Posts Tagged ‘parenting’

Hope

Thursday, May 6th, 2010

Hope is the thing with feathers
That perches in the soul,
And sings the tune without the words,
And never stops at all,

And sweetest in the gale is heard;
And sore must be the storm
That could abash the little bird
That kept so many warm.

I’ve heard it in the chilliest land
And on the strangest sea;
Yet, never, in extremity,
It asked a crumb of me.

 - Emily Dickinson

I was in the middle of writing a long blog post, but I suddenly erased it.  It was full of medical details and information, and it made me think of this post that WarmSocks over at ∞ itis wrote.  I think it’s great to share medical details on our blogs - this is how we learn things and support each other.  But today, for this topic, getting into the nitty-gritty is really a defense mechanism for me, a way to avoid talking about what I really need to talk about.

My husband and I have decided that we really want another baby.  The post I deleted got into all sorts of complicated medical reasons why this may not be the best idea.  All of that is interesting, but isn’t the main point.  The main point is this:  Yesterday we went to see a high-risk OBGYN for a pre-conception consultation, and came away from the meeting feeling optimistic and hopeful.  We asked him to give us an honest, straightforward assessment of our risks and challenges, and he surprised us by saying that he thinks that our chances of a healthy pregnancy are excellent.  Even better, he made immediate plans to consult with my endocrinologist and rheumatologist to form a plan for my care that will make everyone comfortable.

So unless things change, we are going to try.  We know that we may not succeed, for all of the reasons I outlined in the post I deleted.  :-)   We know going in that it will be high-risk if we do succeed.  We also know that life with two children will be more challenging than life with one, especially if my RA or other conditions worsen.

But right now, I choose to focus on hope.

Perfectly Imperfect

Sunday, March 7th, 2010

mother_child_79

I learned about a new blog today, written by a woman with RA who is contemplating becoming a mother and is eager to connect with other women who have been through this.  It’s called “RA (maybe) Mamma” – I’m also going to add it to my links on the right side of the page.  (Thanks to RA Superbitch, one of my favorite bloggers, for bringing this blog to my attention!)

Oh, there’s just so much I want to say about this subject!  I haven’t talked that much about being an RA Mamma, mostly because I wanted to focus on my musician-self when I started this blog.  But so much of my RA journey has been entwined with my motherhood journey.  I haven’t written my onset story yet – saving it for the time when it feels right – but I was diagnosed with RA the same week I learned that I was pregnant with my son, who is now two years old.  So I have been learning how to be a mother and a person with RA at the same time.

Unfortunately, I’m going through a difficult low-energy patch these days, and can’t give this subject the attention it truly deserves.  So, for now, I’m just going to cut-and-paste in an essay I wrote for a class when my baby was four months old.  I don’t mention RA in this essay – partly because I’m very private about it, and partly because I was still struggling with deep denial at that point.  There’s a brief allusion to “medical issues” - I’m talking about the RA there, and needing to start RA meds.  Anyway, I figure you can read this essay and filter it through the lens of knowing I am a mom with RA. 

I hope to be able to write more about this soon - it’s a subject close to my heart, especially since I am contemplating having a second child.

So here’s the essay:

Perfectly Imperfect

On December 2, 2007, at 1:18 AM, two people were born in the same hospital room.  One of these people was a baby boy named Christopher.  The second person was someone called “Mom.”

Even though I had spent almost nine months preparing for the birth of that first person, I don’t think anything could have truly prepared me for the birth of the second. Over the past four months, I have watched myself struggle to integrate my old self, someone I have known for years, with “Mom,” who often surprises me with her thoughts, feelings, and actions.  Before I had my baby, I had many ideas in my head about what it meant to be a mother, and about what kind of mother I expected to be.  As it turns out, some of these were accurate – I play the piano for my child, laugh and play with him often, and love him as wholeheartedly as I ever expected.  Other things, though, have surprised me.

I expected that movie-moment in the hospital – after hours of sweaty labor and pushing, coached along by nurses and my husband, I would hear the baby’s cry and see his first squirming moments. The doctor would put him into my arms and I would burst into tears, my heart full of instant love for this little person.  Childbirth classes had prepared me for something earthy, painful, but rewarding. Instead, the day arrived two weeks early due to an unexpected pregnancy complication, and all my preparation and ideas about the birth went out the window. There were no contractions, no water breaking, no labor, no pushing – just consultations with specialists and the news that my baby should be delivered as soon as possible.  I never used the iPod that I had loaded carefully with my favorite music, or any of the “comfort items” I had planned to use during labor; I barely got my suitcase packed with the essentials. Christopher came into the world in a scary, brightly-lit operating room, via C-section.  I was wide awake and terrified, numbed from the chest down, and there was a sheet hanging mid-torso, so I couldn’t see anything that was happening.  I heard the nurse exclaim, “Look at all that hair!” and I heard the baby’s first cry. After what seemed like an eternity, my husband came over with the baby in his arms and showed him to me.  I couldn’t hold him since my arms weren’t working yet, and I could barely comprehend that this was my baby.  Then he was taken away from me.  I was wheeled to the recovery area and put on a morphine drip, and I spent the next few hours in a narcotic-induced fog, wondering where the baby was.  Over the next few days in the hospital, still heavily drugged and in lots of pain anyway, I struggled to get to know my baby.  I was frequently confused about who he was; he bore a striking resemblance to my younger sister at birth and even had the same name, Chris. I repeatedly referred to the baby as “she.”  Not exactly the start I had envisioned for us…

