Glowing


Glowing
Originally uploaded by SarabellaE

We like to take evening walks after dinner. Sometimes the light is crazy-brilliant, slanting into our eyes and gilding everything it touches. I’ve uploaded some photos of a recent evening walk with a golden superhero on my Flickr.

Social Addict

It’s true. I’m an addict. I have actually socialized with people I love and admire for four days in a row, beginning on my birthday last Thursday and continuing through until late last night. It was wonderful and my heart feels full from all the hugs and kisses, love and attention I’ve received.  

On my birthday I went to Bellagio Spa and spent a gift certificate that Ian bought for me in 2005. I met [info]nonosays there and we got pedicures. I also got a lovely facial and a manicure. I could totally get used to doing that as often as possible.


See how cute my toes are?

On Friday I went to see [info]nonosaysgraduate with a graphic design degree from Sacramento State. It was super cool seeing her so happy in her funny black cap and gown. I only wish I got a photo of the googly eyes on her cap.

Here she is. Isn’t she beautiful?

On Saturday, we went to  her graduation party at her home in midtown. I got to meet some more of her and her husband’s family, which was fun. I especially enjoyed talking with [info]mrplanet4   ‘s mother and sister. We took the boys along and they did really well, considering we were at the party for 9 fun-filled hours. We finally dragged ourselves away at 9 p.m. when the boys’ eyes became glassy. They fell asleep the moment we strapped them into the car seats to come home. Some friends, including our gracious hosts, complimented us on how great Lucas and Asher were, which pleases me so much. Ian and I try hard to provide Lucas with plenty of positive reinforcement for being polite, friendly, and well behaved when we go places.

My home was full yesterday of delightful shenanigans, hot tub soaking, champagne, cocktails, brunch, burgers, dancing, sunshine, conversation, and beautiful people. My children were well behaved and wandered hither and thither among friends who love them. I admit I was sad when the last guest left at around 11 p.m., but felt glorious when falling into my bed. I slept a heavy, restful sleep and woke up feeling fantastic. Nothing quite like a day spent relaxing in the spa. It was exactly the day I imagined and wanted. Thank you, darlings. If anyone has some photos to share with me, I’d love to have them.

Desires

Asher is away with his grandmother for a few hours, probably for the first time. I am alone in the house and I’m supposed to be working because I have this little book to edit called Lebanon

I don’t want to be all thinky, though. I just want to go outside in the coolish morning and sit in the hot tub in the shade. I want to drink shameless morning cocktails all by myself. Or with a shameless friend, who is over 21 and doesn’t call me “mommy.” 

I have recently discovered my inner drinker. My children helped me find her; she was locked deep within me and yearning to come out into the sunshine. 

I didn’t truly discover the sacrament of coffee until Lucas was a baby. I didn’t truly discover the medicinal use of alcohol until this year. 

Call me Mother of the Year. 

OK. Back to Lebanon, where everything is peaceful and tolerant.

My Mother’s Day Weekend à la Stream of Consciousness

Friday

Working, Asher at babysitters’ house, May Day celebration at Lucas’s school, potluck lunch, Lucas at babysitters’ for afternoon, hair appointment to become more fabulous, 4:30 p.m. vodka and seven, visit with my mom, Ian home from work with more fixings, dinner out, carboliscious Mexican food including nachos and a fajita burrito, evening visit to Chicken Park, bedtime rituals, fell asleep with each of my kids in turn.



Yesterday

Shopping for mom, trip to Lowe’s garden store to purchase new plants, Ian’s labor (shirt off, mattock swinging, digging holes), Lucas’s helping, coreopsis, primrose, orange honeysuckle, purple fountain grass, artemesia, foxgloves, marguerites, agapanthus, muddy baby, sex-on-the-beach cocktails, leftover pork tenderloin and salad, bedtime rituals, TV, lovemaking, snoring. 

