I ran 5 km today. First time in almost a month, I am embarrassed to say. November is pretty much going to go down as one of the worst months of running I’ve had since plagued with injuries last spring.
We had daughter’s birthday party today. She insisted on decorating her cake and she did a fantastic job.
And now I sit down to enjoy a piece of that cake with a warm cup of tea.
I’ve spent the last 9 hours at a very intensive course on the essential approaches to palliative care. It’s been a really long day with a lot of information. I’m glad I attended but after last week’s conference, I am all learned out.
I have to make my daughter’s birthday cake tonight and I really need a run but I have a headache and I just want to curl up on the couch and take a nap.
But I sat on my ass all day at this conference, drank too much coffee and ate too much food so I need to run. This month has been awful for running due to one illness after another and with the colder weather it takes a little but more motivation to get going. I know I have to though. I finally reached my goal of being able to fit into my most favorite pair of jeans and I have been feeling really good about that. After three kids I am damn proud of how I look and feel and to maintain that I have to keep up the running. So no more excuses!!
A person’s memory is everything, really. Memory is identity. It’s you.
-STEPHEN KING, Duma Key
Another doctor’s appointment with my dad. I got up at the crack of dawn just as the baby was waking up for his bottle. My dad’s appointment was at a downtown hospital early this morning so I had to hustle to get there on time. They had already started with the nurse when I arrived. She was just starting to get his history as I sat down on the exam room table. Looking around it was your typical hospital office/exam room. I noted the clock on the wall and stared at it for a second, realizing it wasn’t working; I checked my phone to confirm the time. Dad was busy talking away with the nurse. My eyes kept returning to the clock; probably five minutes elapsed before I realized why I was drawn to the clock.
By this point the nurse was starting the memory testing with my dad so while I was trying to pay close attention to how he was doing and mentally trying to remember how to score the test as he did it, several minutes elapsed and I noticed something else about this clock.
It was very surreal. I wish I could describe the thought processes my brain went through when it was trying to reconcile what I was seeing with what I know about how a clock should look and act. When it all came together I almost laughed out loud but I restrained myself as at this point in the interview, my dad was asked to draw a face of a clock and put the hands of the clock on to show a specific time – 10 minutes after 11.
The clock drawing test is a brief but highly informative tool that physicians and psychologists use to test an individual’s executive functioning. It is a very easy test to administer and is part of the screening tests used to diagnose, or exclude, a diagnosis of dementia. My heart skipped a beat when I watched my father do it. He drew the circle, placed the numbers and the hands of the clock correctly, without missing a beat. I’m pretty sure I breathed a sigh of relief when he was done. In fact, most of his cognitive testing was normal, particularly in executive functioning, language and calculation skills. Where he failed was in memory and recall – pretty much exactly what we’ve noticed over the past year or so.
We were reassured in one respect that his issues right now are mild and that 90% of individuals with amnestic mild cognitive impairment remain stable over time. Yet now as I am reading up on mild cognitive impairment, it is widely considered to be a precursor to Alzheimer’s dementia. I think it might be time to stop reading. He’s going to be seen again next summer and I suppose we will just have to take the “wait and see” approach. Right now there’s nothing we can do and for a doctor who is also a daughter, that’s probably the hardest thing in the world to be told.
The image on the left is the acute fracture through the distal radius. Image on the right, healing callous formation is visible as the fracture line starts to shrink.
Daughter’s cast came off yesterday. I couldn’t make it to the fracture clinic appointment because of work (cue the mommy guilt) but husband took a lot of pictures. Her bone is healing, there’s good callous formation, so off came the cast and no more follow-up is needed. Her little forearm has atrophied as she hasn’t used those muscles in a month and she has some bruising on the underside of the forearm where the fracture was. She insisted the discoloration was from her putting a chopstick in there to scratch an itch but really, it’s from the fracture.
I reminded her a lot today before school that she has to be careful with her arm especially in gym class. She seems to get it but the mommy in me still worries. Shouldn’t they have casted her again? Isn’t it too early for an almost-6 year old with a freshly healing bone to be running around with no cast?
I woke up today to cold feet. They were mine and they were cold. Our furnace is ancient and doesn’t warm the top floor of our house very well. It really should be replaced but until it actually stops working, I’m not getting a new one. So yeah it was cold this morning. Like, -17°C cold.
Everyone on my FB feed had something to say about the cold and none of it very good.
Come on, people! Are we gonna start the bitching and complaining already? Three months ago, people were bitching about the heat wave. We live in Canada. We have seasons. The temperature changes. Deal with it.
I want to turn off my FB feed completely. I am just so done with the constant complaining. And the irony is not lost on me that I’m doing the same thing here. Complaining about the complainers.
So it’s cold. Suck it up, buttercup. It’s November. In Canada. It’s cold.
I’d like to welcome some new followers I’ve had over the past few weeks. Welcome!!!! As of this evening, I have 301 of you special people. Thank you for taking the time to read my little blog.
This once-a-day blogging is fun, but it’s a lot of work. After being away from the office for two days, I was pretty slammed coming into work today and I am exhausted. I was just about to leave the office when I realized I hadn’t written today’s post! oops!
I normally don’t work on Monday mornings, so husband and I took the boys to a local indoor play area and while he shopped for winter boots, I watched the kids play. It it so much fun to watch the baby, now a toddler, chase after his big brother. Big brother doesn’t always have the patience for his little brother but sometimes there’s a moment when big brother shows little brother something and I was able to capture the moment. I can’t wait to see how these two will be when they are older. Right now, daughter and middle son are quite close. Yet, even though he’s only 14 months of age, the baby is very determined to be heard and included when the older two are playing. Once he starts talking more I don’t think anyone will get a word in edgewise.
After this photo was taken older brother got bored and moved on while the baby stayed for a few more minutes applying the new skills his brother showed him.