Weighty.

Trying to lose weight is tricky for a feminist. I don’t mean that reading Jezebel somehow causes you to retain calories, but rather that it can be hard not to feel a bit defensive, as if you are abandoning the sisterhood by pursuing a more defined waistline. “I’m trying to lose weight” ends up followed by “…healthily of course—I mean I’m trying to eat better and exercise and yes, I do want to be smaller, but not because I think I have to be a size two—there are plenty of strong, fit, larger women I’d be happy to look like (not that there is anything wrong with being an UN-fit larger woman, and not that I hate my body and need to resemble someone else), and women don’t have to be a certain size to be appealing (not that being appealing is all that important, or that women should be judged by whether or not they appeal to some arbitrary standard of beauty), and anyway…I’ll have the salmon. Sauce on the side.”

I’ve been thinking about it, though, and the more I think about it, the more this semi-shamefaced approach to weight loss annoys me. The idea that women who wish to lose weight do so only because they’ve been brainwashed by the patriarchy is insulting. Surely proponents of said idea are not suggesting these women are simply too dull-witted to realize they’ve been had by clever marketing departments? After all, it is hard to argue that we are the intellectual equals of men whilst simultaneously denigrating our decision-making abilities.
Additionally, I find the notion that by wanting leaner bodies we are betraying some vague ideal of acceptance to be, to put it bluntly, bullshit. Being overweight isn’t particularly healthy, but the fact that I would like to be thinner is not an endorsement of the position that all women should have thighs like chopsticks. Am I less of a feminist because I want to be able to find my abdominal muscles or wear jeans without my flesh mutinously surging over the waistband? Isn’t the pigeonholing of women into compartments labeled “smart” or “pretty,” “career woman” or “mother,” “feminist” or “fond of shoes,” getting a wee bit old?

A few weeks ago, we had a visit from a home care nurse. After she had drawn Simone’s blood, she opened a band-aid and let out a little moan.
“Oh, no,” she said, “I’m so sorry!”
I leaned in to see, wondering whether she had accidentally grabbed a package of MRSA-brand bandages by mistake.
But no.
“It’s Spiderman,” she sighed, “I thought I’d brought you Barbie.”
I looked at my bald, seven-pound daughter. Oddly enough, she seemed unconcerned.
“Spiderman’s better than Barbie,” I said, wondering if I was really having this conversation with a health care professional.
The nurse laughed, “Your husband would prefer it?”
(Actually, my husband might, seeing as Mary Jane was responsible for his sexual awakening some twenty-plus years ago).
“No,” I said, “I would.”

Frankly, I don’t care if Simone wears a Barbie band-aid. She is, after all, an infant. But the relentless gender-identification of babies does make me want to vomit, preferably all over a spangled “DIVA!” onesie. When she was first big enough to wear clothes, Simone’s best-fitting sleeper was from the gender-neutral section at Gymboree. It was yellow, and featured tiny trees and dogs, some playing frisbee, surrounded by the words “dig,” “sniff,” and “bark.” The boy’s section carried an identical sleeper in blue.
The pink version in the girl’s section, however, was different, printed with the words “pretty pup” and pictures of a girl dog receiving a flower from a male suitor. If you’re wondering how I could tell the sexes of these dogs without seeing their undercarriages, it was simple: the girl dog was a white poodle with poofy hair and a bow on top.

Despite the perfect fit, I stuck to the yellow model, as just seeing the disparity between the other two made my skin crawl. But I don’t think putting Simone in a jumper covered with flowers is dooming her to a life of vacuuming in pearls. She wears quite a bit of pink, and the occasional dress—along with a set of blue nautical-themed onesies from the boy’s section. When she’s old enough to choose her clothes she can wear whatever she damn well pleases. It isn’t important that she doesn’t wear a Barbie band-aid, merely that she doesn’t think she has to.

When I was little, my favorite television show was Donna Reed, and my parents were terrified that I would grow up into Alexa P. Keaton, Phyllis Schlafly acolyte and 50s throwback. But of course while the messages our children receive from the media are influential, much more influential is imparting the ability to view these messages critically. I would hope that if Simone struggles with her weight as an adult, she will be able to distinguish dissatisfaction with her body from hate of it. Wanting to change your appearance and taking healthy steps to do so is not the same as fasting your way into a pencil skirt. And as for my recently-embarked-upon quest for a less lumpy silhouette, one reader expressed surprise, and asked whether this is what clever, educated women do in America. I suppose to that I would say that if she means making the choice to take charge of our health and care for our bodies, even if it means eschewing bacon, then yes. Yes it is.

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En Famille.

My Babies

Comments (54)

Operating Without a License.

I was delighted to see that Simone managed to eke out a TWELFTH Baby of the Week victory—I believe that’s a record. I thought the Lindbergh baby might pull in a large sympathy vote, but happily not. He’s had his fifteen minutes. I also noticed that none of you made any comments about Jennifer Grey being in the corner, probably because your senses of humor are more refined than my own.

On Tuesday, I managed to subject my defenseless spawn to the equivalent of a Scandinavian hot-and-cold bathing ritual, thereby securing my place in history as THE VERY BEST AND MOST COMPETENT PARENT EVER. I had taken Simone to the patio of a nearby restaurant, where we were joined by my brother, his roommate, and his friend the Medical Examiner. We had a little lunch and a little wine, and as we were contemplating the dessert menu some 90 minutes later, it occurred to me that I might be baking my only child. It was wickedly hot, and though we were in the shade and Simone was protected by the double canopies of her car seat and stroller, the sight of the word “brulee” made me suddenly uneasy and I asked the Medical Examiner for her medical opinion. The Medical Examiner asked whether Simone felt sweaty, and I couldn’t tell, but it seemed like maybe she did, a little, and within moments I was gathering up my things, casting a rueful glance at the place on the table where a bottle of Moscato d’Asti would shortly appear, and galloping toward home, pushing the stroller ahead of me. Simone, it should be noted, was sleeping peacefully in the shade of her carriage, but I wasn’t going to let a little thing like her appearance deter me from my panic.

Once home I stripped the baby naked and swabbed her with a cold washcloth (which she deeply resented), and then I turned on a fan, slapped the air-conditioner into high gear, and hunkered down in the chair next to the vent, feeding my daughter a bottle of cold milk.

I am discovering, as I write this, that it is difficult to type whilst hanging one’s head in shame.

Some time later I looked at Simone more closely and saw that her hands were the color of freshly-picked blueberries. My first thought, naturally, was OH MY GOD SHE’S NOT GETTING ENOUGH OXYGEN.
(I know. Like I said, BEST AND MOST COMPETENT PARENT EVER!)
Sooner or later, though, my brain cell kicked in and I realized that the blue color, along with the fact that her hands and feet could have been used to ice tea, meant that she was cold. Once again, I sprang into action, this time smacking the air conditioner off, dressing Simone in a velour sleeper, wrapping her now shivering body in a blanket, and crawling under the bedcovers with my (crying) baby clamped to my chest. Eventually she stopped mewling and fell asleep, her extremities slowly regaining their flesh tone, and I lay there wondering how long it would be before child services showed up to wrest her from my arms, perhaps turning at the door to slap me hard across the face. With a pistol.

Comments (62)

The People’s Choice.

It never fails to amaze me, the glaringly obvious things one manages to overlook until they are pointed out by others. It honestly didn’t occur to me that I could, for instance, feed Simone pumped bottles most of the time and nurse only occasionally. Or continue with the nipple shield even though Simone is past her due date, the date by which the lactation consultants stressed that she should no longer be using it. I’m not sure where I got the idea that I had to either breastfeed nearly all feedings or give up the boob entirely; perhaps the sleep deprivation is finally catching up with me. I have ordered some Domperidone, and until it gets here I am feeding bottles of pumped or frozen milk, letting Simone nurse once in a while, just for kicks. If she gets shrieky, I do not persist.
It has made a vast difference in my productivity—whereas before I was able to get nothing done save the endless roundel of feed the baby/change the baby, now I am able to accomplish one non-baby-related item each day! You can check my math, but I am pretty sure that is an increase. My mood has improved as well (y=1/x, where y= favorable mood and x=screaming baby), so when the Domperidone arrives and I take another shot at nursing, I will be better able to handle a bit of infant resistance.

Simone has been the unfortunate recipient of some stripe of virus, and last night after quite a lot of diaper-related unpleasantness, a fever, and the saddest, wailiest baby cry, I called the pediatrician to see whether I could give Simone a jigger of infant Tylenol and was taken aback when the nurse asked me to bring my daughter into the emergency room. You know, where the sick people go. For emergencies.
At the hospital, the doctor wanted to know Simone’s medical history, and as I answered the questions he kept looking up and gaping at me in disbelief. I started to feel a little embarrassed, like I was being overdramatic, or as if he might wonder whether I had Munchausen by Proxy—two episodes of acute renal failure? How long was she on the intrajugular heparin drip? I had responded to his initial “Does she have any health problems?” with “No,” incidentally. (Ok, so I forgot about the reflux. And the oxygen).

