Elizabeth called me at work late Sunday night to tell me that Peter was throwing up. (Some people actually bring their kids to the ER for that.) I got home early Monday morning, unaware that Isaac would soon be earnestly donning his backpack and preparing for first grade. I was more focused on trying to figure out if I was smelling our garbage cans or a dead animal in the bushes by our door, or both--the stench was that bad. As it turns out, the smell was seeping out of Peter's bedroom window. As I walked in the door I was hit by the wave. Henry was sleeping peacefully but Peter was lying in a pool of his own diaper spillage that was beyond foul.
As I changed the sheets I felt nauseated. Little did I know, it wasn't a result from the non-human smell, it was because I must have caught the same virus. The nausea remained all day on Monday and I never really got much sleep, perhaps because each attempt at REM sleep coincided with an urgent need to sprint to the bathroom. That night, Elizabeth made an awesome dinner of chicken cacciatore but the kids didn't seem to appreciate it and I had no appetite. My symptoms gradually subsided just in time for me to go to work. I felt like I was dragging from the beginning of my shift though. Fatigued from the onset, I have never had an eight hour shift go by that slowly. With a few hours left I really just wanted to put my head down on the counter for 2-3 minutes is all, but the patients just kept coming through triage.
After a nice uninterrupted sleep on Tuesday I felt rested for the next night of work. The ER was flooded to capacity and when my shift was over, I was still in the middle of taking care of a 31 year old male who had come to the ER with a very unclear history and even stranger presentation of symptoms. He had an altered mental status and his vital signs continued to become less stable. This shift flew by compared to the night before, even though it stretched into a 13 hour shift by the time I walked out the door and he headed to the ICU.
There is something about sleeping during the day that makes you feel lazy. It doesn't matter how hard you work at night, or how much you do when you get home or before you leave, but when your kids are running around and your wife has her hands full and you are lying in bed with earplugs in and a white noise machine on, you feel just a little bit slothful.
I found myself distracted much of my awake time at home that next evening, having learned that my patient's heart was failing and that he had now suffered a brain stem stroke. With the benefit of hind sight, time and more testing, I went over every possibility of what, if anything could have made a difference if done differently at any point along the way.
Another night, another shift. Elizabeth told me that this school night thing is going to take some getting used to with five kids - especially on evenings when I am not around for bedtime. That doesn't help the whole slothful image I am trying to shake. Then, while I was at work, I got a call at 1am. I'm never surprised when Elizabeth calls at odd hours of my shift. Usually, she calls just to tell me something interesting, or tell me she's going to bed. This time however, it was to tell me that she woke up to hear large metal bowls clanging around in the kitchen as Abby was searching in the dark for an appropriate vomit basin. Abby was up for most of Tuesday night throwing-up. Bless her heart though - she got it into the silver bowl every time!
Two days later it was Isaac's turn. Elizabeth sensed it was coming when he complained of some stomach pains before bed. Elizabeth took the necessary precautions and placed the same appropriate silver bowl conveniently in his bed right next to his head. He inconveniently failed to locate it on three repeated occasions. Again, Elizabeth called me at 2am and warned me of a pile of vomitous bedding by the stairs that she had removed at three separate times during the night. When I got home at 4am I figured what better time to lay out the bedding in the back yard and hose them down with a high powered nozel under the glow of the porch lights. There's no way a sloth would be found doing that.
Friday came, and I never got around to setting up the video camera to record back to school interviews with the kids. The week was over. I was driving to work at 6:30 on a Friday night. It felt very un-American. It was supposed to be the weekend. I was supposed to feel euphoric and free. My own 8- year-old daughter was going to the Olympus High School football game with her friend and I was jealous. Lucky for me, I don't work next Wednesday. Ever heard of TGIW? Me either.
Fortunately we made it through the first week, everyone now healthy and well. Saturday brought two great soccer games for Abby and Isaac, an uplifting Stake Conference meeting, a beautiful wedding for our friend Nancy (which turned out to be a great Duke reunion), and then dessert with neighbors. We collapsed into bed exhausted, counted the week over with a sigh of relief, then counted our blessings - clean sheets all around being one of them.






