Wednesday, April 30, 2014

52 Weeks of Toddler Experiences: Weeks 5 and 6

    We've been keeping up with the list, or my version of the list anyways, I swear! I have have pictures to prove it. I just can't seem to get to the computer to post about them! So here's my multi-week post for week 5, blowing huge bubbles and Week 6, zoo trip!

     Week 5

     Easter morning was gorgeous here and my brother bought the kids a killer bubble machine. Obviously hours of fun were had. The pictures are from when we first tried the machine on inside and we moved outside after. I adore these pictures, the kids' faces are just so full of joy.






     Week 6

     Sam absolutely loves animals so this year I couldn't wait to bring him to the zoo. My sister was gracious enough to come along with us and help me out as I knew it would be hectic bringing two little ones and, honestly, I don't think I could have handled it without her. It was so crowded and our zoo is just hills and winding trails from exhibit to exhibit and of course, Sam couldn't wait to see them ALL! There is also an acres large open area full of deer you can walk in and feed, like a little simulated magic forest. I was so glad I could run in one direction with Sam as she ran in the exact opposite direction with Abby. 








Tuesday, April 15, 2014

Week 4: 52 Weeks of Toddler Experiences

     So after this past gorgeous New England weekend when I was trapped at work, our super fun zoo day I had planned for today is a washout. I was so bummed. I hadn't told the kids, of course, where we were possibly going today so they didn't know any different. It was still pretty warm out despite the rain so I had all the windows open, and I heard Sam talking to someone or something in the playroom. I went around the corner and found him talking to a tiny little spider (I know, gross) that was walking up the screen in the window. He had so much fun talking with the little spider, watching it walk, 'feeding' it pine needles that were still trapped in the screen from winter. He told me all about spiders, their webs, their legs and then he showed Abby the spider and told her all the same things.
     I don't think that all memorable experiences need to be intricately planned knock-out ones. The imagination of a child can take the smallest observation or event and be completely in awe. Sam didn't need the zoo today to have a special moment, all it took was a tiny spider on a window. Its another one of the amazing things children can teach their parents when the parent is listening and, thankfully, today I was. 


Friday, April 11, 2014

Vaccines: HIB

   I was inspired to write this series of posts after reading The Vaccine Book by my Dr. Sears. All information in these posts is basically a summary of the information written in the book.

     Vaccines are such a hot topic. Some families vaccinate religiously, some adamantly refuse to, and both sides have excellent and (most of the time) well researched arguments. As a mother, I knew I wanted to have my children vaccinated but I wan't exactly sure why. I realized I didn't even know what diseases we vaccinate for, what ingredients were controversial and what the possible side effects were. I realized that without knowing it, I was leery of certain vaccines that I didn't see as absolutely necessary; I had never had a flu shot and I elected to opt out of the trendy new HPV vaccines that came out when I was a teenager. For some reason they made me nervous.
     The point of these posts is to present a little more information about vaccines, diseases they hope to prevent, and their potential side effects. Working as an ER nurse, I am used to breaking down tons of information and presenting it to patients into small, workable chunks that make sense and they will remember. I hope this is what I have done here. 

HIB: Haemophilus Influenzae Type B
>Given at 2, 4, 6 and 15 months of age. 

HIB is a bacteria exclusive to infants and the elderly that is passed like the common cold. The HIB bacteria can cause:
          Meningitis- an infection of the lining of the brain
          Blood Infections
          Bone Infections
          Epiglottitis- an infection of the epiglottis in the throat than can obstruct breathing
          Pneumonia- an infection causing fluid to build up in the lungs

Signs and symptoms of infection with HIB:
Mild infections caused by HIB present like a cold. A fever that does not resolve on it's own after a few days would prompt a trip to the pediatrician, who would treat with antibiotics if symptoms of ear or sinus infection, bronchitis or possible pneumonia are present. Usually the antibiotics will treat the illness without ever being discovered as HIB. 
Moderate infections begin like a mild infection does, but the child will also appear lethargic, may have labored breathing and will "look sick" enough to call for a chest X-ray, blood work and oral antibiotics.  The blood cultures are positive for HIB (that take 48 hours to result), and the parents of the child will be called to have the child come to the hospital for several days of IV antibiotics.
Severe infections with HIB will present with meningitis symptoms, severe pneumonia symptoms or epiglottitis which the treating doctor will immediately recognize. The child would be immediately admitted to the hospital for several days of IV antibiotics and possibly respiratory support via endotracheal intubation in an intensive care unit. Most children with severe HIB infections recover, but slowly, and about 25% will have permanent effects such as hearing loss, learning difficulty or nerve injury. Fatality is 5%. 

