People like to say that "it's a bit of a desert up here!" for things like: lawyers, healthcare specialists, and mental health. There are reasons for that, I'm sure. And they range from extremely hard (some would say prohibitively so) requirements to get certified in the aforementioned to there just not being the fucking business hours in place. I'm trying to get my shit together to see a psych again, and while the neuropsych and I eventually got on the same page* I have yet to find a psychiatric counseling service that will see me outside of Normal Business Hours so like, if I'm working I...don't get to be mentally healthy, I guess? Look, I get that there is probably someone out there who has the availability I'm looking for, but it's a lot gate-keep-y. That's all I'm saying. No, wait, I'm also saying it's not really all that surprising that people turn to AI for therapy. Which I haven't done thus far, and probably won't, because maybe I can use the Omaha student counseling if I get up at, like, 5:00 AM my time. If they have availability. Jesuslambofgod****.
So a week ago standard earth time my Fieldwork Educator 2 (heretoafter to be referred to as FWE2) didn't do their sessions because they were getting married, so I drove to Palmer to shadow someone who is a PT and does pediatric pelvic floor-type things. "But wait, Clara," you might say, "Those things don't go together!" But they do, actually, because of things like toileting. There were lots of models of pelvic muscles and the main takeaway is that there are quite a few of those and one in particular is looped around other anatomical structures like a chump and can get all looped up and tight and in addition to that all of them can get tight and if there's constipation that can mean that the stool just can't get passed due to being too hard. Also: abdominal muscles and your serratus anterior play a big role in pushing fecal matter out so if there's some brain-body breakdown there or even just plain ol' weakness a kid might have a harder time pushing. You know, the good old valsalva maneuver. Anyway I learned that if a kid exhales and their ribcage doesn't pull down and in there's likely some upper abdominal weakness, so it might be good to work on that re: toileting. I also learned that they've changed the "I Love You" abdominal massage technique since last I checked, so here you go. The business starts at 1:24. You can also palpate the iliocecal sphincter and give that a gentle massage to get things going. Otherwise it is, yes, mostly fiber and water intake. And I learned that I am correct in being suspicious that internal rotators over-firing are somewhat related to toileting problems. And if your perineal muscles are always firing they have a hard time relaxing so you need to fatigue them by squeezing them until you have to relax them. Which is somewhat counterintuitive. But.
This week I observed a session in fancy house in a somewhat fancy part of town. The lady of the house had been volunteering at VBS earlier in the day and I thought was maybe a glass in on something? I don't know why I thought that. But it just...seemed like it? Immaculate house. A skillion Amazon packages coming to the door. VBS. Wine (?)
Okay. *sigh* Nothing is really wrong - it's even sunny again today! But I am having a hard time with Friday night, and nothing is really right. Hope the weather is not being a butt today!
*Yes, I am trying to schedule. No, I understand you can't schedule because you don't have the schedule out now and you will contact me when you are ready, it's just that I need to tell you the windows I have just in case it's interesting or necessary in the future when you are ready to schedule and it's sunny and I have motivation now and I would like to tell you before I lose motivation which is extremely likely to have happened by the time you call me back to schedule and we're playing answering machine** tag lol. So: December. It's December. Wewt w00t***.
**Dating myself. Not like that! I don't buy myself flowers. Flowers: ew.
***I am the cringe, children!
****Update: nope! I don't get to use it unless I live in Nebraska or Arizona. Mother. Fucker. ...okay. As you were.