 

Today

Awake at o-dark-thirty, nursing and listening to birdsong, snoozing, Lucas’s 6 a.m. temper tantrum, later in bed alone reading Dr. Doolittle, coffee, receiving handmade gift from Lucas (a heart-shaped necklace made of wet-felted wool and yarn) lax and cream-cheese omelet and breakfast sausage, champagne, brief visit from mom and dad, fancy soaps for my mother, hot tubbing with all of my boys, lunch at Ian’s mom and stepfather’s with Aunt Kellie, VoVo, and DeeDee, fancy necklace for grandma, Lucas swimming, breezy back porch time, Asher throwing the ball for the dog to fetch, Lucas’s temper tantrum, grumpy ride home, nap for me and Asher, chess and a Mary Poppins chapter for Lucas and daddy, waking up, playing outside, crab cakes, more sex-on-the-beach, homemade chicken dinner, crying baby, Lucas in bed early, blogging, and … if I am really lucky, soon sleeping baby, Eskimo kisses, toe nibbles, and spooning.

  

Happy Mother’s Day!

The Legend of the Great Cowboy Birthday

The great Old West “Ghost Town at Sundown” birthday party was last weekend and it ROCKED! It took two solid days to get everything ready and make the place presentable. I had help from Dakini, Parnasus, and my mother-in-law and sister-in-law. Ian worked his tail off before, during, and after the party.

We had 10 small, charming guests and a few parents who stayed to enjoy our Wilson Ranch dinner of hamburgers, baked beans, corn on the cob, strawberries, and salad. The kids had fun lassoing our cows, which were the greatest thing ever made: Ian, my brilliant husband took my cryptic instruction (“Take these sawhorses and make ’em into cows”) and did it well beyond my wildest expectations.


It was hard waiting for the party to start at 4 p.m. We spent the day decorating and shopping for food. Asher enjoyed playing in all the red bandannas.


Still waiting for friends to arrive.

They’re here, finally! We built this teepee from dead birch trees and a canvas painter’s dropcloth. In the morning, we painted “American Indian” symbols on it with termpera paint, such as rivers, bears, salmon, corn, a sun, a rainbow, a thunderbird, a moon, snakes, etc.

E and M ride on the cows.

A ties on his bandana to avoid breathing campfire smoke.

R takes a turn. Sun poses in his fancy costume.

M is M’s younger sister. Here’s M, too. They are both in Lucas’s kindergarten class this year.

R is rambunctious and Lucas admires him a lot. Here’s beautiful E; Lucas has been friends with E since they were 3 and 4 years old.

We had a campfire in the backyard for a while. The children ate their dinners and birthday cake while sitting around it, but we didn’t time the fire right for roasting marshmallows, unfortunately. Still, the novelty of having a backyard fire made quite an impression. Nobody got hurt, either.

Sun liked roping the cows.

Lucas loved being the center of attention. He basically thought the whole day should go perfectly, that is his way. It kind of sucked when he hit his head really hard on the swing set. Still, he got over it. (Those are healing mosquito bites on his face.)

Lucas got lots of wonderful presents, including new fancy Stockmar crayons, a paint-a-dinosaur kit, plastic cowboys and indians (alas, with guns), WWII die-cast airplanes, Dr. Doolittle and Mary Poppins books, original story books by a special 8-year-old nicknamed Snow, leather horsey reigns with bells, and an adventure pack/sleeping bag with a flashlight.


Snow had new, shiny red cowgirl books. I was jealous.

Snow played with Asher and let him wear her hat. Asher thinks she is dreamy.

Here’s Lucas showing off one of his presents. He is flabbergasted that the cowboys have guns in their hands and I have so far not taken them away from him. He keeps looking at me and wondering if I’ve noticed them.

I bought enough cowboy hats and bandanas for every child at the party to have one. Many came wearing hats already, so we still have a few left over. I’m happy with the cowboy cake I ordered from the Raley’s bakery, and even happier that I didn’t try to make it myself. The food was great, thanks to Cookie Daddy! And it was really nice that some of my favorite parent friends stayed for the party. Their presence made it more fun for me and Ian.

All in all, it was a great day on the Wilson Ranch!

Dear Asher

(I promised myself I’d finish this post before Lucas’s birthday.)

 

Dear Asher,

Today you are 15 months old. I have mentally started this letter to you a thousand times since you turned one three months ago. I can’t really explain why I haven’t really written it until now, except to say that I’m sort of speechless when I think about expressing to you all I feel about you and your first year of life.

 

So I’ll just dive in, and let the words come higgledy-piggledy as they may. Perhaps I’ll sort them out later on. Perhaps not.

