The Importance of Water

One thing I can tell you for sure from working with many in the CF community on better health plans - as a whole, we don't drink enough water. This doesn't come as a big surprise as most Americans, by a super large majority, don't drink enough water either.

I can't tell you how much better I feel on the days that I get my water needs met. And until you make the commitment to drink the amount of water you need, you'll have no clue what I'm taking about. Every single person that I have convinced to drink more water has never regretted it and in fact, ended up embracing the lifestyle change.

I ran across this article about the importance of water and I wanted to share it with you guys.

Getting enough water is the single most important thing you can do to live a healthier life.
But are you getting enough? And are you drinking the right kinds, at the right times? It is estimated that over 99% of Americans do not get the proper amount of water their body needs. Did you know that water contributes to everything from a healthy glow to your skin, to transporting oxygen and nutrients to your body’s cells?
Many health problems we treat by simply popping pills, can be solved by getting enough water in your system daily. This article aims to tell you everything you need to know about water, so read on and feel healthier!
The FormulaThe age old “eight glasses of water a day” works great for some people, but not all of us. Instead, we have supplied something a little bit more customized to your body type. Simply take your weight (in pounds) and divide it by two:

__ lbs. / 2 = ___ ounces a day.

So for example take a 120 lb female. Divide her weight by two, and you have 60 ounces of water a day. Keep in mind that this is total water intake, and there are many foods with a high water concentration. To be safe, you should drink eighty percent of this in pure water. So using our female example again, 80 percent of 60 ounces is 48 ounces, or six eight ounce glasses of water per day.Your Body, and WaterWater is vital in our body, and a lack of it certainly has its consequences. Your body is roughly 70 percent water. The build of your muscles are about 75 percent water, blood 82 percent, brain cells 85 percent, and even your bones are 25 percent water. Your body looses approximately two quarters (64 ounces) of water per day through urination, perspiration, and even exhalation. The average adult can last as much as seven weeks without food, but not much more than five days without water.
F. Batmanghelidj, MD, highlights some main benefits of keeping your body well hydrated in his book titled “Water for Health, for Healing, for Life”:Water being the main lubricant in joints, helps prevent arthritis and back pain.
Water increases efficiency of the immune system
Water prevents the clogging of arteries in the heart and brain, thus reducing the risk of heart attack and stroke.
Water is needed to efficiently manufacture neurotransmitters in the brain, including serotonin and melatonin (for hormones). It also improves are attention span, and can prevent attention deficit disorder (ADD).
Water prevents memory loss as we age, reducing the risk of degenerative diseases such as Alzheimer’s.
Water reduces the effects of aging, making our skin smoother and giving is a sparkling luster.

Health Complications Caused by DehydrationWhen your body is not getting enough water, it will ration what it has. There are five primary organs your body hydrates above all else, and they are your brain, heart, lungs, liver, and kidneys. Thus your non-vital organs will often suffer from a lack of water. Signs tend to manifest first in your skin, joints, and gastrointestinal tract.
Arthritis and joint pains are common signs of not getting enough water. The cartilage in your joints provides a nice smooth surface for your joints to glide across during movement. Cartilage itself is eighty percent water, and is five times slicker than ice. Well, that is a well hydrated joint. When your body is not getting enough water, one of the first places it puts on a rations list is your joints. Less lubrication equals greater friction. And over time that friction causes your joints to degenerate quicker, eventually leading to arthritis.High blood pressure is another sign. Instead of spending money on medication, why not try drinking some good old fashion water? Think of a garden hose, when you constrict it at any point, the pressure flowing increases. Your body does the same thing. When dehydrated, it restricts blood flow to less important organ, which may cause an increase in pressure.Digestion problems. Do you suffer from heartburn, indigestion, or constipation? Do you constantly intake medications such as Pepcid or Tums? Your stomach has a lining on it that should be 98 percent water. This lining contains bicarbonate, which protects against stomach acid. Drinking enough water ensures a thick layer to protect our stomach lining from damage. However, not getting enough water will cause it to thin out, causing many of these problems.Water Keeps you YoungYes you read that right. Getting the proper amount of water each day will keep you looking and feeling young. For one, drinking water helps you loose weight. Not many people know this, but hunger pains and thirst pains are nearly identical, so many people eat when they should be drinking. Assuming that you are dehydrated, you body will carry extra “water weight” because it is unsure when it will get some next, and it wants to be sure it has enough to survive. This is caused by the hormone aldosterone, and its main job is water retention. However keeping your body well hydrated dramatically decreases this emergency storage, so you are not carrying around extra weight. Emerging research shows that dehydration also contributes to a low metabolism, which in turn causes your body to store up more fat.Water revives your cells, and keeps them alive. Roughly two-thirds of your body’s fluids are on the inside of cells, and the other third are on the outside of them. The first sign of failing health is when the fluids shift from the inside to the outside. After this happens, cells do not have enough energy to maintain the membrane pumps inside them, causing the cells to die. Likewise, when there is more water on the outside of cells than there should be, your blood vessels compress, causing less nutrients and oxygen to be delivered to them. Everything from your cells to the largest organ in your body, your skin, suffers.Did you know a lack of water contributes to memory loss? Your brain cells are eighty-five percent water, and your brain itself is the only organ that never rests. It is safe to say that your brain is the single most important organ to be sure is well hydrated. Ensuring it has enough water guarantees the production of new brain cells to replace damaged ones, as well as being sure the brain is working to its full potential. Many doctors today believe that long term dehydration contributes to Alzheimer’s disease.When is it best to drink water?There are two big mistakes many people make here. One is drinking when your thirst, and the second is drinking with a meal. A dry mouth is actually one of the last signs of dehydration, and when you experience it, you are already mildly dehydrated. When you drink with a meal, you are washing down all the hydrochloric acid in your saliva, and enzymes in your stomach. What results is a poor digestion process. Don’t get us wrong, you need to drink some liquid during a meal, but no more than six – eight ounces.
Here is a good schedule to follow, adopted from Don Colbert, MD’s book ‘The Seven Pillars of Health”:Start by drinking eight – sixteen ounces of water before breakfast (There is no need to replace the juice, tea, or coffee you may drink in the morning. Instead, enjoy the water with your choice beverage.)A couple hours after breakfast, drink another eight – sixteen ounce glass of water.Again, a few hours after lunch, drink another eight – sixteen ounce glass.Thirty minutes before dinner, drink sixteen – twenty-four ounces of water.About an hour before bed, have another eight ounce glass.

So what do you think? Are you ready to go and pound the water?? You won't regret it if you do, just be prepared for many more potty breaks :)

Two Sides of the Coin: Great Conversation with Fellow Fibro

Many of you, if not all of you know Josh Mogren. If you don't, you should. He's done amazing things for this community and continues to be a great example for all. He's done an especially amazing job teaching the younger cysters and fibros how important it is that they take care of themselves and presents that message through his buddy Moganko. Josh also has a blog called "Welcome to Joshland".

