Thursday, February 13, 2014

Inside the American Medical System: An Introduction (Part 1 in the Series)

This series has been in the making for over five years, and the time has finally come to write it! I'm so excited to share with you our experiences in the American medical system with our baby boy, and I hope that what we learned in the process, and the tips I hope to share, will be useful to you!

I'm not quite sure how long this series will be, but here is a basic outline:

Part 1 - Introduction
Part 2 - Our Story
Part 3 - Creating a Medical Notebook I
Part 4 - Creating a Medical Notebook II
Part 5 - Lessons Learned

Today's Part 1 installment, our brief introduction to this series, will cover the following:
  • What will be covered in this series
  • What will not be covered in this series
  • A brief discussion of personal bias

Let's get started!



What WILL Be Covered In This Series:

In 2010 we began this journey with our then nearly-one-year-old baby boy. Over the following couple of years, we journeyed in and out of doctors' offices, hospitals, labs, therapists' offices, etc., as we searched (fruitlessly) for answers, for a diagnosis, and for advice that would help our wee man. This series will be based on our experiences, which included:
  • Repeat visits to numerous specialists' offices, including pediatrics, developmental pediatrics, neurology, genetics, cardiology, and gastroenterology (among others)
  • Lots of oh-so-fun lab tests
  • Other tests including MRI under general anaesthetic, repeat cardioechograms, etc.
  • Therapy evaluations and ongoing therapy of various forms (PT, OT, speech, etc.)
  • Extensive genetic testing

What Will NOT Be Covered In This Series:

There are many areas that our journey did not include, and thus this series will not be reflective of those areas of the medical system. I do not want to claim more than our experience has actually covered, so I wish to be very clear that there are some areas of the medical system of which we have little to no experiential knowledge. Those areas include:
  • Advanced medications, medical equipment, or assistive devices
  • Surgeries
  • Repeat hospitalizations

A Brief Discussion of Personal Bias:

Everyone has a bias - even if he refuses to admit it! I am no different, and I have a definite bias - a bias in favor of naturopathic medicine over Western medicine.

In the American medical system, there is unfortunately (at the present time) a huge divide between Western medicine (drugs, devices, surgeries, labs, etc.) and naturopathic medicine (herbs, supplements, lifestyle, diet, acupuncture, chiropractic, etc.). Unfortunately, finding medical practitioners who are well-versed in both healing modalities is nearly impossible. Naturopaths usually don't have the ability to do surgery or handle emergency situations, and Western medical doctors are, alas, usually completely ignorant of any healing methods outside of commercial pharmaceutical drugs. I would love to see these two extremes find a happy middle ground in which both methodologies could be practiced by the same caregiver, but such practitioners are so rare as to be practically non-existent. 

As American health care providers are usually "one or the other," most people tend to navigate instinctively toward one healing modality or the other, and I much prefer naturopathic medicine with its emphasis on diet, lifestyle, midwifery-style care, herbs, and non-drug healing whenever possible. Our experience in the Western medical model both confirmed and greatly strengthened my bias. However, I also gained a great amount of respect for the vast amount of knowledge held by Western medical doctors, and I hope to present a balanced view of our experience - though my bias will, of course, be ever-present. 




Monday, February 10, 2014

Celebrating Chinese New Year!

As part of our ongoing study of China, we were very excited to celebrate Chinese New Year!

(We originally planned to have our studies on China finish with this celebration and then move on to a new country, but we find that we're not yet ready to part ways - so we are going to study China through the end of the year. We will then start the new school year in May with a new country!)

There are many ways to celebrate this 15-day festival, and we wanted to do as many as possible - which took quite a bit of time!

We started on the first day of Chinese New Year with a New Year's feast! We made:
  • Chicken = for wealth!
  • Apples = for peace!
  • Long noodles and vegetables (cabbage) = for long life!
  • Almond cookies


We decorated with some of our books on China and some of our China crafts.



Additionally, we wanted to give the children the traditional red envelopes that Chinese children receive on Chinese New Year. I made some homemade envelopes by copying the characters for "Happy New Year" onto red construction paper. 



But then we received a wonderful surprise! Two hours before dinner, we got a package in the mail from a cousin who knew of our China studies - real Chinese red envelopes! How awesome! We ended up using both. The 7yo received money, and the babies got suckers.



The dinner was a huge hit! The 7yo was wildly in favor of the proceedings, and we had a great time. 




