Last night on a call at the local casino, they were playing Michael Jackson’s Beat It on the sound system.

RP did a credible imitation of MJ’s dance moves from the video, all the way down the central corridor of the casino in full view of an impressed bunch of casino patrons. What made it even more impressive was that he did it with a fifty pound ALS bag strapped to his back, and kept one hand on the stretcher the entire time.

I LOL’ed.

…I’ll be interviewed on Doctor Radio on Monday, April 6th from 7:00 am -8:00 am, EST.

Doctor Radio is carried by Sirius on Channel 114, and by XM Radio on Channel 119.

I’ll be talking out of my rear waxing philosophic about En Route, my career as a medic, med blogging, the continuing adventures of Sumdood, or whatever the hosts want to discuss.

Doctor Radio’s web page says they welcome callers, so call 877-NYU-DOCS with your questions if you like.

I keep having nightmares of an hour of airtime filled with chirping crickets and my Elmer Fudd impressions…

Updated to add: Sirius offers a free-three day trial that will allow you to listen to Doctor Radio on the internet on April 6th.

“Whoa. Don’t be too obvious, but check out the creature at the HHS booth,” TOTWTYR whispered out of the side of his mouth.

Predictably, Rogue Medic and I snapped our heads around as if they were on swivels, and gawked shamelessly.

“Yeesh,” Rogue Medic observed, stifling a gag. “Did you look that bad in drag?”

“No way. Dude, I was hot,” I sniffed haughtily. “I coulda passed for female. Well, at least, any female in my family, which isn’t saying much.”

“I’m not so sure that’s a tranny,” Rogue Medic mused. “That might be the way it looks every day. What do you think – male or female?”

“Male, I think,” I answered. “At least, I hope it’s male. A guy that ugly is just… sad. If it were a chick, it would be downright disturbing.”

“That, gentlemen,” opined TOTWTYTR, “is a perfect example of design by committee.”

“How do you figure?” Rogue Medic asked.

“Here we are at an EMS trade show,” he explained, “and this is what the .gov picks to man a recruiting booth. This is what you get when you order a booth babe built to government specs.”

That means you, Epijunky, Detail Medic, Sam, Medic March, Medic Matthew and others.

EMS1 is holding its second annual Excellence In EMS Award essay contest. Simply submit a 750 word essay or short story, either online or via e-mail, before April 20th. The winner will be featured in a profile story on EMS1, as well as receive an award and a cash prize.

Y’all get your submissions in!

Here’s where I’m supposed to say that we all get into EMS for altruistic reasons like wanting to help our fellow man.

But we really just do it for the chicks and the bitchin’ paycheck.

…because some panicky minimum wage badge-wearer found a couple of rounds of .303 British lying around just outside the secured area, and decided to put on an impromptu performance of monkeys fornicating with footballs TSA Security Theatre while they launched a search for the totally honest guy who forgot to check his pockets after a bloggershoot shooter…

…totally not my fault. Srsly.

I’m in Baltimore until the 28th. TOTWTYTR and I will be visiting Gettysburg tomorrow, then hanging out at EMS Today, probably at the National EMS Museum booth (#4001) or somewhere close by. Stop by and visit, peruse a little EMS history, swap a few war stories, or maybe even buy a cool tee shirt or bumper sticker, or a few books.

Or heck, if we can find a table to hold us all, we might just go take over some restaurant in the Inner Harbor and make nuisances of ourselves.

Looking forward to seeing old friends, and making new ones!

…alternatively titled, “How I talked smack to Jay G. and outshot him with his own gun.”

Sunday night, we met at Hilltop Steakhouse in Saugus, MA for dinner and drinks. Jay G lists those in attendance, and I’ll not repeat them here for fear of missing someone. Suffice it to say that a more amiable tribe of gun nuts you will never meet, and the only fanboy squealing done was by Yours Truly when the Munchkin Wrangler walked into the room.

The food was decent, but not great, but the conversation more than made up for it. We talked guns, and cars, and knives, and guns, and writing, bikes, cars, more guns, getting kicked out of Hebrew school, the best way to have sex with a goat (hint: it requires a boot, not a gun, and definitely shouldn’t be done at Hebrew school), why your favorite caliber sucks, and lots more stuff that I can’t remember.

And every person there could quote Princess Bride, Blazing Saddles and Monty Python at the drop of a hat, and be willing to drop the hat themselves.

Monday morning dawned slightly colder than your wife’s feet in bed, but the foolhardy among us ventured forth to Harvard Sportsman’s Club for a little range time.

Medic Matthew aired out TOTWTYR’s Smith .22 snubbie to the satisfying clang of hits on steel at 25 yards. And yes, it is entirely possible to make regular hits with a 2″ snub-nosed revolver at 25 yards on something smaller than the broad side of a barn. Even for Jay G. *snerk*

Reader Heath mugs for the camera while loading an AR mag. I didn’t get any pics of Heath shooting, mainly because I was too busy gawking in a “ZOMFG, I am totally *not* worthy!” sort of way. Besides rocking a wicked ’stache, dude shoots a pistol like friggin’ Doc Holliday. While wandering around the range, coon-fingering a delicious variety of weapons, I found Heath down there on the end, matter-of-factly busting clay targets with an 8″ Smith .22 revolver.

At fifty yards.

I watched for a few more minutes, then casually sidled back down to the other end of the range, toward people I have some hope of outshooting. Like Jay , for instance.

Aside from the bitchin’ facial growth and the impressive pistolery, Heath knows Breda and Mike (squee!) and traveled with his wife Amanda all the way from Cleveland for this shindig. As you can see, Heath also brought his lovely wife Amanda, who is no slouch with a handgun herself:

Amanda apparently took the balaclava off the last Tactical Tommy who made fun of her Smith and Wesson snubbie and called her “purty little lady.” Rumors that his head was still in it at the time went unconfirmed.

While I was there, I accepted Jay’s dare to shoot a cylinder of full-house .357 rounds out of his airweight Snubbie From Hell. After shooting it, I can only say that your tactics while using such a weapon should run something along the lines of, “Back off, asshole, or I’ll make you shoot this sumbitch.”

