cereta: Barbara Gordon, facepalming (babsoy)
[personal profile] cereta
Dear Care and Feeding,

I have an unusual problem and am not sure how (or if) it can be resolved. My husband and I have a 1.5-year-old daughter, “Erin.” My mother has hypersensitive hearing. When I was a kid, I had to keep the TV on so low I needed to sit within 3 feet of it to hear it, and my sister and I had to talk to her in a lower volume than our normal speaking voices. (My parents ended up divorcing when I was 10 because, according to my mother, my dad talked too loudly.) The problem has only worsened as my mother has gotten older. Sounds produced by normal activities bother her, from a microwave beeping to people using utensils while eating to something being cut on a cutting board—even a Ziploc bag being opened within several feet of her.

Recently, my mother was over for a visit and had Erin on her lap. Erin let out a squeal after dropping one of her toys. My mother immediately got up, handed Erin to me, and left our house. This is not the first time this sort of thing has happened—she barely came around after Erin was first born because she couldn’t stand the sound of her crying. Later, I received a text from her saying that in order to continue coming over, she needed assurances that Erin wouldn’t do anything else to hurt her ears. I explained that this just wasn’t something I could guarantee or have any control over at this point; babies do sometimes get loud, and Erin is too young to understand the need to protect Grandma’s ears. When I suggested that my mother try some earplugs to reduce the impact of not only any loud noises Erin might make but also any ambient noise in general, she became angry and said she wouldn’t be back until I found a “realistic” solution.

My husband says that my solution is a reasonable one—he’s fed up, and it’s fine with him if my mother wants to stay away. While I want my daughter to have a relationship with her grandmother, I can’t always predict when Erin might do something loud, let alone do anything to prevent it. And I don’t want my mother tearing into her in the future for doing normal kid things, like she did to me and my sister. Erin also isn’t going to be our only child—I’m currently four months pregnant—so it won’t be getting any quieter around here. And like my husband, I’m exhausted with constantly playing a guessing game about which everyday action might hurt my mother’s ears. She expects us to just know, then becomes angry when we do something no normal person would think of as problematic. Last week, she got angry at me for biting into a carrot while I was almost 10 feet away from her.

Over the years, she has shot down suggestions from me and other family members to go to a doctor and see whether anything might remedy this. Is it reasonable to ask her to take some sort of proactive measure (such as wearing earplugs) so others can lead normal lives in her presence, rather than expecting the world—and my 1-year-old—to adapt to her?

—Toddlers Don’t Have a Mute Button

Dear Mute Button,

I’m sympathetic to your mother’s ear condition, which appears to be acutely distressing and would be challenging for anyone to deal with. And when there is something we can actually do to accommodate someone else’s medical issue or need—even if it causes us a little inconvenience or isn’t something we would otherwise do—we should at least make the effort. (It’s a very different thing and not so severe, but one of my kids was often overwhelmed by loud noises when she was little, and I always appreciated it when family members took care to laugh and talk a bit more quietly in her presence.)

But of course you’re right that Erin is too young to take your mother’s hypersensitive hearing into account, and you can’t and don’t want to discourage all her typical toddler sounds (which are essential to her learning, her development, and her ability to communicate with those around her). Given that Erin also has needs that are important, and has behaviors she can’t realistically control at her age, perhaps your mother could think of wearing earplugs or noise-canceling headphones as an accommodation she makes for her very young, occasionally noisy grandchild—one that is actually possible, unlike your keeping a toddler silent for the duration of her visit. When she’s older, Erin may be able to do more to take her grandmother’s condition into account. But right now, your mother is the one who has more capacity to alter her behavior, and while it sounds as if she’s been fairly intransigent on addressing her condition over the years (which I hear is exasperating for you!), there’s no time like the present, and more time with grandkids should be a great motivator.