With that said, he wrote a blog yesterday, which was wonderfully written by the way, about his thoughts on sharing PFT numbers. While I agree with everything he wrote, I stand on the other side of the issue. Nevertheless, we had a great conversation in his comment section that I wanted to share (there may be more posted, but at the time this blog was published, that is all that is there). You get both sides of the coin, and you can see two fibros, who don't agree on the means, agree on the ends, in a very loving and respectful way :) 

He's a very valued member of this community and I'm thankful there are guys out there who I can be a Robin to their Batman. They didn't always agree right?

*****
Read his blog HERE and my first comment starts below with his responses in grey.

I agree with almost everything you said, J-Mizzle. With that said, I still don't think sharing numbers or asking someone their FEV1 should be a no-no. There is a lot of truth in being able to do things at 75% that you can't do at say, 35%. There's also truth in that it's harder to go from say 40% to 50% than it is 80% to 90%. If someone comes to me with an exercise question, knowing their lung function is pretty important.

Here's why I'm specific and say my numbers. I'll use myself as an example, if I said my PFTs went up since I recommitted my life to exercise and treatments, but didn't give my number, I feel that it doesn't make as much of an impact. "Many people couple think, great, they went from 85% to 90%. Doesn't sound worth it." or "You were much healthier than me I'm sure". For me, that doesn't tell my story.

My story is - Well, I started at 50% and achieved that number after 52 days in the hospital and coming in with an FEV1 in the 20's. Then, after two years of working my butt off, never missing a workout session and doing 3 to 4 treatment sets a day, every day, I got to a 75%, a number that I hadn't seen since 2003. (Yay, run-on sentence!) 

Point is, sometimes numbers provide context. And sometimes, context is important.

I'll end at this - I'm also a little sensitive to this topic, as it relates to publicly sharing personal stuff, when a fellow community member asked me to stop posting pictures of my family and house because not everyone in the CF community can be happy and have a family. I thought then, where does that end? Should people not post pictures of green eyes because someone in the community may want them but can't have them? 

All that to say...I appreciate and respect where you are coming from and your perspective has certainly been formed through a very valid and real situation. I think it's great that you don't share your numbers and I don't think you should at all feel compelled to. Thank you for writing this.

And yes, it is only a number!

Ahhh Mr. Sharpe....I figured you'd chime in on this one. :-)
As I said at the very beginning of the post, if people want to share their numbers, then that's fine. I know that it helps some people and motivates them to a healthier lifestyle. 

Personally, I'd rather hear someone say "I was able to increase my PFTs by 20% by doing X,Y and Z." because I'd want to know how they did it. This is especially important to me since there are so many different environmental, physical and genetic factors that contribute to how CF manifests in our bodies. Bottom line is, one person's FVC and FEV1 is irrelevant to another. 

More importantly, my sister represents a lot of people in the CF population who work really hard to take care of themselves and still struggle to breathe. They spend more time in the hospital despite busting their butts. Your numbers would mean nothing in the context of Angie's situation because CF is different for everyone. 

Much respect to you, Ronnie.

Totally agree with you. One person's lung function is totally irrelevant to another just as one person's CF is as well. It's funny, I agree with you on everything, we just have different opinions. It's weird how that works :)

And I understand that my numbers would mean nothing in context of Angie's situation, but they could mean something to 1000 other people.

Here's what I've learned - No matter what I say or how I say it, people are going to agree/disagree and love/hate me. The only I promise to anyone who listens to a word I have to say is honesty, and to stay true to who I am.

It's also important to point out that the knife cuts both ways. Their are those in our community who don't share their improved or high numbers, or hardly anything else for that matter, for fear of being judged or slighted by those who view themselves as "less fortunate".

To me, that's just as big of a travesty. No one should ever feel guilty about good health.

Love this conversation.

I agree with you, the knife does cut both ways. Which is why I wrote this in the blog post and why I written similar thing in other blog posts: 

"No one should have to feel the guilt of where their numbers are at. I don't care if your numbers are off-the-charts fantastic or they're at transplant level, they shouldn't cause sadness. Especially if you're working your butt off to stay healthy." 

No one should feel guilty for being healthy, but I believe it's important to acknowledge and show empathy to those who might not be. It's a sign that we're lucky to be in the positions we're in. Also...I don't think those people view themselves as "less fortunate". I think most have had a very rough run and are doing the best they can to manage it. 

If what we say helps people, then that's a good thing. We're both all about reaching people and helping them do the best they can with what they've got. We've just got different ways of doing it.

People often use that word "lucky" and it's something that drives me bonkers as well. Are some people who are "the healthiest among us" lucky, or are they working their butt off? Well, as you know of course, both. But their are far more who are working their butt off and doing what they have to do each and every day to stay healthy, then are doing nothing and staying that way. And yes, I think there are plenty who have had a rough run of it and doing the best they can to manage. There are those who can do everything right and still be sick. However, you ask any CF doctor, or refer to any study that tracks adherence rates, the picture is clear - the majority of CF patients fall into the meaty part of the bell curve in which what we do (or don't do) will positively or negatively impact our health. 

My passion comes from getting to people before they bail on treatments or make stupid life decisions. The fact of the matter is, many people "get it" when it's too late. I yearn for people to "get it" before they're staring at a low lung function or a recurring infection with no end in sight. You can in fact work your butt off when it's too late and not have any positive results. They're not impossible, but certainly much harder to achieve. 

I simply want the younger generation to make better choices than I did. Just like you :)

I'm thankful that you're such a visible part of this community and I appreciate everything you write.

And that's where you and I are different (which is okay). 

Studies are awesome and I'm all about the research and science aspect of CF. If it wasn't for those things, we'd be dead.That being said... 

For every doctor's opinion or study you give me, I can counter it with stories of real life experiences and situations as to why people with CF are non-compliant and why they struggle. These are factors that no doctor could ever reproduce in a study or write about in a paper. Many times the meaty part of the bell curve holds so much more than just the black and white cases of being lazy and not doing treatments. It's more than just statistics and numbers. 

When I have empathy for someone, that doesn't mean I cut them slack for not doing there treatments. I bust on people all the time about taking care of themselves and I have no sympathy for that. You have to love yourself and believe in yourself before anyone else will believe in you. The bottom line is we can say whatever we want to people in the CF Community, but they're the ones who can do the work to help themselves. We can't do it for them...we can only show them a path. 

My empathy comes from the things that have happened to me. The losses, the struggles, the pain have made me understand that this disease is not as black and white as people make it out to be. I can't ever be in someone else's shoes with CF, but they want my help and they need to let that our I'm here to listen. I'm here to support and do whatever I can to ease their struggles. 

I call myself lucky because I am. Lucky to have the genetic mutation that I do. Things could've been much harder on me. Angie wasn't so lucky when it came to her health and her genetic mutation. I'm lucky to have the support system that I do. Many people in our situation don't have anyone to turn to. I'm lucky to have life I do. I love my wife and my family. People think we're entitled to things like that, but that's not the case. Yes, I've worked hard to get what I want in this world and I'm damn proud of that, but a lot of it wouldn't have happened without a lot of luck and a lot of love. Life is a crapshoot and we make the best with what we're given. That's what I've done. That's what luck means to me.  

