.
middle neck in plastic is the fugly.
bottom neck is the awesome, awaiting its skull and upgraded pearl nut. huh-huh. “nut.”

it’s on.

okay. i’ve reached a milestone today. for the first time ever, i have a strong desire to bite someone’s face off. i’m attempting to sublimate it into a desire to merely sue. it’s not really working yet. maybe another candy bar will help.

as you might recall, i sent this letter on April 8. in response, i first received this letter dated April 15. i was stupid enough to think that might to lead to an actual investigation and improvements. yeah, not so much. today, i received this letter, dated April 27.

i have never sued anyone. and i’ve never wanted to until today. not that suing my husband’s employer sounds like a hell of a lot of fun, but goddammit, i am NOT going to drop this. this issue does not get left at “we did everything right.” hopefully, “litigation threat” will spur them to action in a way that “not fucking up little kids lives” apparently did not. this gets fixed, whether they do it themselves or i have to find a way to force them to. fuck them.

seriously. you would think that if you learn nothing else from a career in pediatrics, you learn that you don’t fuck with people about their kids.

WelfareLoser
MyHouse
Iowa City, IA 52242

May 4, 2009

Lori Christensen, MD
UI Department of Pediatrics
200 Hawkins Dr.
Iowa City, IA 52242

Dr. Christensen:

Thank you for your time and your response to my letter. My intent was to point out a delayed diagnosis, indicate that it has had a negative effect on a UIHC pediatrics patient, and hopefully prevent our experience from happening to another UIHC pediatrics patient and family. Your response was to raise points regarding what your clinic did right and also what I did wrong.

Let me first say that there has been a remarkable change in my youngest son’s response to sounds since his surgery. I believe we can now start working on his speech. He has suddenly begun experimenting with consonant sounds; in the last week since his surgery, he has gained command of at least a dozen consonant sounds that were previously entirely absent. The very afternoon he came home with his tubes, he was suddenly able to differentiate between vowel sounds and replicate them accurately. He is excited about hearing and talking, babbling, humming and singing, and constantly engaging others in verbal communication, when just a week ago he seemed to have no interest in doing so. It would take some pretty serious mental gymnastics to convince myself that this explosion of progress came in the wake of the removal of fluid that wasn’t there a few weeks earlier.

Felix hardly ever drooled as a baby. At about 12 months old, he started drooling constantly. All day, every day, his shirt was soaked almost to his belly button. Every shirt he owns in size 2T has a dingy bib of staining from the constant drool. This continued through last week. When I took him to his surgery, it was in a wet shirt. When I got him out of his car seat from the surgery, his shirt was dry. His constant drooling stopped that day, and his shirts have been dry ever since. It seems highly likely that the problem that was fixed by his ear tubes had been missed in your clinic for over a year.

It seems to me that his long speech delay was very likely due to a hearing issue. It’s very likely that this issue was present at his initial presentation to the pediatrics clinic. It also seems to me as though impaired hearing should be very high on a differential diagnosis list in a child with delayed speech.

I believe you that Dr. Benson’s report said that there were no problems with his ears. I also think it is possible that a positive finding can be left out of a review of systems. I also remember hearing more than one person comment on wax present in his ears during clinic visits. My concern is that his hearing was not pursued as a cause of speech delay early on. It seems like the tympanic membranes may not have been visualized. It also seems like this issue has been going on for quite a long time. It doesn’t seem that you are acknowledging these possibilities.

You accuse me of lacking the persistence to pursue adequate care. This is simply not true and is offensive to a frustrated parent who follows her son’s doctors’ recommendations patiently. Let me respond to your insinuation that it was my responsibility to goad you into making the appropriate referrals. I did raise a concern that it was taking too long to obtain a hearing exam, whether that was documented in a clinic note or not. I was asked about his hearing and language in the standard review of previous clinic notes during his acute care appointment between the 18 and 24 month visits. I responded that he had yet to have a hearing test because it takes so long to get in. And then we moved on to dealing with Felix’s acute illness. At his 24-month visit, both the resident and attending asked if his hearing had been checked. Both times I responded that he had not yet had his hearing test because it takes a long time to get in at AEA, and both times, was met with SILENCE. I didn’t miss the fact that other options were offered. No other options were offered. Your department should be able to take the initiative required to provide adequate patient care.

As for your assertion that I was “comfortable” with the CT “at the time” – again, your attempts to put the responsibility for the application of appropriate diagnostic techniques on me are both infuriating and flimsy. Spin it however you like, but the fact remains that you gave the boy a CT before he got a hearing test.

As for your suggestion that I “report my concerns” to AEA – I am not dissatisfied with AEA. I am dissatisfied with you for referring a child with a medical problem to a social services agency.

Your letter also informed me that the otolaryngology department performs hearing exams after tube placement. I was aware of this; they have their own protocol. I am very happy with the care he is receiving from that department. A diagnosis has to be made at some point. It would have been great if a diagnosis could have been made by an experienced practitioner on simple inspection in our son’s case, but it was not. That was my original point. The fact that your letter to me inspired the need to draft a rebuttal aside, this remains my concern.

You’re right; your letter does clarify some issues for me. It’s clear that this was not an “investigation.” This was putting another piece of paperwork in place in an attempt to protect yourselves. I’m not surprised your internal review reveals that you did everything right. I’m also not impressed. Something went horribly wrong here. I am asking you again to explain to me what changes you will be making at your clinic to ensure that this does not happen to another child. That’s all I want. If you choose instead to explain to me again how you would have given my child appropriate care if I had really, really asked you to, I’m going to respectfully suggest that, before sending it, you read your letter out loud to yourself, and add the words “your honor” to the end of every sentence, and make sure you still like how it sounds.

Sincerely,

WelfareLoser

cc: Michael Artman

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