Lesson learned. (Or - How we called our pediatrician three times in five days and yet managed to miss calling the most important time.)

Let's start this story from the beginning. As I believe I already mentioned, Ava tripped at the play place in the mall Friday night. She fell rather oddly onto her arm and was significantly favoring her right hand. After determining that there was little or no swelling and her fingers seemed to move fine, we decided that a pediatrician call for that incident was unnecessary.

The next day Ava woke up from nap with a croupy cough. That was followed by labored breathing and we made an after-hours call to the pediatrician. A late night dose of steroids obtained from a 24 hour pharmacy saved us a trip to the emergency room. Our sincere thanks went out to the on-call pediatrician.

Monday, I was walking into a room when Michael was walking out and I managed to slam him in the forehead with the doorknob. I hit him hard enough that he fell back onto his butt gasping for breath before the screaming began. I comforted and hugged and felt around the forehead for lumps but found none. I mentally moved on once the crying stopped.

It wasn't until some extremely bizarre behavior began at bedtime that I remembered the bump on the head and became concerned. He was scared and asking to sleep with us (never in his entire life has he been afraid at bedtime - never). He was desperately thirsty and drank so much water that we had to change his clothes twice in a row. Again, very odd. I was worried about some kind of brain injury. Another late night call. We got the same on-call pediatrician. Who knows what she was thinking of us at that point, but she decided at home observation would be adequate. Turns out, he was fine thank goodness.

Yesterday Ava had a fever. She was complaining that her right ear hurt. At least it was during regular office hours this time. We went to the pediatrician and sure enough, she has an ear infection in her right ear. Ten days of antibiotics here we come.

As we were about to leave, I remembered Ava's hand and quickly told our pediatrician the play place story and showed her the bruising on Ava's hand. At this point, all four knuckles have dark bruises and the bruise shows up on the palm of her hand as well.

Our pediatrician took one look and sent us down for an x-ray. Our pediatrician's office is adjacent to the hospital, so at least this trip only involved an elevator ride and walk down a long hallway. She told me to just go home after the x-ray. She would call me and let me know. Well, I told the x-ray technician that we were just going to take off per our pediatrician's advice. He gave me a significant look and asked me to stay just 10 minutes while he made a quick phone call. I knew right then that the x-rays showed something and that he didn't want me to leave until he got a doctor to take a look.

As it turns out, there is at least one and probably two fractures in the bones of her hand. Just give me a parent of the year award. Yes, I let my two year old daughter walk around with a broken hand for five days. I only found out because I mentioned it in passing during the pediatrician visit in which her ear infection was diagnosed.

Here's her x-ray. It's pretty subtle. At least, it is subtle to my completely uneducated eye. But, I'm told there is a fracture. I have learned that it is possible to have a broken bone with no swelling and no restriction in movement. Our pediatrician told me that as soon as I noticed the significant bruising I should have called. Ahh, hindsight.

Later today I'll be setting up an appointment with a pediatric orthopedist. Let the fun and games continue.

Initial S: Free Speech Therapy Articulation Picture Cards

If you like this free S set you might want to check out the comprehensive S Speech Therapy Kit now available in the Testy Shop.

Description

These articulation picture card sets are designed to be more comprehensive than the typical sets you might find elsewhere. The target audience for these sets are young children or children with more severe speech delays that need intensive practice with sounds at a one-syllable level. No blends or vocalic /r/ sounds are included in these sets. (Scroll down to preview set.)

Key Features

• This set includes 30 therapy cards with the target word and picture on the front, and the difficulty level and a carrier phrase on the back.
• The words are all CV or CVC in syllable shape.
• The words are simple and are easily understood by or easily taught to young children.
• Combines the target sound with all possible vowel sounds at least once.
• Words are sorted by difficulty level for an easy progression from easy to hard.

Permissions

I give permission to copy, print, or distribute this card set provided that:

1. Each copy makes clear that I am the document's author.
2. No copies are altered without my express consent.
3. No one makes a profit from these copies.
4. Electronic copies contain a live link back to my original and print copies not for merely personal use contain the URL of my original.

Looking for Feedback

I would love to hear back from anyone who uses this card set. Let me know if you find errors or there is anything you would change. Comment on this page, or send me an email at testyyettrying(at)gmail(dot)com.

Where can I find more?

More sets are on my Free Speech Therapy Articulation Cards page.

Card Sets

To download click on the image to open it full size. Then right click on the image, choose "save as" and save the page to your computer.

I recommend you print on cardstock and laminate for durability.

Apologies and Remorse Serve a Purpose

Before our road trip to LA for the holidays my husband decided to get the oil change the minivan needed. He didn't have time to do it himself, so he took it to the dealer the day before our trip. While he was there, they reminded him about a recall repair that needed to be done and said they could do that too if he was willing to wait an extra hour. He agreed.

Several hours later they were finally done. He maneuvered the van through their lot and came to the driveway of the lot where he needed to stop and wait for a break in traffic before pulling out onto the main road. Simple enough. All drivers stop before pulling into traffic several times each excursion. It should have been simple this time too, except that his brakes didn't work.

After a moment of panic, he managed to pump the breaks enough to stop and then turned right around and went back into the service area of the dealership. And instead of apologizing profusely about how they put his life and the lives of others in danger, they simply said they'd take a look at it as soon as possible.

To make a long story short, he was told that the repairman neglected to "bleed the brakes." I don't really know what that means, but my husband assures me that it is an inexcusable error that resulted in dramatically reduced brake performance.

He never did receive an apology. He just lost additional hours of precious time. Upon hearing the story I was appalled. Their error risked his life and the lives of any vehicle that might have been in his path. We were just lucky that he had to stop to wait for a break in traffic. If he had been able to just pull out, the first time he needed to brake might have been at a busy intersection.

I can't believe they didn't apologize. And then call out a manager and get him or her to apologize. And then ask what they could do to make it up to us. I know we live in a litigious society and to apologize is to insinuate guilt and put yourself and your organization at risk. I'm guessing that is why he didn't receive an apology. However, as a wife who recognizes that her husband's life was endangered, my heart craves an apology. I'm not looking to sue anyone, I just want to see some sincere remorse for such a huge mistake.

Clearly, we'll never return to that dealership. Somehow that doesn't feel like enough though. The incident still lingers in my mind a month later. It pops into my head every time we brake.