Tagged: family
How Calling Audibles Can Save Your Ass…and Your Kidney

Ahead of Super Bowl Sunday, which coincides with my birthday, it seems like an appropriate time to discuss audibles…and my left kidney. Stay with me in the story below to understand the relationship and what lessons there are for all of us faced with those on-the-spot decision that can be the difference between a big gain or being thrown for a loss.
Last Friday a team of doctors, and robots, conducted what’s known as a pyeloplasty to repair a blockage where my left kidney empties into the ureter..one of two tubes on the wee-wee superhighway that sends the stuff to the bladder.
Such a blockage can basically reduce the kidney’s functionality to the point where it’s useless and must be removed. Who wants that? You start with two, you like to end with two.
In the simplest of terms, it’s a matter of snipping out the blockage, sewing together the truncated tube. Going into the procedure, which takes about three hours, based on a previous MRI the doc already knew there was a little complication. Looked like a tiny blood vessel had wormed its way onto the ureter causing the blockage. If they could move it, the full pyeloplasty might not be necessary.
Now skip ahead to the big game.
Imagine Seattle quarterback Sam Darnold peering over the scrimmage line at the Patriot’s defensive formation ahead of the snap. Crap. The planned play was a play action pass but the Pats are lined up in telltale blitz formation and the Seahawk’s O-line had been leaky thus far.
That would mean Darnold would have to get rid of the ball quickly before he’s swarmed, rather than drop back in a weak pocket for a pass.
Time to call an audible. Screw the pass, it’s now a quick handoff for a short gain. Better than being sacked for a loss.
That’s sort of what happened in operating room 2 last Friday. Just when the docs had their plan they noticed a cyst creeping up in the vicinity of the blockage. Getting to be a bit of a traffic jam in Ed’s tube!
According to my doc’s telling of the story they quickly called an audible in their sterile, hushed huddle.
It went something like this:
Doc 1: Shit…cyst !
Doc 2: OK…bust it!
Doc 1: Cyst busted! Now what?
Doc 2: Could still be a problem. Do the pyeloplasty anyway?
Docs 1 and 2 agree that would be the best strategy for a more permanent repair.
The quickly changed plan was successful.
Major gain.
Indeed, it seems like we’re faced with calling audibles all through life. We had a plan, or expectation but something came up at the last second and we need to instantaneously change our course of action.
Some people find the prospect of a quick pivot under pressure unnerving, or even impossible. They can’t possibly call an audible to change strategy because they’re not equipped do so.
What do they do? Often, they’ll panic, freeze, fail.
The reason my doctors, or a football quarterback, or anyone who must make quick decisions is able to call an audible under pressure with successful results is because of five major factors:
1-They anticipated more than one scenario going into the task
2-They planned in advance for all the possible scenarios
3-They communicated the possible alternative plans with team members or others responsible for completing the task.
4-They instantly leveraged training and experiences situations to help decide the best course of action.
5-They have the courage and confidence to make the call and see it through.
The lesson is never to go into a situation without flexibility, preparation, planning…and plans A,B, C or more.
You never know. Whether you’re quarterbacking the big game, complex project, or even fixing an old reporter’s faulty bodily plumbing, the ability to quickly call an audible on the spot can be the difference that results in gaining ground, hitting paydirt….saving a kidney.
Party Pooper
My wife likes purple. I thought it would be cool if I tossed a bag of purple candy in her Christmas stocking. I looked in every supermarket and big box store but purple colored candy just wasn’t something any of them offered. Online wasn’t an option. Christmas was just a day away and I don’t fall for the “Prime” extortion.
I was about to give up when I decided to try my luck in a store that was all about celebrating, since purple seemed to be a celebratory color, if not exactly appetizing.
Yes, Party City had bags of it. Tubes of it. All the purple M&Ms any number of humans could desire simultaneously. It had so many pieces of purpley pills that would melt neither in ones mouth or hands I had to contain myself. Hell, I wanted to toss myself a party for popping into Party City. It would be a theme party with purple hats, cups and paper plates and plastic utensils. Everyone I invited could take a whack at a purple pinata in the shape of a lavender lizard. I wouldn’t even have to leave Party City to get all that stuff because it was all there.
In fact..on the Party City website you could actually search for stuff not only by theme or occasion, but by color. Click on purple and voila, it’s a grape new world!
Now the suits who run Party City say the entire chain is closing down. They say the Party City poopers are discount stores, online marketplaces, people not throwing parties at all that require bundles of balloons or paper tablecloths and napkins with pictures of ponies or super heroes.
What are kids doing for birthday parties? Maybe there’s an app for that, like everything else. How do you play pin the tail on the donkey—close your eyes and take a poke at a smartphone screen? Feels ass-backwards.
Where do you get party favors? You know, those little tchotchkes you give each kid who is sure to either break it or choke on it before the candles are even lit? I’m told you can get that stuff at “dollar” stores. Heh. Even those have given up the ghost now charging at least a buck-twenty-five for their wares that were barely worth a single in the first place and it’s never as cool or in the variety Party City offers.
I always enjoyed watching some poor mom or dad trying to schlep out to their car with a bundle of a dozen helium balloons, struggling to get out the door without cursing as that big Mickey Mouse one got loose and headed to oblivion in the troposphere.
Where do you even buy helium-filled balloons now? When I was growing up long ago, Party City didn’t yet exist. It was hard to find a place to buy helium balloons, so my father figured out if you rub an inflated balloon on your pants it created enough static electricity for the balloon to stick to the wall…for about 10 minutes.
Oh, you might find another store that sells helium-filled balloons but only Party City has them for every freakin’ age decade–although I’d be afraid to buy one for someone turning 80. The damned thing bursts, scares the crap out of the new octogenarian, that’s their last birthday. Too bad because Party City has balloons for when you turn 90 or 100. So deflating.

I’m not much for dressing up for Halloween, or even to go to the store, but hell, you never know when you’ll get the yen to pop on a Green Glam Wig when you’re too lazy or late to wash your hair..or you just wanna look greeny-glam.
I never really got the thing with “gender reveal” parties. I mean, when we had our kids the nurse or doctor just kinda looked, er, under the hood, when the cherub made his or her way into the world from the tunnel of love. But nowadays couple want to know in advance so they can decorate the nursery gender-specifically, advise attendees to their baby shower not to gift jock straps when they know the lil’ darlin’ about to emerge will have nothing to strap in.
I know, I know. You can find them online. I did, but hell, you don’t get the satisfaction of watching the smirk on the face of the pimply teen-aged cashier or the opportunity to tell a bad dad joke while cashing out. “Yeah, the wife and I are celebrating our second honeymoon. Heh-heh.” Then you apologize as the kid makes some rude remark about Boomers.
Sure enough, Party City carries just the right accessories for gender reveal soirees. I love the paper plates that say, “just here for the SEX.” Heh. I’m here for that! Where will you buy those now?

I could go on and on about all the party paraphernalia at Party City, but you get the idea. We’re just losing too many go-to chains that we long depended on for one reason or another, like Big Lots—cheap stuff, tacky furniture, giant containers of cajun snack mix and a hundred varieties of ear buds and pods for Keurigs.
But I mourn the passing of Party City the most. It’s not that I visited the store very often, but sometimes it’s just nice to know a place like that is there when you need it. Like when your partner in life decides she has a new favorite color M&Ms, or when a friend turning 100 boldly requests a helium balloon and doesn’t care if it bursts, because they can’t hear it anyway.
So long, Party City. I’d say “party’s over” but that’s just too trite..and I won’t be party to that.