At home, I had to stay in bed to recover from the surgery, and I watched, feeling helpless, as my husband and my mother cared for my son.  I felt completely useless as a mother and sometimes felt disconnected from the baby in a way that disturbed me.  The only job I could really do was breastfeed him, and that wasn’t going well at all.  He had developed jaundice and was sleeping all the time and refusing to eat.  He lost a lot of weight and his blood tests didn’t look good, so we went back to the hospital a few days later for UV light treatment.  My mother and husband both suggested that I stay home, but to me, it was absolutely unthinkable.  I think it was that night that I truly became a mother.  My husband and I shared a fold-out chair meant for one person, while our baby slept next to us in an incubator under bright purple lights.  I cried when I saw the IV needle in his little leg.  I was nauseated and weak myself and could barely walk, and I knew that the sensible thing would have been to go home and get the sleep I needed. Instead I stayed all night, rejoicing in the morning when his blood tests came back improved.  In the end, we all survived the experience, and that terrible night brought home to me just how much I loved this little stranger, and how much I would sacrifice for him.     

On a hot July day two summers ago, my now-husband knelt down in front of me, pulled a beautiful diamond ring out of his pocket, and asked me to be his wife “through the perfect and the imperfect.”  He said this because he knew that we both suffered from strong perfectionist streaks.  Growing up, if I got a 99 on an assignment, I wanted to know where the missing point had gone.  Becoming a musician only enhanced this tendency, since so much of our time is spent going over fine details in a practice room, trying to create something of perfect beauty.  In an otherwise-good recital, I would find the mistakes and agonize over them.  My husband knew this about me, and about himself (although in different ways), and with those simple words, he created a space for me in which I didn’t have to be perfect to be perfectly loved.

I am an imperfect mother.  Sometimes I do a great job of multitasking, but there are plenty of days when taking care of the baby is all I get done, while housework and schoolwork pile up around me.  There are other days when I get the other things done and feel that I have given the baby short shrift.  Sometimes I watch too much TV when I am home alone with him.  Some days I forget to get his bottles ready ahead of time and have to scramble while he screams for food.  Once an old lady scolded me in the mall because my baby wasn’t wearing a sweater or socks.  (Okay, so it was eighty degrees out, but still…)  I have had people, once someone who wasn’t even a mother, demand to know what is in the bottle I’m feeding my baby, then lecture me about how evil formula is.  This one really hurt; I was forced by a medical issue to stop breastfeeding my baby after only three months, and I was completely taken off guard by the depth and intensity of my grief over this loss.  (My baby, on the other hand, was fine – happy, healthy, and thriving, he took to the bottle immediately and never seemed to suffer.)  When I look in the mirror, I see the extra pounds I have yet to shed, the stretch marks on my untoned belly, the scar from the C-section.  I have become one of those annoying moms who takes a million pictures of her child and talks about him constantly.  I have temporarily lost whole chunks of my personality and former interests, and have become someone who will talk in great depth and detail about baby poop with my mom, my husband, and anyone else who will listen.

Yet amid all of this imperfection, I am deeply, intensely happy.  I have watched my husband morph easily and naturally into an amazing, devoted, loving father. I have found a new fierceness in myself when I have advocated for my son’s health care.  I have become more proactive and, in spite of being scatterbrained and forgetful, have become more organized in subtle ways.  And most important of all, I am slowly learning to let go of my lifelong desire for perfection.  Instead, I savor the little joys that come every day.  Although I may not do everything (or even most things) perfectly, when my child sees my face, he lights up and smiles a smile of pure delight, and I know that one way or another, I am the perfect mother for him. 