And guess what? It could all be gone tomorrow. So I do my best to be humble and know that fate, God or luck (maybe a little bit of all of them) has given me experiences and a gift to connect to people and I don't want to take that for granted. I want to show them compassion, love and understanding in the midst of a terrible illness. I want to help them believe in themselves even through the hardest of times. 

I share my story and Angie's story so that people will see what a gift life is and how truly lucky we are to be on this earth and live whatever life we're meant to live no matter what stands in our way. Hard work and luck go together in my life.
I'm very appreciative of what you do for people, Ronnie. Please don't think anything different. I respect you and your family. We just have a different path to a similar kind of success. 

I'm glad we're having this discussion.
Peaceful Things, Ronnie.

I think we could go back and forth all day on this, so I'll just end it here.

I just can't help but think about the phrase "same kind of different as me" when I think of us. Two lives, two paths, two messages, one goal. Love it.

Thanks again for all of your hard work and dedication not to only the community, but to yourself.

Likewise, dude. Likewise.

*****

The final thing I would like to point out is that all we have come to know is either learned or it's come by experience. Experience shapes our truth. Two people can have opposing views, opposing "truths" and hold opposite opinions, and both be right. We only know what we believe. What I loved about this conversation is the diversity in opinions held, yet the unification of wanting what's best for the community.

Old Fogeys Do Date Night

It was dark. We were in the car. We didn't have a baby in the backseat. Are we in a time warp? Did we forget Mckenna somewhere? We were on a date. At night. WEIRD!

Saturday night, we decided, was date night. We arranged to have Ronnie's brother, Andrew, and his awesome girlfriend, Kirsten come watch Mckenna while we had a hot (Ha!) date. Since Mckenna goes down so early (around 6:45pm most nights), we just decided to wait til she was in bed, and then head out on the town.

Let me back up a bit though, so you don't miss the pathetic parts. So Saturday afternoon we decided to start planning our date. We first thought a couple's massage would be nice (we were both sore from our workouts last week). So we called from place to place and places were either closed, fully booked, or didn't have couple's massages. So we considered a movie. But any movies that started after 7pm wouldn't get us home until after 9:30pm, which was our cut off because we have an early "set" bedtime so we are able to wake up early (part of our new workout and eating routine) without being dead tired. So movies were out. We're on a "strict" meal plan (Ronnie moreso than myself, but still eating healthy none the less), so eating out wasn't an option. And we don't "go out for drinks" so that wasn't in the cards either. We joked about "going out for our drinks" but we figured the waitress wouldn't be very happy about us taking up her table for two glasses of water...with lime if we got CRAZY! So there we sat. Losers (ha!). We both laughed at how old and boring we had become. We joked about taking a 2 hour bike ride. We thought about going for coffee at a cafe we had seen once that we made note of but had no clue if it was open or exactly where it was. We maybe had more fun trying to plan the date (mainly due to all the loser, old fogey jokes it fueled) then we used to have on old date nights.

We decided on bowling. We had heard good things about this one bowling alley, so we decided to go. I think Ronnie was eager in part because he's a good bowler and knew it would stroke his ego a bit, but I didn't let on :) When we got to the bowling alley, we realized there was also an arcade inside. While we waited the 30 minutes for our lane, we played each other in arcade games. It was a blast. Then it was our time to bowl. Ronnie totally killed me in all four of our games. He's actually a great bowler (I'm not sure if that's a compliment or an insult HAHA). One game he had 5 strikes in a row...needless to say he like quadrupled my score that game. We laughed. We snuggled (ew PDA, I know). We joked. We reconnected. It was fabulous!!! We had such a blast. I was so glad that movies were too late, dinners too unhealthy, massages too booked, and cafes too hidden. This was the perfect date night.

I know people always say how important date night is. I even know it in the back of my mind. But we rarely make time for dates these days. Ronnie and I spend SO much time together (we both work from home, and most our hobbies we do together), so sometimes it's easy to forget that dates and time spent together are two different things. It helps to see your partner in another light (dare I say more romantic?). It really helps reconnect on a different level.

Date nights are happening more often around here.

And oh yeah, Uncle Schmeegs (Andrew...we'll explain the nick name sometime) and Auntie Kirsten didn't let the house burn down! Mckenna was still in her bed when we got home, she hadn't made a peep!

Mckenna Chasing Jezzabel

Thankful Thursday: GPT & Challenges

It's thankful Thursday time! We all have so much to be thankful for and we love to take this opportunity just to write down each and everything that comes to mind. Please take this time to share with us what you're thankful for as well. If you have a blog expressing your thankfulness, please share the link! Without further ado, here's what we're thankful for:

Mandi's List:

I'm thankful for hard workouts. We started group personal training at the gym and HOLY COW! I have never been so wiped in my life!!!! It is the hardest 45 minute workout I've ever done. It's going to be SO good for us. I hate it and love it all at the same time.

I'm thankful for Ronnie. I never quite realize how much Ronnie does around the house and for me and Mckenna until he's gone. Since he was gone for 2.5 weeks for his tune-up and now that he's back, I realize just how much he does around here and I am SO thankful. Let's put it this way, when he's gone I actually have to ask what day garbage and recycling goes out, because that's the only time I've ever brought it to the curb.

I'm thankful for a baby with personality. God created Mckenna with so much spunk and so much personality. I think she is going to be quite the handful, but I love her so much and love all her spunk. She's constantly laughing (even fake laughing) and smiling, making "jokes", making sounds. She is quite the blessing that I will never take for granted!!

Ronnie's List:

I'm thankful for new challenges. If I'm not challenged, either personally or professionally, I get bored. Thankfully we have taken on a few new personal challenges centered around our workouts and nutrition. Both are going to take extreme discipline and will power, but I'm confident I can see this through with the support of my family and with my future with them in mind.

I'm thankful family bike rides. Now that we're both up earlier in the day, we've been able to take daily bike rides in the morning as a family. The weather is great in Arizona in the summer...before 7am. We take advantage of what we can get and have really been loving it.

I'm thankful for different chicken marinades. Often times, the slightest hint of a certain flavor can really put chicken over the top. Since we've decided to eat more chicken, figuring out different marinades is going to be key in not going crazy :)

So, what are you thankful for today?

Success In This Life

After 17 days in the Hole, it's good to be home. As many of you know, I don't fight going into the hospital, as I see the forrest through the trees, but that doesn't mean I'd rather be there. Sure, the Hole serves as a place to "get me back on my feet" and find some of the energy that I have lost, but I still miss my family every day like we've spent decades apart.

