Wednesday, January 13, 2010

The Pink Shiny Booger

It was late into the evening shift when I walked into a room to find a very embarrassed mother holding her toddler girl in the corner chair.

I introduced myself to Mom and then asked what brought her and her child to the ER this night.

"This," she answered, holding up a light-pink bead necklace. Mom explained that it was from a toddler game that involved spinning an arrow and collecting jewelry at various stops on the board. I am familiar with the game, actually, having won it a rare time or two against my kids (yes, my proudest moment as a father). Lucky for this little girl, I didn't have time to play tonight.

"Somehow," Mom continued, "Rachel broke the pink necklace and was able to pry apart several of the beads. Right before going to bed, we noticed this." With that, she placed her hand gently on Rachel's forehead and extended her neck, giving me a clear view of a smooth, shiny pink "booger" in Rachel's left nostril.

I had to smile. If you are a parent and have never had to deal with a foreign body in your child's ear or nose, consider yourself lucky. I'm knocking on wood, but we never had to deal with this problem, either. Something tells me, though, that I just jinxed myself. Rachel's mother, however, would not be included in this lucky group.

Rachel's mother continued to tell me everything they did to try to get this pink booger out. Q-tips. Tweezers. Tickling Rachel to make her laugh. Having her blow out of her nose. Hanging her from her feet for an hour from the house beams. Relax, just joking there. If anything, though, Mom felt their efforts may have made the bead go further up.

I taught Mom what to do at home if this ever happens again. Sit Rachel upright. Have her breath through her mouth. Have her take a deep breath in through her mouth and blow forcefully out of her nose, while plugging the unobstructed nostril. Sometimes, parents have even tried to blow forcefully in their kid's mouth to achieve the same response.

When all else fails, or if there is ever any struggle to swallow or breath, an immediate ER visit is necessary. With Rachel, who was quite comfortable sitting in her mother's lap, our options were simply to retrieve the bead with a suction-tip catheter, a hooked probe, or "alligator forceps," these very cool long-nosed forceps that reach easily into fairly tight spaces. Among the options for Rachel, we used the forceps first.

We got lucky with our alligator forceps on the first attempt. Rachel, cooperating and lying comfortably on her back in the cot, was a stellar patient. She let me reach into her nose and grasp the pink bead quite easily.

As I pulled out the bead, we all clapped for Rachel while she clapped along. Mom was relieved, obviously. Rachel, after getting an Italian ice and a handful of stickers, was discharged to home with an ENT follow-up appointment.

"That was too easy," the nurse commented as we watched Rachel and Mom leave.

An hour later, guess who was back. Yep, you're good--Rachel and her mother. They were requesting me.

I walked into the room, already laughing and shaking my head. "What happened?" I asked Mom.

If Mom was embarrassed before, now she was outright frustrated. "You'll never believe it," she started. "While we were here earlier, my husband cleaned up the game and swept the floor in Rachel's bedroom. When we returned home, guess (she nodded at Rachel as she spoke) who found a lone bead under her bed?"

I knew the answer. Mom continued. "I tried to do everything I could, but I just can't get this bead out. I am so embarrassed to be here again."

As she finished talking, Mom, being a good sport, started a laughing fit of her own. It was funny. "On top of it all," she continued, "Rachel couldn't be happier to be here again--she thinks she's getting more stickers and another ice." I looked down at Rachel, cuddling into her mother's lap, who returned my look with a sheepish grin. No doubt about it--she was cute as heck, pink booger or no pink booger.

Well, another bead, same nostril. We repeated what we did earlier to get Rachel's bead out and, knock on wood, it worked again. In my pretend stern voice, I told Rachel "no more beads." Mom was going to have to watch her like a hawk for the next few weeks. In fact, I think Mom wanted a pair of the alligator forceps to take home with her.

Needless to say, Rachel left without any new stickers or an Italian ice, at Mom's request. We understood completely. I was hopeful they wouldn't reward Rachel with a visit from the "pink booger fairy," either. Two bucks for two beads and I suspect they would become ER regulars.

I was happy when my kids outgrew that particular game--no shiny, colored boogers for my family, thank you very much. I'll take the yellow or green boogers any day. At least that way I know it will eventually either drip out or be swallowed. As for Rachel and her mother? I haven't seen them again since, but it I'm estimating correctly, I think Rachel is approaching the age where she'll start playing Monopoly soon. And Chinese checkers. And eating popcorn. And peanuts.

I'll be ready...