Something’s Not Right…

Monday, January 25th, 2010

Just a quick check-in… I don’t really have the energy for a long blog post.  I haven’t been feeling well lately.  I’ve been unusually exhausted for about five days now – sleeping too much, fatigued during the day, unfocused and cranky, having trouble doing the simplest tasks, weak-muscled.  I realize that with RA, saying that I am fatigued is a little like saying that rain is wet.  But somehow, something feels different about this.  I’m also bruising easily.  The last time I felt this way, it turned out that my liver enzymes were elevated.  They never did go back to normal, but they came down a lot… maybe they are back up again.  Or it could be something like anemia, or something else entirely.  It could even be the RA itself – it’s a tricky little bugger, always changing – but I just feel like it’s something else.

Called the rheumatologist about this, and he wants me to come in early for my bloodwork – it was supposed to be on Friday, but he doesn’t want me to wait.  He is adding some adrenal tests.  Since I am in the middle of a high prednisone taper, my second since December, he is worried about adrenal insufficiency.  I really hope this isn’t it.

On another note, my two-year-old picked up a bug – he is throwing up today and has a high fever.  So I’m bracing myself for the same.  This could be very tricky, since I’m supposed to go in early tomorrow for the bloodwork.  (Apparently adrenal tests need to be done first thing in the morning.)  If I’m throwing up, I guess we will have to wait… and if something really is wrong, that could be bad.

Anyway, here’s hoping it’s nothing…

Wagon Train Part 2: Let’s Get Physical

Tuesday, December 15th, 2009

In an ironic twist, I have fallen off the wagon-circling wagon.  There are reasons for this, which I may get into in another post.  But for now, I’d like to jump back on and talk a little about my next set of wagons – physical activity.

Exercise is a seriously tricky proposition for a lot of people with RA.  On the one hand, we know that it’s a really important part of maintaining joint health – sometimes it very literally is “move it or lose it.”  On the other hand, when the joints are in flare or already damaged, things can get dangerous.  Another annoying thing about RA is its changeability – the line between just enough activity and too much is razor-thin and seems to move around all the time,  making it hard to stay consistent.  At least it sure works that way for me, and for a lot of other RA folks I know.  So I have to admit that after going SPLAT a few too many times from overdoing, I have erred on the side of doing… well, nothing. 

(Sheepish grin)

I was going to write a somewhat lengthy post that covered all of these different thoughts I’ve had about exercise over the years, but I’m really tired today and so I will get right to the point, which is my plan to change this.  I’m realizing that as time goes by, I’m getting weaker and have less and less energy, and that I’m beginning to have new muscle problems in addition to my usual joint problems.  While I do realize that my illness has a lot to do with this, I want to be proactive about the parts I might be able to influence.  I also want to model something better for my boy than a sedentary lifestyle.  So here are the wagons I plan to start circling:

Wagon #1: Water exercise

Esther WIlliams

(Okay, so I may never be Esther Williams, but I think the picture is cute!)

A long time ago, my rheumatologist said that swimming would be good for my joints.  Problem – my “swimming” is really more like “trying-not-to-drown.”  So then he suggested low-impact water exercise – for example, the Arthritis Foundation Aquatics Program (AFAP), which offers gentle range-of-motion exercises for people with all different forms of arthritis.  I learned that it was offered at several different local YMCA’s, as well as a few other places.  Around the same time, my husband and I thought that it would be a good idea for our son to take baby swimming lessons.  One of our friends had taken her son to the Y, so we checked it out.  And then, in one of those beautiful events of synchronicity that makes you think things are meant to be, we saw it:

AFAP class and Infant Swim, Saturday mornings, same time, same pool.

So off we went on Saturday mornings for a little family exercise.  At first I felt a bit ridiculous, since I was by far the youngest person in my AFAP class.  It was a little awkward explaining to people why I was there, since most of them were osteoarthritis patients.  But it didn’t take long to get comfortable, and I really enjoyed the sensation of being in the water, which is kept at a soothing 90 degrees.  And it was so sweet to look across the pool and see my baby splashing away in my husband’s arms, loving his swimming class.  He was a natural water baby right from the start.  Sometimes he would catch sight of me, and I could see him laughing and saying, “Mama!”  The little old ladies in the class loved seeing him, too.  And I liked knowing that his father and I were being good models for him.

Unfortunately, I had to stop going to class for a loooooooooooooong time because of problems with non-healing wounds and repeated infections – a really unpleasant story I won’t share here right now.  (Fun times, let me tell you - aren’t immunosuppressant meds great?)  Then we just got busy and involved with other things.  But two weeks ago, we decided to start going back.  This time we joined the Y as a family (we were guests before) as part of a bigger commitment to exercise.  The AFAP classes are free to Y members, and the Y also offers free childcare to members while they are working out, so I would like to start going more than once a week.  (That’s if my son, now a toddler, will cooperate with the childcare thing – something we are working on.)  I’m also encouraging my husband to start swimming during the week - he likes it and hasn’t done it in years.  And we’ll keep up our family Saturdays, which are good for all of us. 

