On Making Decisions

Saturday morning, Eleri took a return trip to the Doctor to see whether the nebulizing treatments had worked. The on-call Doctor theorized that she had Bronchiolitis a second time (it's caused by two separate viruses, and while it's not common to get them both, a child with an older sibling and exposure through day care is the most likely supect), and he cleared her for travel.

Sunday morning, she woke up less than an hour before we were scheduled to leave for the airport, and in the scramble of getting our family of four out the door, we noticed that she was "in bad shape" (as I said to Dave), but could attribute it to any number of things: grogginess, the albuterol treatments, etc. At the airport, just before boarding the plane, she had one of those poops that completely blows out the diaper, and we discovered that we had packed spare clothes in the carry on for everyone BUT Eleri. As I stood in the airport holding a feverish baby in a "dress" made from her sister's shirt, and they called us over the intercom, "Petersons, please board your plane," we had to make a decision: should we stay or should be go. It makes me think of that song: "If I stay there will be trouble; if I go it will be double." Or maybe it's the other way around? The point is the same: if we stayed and it was a false alram, we would regret missing Christmas; if we went and Eleri was truly sick, we would regret traveling with a sick baby (and possibly making her worse). In those instants when there is no time to seek help, and no help available (Sunday morning at 10am is not a time to get a quick response from the pediatrician), you simply weigh expert advice against your instincts, and take a gamble.

We got on the plane.

We didn't have seats together (we were booked in 3 seats, and the gate agent said there was "no guarantee" that we would get any together, even when I held the girls in his face, even when I pointed at Clio and said "Really? She's TWO."), and while I sat next to a claustrophobic passanger trying to keep my limp baby out of her way, my little baby who seemed to grow more unlike herself with every degree her body temp raised, I was calculating my plans to find an emergency room immediately on landing in Chicago. Somehow, though, while waiting for the baggage, she seemed to perk up, and Clio even got a few laughs out of her. At the car rental, we labored over the decision to upgrade to 4-wheel drive (total cost: $100) for more time than we'd had to decide abuot flying here inthe first plance, and then, in a white-out blizzard, we proceeded to drive to Morrison, where, it turned out, the power had gone out. Over candlelight in Dave's grandpa's house (his power had gone out more recently and was therefore still warm) we made the decision to call urgent care as soon as the phone lines came back up.

The clinic nurse sent us straight to Emergency, where the attending took one look at her and rendered his diagnosis: pneumonia. The Xray tech was called in and a service in Minneapolis confirmed: pneumonia in both lungs.

After 2 aggressive rounds of antibitoics and ongoing breathing treatments and oxygen, she's doing much better, and is scheduled to me discharged tomorrow morning. While sitting with her in the Morrison Community Hospital, I've had plenty of time to think whether we made the right choice, and whether we would have been better of staying in New York. This thinking is unproductive, and the question is unanswerable, yet I find it impossible to accept that and put it all aside. What would have been different if I had followed my gut and not gotten on the plane? My assumptions were challenged when our regular big City Doctor missed this while the small-town ER diagnosed quickly and confidently; here, Clio has the undivided attention and loving care of her grandparents while Dave and I switch off shifts at the hospital. The hospital itself, while not set up for infants, is full of a kind and attentive staff that has been as creative and flexible as you can imagine. At home, we would have had the ease and comfort of home, but a long commute to a likely crowded hospital, and no one to stay with Clio. Retrieving our luggage would have ben a nightmare, and, of course, we would have missed Christmas.

Although, that's a decision that still needs to be made. Tomorrow, we will need to decide whether to play it safe and keep Eleri home, or drive 6 hours South to meet her great grandmother, Ruth, from who she takes her middle name. Ruth is 90-something and there is the sad but inevitable question of whether she will be here to meet Eleri when we are scheduled to come back for Christmas is two years. When you are trading in emotional capital, how do you measure risk and reward? At work, we sometimes use a "quadrant evaluation" to measure impact against resource- it is a tool that takes you out of your preconceived notions and helps you see a decision from a different angle. But anyway I look at this one, I can't see the right way through.

We make hundreds of little decisions every single day, without even recognizing that we're constantly making choices. The big ones often seem more labored. Sometimes, a big decision is about opportunity; as the saying goes, when I quit my job, I closed one door to open another. But more often, it seems like big decisions are made when you find yourself between a rock and a hard place, and you have no choice but to take stock of the options and do the best you can.