After allowing the throbbing in my trigger finger to subside, I took the liberty of putting a few mags through Bill’s Sig 556, his wife Liz’ Mini 14, Jay’s Bushmaster XM15, Mosin 91/30 and Remington 572, TOTWTYR’s 10/.22, SMLE and Schmidt Rubin, and JD’s AK 47 and Marlin lever gun in .45 LC.

Plus there were God knows how many rounds of .22 LR, 9mm, .45 ACP, .38 Special and .357 Magnum we put through the various Smith and Ruger revolvers, and Walther, Sig, Smith and Colt automatics. My hands and right shoulder are pleasantly sore. Here’s but a small portion of the brass we accumulated, not counting a couple bricks of .22 LR:

Near the end of the day, Jay hauled out his baby, a Colt Gold Cup National Match 1911 .45 ACP. After watching him put a few mags through it in a grouping that could be charitably described as “minute-of-berm,” I felt reasonably sure that here was someone I could outshoot. So I threw down the gauntlet.

“Jay,” I told him, “when you’re done indiscriminately throwing lead downrange, hand that baby to me and I’ll outshoot you with your own gun.”

After I totally owned him*, I handed it back with the observation, “In your hands, she’s Ugly Betty, but in mine, she’s Jenna Jameson. Just give her to me if she ever gets tired of being unfulfilled.”

All in all, it was more fun than a night with the Swedish bikini team in a vat of lime Jello. Many thanks to Jay for putting it together, and all the fine folks I had the pleasure of meeting. Let’s do this again one day soon!

*It was late in the day, he was tired, the sun was in his eyes, and his trigger finger was beat to hell from shooting that Marquis de Sade airweight pistol he likes so much. Not that I’m ever going to let him forget it.

Went out to dinner at a local steakhouse with a few of the Connecticut EMS officials and conference faculty. Among the things overheard at the table:

1. “But really, the dude was hot. Narrow shoulders, hands weren’t big, Adam’s Apple not that noticeable. If I hadn’t known the bar we were in, I’d have done him, for sure.”

2. “Actually, the size of the boot matters, because if it’s too short, the goat can get his feet out and kick the hell out of you. So yeah, it helps to have a few pointers from someone who’s done it before.”

3. “Well sure, his nuts felt normal, but who’s to say? His were the only nuts I’ve ever felt besides my own. I don’t really have a broad frame of reference.”

4. “No really, breaking a Dale Earnhardt commemorative plate is a major sin down there. Far more so than setting the couch on fire while you’re smoking crack under your Daddy’s roof. That kinda thing they can forgive. Defacing Dale, not so much.”

5. “No, you people talk funny. We operate a Consonant Foreign Exchange Program. We take all of Boston and Maine’s unwanted “r’s” and in return they give our “l’s” a loving home. We don’t use ‘em much anyway.”

6. “Is it just me, or do that bear’s eyes follow us around the room?”

“It’s just you, Ray. You’re a Jewish vegetarian from New York in a cowboy-themed steakhouse. This place must feel like a house of horrors to you.”

7. “Seriously, though. Mossy Oak Breakup cummerbunds and bow ties do look good with black tuxes. It was quite tasteful. My bride would have never gone for something so gauche as Shadowgrass. Those go better with white tuxes anyway, and white tuxes are fucking trashy, dude.”

You know, being from the South and all, we kinda take pride in making people feel at home. You might say that hospitality is our bidness.

Well, if my reception at the Connecticut EMS Conference is any harbinger of the kind of hospitality I’ll see for the rest of the trip, I’m gonna like my little sojourn into New England immensely. These are some genuinely nice folks, and they have a knack for making a humble paramedic feel like a rock star.

So much so, in fact, that in my proposals for next year’s conference, I’m gonna demand hookers and blow, and a punch bowl filled with green M&M candies, just to see if they’ll do it. That’ll be the ultimate test.

Tomorrow night, the Northeast Bloggers’ dinner, and meeting some of my favorite bloggers and readers, followed by shooting on Monday. I am way pumped.

Pics and snarky commentary to commence soon.

…myself, yet again.

This weekend, I’ll be speaking at the Connecticut EMS Conference in Hartford, CT on March 20th-21st. I’ll be signing books there as well, and rumor has it that, in addition to En Route, the old publisher still has a few copies of the old one still available at the sooper sekrit Sumdood discount. Buy the set, as it were, and I’ll sign ‘em both for you.

March 22nd I’ll be having dinner with the Northeast Blogger Bunch, and the next day we’ll be burning up some ammo at the range.

Woot!

Jay G. has been saying enough nice things about me to make a guy blush, but honestly I’m just looking forward to sitting down with some friends I haven’t met yet and having a steak and a few (dozen) brews. And God knows I could benefit from some shooty therapy.

On the 24th-28th, TOTWTYTR and I will be in Baltimore for EMS Today, where hopefully we’ll hook up with Rogue Medic, Cranky Professor, Voodoo Medicine Man, Epijunky and a few others. You can probably find us hanging around the exhibit area around the National EMS Museum booth or at the Emergency Bookstore, or failing that, any vendor event that involves free food and booze.

Come on by and visit, folks!

And while I am shamelessly self-promoting (God, my publicist and the ex-publisher would be so proud), here are some early reviews of En Route:

Peter Canning

Bob at The Eagle’s Nest.

#1 Dinosaur. Check out the comments on Dino Doc’s review. I think my mother is posting from beyond the grave.

For those of you who will be in Hartford, Boston or Baltimore, I look forward to seeing you there!

For you brand-new medics, a few little things to remember as you embark on this phase of your EMS career:

1. There is no Monro-Kellie doctrine for EMS crews. Their is no finite knowledge base to be split between you and your partner. Just because you have a shiny new paramedic patch doesn’t mean the EMT-Basic on the truck suddenly became stupid overnight. Try to remember that they have more to contribute to patient care other than being our personal pack mule, and they might just save you from making an ass of yourself one day.

