Archive for the ‘health’ Category

The Bicycle Accident of Yichao Wang at Stanford, California on February 3, 2010

Tuesday, February 23rd, 2010

Picture of Yichao Wang, as published in the Palo Alto Daily (no photo credit)(This essay was written by Kimi, and I’m posting it here on her behalf. There is news coverage of the accident from the unofficial Stanford blog, the San Jose Mercury News, Stanford University News, The Stanford Daily, and The Palo Alto Daily News. To donate to Yichao Wang’s family, please see the Chinese Mutual Aid International Network site.
—Stephen)

My friend X and I were leaving a night class at Stanford University. We had been learning about “how to raise balanced children in a fast-paced world.” We were discussing some of these ideas as we left class. I had parked off campus because we had carpooled to class. As we turned out of the parking lot and drove down Palm Drive toward El Camino, her Audi’s headlights swung out onto a body lying in the road. The body’s arms and legs were splayed out in a terrible, unnatural pose. At that moment, every cell in my body was perked. I tried to attach thoughts to my observations. “This can’t be real,” my mind told me.

My friend slowed her car down, and I tried to get out. She said sternly, “Wait!” and then “OK, now you can get out.” She parked her car and turned on the hazard lights. She started to wave the cars behind her away from the scene.

I leaped out of the car and could not believe what I saw and heard. I walked past an SUV parked on the side of the road and noticed another car parked in front of it. I think it was a white BMW. I never saw the driver inside. After I noted the body’s odd position again, I saw a man in blue scrubs. He had dark brown hair and wore glasses. He was on his cell phone, intensely describing the body to someone, “Male, about 30 years old…yes, I think he is seizing.” The top of the man’s head was facing me. As I walked around to face him, the breath was knocked out of me. His head was swollen to 2-3 times its normal size. His eyes were swollen shut. The top-right corner of his forehead near the temple was a matted clump of blood-soaked hair. There was a huge dent in the forehead, where his skull was smashed. “A person’s brain should not be outside of their head,” I told myself. His arm was turned away from him, and he did seem to be having some kind of seizure. He was moaning, gasping mightily, and sputtering with each breath; his chest rose and fell heavily, and eruptions of blood and phlegm shot straight up like a geyser.

I wanted so badly to clear his mouth and turn his head to the side. I reached my arms out toward him. “Don’t touch him! He might have a spinal injury!” the man barked.

I mumbled something about his ability to breathe.

“See those bubbles? That means he’s breathing,” he snapped.

“Mean,” I thought. I forgave him instantly.

He explained to the 911 dispatcher, “I am a fourth-year medical student.” He shot a glance at me, as if to see that I heard.

I grabbed the man’s left hand instead. He had thick fingers, and his skin was rough. “It’s going to be all right,” I said soothingly. I glanced at the dark, wet hole in his head and pushed my doubt aside. “Help is on the way.”

Then something clicked. I let go of the man’s hand for a few moments, and I picked up his bicycle from the opposite lane. The thick metal handlebars were crumpled, and I couldn’t wheel it. I had to pick it up. I noticed that it was black and did not have lights on it. I dumped it on the side of the road. Then I saw his backpack. It was heavy, black, and quite far from where the bike and body were. In fact, all three items made a large triangle. I understood why his head was so damaged. The car must have hit the front of the bike and sent the man and his backpack flying. He landed on his head where a helmet should have been; he should have had a cracked helmet and not a cracked skull. I tried to ignore these disturbing thoughts as I moved intently. I had to shoo away another intrusive thought: “This is Stanford! This shouldn’t be happening at Stanford!” I flung the backpack near the mangled bike.

Then the medical student had orders. “There should be a box of rubber gloves in the back seat of my car. Get them.”

“Lucky, someone who carries around medical gloves in his car,” I thought. I retrieved the purple gloves and concentrated on the task. There was only room for one thought in my head at a time. “Get the gloves,” I recited to myself as a mantra. I returned to the scene with the box in hand. We both put them on.

A blond woman yelled to us, “Do you need help? Should I call 911?”

“Someone already called 911,” I yelled back.

“Should I help direct traffic?” I finally noticed the cacophony of honks and yelling from the cars stopped behind us.

“Yes!” I responded, and then I turned back to the body on the ground. I spoke to him once more, “The ambulance is coming. Everything is going to be all right. They are going to help you. Don’t worry.”

At that point, the medical student thrust his cell phone at me. “Here, take this!” he said. I held the man’s hand in mine as I spoke to a dispatcher on the phone.

“Where are you?” she asked.

I said, “About halfway between the Oval and El Camino.”

“Is anyone there yet?” she asked.

I told her that no one was on the scene yet except for us. She told me help would be there soon. Moments passed like hours, and then I heard the sweetest sound in the world: sirens. I told her, and she said, “OK, hang up and flag them down. They are not exactly sure of your location. Good luck.”

