Gout Pain

Before you continue reading, make sure you have a glass of water next to you. Go ahead, I’ll wait.

Uric acid crystals will cause pain and inflammation. Dealing with the inflammation and pain is one thing, but the real culprit is the uric acid.

There is really no shortcut to getting rid of gout pain, you have to flush the uric acid crystals from your system. Water is required. Problem is that when you are experiencing the pain, you want it to stop NOW, not a couple of weeks from now. Gout will teach you patience, that’s for sure.

If this is your first flare up, don’t worry too much, it will get worse. The following are some of the remedies that have worked for me.

Day 1 – Ibuprofen + Water (Lots of it)
Day 2 – Continue with day 1 but add aspercreme with lidocaine
Day 3 – Ice has helped. Heat has not worked for me, but it could for you.

Find your prefer way to drink lots of water. I personally like to add lime or lemon juice since the citric acid helps get rid of the uric acid. That said, gatorade or whatever you prefer drink it. Lots of it, because the more you pee the quicker the swelling will go down and the pain will end.

While you are in excruciating pain start thinking of what triggered your attack. For me it is red meat and beer. It does not fail that when I consume too much of those two, I can expect a flare up to follow. Reducing or eliminating the triggers from your diet is probably the best way to prevent future attacks. Of course there are pills you can take to reduce your uric acid, but I prefer to not have to take pills on a regular basis.

Talk to ME Dr!

Everyone puts a lot of trust on doctors. I am not about to attack the profession. I respect it, I have doctors in my family. I have doctors that are my friends. That said they are still human beings and do not have WebMD downloaded into their brain. They make mistakes, your health is YOUR responsibility and also the life of your child.

After enduring the various videos the hospital made us watch. “You will kill your child driving home 2” followed by “Your child will die while they sleep 15.” You are petrified by the whole experience of childbirth and here comes the never-ending flow of information on how you will more than likely mess up somehow and put your child’s life in jeopardy. Did you know a simple infection can leave your child blind, or that talcum powder will give them asthma? Did you know that there also tons of unexplained reasons why a child just does not make it.

I feel sorry for everyone that has to go through any of this and lose a child, or even go through the pain of a miscarriage. I sincerely don’t think all the gloom and doom videos can help to prepare you mentally for a loss of that magnitude. So inside of this frame of mind think of how it will feel when a Dr start going through a chart and talking to a resident rather than talking to you.

Again, we have been very lucky, dare I say blessed that our little tyrant was very healthy. That said she did not cry a ton when she was born (which worries you because that is what you see on TV.) and she was also tiny. We had no clue about this, but on an early ultrasound they found something that the tech noticed. We were never informed and the Dr discussed it very non nonchalantly with the resident. First time hearing about this and other things that ended up being “normal” terrified me to no end. I was patiently waiting for the Dr to be done with the conversation and come and address us, when they both just left the room.

I was pretty livid.

Naturally I wanted someone to suffer the anguish and anxiety I was feeling because that is the productive thing to do. I kept it together and found a nice nurse that came in and went through the whole chart with us in detail and explain what she could. She did put in a note for them to come back and go through things with us.

A resident came by the next day and more terrified than helpful he did not say much. I did catch the Dr eventually and had a conversation with her. What she told me kind of baffled me.

She said she was very surprised. Most parents in that hospital did not want the details or even review the charts of the kids. She told me that our daughter is lucky because we were already ahead of the game by being involved and interested. I’m still shocked for many reasons.

– How do doctors become so used to patients not caring… even for their own children.
– Maybe the reason they give you all those videos is that more people take an active role?
– Am I just that paranoid?

I am thankful that everything was. Everything is normal with the baby. I am more relaxed about things now, but still super freaked out because being a control freak and having a child are pretty mutually exclusive. I can only hope for the best and be involved.

Watching a TV show gave a new dimension to this conversation. Without going into too much detail a summer camp for blind children talked about how the goal was for them to learn to become their own advocate. Not so much about educating their PE teacher about how they could be included, but the child saying hey I can play kickball if you use this ball that makes a sound. Or I can run with someone if you use a rope for me to hold with someone.

I am learning this parenting thing little by little, but the lesson here to me is that we need to be advocates for ourselves and teach our children the same. They need to be responsible for that advocacy and make sure they understand that it is important to speak up.

This post is part of a series!
Hurry Up and WaitHere she comesAnd who the F@ck are you?Talk to ME Dr!

And who the F@ck are you?

Motherhood is something that is hard to understand unless you see someone experience it. Society in the US has a really weird relationship with nudity. It is supposed to be shameful and nobody is supposed to see anybody else naked, yet the internet traffic’s highest percentage goes to porn. So someone is watching live nudes. All day, every day.

Boobs don’t offend me and never have. Something switched in my head when my wife started breast feeding, it is one of the most natural things I have witnessed and there is no shame on the practice at all. Not sure why people get all up in arms if someone feeds a baby in public. I do digress.

Our little tyrant was born in a teaching hospital, which means that there are double the people around because they are still “learning.” As a patient you do have the option to not let students be a part of your care. We did not mind people learning but at the same time wanted the birth to feel like an intimate experience.

That is the exact opposite of what happened.