So, yes, I think your suggestion was a reasonable one, as was the idea of consulting a physician. (If your mother has truly never done so, this may be as much an emotional issue as a physical one.) And again, while I’m sympathetic to your mother’s situation, I don’t think it makes sense for her to take every noise personally or punish others for being unable to be silent at all times—there is simply no way for you to anticipate or prevent every noise that could possibly bother her. When emotions calm down a bit, I hope the two of you are able to discuss what’s challenging as well as what’s realistic and find a way for her to spend time with her grandchild(ren) without experiencing so much discomfort or demanding the impossible.
conuly: (Default)
[personal profile] conuly
My 78-year-old mother has moderate dementia and suffers from mood swings, depression, anxiety, agitation and disturbed sleep. One of her doctors recommended a low-dosage CBD/THC gummy to alleviate these problems. She takes one daily and, combined with other therapies, now experiences more stable moods and better sleep.

The issue is my mother’s conviction that marijuana is for drug addicts and criminals, never mind that medical marijuana is legal in our state. She is so vehemently opposed to marijuana use that she disapproved when my dying sister used marijuana years ago for pain relief from inflammatory breast cancer. I have to lie to her about the ingredients in the gummies, which I casually refer to as ‘‘multivitamins.’’ Is it wrong to give my mother a drug that she would never have voluntarily taken on her own? — Name Withheld


Read more... )
conuly: (Default)
[personal profile] conuly
1. Dear Care and Feeding,

My husband and I are currently planning a trip to Taiwan, where I emigrated from as a young adult, to visit my parents and extended family. We have two children, 16-year-old “Ada” and 13-year-old “Megan.”

Since Ada was little, she has always been an incredibly picky eater. She is quite sensitive to the different textures of food, and there are some foods she refuses to try at all. When she was little, we thought she may have autism or a related condition, but ruled that out with her doctor. She is much more open to trying new foods than she used to be, and we are no longer overly concerned. However, she still dislikes most Chinese food.

Obviously, in Taiwan, the vast majority of our meals would consist of Chinese food. Yesterday over dinner, I mentioned this to her, and she joked that it would be a waste of money to take her to Taiwan, given that she wouldn’t enjoy it and would refuse to try most of the food there. I got mad, and told her that I would have to explain her “strange” eating habits to all of our relatives, and that I had no idea why she had to be so stubborn about the foods that she doesn’t want to eat.

After the blowup (which involved fighting about some other things), Ada won’t speak to me. According to my husband, she claims that I don’t “understand” her aversion to certain tastes and textures, and that she isn’t doing this to be intentionally rude to anybody.

What should I do?

— Frustrated About Food


Read more... )

********************


2. Dear Care and Feeding,

I have a strange problem with my teenage daughter. This may sound gross, but for years now, she has had this bad habit of picking at the skin around her fingernails. She started doing this when she was around four years old and over a decade later she still hasn’t stopped. As a result, her fingers have horrible-looking cuts on them that are often bleeding. When she was younger, her father and I would try to scare her by telling her no one would want to be her friend if her fingers looked like that or how open wounds could lead to serious infections but nothing has stopped her. She claims that picking at her fingers makes her “feel better,” which is such a crazy thing to say. It makes me so angry that she keeps making excuses. Our daughter claims that she has been trying to stop, but she has been saying that for years and there have been no changes. If she can’t even stop this simple bad habit, how will she do more difficult things in life in the future? What should we do about our daughter’s problem?

— At My Wit’s End


Read more... )

https://slate.com/human-interest/2023/04/when-in-laws-cross-boundaries-parenting-advice-from-care-and-feeding.html
ermingarden: medieval image of a bird with a tonsured human head and monastic hood (Default)
[personal profile] ermingarden
I am a physician, and last year, I took care of a white female patient in the hospital for a bacterial bloodstream infection. A few days into her stay, she began referring to Black staff members by the N-word and to our receptionist by an anti-gay slur. As the supervising physician, I made it clear that this was unacceptable. In general, with challenging patient behavior, I find it best to clearly lay out expectations and the consequences for violating them. So before talking to her, I discussed the situation with the nursing staff and hospital risk management, and we concluded that if she persisted in using this language, we would discharge her from the hospital, against her will if necessary.
Read more... )
minoanmiss: black and white sketch of a sealstone image of a boat (aegean boat)
[personal profile] minoanmiss
Content advisory: recent sociopolitical news, not-so-recent lawmaking, reproductive rights and trans people legally imperiled.