I hung up the phone and looked for the flashing lights. “Do you hear those sirens?” I told the man. “The ambulance is coming, and they will help you! Hold on!” Then I stood up and waved my arms at the sound and flurry emanating from police cars in different directions. The police immediately blocked traffic from both ways with their cars, and they were filled with questions. The medical student answered them curtly. I was holding the man’s hand tightly. He was struggling harder than ever to breathe.

Moments later, we heard the ambulance pull up. “The ambulance is here!” I screamed at the man. You could almost see the relief wash over the small group then, as if we were done with our leg of the race and were passing the baton to a teammate. But this relief affected the man on the ground differently. At the exact moment that I announced the ambulance’s arrival, the man stopped breathing.

The medical student and a policeman reached out for his wrists. “Does he have a pulse?” someone asked. Instinctively, I started screaming a stream of questions at the man’s face, “HEY! What is your NAME? How OLD are you? WHAT IS YOUR NAME? HEY!!! WHAT IS YOUR NAME?!!!”

The man suddenly took in a huge breath and exhaled with a giant splutter. We all sighed with relief. Then the paramedics approached with their equipment. We all took a step back to give them room. The paramedics moved with a kind of relaxed calm. They put a cervical collar on him, turned his head to the side, and put a suction tube in his mouth. It was attached to a little vacuum. Someone put a long board next to him, a sort of gurney. Then, inexplicably, they started cutting off his clothes with a large pair of scissors. He lay in his underwear, but his limbs weren’t strangely positioned anymore.

I became aware of the medical student’s cell phone in my hand. I forced myself to walk to his SUV and place his cell phone in the cup holder. “I put your phone in your car,” I told him. He looked in my eyes and thanked me. We really saw each other for the first time.

As I wandered to the side of the road, I noticed a thick puddle of blood from the man’s head that stretched several feet beside him. I placed the man’s black backpack near the paramedics and told them it was his. They accepted it. Then, my friend X was standing next to me. We both stared at the blood. Then, a policeman asked if we saw what happened. The medical student said, “I saw it happen. I am a witness.”

Then the cop turned to us and said, “You can go now.”

I was completely torn. On one hand, the man was a vision of horror — human roadkill twitching on the asphalt. On the other hand, he was a human being: a son, a student, and maybe a husband or father. I wanted to be sure he would survive, but I couldn’t bear to ask if he would be OK. In fact, because of the smooth calm of the paramedics, I was worried that there wasn’t much they could do and that they knew something I didn’t about the possibility of his survival. So my friend and I walked back to her car, and she drove us away in the opposite direction of the man. I had to let go of my concern as abruptly as I had been moved by it. I felt shock, sadness, and anger. I was angry that the driver of the car hadn’t even stepped out to see if the man was OK. My friend explained to me that the driver was probably in shock and facing the prospect of being responsible for someone’s death. The anger subsided. Then, I noticed his blood on my hands. I started to panic. My friend gave me some baby wipes, and I cleaned off the blood. I was left with a queasy feeling in my stomach, which lasted for a week, and a wish for hope and strength among all the strangers.

Afterward, my friend and I searched the web for weeks. We even sent a detailed e-mail to the campus police. We never got a response. I searched for information about the survival rate of bicyclists who do not wear helmets, the chances of recovering from brain injury, and news stories of accidents. At first, I thought no news was good news because the newspapers would be all over a story that involved death. But then I talked to several people, and a friend whose opinion I respect simply shook his head and hugged me when I told him about the experience. I knew he didn’t think the man had survived. So I started to think about the possibility that the man did not survive. Then, two weeks later, my friend X e-mailed a news link to me. The Stanford web site had a story about a visiting researcher from China who had been hit by a car while bicycling. X’s e-mail was titled, “This is our guy!” And it was him! His name was Yichao Wang. I thought he was half black and half white, but he was Chinese! He came from the same town that my friend X’s mom was from. The story had a link to a photo of him in a coma and a request for donations to cover his medical care. I was excited to discover that he had survived the accident. I donated to his recovery fund through the Chinese Mutual Aid Society. However, the day that I donated, he died.

Now, I think about his wife and parents who must miss him terribly. They are probably in shock. He was 25 years old, married for three years, and on a promising path as a research scientist. Now, he is gone.

I feel sad, but I also feel angry. Stanford Hospital has charged one million dollars for the brain surgery that kept him alive but in a coma from which he never woke. It seems like it was an unnecessary surgery. Certainly, asking two retired Chinese parents who just lost their son to pay one million dollars seems ridiculous and cruel.

I wish that Yichao wore a helmet that day, had blinking head and tail lights on his bike, wore bright clothes with reflective stripes, or left his lab during daylight hours. I wish the driver had been more aware and careful. You have to be a defensive driver at all times in this area. I wish Stanford had a no-car zone around the campus and shuttled people in. I wish that this man was living, loving, and discovering. I wish he died after his parents and not before. But, again, he is gone.