We had met what we thought was all the staff that was going to be involved with the birth. Oh how wrong I was. Once the practice pushing moved to the actual pushing phase the room filled with about 15 people. I am not even exaggerating, from the 3 doctors already there and the handful of nurses we had met it multiplied and filled the whole room.

I did have a huge issue with one of the people, but more on that later.

The part that makes this difficult is that there are people coming into a very private moment and you have not even had a chance to learn their name. They all had some kind of role and I am sure they were there for our benefit more than anything else, but it was still very hard to get over the fact that a bunch of “strangers” are now going to be part of one of those once in a life time moments.

I know it is almost unrealistic to expect us to meet everyone before they come in and I am thankful that if something would have gone wrong there were plenty of people there with specific skill to deal with certain situations. Still, the intimate setting that a child birth could have been was lost on the sheer amount of people that came in when it was about to happen.

I think I would have digested the moment better but one of the nurses tried to push me away from the bedside because I guess she could assist the pushing better? Maybe she just wanted a better look. That really kind of pushed me over the edge and I said no, I will stay by my wife’s side. I’m glad I was part of it and the fact that I did not pass out.

This post is part of a series!
Hurry Up and WaitHere she comesAnd who the F@ck are you?Talk to ME Dr!

Hurry up and wait

The role of a father during a birth is kind of difficult to prepare for. Entertainment has always wrapped childbirth around the fact that the Dad either faints or is yelled at expletives during the “pushing” process. Other times they show the father pacing around outside until the baby cries. So I really had no clue about what to do or how to act. My wife kept telling me that it was a possibility that she might go into I hate you mode in the middle of it. I did not have an ounce of anxiety about my role, more about the birth in general. I did have a goal in my mind, lets wait at home as long as possible.

My wife works at a hospital. We had visited the “birthing” rooms and even visited the mother/baby triage area before a couple of times. I got used to the weird protocols of basically being non existent in most situations. “Wait here, they’ll call you when you can come in.” became pretty routine. The last visit before the birth was a “OMG my water broke.” which was met with me being extremely skeptic about the whole process. We went, we waited, they did not attempt to make my 8+ month pregnant wife any more comfortable at all. They sent us home and said, it was just the mucus plug. Yea, you learn about weird crap during this whole process and overproduction of something call mucus plug is part of the deal.

She was to be induced that week, we knew it was getting close, I knew she wanted the baby out but I told myself she will be miserable in the if she goes to early. My sister had spent 30 hours in “labor” and it was not a good experience at all. I knew that if they sent us home with what seemed like pre-labor pains it was not a big deal.

We spent that night home and during the night my wife did experience some contractions but they seemed to be hours apart still. I worked from home the next day just in case and during the morning the contractions seem to be happening closer but not every 15 minutes yet. After lunch things got fast and furious. We hopped in the car and headed to the hospital. At first it seemed like we had plenty of time, got some fast food quickly and headed there. I was even having a work call on the car when she said “DRIVE FASTER.” Then I knew things were going to happen and I probably made her wait a little too long.

I was wrong though, there were still hours until the actual birth happen but she was was getting ready for the pain to be controlled. Some friends had told us ask for the epidural as early as you can, and we did, and you know what it still took forever to get her from triage, to the room to actually get the epidural. It was a busy day for births, I think 10 people had come in before us. That said, we were in the hospital and the baby was coming that day.

This post is part of a series!
Hurry Up and WaitHere she comesAnd who the F@ck are you?Talk to ME Dr!

Constant Fear

“Making the decision to have a child – it is momentous. It is to decide forever to have your heart go walking around outside your body. ”
― Elizabeth Stone

My wife finds it hilarious, I find it a little disturbing. The first words out of my mouth when the test came back positive were “I’ve never got anyone pregnant before.” You would think something more eloquent might have come to mind, but nope, that is what came out. I had been in long term relationships before that could have produced a child, even tried to have a baby. It really never worked, not even a little bit.

I had seen friends and acquaintances go through the horrible miscarriage roller-coaster. I had even accepted the reality that my only way to parenting was going to be adoption. I respect adoption and in many ways admire it, in fact it might be something that we still do some day. I never felt any level of failure because of not having a kid before, but I knew for the other person in the relationship it was at times devastating.

I always tried to not only stay positive but encourage the other person. I still to this day believe that procreation should not be the only reason to enter a relationship. To me that is silly and it basically diminishes the many reasons to have a life long partner.

Still, I never got anyone else pregnant before.

Then the fear started to set in. I overthink things and have become very good at rationalizing fears and casting them out, this one was a new one though and one that does not go away with a good night of sleep. The viability of a fetus is measured in percentages. The genetic testing also gives you percentages. Numbers, number and more numbers. The thing that normally give me solace provided little or no comfort.

Things started to calm down as some milestones came and went. Ultrasounds help! as a Dad try not to miss them. They bring a level of reality and calm you down a bit. Information is always a double edge sword that can work against you but try your best to just take it for what it is. I did lean towards the side of wanting to know more to be prepared.

I say fear is the new thing in my life, constant fear that something can go wrong. Funny enough it was one of the feelings that I was less familiar with because growing up the way I did I had experienced things that had made me not fear much in life. Now the health and well being of our child is a constant fear that I am starting to get used to and channel in a positive way.