The hospital is one of those "necessary evils" in life. I use that term loosely as I don't think for one second the Hole is an evil place, but nevertheless, it is necessary for me and it isn't the opposite of evil :)  Fortunately for me, I've always been able to look to the other side of my hospital stays. I tend to be a "live in the moment" kind of a guy, but not in the hospital. In there, I'm looking towards the future and it always looks sunny. I focus on the energy that I'll have when I get out. I'll start making plans for change for when I get home. I know that I'll have more spunk behind the workouts that keep me out of there.

And I think most importantly, the only time I look into the past, is to learn lessons from it and apply it to my present for a better future.

It's not always easy. Not being able to pass Mckenna off to Mandi before she goes "night-night" is gut wrenching. Snuggling with a hospital issued pillow instead of my wife, in a word, sucks. But, I can tell you what would suck even more - Not being here to do either...forever.

I truly believe that the hospital stays put me in the best position to succeed. Success to me in this life is two-fold - LIVING an incredibly active and loving life with my family for as long as possible and raising Mckenna in such a way that her walk with Christ is so strong, that mine pales in comparison. If I can say those two things when God wants me Home, it will undoubtedly be a success.

For me, it's simple. Putting my health as my number 1 priority is the ONLY way I'll find success in this life. Even at times when it calls for me to put my family in a distant second place, I need to stay focused. I need to see the "end game" and not the game. Focusing on the game would make me go crazy in the Hole.

My only chance at success is to focus on my God, my health and my family. The hospital always seems to make the focus more clear and for that I am so, so grateful.

A New Lifestyle

Some of you who have followed the blog for awhile may have recognized a trend, and that is, after each hospital stay, we kind of reset our lives. We set new goals, start a new workout routine, and sometimes, makeover our nutrition. This hospital stay is no different. We like hitting "reset" after a hospital stay because it's when Ronnie is at the top of his game, physically, and it's great to capitalize on that momentum. We like to see if we can get his lung function up even higher post stay (which we usually can), and therefore, he's feeling better a month out of the hospital than when he leaves! So anywhoo, while Ronnie was in the hospital he did some research and reading, and decided that it was time to do an overhaul on our diet and exercise routines, for both of our well being! We eat pretty healthy already, but decided to really step it up, and we worked out 4-5 times a week before, but wanted to step that up also (not in frequency, but in intensity).

Ronnie got out on Thursday night, and it was go time. We went to the store Friday and got all unprocessed healthy foods. You know how they say to only shop on the perimeter of the grocery store (that's where the fresh stuff usually is), well that's what we did. We put together a meal plan that was uber nutritious and set an eating schedule with 5 meals a day...yup, that means we pretty much eat all.day.long!

We also went to the gym and signed up for group personal training. I will admit, I knew it would be tough, but I thought to myself, "I'm in decent shape. I'll be fine." Boy was I wrong. I don't know if I underestimated the "class" or overestimated my fitness level, but we had our first class today and holy cow. The first 25 minutes I was cocky. I was winded, but was thinking I had this in the bag. The last 20 minutes, I thought that I would likely pass out or puke, and that I maybe, just maybe, might die. Ha! It was tough. It had us breathing like crazy! It had our muscles begging us to stop. It was JUST what we wanted and were looking for to get our bodies into shape that we couldn't get ourselves into.

We are jumping in with both feet this week, and it feels good. I tell you what, it's crazy what a healthy diet and getting your butt kicked at the gym will do for you. We are hoping it'll make us both healthier, and who knows, maybe we'll look like a couple of sporting goods store mannequins - HA! I love stepping back and reestablishing goals for ourselves. It makes for a fun way to get re-engerized about our lives!

Daddy Skills

Cruisin' on the IV Pole - Part 2

Thankful Thursday: Starbucks & Water

It's thankful Thursday time! We all have so much to be thankful for and we love to take this opportunity just to write down each and everything that comes to mind. Please take this time to share with us what you're thankful for as well. If you have a blog expressing your thankfulness, please share the link! Without further ado, here's what we're thankful for:

Mandi's List:

I'm thankful for quality time. Mckenna and I have been spending tons of quality time together. I love all the laughs, smiles, and new discoveries we've had these last few weeks.

I'm thankful for Starbucks. Yes, I'm THAT mom! Every morning, Mckenna and I have made a trip to Starbucks just to get out of the house first thing in the morning...and get a little caffeine in my system.

I'm thankful for a hubby who takes care of himself. It isn't awesome single-momming it, but I am SO appreciative that Ronnie isn't here. When he's away because he's taking care of himself, it makes me love him more. I want him around for decades, and the only way that will happen is if he's gone a little bit each year. I have been blessed with a great man who takes GREAT care of himself for me, and for that, I am thankful!!

Ronnie's List:

I'm thankful for bottled water. I drink water all of the time when I'm out of the Hole, but it's rarely bottled. Here, I'm able to order bottled water with every meal and I generally drink about 150 oz a day. Water just makes everything better...although I do pee about 492 times a day. 

I'm thankful for monsoon season. I have a great view of the mountains and the Tucson sky for this hospital stay and it's been great to see the storms roll through. There was a pretty impressive lighting show last night and I just wish I had a camera handy. There aren't many things that I like in regards to Tucson over Phoenix, but monsoon season is one of them.

I'm thankful for comforts from home. While in the Hole, I have my own pillows, blanket, towels, coffee maker and TV. It seems like a lot to bring, but it sure does provide a little sense of normalcy amongst a not so normal situation. 

So, what are you thankful for today?

When People Say "I'm Sorry"

A common response that many of us get when we tell someone, or a parent tells someone, that we have CF is, "I'm sorry". I've heard this myself 1000s of times growing up and I heard it said to my mom a 1000 more. I think there are some things we have to keep in mind when we hear that phrase and I'm so glad that this question was raised to me:

Recently something has been bothering me and I thought you might have some input on it. My daughter is 14 months old and has CF. I don't tell everyone I meet that she has CF but I don't hide it when it comes up. I've noticed a lot of the time when I tell people their response is "I'm sorry". I'm not sure why exactly but that response really bothers me. My husband tells me not to over think it that it's just their way of showing concern. In my mind though I feel like they are counting her out or showing pity on her and I don't want that. 

So I guess my question is, what do you think an appropriate response would be to them or should I just let it go?

I understand your frustration and know that it is a common struggle among parents of kids with CF.

Here's how I look at it. I've been told my whole life "I'm sorry" and it hasn't affected me negatively one bit. That is a fact however because my mom raised me to be a very self-reliant person. She also corrected others who would use that phrase, but in a loving way. As you know, they are coming from a place of sympathy, which they feel, is best in that situation. I mean think about it, all they probably no about CF is that it's a disease "that robs children of air" and forces them to take medicine "all day long for the rest of their lives".

If you heard that about somebody else's child would you feel sorry for them? I sure would. Would you "count them out"? I sure wouldn't. Generally speaking, people react in a way that's been socially groomed because it's socially acceptable. The most socially acceptable reaction to give to someone who is in a tough spot is "I'm sorry".

But anyway, back to my mom. She would respond to a person who said "I'm sorry" with the response that she would like to see from that person the next time. So when it was "I'm sorry" her response was "Nothing to be sorry about. He's a crazy kid who loves throwing the ball in the backyard and chasing his ball around. Life is great!".