2. Your paramedic class may have taught you the bare minimum medical knowledge you’ll need, but it didn’t teach you leadership and scene management skills. Those things, you learn on the street. And the best way to do that is remembering a) that you’re part of a team, and b) that a leader doesn’t ask a subordinate to do anything that he isn’t willing to do himself.

3. The paramedic patch on your arm doesn’t buy you any respect. To your partners, even the EMTs, you’re still the same marginally competent dumbass you were last week. You want respect, earn it. And the best way to do that is to practice The Golden Rule.

4. You may not believe it now, but your biggest mistakes early on are going to be made in Items 1-3, not because of some deficiency in your medical knowledge. If you’re smart, those mistakes will be few and far between, and your partners will work hard to cover your ass. If you’re a jerk, they’ll work just as hard to expose your ass when you do make a medical mistake. And you are going to make mistakes, Hero. Count on it.

5. The vast majority of the stuff you’re going to do on scene is BLS. Assessments, history, and interventions, it’s mostly BLS, and many of your ALS interventions can be done in the back of the rig on the way to the ER. That means the guy with the EMT-B patch is just as important on that scene as the guy with the EMT-P patch. They know how to do what’s needed on a scene just as well as you do. Do yourself and the EMTs a favor, and resist the urge to tell them how to do their jobs.

6. Remember that paramedic every EMT hated? You know, the one that treated you like you were stupid, micromanaged every aspect of patient care, called you out in public, and generally acted as if their personal feces were not odorific? Now that you’re a paramedic, try not to be that guy.

*A mysterious malady that seems to afflict a great many new paramedics. Some researchers postulate that the new medic, nervous and unsure of himself and hyper-aware of his new status in the medical pecking order, projects that lack of confidence onto others. Others theorize that paramedic patches refract and focus undesirable character traits much like a magnifying glass refracts and focuses light.

Blogs come and blogs go.

Tundra Medicine PA is hanging it up. If you haven’t read Tundra Medicine Dreams, you’re missing a beautiful portrait of medicine on the Alaskan frontier. Go read the archives and you’ll see what I mean.

Meanwhile, I’ve discovered a new EMS blog, Rescuing Providence. Go give it a read. It’s pretty good.

Lots of suggestions in the comments to the original post, some good and some not so good. Sedating the guy, wrestling with him for his gun, having the cops wrestle him for his gun, using the Hey, that’s a neat gun, can I see it?” ruse to talk him out of his weapon… all of those disregard the one thing that usually cures the problem with postictal seizure patients: Tincture of Time.

A little more questioning of the employer didn’t yield any answers as to why they see fit to arm a guy with a seizure disorder and then put him to work in a room full of chirping noises and blinking lights, but I did find out what they define as “rowdy.”

Turns out, if you crowd the guy and try to force care on him when he’s postictal, he’ll get a little combative.

Duhr.

Self-preservation is hardwired behavior, folks. The postictal guy doesn’t grasp that six people standing over him and talking at once are there to help. Trying to physically manhandle him only compounds the problem. He’s fuzzy and disoriented, and all of a sudden, there’s a room full of people he doesn’t know violating his personal space. Wouldn’t you be tempted to fight?

Doesn’t really matter in the patient’s addled mind that the physical touch is only to check a blood glucose or to take a blood pressure, it’s still threatening physical contact.

So I’ll tell you what I did and the thought processes behind my actions, not necessarily to suggest that what I did was the right way to handle things, but to demonstrate one way of dealing with the situation that worked.

In this instance.

Heck, the night before this happened, a postictal seizure patient found himself taken down violently with me kneeling ever-so-gently between his shoulder blades until the cops could get him cuffed. I approached that guy the same way I approached big boy with the gun – give ‘em some space and some time, but be ready to act.

The difference was, the guy who got taken down posed an overt threat, both by body language and direct actions.When he tried to pick up my oxygen tank and swing it at me, it was time to quit talking and start restraining.

So he got restrained. Decisively.

Big Boy with the gun posed no such threat. He was as docile and cooperative as could be…provided you didn’t try to take his weapon or make him go anywhere against his will. As long as I talked to him, he’d answer all my questions agreeably and do whatever I asked, short of giving up his weapon and getting on my stretcher.

Of course, the first ten minutes of the patient interview went something like this:

AD: “Sir, I’m AD of Borg. I’m a paramedic, and I’m here to help. Can my partner here check your vital signs?”

Armed Big Boy: “Yes.”

AD: “Sir, do you know what happened to you?”

ABB: “Yes.”

AD: “Sir, do you realize you had a seizure? We need to check you out, okay?”

ABB: “Yes.”

AD (sensing a pattern to the guy’s answers): “Sir, if we can find ballerina slippers and a tutu in your size, would you do a few pirouettes for us? Preferably, while playing Feel Like Making Love on the harmonica? It’s a standard part of our assessment.”

ABB: “Yes.”

AD: “I think it’s safe to assume that ABB is not exactly lucid.”

Employer: “He’s got a gun, and he’ll get rowdy with you. That’s not safe.”

AD: “Sez who?”

I noticed that he was armed when I first made contact with him. Didn’t know what it was, because he had it in some cheap Uncle Mike’s (an oxymoron, I know) knockoff with a cover flap and snap closure. You could only see the end of the gun’s butt. No duty belt – he had it threaded on his trouser belt. He had his left hand resting atop the holster. Every time I moved his arm, palpated his pulse, slipped on a pulse oximeter probe, whatever, that hand kept coming back to his holster.

I suppose if you were uncomfortable with guns, that would seem threatening. To me, it meant training. I don’t know how extensive his rent-a-cop weapons training was, and considering that his employer armed him, with a history of seizures, and then assigned him to a casino, I’d suspect that their weapons training was no more stringent than their employment screening.

Be that as it may, it was pretty obvious that, no matter how disoriented he might be, Big Boy was concerned with weapon security. He’d likely practiced it enough that it was an unconscious act – just as it should be when you carry a weapon. Rogue Medic pointed out as much in the comments:

Some people play with their genitals when they are post-ictal. This does not indicate that they like you. The guy is not oriented. You do not know what he will do.

