Time and a Sarcophagus

 

The great irony of the Egyptian pharaohs is that they wanted to live forever. 

I consider how far I have come — that I have been a mother for eight years, a blogger for five, married for almost 12.  And it all seems like such a dizzying quantity of time:  how fast it has gone!  

And then I walked in to the Boston Museum of Fine Art’s exhibit The Secrets of Tomb 10A.   The exhibit contains the artifacts collected from the tomb of Governor and Lady Djehutynakht of an ancient Egyptian province in the countryside.

The artifacts there were made, worn, used by people who lived and died 4,000 years ago.   It took Western minds 200 years of concerted effort to be able to read the hieroglyphs that mark the walls and caskets — and now we can.  

Messages of the past, not so different from the thoughts of the present.  They write of dreams and their guesses at the answers to the mystery of existence. 

In the middle of the exhibit, a skull.  The mummified head of either Governor or Lady Djehutynakht –nobody knows.  But 4,000 years ago, it was a cherished person.  Someone’s child, someone’s parent.  

Today it is an eerie whisper of the past, transported here to Boston where people traipse through and look at it.  

Governor and Lady Djehutynakht entombed themselves so that they could live forever.  And in a way, they have.  

Dr. Elie Dispatch #5 — 7 Babies, A Carribean Sunrise and the Return Home

Damomma.com is sponsoring the work of Dr. Elie Schochet, a general surgeon at Holy Cross Hospital Miami.  Dr. Schochet has spent five days in Port-au-Prince, Haiti, helping the people struggling to survive in the wake of the earthquakes there.  Holy Cross hospital is providing supplies and volunteer medical staff at a relief station outside the city.  My thanks to Dr. Elie, to his wife Abby, to his sister Shana Schochet Lowell, and to my readers for this opportunity to be of real help to suffering people.  Previews of Dr. Elie’s pictures are included in this post.  You can find the full album here.  You can also visit his blog, here.  

It is Saturday Night and I finally have a chance to sit down and go over the last 24 hours of my odyssey, before finally making it home to my family.

My last shift in the hospital was relatively quiet except for the 7 babies born, 2 by cesarean section. Thankfully, the director of the hospital is an Ob-Gyn and was in house, because I haven’t caught a baby since my med school rotation eight years prior. I only had to cover from 10pm to 4am because two additional physicians had arrived that day and were taking the shifts before and after. The night went very slowly. I think the anticipation of finally leaving and getting on a plane kept me up even after my shift ended. I tried to sleep from 4 to 6 but eventually just got up, packed, and then went on the roof to catch one last Caribbean sunrise.

 

Tons of thought were going through my head, mainly sadness for these people. Even with the thousands of volunteers and millions (billions?) of dollars that are going to come into this country, it seems an insurmountable task. Food, water, and medical care will eventually trickle down to the Haitians over the next few weeks, I have no doubt. But then what. There is no government, no functioning civil service, no natural resources, no infrastructure, rainy season coming, dare I say no hope? The amazing thing I guess is that the Haitians themselves don’t seem to be daunted. They appear at first glance to be a hardy, spiritual, and resilient people, yet I wonder if that is just based on ignorance of how bad the situation really is long term.

Dr. Elie checks a little survivor.

2 day old baby on the floor in our ICU, getting IV fluids.

At 630, Kate, Joe (A Loma-Linda Med School student), and I went with our bags (as I mentioned I now had one mostly empty bag instead of 2 stuffed ones) to the front gate of the hospital where Mimi (an orthopedic surgeon from LA staying up the road but working in the hospital with us) was waiting with a truck she had arranged to take us to the airport. The early morning drive was a little different than the midafternoon one although the route was the same. There was alot of activity on the street, lines of people already formed at western unions and banks where people were waiting to receive cash from abroad, open markets selling produce brought in from countryside, lines of buses which we were told were giving free rides out of the city twice a day in line with the plan to clear out the capital. The buses were mostly empty. I think by now anybody with family in the country has already mostly left for greener pastures.

The airport seemed pretty empty. There was a strong US military and US federal customs presence. We flashed our US passports and were taken quickly through an x-ray machine with Haitian security (Not sure what they were looking for as they ignored both my pocketknives and the guy behind me’s shotgun which he had hidden in a violin case for his security). We went through to the tarmac and US consular officials made us sign a form stating that we would be willing to pay the fair market value of a 1 way ticket from Haiti to whatever destination in exchange for being allowed to depart on a military transport.

From about 730 until 1130, we were herded into a large tent given water, and some snacks. We were given numbered bracelets (I was 56). Planes were already coming and going. I saw Bolivian, Brazilian, Russian, and USA (Delta, Suncountry, and Ari Force) planes. They couldn’t give us any information, so we just sat and waited. Anderson Cooper and Sanjay Gupta were spotted about 20 feet away in an apparent VIP area. Mimi is a huge Sanjay fan, so we convinced the guards to let us out, ran over to him and took a picture.