If there is something you want others to know about your child's life apart from CF, then you have to tell them. You frame the conversation and "control it" before their pre-conceived notions about the disease control what they say.

Just keep in mind though that often times saying "I'm sorry" is not a way of showing pity, but their way of showing they care.

Fun Week - Fun Toys

Last week was so much better than Ronnie's first week in the Hole. Mckenna is feeling better...no more firey poops that leave her little bum tender, no more cold. So things last week were actually, dare I say, enjoyable! I had time to easily get my hours in for work between naps and after Mckenna went down, so when she was up it was just plain old fun time. Some must haves to make the week fun:

1. Play Tent - My friend, Angie, had a play tent set up at her house, and Mckenna just LOVED it. So when we got home, I set up the play tent that we had in the closet (Ronnie bought it a few months ago on a sale site deal...cheap AND fun...BIG WIN). Mckenna loves it. She climbs down the tunnel and shrieks with delight as she enters the tent. We have balls and books in there. So she sits and "reads" and throws the balls around. She loves being in there alone or with momma. And in case you're confused...I have no idea who those kids are - I grabbed this from the internet...but who knows, maybe that will be what Mckenna looks like playing in it in the future ;-)

2. Books - Ahh, novel (no pun intended) idea, right? Well, it's a new thing around here. Mckenna doesn't sit still...ever. She doesn't sit and snuggle, even with momma. But this last week, she started being willing to sit still for a bit to read a book. Usually you have to be extra animated and let her turn the pages (even when it's not quite time to turn the page), but it's progress. Her favorite book is The Itsy Bitsy Spider. She likes when you show her the spider on each page and she gets REALLY close to the page when you show her the spider and he's really little. It's so cute. My favorite is if you read in a bit of a sing-songy voice, she dances as if you're singing the actual song - it's adorable. I also cherish her sitting on my lap, even if it's just for a few minutes. I get to snuggle while nursing her, but that will be over in a couple months, so I like knowing I'll have another time to snuggle during the day once nursing is done.

3. Train - This isn't a totally new one, but she's still really into her train. It's a really neat train that you can do all sorts of things with. Mckenna has figured out how to push the blocks into the slot and have them shoot out the back, which she really loves. She also loves to push the train over and try to climb over it...I swear she looks like King Kong each time the whole scenario unfolds. Nana got her this train about a month ago now, but it just never gets old. She loves sitting and riding on it, as well as using it as a walker. It lights up, plays music and has a ton of different things to do with it. This will be a favorite for a long while.

4. Pop Up Toy - My girlfriend let us borrow some toys, and this was one of them. Mckenna quickly mastered the art of putting them all down, but is still learning how to get them back up. She has now figured out that the middle button is easy - you just push it and it makes it pop up. So it never fails that every time she crawls by the toy, she quickly makes the middle animal pop up, pushes it down, pop up, back down, and on she goes. It's like it's a little confidence booster for her - like, "yup, I still got it." It's so cute. I'm excited for her to learn the other "buttons" because she will feel like a major smarty pants when she can do ALL of them.

So that's what we're up to around here. Just playing and learning! It was a fun week. I am still eager to have Ronnie home with us, but if this week is as smooth as last week, Mckenna and I have got this in the bag :)

Laughs from The Hole

Hospital IV Pole Rides

Thankful Thursday: PFTs and Progress

It's thankful Thursday time! We all have so much to be thankful for and we love to take this opportunity just to write down each and everything that comes to mind. Please take this time to share with us what you're thankful for as well. If you have a blog expressing your thankfulness, please share the link! Without further ado, here's what we're thankful for:

Mandi's List:

I'm thankful for girlfriends. I have a great girlfriend who has a daughter just 2.5 months older than Mckenna. It is so nice to get together with my friend and her daughter, both for me and Mckenna. Angie and I love to chat and hang out, and the girls LOVE playing! They are so cute together.

I'm thankful for a passionate husband. Ronnie gets into this and dives right in. Currently he is super into a book about nutrition and exercise and I LOVE watching him get so excited about things.

I'm thankful for good PFTS. Ronnie's is a rockstar and had his PFTs go WAY up over the first week he was in. They NEVER go up after the first week, but this time they did and I'm so thankful. I pray Ronnie will be out and home with us soon, and good PFTs are the first step!

Ronnie's List:

I'm thankful for faster than normal progress while here in the Hole. As I've mentioned before it usually takes about 5 or 6 days for me to feel “normal” as it relates to body achiness and an overall blah feeling, but this time has been kind to me and for that I am grateful. It seems that the quicker I can get through that feeling the faster I improve overall.

I'm thankful for technology that allows me to communicate so easily with my family. It's of course tough being away from my wife and daughter but the computer and iPhone sure make the distance feel smaller. I get about 5 videos a day from Mandi of all of the cute things Mckenna is doing plus iChat and FaceTime are a very common occurrence from my hospital room. 

I'm thankful for my family living in Tucson. It also makes it a little bit easier to be away from Mandi and Mckenna when I have my mom, stepdad and brother visiting often. They are always willing to bring me food and just hang out to help pass the time. I can assure you I would go a little more stir crazy without them around.

So, what are you thankful for today?

Update from the Hole - Vol. 376

Hey everyone! I thought I'd give everyone a little update from here in the Hole. I have no idea why it's volume 376, but it's the first number that came to mind.

• It took me a few days to get scheduled for PICC line, but after what seemed like forever they finally got me down to IR. I guess scheduling wasn't the issue but making the time to get me on the table was. Because of my extensive history with giving PICC lines placed, having them done bedside by specialty nurse just isn't an option. The 40+ PICCs that have passed through these veins have made the tunnels much narrower. I've been told many times that “this is the last one” but so far, I'm still trucking.

• Both this time and during my last tuneup my CF doctors have bought in to running my antibiotics over a longer period of time. I've got to say, I think it works! Generally, I feel like I was run over by a truck for at least my 1st week. Last stay that feeling only lasted about 2 days while this time it was only present for about 3 to 4. That of course wasn't the reason they decided on longer infusion times, but they found the antibiotics are more effective in killing the bugs. If your CF center isn't on board with this new strategy I would recommend at least bringing it up to them.

• Many people ask why I come into the hospital so often. The most simple answer -  I come in when I don't feel awesome and under my own power I can't feel more awesome. I of course could still function on a daily basis, still went to the gym, was still a husband and a father, but I just wasn't performing those activities with as much energy. I know that when that time comes it'll be a matter of a month or two before I'm forced to come in for a hospital stay. Let's just say I'm not a fan of being forced to do anything! Rather, I choose to come in before I deteriorate to that point. I found that if you can beat CF to the punch you're generally better off in the long run

• About 10 days ago at CF clinic I blew a 74 FVC and a 62 FEV1. They repeated PFTs this last Monday and to my surprise they were up. I say this because usually my numbers don't budge after just a week in the Hole and in fact they usually go down. It's often been the case that my numbers don't increase or increase vary slightly over the course of my entire hospital stay. On Monday however my FVC increased to 85 and my FEV1 to 74. I haven't seen those 2 numbers since last November! Not sure how that happened, but I'll take it. With that said, as it relates to being in the hospital, I really don't care what my numbers are. All I care about is that I'm put back into a position that I can kick the crud out of CF on a daily basis. That is the only thing that determines when I come into the hospital and when I leave.