No, what people do is revert to habitual, hardwired behavior when they’re postictal. Like playing with their genitals. Or weapons retention, if they’ve trained with it enough. They’re operating entirely on instinct.

[side note: Please Lord, never let me have a seizure in public. At least not when I'm wearing clothing that allows me easy access to my genitals.]

And I suspected that any attempt to take his weapon from him would have resulted in things going, as LawDog would say, rodeo.

Now, it may well be that the situation would go rodeo anyway, but why hurry things along unnecessarily?

So I had Rookie Partner radio the cops, and our supervisor. And while I was waiting for them to arrive, I kept my hand on Big Boy’s wrist, ostensibly to check a pulse, but mainly to keep my hand between his and the flap on his holster. As long as I didn’t try to touch his holster, he had no problem with it – and I did try, surreptitiously. He noticed, so I let it go. It was pretty obvious to me that I wasn’t going to get that gun out of its holster without a struggle.

On the other hand, it was also obvious that he wasn’t going to get it out of his cheap-assed holster without a struggle either. If he ever needed it in a hurry, some perp would be likely to empty a full mag into him before he ever cleared nylon.

So I had a brief word with RP and The Supervisor Drone, and we had our take-down plan worked out, if it came to that. The cops were on the way, in the hopes that Big Boy would be more likely to give up the weapon to a peer with a badge, not some schmo in a polo shirt.

By the time the cops arrived (remember that when seconds count, the cops are only 23 minutes away!), Big Boy was no longer a threat. He was refusing care, and I didn’t relish fighting him to take him to the ER against his will. His mental status was improving by the minute, so I stayed there with my hand
on his wrist, all while gently trying to convince him to go to the hospital. I wound up questioning him until I was certain that he was lucid enough to make an informed refusal of care, and he signed an AMA form and his employer called his wife to drive him home.

And as it turns out, he wasn’t willing to wear a tutu and play Feel Like Makin’ Love on the harmonica, after all.

Almost two years ago, a certain agency tired to hire me to teach their paramedic program. The job basically involved building an education program from the ground up – no small task, that.

I named my terms, and they agreed to them. I set to work doing the preliminary steps necessary for such an endeavor, but before the class was set to begin, they came back to me proposing new terms.

Counter proposals were made, and counter-counter proposals, and I wound up offering to do the job for a good deal less money than I had originally agreed to, in return for certain other perks that were well within their power to grant.

They told me they’d kick my proposal upstairs with their enthusiastic endorsement, and get back to me.

Six weeks later, I got tired of waiting and called them. Turns out they had hired someone else to do the job for a cheaper price, and not seen fit to tell me. It stung a bit, but I wished them well, warned them that they’d get what they paid for, and wrote it off as a lesson learned.

Yesterday, they called me back. Seems the person they hired wasn’t qualified for the job, a little fact they failed to check when they hired her. And now they really need that paramedic class, seeing as how they’ve been dicking around for two years trying to get something for nothing, and they’ve had a few medics leave since then.

Oh, and by the way, just how much would it cost them to hire me to do the class, as close to yesterday as possible?

I started to tell them that window is already closed, but instead I think I’ll just tell them straight up how much it would really take to hire me away from The Borg to come put up with their penny-pinching bullshit. Not that they’re gonna be willing to pay that amount, of course.

I just wish I could see their faces when I name the price.

Heh.

Let’s say you have a postictal seizure patient. Right now, he’s not really lucid, but at least he’s not combative.

Let’s further suppose that this fellow is about 6′5″ and 400 pounds.

And the fellow is an armed security officer. His employers want you to secure his weapon. They say he’s been known to get a little rowdy after a seizure, and they’d prefer he not be armed when or if that happens.

Now, you know the guy is out of it and incapable of making informed decisions at this point, and hopefully it’s only a matter of time before he’s awake enough to respond appropriately. And like I said, he’s not combative at the moment.

But he likely will be if you try to take his weapon, because you’ve noticed that the one thing he does seem to be acutely aware of is his weapon security. You know this because during your assessment, you’ve noticed that his left hand keeps going back to a resting position on his belt, just forward of the thumb break on his duty holster. It may well be that he’s trained enough so that one act is ingrained, and any attempt to take the weapon is going to set him off.

So what do you do?

Chime in with your comments, and then I’ll let you know how I handled it.

The good news is, the Chronic Honesty Deficiency that contributed to Bitchy Partner’s firing has now resulted in her dismissal from paramedic class.

The bad news is…well, there is no bad news there. Not only is she not likely to become a paramedic any time soon, her choices for another paramedic class in this neck of the woods are the program she was just booted out of, and…

…me.

Heh. Now that would be poetic justice.

Rookie Partner (listening to radio traffic): “Dude, that’s like the fourth assault call in the last hour and a half.”

AD: “Same bunch of thugs, probably. All multiple assailants, wielding sticks. Gotta be the same bunch.”

RP: “Last guy said they were Mexican kids. Some kind of gang initiation, maybe?”

AD: “Either that, or they’re looking for someone who will rain candy when they whack him with sticks. Then they might stop on their own.”

Behold, I am Google’s #1 result for “knuckle-dragging, mouth-breathing dumbass.”

And my high school guidance counselor said I’d never amount to anything!

MiniKat of Little Thoughts From An Average Mind was kind enough to gift me with a blog award:

Thank you, Ma’am! I’m supposed to pass the award along to fifteen of my favorite reads, but since MiniKat already covered about half of those, I will simply direct your attention over to my left sidebar, where I list the Blogs I Read Every Day. Any of them is a worthwhile place to spend your time.

In other news, my column for EMS1.com was nominated for a Maggie Award in the Best Regularly Featured Web Column/Trade category.

The Maggies are given out by the Western Publishing Association to highlight excellence in print and on-line media, and EMS1’s parent company, Praetorian Group, garnered an impressive eight nominations.

Suh-weet!