Paging Dr. Freaking-Gupta!! (That last was DaMomma, she couldn't help herself.)

Finally at 1130, everyone seemed to get up and we walked behind a C-17 Air Force cargo jet towards the back ramp.

 

 

 

 

They had us leave our bags at the entrance, one last passport confirmation and then up the ramp where we were placed in rows 8 across and then given blanket and pillow and sat on the cold metal floor of the plane for takeoff.

 

 

 

 

Everyone was giddy and smiling and I think for the most part just happy to have gotten on a plane. They told us Orlando was our destination so I quickly texted Abby to look into auto rentals from Orlando to home.

The plane ride itself was sort of surreal. Taking off lying down holding onto a cargo strap made us think of those NASA shots of of the space shuttle. The ride itself was uneventful and we got off in Sanford to a heroes welcome. Customs agent quickly got us through and then red cross volunteers had taken over the baggage claim area and were giving away food, drinks, medical help and travel arrangement help. It is amazing to think these volunteers must be on standby and get mobilized once or twice a day to help the offloading relief volunteers. It went far and above the call and I think we were all a little embarrassed to be recieving help we didn’t think we deserved after so many days of just giving. They offered bus rides to Orlando airport about 30 miles away. Thankfully Hertz had a car ready and Joe, Kate and I were soon on the road heading for home.

You typically hear things ala, “this will be a life changing experience”, or ,”You’ll never be the same again”. I can’t speak to any of that while it is so fresh, but I can come up with a few conclusions. The first is that going to do 3rd world medicine is definitely addicting. Taking a few days off from Co-pays, Insurances, and hospital politics to step back and remember exactly why I trained to do what I do, and be able to just give of yourself and help people is intoxicating. I met a man who shut down his practice the year his last child went to college and now he does six months a year of locum tenems (part-time doctoring) to pay the bills and then six months a year of medical missionary work. He goes all over the world and will spend a month at a time in Africa, Southern Asia, South and Central America operating. While I don’t see myself going to this extreme, I will definitely be doing something like this again.

Additionally, Haiti is going to need our help for a very long time. Even as they exit from this acute phase of the tragedy, there will be opportunities to help them for years to come. As many of the international relief efforts slow down in the coming weeks, the need for Amercian assistance will be even more paramount.

Signing off now.

Thanks to all of you for all of your support and for following me on my journey.

Elie Schochet

 

Winner — Blessing of a Skinned Knee

Congratulations Timmarie !  You are the winner of The Blessing of a Skinned Knee.  Drop me an e-mail with your mailing address and I’ll get it off to you.

Mare: "Is my hair right?" Ren: "Dis is a GREAT book, Momma!" Me: "You kids, shut up and smile like the best behaved self-reliant little angels in the whoooole wide world."

 As you can see from my super-awesome photograph, I have two copies here.  So one goes to the random winner, and one goes to a commentor who caught my attention.  You’ll get an e-mail from me asking for your e-mail address.

Thanks for the great comments!  I read them all and really enjoyed them.

P.S. Day five — count ‘em FIVE — on Doodley’s pink dress.

February

From January to March life is hard for New Englanders. This is as bright and blue as it gets — and it will be dark by 4:30 p.m.. Our yard is flooded with frozen groundwater from the brook in the woods. We’re seriously considering using the garden hose to finish the job, and getting some skates.

Dr. Elie: Dispatch #4 Treatment and Comfort

Damomma.com sponsored the efforts of Dr. Elie Schochet to provide medical treatment to victims of the Haitan earthquake.  Dr. Elie spent five days in a tent city outside Port-au-Prince dispensing medicines and tending to the sick and wounded.  These dispatches were texted to his wife, Abby, and posted here with their permission.  ~DaMomma

Wednesday was an incredible day. At 9 o’clock, Kate (PA student), Lee (a Family Practice doc from Portland, OR) and I headed for the tent city laden with supplies. We each carried full hiking packs full of medicines and supplies (80% Portland, OR, and 20% HC hospital) , and also candies, water and extra change of clothing (when you see the pictures, you’ll understand).

 As we were walking up to our clinic tent we could see the line of a couple hundred of people who were waiting in the already hot sun to be seen by us. Our arrival was greeted joyously by the wonderul Adventist group out of New York. We were able to set up a pretty good system based out of our main tent. Inside tent #1, there were 7 school desks against the wall which would be our desks. Each had a box of gloves, thermometer, penlight, small 2×2 inch pieces of paper (to be used as prescriptions) and a pen.

 Seven university students who no longer had a school (as we were sitting in the destroyed remains and the tent city covered the remainder of the grounds) were there to act as translators. Mine was named Emmanuel. He is 26 and had been 2 weeks away from graduating with a law degree from the university. Now there are no records and he does not know what he’s going to do.

 Across from us stood 7 desks which would be our exam tables. On the other side of the tent was our dispensary and pharmacy. We would write prescriptions and then they would wait in line where two nurses were doling out medicines mostly for pain and antibiotics, but also blood pressure medicines, diabetic meds, skin cremes, vitamins, diapers and formula.