Read more... )
minoanmiss: Minoan youth carrying vase, likely full of wine (Wine)
[personal profile] minoanmiss
[n.b. IMO the title is not a fair representation of the situation.]

Read more... )
ermingarden: medieval image of a bird with a tonsured human head and monastic hood (Default)
[personal profile] ermingarden
A very close, decades-long friend who has been a professional colleague — we are both family-practice doctors, though we currently work in different states — is spreading misinformation when it comes to Covid-19. She thinks vaccines have toxic ingredients and are unnecessary. She also thinks that the case and death rates of Covid are overblown. Recently, she emailed that she has been prescribing ivermectin and hydroxychloroquine for use against Covid.

As bad as I think her misinformation is, I feel that she has crossed the line in prescribing drugs that multiple studies have shown are not effective for the prevention or treatment of Covid-19. Professional standards state that I must report her to the state board of medicine, just as I must report a colleague who was abusing drugs or alcohol. On the advice of a former medical-school classmate who is a bioethicist, I wrote to my friend stating that she could lose her board certification and her state medical license.

As might be expected, she is not vaccinated and has no plans for her or her family to be vaccinated. Obviously, I will not change her mind. As bad as I think her advice is for herself and her family, though, it is wrong and harmful when it comes to patients in her care. So what do I do?
–Name Withheld

There are over a million active physicians in the United States — more than the entire population of Austin, Texas. Even if a vast majority respect the practice guidelines set by their medical boards, there will be those whose training proves no match for the misinformation that incubates online, and their absolute numbers will not be insignificant. Sometimes ideological identities can undercut professional ones. When doctors reasonably believe that a member of their profession is endangering patients, they should pass what they know on to the medical authorities in the states where they work. Alas, you have good grounds for such concern. That she’s your friend made it appropriate to tell her first that you thought she was exposing herself to risk for violating the strictures of her profession. At this point, though, your obligations as a medical professional are the overriding ones. The sort of misinformation she’s both purveying and putting into practice is among the reasons that this pandemic’s costs in sickness and death have been so great.
thedivinegoat: A photo of a yellow handled screwdriver, with text saying "This could be a little more sonic" (Default)
[personal profile] thedivinegoat
ETA: [personal profile] jadelennox posted CA's update/correction. Very relieved.

Hello Captain Awkward!

I’m a single woman in her mid-20s and I went to a new dentist, who might be in his late-20s, for an appointment the other day. He was extremely nice and very conversational. At first I thought he was just being nice (or flirting with his assistant – who is also young looking and beautiful).

But then he started asking me about food and restaurants, things I like, how long I plan to live in our state.

Then I saw he didn’t have a ring (which I know isn’t always a clue, but I used it) and so I started wondering, “is there more to his nice-ness?”

What are your thoughts? Was he being professional and nice to his new patient? Was he flirting with me and I have to make the move since it is his place of employment? Was he doing it to be nice around his assistant? Or something else I’m not seeing?

Thank you so much!

This was not the answer I was expecting from the Captain )
minoanmiss: Statuette of Minoan woman in worshipful pose. (Statuette Worshipper)
[personal profile] minoanmiss
Q. Life-or-death decision? My brother-in-law is in desperate need of a kidney and has been approved for being on the list to obtain a cadaver kidney. Read more... )
movingfinger: (Default)
[personal profile] movingfinger
Dear Prudence,

I have a medical condition where I have major symptoms if I have low blood sugar. I can’t leave my desk every time this happens, so I keep a small bag of candy in my drawer... )
lilysea: Serious (Indignant)
[personal profile] lilysea
Q: I’m supposed to be a bridesmaid in a very conservative wedding. I said yes a while ago to a friend that I’ve always “agreed to disagree” with. But since then I’ve come out as bi/pan to most people in my life and I have a girlfriend. The bride doesn’t know because it seemed safer to tell her after the wedding because I’ve heard her say homophobic things about sin and hell.