 

You are a dream come true. You are not the dream I thought you would be, but I’m more in love with you than I thought possible. This is amazing to me. It fills me with overwhelming joy to find myself besotted with you, adoring you, treasuring you. There was a dark moment before your arrival when I wondered if I could. Now I know it’s all OK. We are fine. We are as we were meant to be. I know this is only the first of many important lessons you will teach me.

 

At 12 months, you were always happy, easy-going, and adaptable, so long as I wasn’t too far away. Your smile was like sunshine and your laugh completely contagious. They still are now, but now, at nearly 15 months, we see another side to your personality. Now you are very good at showing your displeasure when something is bothering you. Now you tell us so clearly what you want and how you want it. Now we see you experimenting with a greater range of moods and expressions. You have a pout that is beyond adorable. You have a glower that would be truly intimidating, if it weren’t so funny: eyes glaring out from beneath knitted brows, lowered head, pouty mouth sometimes featuring a prominently jutting lower lip. What is amazing is how long you can maintain this go-to-hell look. (There is a photography of me as a very young girl wearing Oakland Raiders pajamas and the exact same go-to-hell look. Whenever you flash this look at my parents, they get all nostalgic for the days when I was small and prissy.) You seem to have a stubborn streak in you that may ultimately rival your brother’s. You also seem to have the capacity to hold a grudge for quite a while. Now you throw tantrums when things don’t go the way you want them to, like if we take something away from you, such as a sharp knife or a tiny LEGO piece.

 

Most of the time, however, you are happy. You are playful and initiate games with us and with Lucas. You still love peekaboo, though it’s not the Ultimate Game it was a few months ago. You like people to chase you through the house, saying “I’m gonna get you!” in a singsong voice. You laugh like crazy when we play chase.

 

 

You crawl so fast now! I keep thinking you will walk any day now, but I keep being wrong about that. I suppose I will be wrong until the day I’m finally right! Anyway, it’s impressive how quickly you can cross the room. Sometimes you chase after balls or a pacifier. Sometimes you’re rushing toward me to be scooped up and spun around and nuzzled.

 

We spend a fair amount of time outdoors now that the weather is so beautiful. You bravely explore the backyard, navigating steps, crossing bark-filled planters, sitting on my flowers. You seem to like the grass lawn and the bark a lot. I see you scratching your little fingernails into the earth at every opportunity. You love coming across a puddle of water from my garden hose. You sit in it, splash, and hoot your pleasure, signing over and over again “water!” The sign is often accompanied by your saying “wa wa wa” as your hands touch your lips.

 

Your signing is blooming into a truly useful method of communication. I’m so pleased that you are able to make your needs and wants known by using signs. You’re a little inconsistent sometimes still, and you sometimes confuse them, but more often than not now you perform a babyish variation on the signs we’ve taught you. Let’s see … you now use these signs: water, eat, more, milk (sometimes), dog, hat, cold, phone (you made this one up yourself), please (rarely), pluggie (rarely), fish, cookie/cracker. Just today you began signing for “meat.”

 

 

 

You also communicate with a whole range of whoops and hoos and finger pointing. The clever combo of the sign for “more” and strategic pointing usually makes it clear what you want. This combo is very often “more phone,” “more water,” or “more mommy.” Basically, “more” also functions as “I want.” You’re saying “Hi!” with waving now, particularly if you see a child or a beautiful woman pass by. You smile charmingly as if to say, “How you doin’?” You don’t say goodbye yet, but you do wave whenever it becomes clear that someone is leaving, or that we are leaving other people.

 

Although it used to be very simple feeding you, now your eating is unpredictable. Some days you want only finger foods, or “real” food; other days, you seem to prefer eating only baby food purées. I think your favorite foods are peculiar in one so young as you: onions, meat, strawberries, broccoli, freeze dried apples, peanut butter, stir-fried veggies such as bean sprouts and celery. And things that most babies love, such as bananas and avocados, seem to gross you out. Some days you’ll eat rice, others not. You get a horrified look on your face every time I offer you diluted juice, so I’m thinking you don’t have much of a sweet tooth yet. Which is just fine by me. I had better go cook up some onions for you.