 As we began to see patients, I grew suspicious of a possible outbreak as four or five children in a row all had cough and fevers to 101.8. I soon learned 2 very important things. First, everyone has a cough which I suspect is secondary to all the destroyed masonry and concrete, (911 pneumonitis). Secondly I learned the right way to take an armpit temperature with a mercury thermometer (something I have not used since I was 5 and my kids won’t know what it is). It was 101.8 in out tent, and the kids were fine. I asked why we were in a shadeless courtyard instead of some large nearby shaded areas under overhangs and was told that the Haitians would not come into the tent under a building because they are so fearful of aftershocks.

 We continued to see patients for 9 hours until closing at 5. If you think it’s strange that a surgeon is running an urgent care clinic, keep in mind that the station on my left had a PA student, and the stations on my left had a dentist and then a foot surgeon. At one point when the heat got so bad, a couple of people set up shop outside, including a few hour stint by our inteventional radiologist, Mike Rush, and his son Tommy, a medical student. Lack of training or experience did not stop us from seeing over 600 patients. I estimate that at least 50% had no discernable problem but were merely hungry, scared and looking for comfort. To these people, we offered what we could. Kids who landed at my station got jolly ranchers or tictacs, and I was rewarded with their smiles.

 The majority of problems that we could help with were respiratory infections, asthma, urinary infection, yeast infections, scabies, and aches and pains from untreated injuries. We had diapers as many people had not had diapers for over a week. There was a lot of breastfeeding education as well. Haitian culture has not embraced breastfeeding, and even worse, many moms who had been nursing chose to stop after the earthquake for reasons I have been unable to understand fully. It seems it might be related to their religious beliefs.

 Among the surgical things I saw were dozens of umbilical hernias in older kids (in the US we routinely fix them in all kids if they don’t close by age 4) and tons of fresh and infected wounds. Our foot surgeon is a ulcer/wound specialist so that came in very handy. She was able to start a wound clinic in one corner of our tent. I saw a couple of large inguinal hernias, and innumerable skin lesions, unfortunately, none were emergent enough to take back to the hospital with me. (And of course I forgot to bring my business cards).

 Finally at 5, dripping in sweat, and after giving our two volunteer translators some cash to take back to their families, Kate and I trudged with our empty backpacks back to the hospital. Empty backpacks, but full hearts  as we finally felt like we had really done some good for the people who are suffering so badly yet deal with it so bravely, smiling and helping each other.

 Imagine our suprise when we got back to the warm smells of Chinese food. Our new friends from Portland had neglected to tell us that their Chinese American medical relief society is also a vegan group and during the day, additional members had brought in food and equipment and cooked enough vegan food for every employee, volunteer, and 1 per refuggee family.I will remember that meal for a long time, especially after one of our translators had managed to obtain a dozen bottles of Guinness ale. Their goal is to be up and running and cooking enough food for the entire hospital compound by Friday.

 Another group had built and entire new building approx 15 feet by 15 feet which will house water purification and treatment equipment to provide clean purified water throughout the hospital.

 Many of the staff including the Holy Cross team were leaving Thursday morning to go back home, so Wed night we all pooled our supplies and had something of a last night campfire (we had French military ration kits which had solid sterno tabs for fire). It was at about this point that I realized I wasn’t ready to leave Haiti. I finally felt like I had done some real good instead of just being a tourist who used his scrubs and stethoscope to come to Haiti and gawk. I decided I needed to stay another day and keep up the work. After a call to my wife (did I mention how wonderful she is), I told the HCH group I was going to stay. Kate, the PA student decided to remain as well.

 Because I was staying and they were leaving they did the night shift while I slept five hours. At as I went to sleep at the end of the 3rd day, I was pleased except for that faint nag because I still had not had the chance to do any surgery. Now, the inside of a Haitian belly looks the same as the inside of an American belly, but I came here as a surgeon. There had been a rumor of a possible bowel obstruction in the camp but a surgeon had seen it earlier in the day and decided it was stable. I woke up at 530 Thursdy to see the team off. I enjoyed a gorgeous Caribbean sunrise over the harbor (which we found out we could see if we climbed to the roof).

 I also discovered that the bowel obstruction had worsened overnight and now needed to be operated on. A general surgeon from Georgia, Samuel Harden, had arrived Wednesday and he and I went to get the patient ready for surgery. I was very pleased that I was finally going to able to do what I came here for.

 Now my first task was to find a fresh pair of scrubs. Every team that comes brings scrubs which they contribute to a communal box of scrub tops and pants. Their is a laundry team that has been cleaning the scrubs by hand so they are as clean as they are going to get. So by fresh, I mean, less dirty than the pair I had been wearing for about 24 hours. I went over dozens of used dirty scrubs in every shape and color until I came up with a San Diego green top and Chicago blue bottoms.