I know that my posting has become more sporadic as of late, but bear with me, folks. Between work, deadlines and other commitments and a raging case of Chronic Empathy Deficiency, the muse has forsaken me for the past several weeks.

Lately she’s been murmuring inspiration in my ear, though, so I’ve got some stuff percolating. As soon as I get some paid continuing education articles written, I’ll update you on the latest adventures of Sumdood.

It wasn’t so long ago, the time in my life before this whole adventure started. It was only six years for me; a small fraction of the years that I’ve lived, yet those years span the entirety of your life. You’ve never known life without me in it.

Yet I can remember most of my life without you, although that time becomes increasingly vague in my memory. You were the epiphany, the understanding I’d long sought, but never fully appreciated the wonder of until the day you arrived. It’s hard to explain how it feels. I suppose every father struggles with the same thing. How do you tell your children just how much they mean to you?

I decided to write a letter.

Not just any letter, mind you. It was my first letter to you, and I wrote it in the hours before you were born. In it were my hopes for your future, and my fears, and my wonder at the miracle your mother and I had wrought. It held everything I wished for you, and everything I hoped to be as your father, the man privileged to guide you along your path in life.

I wanted to get it all on paper right then, when it was pure and unsullied by the inevitable mistakes of parenthood. I had this silly, romantic notion of giving it to you when you were older, on your eighteenth birthday perhaps, or some other day when you were utterly convinced that your parents were hopelessly out of touch, or intent on ruining your life.

I’d hand you the letter, and you’d see for yourself how I meant it to be. You’d understand how it was for me when this adventure started. You’d realize that, despite the mistakes I had made, my intentions were good. You’d have some inkling of how profoundly a parent can love a child.

And I did it, too. I nailed it. Words never came so easily. It was funny, and it was poignant, and it was moving. It was the best thing I’ve ever written, even if some of the words were a bit smudged. I had something in my eyes as I was writing it, you see.

And now I can’t find the damned thing.

File cabinets, lock boxes, desk drawers…I’ve turned them all inside out. Between three moves and a divorce, there’s no telling where it may be. Nestled between the title to my ‘84 Ford Ranger and my original birth certificate, no doubt, never to be found again.

So I suppose what I should do is start over, because ink may fade with time and paper may grow brittle with passing years, but as anyone who has ever posted something embarrassing about themselves on their MySpace page will tell you, the Google cache is forever.

I suppose, when a child is finally old enough to ask, that every parent tells their child that they were planned. Perhaps a few choose total honesty and gently tell their children that their conception was an accident, but a happy one nonetheless. Or perhaps they do like my mother did, and tell me that she was reasonably sure I was the fruit of the collective passions of the 1968 NLU Indians football team.

Or maybe it was the basketball team. The booze made it hard to remember, but she thought I looked a lot like the quarterback. Or maybe it was the starting point guard. Like she said, the booze made it hard to remember.

So my advice to you is, if ever you feel compelled to ask, hope that you’re still young and impressionable enough that I either give you the gentle lie, or the honest answer. If you wait until you’re a teenager, I can’t guarantee I won’t tell you something outrageous, just to see the look on your face. I am my mother’s son, after all.

But if you’d really like to know, you were conceived in a moment of fevered passion in the neighbor’s laundry room. There was a pool party going on, and we were washing beach towels…well, let’s just say that the music was loud, the booze was flowing, the washing machine was on spin cycle…

…and your Mom was all sweaty and glistening. She bent over to clean the lint trap, and all of a sudden it was bow chicka wow wow! At least, I’m pretty sure it was your Mom. The booze makes it hard to remember clearly.

Now I’ll pause the letter for a moment as you vomit at the thought of your parents ever actually – gasp! – having sex. Take your time, I know it’s a revolting thought. The first time I ever contemplated the thought of my folks doing that sort of thing, I was skeeved out for a month.

Regardless of how it happened, rest assured that nothing about your coming was accidental. Not on my part, or your Mom’s.

Or for that matter, even God’s.

One pound, fourteen ounces, and nineteen inches.

That’s how small you were when the doctor pulled you from the womb. That’s roughly 850 grams, considerably less heft than that liter bottle of water that you see me drinking from so often. By comparison, the average adult fox squirrel is considerably bigger, and a big one will weigh twice that. My friend Bodie made that very observation when he first laid eyes on you, lying there in your NICU isolette.

“Hell son, she ain’t no bigger’n a skint squirrel” he said wonderingly. “You say the word, and I’ll smuggle her outta here under my hat. I got a shoebox in the house y’all can use as a crib.”

It wasn’t supposed to be that way, you know. You were to be a Valentine’s baby, the perfect gift your mother and I could envision for each other, and yet you came before Thanksgiving. It was a very scary time.

Consider that big babies run in your family. All your aunts and uncles weighed more than ten pounds, with a couple of thirteen-plus pounders thrown in there as well. Your Aunt Troll and I were twins, and we weighed eight pounds apiece. Your Grandpa buried two of his own twins before your mother was born, and each of them weighed more than you. Thirty-five years ago, babies your size simply didn’t survive.

So I wasn’t the only one paralyzed by fear that night. We all were, your Grandpa the worst. I was outwardly calm, because it is in my nature to be so, especially when everyone else around me isn’t. I was ready to be a father, but I wasn’t ready to bury you before I even got the chance to hold you, or to feel the rise and fall of your chest as I held you to mine, or to feel your tiny hand clasp my finger. Not before I fed you your first bottle, or changed your first diaper, or heck, even gave you away at your wedding.

I just wasn’t ready for that.

And so, the night of your birth found me on my knees in the hospital chapel, praying like I’ve never prayed before or since. I wept, and I prayed, and I wept some more, and I bargained with God, offering anything I could, including my own life, if you could be born healthy and whole.

And when you the doctor drew you forth, still blue as a Smurf and impossibly tiny, you started your life by defying expectations.

At 28 weeks, you weren’t supposed to be able to cry. Yet you did.

You weren’t supposed to breathe on your own. Yet you did.