As always, thanks for reading...much appreciated. Next post will be Friday, January 15.


Cal said...

Yep, we had this happen too, must be a rite of passage. Amalia must have been barely two when she stuck a bean up her nose. I would have not noticed hadn't she proudly tipped her head back to show me. Luckily the trick of plugging one nostril and making her blow hard out of the plugged one worked wonderfully.

rlbates said...


Katie said...

No shiny, colorful boogers in my family either. We were more "Put it in your mouth" girls who ate worms, cat food, and the geranium. Oops.
<>< Katie

MLee said...

lol... small drop of superglue on the wood side of a swab always did the trick in our home for beads in the ears.(really not sure about the medical standard for that:)

Anonymous said...

Like a keystone in an archway, no matter how much we study patterns of child development and psychology, children will always find a new way to surprise us, teach us something new, or point out the obvious that is looking us right in the eye.

t. said...

It seems shoving random foreign objects into an orifice is some sort of biologically hard-wired "gotta do it!" thing most kids do; for me, it was swallowing clay.

No forceps for me; instead it was more of a wait-and-watch approach.

For once my parent were happy to see me "s**t bricks"! ;-)

Amateur Pharmacologist said...

When I was 2 or 3 I stuffed a stone up my nose. Seemed like the thing to do at the time. Our family doc removed it, if memory serves.

DreamingTree said...

OH, for the love of God, do not let the Happy Hospitalist read this post! He once went on a rant about the dangers of giving kids stickers in the ER. Ya know, giving stickers & being nice will turn them into drug abusing frequent fliers. ;-)

SeaSpray said...

Awww! So Cute! You have to wonder what they are thinking when they do this. I guess it's just because they can ..the opportunity presents itself. :)

Why the ENT follow-up since you got it out?

Older son shoved a pearl onion up his nose when he was a baby and I got it out with tweezers. Then soon after he put his vitamin up his nose, couldn't get it and took him to an ENT. It had melted. That was one expensive vitamin.

Then neighbor came in with his daughter one night because they were going for a walk up our road when she decided to shove a pussy willow up her nose. The ED doc had her blow and it popped out. :)

Anonymous said...

1980's was the year when [B][URL=]Thomas Sabo Onlineshop[/URL][/B] introduced his jewelry. Effort have been set in to produce pure ornaments in silver with fantastic quality, which outcomes [B]Thomas Sabo onlineshop[/B] in formatting it's outstanding fashion. The two most classical sequence by Thomas Sabo; [B][URL=]Thomas Sabo Schmuck[/URL][/B] Club and silver Selection were created and bring in fresh pieces of designs. Its stated about [B][URL=]Thomas Sabo Charms[/URL][/B] that they represent our craze and obsession. Should you desire to create a individual feel good and appear different amongst the [B]Thomas Sabo onlineshop[/B] crowd, this is a ideal method to do so.

Other kinds of charms presented are family members [B][URL=]Thomas Sabo Onlineshop[/URL][/B] and virtually continuous series of symbol and cross charms. In [B]Thomas Sabo schmuck[/B] of loved kinds charms you're bound to discover anything for a infant, to [B][URL=]Thomas Sabo Onlineshop[/URL][/B] of things of infant which are an indication of fatherhood and motherhood.

The kid's club is a different exclusive series of charms. This [B]Thomas Sabo schmuck[/B] is meant for young young children and teenager. Children have the option to develop their [B][URL=]Thomas Sabo Onlineshop[/URL][/B] person type also. Exclusive necklaces and bracelets are already designed to fit smaller young children.

Anonymous said...

[B][URL=]Thomas Sabo charms[/URL][/B] [B]Thomas Sabo schmuck[/B] [U]Thomas Sabo charms[/U] [B]mtb masai[/B] [U]masai[/U] [B][URL=]masai barefoot[/URL][/B]

[B]Thomas Sabo[/B] [B][URL=]Thomas Sabo[/URL][/B] [U]Thomas Sabo schmuck[/U] abercormbie fitch [B]masai barefoot[/B] [B][URL=]masai schuhe[/URL][/B] [U]mbt[/U] vibram five fingers Performa [B]Thomas Sabo onlineshop[/B] [B][URL=]Thomas Sabo schmuck[/URL][/B] [U]Thomas Sabo charms[/U] mtb masai [B]fivefingers[/B] [B][URL=]vibram five fingers[/URL][/B] [U]vibram five fingers sprint[/U] Thomas Sabo onlineshop [B]abercrombie and fitch[/B] [B][URL=]abercrombie[/URL][/B] [U]abercormbie & fitch[/U]

[B]abercormbie & fitch[/B] [U]abercormbie fitch[/U] [B][URL=]abercormbie fitch[/URL][/B] [B][URL=]masai schuhe[/URL][/B] [B]masai footwear[/B] [U]masai schuhe[/U] [B][URL=]Thomas Sabo[/URL][/B] [B]Thomas Sabo[/B] [U]Thomas Sabo charms[/U] [B]mbt schuhe[/B] [U]mbt[/U] [B][URL=]mtb masai[/URL][/B]

Anonymous said...