He will not have died in vain if we learn this lesson: YOUR HELMET IS PART OF YOUR BIKE. IF YOU RIDE A BIKE, ALWAYS WEAR YOUR HELMET.

The CDC says I should presume my kids have swine flu (plus graph update)

Wednesday, July 8th, 2009
Sophie rests with her mom

Sophie rests with her mom

Sammy, sick with the flu, rests on the couch

Sammy, sick with the flu, rests on the couch

My daughter, Sophie, who turns two in September, woke up on Sunday morning with a 101-degree temperature, low energy, runny nose, and a cough. This was the return of a fever she had beaten a week before.

A day later, on Monday evening, my son Sammy (who turns four in September), began exhibiting the same symptoms.

I kept them home with me on Tuesday and again today. We have a doctor’s appointment this afternoon. In the meantime, we’re treating with Tylenol, lots of fluids, rest, and applesauce.

News reports keep quoting CDC officials in saying that we’re well over a million cases of swine flu. But at the official CDC site, there’s still zero data or statement I can find to support that. More recently, the WHO is being quoted as saying that any flu or fever at this time of year can be presumed to be swine flu. This LA Times article (“Just assume it’s swine flu”) is representative, and also suggests that the WHO may discontinue their ongoing reports with the official cases. But at the WHO’s official H1N1 site, again, there is absolutely nothing to support the statements being made to the press.

So, do my children have swine flu? They’re suffering from classic flu and fever symptoms — if anything, milder than what they’ve experienced in the past. But summer flu is not unheard of, so it’s not a given that it’s swine flu.

The latest official H1N1 WHO update, #58, from July 6, reveals 94,512 confirmed cases, from 135 countries, with 429 fatal cases (for a fatality rate of 0.5%). While there was a levelling off between updates 57 and 58, prior to that the number of new cases per week has indeed again doubled, to over 30,000. At this point, if this data means anything, the number of confirmed cases does appear to be approximately doubling in a two week period.

But I find it disheartening to see the massive disconnect between statements made to the press by the CDC and WHO versus what they make available at their own sites. Why even keep up this pretense of the “official” count with ongoing updates if it’s all meaningless?

Official WHO data showing H1N1 (swine flu) case data, including number of cases, deaths, and cases per day. (Click to enlarge.)

Official WHO data showing H1N1 (swine flu) case data, including number of cases, deaths, and cases per day. (Click to enlarge.)

Swine flu graph update #3: A(H1N1) modest rate increase

Friday, June 26th, 2009

I last updated this graph 15 days ago. In that time, the number of worldwide confirmed cases doubled from nearly 29,000 to nearly 60,000, according to the World Health Organization.

These are not the number of fatal cases. The official count of worldwide fatalities has risen from 144 to 263. That’s a fatality rate of 0.4%, or 1 in 250.

Various news reports this week stated that there were 1 million cases in the U.S. (for example, this article on the Discovery Channel’s site). Those reports are based on projections, not confirmed cases, and honestly to me the figure simply does not seem credible. The 1 million number is not backed by the CDC data, which matches the WHO’s report for U.S. cases. I do believe reporters have confused the concept of “number of vaccines needed in the worst case” with “number of people who have been infected.”

However, it does seem apparent that the rate of new cases has increased. Previously we had seen about 4,500 new cases each week, for a period of three weeks in May. That increased to around 6,500 cases a week in early June. We’re now seeing about 15,500 cases per week for the last two weeks.

It’s hard to say if we’ve seen the point where the number of cases is doubling consistently. It took two weeks to get from 15,000 cases to 30,000, then two weeks more to get from 30,000 cases to 60,000. It will be very interesting to see if the number of cases double again to 120,000 in the next two weeks. At that point, I predict news cycles would start to take things very seriously again.

flu-2009-06-26
(Click to see full-size chart.)

Swine flu graph update — A(H1N1) hits phase 6 and “moderate” severity

Thursday, June 11th, 2009

I wrote about A(H1N1) (alias “swine flu”) last week.

A reader requested an updated graph, so I’ve provided that below. Significantly, today WHO declared that A(H1N1) entered phase 6 and was “moderately” severe. Since the new phase system WHO has developed really doesn’t consider severity and only looks at how far widespread an influenza outbreak is, phase 6 (and all of the phases) are, in my uneducated and biased opinion, relatively meaningless.

The graph shows that the merely-linear increase in cases is still in place. No signs (yet) of exponential growth.

[graph showing A(H1N1) swine flu cases through 2009-Jun-11

Influenza A(H1N1) cases: graph of WHO data, discussion of media coverage

Thursday, June 4th, 2009

In the next 30 years, seismologists have determined that the chance for a magnitude 6.7 or later earthquake in California is over 99%. One can easily see based on the historical record that this is a safe prediction. In the last several hundred years, Californians have not had a period of 30 years go by without such an earthquake.