You weren’t supposed to be able to suckle on your own. Yet a week later, the physical therapist came to our room, shaking her head in consternation, and suggested that we buy some preemie pacifiers for you, because apparently nobody had told you that reflex wasn’t supposed to be developed yet.

In my heart, I’ll always believe that my prayers had something to do with that. Not because I have a special conduit to God, or even because I know Him all that well, but because I believe he sees into the heart of the person praying, no matter how clumsy or eloquent the words.

I tell you this not to convince you of the power of prayer, or even of the existence of God. I’d hope that we’d raise you knowing God’s word, as I promised Him that night. Whether you worship as a Baptist like your mother, or an Episcopalian like me, or any denomination you choose, doesn’t matter to me. If you choose not to believe at all, I’ll be disappointed, but I will love you none the less.

I tell you this simply to make you understand that, even if you don’t believe that prayer works, there are things in this life worth praying for. If you pray, do so for the things that matter.

Those things aren’t the promotion you’re hoping for at work, or winning lottery numbers, or a good grade on that math test, or for your favorite team to win the Super Bowl. Pray instead for the health and well-being of others. Pray for your brothers and sisters, your friends and neighbors, even your enemies. Pray for the safety of a soldier. Pray to ease the suffering of the sick. Pray to assuage the grief of someone who has lost a loved one. Pray that others may find common ground between them, and cease their fighting.

Pray, as I did, for the life of your child.

God sees the love behind such prayers, no matter what words they’re couched in. And, I suspect, even if the prayers aren’t directly addressed to Him.

**********

I watched you for the first month through a thin sheet of Plexiglas, at most able to touch only your tiny hand or foot. Babies born at your age still have raw, undeveloped nervous systems. The slightest stimulus can cause them harm, so they put you in the Mushroom Room with the micro-preemies. They keep it dark, warm and quiet in there, the only noise the hiss of oxygen or the hum of machinery. NICUs are not as quiet as you might think, but in the Mushroom Room, everyone speaks in hushed whispers.

From the beginning, your Mom and I flouted the NICU visiting hours. We knew your nurses, knew your doctors, and most importantly we knew the security code to get through the doors. So we’d show up whenever we could, and we’d spend hours next to your isolette, whispering together, marveling at the wonder of you. Occasionally the nurses would run us off for a few hours, but I think they knew they wouldn’t be able to keep us away for long. Plus, we were low maintenance parents. The second time someone replaced your orogastric tube, it was me doing it. If a diaper needed changing, or a monitor needed troubleshooting, they trusted us to do it. If the baby in the next isolette had an apneic episode, I stimulated him until he started breathing again.

Actually, the nurses kind of frowned on that. “Only on your own baby!” they’d admonish. Sometimes I have a hard time turning the paramedic part of me off.

After a few weeks, we were allowed to hold you once a day. They had a program called Kangaroo Care, where preemie babies are held against their mother’s bare chest, skin to skin, to promote bonding. Infants need nurturing and touch, and the sooner the better. The quicker we could hold you, they told us, the better you’d do. As long as you could maintain your body temperature, they’d let your Mom hold you against her chest for an hour each day.

They didn’t count on me.

I don’t know if most fathers didn’t normally assert themselves over such things, but I think it surprised them when I insisted that I be allowed to participate. Damned if your Mom was going to get all the snuggles, not after I kept vigil over you through a Plexiglas barrier for nearly a month. I was not going to be denied the chance to hold my daughter.

And so I snapped photos and beamed proudly all through the first visit, and then I went home and shaved off all my chest hair without telling anyone. I didn’t know whether the hair might irritate your skin, or be a source of infection, or if it was even necessary. I wasn’t taking any chances.

And on the next visit, I hip-checked your Mom aside and firmly told the nurse, “My turn.” She flashed me a surprised look, burst out in a guffaw when she saw my freshly shaven pecs, and handed you over. Somewhere in a display case in that NICU, amid all the Polaroids of proud mothers holding their babies for the very first time, there’s one of a burly guy with a goatee holding this impossibly small little thing against his chest, and he’s crying like a frickin’ baby.

Little did I know that would start a tradition. For five years, rarely a night passed when you didn’t start it with your head on my chest and your hands toying with my chest hair in your sleep. You may have ended the night in your crib, but it always started with your head on my chest.

Sometimes I think I’ll always feel the ghost of it there, even after you’re grown and gone.

There were many times during those sixty-one interminable days you spent in the NICU, when I’d let myself in after a particularly rough shift on the ambulance, pick you up and hold you to my chest until that baby scent banished the horrors of the day. More than once I was woken up by the gentle but insistent voice of your nurse.

“It’s late,” she’d whisper sympathetically. “Go home and get some sleep, and come back in a few hours.”

I doubt the nurses understood how much I needed that contact with you, how much it calmed and centered me. Or perhaps they did, and that was they turned a blind eye to me ignoring the posted visiting hours.

You see, it wasn’t long after you were born that we got the first bad news. Your brain had hemorrhaged while you were in your Mom’s womb, perhaps two weeks before you were born. It was a bad bleed; a Grade IV intraventricular hemorrhage with right periventricular leukomalacia.

Look them up if you want to. The internet is full of scholarly articles on the condition. You can read the percentages of children with the condition who are afflicted with blindness, seizures and profound mental retardation. Scan through the articles that say cerebral palsy is a virtual certainty. Heck, you might even stumble across the one that wonders whether it might be ethical simply to let babies like you die, given the dismal prognosis.

And you can ask yourself if any of those dry and sterile statistics encompass you.

You see, none of the medical literature is capable of quantifying hope, KatyBeth. Whenever your path in life takes its darkest turns and despair gnaws at your soul, remember that you can always beat it back with hope. You’ve been able to from the first moment you drew breath.

The fact that you’ll read this letter someday is proof of that.

**********

Parents of newborns quickly develop a routine, which can best be described as totally subject to the whims of that demanding little being you created.