 

We are having some trouble with your rough hands these days. You delight in pinching my tender spots, especially my breasts and nipples, and frankly, it hurts like hell. I know you think of these items as your own personal property, but they are mine too. We talk a lot about having “gentle hands” and using “soft touches,” but you don’t seem to care to follow our advice. It’s awful when you’re drifting off to sleep (which is my objective) and you knead my skin in your talon-tipped hands until I’m crazy from the pain and irritation. But since I want you to be sleeping, I try to bravely survive it. Sometimes I fail and jump up shouting “Ow! Ow! Ow! Cut it out, Dammit!” This is not a good nap-promoting strategy.

 

You also hit your brother sometimes or pull his hair. This is largely due to Lucas’s weird need to put his head on you as often as possible. I watch him approach your face with his own, and see you grimace and try to lean away. I think he wants to love on you and cuddle you as much as the rest of us do. Sometimes you’re willing to tolerate his affections. In fact, just yesterday I saw him lean in and you gave him the most giant hug around his head and kissed him in your slobbery way on his cheek.

 

 

Shades of sibling rivalry do appear sometimes, however. The worst is when Lucas climbs into my lap or into my bed to snuggle me. God forbid if he gets between you and me! You squeal and whine and cry and try to kill him for touching your mommy. We’re always telling you, “I’m Lucas’s mommy, too, Asher. You have to share, just like he has to share.” Then we spend some time reassuring Lucas that you don’t realize you’re being mean and stingy. You’re just a baby. The great thing about Lucas is that even if he gets angry with you, he rarely holds a grudge against you for more than a moment. It’s really rather remarkable how much he is willing to forgive. Truly, you have the best big brother ever.

 

 

What I love is how you show affection to me. Sometimes you reach up and put your hands on either side of my face. You hold my face so tenderly and bring your own forehead close to touch mine. When you hold me there, head to head like that, I feel really loved. I can’t explain why you do this, but somehow you’ve come to associate  bonking foreheads gently as an expression of loving devotion. Which is fine, most of the time. When you do it in the middle of the night—when you crawl over me while I’m sleeping and slam your noggin into mine, waking me out of a sound sleep with searing pain—I don’t like it so much then.

 

So far, you really seem to like other children. When we go to our “Mommy Baby” class, you love to say “Hi” to the other babies and want to touch their faces. Yesterday we were there and you really owned the room. Your behavior was different, as though you finally decided you felt completely comfortable there. You explored every nook and cranny, swept toys of the shelves, got into the tree blocks, and cuddled every Waldorf-style baby doll before biting it in the head. You strutted your new talents (briefly standing unaided) and flirted with the teacher and all the mommies. It was as though you decided to put on all your charm and have a great time. You really seem to like Willow, the cute little girl who visited our house last week with her mom Peggy. You played nicely with Cameron and Gavin and Noah, too. When we visited the farm, you got super excited when we stood by the sheep enclosure and by the chickens. You rapidly signed “dog” repeatedly while whooping with pleasure. At this point, every animal you see is a dog to you.

 

 

So, yeah. Standing up is the big deal these days. You can walk a little if we take your hands and help you balance, but you don’t like to do it for long. You know, though, that these new skills are important because we make a big deal out of them, clapping and praising you and telling you how big you are now. You look so proud of yourself. I honestly thought you’d be walking by now, but you seem to be on your own timetable. Given how fast you crawl, I guess walking from place to place would really slow you down.

 

 

You are brilliant, too. I am constantly amazed at what you already know. You seem to have figured out the use of nearly every household object. You know that keys should be inserted into locks, that the computer mouse makes the pictures on the monitor change, that the spoon is for stirring. You know what the TV remote does, and how to turn on or change the TV station if the remote had been hidden from you. You know exactly what button to push on the DVD player to make the disc eject. You know what a hairbrush is for and what a toothbrush is for. You adore the phone more than anything else and have figured out its major buttons, including speaker phone. You sit placidly for long stretches flipping the pages of books like a lifelong reader. If you try really hard, you can even use table utensils appropriately. It’s weird to realize that you really are watching everything we do with every object all the time. You learn by watching us, which reminds me to be on my best behavior.

 

 

There is more to say. I should talk about cosleeping with you, going places with you, how you’re now into everything and much mischief. But perhaps I’ll save those things for later. I suppose I wasn’t speechless after all.