Anyway, Simone’s electrolytes were fine, her fever wasn’t worrisomely high, and today she seems much better. In fact, she appears to be learning how to smile—oh, she has smiled before, in her sleep and such, but suddenly this week she seems able to focus on our faces, and when I collect her from her crib in the morning, she seems happy to see me, and now, now, when I waggle Gunther the Giraffe—a favorite rattle—in front of her, she will sometimes smile, revealing a previously invisible dimple in her right cheek. Watching her suddenly discover the world and find it delightful is the best part of having a baby so far.

It has been suggested, by some, that there is something…fishy about Simone’s eleven consecutive Baby of the Week wins. (I know! I am just as surprised as you are). I would hate to see my baby’s good name tarnished, so for this round I am opening up the voting. I look forward to showing the naysayers that my daughter has earned her victories by dint of hard work—fat little cheeks and starfish fingers don’t grow themselves, you know. To prevent Simone from gaining an unfair advantage due to her notoriety, the other contestants are all famous babies in their own right.

Voting ends tomorrow morning at 9am, CST.

GerberSnooksSunday #1
BabyLindberghBat Boy

Comments (38)

Nipples, Nipples Everywhere and Not a Drop to Drink.

When I was pregnant with Simone and her brother, I had two strong feelings about breastfeeding. One was that I really wanted it to work, and the second was that I would not feel guilty if it didn’t.
And then I gave birth fifteen weeks early. Providing food was one of the few concrete things I could do for my daughter, and I asked for a breast pump immediately after surgery. When I was wheeled to the NICU the next day, I proudly clutched two specimen containers each containing a teaspoon of milk. I was like the three wisemen, with the addition of a morphine pump and postpartum swelling. Myrrh schmyrrh—I come bearing colostrum! Take me to the child!
Even if you know better, it is hard not to feel guilty after ejecting a baby who weighs substantially less than your own liver. I felt that motherhood and I had gotten off on the wrong foot, and while I may have been laissez-faire about breastfeeding before Ames died, I was now determined to succeed. After all, I’d ended up with only half the babies I had expected. Surely “I’ll try” for two babies becomes “I will” with only one. Breast milk is important for preemies, both for the immunities it provides and because it reduces the risk of Necrotizing Enterocolitis. So for the next three months, I pumped, at the hospital and at home, filling my freezer with bags of milk arranged in neat rows by date.

Two months into her NICU stay, Simone was cleared to breastfeed, and once given the opportunity she lurched toward my chest and took it with gusto. Her mouth was still too small to latch effectively, so we used a nipple shield, and within a week she was taking full feedings from my very own bosom. Many premature infants have trouble learning to breastfeed, but my daughter has always been single-minded in her pursuit of food, and we became a kind of NICU sideshow that nurses and lactation consultants would travel hallways to see: the incredible nursing preemie!
And then, a month later, we brought that preemie home.

At first things were fine and then, abrubtly, they weren’t: my supply took a nosedive, and during feedings Simone began sobbing in frustration until we were both in tears, windmilling her arms and sometimes screaming until she couldn’t breathe. The nipple shield was no longer necessary, but any attempts to wean her from it were met with the rankest scorn.

I have been hesitant to post about this, because nothing brings out the “ire” in “Internet” like the subject of breastfeeding, but I just spent 70 minutes nursing, sixty of them punctuated by shrieks and deranged thrashing, mostly Simone’s. There was milk to be had—I could express it manually—but she was unimpressed, and eventually I gave her a small bottle I’d pumped this morning. She gulped it clean in ten minutes, sighing quietly between sucks, and I thought to myself: What am I doing? Why am I doing this to us?

At the risk of sounding like a woman defending her abusive husband, allow me to tell you that sometimes Simone and I have perfectly lovely feedings, wherein she nurses happily and neither cries nor hits me. But these are inevitably followed by one that traumatizes the both of us, and as much as I used to enjoy breastfeeding, now I am coming to dread it, not knowing which baby—the content, sighing model, or the version whose head spins at the mere suggestion of areola—I will get. And to be fair, Simone will occasionally scream just as loudly during a bottle feeding as she does at the breast.
Some of the screaming is caused by how contrary she is when hungry, but her anger at breastfeeding, I suspect, stems from both my low supply and the fact that after a month of three pediatrician-mandated bottles a day, she has cottoned on to the fact that with a bottle, the work to food ratio is much lower. I am not saying that bottles are evil, mind you. I like bottles. I doubt I would be adjusting to life with a baby so swimmingly were it not possible for Scott to handle the occasional feeding, so bottles are here to stay.

It is common to experience a decrease in supply around the three to four month mark, and mine coincided with the reappearance of my old nemesis, Polycystic Ovarian Syndrome. One symptom was an upward creeping of the numbers on the scale, numbers which had remained steady since the return of my Lady Cycle eight weeks postpartum. The impetus for my recent return to the world of Points(tm) was more than my desire to lose weight, it was also conversations with a nurse and lactation consultant, both of whom suggested that skipping breakfast and subsisting on tea and pasta might be affecting my milk production, and both of whom thought the WeightWatchers plan for nursing mothers was an excellent one. And things have improved since two weeks ago. But they haven’t improved enough. I’ve considered exclusively pumping, because I can pump, prepare a bottle, and administer it in less time than it takes me to nurse. But I don’t know if I’m ready to give up on breastfeeding.

And then there’s the guilt. One of the lactation consultant’s suggestions was that I pump after every nursing session and then pump whenever Simone gets a bottle.
Woman, I thought to myself as I gaped at her, you have got to be kidding.
As it is, I have less than 90 minutes between feedings in which to go to the bathroom, eat, and write—forget the things I have let slip through the cracks, like bill-paying, laundry, and personal hygiene. You are high if you think I am going to pump after every breastfeeding session and then ruin my only four-hour stretch of sleep by waking when Scott gives Simone the midnight bottle. I get the distinct impression from breastfeeding advocates that they think I ought to lock myself in a room with only my baby, a hand-whittled nursing stool, and a tube of organic lanolin, not emerging until I have established exclusive, nipple-shield-free breastfeeding, but I am finding that as much as I want this to work, I am only willing to do so much. I take fenugreek. I pump twice a day, and I nurse for four or five feedings, each over an hour long. It’s not the path of least resistance, but it is the path of less resistance, and part of me feels like I should be trying harder. But the other part of me just wants less screaming and more time playing Crazy Arms, you know?

I should mention that as I type this Simone is sleeping against my chest in her sling looking cute as a goat. Which makes me think “Aww, never mind, it’s not so bad!” but I AM POSTING ANYWAY because I know this is infant trickery on her part, much like the way she is silent and angelic as soon as a childless guest enters the house in order to encourage the perpetuation of her tiny species. I’m on to you, baby.

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Dear Simone,

I find it hard to believe, but Sunday you were four months old. Your due date, the day on which your developmental clock officially began ticking, was only three weeks ago. When strangers see you, they invariably comment upon your size: “Oh!” they exclaim, “A brand new baby!”
I am never sure how to respond. What, this old thing? We’ve had her for ages.

You like to dance. It’s a lazy sort of dancing that doesn’t involve any movement on your part; instead you curl on my chest while I bob around and sing. I recently made us a playlist (what the kids used to call a “mix tape”) with a little bit of everything on it—some Petula Clark, some Stevie Wonder. Mr. Wonder was premature himself, you know. Preemies can get down just as well as anyone else. Maybe better.

You like having the bottoms of your feet rubbed. You like it when your father or I play the very sophisticated game “Crazy Arms,” in which we waggle your arms about in an educational fashion. Other things you like include milk, Madame Penguin, and nudity (your own).

Before we brought you home from the hospital, I looked at swings. I had heard that babies are fond of them, but when I saw how big they were, and mentally placed one in our small apartment, I decided it was an unnecessary extravagance. Besides, I was pretty sure I would never want to put you down. Probably I would just hold you all day and evening, in my arms or in your sling. I would be like a calm, naturally maternal native woman, only with nicer shoes.
I do love to hold you, and you do love your sling, falling asleep as if it has been soaked in chloroform. But sometimes I need to use the stove, a no-no with a baby on oxygen. Sometimes I need to pick up around the house, and all that bustling and bending is hard while wheeling a tank and wearing an infant with poor head control. And sometimes I need to do something extravagant, just for Milk Lady. Like pee.

My solution was to plop you in your vibrating chair. However you were not amenable to this plan, and in the mornings while I raced around the kitchen getting your medicines and both of our breakfasts ready, you would cry accusingly at me from your purring throne. Always, always you want to be held, an understandable preference to be sure, but there are limits, baby. And so I sent your father out yesterday with stern instructions not to return without a swing, and yesterday afternoon we put you in it and turned it on.
A single ray of sun slanted though the hole that had suddenly appeared in the ceiling above us, and somewhere, I could hear the gentle strains of a harp. You adore this swing, and right now while I type you are asleep in it, swaying gently next to me. Sometimes I just stare at you, unable to believe you are really here, and really mine. When I pluck you from your crib in the morning, I feel overwhelmed by my luck, and your sweetness.

