Tuesday, August 9, 2011

Surgeons and Doctors and Specialists, OH MY!

We're off to see the surgeon, the wonderful surgeon of... pediatric brains. Doesn't quite have the same ring to it as The Wizard of Oz, does it? : )

First, let me say THANK YOU for all of the support and love we received after posting about Deacon's craniosynostosis situation. Before posting, I didn't know anyone who had gone through this. Now - come to find out - a lot of people know people whose babies had this condition, got the surgery, and are now healthy, happy babies. YAHOO! And that's why I love this blog and the sometimes over-sharing that I do. Because it's nice to know you aren't in it alone. I love being part of this community of mamas. And I thank you again for the support, love and prayers! We feel it... we really do : )

So this morning we are heading over to our first official doctor's appointment re: the craniosynostosis. First up: the pediatric neurosurgeon. And I have mixed emotions about it. Part of me hopes we'll walk in, the doctor will take one look at Deacon and say, "There's absolutely nothing wrong! He's fine!" But I'm not letting that hope overrun the reality that I know in my heart is true. So even though I hope and pray and wish the doctor will give us a clean bill of health, my second choice is that we walk in and the doctor says, "Yes, he has it. But it's absolutely fixable. We've caught it in time. No damage, swelling or compression of the little man's brain. Now let's get this taken care of asap." And then we are whisked through a whirlwind of tests, appointments and surgery - and we can look back in a month with smiles on our faces because we all made it through to the other side.

Luckily, I'm generally a pretty positive person. But I have to admit that at times, my mind goes crazy with the other possibilities of what the doctor may say. Like what if he says it's worse than we thought. Or that it will take multiple surgeries to fix. Am I ready for that? Am I ready to hear those words and deal with that reality? I'd like to think I am. But how much pain can your heart take before it completely shatters?

I went out to dinner with my BFF mama friend the other night (no babies, no husbands, just us! LET THE ANGELS SING!!) and I realized that I am holding a lot of my emotions on this inside. I talk about it with my husband every day, but I'm keeping myself from really feeling it. I talk about scheduling the appointments, about the great doctors we will be working with, about how each day (especially over the last week) we both have noticed the increasing size of D's forehead and the "smushed" look of the side of his head. But I don't let myself get too deep into the emotion of it. I'm holding back on that. Because if I let myself go there now, I might not be able to get through the next few days of appointments without completely losing it. When I start to feel the pressure of tears build up, I tell myself that if I can just get through the next week of appointments and find out what the next steps will be, then I can let go. And I will... it's inevitable.

A few years ago my mom and I attended a Women of Faith conference and one of the speakers said something pretty powerful that we both repeat often... "To get over something, you have to go through it. Not over it. Not under it. Not around it. But THROUGH it." Until you let yourself actually GO THROUGH the sadness, anxiety or whatever else you may be dealing with, you won't be able to move on from it. Because I firmly believe this concept to be true, I know that I will go through it. But not just yet. Right now I see myself as kind of hovering above the situation, keeping all the ducks in a line and everything moving along - keeping a clear head so the best decisions can be made. But I know soon I'm going to have to "go through" it. But first I need a clear picture of what exactly we are going through (surgery? how many? what kind?). And today's doctor's appointment with the pediatric neurosurgeon will begin to bring that into focus.

Next up on Thursday is the Pediatric Craniofacial Surgeon. And then, TBD. But you know I'll let you all know... : )

Monday, August 8, 2011

My Favorite Mommyhood Moments

For all the stresses mommyhood brings, there are a million and one little moments that make everything worth it. As D moves through each week, I am reminded of all the amazing moments I had as a first-time mama with Miss Paige. And reliving them again through this little man is double the joy. How many of your favorite moments in life do you actually get to relive? All life's best milestones - high school graduation, college, getting engaged, your wedding day - are over in a flash. You wish you could relive the excitement that those times in your life brought, but it's kind of impossible, except for the memories. But one of the many gifts of mommyhood is that you DO get to relive the tiny miracles each day brings as your second baby grows - almost appreciating them even more than the first time around, if that is possible. You recognize their relevance this time, vs. the first time where you were just praying to make it through the day without giving your baby yet ANOTHER reason he will need therapy later in life : ) So here is my list of the tiny moments I am reliving - and hope to remember forever:

  • The first time you realize your baby is watching you from across the room. When his eyesight finally matures to a point that he can see past 8-12 inches and his whole world opens up - and the only thing he wants to look at is you... his mama : )
  • The first smile, of course. But even more exciting - the first time YOU make your baby smile and coo. When you figure out where they are ticklish, where they like to be kissed, what funny faces they find amusing vs. terrifying.
  • Transitioning out of his first set of clothes into a larger size. Heck - even transitioning to the next size diaper is exciting. It means he's growing. No longer a newborn, but an infant who has new needs and wants. It's just the beginning of the amazing growth that happens the first year.
  • The first time your baby reaches for something. Either on his play gym, a mobile or a toy his big sister is dangling dangerously close to his face - your baby just turned from a little blob into a moving and grooving little man. Soon he'll move from swatting at a toy to grabbing it in his fists, and then pulling at it, eating it and one day soon, throwing it across the room.

