HEADING. Tuesday. Varicella.

Robin's pants were about three inches too big around the waistband today.

He kept falling down at daycare and was returned to us with a nice uniform inch-thick coating of grime.

Regardless, every attempt to remove the pants was met with, "NO! NO, YOU ARE HEADING!"

He's upstairs getting a bath and shouting, "NO!  NO STOP IT NO!  DADDY YOU ARE HEADING!"

Heading, as we learned on Sunday, is something like this.

Roo:  "Daddy, you're *heading*."

Daddy:  "Um.  Heading for what?"

Roo:  "TWOUBLE."

Roo smirks at Daddy.

Daddy:  "*I'm* heading for trouble?"

Roo:  "Yeah.  You're HEADING."

Roo, of course, is never Heading.  Or HEADING, as the case may be.

Got an unexpected opportunity to do circs tomorrow.  Yay!  Unfortunately, that means postponing time spent with Nora and little Wulfgang.  Boo.

Also, I spent a good fifteen minutes arguing semantics with my preceptor in clinic today.  I'd been asked what the prevalence of infectious rash was in children given VariVax, the varicella vaccine.

Three to five percent was my answer, and here's why:  although there are only 5 cases known, worldwide, of transmission of the Oka strain of varicella from one person to another after vaccination, which is what VariVax contains, any rash 2 weeks after VariVax that *looks* like chickenpox is infectious until proven otherwise.

This ain't Nuremburg.  You can't chuck a kid three weeks post-VariVax into a room full of immunocompromised people to see who gets chickenpox pneumonia and dies.  So from a 'you will have to take days off from work' standpoint, the answer is three to five percent.

My preceptor, on the other hand, notes that true infection is far, far less in incidence than that.  Which is true, but from a 'workdays lost' standpoint...

...which is what I think most parents care about...

Anyway.

Snippet.

I'm not going to get this done in time.

Nrrrgh.

( Cut for brevity )