Every parent can commiserate with the tales of colic and late-night feedings and endless diaper changes. And until you’ve raised a child, a cry is a cry is a cry. But every mother will appreciate the differences between poopy cries, hungry cries, sick cries, and the omnipresent “I’m pissed because you people are not worshipping me in a manner befitting my regal infant stature” cries. It’s just something parents pick up.

We’d been prepped by books, and the advice of well-meaning friends, and our own experiences with our nieces and nephews. We were medical professionals, well-versed in how to manage a fever, how to coax a child into taking medicine, and when to quit screwing around and bring you to the doctor instead of treating your symptoms ourselves. We had months to plan, coordinate schedules, prep the house, stock up in baby formula and diapers , and set up your nursery. We were prepared.

Yeah, right.

NICU nurses like to play a cruel trick on new parents by carefully arranging their preemie patients in their isolettes in a fetal position; face turned to the side, arms and legs carefully tucked beneath. The longer the stay in the NICU, the more the infant becomes accustomed to the position. You spent two months there, sleeping that way.

Problem is, every known pediatric reference in the world trumpets the SIDS-prevention mantra, “Put your baby back to sleep.”

Couple that with the fact that they saw fit to change your formula the day you were discharged from the hospital, and the two combine to form the Perfect Storm of Colic. For a solid month, until a high-calorie version of your original formula became available in grocery stores, the only way you could sleep, at all, was curled up in a fetal position on my chest.

We lasted three days before we broke our vow that we’d never let our baby sleep with us.

I won’t even mention all the other parenting “no-nos” we committed. Some of them were willful, because your Mom and I harbor the suspicion that most authors of parenting books are childless asexual psychologists who are totally full of shit anyway, and some of them were inadvertent – like the times we let you roll off the bed. Others still were committed just because we thought it was cute – like encouraging you every time you sang Tequila Makes Her Clothes Fall Off.

Actually I’m not sure that last one was a mistake. A cute blonde girl that can sing country music can pretty much write her own ticket.

But none of that prior experience and parenting advice is of much use when your child has cerebral palsy. All of the things other kids pick up naturally, you learned through endless, painstaking repetition. Those milestones other kids reach effortlessly at the proper times outlined in those parenting books, you reached only through supreme concentration and an iron will, sometimes months or years later than your peers.

But reach them you did.

And so we learned a new frame of reference, and new ways of doing things. We learned to celebrate smaller milestones, and keep faith that you’d reach the bigger ones soon enough. And for the most part, that faith was rewarded.

Still, the learning curve was a bit steep.

You can flash a huge smile and coo, “Open up the hangar and let the plane fly in!” when your little tyke doesn’t want to eat her strained carrots, but neither the plane nor the technique really fly when your child physically recoils at the texture of her food.

A little Karo syrup in the formula works wonders when most babies are constipated, but when your child’s digestive system is impaired because of the brain damage incurred before she was even born…yeah, not so much.

Distinguishing between the poopy cry and the hurt cry is usually pretty easy, except when pooping happens to be excruciatingly painful for your child. But it doesn’t really matter. Your child is crying, and you do whatever it takes to comfort her.

Mealtimes are supposed to be happy times for families, but what do you do when both father and daughter dread every single feeding? It wasn’t so much the food as what came after.

You’ve asked me before why you can’t run fast, or do jumping jacks or pushups in gym like your friends, and your Mom and I have always taken the coward’s way out and told you that even though God gave you a left arm and leg that didn’t work so well, He blessed you instead with brains and an impish sense of humor. Cerebral palsy robbed you of the full use of your limbs, we’d say, but you have other gifts.

What you don’t remember is what it took to get you even as far as you have come. Every day, I say a thankful prayer that you don’t remember, and hate me as a result.

Your cerebral palsy manifested itself as spastic diplegia, leaving your legs and hips impossibly stiff and immobile. Had you continued as they were, you’d have found it impossible to crawl, or walk, or even roll over. Left long enough, they’d have frozen that way, leaving you confined to a wheelchair in a twisted, fetal bundle.

The only remedy, they told us, was to stretch your limbs, try to restore whatever range of motion we could. We’d have to stretch you every day, the more the better. And so, every day, after every feeding, I’d lay you on the bed, and I’d stretch your legs and arms. Hamstrings, heel cords, hip flexors, biceps and triceps, wrists and ankles…

…and every minute of it threatened to rend my soul in tatters.

I’d bend your unyielding limbs in all the ways they were supposed to move but wouldn’t, and in many ways that seemed unnatural, and you’d scream in pain throughout the entire ritual. You’d cry out, unable to fight back or even pull away, and I’d press on, praying in vain for some way to immunize my ears against the sound of your cries. Every session ended the same way – both of us sobbing brokenly, with you clutched against my chest, me begging for your forgiveness.

Every day. Five or six times a day. Ten minutes at a time.

I reached a point where I sought reasons to be elsewhere at feeding time. Throughout our marriage, and those two months you spent in the NICU, I was always the one to be stoic and strong for your Mom. I think nature equips men to play that role.

But nature does not equip us to inflict pain on our children, no matter the reason, without leaving a scar somewhere on our psyche. I know it scarred mine. Part of the reason I’m such a pushover where you’re concerned is because I’ve never quite convinced myself that you could forgive me for inflicting so much pain. Your Mom turned out to be the stronger of us in that regard. At least she can still tell you no.

**********

It’s a story about expectations, and loss, and dealing with disappointment. If you’re a cynical person, I suppose you could boil it all down to a trite little saying like, “When life hands you lemons, make lemonade.”

But I’d hope that we haven’t raised you to be cynical, and your cerebral palsy certainly isn’t something so trivial as a lemon. But if you read it, I mean really read it, you’ll realize it’s not so much about making the best of a bad situation as it is about refusing to let disappointment blind you to the gifts you already have. My greatest fear is that, somewhere along your path in life, you’ll make that mistake.

What a tragic mistake that would be, that you fail to recognize your own gifts, or those of the angels who helped you discover them.