Everyone says the time goes fast with children, and while I always assumed the years would skid by, I was surprised at how damnably short the hours are as well. There is never enough space in a day for all the things I want to do with you, and mostly I just manage the basics, and tell myself that tomorrow we will do more. But I never catch up, and you are already outgrowing your first clothes.

In a way it was easier before your due date. It was bonus time! You weren’t supposed to be here, yet. But now it’s official, the sand is pouring through the hourglass, and even your swing reminds me as it sways back and forth: tick, tock, tick, tock.

Every minute I spend with you is a good one, and there will never be enough of them.
Love,
Your Mama

Four Months

Comments (64)

Watchword.

I am sitting here typing items into the WeightWatchers point calculator and emitting the occasional squeak or howl of indignation. To our neighbors I would imagine it sounds as though I have tossed a couple of vocal pygmy marmosets into a blender for an evening snack. Which I would never do, of course—not merely out of compassion, but also because DO YOU KNOW HOW MANY POINTS ARE IN A PYGMY MARMOSET?

Yes. I am back on WeightWatchers, and the first few days are just as brutal as I remembered, even with the extra points they give me for breastfeeding. And that reminds me—what do you do if you are only breastfeeding five times a day? They gave me 10 extra points, which is a full half of my pre-nursing points allowance. Not that I am complaining, mind you (I still have trouble fitting in the necessities, like wine), but there is no point in being a little miserable and not losing weight when I could either become thinner by being a bit more forlorn or, alternatively, stay fat and happy.
Which isn’t entirely accurate, because if I were happy at this weight I wouldn’t have had a godforsaken salad as part of my dinner this evening. I don’t like being embarrassed when I catch a glimpse of myself in a store mirror, or cringing at pictures of me holding my daughter. And of course it is about more than weight—I felt much healthier the last time I tried this whole exercise and sensible eating gig, and I think if I am going to be nursing and wrangling an infant on little sleep, I ought to take better care of my body. However dispiriting the first few days of Weight Watchers have been, they have effectively increased my consumption of fruits and vegetables 100% 500% from “the occasional garnish” to “five servings a day.”

It is hard, though, especially when you are watching a certain baby—I won’t name names—loll on your lap in a satisfied stupor, milk dripping into the folds of her neck. Breastmilk has 20 calories per ounce, so according to my calculations, this baby (female, 7 pounds, under 5’1”, mostly sedentary) must be exceeding her daily target. Of course concentric rolls of thigh look better on her than they would on me.

Rolls. Now I am thinking about rolls. Dinner rolls shining with butter.
It may be time for bed.

Comments (46)

Retournee.

You may have noticed that I took a wee hiatus. My dear mother was visiting from Switzerland–not to see me, you understand, but rather to hold a certain baby for the first time. She brought a metric ton of baby clothes purchased on her recent vacation in France. She can just drive there for the weekend, you know. To France. The only place I can drive for the weekend is Iowa, or Wisconsin, or maybe a Dakota. There are insufficient wine caves in the Dakotas.

Anyway, she came bearing tiny sweaters and sundresses and I must say, French babies must be exceptionally well-dressed, because these baby clothes were much more attractive than anything I have seen stateside. But then I suppose French babies spend a lot of time in chic cafes smoking miniaturized Gauloises, so they need a more sophisticated wardrobe than their American contemporaries.
It was a lovely week. I went out to eat, in restaurants. My mother brought me little glasses of champagne while I fed Simone. Milk Lady got to take a bath and Nani got to hold the baby.

I mentioned to my mother that I know of a nice couple looking for an au pair–no pay, more of an internship–but she was uninterested. And so Switzerland gets her back, which hardly seems fair. They had their chance, and they HIT HER WITH A CAR.

I got a present too. Guess what it was?
Pretty BabySitting
Hello!Flowers
Present!Cheeks

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Cinematography By Gillian O’Malley Nursing Tank.

As the Gypsy Swaddle seems to be working again, more or less, I thought I would share it with you, in case there are any other poor saps glowing new mothers dealing with sleep-averse babies.

A few notes:
1. This swaddle is best performed with a large, stretchy square blanket. I find the thermal/waffle knit sort work well.
2. The video was filmed entirely via Cleavage Cam, meaning I merely turned on the camera and tucked it into my bra top. Motherhood necessitates invention, as they say.
3. I think the tambourine is underutilized in today’s music, don’t you agree?

Comments (74)

Due Time.

I got only one uninterrupted hour of sleep last night. One hour is enough time for many things—making piecrust, getting a haircut—but a night’s restful slumber is not one of them. I am realizing, belatedly, that sleep deprivation is cumulative, meaning that what seemed manageable a week ago now results in me whisper-snapping “What is the matter? WHAT??” at my poor crying baby at three a.m. Mother of the Year!
Said baby has become exponentially fussier, either due to her reflux or the fact that she has decided to really commit to the role of newborn now that her adjusted age is out of the negative numbers. Tragically, the gypsy swaddle seems to have stopped working, and Simone has now decided she must nurse to sleep after her night bottles, which would be fine—not great, you understand, but acceptable—except that she will then only sleep until I attempt to move her.
When she is not actively crying at night she is grunting angrily and whining “Meeeh. Eh. Ehh. Ahihh. Meheh. Ehhhhhh!” But the moment someone gives up on sleep, disconnects the apnea monitor, and takes her into the living room to hold, she is down for the count. Not that either Scott or I can remember how to count, at this point.

Simone had her first appointment with the pediatrician yesterday, and holy hell, but I hate car seats. I spent an embarrassing amount of time trying to force Simone’s legs through what turned out to be the arm straps, and am already experiencing anticipatory anxiety about repeating the whole rigmarole tomorrow for her eye appointment.
The pediatrician, in what was undoubtedly a move calculated to soothe anxious mothers, shook my hand at the end of the appointment and said “You’re doing a great job.” Calculated or not, it was appreciated, especially after being told that Simone needs to gain more weight. Full-term babies are expected to gain half an ounce a day, but preemies are held to a higher standard, which hardly seems fair. I have taken the doctor’s pronouncement to mean that I must introduce more bacon and heavy cream into my diet. To fortify my milk, you see. For the baby.
But while Simone’s growth concerns me, it is in a “Huh, I guess I’ll step up the feeding schedule” way, rather than one characterized by diaper-weighing and Google-induced hysteria. This has been the biggest surprise since our homecoming, just how calm and almost…lackadaisical I am as a mother. It is easily the best thing to come from Simone’s varied and several brushes with death, this feeling that as long as she’s breathing, the rest is gravy. I always expected that I would be the sort of parent who keeps spreadsheets detailing her kid’s every feeding and bowel movement, but instead I make sure she eats every three-ish hours, and gets her medicines every 12-ish hours, and otherwise merely go about my business with my baby in the sling all day, licking the occasional dropped crumb from her head.
Sling
Simone has started spitting up more, and your recommendation that I stock up on cloth diapers was the best baby advice I received. In fact, if you are pregnant right now, let me tell you that no matter how silly you feel filling your cart with what seems like an excessive quantity of Gerber prefolds, trust me when I say that YOU DO NOT HAVE ENOUGH. Take the number of packages you think would be reasonable, double it, and then add two or three more.
The spitting up doesn’t seem to faze Simone one bit, and in fact only renews her appetite. She is like a tiny Roman.
She also appears to be under the misguided impression that milk courses under my skin like a river, and will attempt to latch on to whatever part of me happens to be closest—thigh, shoulder, collarbone—and become furious when no sustenance is forthcoming. If she is hungry enough, even eating will upset her, something I find baffling. Say you’re a baby. You want food, the food source is in your mouth, but instead of eating you prefer to wail and fling your giant bobbling head from side to side? What’s your motivation? Simone would be a star on this website.

This last Saturday was my due date. Go ahead and roll that around in your mind for awhile. Though I would be hard-pressed to categorize the pregnancy as “successful,” I am ever, ever mindful of how much worse things could have been, and how lucky I am to be here, with my sweet, wiggling, living daughter.
YawnMonday

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Arrived.

I spent a lot of time mentally preparing myself for the rigors of having a new baby at home. By watching other bloggers navigate the rocky terrain of motherhood, I gleaned a few salient points: there would be little sleep, and copious excretions. There would be no time for showers, or writing, or meals that require preparation, and probably I needn’t bother wearing a shirt. In the days before Simone came home, I steeled myself for how overwhelming it would be, and resolved not to expect too much of myself. I stockpiled antidepressants and episodes of Absolutely Fabulous, just in case.

