My husband is an Emergency Preparedness Merit Badge Counselor for Boy Scouts of America. I do not remember now why he took signed up for the responsibility, but for years he has counseled young men through the badge. Many of those years our sons' troop dedicated an entire weekend camp out to helping the boys earn the badge, including an emergency with injuries. While sorting campfire smoke laden clothes in the laundry room on Sunday afternoon, I would listen to Rich share about the "accident," find out which boy in the troop suffered severe injuries, and ask questions about how the troop solved the crises. I learned a new application of a word through that process - mitigate. At the end of every drill the troop would mitigate the accident; they would sit around and discuss what could be done next time to lessen the severity of a similar emergency.

Monday morning I told crews at the ambulance house that, "someday Nathaniel will have a very two-year-old moment, probably when he is mad at me or wants to get a reaction, and pull his trach tube out." At 6: 31 Monday night, he proved me right.

Rich, Peter, Nathaniel, and I had gone for a walk and were coming up our sidewalk. Peter was ahead of the stroller; Rich and I behind it. Peter looked at Nathaniel who was in his stroller playing with his Ligntening McQueen matchbox car, then turned to unlock the door. Two hands were on the stroller tray playing with a car. Not angry. Not having a temper tantrum. Nathaniel was waiting happily with a smile on his face. Peter turned the key, pushed the door open, turned back towards Nathaniel and yelled, "He pulled his trach out!"