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The Big Poke.
(Note to those of the medical persuasion: I think puncta is the word I’m looking for, but I’m not sure. If I’m wrong, then it’s the word I’ve made up for the little holes in your eyelids, near your nose, that carry tears away from your eye.)
I relented. I gave in to the suggestion that plugging my puncta would solve my dry eye problems. This despite the failed temporary plug test run a month or two ago. You don’t truly know what it’s like to get poked in the eye until someone as tried to plug your puncta. After yesterday, I now know.
It turns out that puncta plugging is a two step process. First you “size” the puncta to determine what size plug is needed. You begin by instructing the patient to hold still, keep the eye open, and look straight ahead. You then do everything you can to get the patient to disobey. You accomplish this by thrusting a “sizer” into the puncta as forceful as you can without rupturing any soft tissue. Once you have simultaneously sized the suspect puncta, and taken away all of the patient’s hope that this will be easy, you insert the plug. The plugging device is a long thin stick with a small silicone object at the end, and which has “you’ll poke your eye out” written all over it. You retrieve the device and thrust it in a manner similar to step one, only this time, take your time. A little lingering builds the suspense. When you feel the slight popping sensation, stop. To make the experience a little more exciting for the patient, don’t tell them the popping feeling is normal until after the first plug is inserted. This makes for some amusing reactions from your patients. You can almost see the blood returning to their faces when they find out nothing important has a new hole. Now that the plug is in, choose your next words very carefully. They can satisfy the little sadist in all of us. “There, now we’re half done” often works quite nicely. As you may have guessed, I was unable to keep still, keep my eye open, or look straight ahead. I was 0 for 3. Afterwards, the good doctor said that my difficult puncta were in between sizes. He said to me, “I decided to try the smaller ones . . . I didn’t want you to pass out or anything.” To borrow a term favored by one of my co-workers: I’m a woos when it comes to my eyes. But in my defense, that was some major league poking. If I were a prisoner of war, it would have been illegal. . .and I would have talked. This evening when it felt like there was something in my eye, I had the comfort of knowing that there really was.
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Assault on Shade.
I like trees.
I try to understand that other people don’t, but it isn’t easy. It has been especially hard these last couple of days. You see, my neighbor has declared war on trees, and on their neighbor’s trees in particular. About five nights ago, the neighbor in question came by to declare their intentions to have our trees, which overhang their property, trimmed. The stated intention was to trim the branches overhanging their roof. The use of the word “stated” was deliberate. They “stated” what they were going to do, they did not “ask.” Yesterday, I came home and saw how their stated intentions translated into real life application.
Imagine, if you will, a tree. Now picture the main trunk of this tree set back from a property line about three feet. Now imagine how wide this tree would reach near the mid section and top if this tree were 20 – 30 feet high (imagine an oak, not a pine or palm). Now imagine a vertical line drawn straight up from that property line, and imagine that there was no more tree on the other side of this line. This, to my dismay, describes two trees which border my neighbor’s lot – one of which is my tree. It was difficult to contain my rage. Why do these people so disdain shade? Do they have a problem with saving money on their summer utility bills? Do they have a problem with how pleasant it feels in the shade, even on the hottest summer days? Do they like the look of tree trunks stripped bare, towering over their roof? I just wish they would have asked, or at least been more forthcoming about the extent of the trimming. However, I’m afraid that no amount of talking would have swayed them. I don’t know them really well, but what I do know does not suggest that they are the compromising type. Now that its done, what can I do? Perhaps dad is right, maybe it is easier to get forgiveness than permission. Lucky for me, the limbs they removed also shaded my roof from the sun, so we too will have the benefit of more expensive summer utility bills. My wallet feels lighter already, or does it? No, the verdict on my wallet is uncertain. Will the weight loss from higher bills compensate for the extra weight of leather soaked in sweat? Sadly, I’m not looking forward to finding out.
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Good Excuses.
In the last week or so, Beth has been doing an excellent job of: as we say, “putting her pee-pee and poopy in the potty.” (This weekend was an exception, but I won’t get into that now.) She has even graduated to wearing underpants to school, and she wears the same pair all day. Today however, she had a bit of a set back, but its hard to blame her. As a general rule, Beth has been very afraid of things that make a lot of noise; and vacuum cleaners in particular. Well for some reason the staff at her school decided that it would be a good idea to do some vacuuming while the students were in the room. Beth was caught off guard and did not react well. I understand she was quite a sight; a mostly four year old child screaming at the top of her lungs, dirty from her good time on the playground, with a steady stream running down her legs and emptying into the puddle of fear in which she stood. The appropriate response of a parent would be one of sympathy, and I swear that I was at least in part sympathetic. But when Beth confided to me later that “the vacuum scared the pee-pee out of me”, I just had to giggle a little, even if it was just to myself.