You met the first of them when you were still in the NICU. Nurses fought to be the one to take care of you. Everyone wanted to look after the amazing little girl who had such a devastating brain injury, yet showed so little sign of it. When your neurologist saw you for the first time, he walked back to the nurse’s station and said, “Excuse me, I’m looking for the Grayson baby. Have they moved her?”

“That’s her,” the nurse chuckled. “Isolette #4. If you wait a few more minutes, you’ll meet her parents. They went down to the cafeteria for lunch.”

“There has to be some mistake,” he explained. “The baby I’m supposed to see has a Grade IV bleed.”

“That’s her,” That’s the nurse insisted. “And if you think she’s impressive now, wait’ll you see her CT scans.”

“I’ve seen her CT scans,” he said wonderingly. “I just don’t believe what I’m seeing now.”

One of your nurses told me that story after Dr. Pena left, and I was reminded of it barely a week later, after he gently, but bluntly, told us exactly what obstacles you faced. I was driving home, wondering how I’d ever be up to the task of raising you, when Natalie Merchant’s Wonder came over the radio:

Doctors have come
from distant cities,
just to see me.
Stand over my bed,
disbelieving what they’re seeing .

They say I must be one of the wonders
of God’s own creation,
and as far as they see they can offer
no explanation.

I’m not sure if he’s even heard the song, but Aristoteles Pena-Miches has called you one of God’s wonders more than once since then, and when you look into his eyes you can tell he believes it. It’s not just something he says to reassure frightened parents. He truly thinks you’re a miracle. So does every nurse, therapist, doctor or teacher you’ve ever had.

Who am I to disagree with them?

**********

What they don’t see is how you hate failing at something. They’ve never heard you scream in frustration as you struggled, again and again, to master a new skill. They’ve never seen you keep at something until long after your therapists were willing to let you quit.

And every good therapist has a streak of sadist in them. They’re not doing their jobs unless they’ve pushed their patients beyond where they thought themselves capable. With you, they never reached that point. Not once. You may have failed to reach a goal, or ended a session in defeat, but not once did you quit.

And when you refuse to quit, you’re never defeated. Try to remember that.

Sometimes, that got in your way. Your therapists were so good at motivating you, and your desire to please was almost as strong as your willpower, that when you failed, you’d collapse in a screaming fit. You’d arch your back, clench your fists, and kick your legs…and all that muscle spasticity would come right back, threatening to erase what little progress you had made.

So, with the advice of your speech therapist, we taught you coping mechanisms. Simple parenting skills, really. When you cried or screamed inarticulately, we encouraged you to verbalize your frustration instead. Instead of crying, we taught you to say, “I’m mad,” or “I’m sad.”

Little did I know we were creating a master manipulator. It wasn’t long before you mastered the puppy dog look, and the pouty lower lip, and that quavering, on-the-edge-of-crying, heartbroken delivery. Powerful tools, those.

Just remember they don’t work on me. I know what a badass you can be.

So seriously, stop with the puppy dog look.

I mean it. You’re not fooling me. That lower lip thing ain’t working either. You have homework to do.

Okay, okay, okay… you can have an ice cream sandwich. But not until you’ve finished your homework and cleaned your room. What do you think I am, a sucker?

**********

But fear can be a handicap when we let it limit us, KatyBeth. And your mother and I promised ourselves, and you, that the only handicaps you’d have would be the ones that absolutely cannot be overcome.

And fear can be overcome.

You master your fear in the same way you have mastered everything else – by facing it, and refusing to quit until you’ve won. The willpower that helped you to crawl, and walk, and talk, and everything else you do that the odds said you couldn’t, is the same willpower that will help you master fear. Trust me when I say this, the things you fear will never hurt you as much as the limitations you accept for yourself by not trying.

There are people, even those who love you, who would encourage you to accept those limitations, because they also fear. They fear you being hurt, or experiencing disappointment. They mean well, and they would protect you if they could.

Don’t listen to them. Don’t let their fears become yours.

Fear tempered with common sense and discipline equals caution, and caution is a good thing. We want you to be cautious. But unreasoning fear will cause you more harm than snakes, or loud noises, or big dogs, or rambunctious kids ever can.

In your life, you’re going to fall down. You’re going to be hit. You’re going to get bitten. Mean kids will say cruel things. Boyfriends will break your heart.

But those things can never really hurt you unless you allow fear to convince you not to get back up, or defend yourself, or shun every dog you encounter, or refuse to dance because some little punk made fun of your funky moves. And when it comes to heartbreaking boyfriends, you leave them to me. I’ve got guns, acreage and a backhoe. After the first one disappears mysteriously, every suitor after that will treat you like a queen.

There was a time, when you were just past three years old, that I took you to a local seafood joint after a long day on the river doing things on the jet ski that no doubt would have terrified your mother and your grandparents. We were tired, and hungry, and just a little sunburned, and we tied my jet ski to the dock and found ourselves a seat on the patio, and ordered.

And shortly after our food arrived, the deejay cued up the karaoke machine and started taking requests. That absolutely blew your mind. I mean, here were all your favorite things – people, and music, and a microphone! And they’d let anybody just pick up the microphone and sing! And everybody listened and clapped!

It wasn’t long before you were bugging me to let you sing. So I led you up front, hoisted you onto the stage, handed you the microphone, and whispered to the deejay to cue up Drift Away. And when the music started playing, you looked out at the audience…

…and froze.

I watched you stand there, terrified, until I realized that no sound was going to escape your lips. So I walked back up to the stage, sat down and put you in my lap, and motioned for the deejay to start the song again. And then I swallowed my fear, and we sang the song as a duet.

Your voice was faint at first, barely audible, but by the time we reached the first chorus, you were belting it out. And by the time the song ended, you were singing your little three-year-old ass off as if you were channeling Dobie Gray himself. And when it was over, people clapped.

Clapped, hell, they gave you a standing ovation. They whistled and cheered, and asked for an encore. And I just hoisted you onto my shoulders and basked in your glory as we made our way back to our table. When I asked for the check, the waitress told me one of your new fans had paid for our meal. You were a rock star.

Remember that. Never will your star shine so bright as when you are being bold and fearless.

**********