Then the following week, we attended a Chinese New Year Festival in town. It was really awesome! We got to see several cultural performances, including Chinese pop music, traditional Chinese music, Chinese folk dancing, professional yo-yo performances, and others. The 7yo got to be on stage as a volunteer during the yo-yo show!



We also got to see the famous dragon dance, which was a big hit with the kids:

Second dragon not pictured here, but they dueled bravely.


We also got to stroll through the booths and see lots of things which have been only in books until now: Chinese art, fans, Chinese umbrellas, bamboo plants, Chinese lanterns, silk clothing, chopsticks, etc. The 7yo was thrilled, and he took every opportunity to say "Ni hao!" to passersby, regardless of whether or not they understood him!

Chinese New Year was a big hit - it may be with our family as a permanent holiday!

Gung Hay Fat Choy! Happy New Year!

Saturday, February 8, 2014

If You Give a Blogger a Series....

If you give a blogger a topical series to write, she's going to start out with five posts.

When she gets finished with writing five posts, she'll probably expand the series to ten.

Once she's written ten posts, she'll probably need some pictures to go with them.

When she starts to go through her pictures, she'll realize that the pictures she needs are so old that they're stored on her husband's external hard drive.

When she realizes that her photo collection is all over the place, she'll instantly be struck with an overwhelming and irresistible urge to consolidate and organize her photos.

While she's organizing her decade-long photo collection, she'll realize that she has great blog content scattered throughout her pictures!

When she realizes that she has the material for hundreds of new posts right under her fingertips...

.... She'll decide to write a new series.

***

In other words, folks, it's taking me a while to wrap up my series on the American medical system. However, I'm determined to finish it - because I don't want to be at this forever (and I'd like to move on to other material!). Hold on a few days, and I'll hopefully be ready to start publishing installments!

(And I got a newly-organized photo collection out of it, too!)


Wednesday, February 5, 2014

Time for a Birth Story!! (*Wild Celebration*)


That's right, folks! Time for a birth story! Y'all probably didn't know that we've been concealing a pregnancy, but now it's time to meet the new young'un!

Just kidding. I can hide a pregnancy for about as long as it takes me to get from the bathroom to the computer.

BUT since I just put up my birth story sidebar...

Look THAT WAY to see it! ----------------------------->

(Okay, and scroll down a little.)

... and simply cannot find where I published my second birth story on this blog, I have decided to republish it!

As it will come up in your newsfeed (my apologies), I'll just invite you to enjoy reading it again!

One HUGE added bonus is that I have taken the time to go back, find our birth photos, and add them to this originally picture-free story. Is that fun, or WHAT? Many of them I haven't used, because at the time I chose - for whatever reason - to labor completely nude. It was the hippie in me coming out. But there were lots of usable pictures, and even our close friends have not seen these - and I hope you enjoy them!

Both DH and I look completely different - this birth was eight years ago! - and I think you guys will get a kick out of seeing how we've changed.

ENJOY!


*****


We had my last prenatal on Monday, June 20, 2006 - my due date. We were worried because Wendi, our midwife, was leaving the country for six weeks that Saturday, and didn't want to have to have another midwife if we were a few days late. Wendi, bless her, wasn't a bit worried, and she was right. I lost my mucous plug the next day, so things were in motion.

(I should mention how I came to choose a midwife - When I got pregnant, we didn't have maternity coverage. In my cherubic innocence I thought that "no maternity coverage" meant that while our insurance wouldn't cover hospital birth, they would cover other services [such as homebirth midwifery]. Well, I was wrong - they wouldn't cover any of it. But by that time I'd done enough research and read enough stories that I was hooked! I didn't care at that point - I knew I wanted a midwife.)

On Wednesday night I took a firm hold on DH and told him that we were going to get our to-do list done, as I was tired of putting things off indefinitely. So we hung our clothesline, set up our bassinet, and did several other things. My one and only instance of nesting!!!

Thursday morning I awoke with a start at 4:28 a.m. with the odd dual sensations that (a) I really needed to use the restroom, and (b) I was already doing so! It didn't take me too long to realize that my water had broken. I was nervous and excited! I got up and cleaned like a maniac and then got dressed, being very careful to do my makeup and clothes nicely, since our midwives would be coming over! (Ha! As if that would last!)

My contractions immediately made themselves known. I had had rolling Braxton Hicks contractions since my second month of pregnancy, but as soon as my water broke they became much more intense and uncomfortable - labor had started.