~Before the HIB vaccine in the 80's, incidence of HIB infections per year in the US was about 20,000 cases. Now there are only about 25 per year, but remember, these are only the more serious cases that are evident enough to call for blood work and be positively diagnosed and treated as HIB. 

~The HIB vaccine is made by using the sugars that coat the outside of the bacteria and are added to the vaccine solution. The vaccine does not contain full or living HIB bacteria, so there is no chance of infection by HIB from the vaccine. 

Potentially Harmful Ingredients

  • Two brands of HIB vaccine, ActHIB and Hiberix, contain formaldehyde, a known carcinogen, in very tiny amounts (less than 0.5 micrograms). 
  • The PedVaxHIB brand contains 225 micrograms of aluminum. Toxic effects of aluminum can occur if too many aluminum containing vaccines are given at one time. In the book, Dr. Sears includes an alternate vaccine schedule which you can find here, on another page of this blog that I copied out of the book. 
Common Side Effects

  • Local redness, swelling and pain at injection site (25% of kids), moderate to high fever (5%). There are no known severe reactions. Post market surveillance reveals that the vaccine can also cause swollen lymph nodes, sterile abscess at injection site, swelling of injected limb, allergic reaction, seizures, a shock-like reaction, sleepiness, apnea (a period of no breathing) hives and rash. 


Dr. Sears' Summary: "HIB is a bad bug. Fortunately, it is also a rare bug, so rare that I have not seen a single case in my practice. Ongoing use of this vaccine in our country helps keep it away. The HIB vaccine is one of the safest we have. The ingredients aren't too strange and the known side effects are uncommon. Since the disease is so rare, HIB isn't the most critical vaccine. But its definitely high on the list." 

Our Attachment Parenting Journey; a Discovery

To read Part 1 of our Attachment Parenting Journey, click here.
    