I think those are about the only updates so far. If anything changes all be sure to let you guys know! In the mean time just do one thing for me - DO LIFE!

When He Calls Us Home

An excellent question from a reader about a difficult topic. 

I hope you don't mind but I thought of you after receiving some devastating information about a friend who has been battling cancer for 2 years and has now been put on hospice. I've contact you because I know we share a common faith. I cannot wrap my head around the purpose of taking such a vibrant woman of faith home and away from her family, including two young children. 

I am grasping for some level of direction/understanding from others that I know who live a God centered life . . how can I support her - knowing she has "gone to the well" many many times, trying to maintain her faith in the Lord thru all of her painful trials . . . what words are there to offer in such a difficult situation . . .

I'll understand if this is too much of a burden to reply to; however, your words have moved me many times to thinking in a new christian perspective. Thank you for that . . . prayers of love and light to you and your beautiful family. Enjoy each and every second of this blessing!

I know Lisa's story as well, and it's certainly a sad situation.

I'd like to, if I may, ask you to think about this from another perspective - God's. He's not taking her from her home, He's allowing her to actually go Home. It's never easy to leave children behind on this earth, but God didn't create us to serve the world or our children, we were created to serve Him. Part of our service to Him is to eagerly join Him when He has called us back to His arms.

I had many of these same questions when I lost my 16 year old cousin and her dad (my uncle) in a roll-over accident. Jodi was a bright, beautiful, Christ-loving person. I wondered aloud why in the world God would allow that life to be cut short. I was coming at it from a human perspective however. God allowed my cousin to live for 16 wonderful years here on earth before calling her home. That's 16 more years than any of us deserve.

Think of it this way - God has no concept of time (at least as it relates to us). He's already set the beginning and the end of the race. It just so happened that Jodi and Lisa were running a bit faster than the rest of us  Their race is over, and they ran it well.

The only thing we can do in their memory is run the race as well as they did.

As far as what to share with Lisa - I think Paul's life is a great starting point. Paul suffered for Christ unlike many of us will ever experience, yet, he still rejoiced. He knew that the life we live here on earth is but a speck on the continuum of time.

There are times in life that we suffer, only for the fact that we can rejoice in being saved by a Savior who will in a short time, take away all of that pain.

Hope this has helped, even if just a little bit. God bless, and I will continue to pray for peace in this situation.

It's not terrible. It's just different.

It's no secret that Ronnie and I are big supporters of hospital stays. Moreover, Ronnie and I always talk about looking forward to them and what a fun time they can be. I still hold to those two beliefs, but I will tell you, this last hospital stay has been hard.

Ronnie's been in a week, today. Some of you know, Ronnie gets treated in Tucson, 2 hours from our home. We have decided to keep things as normal as possible for Mckenna, so we decided to keep visits to just a couple days a week. Last stay we were down more than that, and it turned her into a monster. She wasn't sleeping and was cranky during the day. It made for a tough 2 weeks, for both Mckenna and myself. This hospital stay I was sure was going to be different. I was sure it would be easier since she's sleeping through the night, taking naps on her own in her crib, and a little slower to become overstimulated. However, that hasn't quite been the case. The day Ronnie left, Mckenna started showing signs of a stuffy/runny nose (blessing that Ronnie wasn't here to catch it, bummer for me to deal with a sick Peanut on my own). Unfortunately, it didn't end with a stuffy nose. She started have diarrhea and a raging diaper rash. My days quickly became filled with a baby that was "off" all day, and totally beside herself screaming as I changed her diaper every 30 minutes. It was exhausting. I looked forward to having help on the weekend when we went to visit Ronnie. I looked forward to seeing Ronnie. I missed being down there with him and all the fun hospital traditions we used to fill the stays with.

Well the weekend came and Mckenna was doing a bit better. I was hopeful that we'd have a fabulous family weekend. Nothing so much went "wrong". Mckenna slept decently well. She wasn't a total overstimulated monster. She was "well behaved" at the hospital. But holy cow, it was exhausting. She wouldn't nap at the hospital, so I drove back and forth, 3 times a day, from his mom's to the hospital. While we were visiting, it was a bit of a chore chasing her around and trying to keep her occupied. Time together was limited to short 2 hour periods, where we didn't really spend any time together, just entertained Mckenna. By Sunday, I was drained.

It's not terrible. It's just different.

Being that it's so different, I have to start changing my expectation. We are so blessed. Ronnie has a great hospital; great medical care. We have great family down there taking care of him, bringing him meals and keeping him company. I have a wonderful daughter keeping me busy. I have family near by to visit daily. These hospital stays can be great, I just have to let go of the old hospital stays. I need to realize I can't be the one caring for Ronnie during that time. I have to not feel guilty that I can't. I have to manage my expectations for how it's going to be. I have to just go into it knowing it will be exhausting. I have to decide going into it that I'm going to just enjoy the phase, as different and difficult as it is. Change is ok. I may not like it sometimes. But change is healthy. Ronnie and I are so blessed. We are blessed with a beautiful, healthy little girl, who is now my focus during hospital stays, instead of Ronnie. I have to remember that the best thing I can do for Ronnie while he's in, is take care of Mckenna and be strong, so that my emotions don't make the stay harder for him. He can take care of himself. And the love and care he does "need", he gets daily from his mom, stepdad, brother, and extended family. He's not alone, I'm just not there. And that's ok. My focus needs to shift from Ronnie, to being a good and strong momma...just for a few weeks. It needs to shift from missing what was, to embracing what it is today. It won't go back to how it was...at least not for awhile. So I need to move on, and cherish our current phase.

All that is fine and dandy. It's really easy to tell myself all of that. It's really easy to know and understand it. It's another thing to actually get there mentally to the point that I don't still have thoughts of what used to be and feel overwhelmed by the current situation. But this is just my second go at it. They'll get better. Last week was better than the whole first hospital stay. This week will be way better than last. This week Mckenna is not sick, so I can go back to the gym, giving me a little time to myself. And since she's not sick, I can hang out with my mommy friend, giving me more interaction with someone that says more than sounds all put together. This week will be better. And this week I'm choosing to change my mindset. Instead of allowing myself to become overwhelmed, and choosing to become sad about what used to be, I'm going to choose to enjoy this week...even when my patience and sanity is running thin.