 My next task was to evaluate the OR and the equipment we would have to perform major laparotomy a daunting task to say the least. They have one sterilizing machine, and I was able to pull together a mish-mosh of tools although we rarely had matching pairs of items. We were able to get cautery but not suction. We were lucky to have a new Anesthesia team from Rush University in Chicago and they did a great job. While many have heard stories of amputations being done without anastestic, abdominal surgery without general or epidural anasthesia is a whole nother ballgame.

 There is a surgical mantra that, “the sun should never set on a bowel obstruction”. This is because the longer you wait the worse it tends to be and tougher the operation will be. This should now be changed to, “the sun should never set on a bowel obstruction…except in Haiti”. We ended up operating about 12-15 hours later than we should have, but thankfully were able to perform it successfully and get her to the recovery room without complications. Many thanks to Kate, who became the defacto scrub nurse because the 2 nurses helping us were regular floor nurses who had never been in an OR.

 Full of enthusiasm following our successful operation, Dr. Harden and I toured the compound stopping at every area inquiring about belly pain, but alas we could find nothing to cut. We headed across the road to the clinic which had received all the Holy Cross supplies and found about fifty people lined up out the door and 5 docs (3 from Rush, and 2 from Portland) working tirelessly. I headed back to the hospital to sleep because I had volunteered to take the night shift knowing that I’m going home in the am.

 My last little highlight of the day was when a UN truck arrived with supplies and I got to take pictures with the Sri Lankan Special Forces Paratroopers who looked like the fiercest warriors on the planet. Needless to say, I’ve met and interacted with a more diverse group of people in the past 4 days than any other time in my life.

 I’m now off to bed for a couple of hours till the night shift, then I have to pack. I found a ride to the airport for Kate and I at 6am. Luckily, I don’t have much to pack. My scrubs and socks stay here to be used by other medical teams. I’ve given away any remaining food to the Haitians, and I promised my sleeping bag, flashlights, and my second duffell bag to one of the translators I have befriended whose family is now homeless.

 Thanks for all your warm wishes. If all goes according to plan, I should be in American airspace early Friday morning.

 regards,

Elie

Profile: Dr. Wendy Mogel, The Blessing of A Skinned Knee

A key concept in Hasidic thought expresses the idea of balance:  “Keep two pieces of paper in your pockets at all times.  On one write, ‘I am a speck of dust.’  On the other, ‘The world was created for me.”  The divine and the ordinary merge in Judaism, where the holiest day of the year is not Yom Kippur, the majestic and awesome Day of Atonement, but every Saturday.

The Blessing of a Skinned Knee, page 49

With this, Dr. Wendy Mogel begins the “Antidote to Specialitis–” her treatise on what’s wrong with families in a culture where “all the children are above average.”  It is part of the book Dr. Mogel wrote in response to her crisis of faith and profession, after fifteen years as a child psychologist in Los Angeles.

I was trained to believe in psychology, the talking cure.  I had been taught to provide psychological support without being judgmental, but I began to have more and more judgments.  Working with children, I started to feel like the highly paid baby-sitter … the words that came to mind to describe these troubled youngsters were old-fashioned:  petulant, obstinate, rigid, greedy, cowardly, lethargic, imperious.  I started wondering whether their problems fell into a different category than I was considering, whether they might be problems that psychotherapy alone could never repair — problems of character.  My training was failing me.

The Blessing of a Skinned Knee, page 20

In a quest to discover what was making perfectly normal families unhappy Dr. Mogel closed her practice in order to devote a year to intensive study of Jewish scripture.  Her work led her home — back to her Jewish faith, back to her own family, back to simple principles of ethics, holiness, and every day living. 

Dr. Mogel’s book, “The Blessing of a Skinned Knee” is the product of that work.  In it, she examines the problems of the modern family living in an extremely privileged society, and how those families have been led astray by their own best intentions.

My generation of parents — Generation X, born between 1969 and 1979 — are known as the “helicopter parents.”  We hover, we swoop, we overprotect and overinvest.

I had intended to discuss this with Penelope Trunk in our interview two weeks ago, but we ended up talking about careers instead.  You should read her praise of helicopter parenting here

My friend Sally Sisson forwarded to me this article, which suggests that helicopter parenting is the result of a generation of children who felt abandoned by their own parents.  The argument strikes some notes with me — I was a latchkey kid and much of my parenting comes from a desire to do things differently.  It was interesting to think of this as a generational trait.  But the tone of the article bothered me: are we a generation of entitlement?  Of self-pity and indulgence?

Does feeling abandoned as a child justify spoiling your own children?  And how abandoned were we?  Haitian-earthquake-orphan abandoned or just “make-your-own-snack-and-get-your-homework-done” abandoned?

Dr. Mogel agreed to talk with me on this subject.

Helicopter parenting, she told me, is a result of “a psychological defense mechanism called ‘displacement.’  Parents look at the world and worry there will be no world left for grandchildren and so you displace all of those fears and start worrying about the end of the world and predators and we try to control the one thing we think we can control:  Which is whether our child gets the good or the better second grade teacher.  I think that’s a part of it.  But I also think that it’s a way for parents to be close to their kids.  Some of the helicoptering is trying to be friendly and intimate.  It feels normal because it’s common.”