But things have gotten more complicated. I injured my leg and when I told her about it and asked if I could sit for the several hour long ceremony she told me I shouldn’t be a bridesmaid anymore. I’m hurt that she would kick me out of her wedding because I’m injured and I’ve already spent a lot on her gift, a flight there, etc. I’m not sure I can change my flight either (I had to be there several days early as a bridesmaid and I’m supposed to share a hotel room with her, I don’t think I can afford a room myself). My friends said if I don’t go to her wedding at all now I’m probably throwing away the friendship. I feel like she’s the one doing that by kicking me out over something I can’t control.

More than that, I’m afraid that if I go as a guest or try to suck up the pain to stand during the ceremony as a bridesmaid, that she will ultimately reject my friendship anyway when I do come out to her and I don’t want to put in all this time for nothing. If she rejects me for an injury it seems easy enough to reject me for being queer too since I know she thinks that’s a sin. I don’t know what to do.

A: Ayyyyy. I humbly submit that your first order of business is calling about your flight. Just see what the deal is there.

And wow yeah, she does sound like the kind of person who would reject you because of your queerness! What do you want to do? Like what feels like a decision you could live with. If I were in your position, I would slap a shipping label on that gift and take myself out for a milkshake. If I were in your position and feeling especially obligated for some reason, I’d change my flight to arrive closer to the actual wedding date, get my own hotel room, and be the cutest happiest friendliest son of a bitch at that party, where I would talk openly about my darling girlfriend and share my thoughts on a single-payer system and how abortion bans are class warfare, then leave with an air of smug superiority the likes of which that town had never seen.

Do what makes you feel like the best version of yourself, whether that’s protecting your feelings by not attending, or taking one on the chin to avoid a fallout. Make the decision you can live with, but above all else please know that you deserve friends who care more about your injured leg than the optics of a wedding party. Also, you know who has ceremonies that last for several hours when that shit can easily be handled in 45 minutes or less? Showboating assholes, that’s who. THERE I SAID IT.

https://www.autostraddle.com/yall-need-help-12-the-straight-girl-is-back-3985543/

lilysea: Serious (Indignant)
[personal profile] lilysea

DEAR ABBY: I am a 29-year-old single mother of two small children. My 5-year-old son was diagnosed with Type 1 diabetes. I'm the only one in my family who has been trained in his care, so I understand the importance of a healthy diet, proper insulin dosage, checking his blood sugar, etc., and that unless his diabetes is properly managed, it could lead to serious health issues -- even death.

I have explained these things to my mother and attempted to train her several times, yet she continues to do things she shouldn't be doing. She stops by my house almost every night with "treats" like candy, ice cream, chocolate bars, doughnuts, etc. When I get upset about it, she'll casually reply, "Oh, whatever. If you dose him for the carbs in it, he's fine," which is not the case. Yes, he can have a treat now and then, but overall, he needs to stay away from that stuff.

It is extremely frustrating that she refuses to listen to me and continues to disrespect my wishes. I don't know what else to do. We have fought repeatedly over this, and she keeps telling me I'm "overreacting." I'm terrified my son will have permanent damage because of this. How do I get her to stop and listen to me? -- FRUSTRATED IN WISCONSIN

DEAR FRUSTRATED: You have allowed your son's medical condition to become a power struggle between you and your mother. Schedule an appointment with your son's pediatrician so your mother can have the facts of life explained to her. If that doesn't help her to accept reality, then understand that she can't be trusted. Do not allow her to drop by with goodies, and supervise any contact he has with her. It is your job to protect your little boy, even from your obtuse mother, if necessary.

lilysea: Serious (Oracle: thoughful)
[personal profile] lilysea

DEAR ABBY: Yesterday I was in a retail store with my service dog. The clerk asked me what kind of service dog she was and I replied, "She's my service dog." She kept pressing me as to exactly why I have one, so I asked her if she was inquiring about my disability. When she said, "Yes," I politely informed her that federal HIPAA laws protect my right to privacy. She then said -- loud enough for everyone in the store to hear -- "I don't know what the big deal is. I just want to know what the dog does for you."