Similarly, influenza outbreaks follow a regular pattern. Roughly every 50 years one can expect a influenza pandemic that kills a million or more people worldwide. (What’s less frequently cited is that every year, the regular flu kills up to 350,000 people worldwide, mostly the elderly.) In recent history, the Hong Kong flu of 1968 killed up to 1 million people. The Asian flu of 1957 killed up to 1.5 million people. And the 1918 Spanish flu outbreak killed up to 40 million people worldwide.

It’s understandable, then, why people were concerned with swine flu and why there was so much media coverage. What if it turned out to be one of those catastrophic pandemics that kills millions of people? What if we couldn’t (or can’t) create an effective inoculation? It’s rational to be cautious, and to pay attention to the news.

On the other hand, in recent years we’ve seen coverage of previous threats from SARS, avian flu, and others, and they turned out to be relatively minor events. In some cases we overreact. It certainly seems to me that mainstream media overhyped the threat from swine flu and created a sense of panic that was unwarranted from the facts. Now that coverage has faded, I’m sure most people aren’t really thinking about swine flu any further.

The thing is, it’s not really over. Worldwide cases have climbed to nearly 20,000, and the number of deaths is over 100. In the U.S., there are currently 17 fatalities. (The media really only covered the first two victims.)

From here, swine flu could fade away into nothing, or it could suddenly explode. The latter outcome seems increasingly outcome, however. And here’s some data to support why I believe that.

The World Health Organization (WHO) has been releasing data for 41 days; over that time, they’ve provided 43 updates as I write this. Earlier they released two updates a day. Currently the updates come every few days.

WHO update swine flu case data, including number of cases, deaths, and cases per day

WHO swine flu case data, including number of cases, deaths, and cases per day (click to enlarge)

The graph above shows the number of new cases reported per day, as a line. In addition, as an area, the number of confirmed cases (yellow) and confirmed deaths (red) are also included.

By profession, I’m a numbers guy. Quantifiable analysis is my preferred approach for investigation. So starting from the beginning, I monitored the numbers of confirmed cases, countries, and deaths from the WHO updates and analyzed how many cases per hour, day and week.

With a pandemic, what we worry about is exponential growth (100 cases becoming 200 cases becoming 400 cases becoming 800 cases). Even linear growth can be scary for a pandemic if the numbers are large enough (50,000 cases becoming 100,000 cases becoming 150,000 cases). But that’s not what we have here, judging by the WHO’s numbers.

In fact, the number of new cases per week has been steady for the last three weeks at about 4,400 new cases a week.

There are many disclaimers that should be associated with the WHO’s numbers. Who knows what politics play into the process, and who knows if the count of confirmed cases is constrained by laboratories crushed with tons of undiagnosed cases that are even now uncounted. And the number of as-of-yet unreported cases (especially from third world countries) is a total unknown. You can tell from the extreme variability in the number of cases per day that human factors influence the reports.

However, after looking at nearly five weeks of data, it’s easy to assert what the media has already decided — there’s no exponential growth, and not even significantly increasing linear growth. Note instead how the cumulative number of cases appears to be very smoothly linear.

Given the relatively small number of cases compared to other threats, it’s clear the news cycle for swine flu is dead and not returning unless something completely unexpected happens, despite scattered reports of ongoing school and business closings.

So before this story fades into the sunset, the question to ask is if the media and health workers reacted appropriately. Was the coverage sufficient or insufficient, was it overblown or underblown or exactly right?

The June issue of Lancet contains a story (reprinted here) arguing that the amount of coverage was proper, and that due to quick action from health workers and cooperation from a fearful public, a crisis was averted.

I’m not qualified enough to disagree, but it seems to me the most important factor was the nature of the swine flu itself, and just how contagious it was. The evidence shows that it just didn’t spread that quickly — it wasn’t that virulent.

But it’s quite possible that because of the coverage, we put in place behaviors that saved ourselves. By analogy, consider Y2K (where we worried that computer code that used 2-digit years instead of 4-digit years would lead to buggy behavior when the software assumed the year 1900 instead of 2000, and that these issues would affect critical facilities and cause widespread technological disasters). There was enormous media coverage. Speculation was rampant, including fears of widespread power failures and nuclear facility mishaps, and some predicted wholesale societal breakdown. Yet of course when January 1, 2000, rolled around, very little happened (other than some big hangovers). So, overblown, right? Maybe not. I know first-hand how much effort engineers and developers put in ahead of time to certify certain systems, reprogram others, and generally make sure that everything would continue to work. To an outsider, Y2K certainly seemed overhyped. And much of the speculation (including the concept that embedded chips in cars and toasters would malfunction and shut down) was in fact ridiculous. But most computer professionals know that, while the coverage was certainly hysterical at times, there were instances of genuine bugs (that could have affected paychecks and so on), and that most of these genuine issues were averted due to foresight, prudence, and hard work.