I understand this blog has a bit of a different tone. I just figured I'd share some raw feelings! Ronnie is 100% positive, in any situation. I'm trying to learn from him. To take my 75% positivity and bump it up quite a few notches! That's the beauty of marrying a man who's so positive, I'm hoping he'll wear off on me :) I will end with this though. We are blessed. In my frustration, in my emotions, in my missing what used to be, I'm constantly reminded just how blessed we are. We have a fabulous life! We have an ideal situation with hospital stays, even if they're a bit more stressful now. We are so blessed!!

Greatness is not...

...some unique strand of DNA.


This is definitely one of the best Nike ads ever.

Dancing Mckenna

She took a little while to warm-up, but she got there.

Thankful Thursdays: Rashless Bum & Trust

It's thankful Thursday time! We all have so much to be thankful for and we love to take this opportunity just to write down each and everything that comes to mind. Please take this time to share with us what you're thankful for as well. If you have a blog expressing your thankfulness, please share the link! Without further ado, here's what we're thankful for:

Mandi's List:

I'm thankful for my husband and Mckenna's daddy. You don't know what you have til it's gone...that's what they say, right? Well they're RIGHT! I've been a single momma since Monday and holy smokes does it make me miss Ronnie. He does so much for Mckenna and I, and I have trouble doing his jobs around here!

I'm thankful for proactivity. Having Ronnie away is a bummer, but I am so thankful that he's gone. Ronnie does what he knows is best for his health, and therefore for me and Mckenna. Since he goes in as soon as he thinks he's on the decline, it keeps the stays short and keeps him at his best! 

I'm thankful for a rashless bum. Mckenna has a crazy diaper rash going on (thanks to some burning diarrhea...lovely). It has turned the days into constant diaper changing and diaper rash care...not to mention screams come changing time. It's awful. I never gave any thought to the rashless bum she had before, but I am SO thankful for it and I can't wait to have it back! I'll never take her rashless bum for granted again. Any suggestions mom and dads out there? I've even gone total hippy and I'm putting breastmilk on the rash and letting her roam diaperless for periods of time. Any good tips?

Ronnie's List:

I'm thankful for the trust I've established between myself and my doctors. Every time I come into the hospital, it doesn't necessarily mean that I feel extremely sick. It does however mean in the very least that I feel I'm headed down that path because of the inability to do what I need to do at home. 

I'm thankful for a wife who can run the show while I'm in the Hole. While I'm getting tuned up it's all on Mandi to parent and entertain our little monster. It doesn't help that Mckenna is feeling a bit under the weather right now, but nevertheless, Mandi scores a 100 on a scale of 1 to 10 in terms of being a wife and mama and person in general :)

I'm thankful for Dragon Dictate. A couple of years ago Mandi gifted me a program that types out what I say. It's a lifesaver when I have an IV stuck in a precarious place on my arm that prevents me from typing. It also comes in handy when I'm just sick of pounding on the keyboard. In fact, my whole Thankful Thursday was spoken. 

So, what are you thankful for today?

My Cystic Fibrosis Mantra

Earlier today, I posted a status update on my Facebook page that has elicited quite a few different emotions. I thought that instead of individually responding to all of the comments on my post I would just write a blog about it instead.

Here was the post, 11 simple words, yet 11 that I find so empowering...

"CF is only as progressive as I allow it to be."

Many of you know my full (CF) story, but some of you may not, so let me give you the highlights as it relates to my mantra.

When I was diagnosed my mom went through all the possible emotions a mother could go through. She was sad. She was mad. She was scared. She was confused.  She reached out for help. The "help" she found was in the form of a support group at the local hospital. She went to that support group one time, and after being bombarded with phrases like “out of our control” “always suffering” “nothing we can do” “I hate this disease” “we are fighting a losing battle” “it feels like I'm just waiting for my son to die” “why would God do this?” and “robbed of a life”, she never went back. That's not the kind of "support" that my mom needed. Those aren't the things that she needed to hear in order to face this CF life head on and give me the very best chance to succeed.

So what turned it around for her? What did she hear that not only changed her perspective, but formed mine?

A doctor once looked her right in her eyes and said, “Ronnie may be somewhat physically disabled his entire life, but if you continue doing what you are doing [Keeping me in a bubble], he'll be mentally disabled as well.”

A 50 something-year-old female CF patient who we happened to get on the same elevator with us on our way to clinic asked my mom where we were going. When my mom responded “cystic fibrosis clinic” this woman told my mom that she had CF as well. She went on to say that she was an avid swimmer and she was convinced that physical activity and exercise was the reason she was still alive. This was at a time when that's scary number that gets thrown around today was in the late teens. So what was her secret?

She said, “You have to be willing to grab the bull by the horns and work harder than this disease each and every day.”

There is no doubt in my mind that these two exchanges shaped the way that my mom not only looked at CF, but the way she then looked at my life. As a result she raised me to be a man of personal responsibility, and empowered me with the belief that what I did each and every day made a difference in my health and subsequently my life. I fully believe it was those two statements that shaped me into the man I am today.

Have I always been perfect? Have I woken up each and every day and wrestled that bull to the ground? No! In fact, I spent a good 8 years doing just the bare minimum to get by. A good 8 years of doing just enough to feel that I was doing “all that I could” in my fight against CF. The doctors wanted me to do two treatments a day, so that's what I did… 50% of the time. The doctors wanted me to continue exercising, so that's what I did… 2 to 3 days a week. So was I giving it my all? Absolutely not! I was doing just enough. I was doing enough so that I could tell them at my clinic that I was doing my treatments. I was doing enough so that I felt I was getting close to the activity level I maintained in high school. I was doing just enough to allow myself to feel that my "just enough" was all that I could give.

I was getting older and that's just what adult CFers do, we get worse. I was told my whole life that CF was a progressive disease, so it made sense to me. It made sense that my lung function declined year-over-year. It made sense that I was spending 90 days the year in the hospital. I saw many of my older CF friends having the same experience, and so I accepted it. I accepted the progression. I accepted getting sicker.

Well, it took me 8 years to realize that my “just enough” and doing “all that I could” wasn't enough. It took me 8 years of seeing my lung function decline, my hospital days increase, and my health worsening to realize that I wasn't doing “all that I could”, I was doing “all that I wanted”. And while my CF was progressing I was all too content to blame my disease. Never once in those 8 years do I remember looking in the mirror and asking myself, “what are you contributing to this decline?” No, I was too quick to throw all of the blame on this progressive disease.

That all changed in March of 2009. I had just spent 52 days in the hospital with 48 of those being with assisted breathing and 5 of those being in the ICU. I saw my lung function decline into the 20s. I was the sickest I had ever been. I never knew the pain that came with nurses coming to the ICU to say goodbye and that they loved me. I'll never forget the feeling of friends saying, “you fought so hard”  in a way that indicated my fight was over. Part of that feeling was guilt because I knew I didn't fight as hard as I could have. I knew that I made choices that were contradictory to living a healthy life. And I knew that if I did get through this, I was going to have to be the fighter that everybody thought I was.