     That night Jeff left. It was the worst night in either of our lives. For the next few days I held Sam and just cried, replaying the scene of Jeff holding Sam and saying good-bye over and over in my head. I now can see that I was probably experiencing post pardum depression. I have a history of situational depression, and was being treated with medication just prior to getting pregnant and had stopped taking the med on my own. My obstetrician, aware of our situation at birth had recommended that I come in for follow up one week after birth for a sort of mental status check. I work in healthcare and knew exactly what to say, and I lied through my teeth. I couldn't have anyone know that I was 'failing as a mother,' or so I thought, with my non-sleeping baby who wants to be held.  
     Probably a week later I remember calling my mom crying because I knew I was the worst mother ever. “All I do is hold him,” I wept, “the house is a mess, and I don’t even know how to give him a bath.” I didn’t have the insight to say to myself that holding him and letting the house go to Hell WAS doing something. It WAS nurturing, it WAS loving. I hadn’t realized, but Sam slept best those few days we were alone because I let him nap in my arms or on my chest. Concerned, my mother came and picked us up to spend the night at her house, where we stayed for several months.
     For weeks I came to her asking, why, 'Why doesn’t he sleep in his crib like “every other baby”? Why doesn’t he ever let me put him down?'  I honestly thought that babies slept happily in cribs, and that they would just occupy themselves in bouncy seats as their mothers showered and read magazines. Night after night I dutifully followed the advice “just keep putting him back in his crib” that everyone else around me was repeating. After all, they all had children, I never have, so what did I know? One night, exhausted, I was holding him in my bed, giving him his bottle all cuddled up in my arms trying to get him back to sleep so I could put him back in his crib as I was instructed. Hours later we both woke up, still cuddled together. He had slept. I had slept. He didn’t suffocate or fall out of bed or get trapped against the wall. We both just hugged and slept for most of the night. I was afraid to tell anyone, and this arrangement became my dirty little secret.
    Now when people would ask about sleep I would say, 'Why yes he is sleeping better, that put-him-in-the-crib trick really works!' The pediatrician asked where he sleeps at the check up; I lied. 'Yes in his crib, absolutely.' Every night we were snuggling together in my twin bed. We were so happy. Waking up to snuggles and smiles. We became so content in our situation, my feeling of failure started to dissipate and I became more confident in my mothering skills. Eventually I became tired of lying about putting him in a bassinet and sleeping peacefully. I decided that lying is what you do when you're doing something that you know is wrong and want to hide. I began to reply to the famous "is he sleeping?" question with  'yes he’s sleeping, and its because I hold him all night!' Why are people so concerned with how a newborn sleeps anyway? Why do new mothers ever hear "Is he happy?" "Isn't mothering a newborn amazing?" Or how about "You are doing a fantastic job!" Our culture automatically defaults to "how is he sleeping?" even though the asker usually knows that newborns don't sleep, all of which causes the mother to FEEL like her infant SHOULD be Rip VanWinkle and if he or she isn't then Mom must be doing something wrong. I was tired of hearing the I-told-you-so’s about how much better it was for a baby to be alone in a swing, seat, bassinet or crib because I had proof otherwise. From that moment on I heard nothing but how terrible this would be in the future. That I would never get him out of my bed. Off hand comments about how I need to put him down. "Put that baby in a crib." Our dirty little secret was out. 
I want to make clear that I am not in any way saying that what worked and continues to work for my family and my children is the ONLY way to raise and nurture a child. Nor am I saying that my beliefs are right and everyone else is wrong. Every child and family is truly different and each individual situation is dynamic and unique. Parents are responsible for finding out what works best for them and their children.  This post is about me, and my beliefs and my journey.  
     It was about that time that we moved from my parent’s house back into our apartment. I felt I needed to be alone and grow as a mother. “What kind of mother is afraid to be alone with her baby?” I thought. I felt I should be beyond the need for constant companionship and needing help with daily simple tasks like having someone watch Sam while I made bottles and showered. Perhaps I was made overly confident by how well we slept together and thought that he was ready to sleep on his own just as well. I started trying to put him to sleep in his crib again as, by all opinions, at three months old, he should be old enough to sleep all night alone in the crib. I noticed that he really liked sleeping on a C-shaped nursing pillow. Here was the key! I thought. One night I put him to sleep tucked in the pillow. I woke up that night in the middle of the night and felt like I had to go to his crib, which was just at the other side of our very small bedroom.  I was horrified by what I saw. He had slipped down in the bend of the pillow so that the pillow was slightly covering his face. His arms were limp at his side. I whipped him out of bed, startling him awake. He was fine. He had just been sleeping. But I was horrified and forever changed. We had a wonderful sleeping arrangement but I had let the pressures of other people and their beliefs alter the way I parented, and I had put my baby at risk in the process. I felt so incredibly stupid and selfish. It was a mistake I would never make again.
     After Sam was back asleep in bed next to me, I immediately texted my friends for comfort about what had happened. The next day on the phone, one of my long time friends who had four children of her own, quietly mentioned that she hadn’t slept without her youngest in her bed until she was four, and told me about Dr. Sears.  I immediately read The Baby Sleep Book. And then The Attachment Parenting Book. I was hungry for this knowledge. I was finally being told that what I was feeling and naturally doing was not a dirty secret, or selfish parenting. I was also not alone in the sea of babies sleeping through nights in cribs as I had believed until then. There was a name for this; Co-sleeping. And lots of people do it. Its a parenting style and set of beliefs called attachment parenting. I was elated. From that moment on, we didn’t spend a night apart (until he was over a year old and began preferring his crib as he could stretch out and move the way he wanted to). I began wearing him in a carrier around the house and getting so much accomplished without feeling guilty about leaving him alone to play on the floor. I lamented failing at breastfeeding and brushing it off as over rated, but I realized that AP was not an all or nothing exclusive club. I was brave against nay sayers and had books and research within them to back up my beliefs. At his next check up, when asked where he slept I proudly said “With ME! We both love it and that’s where he’s staying!” Probably at much surprise to the pediatrician.
Sam and Jeff video chatting during deployment.

Week 3 Toddler Experiences

     I'm totally slacking on posting these experiences! We did this seed planting a few weeks ago and I feel like I was waiting to post it and now all of the sudden we're a week behind! Sadly week 4 we did nothing special except planning for Sam's 3rd birthday party, which may not be on the list but was very special for us, especially a certain little boy.
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     This time we just did #9: Plant a Seed, but in a few weeks with will be garden planting time and I plan on involving the kids and having them help me plant my yearly veggie garden.



     They picked their little bean seeds and "planted" them on wet paper towels inside ziplock baggies like I remember doing in elementary school. Abby was completely involved in the activity, she couldn't wait for her turn to pick her bean and was engaged right up until we taped them to the window.
     Sam enjoyed it for a little while, but it wasn't really his thing. He was more like "yeah I'll put the bean in here, but now I think I'll go play." Which is totally cool. Both of then are not going to absolutely love every single activity and that fine, all kids are different. I have some activities planned over the next few weeks that I know he's going to go nuts for!

     We planted the seeds on 3/28 and now they have little roots all the way to the bottom. So now I'm in the realm of, so now what? Its getting warmer here but it's not quite planting time here in Mass so I guess I'll hang on to them for a while and then I'll show the kids how to plant them in the ground some time in May.