Meyda Tiffany lamps are one of the greatest creations [B][URL=]tiffany london[/URL][/B] under this label of luxurious lamps. These lamps are a statement of elegance [U][B]tiffany charms[/U][/B] and there is no mistaking their beauty. There is much enjoyment to be found in the [B]tiffany sets[/B] presence of these artistic light pieces.

Tiffany lighting first made its emergence on [B]tiffany sets[/B] the scene in the 19th century and they popularity continues today as the beauty that has [U][B]tiffany charms[/U][/B] started so long ago continues to light up many homes in this country. Although, originals of this type [B][URL=]tiffany uk[/URL][/B] of lighting are expensive and rare there are many reproductions that have [B]pandora bracelets[/B] passed down the look of the original handcrafted glass pieces.

Another distinct output of Meyda Lighting is the original [U][B]tiffany rings[/U][/B] Coke stained glass lamps and chandeliers. They also offer a large inventory of stained glass lighting and decorative pieces. These [U][B]tiffany london[/U][/B] collections include the Old Forge line, the Craftsman [U]tiffany earrings][/U] Signature series as well as the Tiffany Gifts and Home Accents [U][B]pandora[/U][/B] to name a few.

This company began by accident [B]tiffany jewellery[/B] what Ida Cohen requested her husband, Meyer, craft a stain glass window for the kitchen of their home. Enjoying the process, this [U]pandora jewelry[/U] hobby soon evolved into a profitable business. This glass [B]pandora bracelets[/B] lighting d¨¦cor began to be professionally manufactured. Meyda [B]tiffany jewellery[/B] Lighting was born from Meyer and Ida [B][URL=]pandora jewelry[/URL][/B] and the rest is history.

While these products can be pricey, they offer high [B]tiffany london[/B] quality that is crafted using proven and tested techniques. But these [U][B]pandora bracelets[/U][/B] elegant light fixtures are an investment that is worth having in [U][B]tiffany bracelets[/U][/B] any home or office. If you are looking for [U][B]tiffany uk[/U][/B] a d¨¦cor that is truly unique and will [U]tiffany engagement rings][/U] standout Meyda tiffany lighting should be a definite consideration. Every [U][B]tiffany sets[/U][/B] single piece is created with a heart full of desire for absolute perfection in glass lighting. Even [U]pandora bracelet[/U] amidst the many imitators out there, the real creations of Meyda can easily [U][B]tiffany pendants[/U][/B] be spotted since they stand out in the quality and overall appeal.

Anonymous said...

Jewelry is women's best friend. It is surely a [B][URL=]tiffany co[/URL][/B] long lasting gift to your loved ones and enhances ones beauty [U]replica tiffany jewelry[/U] with its attention getting charm. So, while buying such beautiful jewelry for [B]best website to buy discounted tiffany jewelry[/B] your precious ones, you need to make [B]tiffany jewellery uk[/B] sure that you get them from trust worthy places. Pandora bracelets, Links of London, Tiffany jewelry [U][B]baltimore tiffany jewelry[/U][/B] offer you top edge designs and high quality jewelry at affordable prices. They are known for their [U][B]discount tiffany jewelry[/U][/B] elegant yet bright designs that could match any occasion. Jewelry these brands offer has a specific [B][URL=]tiffany[/URL][/B] meaning that expresses many feelings.

Silver bangles and bracelets of Tiffany jewelry [B][URL=]tiffany jewelry[/URL][/B] are known for their delicate knots and symbols which express unity and harmony. Their heart shaped lockets which express love make [U][B]authentic tiffany jewelry[/U][/B] their partner feels that they are precious [B]fake tiffany jewelry[/B] and wonderful.