Being a mama really is the most rewarding job in the world. You put in hard work, a ton of effort and love, and you see the results tri-fold. To think just a few weeks ago, you were still dreaming about what they would look like and who they would be, and most importantly, when they would finally make their arrival. And now they are here - being their amazing little selves and leaving joy and awe in their wake. Cheers to being a mama!

Wednesday, August 3, 2011

Do You Sleep Train Your Babies?

Do you sleep train your babies? I do. And I'll tell you why I do... to keep from going totally, bat-poop crazy. Seriously. I don't know how moms who don't sleep train their babies stay human. So what is sleep training, you ask? Just the most AMAZING resource available to new moms : ) Here are the details, and how I adapt them to fit my lifestyle and my babies...
First off, you need to get a hold of a copy of the book "On Becoming Baby Wise" by Gary Ezzo and Robert Buckman. Then, read it with an open mind. Obviously the authors believe strongly in sleep training since they wrote a book about it. So they are definitely bringing a bias to the table when they discuss Parent Directed Feeding vs. Feeding on Demand or Clock Directed Feeding. But if you know that and expect that before you start reading, it will make you less likely to throw the book out the window after the first few chapters. Also, I found you don't need to follow it EXACTLY by the book for it to work - so just take the principles and make them work for you and your individual baby. OK... done with the disclaimers : ) Now on to the good stuff!


The basis of the Baby Wise method is to put your baby on a regular, predictable feeding schedule, which will in turn put your baby on a regular, predictable sleeping schedule. The authors call this "Parent Directed Feeding" - basically, the parents dictate when the baby will eat as opposed to something like on-demand feeding, where the baby eats whenever he is hungry. I know, I know... it sounds harsh. But it's really not. I promise. With Baby Wise/Parent Directed Feeding, your baby will eat every 2-3 hours, which is pretty much what they do anyway, right? But here is the major difference - instead of letting your baby fall asleep right after eating, you make them stay awake for "Awake Time" or "Play Time". Then, after about 30 -45 minutes or so of Awake Time, you put your baby in his/her crib to fall asleep on their own. Let them sleep until it's time to feed again, which usually will be between 1 to 1.5 hours of sleep depending on if you are following a 2 or a 3 hour schedule. And then do it again. Eat, Play, Sleep. Eat, Play, Sleep. Every 2-3 hours for the entire day. Then, when it's time for the baby to go to bed for the night, you skip the "Play" portion and let them eat, then fall asleep. Any time they wake up during the night, just feed them and put them back to sleep. Easy peezy, right? : )

So I know what you are thinking... because I had the same thoughts/questions after I read the book : ) Here are the questions I had, and what I found to be true after going through it with Miss Paige, and now Deacon.
* How do you keep your baby awake after feeding for the "Awake/Play Time" and what does that really entail? The truth in how I keep Deacon awake after eating? By any means necessary. I sing loudly. I dance around with him. I do raspberries on his belly, neck and cheeks. I lay him down on his play mat and let Paige beat on her drum or shake her tambourine next to him. Sometimes I even whip out an ice cube to rub on his feet - that really makes him mad! But it wakes him up. The key is to break the association between eating and sleeping. Otherwise, the baby uses the breast or bottle as a "prop" to fall asleep instead of figuring out a way to fall asleep on their own. Once the baby is awake, "Awake time" can take on any form - reading to the baby, walking around, sitting him in a bouncy chair or swing (as long as it doesn't lull him to sleep), etc. Basically anything besides sleeping. After a few days, the baby doesn't fall asleep after eating and you can spend less time trying to keep him awake, and more time having fun!
 
* Do you really put your baby down while he/she is still awake? Isn't that ferberization? And aren't they too young for that? So, I guess it is a bit like ferberization or "letting the baby cry it out". And the first few days are emotionally taxing - trust me. Hearing your baby cry is horrible. But - when you hear them fall asleep on their own after less than 5 minutes of crying, and then faster and faster as each day passes - it makes it all worth while. After about a week, they don't even cry when you put them down. Or if they do, you know it's just that they have to let out a little energy before they can settle into sleep. Because they are tired and WANT to sleep after getting a full belly, and then playing for 30 minutes or so, it makes everything a lot easier. The authors of Baby Wise say that napping well is an "acquired" skill - that babies have to learn how to take restful, real naps and not just little "snoozes"  or cat naps throughout the day.
 
