cereta: Barbara Gordon, facepalming (babsoy)
[personal profile] cereta2025-04-16 08:48 am

Care and Feeding: Grandmother with hypersensitive hearing

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] conuly2024-09-14 04:38 pm

I am so not a fan of The Ethicist

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... )
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[personal profile] conuly2023-04-06 06:05 pm

Two letters from the same column on a very similar topic to each other

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)
Entry tags:

The Ethicist: Can I Withhold Medical Care From a Bigot?

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.
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minoanmiss: black and white sketch of a sealstone image of a boat (aegean boat)
[personal profile] minoanmiss2022-05-04 12:44 pm

Ask a Manager: I Don't Want To Move To Texas

Content advisory: recent sociopolitical news, not-so-recent lawmaking, reproductive rights and trans people legally imperiled.

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[personal profile] minoanmiss2022-01-20 01:17 pm

Ask a Manager: Men With Bare Chests At Work

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The Ethicist: Colleague Prescribing Ivermectin

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.

WFT Captain Awkward?

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] minoanmiss2020-07-01 11:35 am

Dear Prudence: My BIL needs a kidney, my husband doesn't want me to donate mine

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