What it isn’t, Dr. Mogel says, is healthy.  Or rational.

I described to her a scene that happens to me often:  in the market I send my seven year-old and my four year-old to the dairy aisle to get the milk.  It is a few aisles over, but they are going together and they have instructions to pixk up a gallon and come straight back.

“More often than not,” I told Mogel, “someone brings them back to me.  Some other mother.  ‘I found these two wandering,’ she says to me.  And then I think … am I jerk?  Should I be watching them more closely?”

“You’re swimming against the tide,” she answered.  “You are finding a way to trust your kids, give them freedom, give them responsibility.  Other mothers are bringing them back … The danger of abduction by strangers of young children is almost none.  But the media so adores it that the minute it happens (they) cover it.”– And fuel the hovering parent’s fears.

 Dr. Mogel shared the story of a mother who would not let her daughter walk three blocks to a friend’s house by herself because there were painters working on the house in between.

“I ask parents ‘What are you afraid of? -Don’t flatter yourself.  They are not interested in your kids.’”  It is an important part of growing up, Dr. Mogel says, to allow children to take risks.  “And they have to have even some close calls,” she added. ”Otherwise they go to college these little hothouse flowers.”

So how do you gauge which risks to allow and at what ages?

In The Blessing of a Skinned Knee, Dr. Mogel describes how she learned the minhag (custom or community practice) of her neighborhood regarding children.  Dr. Mogel had allowed her nine year-old to go shopping on the local boulevard alone.  Her neighbor intervened.  “She’s too young,” the neighbor said.  “At nine they have to go in pairs.”   Dr. Mogel had learned rules of children in her neighborhood, and she had accepted guidance from a parent she respected. 

“Physical protectiveness means you are safeguarding your child from serious threat or injury.  Physical overprotectiveness means you are guarding your child against life. ” (The Blessing of a Skinned Knee, page 106)

How do you pick?  I asked Dr. Mogel.  How do you know which is which?

“It’s good to find a parent with a slightly older kid in your community – a  child that is turning out nicely and you like the family — and get guidance from them,” she said.

“I always take the view that when it comes to my children they have to do what I say and we don’t have to follow other people’s rules,” I said.  “But your point about the minhag strikes home — we’re members of a community, too.  I do have to pay attention to what the other people are doing, at least a little.  One thing I struggle with is that I prefer my children call adults by title and last name.  Some of my friends are almost offended by it,” I said.

“I gave up on that,” she said.  ”I agree with you entirely and it really is radically countercultural.”

Adults, Dr. Mogel says, need to be treated respectfully by children.   Adults need to insist on the dignity of their role:

 But We Are Not Worthy!

Do you allow your children to interrupt you unnecessarily when you are on the phone in a conversation with another adult?

Do you have a designated place at the table?  Do they sit in your place?

Do they consistently contradict your words in the name of lobbying for their own point of view?

Do they talk back to you in public?  How often?

Do you give your children enough opportunities to help out?  To demonstrate thoughtfulness? To take care of you?

Do your children ask if you want a glass of juice, a banana or a bowl of ice cream when they are getting one for themselves?

Do they respect your privacy?  Do they enter your room or take your things without asking?

Do your older children commandeer the remote?  Tie up the phone line?  Forget to give you phone messages they have taken?

Do they talk too loudly at home?  In public?

Are you squirming?  Don’t bother, you are not alone.

The Blessing of a Skinned Knee, page 66

The problem, Dr. Mogel said, is that “we are treating kids like handicapped royalty.”  It is limiting their ability to manage in the world, and giving them a skewed perspective on their importance — a perspective that burdens them with too much responsibility while depriving them of coping skills.

So let me tell you about this chick I live with, I said.  Her name is Ren.

 ”I often ask parents who have a challenging child to bring me a picture of their child,” Dr. Mogel said.  “ – Well, I used to ask them to bring one, but now they just take out their phones.  But anyway, they show me a picture, and then I turn it around and show it to them and I ask, ‘Does this child look scary to you?  She looks normal and adorable to me.”  I laugh. 

Renny is adorable, there’s no doubt.  That’s what makes her so freaking scary.

So how do we do it?  How do we manage challenging kids, teach them to respect us, teach them limits?

“I’ve gotten grief from my readers in the past about my strong opposition to spanking,” I said.  “I’ve had some nasty e-mails from people telling me the only thing wrong with Ren is a mother without the nerve to whack her bottom.”

“I advocate spanking only minimally,” she replied. “ The classic child-running-into-the-street.  It only works for very small children.  With older children (spanking only teaches) kids to solve problems with physical force.  In general my recommended approach is avoiding the problem as much as possible.”

I told her how Ren loves to cover herself and the room in paint and markers.