I’m no medical professional. While I immediately dismissed swine flu fears and coverage as overblown, maybe that’s because I’m an outsider, not seeing all the hard work that took place to make sure the disaster was averted before it became a deadly pandemic.

Aside from those very unfortunate people who died due to swine flu, in the end, the economic impact may be swine flu’s longest-lasting legacy. Several reports show that Mexico tourism dropped by huge percentages, even in regions where there were zero swine flu cases. Recovery to previous levels will take time. (I’m told there are some amazing travel bargains to Mexico now.)

EDIT: Based on feedback from Kevin Fox, I updated the graph to simplify it a bit, and to use just regular calendar dates instead of dates and WHO update number. That corrected the problem whereby the variable number of days between updates made the cumulative number of cases look to be accelerating.

Glasses? I still don’t need them… for now

Monday, September 29th, 2008

I’ll catch up when I can about Sophie’s and Sammy’s birthday parties, the robbery we experienced last week, and a few other things. But today I went to get a vision test. We had a health care fair at work last week, and the people from our vision plan gave me a tiny screwdriver and told me to have my eyes checked. The last time I’d had a vision test was more than seven years ago, and I was feeling like maybe some of my headaches might be related to my eyesight. So today was the day for my vision test.

Last time I’d had a checkup, my left eye was 20/15 and my right eye was 20/25. Now things are a little worse: 20/20 in my left eye, and 20/30 in my right eye. But that’s not bad — no need for glasses or contacts or laser surgery yet.

When they were doing tests, the puff test (which I believe tests for glaucoma) stung my right eye so much that it watered the rest of the test. Then my eyes got so dilated during the last portion of the test I couldn’t read anything at all for hours and hours.

I feel like most of my co-workers and friends wear glasses. But the National Eye Institute data says that among adults 40-49, only 36% are nearsighted and 3% are farsighted (with a few more percent suffering from more serious impairments to visual acuity). So that suggests that most of the people my age still don’t need glasses.

It’s a myth, by the way, that “20/20 vision” is perfect vision. In fact, among teenagers, 20/15 vision is far more common (per this study). I couldn’t find good statistical information about adults and whether 20/20 is more common than 20/15 at age 40. I suspect I’m doing about average, though.

Man, I hate the idea of wearing glasses. And I hate the idea of contacts even worse. I’d rather spring for surgery and let them peel off layers of my eyeball. (I loved watching them do the surgery on Kimi’s eyes back when she got it done a few years ago — it really worked for her, she went from worse than 20/40 to better than 20/15.)

So, how about you? Glasses? Contacts? LASIK?

Wii the people

Sunday, August 31st, 2008

What follows is almost entirely Wii Fit related; so don’t say you haven’t been warned.

Thursday night we had John and Yvonne over for stirfry, and they tried out Wii Fit with us after the kids were asleep. They enjoyed it, especially the balance games like ski jump (which have fun graphics and are easy to try). Yvonne also did a few of the yoga poses and the step game — kicking my butt with scores much higher in both. My balance and timing definitely both need work, so it’s good that Wii Fit puts so much emphasis

Because of Thursday being my WoW raid night from 9 to midnight, I didn’t get started on my workout for day 2 with Wii Fit until after midnight, which meant that it actually didn’t count me as working out at all for Thursday. (I should have taken a body test while I was showing John and Yvonne). I intentionally tried to take things easy for day two, and I started to get the hang of a few more of the exercises. Things unlock very quickly. But for each new activity, it’s weird to me how much of an emphasis it places on balance. Even when doing, say, squats, it gives higher scores if you keep your balance centered. Some of the yoga poses that require balancing on one leg are nearly impossible for me to score highly.

Later on on Friday, when I did my evening workout, the new body test score replaced the one from 22 hours earlier; I wish it let you keep two on a day instead of just one. Even when assigning “fitness credits” for activities you do outside of Wii Fit, it’s either the same day or nothing. So while that encourages you to keep using Wii Fit daily, it’s not very flexible if, say, you’re out of town. Since there’s no online component, if you’re travelling you really miss out. I suppose that’s why they sell travel kits for your Wii Fit balance board, but that seems unrealistic.

When she came Friday evening (after going wine tasting with Yvonne), Kimi felt there were some drawbacks to having the living room be our gymnasium: Namely, I was stinking and sweating up the joint. To combat that, I’ve started using extra deoderant and opening windows and switching on the fan.

I found myself regulating my diet and looking forward to the workout. Saturday, after a trip to the King’s Mountain Art Festival during the day, I did my evening workout a bit earlier, and got a bit carried away, trying out most everything. I unlocked even more activities, which I was compelled to try out. Kimi joined me on a few activities (doing a much better Tree position in Yoga than I’ve ever managed) and I think she’s going to give it a good try.

I ended up playing Wii Fit for over two and a half hours. However, not all of that got credited as workout, since some was after midnight, and there’s quite a bit of click-here-listen-to-this-acknowledge-this-watch-this downtime.