And some of my expectations were fulfilled. There has been little sleep. There has been spit up, and bright yellow excrement that must be scoured from the umpteen mineshaft-deep crevices between rolls of baby thigh (um, DESIGN FLAW). I have not showered since Tuesday, nor managed to return a single email, and yesterday all I consumed before five o’ clock was a snack-size bag of kettle chips and four cups of tea.

What I had not expected, what took me entirely by surprise, was how much I love this, peculiarly hued feces and all. I expected to be happy, of course, but I am so much happier than I hoped I might be.

The first two nights, Simone was perfectly content to sleep while someone was holding her, but put the child in her crib and she made her displeasure known. Our solution was for someone to remain awake at all times. Scott took most of the night shift, and I relieved him at 4:30 the next morning. In theory, this should have resulted in us each getting at least a solid five-hour block of sleep, but somehow it didn’t work out that way. As a result, most of our conversations went something like this:

ALEXA:
Hey, can you hand me the…thing? The…you know, the thing in front of you, on the table?
SCOTT:
ALEXA: (rubs face, exhausted) The eating thing, you know.
SCOTT: (stares blankly at table, where BOTTLE stands)

At 4:30, Scott would bring the baby to me and I would nurse her lying down until she fell asleep. I wanted, badly, to just leave her there, but we had been enjoined against such practices, and so I would transfer her to her crib next to our bed, at which point she would wake up all frisky-like, until I turned the apnea monitor back on (for her reflux) and lay down, at which point her mood would take a turn for the worse. Loudly.

Part of the problem was that Simone had become drunk with power. Now that she was home, she expected 24-hour mammary access. Off to take a nap? Not so fast, Milk Lady! Scott tried to give her a bottle and she pulled away, waggling her tongue at me suggestively. Bottle, schmottle! Come to me, nice Milk Lady! Come to me or I WILL RAIN HELL UPON YOU AND YOUR KIN.

And then yesterday we had our first weight check and visit from a home health nurse, who I am pretty sure was a gypsy. I am sure because she took a swaddling blanket and used it to tranquilize our baby, and it seems like a gypsy-ish skill, probably useful to keep babies quiet while you are replacing them with changelings. We had tried several traditional swaddles and the Miracle Blanket, with limited success, but this? As soon as Simone was swaddled in this manner she went silent, and now we can set her anywhere: in her crib, in her bouncy chair, as a doorstop while we carry in the groceries, and she remains calm. And I know what you’re thinking, but the blanket the gypsy used was one of our own, so I am certain it hadn’t been rubbed in Ketamine.

Anyway, I am typing this with Simone in her sling and she is starting to rub her face in my cleavage (which is a little degrading, baby—MILK LADY IS NOT A PIECE OF MEAT) so I had better go before the yowling starts.

Until next time, here are some pictures:

Simone’s room (no art on the walls yet, but otherwise finished):
Nursery 1Nursery 2

What grateful exhaustion looks like:
Half AsleepHome

Comments (110)

Super Tuesday.

I keep sitting down to write and then jumping straight back up again because write?
THERE IS NO TIME TO WRITE.
Simone is coming home on Tuesday, less than 72 hours from now.

After the swallow study she was still having trouble with any bottle not given in the presence of a highly-paid radiologist, so we added Simply Thick and Voila! Au revoir le tube de nasogastrique! This was our last homecoming prerequisite, so in the last two days we have had oxygen training, medication training, reflux classes, and infant CPR—not to mention a pseudo baby shower wherein my insurance company and a medical equipment supplier deluged me with nasal cannulae, a pulse oximeter, and a jaunty nebulizer shaped like a panda bear. The lowest setting the home tanks can deliver is more oxygen than Simone needs, but the pulmonologist felt there was no point in pushing her to come off entirely before discharge. We will likely ditch the O2 at her first outpatient scan in a month.

Last week was rife with small frustrations. Riding the elevator with a gaggle of pillow-clutching, birth-class-bound third trimester women and their partners made me want to cry or possibly extinguish a cigarette with someone’s face. Later I spent a full 30 minutes in my (ill-starred, now panic-inducing) perinatologist’s office waiting for Ames’s autopsy report, only to be told that it is still not back, after three months. Strange, especially as I have already received the bills from pathology. I don’t think they should be allowed to bill you for tests before producing the results, do you?
The point is, it was a hard week, but when those magic words “Simone,” “home,” and “Tuesday” were spoken, I rose into the air and flew high above the city, whistling a melodious tune and leaving a trail of gamboling kittens in my wake. I was happy, is what I am saying, and I don’t see myself coming back to earth any time soon.

Which doesn’t mean I have lost my ability to whine about the mundane: yesterday I went to Ikea, and was foolish enough to do so (a) alone and (b) in heels. Limping towards checkout pulling one cart and pushing the other with arms shaking from muscle fatigue I realized that I had left my purse…somewhere.
Luckily, Ikea comprises only 336,000 square feet.

Speaking of which, Scott and I realized yesterday that save a bookshelf from Target, Simone’s crib is the only piece of furniture we own that was not made by those particular Swedes. If all the Ikea items in the world were beamed into spaceships by a race of frugal, design-conscious aliens, we would be SO SCREWED.
And speaking of that, once home I realized that the wee shelves I bought for Simone’s room are unfinished pine. Does this mean I have to finish them, or can I just leave them all rustical like and do it later?
[Ed. Note: The correct answer, should you be tempted to give one, is “do it later.” “Or not at all” will also be accepted. Partial credit will be given for “maybe just rub a little oil soap on them.”]

My grandmother would roll in her grave to hear it, but last Tuesday I had a visit from a professional cleaning person. The downside to the renovations turned out to be that the floors of our new apartment were caked with construction grime, and it seemed the management’s post-construction cleaning consisted of nothing more than a quick whisk with a broom. A broom missing most of its bristles. And possibly previously used to smooth the walls of a wigwam.
I was not in the mood to complain, seeing as how this management company has treated us very well, but neither was I in the mood to spend hours on my hands and knees with my Mr. Clean Magic Eraser, which is not nearly Magical enough. Hence the cleaning person. And my ensuing middle-class guilt. Now, this cleaning person, though she was loaned to me by a friend, was not to my knowledge an indentured servant. I paid her handsomely. Yet while I was waiting for her outside on the stoop, I found myself wondering whether I should run upstairs and put a bottle of wine in the fridge in case she got thirsty, or maybe just pretend I was not the resident of the apartment at all, but merely a personal assistant dispatched to unlock the door at the appointed time. I could commiserate as the cleaning person paused in her labors, one hand on her back massaging the sore muscles she had acquired from years of toil.
“I hate that you have to do this,” I would say, “I think the sloppy bitch should scrub her own damn floors. More wine?”

Tonight I am putting the rest of the furniture together, washing loads and loads of baby laundry, and arranging a bouquet of bulb syringes on my bedside table. I think I might be nesting, which the pregnancy newsletter I still get from my former OB’s office told me to expect this week, so I’m right on schedule.
Somebody should tell that to Scott. “You need to be less crazy,” he said to me this morning as I nattered on about lists and schedules.
“[REDACTED]!,” I shrilled. And then I returned to alphabetizing my bobby pins.

We’re as ready as we’ll ever be, parenthood. BRING IT.

Comments (139)

Sucks. *UPDATED*

Well, hell. Simone failed Bottles. Her speech therapist (Speech! I know! So advanced!) has tried various nipples and feeding positions and pacing techniques, all to no avail. Give my girl a bottle and she gobbles at it, aspirates milk into her lungs, and stops breathing. A swallow study has been ordered for tomorrow morning.

What I find so damnably frustrating is the fact that she can take full feedings by breast with no problem. We use a nipple shield, but the rest is all her: she sucks like a champ, remembers to stop and breathe, and even does this comedy bit where she growls and shakes my nipple like she’s trying to break its neck. The lactation consultants came to consult but left unneeded, shaking their heads in awe. Alas, Simone will be sent home on a growth regimen that includes two feedings of milk fortified with formula, and if she cannot take those feedings by bottle, she will end up with a g-tube.

I do not understand. Obviously she can drink without aspirating, because she does it several times a day via my mammaries. Simone’s nurse can’t remember another baby who couldn’t take bottles yet could breastfeed. My child is a puzzle wrapped in an enigma wrapped in a milk-stained onesie. The best-case scenario would for the swallow study to show that she does not aspirate as long as the milk is thickened with rice cereal, so let’s hope for that. Better yet, let’s hope this has all been a clever ruse designed by my daughter to bust out of the NICU for an hour, and that once she is down in radiology she sucks down an unthickened bottle without incident.