“To me it sounds like you have violated Leviticus 19:14 ‘do not put a stumbling block before the blind,’”  said Dr. Mogul.  “So if you have an energetic, creative four year-old you don’t leave them with material where they can get themselves into trouble.” 

Ouch.  Yeah, I know that.  I need to work on keeping Ren out of trouble rather than just being sure I react well once she’s there.  That said … how do I know what’s a good level of response?

“The rebuke needs to be directly related to her transgression.  So the question to always ask yourself is: is this a power struggle where I am getting down to the child’s level?  Is it turning into a form of sibling rivalry? –Which I see a lot between mothers and daughters.  The key to delivering the proper rebuke is to be able to be calm.  Give it a little thought to decide what the consequences will be.  In general the four year-olds are too entitled, too spoiled and bratty in part because parents don’t feel the dignity of their role and their right to be treated respectfully.  And then they’re awfully over-scheduled and stressed even at four.” 

 – This I have figured out.  Ren goes to school every day and comes home to hang out after that.  She’s much happier without a lot of activities.   More settled, less stressed.

“The money in the bank part is lots of time for creative play, not always being in a rush being able to stop and pick up a rock and see its beauty and take a walk that you can do in ten minutes and let it take half an hour.  So we make an investment in young children by looking at the world through their eyes.”

“Four year olds are really challenging, they’re really hard, really exhausting,” Dr. Mogel said.  “The other two pieces are to see who that person is (your daughter) and give her opportunities to express that:  her interest, her temperament.  Make sure she has a chance to make an arty mess.”

“So you’ve been in practice for many years.  Are you seeing the results of helicopter parenting?  How are these kids turning out?”

Helicopter parenting has resulted in two kinds of kids entering college, Mogel said.   “The teacups and the krispies.    The teacups had the helicopter parents.  The chew-and-swallow parents.  Breathe in, breathe out parents.  — These kids have been protected by their handlers.   They can’t handle any problems.   They don’t have life skills.  They have a difficult roommate or don’t get the class they want and they have a meltdown and call home.  The classic example of this is the kid who calls her mother from in front of the salad bar at the college cafeteria and asks her, ‘Do I like Russian dressing?’”

“Whoa.”

“Yeah.  Then we have the krispies.  These kids are just burnt out.   Teenagers are sort of anxious and entitled and the girls feel they have to be absolutely perfect.  They suffer from goodism.  The girls feel that their mood and their grades and their popularity are what keeps their mother’s mood up and their parents marriage together.  Boys don’t care, they are intimidated by the girls and feel that they are falling behind.  So we are seeing a lot of reckless behavior and substance abuse in the boys.”

“The good news is that teenagers are bright, they’re great negotiators, they have thriving social lives with each other.”

“Tell me you are writing a book about this,” I said.

“Yep.  The Blessing of a B-,” she said.  “It comes out October 2nd.”

“One of my favorite things about your book,” I said, “is the way you describe a return to holiness.  You document becoming an observant Jew, and one central part of that is the tradition of Shabbat — the Friday Sabbath dinner.  You write about the prayers and blessings and taking the time to appreciate each other, challenge each other, and create a family identity.  It made me want to institute Shabbat for our family, even though, you know, we’re Episcopalian.”

 ”To elevate one day of the week and make it a time of gratitude and food and wine and beauty and grace fits any spiritual tradition,” she said. 

It is this elevation of the every day to the holy that is at the core of what Mogel is saying about modern American families.   Her admonition is not to be more strict, or to be Jewish or to turn off the television:  the core of Mogel’s message is to live your life already, stop protecting yourself or your children from it, and learn to celebrate the great gifts you have been given.

How much of your life do you want to spend managing your children?  And how much of your life do you want to spend appreciating the beauty of life … with your children?

“Could we talk again when the new book comes out?” I asked.  Mostly because, well, I just really like talking to her.

“Absolutely,” she said.

So mark your calendars for next October.

In the meantime, Dr. Mogel sent me a little present — a copy of the Blessing of a Skinned Knee for me to give to one of my lucky readers.  It is the only parenting book I love– one of my favorite books of all time. 

If you’re interested in this book, leave a comment.  The comments are numbered, so I’ll have Mare pick a number at random and send the book off to the winner.

I’ll end this conversation with Dr. Mogel the way she ends The Blessing of a Skinned Knee — with a poem her daughter Emma wrote after a Shabbat dinner.  Candles are a central part of the ceremony of Shabbat:

Candlelight

Come here

come here and stay for awhile

to see the candle burn away

and to see their beauty burn away

Come here

come here to look at the light

to see its brightness

to see the happiness in the light

to see it grow and

to see it burn away

Come on before it’s gone!

The Blessing of a Skinned Knee, page 234

Dispatch #3 — Dr. Elie, Port-au-Prince, Haiti

Damomma.com is sponsoring the work of Dr. Elie Schochet, a general surgeon out of Holy Cross Hospital, Miami, Florida.  Dr. Schochet has volunteered to man a relief station in Port-au-Prince, following the destruction of the city in the recent earthquake.  What follows was texted by Dr. Elie to his wife, Abby, and reposted here with permission.