 

Asher, I love you completely and forever.

Mama.

 

P.S. I’m sorry I forgot the camera when we went to your first dental checkup.

Glorious

Today was spectacular! And to prove it, I submit this evidence to the court: It’s 8:30 p.m. and all three of my boys are sound asleep. That’s how much fun we had.

Our hot tub is working again and some lovely people showed up to try it out. The weather was warm and beautiful and our friends stayed all day long. Champagne was imbibed. Children and adults frolicked. I relaxed. It ended with scrumptious sushi. Simply perfect. 

Let the summer come. I am ready.

Breastfeeding, Illness, and Medications

A while ago I alluded to my recent crisis. The “crisis” turned out not to be one, so rest easy. I want to write about it because … well … because I learned stuff that other people might want to know.

I was recently sick with a cold; you may remember my bitching about it. The cold seemed to go away, then returned and settled in my lungs as a respiratory infection. This is what colds do in my body. It’s tradition. I relented and went to see my doctor, Dr. Chen on a Monday morning, now two weeks ago.

Chen confirmed that I had an infection in my lungs, confirmed that this is indeed what colds turn into in people like me—people with chronic asthma and allergies. Right. I knew that. Chen listened to my breathing and exclaimed “You’re really wheezing bad!” Right. I knew that, too. She prescribed two medications for me: prednisone (a corticosteroid) and Zithromax (a brand name for azithromycin, which is an antibiotic).

Then she told me I would have to stop breastfeeding Asher and “pump and dump.” I am beginning to think that this phrase is a favorite among physicians everywhere. I expressed my dismay about this, and she launched into a discussion about how these two drugs are needed to make me better—that I would NOT get better without them—and that surely I don’t want these drugs to go into my milk and into my baby.

Right. No, I wouldn’t want that.

 

So, I left Chen’s office and drove directly to the pharmacy at Raley’s. I shopped for a few items while waiting for the pharmacy people to fill the scripts. While I shopped, I got more and more upset. I put a can of Earth’s Best organic baby formula in my cart and tried to imagine Asher happily taking a bottle. Or a cup. Or anything other than mama milk at bedtime. I bought the drugs, bought my other items, and came home. By the time I got home, I was crying.

Ian had been watching the boys for me while I went to the doctor’s office. He was naturally alarmed by my tears. We sent Lucas out into the backyard so I could fall apart and tell Ian what was wrong. I sobbed as I told him how I didn’t want to take the meds. I did not want to stop breastfeeding. I felt that Asher was old enough now that there was a serious chance that if I stopped nursing him, he would wean. Nursing is a beautiful symbiotic relationship: My body makes enough milk to meet the demand of my nursling. Without the demand, the body stops making milk.

 

I was looking at taking seven days’ worth of drugs, plus two more days of dumping my milk and using formula “just to be sure.”

Asher gets a good portion of his nutrients from “real” food now, or from purées. But he still nurses at least six to eight times in 24 hours. At this time, Asher was still sick with the same cold I had had, and was feeling miserable, and was therefore nursing for comfort and more often than usual. Even though he might be physically able to wean without a huge negative nutritional consequence, he is still very much a baby. Or a toddler, if you will. Both the World Health Organization and the American Academy of Pediatrics recommend continued breastfeeding until the age of two. Studies show that the immunity benefits of breastfeeding change as the baby grows. Some immune factors decrease, but some increase: Lysozyme, an immune factor that attacks the cell walls of bacteria and kills them, is present in greater concentrations after the first year than before.

Breastfeeding Asher is crucial to me for a lot of reasons. When he was first born and I got so shockingly sick with a uterine infection and then septicemia, my milk did not “come in.” In the hospital, they had me on something like ten different drugs to combat the infection and save my life (three different antibiotics—Flagyl, Levaquin, Vancomycin—steroids, an anticlotting drug called argatroban, two asthma drugs, potassium chloride, phosphorus, insulin, mucomyst (a drug I was told was supposed to protect my kidneys from all the other drugs they were giving me), guaifenesin, dilaudid as needed for pain, and Xanax).

 

It was only through great effort and single-minded determination that I eventually became able to breastfeed my infant: I had to pump every three hours around the clock for weeks. Following doctors’ instructions, I had to dump out my milk for six weeks before I was allowed to feed my baby my milk. 