Until tomorrow, I leave you with a video. The first act is a simple rendition of the hiccups, but the second act showcases the “door in a haunted house” sound effect Simone has been perfecting for weeks now. And at the end of Act III…well, see for yourself:

UPDATE:

Simone aced her swallow study. Unthickened. No aspiration, not even a suggestion of milk that looked like it might be considering possibly heading for her airway. As this is the only of her dozen or so attempts to bottle that has not ended in alarms and a blue baby, I am thinking my “clever ruse to score a field trip” idea is the only explanation. The speech pathologist was baffled.
“I can honestly say I have never been more wrong,” she said. But it’s not her fault that my child is so contrary. I swear the radiologist thought we were making the whole thing up, for kicks.
As Simone obviously can bottle feed safely, the plan is simply to keep trying and thicken with rice cereal if needed, to slow things down a bit. I saved the bottle they used (same kind as yesterday) just in case it has Magical Powers. The upper GI series showed grade 3 reflux, but that was no surprise.

So, uh, move along, nothing to see here! G-tube threat level reduced to Puce, or NONEXISTENT.

Comments (130)

Or Two Small Ostrich Eggs.

We moved Saturday, and all that up and down the stairs meant that Sunday, the morning of the march, I awoke with my calf muscles curled into tight balls like frightened hedgehogs. But I did it, I Marched Shuffled for Babies, and I had a wonderful time.
The weather was quite nice in the end, cold, but sunny, and the walk itself was around a lovely lake. As I was driving into the park I got briefly teary at the sight of the first March for Babies sign. I knew, of course, that it was not an event specifically and solely in honor of Simone, but I was grateful all the same. And sore legs or not, it felt good to be walking for a cause I believe in, and for all of you—in 25 states plus England, Ireland, and Brazil—who donated. I can’t wait to take Simone on the walk next year, and I am hoping it will be something the two of us can share together for years to come until she hits puberty and decides it is just another lame thing I am forcing her to do because I WILL NEVER UNDERSTAND HER, GOD. Incidentally, I was the largest fundraiser on my team (meaning that I raised the largest amount of money, not that I was the most rotund—though as the team was composed primarily of lithesome 22-year-old NICU nurses, I may have set the zaftig record as well) and my prize was a family photo shoot and $100 print credit with this woman. I am so excited I could spit. I will schedule the shoot as soon as Simone is off oxygen and cannula-free, so hurry up baby! Breathe for mama! Breathe for her need to obsessively document your every move! And, you know, for your health, or whatever.

Last night I went out with my baby brother and I am still recovering. I had a particularly clumsy start to the evening—I nearly killed myself stepping out of the shower, having forgotten that my new tub is a much-higher clawfoot, and then I fell off my heels walking out to the taxi. Once in the very fancy bar of the very fancy restaurant I found myself unable to get into my seat at the table without awkwardly stepping over the entire chair. All this before my first sidecar.
And then my brother FORCED me to order another. And then we went into dinner and found that we had been given a complimentary bottle of Veuve Clicquot. Max is a chef and works front of the house at the best restaurant in the Cities, so he is used to this sort of treatment, but I am not, and so felt obliged to have a glass or two because FREE CHAMPAGNE!! And then I ate a bunch of rich food (gnocchi with lobster and butter sauce, veal sous vide, talleggio with honeycomb, and some sort of cheese filled crepe with figs and basalmic), which addled my senses enough that I ordered a glass of red wine. I did not finish either the wine or my second sidecar, but the damage was done. I vaguely remember announcing my hatred of young people, forgetting how recently some members of the table had attained suffrage. One of Max’s friends, a medical examiner, was there, and I both asked her what percentage of her work hours, approximately, she spends fighting crime, and congratulated her on her upcoming move to Baltimore by mentioning what a high murder rate they have (good for business!). And then I went home, and woke up at four a.m. inexplicably naked and sweating, with a pounding head and a firm conviction that I was only moments from death. I’m a regular Paris Hilton in a nursing bra, over here.
So I don’t think I’ll be doing that again anytime soon. I like a glass of wine as much as the next girl—maybe more, depending upon who this proverbial next girl is—but drunkenness is not for me. I don’t know if I have ever told you this, but I once, about five years ago, called my mother and brother in the middle of the night convinced that I had alcohol poisoning. This is noteworthy only because at the time I had consumed exactly two (2) Manhattans over a six-hour period. OH, the LAUGHTER. They still trot that story out every few months. What they don’t know is that despite their reassurances, I slept on my side that night to prevent a potentially deadly aspiration. Ah, carefree youth, I hardly knew ye! In fact, I never had even a passing acquaintance with ye, having been born at the tender age of 45.

We have not yet unpacked, which makes moving about the new apartment a treacherous undertaking indeed. And as the presence of my bosom is required at the hospital for much of the day, I am not sure how we will ever find the time to tackle Box Mountain. Yet Simone’s homecoming looms ever-closer.

One of the Baby of the Week judges pointed out that Simone is becoming quite fat and succulent-looking, and I must agree. She weighs five and a half pounds now, or about the equivalent of 28 average-sized adult hamsters. Why, I remember when she was only a little bigger than half-a-dozen gerbils! They grow up so fast.
Spring

Comments (88)

S Minus About Two Weeks.

After the 800th commenter swore that she would sell her grandmother for a Miracle Blanket, I hied myself to the website and ordered two. My baby adores a swaddle, and I got a bit nervous when a nurse mentioned that once I am home I will only be able to swaddle Simone below the arms, because swaddling with her arms in and the blanket up to her neck is a SIDS hazard. Apparently babies can wriggle the blanket loose, get it over their face, and suffocate themselves. (Incidentally, between the catching fire and the suffocation, is anyone else getting the impression that babies are awfully accident-prone?) But unless Simone ties one end to a crib slat with her teeth and barrel rolls in the opposite direction, that Miracle Blanket isn’t going anywhere. She’s trapped! Just as nature intended.

I had so much fun reading through your comments and making my list of pre-homecoming essentials. I tried to sneak “pedicure” and “Nikon D40” onto said list, but Scott objected. (Of course with May 26th approaching, he has been trying to convince me that year one is “The Playstation 3 anniversary,” so he is not arguing from a position of strength). What your comments made especially clear is that I will need two or three hundred cloth diapers per baby-orifice, and probably I should just plan on scattering them liberally around the apartment to mop up any stray fluids. Your sling recommendations were helpful as well—I got a Baby Ktan (quite like a Moby-wrap-for-dummies), and it sounds like the Kangaroo Korner fleece pouch might be worth a look, irksome misspelling of “corner” notwithstanding.
Anyhow, I am in a much better position than I was last week, when a nurse asked whether I had “one of those vibrating chairs” for Simone yet, and if so, could I bring it in? and I thought she meant an infant-sized leather massage chair from Hammacher Schlemmer Baby or something. In my defense, I didn’t realize that bouncy-seats vibrated—I thought they were simply a spring-loaded receptacle in which to place the baby while you answer the phone or use the bathroom, a receptacle that you may “bounce” with your foot if you are so inclined. I had much to learn. Of course I do realize that all Simone really needs is a boob and my love and a dresser drawer lined with rags (well, besides her oxygen tank) but it’s lovely to finally, finally feel safe enough to shop for a carseat and mentally arrange nursery furniture.

Speaking of which, we got a call two days ago from our landlord, indicating that our new apartment was nearing completion. We picked up the keys today and start moving tomorrow, and also, we need to have our current place emptied and cleaned by Tuesday morning at nine. So, guess what I’m doing this weekend? If you guessed “moving,” you’re only half right—full credit goes to those of you who added “hyperventilating in the dark recesses of a closet.”

Of course the other thing I am doing this weekend is walking in the March of Dimes March of for Babies with Simone’s fabulous nurses. I suppose this means the babies will be all alone in the NICU, throwing a wild party ($3 cover, must be under 37 weeks, the breastmilk will flow like wine). The March is on Sunday, and this morning my iGoogle weather gadget displayed a picture of a christless SNOWFLAKE for that day. “Rain and snow showers,” they say. On the day of our noble four mile walk to keep babies alive! Really, April? Is that how you want to be remembered? As a babykiller? Let’s have a little sunshine. DO IT FOR THE CHILDREN.

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Everything You Ever Wanted to Know About Babies*


[SCENE: A lavishly appointed NICU ROOM. NURSE PRACTITIONER—formerly seen in Act I: A Streetcar Named TRACHEOSTOMY—pulls up a chair. ALEXA looks up from LAPTOP, visibly ALARMED.]

NURSE PRACTITIONER: So, I just want to prepare you…
ALEXA’S INNER MONOLOGUE: Oh god, WHAT NOW?
NURSE PRACTITIONER: …for the fact that things may start moving quickly now that Simone is back on the regular cannula. She can be discharged on this oxygen setting, and once she is taking all her feedings by bottle or breast, we will be sending her home.
ALEXA’S NECK: WHIPLASH!