Wow has it only been 30 hours since my last novella? I woke up Monday afternoon after 3 hours of very interrupted sleep. Usually a 3hr nap midday is a luxury but I was too wired to really rest.

At 5pm, I met up with French doctors and French Canadian recovery room nurses. They showed me the area outside the hospital where immediate post-op patients are laying on tarps, mattresses, or stretchers in open air surrounded by family who tend to their basic needs while we deal with the sickest patients.) We walked around and they signed out the patients to me, informing me who needed nighttime antibiotics and other various details regarding their medical care.

From 5pm until 7 am, Mimi (an orthopedic surgeon from San Diego) and I took care of those things, and other random needs for the tent city which has sprawled up in our hospital compound. We mostly provided basic medical needs. People throwing up, people with pelvic fractures from walls caving in that were getting obstructed because they had not had a bowel movement since the earthquake, bleeding after surgery, many people just scared and hungry looking for anything. A lot of placebo Tylenols were given.

At 730, the French and Canadian teams returned and we turned the hospital over to them. What soon became evident was that basic referral politics were in place even here. French triage officers send surgeries to French surgeons, not American, although orthopedic surgeries outnumbered general 10 to 1. With that in mind, we spent most of the morning walking around the camp trying to be useful and find work. The French team really is running a tight ship and its hard to fault then (ironically, most Haitians hate the French because of their long colonial history, maybe their presence here assuages the French guilt over how they raped and pillaged Haiti).

At 11, the rest of the Holy Cross team arrived and we got them settled. They came with all the meds and supplies. We felt however that there was enough at this hospital and instead arranged to have them transported across the street to a primary care clinic called Children of Hope, supported by this hospital. When we walked over there we found an empty house with no furniture, 50 of our boxes and a line of people around the corner who heard we were coming.

After some quick unpacking, we started seeing patients with all sorts of basic complaints and also performed minor surgeries. Some furniture and 2 exam tables were brought in which made life easier. At 3 we heard some people were heading about 1/2 mile away to a large tent city with about 28000 people that had sprouted on the campus of a nearby university. We headed there with pockets stuffed with candy, stickers and smiles. When we got there, we hopped out of the back of a truck.

On one side were university buildings and the other were tents as far as the eye could see, not organized military tents, but one large sunroof-less tent that stretched forever, multicolored fabrics and sticks made up the forms. It’s hard to tell how you get to your tent if its in the middle of the clump. Tons of little kids and we soon were very popular as our pocket were emptied of treats.

Just an aside, I remember the news talked about the spirit and resiliency of the Haitian people. I can tell you it really is true. I have yet to see a fight, hear an argument. Everyone is smiling and dealing with their problems. There is a core of young men here who act as interpreters, security, transportation. They work tirelessly for free and as far as I can tell its all volunteer. Many of the kids don’t know what happened and appear to be as happy with their current poverty and squalor as they were with the pre-earthquake Haiti.

Back to the tent city. After wandering around for a while as goodwill ambassadors, I saw a large Canadian tent with a line of people into it. I wandered it and found a group of New Yorkers also running a makeshift clinic. After introducing myself, they immediately put me to work evaluating a little girl with abdominal pain and vomiting. I then spent the rest of the day till sundown working in the tent along with some of the others from our group. We also arranged to go back today with a shopping cart of meds and supplies.

We walked back to the hospital at 5 to take sign out from the French and Canadian teams and start the night shift. Around 8 there was a spur of the moment dinner party as all the Americans in the hospital (7 of us from Ft. Laud, 5 from Oregon, 8 from Southern Cal, and a few assorted others) pooled snacks and food and hung out with some good music (I knew bringing my portable speakers was worth it). I got a bit of sleep before getting up to start my own shift.

So now Wednesday am and I’m on my way to the tent city for the day. We plan to go to the airport Thursday am and hop on any outgoing flight. Apparently there are military transports leaving every 3 hours to somewhere and we have to get on one first come first serve.

Au revoir,

Elie

A Little Business — Percy

Damomma.com’s global ambassador Percy has suffered a mishap.

He is okay, but he has been stuck in his current location while we sort things out.  I think we have it resolved now and hope to have his next post up shortly.

In the meantime, we are still accepting applications.  Bringing Percy to your home is a commitment to:

1)  Take pictures in at least five locations;

2)  Keep him no more than two weeks;

3)  Pay shipping to the next location (could be international, but we try to keep his visits clustered together to avoid high expense.)

4)  Answer a questionnaire about your home and the visit;

5)  Post your pictures to Flickr so I may use them here;

6)  Keep his location secret until we launch the post, and help me out with fun clues in pictures and Tweet throughout.

In exchange, you get:

1)  A little present — a hostess gift — from Percy and me;

2)  A chance to share your story and show the world what’s special about where you’re from.