* How does this lead to sleeping through the night? To be 100% honest, I'm not really sure. Nice, right? But within the first few weeks, you'll see a gradual progression from 2-3, to 4, to 5, to 6 hour stretches between feedings at night, and finally a full night's sleep for your baby, usually between 8-10 weeks of age. 2-3 hour intervals of Eat, Play, Sleep will remain constant during the day for a good while. It's important they get all their calories during the day so that they won't be hungry at night.
 
* Do you wake your baby up from a nap in order to stay on the 2-3 hour Eat, Play, Sleep intervals? Yup! At first you will have to do this a few times a day if your baby is a real sleepyhead. But after 3 or 4 days, your baby will begin to wake up exactly when it's time for him/her to eat again. Pretty much like clockwork. With this method, you are basically training your baby's biological clock to know when to eat and when to sleep.
 
* What if your baby wakes up early and is starving?! Can I feed him? Of course! This part really had me stressed out, because I couldn't see denying my children food if they were hungry. I was already making them cry themselves to sleep... Child Protective Services would be beating down my door if I denied them food too. So with this, I say use your best judgement. You know when your baby is having a growth spurt and needs to eat more often or is hungry and can't wait until the 2-3 hour mark. And during those times, I went ahead and fed my baby. And then I would just adjust the Eat, Play, Sleep interval to start again after she was done with that feeding. It doesn't mess anything up too bad, and it's important to use your best judgement - not just the clock - to determine when to feed your baby. Say that happens once a day or so... you'll soon figure out when your baby needs to eat more and adjust that Eat, Play, Sleep interval accordingly. It might not make 100% sense right now, but trust me that when you are in the thick of it, it will totally make sense and you'll see everything adjust in a normal way.
 
* Won't my baby naturally do this on his/her own after a while? Eventually, I'd imagine any child would put themselves on a schedule. But this just kind of speeds up the process and lets you (the parent) be in charge of making it happen. I think of it as being on the offense vs. the defense when it comes to parenting. I'm not constantly reacting - I can actually plan a little bit. I did it with Paige and it was great. With Deacon, I waited a few weeks to start. Not because I didn't believe in the process, but because I was so scattered between dealing with the two kids, that I wasn't really paying attention to time at all. And I was paying the price - feeling disorganized, exhausted and completely crazy. I didn't know when Deacon was going to nap and when I was going to get things done - and so nothing got done. Now I know that I'll have about an hour to get things done every few hours because he is on a predictable nap schedule. It also gives me time to spend alone with Miss Paige. I know that at certain times of the day, Deacon will be sleeping so Paige and I can spend quality time together reading books and playing. It's a win-win : )
 
* Does the Eat, Play, Sleep interval system go on FOREVER? Not exactly as it is in the beginning, but the concept can go on for as long as you want it to. After a few months, the intervals will organically stretch to about 4 hours. For Miss Paige, we extended the Play Time to about an hour - hour and a half after she would eat. Then, she'd nap for about an hour - hour and a half. Then it would be time to eat again. If you think about it, it makes sense: wake up at 7 a.m. and eat (breakfast). Play from 7:30 - 9:00 a.m.. Then nap from 9:30 - 11:00 a.m. And then eat at 11:00 (lunch). Play from 11:30 - 1:00 p.m. Nap from 1:00 - 2:30 p.m. Then eat again (snack). Play from 3:00 - 4:30 p.m. And then this is where we mix up the intervals to work better for us - Instead of napping at 4:30 p.m., we would keep Paige up and eat again at 5:00 p.m. (dinner), then use the "Play time" for a bath and reading books (5:45 - 6:00 p.m.) and then put her down for the night. She's been on this same schedule since about 4 months old. She's now almost 20 months, and it still works. Pretty neat, right? Of course some days it varies because I don't wake her up from her naps, or we have to run errands and stuff. But in general, I still follow the Baby Wise method with Paige as a toddler.
 
For me, The Baby Wise method of sleep training totally makes sense. But I know that to others, this probably sounds absolutely foolish. So like I said earlier, it's important to go in with an open mind and then take bits and pieces of the concept to make it work for you and your baby.
 
Oh, one more piece of advice if you are going to go down this road: Wait to start until you have a week with very few visitors, no guests, and limited plans. Why? Well as far as guests and visitors, you don't want to have to explain yourself. For this to work, you really have to stay focused and determined to see it through. The last thing you'll need is someone making you feel bad for letting your baby cry or trying to feed them and then rocking them to sleep despite your protests for "Awake Time" : ) And def try to stay close to home the first week or two so you can stick to the schedule without distraction.
 
Good luck!