-Fade to black-

[SCENE: A lavishly appointed NICU ROOM. ALEXA is MAKING FACES at the BABY. WOMAN enters.]
WOMAN: Hi! I’m from Discharge Planning. Do you have a few minutes to talk?
ALEXA’S BRAIN: LIQUIFIES, DRIPS OUT RIGHT EAR

It looks like Simone is coming home. Maybe not today, maybe not tomorrow, but soon, and for the rest of her life (we may have to negotiate that last part when she reaches college age, but never mind that now).
So, uh, I have a lot of questions. About babies. Because of how I have one. Who will be coming to live with me, at my apartment, where the nurse-to-neonate ratio is suboptimal (0-1). Currently, my knowledge of infants is more or less limited to the following:
1. Generally diminutive in size
2. Fond of milk
3. Exhibit poor impulse control
4. To clean, wipe with damp cloth
5. Should never be thrown out with bathwater

I was initially relieved to see that babies have their own Wikipedia page, but it turns out to be full of helpful tidbits such as “Babies cannot walk” and “Infants’ social presence is different from that of adults, and they may be the focus of attention. Fees for transportation and entrance fees at locations such as amusement parks or museums are often waived.”

While I am certainly pleased to know that I can send Simone out for an afternoon of sightseeing with a minimal amount of cash, I have more pressing concerns. Like the tag that came attached to one of my daughter’s snap-heavy unitards:

tag

PARDON?

Catch FIRE? Are babies flammable? Is this something I need to be watching for, a PLUME OF SMOKE rising from her bassinet?
So yes: I have many questions. I could “read” or “consult experts,” but talking to the Internet has served me so well in the past that I thought I would do that instead. I have a whole slew of things to ask about breastfeeding and reflux and whatnot, but those will be more involved posts later this week (that anyone who is not deeply interested in my nipples may want to skip). For now, I will start with something simple:

MY NEUROSIS, LET ME SHOW U IT

One of the first things we heard when they started transitioning Simone to a crib was that she would need to be bundled up, and could we bring in some of her clothes? “Sure!” I said brightly, surreptitiously writing Buy Baby Clothes on my To Do list. I never had a baby shower, seeing as how I didn’t make it out of the second trimester, and my paranoia did not permit me to buy baby things during pregnancy myself (a good thing, too, or I’d be listing a double stroller on Craigslist right about now). After Simone was born, her health was so tenuous that I was even less inclined to purchase crib bedding I might have to re-tailor into an infant shroud.

But if trained medical professionals needed me to shop for wee bodysuits, well, by golly I would. So I ran out to buy a package of onesies…and staggered into my apartment three hours later with bags hanging from my every appendage, bags containing things like baby Tylenol and tiny socks and a random package of bottles. Perhaps my blood sugar was low, perhaps it was the fine mist of acquisition-promoting chemicals they spray into the air at Target, but once I tossed that first pair of footed pajamas into my cart, there was no stopping me. I was too superstitious to do anything with my freshly acquired loot but shove it into a closet and sneak in to stare at it every once in a while, but it’s a start. I have a Boppy sitting in the NICU. I have the softest stuffed elephant ever made. We even have a crib, an honest-to-goodness crib for a baby.

Besides the aforementioned baby Tylenol I now own a barrel-sized vat of hand-sanitizer, Pampers SENSITIVE! wipes, Johnson & Johnson NO MORE TEARS! baby shampoo, a bulb syringe, two hulking air purifiers, and a baby first aid kit—the only thing missing is the plastic bubble. But I know there is more to stocking a nursery than rectal thermometers and stuffed elephants, soft or not (the elephants, not the thermometers). And it’s confusing: did you know you aren’t supposed to use baby oil or baby powder? I assumed that the “baby” prefix meant they were appropriate for the younger set, but no.

So let’s assume, for a moment, that Simone is going to continue staying alive and eventually come home to the room earmarked for her—what do I need? Rags, obviously, for assorted fluids. Twine to keep her tethered safely in her crib. Anything I am missing? What did you use, and what was a waste of money that could more properly be spent on cheese and gin?

*But Were Too Infertile to Ask

Comments (233)

Dueling Banjos.

I must admit, I am exhausted. The last few days were harder to handle than some of our other NICU catastrophes (collect them all!) because things had been going so well. Simone had come off the high flow and was on a regular nasal cannula. Her ROP was improving in one eye and stable in the other. She had a negative MRSA swab. She was awake more, goggling at the world, and she was starting to learn to breastfeed. One of her nurse practitioners had called to say goodbye before leaving on a three-week vacation, figuring that by the time she returned, Simone would likely be discharged.

When I left Wednesday evening the oxygen was on the lowest setting, and I was making a mental list for a planned IKEA trip to buy SVARSLIGS and such for the—gulp—nursery. The next morning, I ran an errand, arriving at the NICU around 10. All hell had broken loose, in the form of seven severe spells of apnea overnight, one of which required Simone to be manually bagged. This was extremely uncharacteristic. Simone is, in the words of her medical team, “very mature” neurologically. While in a 16-year-old this might manifest itself in inappropriate crushes on professorial types, in Simone’s case it means she holds her own pacifier, interacts with people, roots and latches, and—more to the point—doesn’t forget to breathe. Her apneic spells have been mild and related to her (dreadful) reflux.
It would have been lovely to get a phone call in the night when the wheels first came off, but bygones—Simone had been returned to the high flow nasal cannula and a septic workup had been started. A nurse practitioner—not one of Simone’s regulars—came to talk to me, and within 45 seconds I was in tears.

Quoth she:
•Simone could have an infection, but she may simply have gotten tired from her two days on the regular cannula, showing us that she failed her trial off the high flow.
•If she can’t come off the high flow, I should be prepared to hear about a tracheostomy.
•Her lungs don’t look that bad on x-ray, so there may be a problem with her airway instead, like tracheomalacia. Probably she should have a bronchoscopy next week.
•Also, looking at her growth charts, her weight seems to have plateaued. She was only at 3% on the preemie charts before, and now she’s straying from that curve.
•Probably that means she is expending too many calories breathing, and hey, have you met my friend, MR. TRACHEOSTOMY?
•Of course there is also the possibility she’ll need a G-tube, which would help her get the nutrition she needs without losing as much energy.
•But we have a good FOUR TO SIX WEEKS to think about all that.
•Now, how about a nice lumbar puncture?

I was overcome. How did we go from “hurry up and find a car seat” to “buy stock in home medical equipment?”

I try not to cry in front of the nurses and doctors, because I find they are more likely to keep you completely and honestly informed if they don’t think you’ll fall apart at the mere suggestion of unpleasantness. But this time I couldn’t seem to get myself under control. Silence was the best I could do; I stood in my sterile gear for the spinal tap, tears streaming into my mask.
Simone didn’t respond well to the Morphine, so they gave her a dose of Narcan and the nurse practitioner reached over and turned her high flow up to three liters. A hissing sound filled the room, and I thought “I don’t remember high flow being that loud. How quickly we forget!” Two more doses of Narcan and half an hour later, as Simone continued to falter, it was discovered that the hissing sound was her oxygen escaping. When she reached for the dial, the NP had disconnected a tube. At that point I wanted to kick the whole world in the shins, but instead I watched as a sweet, nervous nursing student attempted to eke a few drops of spinal fluid from my daughter. With a needle. In her spine.
Simone’s CRP came back elevated, indicating infection, and she was started on IV antibiotics. They weren’t able to get enough urine for a urinalysis, just a few drops for culture. I went home and slept like a dead thing.

By yesterday Simone seemed noticeably better, though her cultures were coming up negative. Our favorite NP—one who is especially fond of Simone—had taken over her care. I accosted her immediately and rattled off what I had been told by Wednesday’s NP. My side of the conversation can be summed up like this: WTF???? Her side was more helpful.

Quoth she:
•It doesn’t make sense that Simone simply tired out and “failed” the regular cannula. If that were the case, her O2 needs would have been creeping up rather than going down consistently before the Night of the Seven Spells. The apnea was probably due to a UTI. Even though nothing grew on the culture, the fact that her urine was cloudy, that her CRP was up, and that she began to improve dramatically with antibiotics is suggestive.
•There is no reason to believe that Simone will be unable to come off the high flow and need a tracheostomy. It is possible, yes, but not probable.
•There is no evidence that there is anything wrong with Simone’s airway. Her known reflux is much more likely to be a cause of intermittent spells than is a floppy airway.
•Simone’s weight hasn’t “plateaued.” She is recovering from busy weeks transitioning to a crib and off the ventilator. G-tube schmee-tube.

As you can imagine, I liked this conversation rather more than its counterpart from the previous day. I am trying not to be upset about the communication breakdown, the (undoubtedly well-meaning) alarmism, the DISCONNECTED OXYGEN TUBING—and for the most part I am succeeding, mostly because my relief doesn’t leave room for much else. Simone’s CRP has started to go down with antibiotics, and she has had virtually no spells since Thursday morning. She is on high flow with room air, and was active and googly-eyed this morning, the cotton batting securing her scalp IV perched atop her head like a fancy Parisian hat. I don’t understand how it is possible to have a bladder infection without a positive culture, but then I can’t do cartwheels or like physics either: some things remain beyond me.