These jewelries are quite famous [B]authentic tiffany jewelry[/B] among couples who say that these unique and simple [U]tiffany jewelry store[/U] designs of Tiffany jewelry are long-lasting and incomparable. Some [U][B]tiffany jewellery uk[/U][/B] designs in Tiffany's jewelry date back to decades ago, which make them [B][URL=]tiffany bracelets[/URL][/B] a perfect gift as a heirloom, so that it could be passed from one generation to another, this explains the timeless beauty [U]authentic tiffany jewelry[/U] of the jewelry and still be in fashion even after many generations

Pandora bracelets are exquisite and its [U][B]tiffany jewelry boxes[/U][/B] lovely charm casts a spell on every one who sees it. It is irresistible to stop thinking about [B]knockoff tiffany jewelry[/B] the wonderful piece of art once you have seen it. Jewelry of the line of Pandora bracelets are designed with [U]tiffany jewellery uk[/U] great care keeping in mind of tastes of millions of people, not to mention about [U][B]discount tiffany jewelry[/U][/B] the current fashion too. They would make a perfect choice for [U]baltimore tiffany jewelry[/U] all those modern women to whom [U][B]replica tiffany jewelry[/U][/B] fashion is everything.

Anonymous said...

Shoes specially made for losing weight are available today and [B][URL=]footwear etc[/URL][/B] can be quite effective. These shoes have been out for a while and some companies have risen to the top [B]mbt shoes sale[/B] demonstrated that they can provide a quality product to consumers. One [U]mbt sneakers[/U] such type of these shoes is the MBT Shoe made by a company called Swiss Masai. In case you [U][B]mbt shoes clearance[/U][/B] did not MBT stands for Masai Barefoot Technology. In this write up we want to take a [U]mbt shoes cheap[/U] closer look at these special shoes.

The development and idea behind the MBT shoe design is quite [U][B]MBT shoes[/U][/B] interesting. What the shoe attempts to do is structure the shape of the shoe so [U]footwear etc[/U] that it simulates walking on sand. Specifically, the they want to attempt to make it as if you are walking [U]mbt shoes sale[/U] along the natural sand environment of the Masai in Kenya. Sports trainers have known for quite a while now [U]mbt shoes sale[/U] that working out on dry sand is a great way to get in excellent cardiovascular condition. As you [U]buy mbt shoes[/U] walk on sand it creates an uneven surface on your feet and it forces you to shift your center of gravity to [U]MBT[/U] an unnatural position. Your body compensates for this by using several different [B]MBT shoes[/B] muscle groups in your feet, calves, thighs, and torso that you would not use wearing typical shoes. This is the ideas [U]mbt shoes review[/U] behind the MBT weight loss shoes and it does seem to [B][URL=]mbt shoes clearance[/URL][/B] work for some people.

More specifically, MBT makes several positive claims [U]mbt shoes sale[/U] and benefits from wearing their shoes. They will take muscle groups [U][B]mbt shoes clearance[/U][/B] not normally used in walking and make them active. The shoes will give you a better posture, and a more effective [U][B]mbt shoes review[/U][/B] gait when walking with or without the shoes. It can [B]buy mbt shoes[/B] potentially help you with problems you may have with your back, hips, legs, and feet. The [U][B]MBT shoes[/U][/B] shoes can help you recover from injuries to your [B]MBT shoes[/B] tendons, joints, ligaments, or muscles. The shoes are also designed to alleviate tension and stress [U]mbt shoes clearance[/U] on your lower joints.

Another particular claim [B]MBT[/B] of MBT is that is you walk one mile in these weight [U][B]mbt shoes sale[/U][/B] loss shoes it will be as if you walked two miles in ordinary shoes, and you will burn equivalent calories. One thing [B]mbt sandals[/B] is for sure, users find that after the first few [B]mbt shoes review[/B] times they walk in the shoes their calf and thigh muscles are sore. Also, while you are [U]mbt shoes best prices[/U] just starting to use the shoes they will feel uncomfortable [U]buy mbt shoes[/U] but that feeling goes away after twenty [U]buy mbt shoes[/U] minutes or so. Once you get used to the feel of the shoes users find that they can [U][B]discount mbt shoes[/U][/B] walk effortlessly and comfortably. The shape of the sole is designed [U][B]mbt shoes review[/U][/B] to make you walk with your back straight and your [B]mbt shoes review[/B] stomach flat, and your whole stride shortens up and quickens. These are [U][B]mbt sneakers[/U][/B] the major effects that owners of MBT shoes [U][B]MBT shoes[/U][/B] experience.