So here’s where I wax poetic. We need to breastfeed. Both of us. It is our primary and primal form of communication. It is a panacea for all hurts, fears, insecurities, and worries. It makes us sleepy. It makes us feel peaceful, in harmony with each other, and safe. Breastfeeding my baby makes me feel worthy—that I am a good mother. It increases the happy hormones in my bloodstream, and helps me stay patient when faced with the many frustrations of raising small children. It burns calories that I would find difficult to burn otherwise, given my circumscribed (read: housebound) activity. It provides him with perfect, tailor-made nourishment and protects him from all sorts of health problems. It also protects me from future health problems such as osteoporosis and possibly even breast, ovarian, and uterine cancers. Nursing is the perfect start to every day, the perfect way to drift off to sleep, the perfect way to reunite after an absence. It is our special time together, our unique bond. We are not ready to give it up.

My doctor’s recommendation that I stop breastfeeding and “pump and dump” was greatly disturbing. It threw me into a panic and dredged up all sorts of terrible feelings that were born in my illness last year. It churned a lot of dark, gloopy fears around and threw them back in my face to be felt all over again.

Ian talked me down a bit. We discussed my not taking the drugs. But I was sick and felt very ill. Not breathing properly sucks, by the way. I wanted to feel better. But I didn’t want to stop breastfeeding Asher.

We turned, as we often do, to the Internet and to books. I spent an entire afternoon researching online and flipping through some books on breastfeeding that I have. And for those of you who might still be reading, here’s what I found:

You do not have to stop breastfeeding when taking MOST medications. 

Doctors have an incomplete understanding of lactation and medications. Drug studies are not done on nursing mothers or babies, therefore little hard evidence exists to prove that continued nursing when taking meds is safe. Serious research on breastfeeding and the nature of breast milk has only been done in the last 20 years. Therefore, to the established medical field, breastfeeding while taking medications is not safe. To the drug companies, it’s less risky simply to say “ask your doctor” or “don’t take while breastfeeding.” They avoid lawsuits that way. Same with the doctor. I gather from what I’ve read that very little time is spent on lactation in medical school, so doctors who may even be pro-breastfeeding don’t really know much about it. They take the conservative stance, as my doctor did: Don’t breastfeed while taking meds.

 

But, two of the biggest experts in lactation and breastfeeding, both MDs, say most medications are fine to take while continuing breastfeeding your baby. Only a very small percentage of most drugs makes it into breast milk, usually less than 1%.

 

Tom Hale, MD, (a lactation and drug specialist and author of Drugs and Mother’s Milk, 13th ed., and Drug Therapy and Breastfeeding), Jack Newman, MD, (researcher and author of The Ultimate Breastfeeding Book of Answers) and the American Academy of Pediatrics (AMERICAN ACADEMY OF PEDIATRICS: The Transfer of Drugs and Other Chemicals Into Human Milk) all say its OK to breastfeed even when taking these specific drugs (prednisone and azithromycin) and not to worry about baby. The 2001 AAP publication (Table 7) says there is “no reported signs or symptoms in infant or effect on lactation.”

In fact, there are lots of medications that are safe to take while breastfeeding, but your doctor may not know that. Whether a medication is safe to take depends on a number of things, such as:

* maternal serum drug concentration

* whether the drug is absorbed through the gut; many medications are delivered in other ways, therefore almost none enters the milk

* whether the medication binds to protein

* the size of the drug’s molecules (“In the early postpartum period, large gaps between the mammary alveolar cells allow many medications to pass through this milk that may not be able to enter mature milk. These gaps close by the second week of lactation.”—Spencer, MD; Gonzalez, PharmD; and Barnhart, PharmD, American Family Physician, July, 2001)

* age of the infant (premature and newborn infants are more at risk if they absorb mother’s medication through her milk, as their livers don’t filter the chemicals out of their bodies as efficiently as older babies and toddlers)

* amount of milk the infant is receiving (young infants nurse more than older babies and toddlers)

* the drug’s half-life (drugs break down within the body, so if you time the medication well, such as by taking it immediately after a feeding or during baby’s longest sleep, the drug may well be out of your milk by the time baby feeds again)