That’s all for now. More as events warrant.

Comments (63)

Just When You Thought it Was Safe to Buy Crib Sheets.

(7 spells of severe apnea) + (1 manual bagging) + (1 return from minimal O2 to High Flow) + (1 failed bladder tap) + (1 catheterization) + (1 blown IV) + (1 successful IV) + (1 blood culture) + (1 elevated CRP) + (1 dive off the preemie growth chart) + (2 mentions of “tracheostomy”) + (1 mention of “bronchoscopy”) + (1 mention of “g-tube”) + (1 dose of morphine) + (1 blue baby) + (3 doses of Narcan) + {1 oxygen tube accidentally disconnected during spinal prep and unnoticed until + (>toomany deep desaturations + >toomany minutes) later} + (1 lumbar puncture) = Thursday.

Morning.

Comments (111)

Splish.

Thursday I signed onto my checking account and found my money missing. “J’accuse!” shrilled the minus sign before my balance, and I scrolled through my transactions in a panic. How had this happened? The $200 in overdraft fees lovingly applied by my bank hadn’t helped, but it appeared the real culprit was a mysterious transfer to an unfamiliar account. The account number was followed by the initials CA—California? Was someone in California stealing my money? Squirreling away my hard-earned nickels to spend on organic produce and Mystic Tan sessions?

The next hour was a busy one, what with all the tears, confused phone calls, and flushes of shame and futility. I could chronicle every excruciating second, but why keep you in suspense? Somebody was siphoning money from my account into their own: Me.

To explain, I must take you BACK IN TIME, all the way to LAST WEEK. If I cast my mind back to this forgotten era, I can remember that my bank was located in the same building as my office, some 25 minutes from my apartment. Having just officially(!) resigned(!) from my job, I decided to open a new checking account ( “CA”) at a bank closer to home. I transferred money from my old account to open the new one, and then…I promptly forgot about it.

Did I redirect my automatic withdrawals to the new account? No, of course not! Did I retain any memory of opening the account at all? Well, sort of, in that I kept checking the mail for my new debit card, but I failed to recall both 1) that actual money had been required to set up the account, and 2) the provenance of said funds.

I have never screwed myself more efficiently. Following years of subtler, more complicated self-sabotage, the directness ought to be refreshing. At least that’s what I told myself as I kissed my money goodbye.

Happily, the next day was much better:
First Bath
After more than two months of lolling about in her own filth, Simone had her first bath.

She loved it. I loved it. One of her favorite nurses held her upright while I washed her slippery little limbs (Simone’s limbs), and at one point I started to giggle—I think it was while utilizing what appeared to be a hospital-issue Barbie comb.
“This is the most fun I have had…Well, ever.”

After the bath, I dried Simone with a warmed blanket and dressed her in one of those snap-laden garments all the babies are wearing. Where did all this snapping take place, you ask?
Oh, just in her CRIB.
Yes! A crib! All open to the air, and whatnot, so that I can rush over and touch her whenever I feel the need. Don’t mind me—it’s just your mother, rubbing your fat little belly.

Excuse the tardiness of my epiphany, but OH MY GOD. I have a baby.

Comments (157)

Def Leper.

So, how do you like the redesign? I seem to be all about fresh starts these days, and this particular new leaf was easy to turn over thanks to the very patient and talented Margot, who not only designed all this but also put up with my (patent pending) patois of perfectionism and clumsiness. When I answered questions about my color preferences with references to Swedish Pippi Longstocking movies and requested minute adjustments to specific letters in my header image, Margot gamely refrained from reaching through the screen to throttle me. And when I sent her an email with the subject line EMERGENCY! shrieking that the site had suddenly lost its formatting and wondering whether someone had hacked into my Very Important and Hack-worthy website or if a server had been felled by bears, she kindly informed me that I had deleted a vital curly bracket with my ham-handed CSS modification—but without mentioning the “ham-handed” part.
Incidentally, it turns out that curly brackets are the key to everything. I have seen this played out many times in the past week, and if ever I emerge from my apartment to find the world crumpled into rubble at my feet, I will know that surely there is a misplaced curly bracket in the Great Stylesheet in the Sky.
But the design is finished now, with the exception of the About page, and a good thing, too, because the world was starting to look to me a bit like this:
Scott and Simone
…Which is how you know you have been spending too much time up to your htmelbows in code.
Anyway, three cheers for Margot! Probably she could use a cocktail about now.

Actually, I could use a cocktail about now as well. Simone celebrated her two-month birthday yesterday by testing positive for MRSA colonization. Yes, that MRSA.
But before you start rolling in ashes and rending your tunics, let me assure you that this is not the same thing as a MRSA infection or (god forbid) MRSA sepsis. The MRSA is not in her, so to speak, it is on her, having set up a tiny utopian colony in her nasal mucous membranes. I have to say that hearing people say that your baby has been “colonized” is rather alarming, and I cannot help but feel that MRSA ought to GO BACK WHERE YOU CAME FROM. WE DON’T WANT YOUR KIND AROUND HERE. Suddenly multiculturalism seems like a terrible idea, at least when the cultures involved are methicillin-resistant staphylococci.

So now there is an isolation cart outside Simone’s room, and a sign on the door, and every nurse who enters wears a gown, and it just about breaks my heart. I feel defensive on Simone’s behalf, somehow, which is silly as it’s not like she contracted MRSA by being especially slutty. She previously tested negative, but after 60-some days in a hospital a baby is bound to catch something. I have been told that being colonized should not effect her health, and in fact a large percentage of the population is colonized without realizing it, meaning you, dear reader, could be harboring a colony right at this very moment. Doesn’t that make you want to take a quick shower? In bleach?

Yesterday went downhill from there. Simone had a positively medieval-looking eye exam (not the cunning miniaturized eye-chart I had been hoping for) and every time they touched one of her eyeballs, which were held open by tiny metal spiders, she let out a squall like a cat would if tied in a burlap sack with a wolverine. The exam showed beginning stages of Retinopathy of Prematurity (stages one and two), and while it’s nothing to worry about just yet, between that and the MRSA I was reminded that things are always popping up when you least expect them, and that there is a whole month left in which to fit a few more NICU catastrophes. I flew right back to the place where I used to live, the place where I am afraid to even imagine my baby coming home. And of course I know that if Simone does come home, there is nothing to say she won’t die of RSV or SIDS or by pulling one of our bookshelves onto herself (my god, I’m a laugh a minute today, aren’t I?). She is doing so well there is no reason for me to be so tiresomely morbid, but I can’t seem to help myself.
Lately I am thinking often of this family, who are facing something they likely never imagined. Babies should not get brain cancer. It is just…wrong. The lovely Emily is organizing support and donations, because if there is one thing those parents should not have to think about right now, it is money.

What I think about, mostly in the middle of the night, is how they will ever feel safe again. I wonder that too for myself, after everything that has happened in the past three months. When will I feel less like every moment with Simone could be my last? Will I ever be able to take her, just a little tiny bit, in the happiest possible way, for granted?

P.S. The first person to say something about hearts walking around outside bodies gets AN ANATOMY TEXTBOOK SOAKED IN HUMAN BLOOD.

Comments (65)

A Deluxe Apartment in the Sky.

Simone seems to be doing well, and I have an hour to myself, so I feel it is time to tell you a tale of latent homosexuality, alcohol abuse, and truly hideous red and white tile—also known as the story of how we came to be moving at the end of this month.
Yes, we are moving. Again. For the third time in two years. You may remember my previous moves, in which case you are probably asking yourself one of three questions:
1. What is wrong with these people?
2. Is her antidepressant prescription up to date?
3. No, really—what is wrong with these people?

The answers are 1. I don’t know, god help me; 2. Thankfully, yes; and 3. This is the last time we move until we buy a house, and if I have to sit on a toilet for two years to ensure that, well, so be it. Those of you who have not been reading as long may be wondering “Has Alexa started packing?” or “Does Alexa have time to pack?” and the answer to both of those is “No,” followed by a hollow laugh.
(Those of you who asked yourself no questions, instead making a snide comment about gauchos: VERY GODDAMN FUNNY).

Anyway. Last fall we got new upstairs neighbors. Almost immediately, the noise began—just after bar close, around 2:30 in the morning, mostly in the form of incredible thumps and crashes that shook our ceiling and were often accompanied by raucous laughter. This went on every weekend for some time, and around Christmas it started to unhinge my poor husband. I wasn’t delighted by it either, but as mentioned before, confrontation is not my strong suit, and it seemed easier to put up with being occasionally startled awake. I tried to see the bright side: attempting to figure out what on earth they were doing up there was a diverting puzzle that kept me occupied during many a nocturnal bathroom trip.