When DH got up, he immediately freaked out and insisted on calling Wendi. After that we had breakfast, and then I headed back to bed. Getting up at 4:30 a.m. and cleaning wildly had been tiring! So I slept lightly, waking up for contractions.

Sometime that morning the toilet decided to overflow, so there I was - trying to help DH clean up a flooded bathroom in between contractions. Rather amusing! We called for emergency maintenance help which, as expected, never came, so the carpet had to dry on its own. We were too busy to fuss with it anyway.

Our doula Jennie came over in the early afternoon. Sometime during the afternoon, Wendi came over to check on us. I asked her if I could labor in water, and she said yes, so I immediately headed to the bathroom and stayed there - first in the shower, and then in the bath.

I have to put in a plug here for laboring in water. This may sound weird, but when I got into the tub/shower, labor pain initially vanished. Completely. It was wonderful. Of course it built again from there, but I don't think I could have done it out of water. It is, after all, reputed to reduce labor pain by about 40 percent, and I highly concur.

Another amusing thing was my total loss of modesty. When I initially got in the tub and DH asked if our doula could come in to say hi, I was really reluctant. Well, it went downhill from there! By the end of the night I was walking around stark naked in front of everyone and not caring a bit! So funny.

One thing I also learned about myself was that I am loud in labor. Very loud. Think male sea lion during mating season. Or maybe a wounded bull moose. Many women are. I'd read enough birth stories to know this, so I didn't try to fight it (couldn't have, probably, anyway). So I yelled my head off with each contraction! Thankfully, none of our neighbors seemed to notice.

Setting up the (dead) video camera.
Somewhere during early evening, DH and Jennie set up the birth pool in our living room and filled it up with warm water. I immediately headed in there, and the relief was once again great. Wendi and her back-up, Sue, arrived about this time. However, I was never actually able to say hi to them. It is true that in labor you do loose a lot of functions you normally have - such as conversation. Your whole body is focused involuntarily on labor, and all extraneous functions cease. Makes sense. I actually spent several hours trying to say hi, and never managed it. Maybe I should apologize sometime!

However, after going through childbirth, I realize how important it is to have an advocate with one - an informed husband or doula. A woman is really helpless during a lot of childbirth - she is vulnerable to suggestion and unable to fight for her rights. If I'd been with an unscrupulous caregiver, he could have given me pitocin, an episiotomy, whatever he'd cared to, because I wouldn't have noticed and/or been able to stick up for what I wanted.

Back-up midwife, Sue!
This last part of labor was not a lot of fun. Everyone just sat around quietly, giving support when needed, while I dealt with things (loudly!). During the worst part I had a massive throwing-up spell, signaling transition (gotta love it!). It was during this time that I broke out in the standard "I can't do this anymore, dang it!!!" lingo. However, I was giggling inwardly at being so stereotypical - breaking out the typical transition phraseology like I'd been reading it from a script!! LOL

This single picture is why midwives are awesome. 

Dealing with a contraction. 

Sleeping through a break between contractions. 

Our cat was totally freaking out. She had no idea what was going on - we have some great pics of her going around sniffing everything.


"There are some really weird hormones in the air and I am NOT happy about it!"

When I would ask "Am I almost finished?", Wendi would wisely say, "Soon!" I'm so glad she didn't tell the truth - I couldn't have handled it. She also told me that the only way she could know for sure was to do a vaginal exam. I refused each time. I knew that I couldn't handle it emotionally if she said something like "2 centimeters!"

When my vocalizations changed from yelling to grunting, Wendi said she'd like to check to see how things were going. She did, and not only were we fully dilated, but baby was at a station of +4! Almost there!

I should say that it is one of the proudest points of my pregnancy that the first vaginal exam of my entire pregnancy was an hour before baby's birth. Wendi is so, so hands-off (not all midwives are), and I loved that about her. No fuss!

She tried to help me push more effectively in the water, and then after a while suggested I get out. Wendi mentioned later that most primips (first-timers) don't end up giving birth in water, as they tend to find the lack of gravity confusing. I concur!

So we went in the bedroom and pushed in a variety of positions, ending up with seated. I pushed like anything for one or two hours. It hurt! At the very end I just gave up and pushed, because I wanted it to be over more than anything. And baby Caleb was born!! At 10:35 p.m. - 18 hours and seven minutes of labor. We'd refused prenatal ultrasound, so the first big excitement was finding out that he was a boy! DH had desperately wanted a girl, but he immediately fell in love with his baby BOY and hasn't looked back since.