Generally, we want Percy to visit a person’s home — so if you’re traveling some place cool, but it’s not your home, that’s not a good fit.  (Okay, unless it’ s really really cool, like space or something.  I could totally be sold on space.)

The idea is that Percy is going to tell the story of your little spot in the world.  It doesn’t have to be exotic or fancy, it has to be authentic and something you are passionate about. 

Right now I am looking for hosts in:

– Eastern Europe

– Northern Asia/Russia

– Africa

– Middle East

Okay, we’ll keep you posted, but Percy should be back up in a week or two.

** I locked comments on this post.  I was getting great offers to host Percy, and I want to keep his future locations a surprise!  So if you want to volunteer, yes, please, we’d love to have you!   Please fill out a form.

The Doodle: A Glimpse

3:30 p.m.  Ren is hysterical.  We are driving to collect Mare from gymnastics.  Ren’s crown won’t stay on her head and one of her Snow White shoes is missing a buckle.  She’s shrieking.

“Baby,” I say, “I can get the crown to stay on your head, but not until we get there, okay?”  Another nerve-mangling shriek.  “Ren, Ren, REN.  SWEETHEART.  You can’t get what you want immediately, you just need to wait.”

“I know,” she weeps.  “I’m just sad.”

“Fine,” I say.  “Of course, it’s okay to be sad.”  But, oh God, could you be sad just a little more quietly?

4:00  p.m.   “We’re going to stop at Sugar Shack for cookies.  Then we’re going to go home and clean, clean, clean, and get supper made, okay, ma’girls?”

“Girl,” Mare says.

“No, not just you.  We’re all pitching in.”

“Well, Eden doesn’t speak English and Ren is asleep.”

“OH NO.”  Her head is slumped over in her seat, the crown hanging cockeyed.

“NO NO NO NO … Ren?  Can you hear me baby, can you hear me … CLEAR!!!”  I shake her, hard.  She screams awake.  She sobs the rest of the way home.  We are, in a word, screwed.

5:15 Still sobbing.

5:30  Not cleaning, still sobbing.

6:00  Hates dinner.

6:15 Eats Cheerios.

7:00 Brushes teeth, wakes the baby, says she’s sorry, asks to start in our bed.

8:00 Cute Husband and I are playing cards, drinking cold vodka, listening to jazz, talking about our days.  We hear a creak on the tilty-floored stairs. 

8:15  She is hiding behind the couch.  She thinks we can’t hear her large open-mouthed breathing.

8:16  “Shit, shit, shit, shit, shit,” she sings. 

8:30  She’s tired of being ignored and creeps back up the stairs.

8:45  “MOMMMAAAA!!!”  she shouts. 

“STOPIT!”  I hiss from the door. “You know better than that.  You don’t shout for Momma unless it is an emergency and you certainly don’t make noise when the baby-is-sleeping-what-is-that-smell?”

“What smell?”

Right away, I guess it is the sleep aromatherapy spray Cute Husband put in my Christmas stocking.

“Did you spray it in your eyes?” I ask.  Her eyes are red.

“I didn’t spray it,” she says.

“Don’t lie to me, Karenna,” I say.

“I NOT LYING.  For REAL.  I did not spray it.”

“What’s the smell, then?”  She burrows her face in the pillow. 

“It’s the smell of it in the bottle, right here next to me.”

“Do not lie to me,” I say. 

“FOR REAL I DID NOT SPRAY IT.”

Then I see the bottle of Clinque something-something next to her.  (I have all kinds of makeup crap I don’t even know I own.  I’m not sure how I aquire it.  Free gifts I think.)

“Was it this?  Did you put this on yourself?”

“No!” she says.  I open the bottle and sniff.  No, that’s not it. 

But man, she sprayed something in here.  It is acrid and lemony.

I am sure I am asking the wrong question.  Maybe I should not even be asking a question.  What the hell should I be doing?

“Go to sleep,” I tell her.  “I don’t want to hear from you again.”

“I’m hungry,” she whispers into the pillow.

“You know the rule.”  She hops downstairs to get a piece of fruit and some water.  That is when I notice she is wearing a pink party dress, her sister’s black leggings, and swimsuit bottoms.

I straighten my blankets.

And find, in the corner, the wrapper to a citronella bug repellent wipe.

Ah.

Dispatch #2 — Dr. Elie’s Wife, Abby

Dear Friends and Family,

 Contact with Elie is still very spotty, he has so far done 2 shifts at the hospital. It is unclear how long each shift is, or if he is getting any type of break that would allow him to sleep. Well, he did just mention how much he missed the pace of residency!

 His work is continuing to be a complex mix of many types of medicine. He is doing surgery, treating post-op patients, and also working in triage. Although what many of us see on the news are those directly impacted by the earthquake (blunt force trauma from collapsing buildings) there are still those requiring ‘regular’ medical care that is now complicated by the quake (those who take daily meds for blood pressure or diabetes whose supplies are gone, for example or women going into labor).

 His spirits remain high, although I suspect a good portion of that is adrenaline.

Take care,

Abby