Anonymous said...

hey everyone i m unexplored here but willing to learn how to get [url=]free education grant[/url] or [url=]free student scholarhips[/url] tips from here !!

any tips guys ?

regards !

Anonymous said...

[url=]generic levitra and generic drug [/url]

[url=]levitra and nitroglycern [/url]
[url=]levitra samplesvideos [/url]
[url=]levitra how often [/url]
[url=]epinions levitra [/url]
[url=]levitra and nitroglycern [/url]
[url=]pumpkin pie levitra [/url]
[url=]taking levitra and alcohol [/url]
[url=]levitra quick prescription [/url]
[url=]usesfor levitra [/url]
[url=]side-efects levitra [/url]
[url=]find levitra free sites edinburgh [/url]
[url=]sildenafil efectsfrom side levitra [/url]
[url=]levitra ukforum [/url]
[url=]levitra online shop in uk [/url]
[url=]watermelon or levitra [/url]
[url=]anger and levitra [/url]
[url=]levitra and hemmhroids [/url]
[url=]dog heartfailure levitra [/url]
[url=]generic levitra [/url]
[url=]generic levitra [/url]
[url=]levitra shopping [/url]
[url=]natural levitra king soopers [/url]
[url=]levitra found sanfrancisco bay [/url]
[url=]buy lady uk levitra [/url]
[url=]which state shares levitra [/url]
[url=]usesfor levitra [/url]
[url=]levitra pay pal [/url]
[url=]buy levitra online au [/url]
[url=]levitra being prescribedfor inmate [/url]
[url=]buying levitra on weekends [/url]
[url=]levitra last longer [/url]
[url=]levitra online shop in uk [/url]
[url=]levitra samplesvideos [/url]
[url=]usesfor levitra [/url]

Anonymous said...

Trying to find an innovative and lucrative [B][URL=]tiffany engagement rings[/URL][/B] business? A business on sterling silver jewelries may just be the one you are [U][B]tiffany co[/U][/B] looking for. It's never that too difficult to find reasonably priced Tiffany wholesale jewelry to get you [U][B]pandora bracelet[/U][/B] started on your way to being financially independent. The Internet is actually a good place [B]pandora jewelry[/B] to start. You virtually spend nothing to find the supplier you are seeking. No need to be technically knowledgeable to find [U]tiffany co][/U] your valuable information, a simple understanding of how to operate the computer and use a reliable search [B]tiffany pendants[/B] engine is all you need.

Once you find your tiffany wholesale supplier, your quest [U][B]pandora jewelry[/U][/B] doesn't end there. You need to understand jewelry selling basics and selecting the styles that are most appropriate [B]tiffany[/B] for your niche market as well as having the eye for designs that will [U]tiffany charms][/U] most likely sell. You must also learn the tricks of finding out which jewelry pieces are [B]pandora bangles[/B] of superior quality. There are an abundant source of suppliers for Tiffany wholesale jewelry, you just need [B][URL=]pandora bracelet[/URL][/B] to have that discriminating taste in ensuring you get to the best source. In this business, if you start with low quality [U]tiffany bracelets][/U] pieces, your business will suffer.

The key to a profitable and lucrative business is to build a [U][B]pandora bracelets[/U][/B] large customer base. In order for you to get customers to comeback you must be [B][URL=]tiffany necklaces[/URL][/B] able to please them with the quality of your items as well as the attractiveness of your designs. Always find unique [U][B]tiffany sets[/U][/B] and stylish designs, you wouldn't want to sell everybody else is selling. If your pieces are just ok and plain you may have difficulty [U][B]tiffany co[/U][/B] keeping faithful customers. Aside from having quality merchandise you [U][B]pandora[/U][/B] also should be pricing them reasonably, not too expensive but not too cheap. Always make [B]tiffany rings[/B] your customers feel special in finding the best priced jewelries they [U][B]tiffany bracelets[/U][/B] can find.

Finally you will have to decide how you want to sell [B]tiffany jewellery[/B] your items. E-commerce is of course very interesting but then in-store is also great [U][B]pandora[/U][/B] because nothing can beat the appeal of seeing the Tiffany jewelry pieces in person. It basically ends [U][B]tiffany uk[/U][/B] with how much you can invest in the business e-commerce will be favorable if you want to cut [U]pandora beads[/U] down on overhead expenses. On the other hand in-store selling may just make up for expenses of maintaining a [U]tiffany necklaces][/U] showroom because customer find tangible [B]pandora[/B] stores are easier to trust.