Please let your readers know how to be around a person and their service animal:

1. You do not have the right to ask about the person's disability. To do so is rude. Most people prefer strangers not know their medical condition. The dog may be for PTSD, a hearing or seeing dog, or to alert the person to a medical emergency.

2. Children (and adults) need to understand that when service animals' jackets go on, the dogs know it's time to go to "work," and they take their job seriously. At that point, they are not pets and should not be treated as such. If a child rushes a service dog, the animal may react badly because it is there to protect its person.

3. You may ask to pet the dog, but don't assume it will be allowed. If given permission, the dog should be scratched under the chin only.

Service animals know their place. It's a shame that most people are not as polite. -- NONE OF YOUR BUSINESS

DEAR N.O.Y.B.: Thank you for sharing this information. According to the Americans With Disabilities Act website (ada.gov): "Businesses may ask if an animal is a service animal or ask what tasks the animal has been trained to perform, but cannot require special ID cards for the animal or ask about the person's disability."

lilysea: Serious (Arsehole)
[personal profile] lilysea
Dear Prudence,
I am an older, sexually conservative woman who got herpes from a man I was dating. He’s a pillar of the community and did not tell me he had herpes. I had a long dry spell before we started dating. My issue is that I have an unlabeled bottle of herpes medication in my desk drawer at work. My administrative assistant asked for some pain relievers, and I opened my desk drawer and shared from a labeled, over-the-counter bottle of acetaminophen. I saw her staring at the unlabeled bottle in the drawer. Later that day I went back to my office, and she and another person had actually opened the unlabeled bottle and were looking at the medicine! I was too stunned to say anything, and they left. I guess they looked at the color and numbers on the pills and looked up the medication. In the few months after that —I kid you not—several people at the office have “casually” mentioned herpes and how disgusting it is. At the company potluck, no one touched my dish. One co-worker asked about a red spot on my hand and said loudly, “Yuck, it looks like herpes!”

One odd thing about this is that I have been extraordinarily financially generous to the admin who peeked and told. I don’t understand why this is happening. I used to like my job, and I make a very high salary. If I leave the company, I fear this issue will follow me. I was not in the least bit promiscuous in my life (truly). I feel so ashamed, though.
—Pariah

Answer:
That is absolutely horrifying—both that your administrative assistant would paw through your unlabeled medication and that your co-workers are now mocking you for a confidential medical condition (one that, by the way, is both extremely common and easily managed with medication, and not something you should feel ashamed about or isolated by). What they’re doing, in addition to being cruel and unprofessional, is also a violation of the Family and Medical Leave Act, which prohibits the disclosure of private medical information in the workplace. It’s unbelievably childish to treat a dish you prepared as somehow “contaminated,” doubly so when it’s common knowledge that herpes cannot be transmitted via potluck. The fact that this is your subordinate makes the issue additionally uncomfortable, but you do at least have the authority to correct her. It’s understandable that you felt too flustered and embarrassed to address the issue in the moment, but you should absolutely set up a meeting with her and make it clear that it’s wildly inappropriate for her to go through anyone else’s medication at work—labeled or otherwise—and that it is a potentially fireable offense. If your office has an HR department, you should bring them into the conversation, because (once again!) it’s not appropriate for employees to mock their colleagues for their perceived or actual medical conditions.

amadi: A bouquet of dark purple roses (Dramatic Eddie)
[personal profile] amadi
Dear Abby: My husband enjoys sitting around (among other activities) naked )
cereta: Lacey and Wendy (Lacey and Wendy)
[personal profile] cereta
Dear Amy: I work in a medical clinic and would like to weigh in on the practice of people bringing friends with them to their appointments.

Unless another person is needed to help with medical issues, I find it very annoying for people to bring an entourage.

I have had patients bring five friends or relatives with them. It is disruptive.

People need to know: Your entourage will not be allowed in to watch you have your test done, so please don't ask. It is a medical test, not a live performance at the theater. — Annoyed Practitioner

Dear Annoyed: Well said.

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