As I read online, the principal objections to Wii Fit are:

  • There’s no way to set up an exercise routine in advance: You have to click and select each activity one at a time, some of them requiring four or five clicks, meaning you have lots of UI when you could be exercising. (I’m starting to unlock activities that allow more reps and longer duration, but it’s still tricky to get a cardio workout.)
  • It’s really a solo activity. While there is one “2P Running” activity I haven’t tried, everything else is for one player at a time, and to switch players takes a lot of clicks, so it’s not easy to take turns.

Today, after dragging the kid’s to our usual Sunday routine of storytime at the Red Rock Cafe followed by the Mt. View farmer’s market, I worked out during their naptime and while Kimi watched Sophie. I was able to get in an interesting routine where I tried all of the yoga and strength activities and a few of the balance games.  I felt sore from the previous few days — lunges are murder for me — and unlocked some activities that had more of an upper body component. I’ll need to pick up some free weights to help out on the upper body side.

Gotta run, but I’ll come back and fill in my scores. The Wii Fit Age is definitely bogus, varying enormously from trial to trial. But it still felt good to go from 52 to 26 — doubtless I’ll be 77 in Wii Fit years tomorrow.

Wheeee! Fit?

Thursday, August 28th, 2008

The truth is, since having kids I’ve not been exercising regularly.

The real truth is, I stopped exercising regularly even a year before Sammy was conceived.

The sad, genuine, unvarnished truth is, my weight is not where I want it to be.

Technology perhaps to the rescue? After reading reviews and testimonials about Wii Fit, and seeing the Wii in action at my brother Phil’s place, I managed to find a Wii and Wii Fit (thanks to Zoolert), ordered online, and all three boxes arrived today.

Setting up the Wii involved surprisingly large amounts of waste packaging and cardboard recycling, but the process was easy. My wife was quite skeptical at first, but a quick game of bowling won her over. (“This is fun, isn’t it!” Sure is, especially when she beat me 126 to 95.) Then it was time to get going with Wii Fit.

Much has been written elsewhere about Wii Fit itself. There are some curious UI decisions, an odd mix of a cartoon aesthetic on some screens and 1970s fitness brochure aesthetic on other sections.  I agree that there’s a bit too much time spent loading and explaining when I’m standing there tapping my foot and just want to get going with exercising. I’m also extremely skeptical of the “Wii Fit Age” (took the body test twice today, before and after exercising, and was first put at 49, +8 from my actual age, and then put at 52. Kimi was put at +11 years. If repeating a test generates results that vary wildly, how accurate can that test be?

But the activities seem (after day 1 at least) to have some variety, and the format is perfectly suited to appeal to my desire to unlock things and complete things.

Some may feel the constant unlocking of hidden exercises and activities combined with the corny motivational screens and dubious emphasis on balance is just so much rat-maze navigation, but to me it’s like a game, and anything encouraging me to view exercise as a fun activity can’t be too bad.

Microsoft has reportedly claimed that 60% of Wii Fit users try it exactly once. Seems like sour grapes to me.

So, my poor long-suffering reader, I’m about to embark on the most banal of all blogging activities, and keep track publicly of my progress against my Wii fit goals.

My BMI is at 26.06, which is overweight. My goal is to reach a BMI of 22 (normal) in two months, losing twelve pounds in the process.

Day 1: After setting things up, I tried a couple of exercises in each of the four areas, starting with Aerobics. The step exercises impressed me immediately. Running seemed less well implemented but the scenery made it interesting — my problem was that I kept trying to game the system by trying to shake the remote in order to figure out how it calculated my pace. In the Strength category, the first activity, leg raises, made me feel very uncoordinated. For Yoga, I tried just the breathing and half moon poses; it seemed fine but I’m unlikely to put a lot of emphasis on this section. I did notice that just doing the half moon made me sweat. Finally, for balance, I was terrible at soccer ball headers, but not too bad with the ski slalom. And then I rounded things out with some hula hooping. I have to say I enjoyed myself.

Day 1 stats: 30 minutes of banked exercise, Wii Fit age 49, BMI 26.06.

The same thing we do every night, pink eye: Try to take over the world.

Saturday, June 7th, 2008

I learned something this week. When your child develops a condition where little bits of white ooky stuff comes out of his or her eye, that’s pink eye (aka conjunctivitis) — even if the eye in question is not actually pink.

First Sophie got pink eye on Monday; the school called us to say come get that infectious condition out of their classroom if you please. She cleared up after some drops, but then Friday it was Sammy the school called us about.

So, says Kimi to me and me to Kimi, extra washing of hands and whatever you do, don’t touch your eyes.

You know how hard it is to not touch your eyes? I just did it even though I was literally typing up how I shouldn’t do it.

