System Recovery: Backup In 10 Days after a Tonsilectomy

January 21, 2014

A tonsilectomy is like the execution of an intelligently designed performance- based contingency. It's painful for everyone involved but if they're not meeting performance requirements, they have to go.

In our case, it was close to 10 days of pain until we were back on our feet. It would have been 9 but a ridiculously cold day (-20 degrees) resulted in school closings throughout South Dakota and afforded us an extra day to recharge.

Although most days were spent getting enough fluids down (water, apple juice and chocolate milk) while watching every episode of Scooby Doo & Peg + Cat ever created... the following is an overview of her daily post-op progression highlights:

Day 0: Nervous but brave going in. Disphoria and pain waking up. Plesant and cheerful at home.

ATE: Buttery And Fluffy Scrambled Eggs, Buttered Hawaiian Sweet Roll
And Apple Juice

Quote of the day: "I don't like any of this! I don't like one bit of this at all and I want to go home!!!"- upon waking from surgery.

Day 1: Antsy from medication and inactivity. Apparently unaffected otherwise. Playing independently.

ATE: Buttered Noodles, Fluffy Pancakes and Fudge Pop

Quote: "I don't want to eat ANYTHING!"

Day 2: Antsy and A bit overemotional / easily frustrated. Clearly masking discomfort. Bored

Quote: "...but I'm not a very big fan if ice cream because it makes my mouth so cold."

ATE: Fudge Pop and Buttered Noodles with Chix Broth few slices of Pear.

Day 3: Calm and Cuddly with random bursts of energy presumably resulting from boredom.

Quote: "They say on television that children love flashlights and they love stuffed animals...so they really love flashlight friends! I love my new flash.light friend so much I have to hug her a lot!"

ATE: Buttered Noodles, Pancake and Fudge Pop and Marshmallows

Day 4: Fairly normal but bursts of energy continue to mix with apparent drowsiness from medication.

Quote: "I feel like I was eating an apple and swallowed it whole without even chewing it up."

ATE: Nutella Crepe, Mozzarella Cheese and Fuffy Pancake

Day 4.5: Skipped a dose of Lortab in middle of the night to tfy and let her sleep through. Bad idea.

Day 5: Irritable and uncomfortable. Needed a lot if attention and TLC = cuddling.

ATE: Nutella and Sunbutter Crepe and Buttered Noodles with Chicken Broth and Grated Cheese

Quote: "Its nice to be out of the house. I havent been out if the house in a year!"

Day 6: Doing very well. Feeling well.Comfortable but bored. Seems like her old self.
Fluffy & Light Grilled cheese on Thick slices Kings Hawaiian Sweet Round Bread, Mac n Cheese, PEZ,

ATE: Buttered Noodles and Chix Broth and Pirate Booty and Gum.

Quote: "I want someone to color with me!"

Day 7: In great spirits. Happy and Full of Energy.

ATE: Fluffy Pancakes and PEZ.

Quote: "I feel perfect!"

DAY 8: Tired and difficult breaking out of the routine of sleeping in late cuddling and being naked. Voice changing: Sounding a lot like a miniature Kristen Chenoweth...or a cute Yeardley Smith (AKA Putter from Legend of Billy Jean)

ATE: Pancakes, Ham and Cheese, broccoli, boiled honied baby carrots, avocado, apple slices and salmon nuggets.

Quote: "My throat hurts just a little when I yawn."

The Power of a Secret: Discovering Something Special

February 28, 2013

Sanford is recruiting some pretty talented people (like Kimberly Simpson Earle and Chris Orzechowski) and empowering them with phenomenal resources like significant funding and the most technological devices that few places, if any, in the world are able to avail their researchers and physicians…like the 4th and 5th cardiac stent placement robots in the country and the world’s largest tissue bank for breast cancer research. This tissue bank is Denny Sanford’s greatest advantage in his mission to eradicate breast cancer through genetic isolation of the disease as opposed to only focusing on treatment in collaboration with the pharmaceutical industry. And they’re making significant progress. Already, they have identified many more types of breast cancer that respond better to treatments previously reserved for what were believed to have been “completely different” cancers.

Those of you who watch the Big Bang Theory may also appreciate the fact that the Higgs-Boson particle (dark matter) was also discovered here in South Dakota. (In a lab deep within a gold mine under acres of prairie grass and pines in the Black Hills).