* dosage and frequency of dosage (a drug that you take frequently is better than a longer-acting dosage; if you take it frequently, it means the drug breaks down relatively quickly)

* whether the medication is one that is normally prescribed to infants and babies if the medical condition were theirs and not mother’s

* whether the medication will affect the mother’s ability to make milk for her baby (oral contraceptives fall into this category)

 

Jack Newman, MD, in The Ultimate Breastfeeding Book of Answers, (published by Prima!) has a whole chapter on breastfeeding while on medication. He says, “The essential question in all this is: Does a small amount of medication in the mother’s milk make breastfeeding riskier than not breastfeeding? The answer … is almost always no. Breastfeeding with a small amount of medication in the milk is not riskier than feeding the baby formula, except in a few specific situations. It is almost always less risky. There are safer and less safe drugs for mothers who are breastfeeding, but the majority are still safe. Health risks exist for both the mother and the baby when the mother does not breastfeed. This may not just be a question of taking the baby off the breast for a week or 10 days. It may be a question of permanent weaning, since off the breast for a week often means, in practice, off the breast forever.”

 

Newman goes on later to say, “You should not assume that your doctor or even your pharmacist knows much about drugs and breastfeeding or that they are concerned with helping you continue to breastfeed. Often the information they may use to decide if a drug is acceptable during breastfeeding domes from the drug manufacturer itself, found in a book called the Compendium of Pharmaceuticals and Specialties (CPS) in Canada and the Physician’s Desk Reference (PDR) in the United States. The manufacturer is concerned about its own medical legal liability, not the importance to the mother and baby of breastfeeding.”

 

Tom Hale, MD, Ph.D., professor of pediatrics at Texas Tech University School of Medicine, has a website and a Q&A forum which discusses specific drugs. He answers the questions himself and specifically discussed prednisone and azithromycin, as well as many other medications:  http://neonatal.ttuhsc.edu/lact/

 

This site is a clearinghouse of info and links to many good online  sources: http://www.breastfeedingonline.com/meds.shtml

 

The American Academy of Family Physicians introduces the topic of breastfeeding and medications in this way: “Physicians receive little education about breast-feeding and even less training on the effects of maternal medications on the nursing infant. Yet, concern about potential harm to the nursing infant from maternal medications is often cited as a reason to advise discontinuation of breast-feeding. Overwhelming evidence demonstrates the benefits of breast-feeding and the deleterious effects that can result from premature weaning.” You can read the full article here: http://www.aafp.org/afp/20010701/119.html

 

Here is an easy-to-read table of drugs and their relative safety/risk when breastfeeding: http://www.ukmicentral.nhs.uk/drugpreg/qrg_p1.htm

 

La Leche League’s website (http://www.llli.org/) has three articles specifically about medications in mothers’ milk. One is written by Tom Hale and he says “In a 14-month-old breastfeeding baby, the volume of milk provided is often so low that the dose of maternal medication transferred to the infant is minimal to nil.” This is exactly Asher’s present age.

 

William Sears, MD, a huge proponent of Attachment Parenting and breastfeeding has a website, too. Here’s an article on the benefits of breastfeeding “from top to bottom”: http://www.askdrsears.com/html/2/T020300.asp

 

This is just a small sampling of the information that is available. It was enough to convince me and Ian that it was safe for me to take the medications my doctor prescribed to me and to continue breastfeeding our baby, with no interruption or big change in our routine. I made an effort to take my meds after Asher had nursed and right before his longest sleeping period of the day, but otherwise we continued life as normal. Within 24 hours, I felt about 40 percent better for having taken the drugs. The day after that, I felt enormously better and very grateful I had done my research and decided to take them.

 

We carefully observed Asher during this time. He didn’t change in any observable way, except for the better: He gradually got over his cold after a few days. His mood improved and he returned to his normal happy, healthy self. 

I’m returning that baby formula to the store unopened.

 

The moral of this story is this: Do your research before you take the advice to stop breastfeeding your baby, and don’t assume the doctor knows all the info. Don’t risk losing the most perfect symbiotic and health-promoting relationship two human beings can have. It’s too important to throw it away.

Done with Syria. Next?