To celebrate pink eye week, we went down to the Santa Cruz Beach Boardwalk, enjoying sand and surf and garlic fries and ice cream and lost car keys. Thankfully someone found them and turned them into the lifeguards. One of the scariest 10 minutes of my life though.

Right before the scene where both kids were conked out on the sidewalk with Kimi while I ran to find the keys, Sammy enjoyed a dragon ride, a truck ride and a boat ride. Most other rides required 48″ of height, which is disappointing if you can only muster 36″. All in all, though, a very relaxing day.

An update to the excruciating update

Friday, May 9th, 2008

Well, I thought everything was back to normal on Thursday morning. Sophie and Sammy slept through the night (more or less), no undue bodily fluids appeared, and everything and everyone seemed happy and well.

Until: Thursday afternoon at work, the school called to tell me Sophie wasn’t keeping her food down. So I picked her up and Kimi and I took turns looking after her; she was in a great mood, but with a very touchy tummy. (That’s the scientific medical term.)

Today she’s “excluded” from school, but still very happy. We’re giving her juice and very simple foods instead of milk, and Kimi’s watching her today while I try to catch up at work. (A friend who is a father of twins told me that he was useless at work for the first year after his twins were born. I don’t feel “useless” but it’s definitely harder to balance life and work.) Hopefully Sophie’s back to normal after today — just in time for her teething pain to start.

In better news, Kimi had her two week follow-up appointment after her back surgery of April 22; they declared her to be healing well, and gave her the green light to drive (which she took advantage of by slipping off to see Forgetting Sarah Marshall last night, and seeing Baby Mama with Yvonne Wednesday). However, they extended the ban on her lifting/bending/twisting by another two weeks, so it’ll be six weeks more before she can carry her children.

An excruciating update

Tuesday, May 6th, 2008

Tough weekend.

On Thursday last week, one of Sammy’s teacher’s reported that Sammy had a condition that I will not describe in detail (this being a family blog). Friday it continued, even causing an accident on the floor at one point. But then he was better. Friday night, Kimi gave me a break and I snuck off to see Iron Man (thoughts on that later). Saturday morning, Sammy woke me up at 5:45 and I felt miserable, my stomach in knots, weak, in pain. I soon discovered I was suffering from that same unmentionable condition as Sammy.

Now, previously, Kimi had worried that handling the burden of watching the kids mostly solo (while she recovered from the back surgery of two weeks ago) was too much for me, but I dismissed her concerns. After all, I had handled the first weekend all right, right?

(I had taken Sammy and Sophie to Happy Hollow on Saturday, and we went out all day Sunday as well. For once, work on Monday felt more relaxing than the weekend…)

But now Kimi was right, the lack of sleep and Sammy’s bug had caught up with me, and I hadn’t arranged any backup. I was too exhausted to call around much, but our usual fallbacks for help with kid care were either out of town or dealing with their own kids. So, Kimi, despite recovering from back surgery, stepped up while I recuperated, and John and Yvonne helped by taking Kimi and Sophie out to a rummage sale in the morning while Sophie and I slept. Then Kimi took Sophie in the afternoon while Sammy and I napped. By the late afternoon, I finally had started to feel better. I didn’t eat a thing all day. On Sunday, I was still a bit weak, and still dealing with the condition, but was mostly better. (The only thing I ate on Sunday was half a rice cracker.)

Kimi was now exhausted, however; still, she kept Sophie while I took Sammy for an abbreviated version of our usual morning cafe-and-Farmer’s-Market routine, picking up some food for a barbecue with Rob and Kelly at noon. (Which was fun.) We all took it easy that afternoon.

Alas, the bug that had bit Sammy and me then got to Kimi at around four in the morning on Monday. Only she got it much worse than either of us. After I dropped the kids off at daycare Monday morning, her condition had got much worse. She was alternating between being unable to get warm from chills and unable to cool down from hot flashes. She wasn’t able to keep food or even water down, and was in so much pain that Urgent Care was the only option. They saw us right away, which gave me hope, but then it was so inefficient: First a nurse took her vitals. Then wait 20 minutes in the room. Then another nurse for more vitals. Wait 20 more minutes. Doctor finally comes in, asks all the same questions. He gets called away (it is an emergency room after all). Wait 20 more minutes. He comes back, resumes exam. Decides it’s the same stomach bug. Writes an order for anti-nausea shot. Wait 20 minutes. Nurse comes in to give shot. Wait 20 more minutes. Doctor comes back to re-examine. Writes a prescription for anti-cramping. Kimi convinces him she needs a pain-killer, so he grudgingly orders some vicodin. Wait 20 minutes. Wait 20 more minutes. Meanwhile Kimi is moaning and shivering from the pain (although no longer nauseous). I go looking for a nurse for the pain. Finally she arrives, Kimi takes the pill, we get a wheelchair, off to the pharmacy, then finally to the temporary home so she can sleep. I’m still a bit weak (plus it’s been weeks since the kids have slept through the night — the 3am and 4am back-to-back wakeups are really getting to me), so I grab a couple of hours before it’s time to get the kids. So much for work on Monday.