Calling the family - it's a boy!

Just a few minutes old! 



We'd discovered mid-labor that our video recorder had quit, so our doula only caught the last minute or so on her camera. Big disappointment. Next time we're going to check it before labor starts!

One of my big disappointments was that I (through some odd act of divine intervention) missed out on the birth ecstasy - that "my baby, my baby!!" moment. I was really bummed. I wasn't actually that interested in baby at all. I just wanted to go to sleep! But he was pretty cute, and we spent the next couple of weeks falling in love.

Wendi and Sue and Jennie and DH took turns cleaning up, getting rid of the birth pool, bathing baby, and doing a gentle newborn exam (we refused eye prophylaxis and vitamin K and Hep B vaccine, and delayed newborn tests). I myself had only torn slightly (nothing to worry about), so I went and showered while they changed the sheets (after eating an enormous bowl of strawberries and cottage cheese, I should mention) and then went back to bed. They all left a couple of hours later.

(I should mention that midwives don't forbid eating during labor - in fact, they encourage it - but after breakfast, I hadn't wanted to eat anything. I just drank Gatorade. So I hadn't eaten since about 6 a.m. that morning!)

Doula Jennie.

Our beloved midwife. 

So that's my birth story! I have a feeling that I'm going to be coming back to my blog every couple of hours today to input little details I've forgotten, but that is the main!


Super-long cord! 

Placenta examination. 

Newborn exam. 

Newborn exam. 

Taking heart tones with daddy! 

And that was our first (live-birth) birth story! Reviewing this birth story and adding pictures has been so much fun! Thanks for joining me on this journey!


Tuesday, February 4, 2014

CHINA Crafts - Chinese Paper Fans!

This was another easy and fun craft for our China unit study, and I highly recommend it!

Directions here. (Make sure you check out her entire unit study on China, which we are using for lots of great ideas!)

I gave each child a page of paper to decorate, and then we taped them together to make the needed length for the fan. One change I made was to use light cardstock (110 lb. weight) instead of regular printer paper. It made for a much sturdier fan.

Were I to do this project again, another change I would make would be to trim the fan to a slightly smaller size - perhaps six inches high rather than seven. Because the popsicle sticks weren't long enough to support the entire fan, it had a tendency to buckle in the middle if one was not careful.

However, it works beautifully as-is, and it's been a great hit with the kids!




We also used it as decoration at our Chinese New Year feast!



Enjoy! 

Monday, February 3, 2014

Adding a Birth Story Sidebar!

Hello, dear readers!

Just a note that I have added a little sidebar on this blog listing all of my birth stories! (All except one, that is, which I have yet to find - I'll add it when I find it!) I love reading birth stories, and thought it would be fun to link to my own.

Enjoy!

CHINA Crafts - Homemade Paper (Super-Easy!)

I procrastinated on this craft for many weeks, convinced that it would be time-consuming and difficult. But I was wrong! It's easy and uses very few ingredients - definitely a must-try project while passing through China.

The original directions I found are here, and another great tutorial with pictures is here. We greatly simplified the process, so we didn't need some of the materials listed in the first set of directions. Here's what we did, in brief:



Homemade Paper

Ingredients:

Paper, any kind, torn into small-ish pieces
Blender, kitchen oil screens

Directions:

Fill blender with torn paper strips, then add water 2/3 or more of the way up. Blend till smooth.

Either pour pulp mixture directly onto the kitchen oil screens OR for a smoother paper, pour the pulp into a baking dish and bring the oil screen up under the pulp (see second link above).

Press out extra water with hands (or felt, or a towel). and leave several days to dry. 

Voila!


We used white and pink papers, hoping for a swirl effect, but it homogenized into light pink:



When it dried, we did our best to paint the Chinese characters for "I Love You" onto them. Hopefully y'all don't read Chinese.





They served as decorations during our Chinese New Year Feast, and now are shortly to be zipped into the mail as craft-Valentines for the grandparents!



Have fun with this super-easy project! 

* The recipe we used said to add liquid starch if you intended to write on the paper, so we made some homemade liquid starch and added a teaspoon or two. I don't know if that was really necessary - probably not.

** You can also add decorative touches to your paper after the pulp is blended - for example, tiny seeds or small lengths of colored thread.