I’ve just finished a small copyediting project about Syria. It was interesting and thankfully short. Arabic names are a bitch; transliteration produces all manner of variant spellings. I did not make a ton of money on the book and worked harder on it than I’ve worked on most projects in the last … um … six months or so, but as my freelance work has been spotty over the last several months, I’m grateful to have had the project. Now I am more convinced than ever that peace in that region of the globe is hopeless, although that was not the message of the book. 

I’m experiencing a lot of internal conflict over work and what I’m supposed to be doing with my time. On the one hand, I have a voracious appetite for work. I like working. I find it stimulating and rewarding. I like concentrating and solving problems, unraveling knots of words into a single, easy-to-follow thread. I like challenging myself and learning new things, which is truly the beauty of the work I do: Every project is different. There is always something to learn. And getting paid to work on books that I wouldn’t normally pick up to read for pleasure has the added bonus of forcing me to learn about things I’m not necessarily naturally inclined to learn about. It broadens my horizons, so to speak. Whenever I speak to other freelancer friends, I’m impressed by what they are doing, by how many clients they have, by how much hustling, networking, and marketing they do, by how much they work/earn (although direct conversation about money is rare). I’m impressed by their drive and ambition and success. I yearn for the same. I yearn to do more, earn more, learn more, be more. My immediate impulse at this moment is to email all my clients and ask for more work.

And yet …

I’m equally motivated by the needs of my family. I have two small people who can’t get along five minutes without me (or so it often seems). I have thoroughly enjoyed Asher’s babyhood thus far. Sometimes I get to take naps with him. We look at books together. We listen to music. In the afternoons when Lucas is home and not at the babysitters’, we enjoy the outdoors, go to the library, visit my grandmother, take walks, do art projects. These things are fun and fulfilling. I know that my children will grow up quickly. I am not willing to miss these early years. I think they do best when they are with me, and I’m grateful to have a supportive (literally and figuratively) husband and a profession that allows me so much flexibility to be with my kids. I also know that I would be a miserable wreck of a mother if I had to ship my children off to daycare full-time. I wussed out at the prospect of part-time daycare back in 2003 and have never looked back since. Some days I am able to slow down my brain and watch the butterflies drift across the yard. Some days I can take great pleasure in washing the dishes by hand with Lucas. I try to cultivate patience and peace by watching good things grow—vegetables, messes, and boys. They grow slowly. I am unable (and unwilling) to speed up the time. And so, my world turns slowly. 

Sometimes that slowness—the drowzy and dizzying days of taking care of children—is a welcome balm. And sometimes it makes me grit my teeth and feel corralled.

There is a metaphor about marriage that is a better metaphor for raising children. Ian and I have “hitched” ourselves to a cart full of precious cargo. We did it on purpose. We must ensure the cargo’s safe delivery to (hopefully) a happy and productive adulthood. We must choose our path carefully and not deviate from it randomly or without consideration. We must go slowly and steadily so as not to jostle or damage the cargo, or bounce it out and leave it by the wayside. We must make frequent rest stops and potty breaks. And although we might wish to run off together without the cart and cargo, we basically can’t—at least not until the cargo gets much farther down the path, and then only for a short break. And the cart won’t travel nearly so well with only one of us pulling, so we are hitched. It’s a good kind of hitched.

*Sigh*

Homeopathy?

I was wondering if anyone can point me to good info about homeopathy? Does it work? Is it safe? (The FDA recently said not to give cold meds to children under 6 years old, so I’m trying to find something to relieve symptoms.) I don’t have much experience with this, but we are trying Hyland’s ear ache and cold tablets for children. I see homeopathy kits on the internet, but have some skepticism and sticker shock at their prices.

  • About Sara

    Thanks for visiting! I’m Sara, editor and writer, wife to Ian, and mother of two precious boys. I am living each day to the fullest and with as much grace, creativity, and patience as I can muster. This is where I write about living, loving, and engaging fully in family life and the world around me. I let my hair down here. I learn new skills here. I strive to be a better human being here. And I tell the truth.

    Our children attend Waldorf school and we are enriching our home and family life with plenty of Waldorf-inspired festivals, crafts, and stories.

    © 2003–2018 Please do not use my photographs or text without my permission.

    “Love doesn’t just sit there like a stone; it has to be made, like bread, remade all the time, made new.” —Ursula K. LeGuinn

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