Well, I was going to write more – there are at least three more wagons in this particular part of the circle – but to tell the truth, I’m in a lot of pain today, and I’d still like to get something posted.  So I’ll sign off here, and tell you about the others when I’m able.

Musical Interlude: Lullaby for Christopher

Tuesday, December 8th, 2009

Lullaby

I’m taking a little break from circling my wagons in order to present a piece of music.  (Music is one of my most important wagons, actually, but that’s a subject for another post.)  This is one I wrote awhile ago, but this weekend I took it out, changed some things a little, and made a recording, which I had not done before.  The piece was written as a final project for a class called “Transformative Learning,” which I took while I was pregnant with my son.  We were supposed to create something that represented a transformative experience in our lives – and what could be more transformative than a birth?

“Lullaby for Christopher” is a short piece for solo piano – no vocals – in three sections.  The first section was written during the last month of my pregnancy.  It starts with a rocking motif that is meant to represent the baby’s heartbeat in the womb.  Two other musical motifs enter, representing the mother and the father, since these are the voices he heard most often during that time.  The three motifs were written using the initials of our family members.

Before I could finish the piece, Christopher arrived – two weeks early.  The second section was written in the week after the birth, when I was home recovering – it’s meant to represent his entrance into the world.  Then the third section is essentially a repetition of the first section, but with the themes presented in reverse order, representing the baby taking comfort in the familiar sounds of his parents’ voices as he drifts off to sleep.

I could probably express it more eloquently than that, but instead, I think I’ll just play it for you.

Get the Flash Player to see the wordTube Media Player.

Mothering

Sunday, November 8th, 2009

mother_baby

My mother lives 2856.2 miles away.  I looked it up on Mapquest.  I found it strangely comforting that there were only 29 steps in the directions, even though some of them involved staying on roads for 500 miles or so.  The map that accompanied the directions, though, made me a little sad, since it showed the entire continent with a red line across it indicating the driving route.  Only 43 hours and 23 minutes to drive there, assuming you don’t sleep or eat…

In spite of the 2856.2 miles, my mother and I are very close.  We talk on the phone every night.  Sometimes we Skype, although that’s mostly so she can see her grandson.  We see each other at least twice a year, usually for several weeks at a time.  She has been there for me through some very difficult periods in my life.  Whether I go to visit her or she comes to visit me, she takes care of me.  Now that I have a husband and child, she takes care of all of us.

The other day, we were talking about my recent realization that I need to be kinder to myself.  I’ve been thinking about this a lot lately.  When I wrote about it before, my focus was on appreciating my own efforts more, and letting go of the self-criticism that I often fall into.  She agreed that this was important, but added that I also need to start taking better care of myself physically.  She pointed out that I often don’t get enough sleep or eat well enough.  Then she said, “You need to start being your own mother.”

My first reaction to this sentence is to think of things like “nurturing your inner child.”  Blech.  Not my style.  But when I get past the “blech” reaction, I find myself with an image of a divided self – a rebellious toddler on the one hand, and a strict, overly-critical, disciplinarian parent on the other.  Strange, since this isn’t the kind of mother I actually have.  The rebellious toddler thing, though, might be more on the money.  Sometimes I have trouble being a grownup.

I do know some things about mothering, though.  I have a beautiful son.  He is not even two years old yet, so there’s still a lot about mothering that I haven’t experienced yet.  But I do understand mother love.  More than anything in the world, I want my child to be healthy and happy.

There are a lot of things that I do for my son that I don’t do for myself.  He eats a very healthy diet, abundant in fruits and vegetables.  He has special bedtime and naptime routines that send him off to sleep happy and comforted.  Aren’t these things I could also do for myself?  Couldn’t I join my son every day in his afternoon fruit-and-yogurt snack, or pile vegetables onto my plate the way I do onto his?  And how much better would my life be if I went to bed at a reasonable time and created rituals that made going to sleep a peaceful and happy experience?

I’m not a perfect mother, so naturally there are areas where I feel I could do better by my son.  These are also things that would benefit me.  It would be better for both of us to get more exercise, and to see people more instead of staying in the house.  It would also be good for us to have a wider selection of low-maintenance activities on the days when I’m just not feeling well enough to go out and do those things.  Even on the lowest-energy days, I could choose to lie in a lounge chair on the patio instead of on my couch, so my son could at least get some fresh air and sunshine while he plays with his trucks. 

So maybe it’s not really about finding some mythical “inner parent” to take care of my “inner child.”  Maybe it’s just about focusing on the kind of real mother I want to be to my real child, and then extending that kind of care to myself.  Somehow, when I think about my son, things become much clearer and simpler.