Today we’re all better, finally, so that’s a relief. And both kids slept through the night last night (well, at least they did after 10pm — before that, not so much). And even better, Sophie slept in until 6:30am and Sammy until 7am, so everyone had eight hours.

Twenty-four hour stomach flu bugs — put them on your list of things to avoid.

* * *

This next part I wrote a week ago but never got around to publishing.

* * *

Last Wednesday, Kimi and I checked in with our contractor to see how the house reconstruction was going. They’ve been at work for a week, and in that time have removed all the carpet and old flooring down to the foundation (revealing far more cracks and patchwork than we had imagined even pessimistically), knocked open the walls we’re removing, and removed the shower in the master bath where they was extensive dry rot and termite damage.

Sammy was with us, because he was in a weepy mood and didn’t want to be left with the sitter; he seemed to take it all in stride, asking (as he frequently does these days), “What’s that!?” with great interest as each barely-recognizable-room was explored.

It’s been a bit challenging to live in one big room for the past few weeks as Kimi recovers from her back surgery on April 22. The good news is that Kimi’s back pain is gone, and she’s recovering from the surgery well (after being initially underprescribed for painkillers). She’s still supposed to be taking far more bed rest than she actually does, and for another week she’s not allowed to drive, and for five more weeks no bending, twisting, or lifting anything more than 8 pounds.

* * *

I took a fair number of pictures from the Happy Hollow expedition on Saturday, April 26. It’s conceivable I might actually load them and publish a couple. Suffice to say a great variety of happy experiences were enjoined. Except for me keeping him out long past his normal nap time, which caused quite a host of difficulties for the rest of the day.

* * *

Kimi: [reading from a new book about Africa, picked up at Sunday's rummage sale]: This is a picture of a pygmy hippopotamus. Can you believe there used to be hippos that small? There used to be a lot of them in Madagascar, but now they’re all gone.

Sammy: Now they’re pretend.

* * *

Update, 12:40am Wednesday: Sophie’s turn. She just went through three cycles of throw-up/clean-up and is now out of clean pajamas. She seems to be in good spirits, despite all the vomit. She is now on my lap wrapped in a towel, while I wait to see if she throws up a fourth time, babbling happy noises that sound suspiciously like “uh-oh.”

Back|Back at Home

Wednesday, April 23rd, 2008

I took a personal day today as Kimi recovered from the surgery. She was in good spirits and only a little dazed from the morphine, and came home today around 11:30. She was in pain from the surgery but for the first time in years didn’t seem to have back pain. Apparently the nerve was gigantic and inflamed, and the surgeon said she was surprised by the extent of the damage. But preliminarily at least, all seems to be better.

The kids are both in good spirits (although Sophie’s falling asleep too soon to get a good dinner) and glad to see their mom again.

I’ll keep you updated, but so far we’re both optimistic that the surgery was a success.

From here, she’s got six weeks of no lifting anything more than 8 pounds, no bending at the waist, and two weeks of no driving.

What kind of bubble bath should we buy?

Monday, February 19th, 2007

Driving home on late Saturday/early Sunday, listening to NPR’s “Living on Earth” program, I heard a story about the chemical dioxane (or more fully, 1,4-dioxane) being found in children’s shampoos and bubble baths as a byproduct of the manufacturing process. Dioxane is banned in Europe as a carcinogen. The FDA limit is 0.5 parts per million. Several products (including some which the program alleged were being recalled) contained much higher concentrations. The part that made me take notice was the Hello Kitty Bubble Bath, with 12 ppm, the highest of any of the children’s products tested. One guess which bubble bath we buy for Sammy. In the car, I was horrified. The thought of Sammy developing cancer because of a bubble bath.

Reading LOE’s online version of their story, the press release that led to the story, the lab results, and a cancer blog entry that covered the story, my thinking has changed a bit. The story certainly brings up valid points, and it’s important to know the F.D.A. doesn’t test health and beauty products, including children’s shampoos, soaps and bath products. And honestly, it’s terrible that the maker of the shampoo is spending a huge amount on licensing Hello Kitty but wouldn’t spend a relatively small amount to remove dioxane from its product. If they’ve actually recalled it (which I couldn’t prove) then maybe there’s something going on here. But realistically, I suspect that 12 parts per million of this particular chemical are probably not worth worrying about, especially after diluted in the bath. On the other hand, who wants to voluntarily expose their child to a carcinogen?

I’m not a chemist. After a few hours of research, I became frustrated. I didn’t see any balanced web sites that honestly assessed the safety of children’s products without bias from a manufacturer. The test results are very specific: These five products had this much dioxane. But ok, what bubble bath is safe and I should buy instead? Where’s the invisible hand when you need it? Is this the F.D.A.’s job or isn’t it?