After 10 days of intensive care I managed to blow a 31%. After 52 days in the hospital I blew a 50%. That was the first time I ever looked in the mirror and asked, “Ronnie, what in the heck are you doing?”. This was the first time that I put all the pieces of my life together. This was the first time that I reflected back on the previous 8 years and was able to identify all that I did wrong and right. I was totally comfortable with that. I was comfortable with taking ownership of the actions that I chose and not the actions that CF chose for me.

When I left the hospital that day, a doctor told me to be happy with my 50% lung function. He was surprised that I had recovered to that point and to not be frustrated if they didn't increase anymore. I told him I would get it up to 75%. He told me that I hadn't blown that number since 2003. I told him that I had been doing everything wrong since 2001. He said "good luck". I said "luck has nothing to do with it".

It took some time and it took some incredibly hard work. It took some sacrifice, some tears, some pain, some vomit, some frustration, some sweat and some Mandi, but I did it.

In April of 2011, a full two-years later, I blew a 75%.

This was the first time I realized that CF was only going to be as progressive as I allowed it to be.

And since April of 2011 that's been my mantra.

When I'm running and every fiber in my body tells me to stop I say, “CF is only as progressive as I allow it to be."

When I'm having a great time with friends but I have to duck away for a treatment I say, “CF is only as progressive as I allow it to be."

When I'm away from my best friend and all I want to do is hold her in my arms I say, “CF is only as progressive as I allow it to be."

And when I can only get kisses from my daughter via WebCam I say, “CF is only as progressive as I allow it to be."

So that's my story. That's how I formed my mantra. It may not work for everyone, but it works for me.

It may not even be true, but my truth is in my experience.

So until I know any different, “CF is only as progressive as I allow it to be."

Who do you miss?

Short and Sweet

No, I'm not talking about Mckenna...or Ronnie...hehe...I'm talking about my Mandi Monday. As you can maybe guess by the time this blog was posted, it's a bit of a crazy day. Usually I write my blog the day before or first thing in the morning, but things have been a bit nutty around here, so I'm just quickly going to throw some updates into a blog and run onto the next thing.

Mckenna seems to be coming down with a little cold. You know the drill, stuffy sounding, snot trickling, cries more easily, red rimmed eyes. She doesn't have much of a temp (99.5), yet, so hopefully this is just a quick come and go little bug. We will see.

Ronnie's headed in for a tune-up sometime this week (sorry if the cat wasn't out of the bag yet honey). So we are scrambling to get things wrapped up around the house and work for him to be gone. As always, Mckenna and I will split our time between Phoenix and Tucson. I'm totally dreading single-momming it, but I know it's what's best for him and for us, so I'm thankful he is able to go in and get all tuned up. I'm fortunate to have my bro and sister-in-law and brother-in-law close by so I have help. It's a blessing and a curse that Mckenna is just now getting sick. It means maybe that Ronnie will avoid whatever she has, or if he has come into contact with the same thing, he'll get it nipped in the bud really fast.

Other than that, everything is same old same old. Mckenna does have a super cute new trick (yes, we have turned into those "do tricks" parents). When you say to her, "what does a monkey say?" she says "ah ah ah ah" in this breathy, panting sort of way. It is adorable!!!

Welp, that's all I have...lame-o, I know. Since I'm so lame, leave so love and tell me all the awesome things you're doing this week!

Worst Hospital Design Features

Recently ran across this article and thought we all could relate in so many ways...

The Ten Worst Hospital Design Features: A Family Member’s Perspective

I just spent the last 8 days in the hospital, at the bedside of a loved one. Although I squirmed the whole way through a tenuous ICU course and brief stop-over in a step-down unit, it was good for me to be reminded of what it feels like to be a patient – or at least the family member of one – in the hospital. The good news is that the staff were (by and large) excellent, and no major medical errors occurred. The bad news is that the experience was fairly horrific, mostly because of preventable design and process flaws. Having worked in a number of hospitals over the years, I recognized that these flaws were commonplace. So I’ve decided to tilt at this great hospital design “windmill” on my blog – with the hope that someone somewhere will make their hospital a friendlier place because of it.

Most of these design and process flaws have one thing in common: they prevent the patient from sleeping. In some circles, sleep deprivation is an organized form of torture reserved only for the most dangerous of terrorists. In other circles, it is hospital policy. And so, without further ado, here is my top 10 list of annoying hospital design flaws:

#1: False Alarms. Every piece of hospital equipment seems to be designed to beep for a complex list of reasons, many of which are either irrelevant or unhelpful. I snapped a photo of a particularly amusing (to me anyway) alarm (see above). This was a bed alert, signaling the “patient exit” of an intubated and sedated gentleman in the ICU. Not only was the location of the alert sign curious (if you could get close enough to the alert screen to read the text, you would surely already have noticed that the patient was AWOL) but it was triggered by mattress pressure changes that occurred when the patient was repositioned every 2 hours (as per ICU pressure ulcer prevention protocol).

The I.V. drip machines are probably one of the worst noise pollution offenders, beeping aggressively when an I.V. *might* need to be changed or when the patient coughs (this triggers the backflow pressure alarm, leading it to believe that a tube is blocked). Of course, I also thoroughly enjoyed the vitals monitor that beeped every time my loved one registered atrial fibrillation on the EKG strip – a rhythm he has been in and out of for years of his life.

#2: Intercom Systems. Apparently, some hospital intercom systems are wired into every patient room and permanently set at “full volume.” This way, every resting patient can enjoy the bleating cries for housekeeping, tray pickup, incoming nurse phone calls,physician pages, and transport requests for the entire floor full of individuals undergoing the sleep deprivation protocol.

#3: The Same Questions Ad Nauseum. Over-specialization is never more apparent than in the inpatient setting. There is a different team of doctors, nurses, PAs, and techs for every organ system – and sometimes one organ can have four teams of specialists. Take the heart for example – its electrical system has the cardiac electrophysiology team, the plumbing has the cardiothoracic surgery team, the cardiologists are the “minimally invasive” plumbers, and the intensivists take care of the heart in the ICU. Not only is a patient assigned all these individual micro-managing teams, but they work in groups – where they rotate vacations and on-call coverage with one another. This virtually insures that the sleep-deprived patient will be asked the same questions relentlessly by people who are seeing him for the very first time at 20 minute intervals throughout the day.

#4: Inopportune Intrusions. There are certain bodily functions that benefit from privacy. I was beginning to suspect that the plastic urinal was attached to the staff call bell after the fifth time that someone summarily entered my loved one’s room mid-stream. Enough said.

#5: Poorly Designed Tubing. Oxygen-carrying nasal cannulas seem to be designed to maintain a slight diagonal force on the face at all times. This results in the slow slide of the prongs from the nostrils towards the eye. Since the human eye is less efficient at absorbing oxygen than the lungs, one can guess what might happen to oxygen saturation levels to the average, sleep-deprived patient, and the resulting flurry of nursing disturbance that occurs at regular intervals throughout the night (and day). My loved one particularly enjoyed the flow of air pointed directly into his left eye as he attempted to rest.

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I'd say they nailed it. What do you think?