What also surprised us was the fact that Sioux Falls really is a great place to raise a family. Their clean air and clean water (cleanest in the country in fact) is almost as impressive as the culture we’ve experienced at every turn during our visits. It’s been like the Chevy Chase film “Funny Farm”. After every encounter, I catch myself looking over my shoulder to see if the mayor is actually dolling out $100 bills and thanking residents for a “great performance” and reminding them to “keep smiling!”.

Sioux Falls offers us the opportunity to raise our daughter in, what feels like, more of a community than a city or town. It’s interesting to see that, even with all the various funding, many of the rooms at Sanford Hospital have been donated by local families.

Talent Aquisition: Mommy's Job Offer

February 16, 2013

As a specialist, my wife receives letters and postcards (sometimes twice a week) from recruiters and health systems all over North America. They never explicitly state which hospital it is specifically but they all guarantee: top salaries, high quality of life, national sports teams, major universities and “…a wonderful place to raise children”.

My wife is working very hard with a practice covering seven hospitals in three states and feels as though her employers’ commitment to her is as not as significant as her commitment to them. She always says “Your first job is never your last…” So, after 5+ years of interest from Sanford Hospital in South Dakota, we’ve decided to take a look. Although we couldn’t imagine living in South Dakota... we did some research on Sanford Health and decided it was worth the visit. At the very least, it would be an opportunity for my wife to catch up with an old friend and former colleague for whom she has a tremendous amount of respect.

FAST FORWARD 7 WEEKS…

When we arrived in Sioux Falls South Dakota, we were simply blown away at this hospital’s whisper of a “Talk” and thunderous “Walk”. Thanks to Premier One Bankcard founder Denny Sanford (and his $700MM in gifts so far…), Sioux Valley Hospital has been renamed “Sanford Hospital” (surprisingly) and transformed into a region-shaping health care network with an infrastructure of physicians in leadership and an outreach spanning 126 communities throughout 8 states. They are implementing several initiatives including global children's clinics, multiple research centers and finding a cure for type 1 diabetes and breast cancer. With both domestic and overseas satellites opening at a record-pace, Denny Sanford is creating an unprecedented momentum of ensuring the highest caliber of healthcare both in the Midwest and in 18 countries throughout the world (now developing international clinics in Ireland, Ghana, Israel and Mexico). Organizational growth and development with cutting-edge medicine, sophisticated research and advanced education like this isn’t seen in cities ten times their size.

We arrived the weekend of Sanford Hospital’s Annual Gala ( benefiting the expansion of their cardiac division) and graciously accepted what we believed would simply be an opportunity to meet some folks on the team and have a nice dinner. I’ve been to a lot of these events and they always seem to follow the same syllabus: cocktails followed by a President’s greeting, a few words of promise by the CEO or COO then a video presentation of the good work being done by talented physicians and administration’s plans for the future. Then it’s back to dinner and some dancing afterwards.

The Sanford Healthcare gala we attended not only brought one of the better meals I’ve had this year to our table (a perfect medium rare filet, roasted brussel sprouts and truffled potato gratin), but also tears to my eyes…and handkerchief. Never before have I been so moved by the parents of children whose life-changing stories were shared …or by the teams of dedicated people working orchestrally, from top to bottom, who selflessly make such a monumental difference. But the Sanford story did not end when the lights came back on. This was not a benefit injected with a presentation of “good work being done”. This was simply a spotlight on life at Sanford whose message of “Improving the human condition through exceptional care, innovation and discovery” didn’t end with a video. Improving the lives of children, specifically, didn’t seem like “just a job” people are doing here…it seemed more like a calling. An ingrained way of living life. A belief system that is evident in everything from the conversations between fulfilled guests at every table and the LED-illuminated spinning magic wands handed out on the dance floor (that surely made many a baby-sat children at home delighted in the morning) to the child prodigy pianist who led the orchestra all evening long.

I guess it’s just an overall feeling of genuine commitment to care and to the community of people who provide it…and there doesn’t seem to be a sense of (or pre-occupation with) time clocks, budgets or superfluous layers of administration associated with it. The passion was palpable and contagious. It’s hard to be around people like that and not feel a moral imperative to join them. It’s hard to be a father and not want an amenity like them for your own child.

Now that some of our preconceived notions regarding the Midwest have been obliterated, we have a lot to talk about on the flight home.