The obvious explanation was cow tipping. The tenants were two young men from Wisconsin in their early to mid twenties, boys who appeared unaware that they had left the perpetual keg party of college and entered the real world. Or perhaps they were confusing the real world with the television show of the same name. Anyway, my cow tipping theory, though it explained the window-rattling WHUMPs, was ultimately disproven when we found out what was really going on: drunk, shirtless wrestling.

I can’t remember exactly when we made this discovery, but it was after several calls to the building manager and multiple visits by the police. Our neighbors’ continued devotion to the sport baffled me. A few days after I was released from the hospital, I stormed upstairs at three a.m., my dislike of conflict temporarily overcome by roiling post-partum hormones and the fact that Scott’s endless hand-wringing about our living situation was getting on my very last nerve. One of the ruffians, Clompy—so named because he wears the world’s loudest cowboy boots—answered the door, weaving. As he slurred his apology, I looked past him to where his roommate sat, sans shirt, on a piece of furniture that had been pushed against the wall. Our building is a small, quiet one, its 12 apartments populated primarily by bookish types and professionals. These hoodlums had been warned, repeatedly, that further complaints would result in eviction, and yet nothing—not Scott, not the law, not my barrage of subliminal Brokeback jokes—could induce them to quit writhing intoxicated before a crowd of braying friends.

Eventually the inevitable happened. They were booted, and no-doubt fearing a repeat of my husband’s wrathful 2 a.m. phone calls with another tenant, the building’s owner offered us their top-floor apartment. Upon touring it, however, I declined. Our current apartment is Fancy. The apartment above has the same footprint and identical living/dining/bed rooms, but the kitchen and bath were horrifying, with outdated cabinetry, bizarre layouts, and the most revolting red-and-white-checkered linoleum I have ever seen. Not that I am a red-and-white-checkered linoleum connoisseur or anything, but trust me: it was unlivable. However when I explained this to the owner, he offered to completely renovate the wrasslers’ apartment, tearing up the linoleum, refinishing the hardwood floors, and installing all new granite countertops, bathroom tile, cabinetry, sinks, and toilet.

I have always wanted to have something renovated, and being able to do so without paying any of the money, doing any of the work, or absorbing any of the inconvenience of having my home ripped asunder was too great an enticement to resist. Besides, after the winter I have had, there is something appealing about a fresh start. A nice archaeologist couple has rented our apartment for May 1st, and we move the last week of April.
April being, of course, the month we are in now.

Is deciding to move just before my daughter comes home from the hospital (insert paranoid genuflection here) a form of postpartum psychosis, do you think? Or am I psychotic LIKE A FOX?

Comments (67)

What a Difference Three Days Makes.

From the ventilator, to rated CPAP, to normal CPAP, to a high-flow nasal cannula—all in 72 hours. Obviously my child is some sort of breathing prodigy, if you ignore the fact that the “all in 72 hours” happened seven weeks after her birth. But surely that is a minor detail. “Genius of respiration” it is!

She’s damn cute, too, even if she insists upon cheesy French music for her 60-second video montages. She says it’s because she’s not even supposed to be born yet.
Babies. Always with the excuses.

Comments (180)

You Wouldn’t Like Her When She’s Angry.

When I first found the discussion alluded to in my last entry, my intent was to ignore it entirely, as is my policy in such situations. Imagine my surprise to find that my other cheek simply would not turn that far. This has jeopardized my standing as a card-carrying member of Pathologically Conflict Averse Citizens for Change if it’s Alright With You, but c’est la vie.
I do not want to prolong the brouhaha and won’t be writing about it further, but I do want to thank you all for the lovely email. When one is already blaming oneself for, oh, everything, even the most logically (and scientifically) dubious accusations can salt the wound, and the perspective you offered was much appreciated.

In other gratitude-related matters: I am participating in the March for Babies (an event I keep mistakenly referring to as the March OF Babies, which, while a more entertaining visual, is not, strictly speaking, correct), and when I signed up I planned to find sponsors by sending an email to my relatives, reminding them that there is still time to squeeze in another charitable deduction before tax time. To no one’s surprise, I am sure, I have yet to get around to writing said email, but in the meantime I received a message from the March of Dimes showcasing their cunning html buttons and slapped one up in my sidebar. I didn’t mention it in a post because I am squeamish about these things—perhaps it is my Midwestern upbring, but I even felt awkward selling Girl Scout Cookies, and when the subject of payment arose would toy with my sash and more or less offer to front my customer the Thin Mints just to stop the incessant money talk. The point is, I put up a sidebar button and within 72 hours you all managed to exceed my fundraising goal, and I am…well, I am touched. So thank you. Without the research funded by the March of Dimes, Simone wouldn’t have had access to a truly reliable blood circulator (I’m done now, I promise).

Actually, my discomfort about the subject of money is about to become an issue, because I have decided to leave my current editorial job and return to freelancing. Not only am I going to have to begin the tedious process of finding people who will pay me to write or edit for them, I will eventually be asked how much payment I require, and god help me will probably stammer and blush and end up doing the entire project for a box of Samoas. It has been three years since I actively looked for freelance work, and I don’t quite remember how it is done. Are we still putting red lights in our windows to advertise our services?

Last weekend Simone finally broke three pounds, the weight of a MacBook Air, an adult human brain, or Mr. Peebles, the world’s smallest living domestic cat. Soon she will be out of the isolette and into an open crib. This both excites and worries me, as she seems to have developed super strength, perhaps via an accident in the embryology lab involving a carelessly placed toaster and some culture medium, and I am afraid she will shimmy up the crib bars and leap out in search of milk. When she is angry enough (say, 20 minutes before a feeding) my baby hulk can lift her whole body on her arms in a push up, something I cannot do myself, despite having 28 years and an unspecified number of pounds on her. Simone has become so strong, in fact, that they have decided it is time to give her another shot at CPAP. She will be extubated half an hour from now. Let’s hope it takes.

Comments (112)

Why I Should Stop Checking My Referrals.

Dear Commenters on a Certain Childfree Site,

Hi! I don’t think we’ve met. I am the mother—excuse me, “Moo”—of the “hideous” “fugly” baby in which you have taken such a keen interest. I confess that this first part perplexes me, as I had always thought the childfree weren’t particularly interested in children, and yet here you are, reading about mine!
Speaking of which, I was shocked to learn that I previously had two other premature babies, both of whom, alas, died after birth. Sometimes when I am on deadline things fall through the cracks, but those really seem like the sort of events I should have made a note of in my day planner.

However it is the medical aspects of your discussion that interest me most. This machine Simone is hooked up to, the one that “circulates her blood or what not”—can you tell me more about it? I asked the doctor, and she didn’t seem nearly as informed as you all. In fact, she denied the existence of this blood circulator entirely! And another thing—you say I should not be permitted to provide medical treatment to my child “when it clearly will not remain alive for long.” I hate to interrupt what I am sure is a busy afternoon of crystal ball gazing, but I would love for you to tell me more about the specifics of my situation. I’m not terribly imaginative, and before now was relying mostly upon doctors and medical journals for information about my daughter’s prognosis, when obviously I should have been paying more attention to signs like being able to “see the veins in that thing’s head and chest.” Actually, I can see the veins in my own chest as well—I always assumed it was due to my natural pallor, but now I am concerned I may not be long for this world.

This morning, on my way from Simone’s room to the salon to have my hooves filed and polished, I overheard a woman at the hospital pharmacy picking up a prescription for her asthmatic son. Thinking of you, I followed her to the secluded parking garage and wrestled the medicine from her hand, reminding her that when it comes to children, “If their lives were meant to be, they will live and flourish!” Later I mentioned to one of the nurses your suggestion that she “go into the NICU one night and unhook the baby’s ventilation machine.”

After I outran security, I called Simone’s doctor.
“Listen,” I said to her, “I know I have been ‘insisting that you keep the poor thing alive–’”
“Actually, we resuscitate all babies born at your daughter’s gestational age.”
“Oh. But what about her ‘terrible disabilities?’”
“I’m not sure what you mean. Statistics show there is an excellent chance that Simone will be just fine.”
“Huh. Statistics. Any luck finding that blood circulator?”

Anyway, I mostly wanted to thank you for drawing my attention to the similarities between Simone’s medical care and “the Nazi experiment involving keeping a severed dog head alive via wires.” The resemblance is stunning, don’t you think?
images_2 Awake
The experiment you refer to was actually performed by Russians, but “Russian” doesn’t have the same zing as “Nazi,” and god knows as a professional composer of “attention-seeking drivel” I understand the importance of inflaming the passions of your audience.

So that’s all. I would go on, but I have a load of hairshirts to throw in the wash. Being a “martyr” doesn’t leave me much time for my writing. Besides, I am feeling a bit embarrassed about how “tacky” it is to “air my dirty laundry” in such a manner. Some people might say comparing me to a Nazi and my daughter to an artificially animated canine head is a bit tacky as well, but hey, what do they know?

Cordially,
Alexa

P.S. I think she’s beautiful.

P.P.S. How many kittens did you have to sew together to make those lovely caftans?