Steps in a new direction

I am so into recycling that I am making Stella wear my old overalls.

I am so into recycling that I am making Stella wear my old overalls.

I haven’t posted in so long because I’m lazy. But also, I needed to take a break and discover a new direction. So, this blog will probably change, and soon. But all the helpful resources pertaining to feeding issues will remain, and I hope that they continue to help and comfort people.

The thing is, Stella’s bottles are no longer thickened. She is off both of her reflux medications, the Ranitidine (Zantac) discontinued two or three weeks ago with no issues. And she eats plenty. All the mental and physical energy that went into feeding Stella, and worrying about feeding Stella, needs to go elsewhere now. I’ve been a bit stuck as a result, but figuring it out, slowly.

I’m working on an article for AOL. I’m doing a small writing project for one of my past employers. I joined a book club. I’m cooking more. I’ve planned a little family vacation for August. We are finding a new rhythm. Speaking of which…

Stella earned her “early walker” status last week. She will be eleven months old tomorrow, and I saw her take her first steps on her ten-month birthday. Though Cody shrugged when  I told him that, because he’d seen it before. Why he didn’t mention that humungous event is beyond me. Best guess is that he felt guilty over having witnessed it with out me. In any case, she is now literally off and running.

I took her to University Village yesterday, and instead of walking past the astr0turf-clad, todder-friendly playground, which previously had all the relevance of a space shuttle launch pad, we stopped, went in, and Stella proceeded to waddle-jog around, exploring all the ground-level gadgets and approaching everyone with aplomb. At one point, two toddlers (clearly playground vets at 18-24 months old) were standing alongside the lowest tier of the series of platforms that lead to the top of the slide. Stella jaunted up to the step, brushing between them and gently nudging them aside. With a wide stance and an even wider smile, she placed both hands on the platform, and turned to smile at each of them before cheerfully smacking the platform twice. They then did the same. It was as if she has bellied up to the bar and ordered a round for everyone. “This one’s on me, gang!”

Speaking of another round, it’s time for my second glass of wine. In my own personal experience, it’s one of the few upsides of formula-feeding, and I’ll take it.

P.S. Whoever says formula-feeding is convenient and time-saving is HIGH!

My deal with an adorable devil

As usual, I don’t know where to begin. Over the past two weeks, I have experienced the low of crying while lying sprawled on the floor with a string of snot connecting my nose to the carpet to the high of many truly perfect moments with a happy, big-bellied Stella smiling in the sun.

We went through two weeks of teething hell during which Stella ate a lot less than usual and lost a half a pound in one week. At first, I wasn’t worried at all, because I knew it was due to teething and I knew that her occupational therapist had said that Stella has no feeding issues anymore. I knew it would pass and that she would rebound. I was extremely proud of myself. But then she was throwing up and refusing some of her bottles. So,  in totally predictable fashion, just as I started to worry like a crazy person again, she ate way, way, way more than usual. And that is when we went to Minnesota and had an amazingly good time thanks to fabulous weather, a beautiful 18-acre estate, which seemed like a meticulously kept, expansive public garden/park with a house in the middle, Stella’s healthy appetite, and her adoring grandparents. Oh, and this is big: We stopped thickening Stella’s bottles yesterday, and so far, it’s going pretty well–though we may need to make an adjustment as the #3 nipple seems too slow, even with faster, unthickened formula. Stella doesn’t do “slow.”

So, it appears that Stella has made a deal with us. She’ll eat anything you put in front of her (provided she likes it–and she likes a lot of things), without complaint. Entire avocados. Pieces torn from our grilled steak, crusted from the spice rub. Full pieces of whole grain bread smeared with extra virgin olive oil. Yogurt blended with fresh mango. Millet/brown rice/lentil super porridge pureed with papaya, flax oil and brewer’s yeast. Savory baked tofu by the truckload.  However. She’ll throw over-the-top fits any other time she pleases. I was happy with this arrangement until I tried to change her diaper, at which point she screamed bloody murder and attempted to leap headfirst from the changing table.

Okay, I’m still happy with the arrangement. I’m just wondering how to deal with the emerging tantrums. Like the one she threw on the grass alongside the wading pool at Green Lake this afternoon. She hollered at the top of her lungs and wound up in a headstand position–pretty much dangling by her ankles, anyway–as I put on her diaper. Then we went home and had lunch, and she barked at me while pointing at the toast I was tearing up for her. Apparently, the service is too slow. I’ll work on that, Stella. A deal’s a deal.

*Overly dramatic sigh*

I should be blogging often as Stella is giving me tons of Grade A writing material. She took her first steps last week and is getting four new teeth (all at once). But I’m feeling pretty depressed lately, so every time I go to write, I quickly tire and say to myself, “Why bother?” It’s horrible to think that I don’t have the energy or enthusiasm to write about my precious Stella lately. It’s not for a lack of love, that’s for sure.

The truth is, I weaned myself off of my antidepressants about three months ago. Stella was better, eating happily and no longer tube fed, so I thought I was in the clear. Now I am thinking that it was premature to go off the meds. I am down in the dumps much of the time.

I don’t know exactly why I am feeling so sad, but I hope to rebound soon. Even with all of that heaviness on my shoulders, Stella makes me smile and laugh often. Not that she actually has to do anything to lift my spirits. The mere sight of her is a mood enhancer. Her cuteness forces me to say, at least a dozen times a day while hugging her tightly, “I love my munchkin!”

So, I need to devise a plan for feeling better. If only laziness and Facebook weren’t getting in the way…

Sugar Would Not Eat It! (And neither would Stella, for a while.)

Sugar would not eat it

Sugar and Stella have discerning tastes.

I can’t decide if this is sick or brilliant but I just bought Stella a gorgeous book about a cat with a feeding aversion.

Sort of.

The New York Times gave this really interesting, charming children’s book a big thumbs up, and the subject matter was just so weirdly perfect that I just had to get it. A boy finds an adorable stray cat, and they really get along, so he takes her home and names her Sugar. He sees that Sugar is hungry, so he offers her the last slice of his chocolate cake. He offers it to her because he loves chocolate cake. It’s delicious, so who wouldn’t love it, right? Well, “Sugar would not eat it.” Times goes by. The concerned boy gets more and more insistent that the cat eat the cake. The cat keeps refusing and refusing and refusing to eat it.

Finally, after consulting with friends and neighbors for their ideas on how to get the cat to eat, the boy is SCREAMS at the cat (something along the lines of), “WHY WON’T YOU EAT?” I did that to Stella once, I’m sorry to say.

I won’t give away the conclusion except to say that it couldn’t be more appropriate and smart and sweet. The parallels to me and Stells, in regards to her feeding issues, are undeniable. I read this book to her immediately upon unzipping the Amazon-branded cardboard packaging, and we both loved it. She kept pointing at the cat and smiling. I had a big grin, too, because Stella and I had the same happy ending.

Support and community for parents of tube-fed children

Trying to wean your child off of a tube? Bravo! You’ll find comfort, resources, and encouragement in this online support group:

Tube Fed Children Deserve to Eat

It’s a social network powered by Ning Grouply, with the purpose of “Connecting Parents of Children with Tube Feeding Issues.”  There you will find a wealth of information and wonderful people who are all going through (or have been through) your stressful situation!

Best of luck to you!

The truth about moms

On message boards across the web you can find, far too easily, cringe-inducing posts by moms skewering each other’s parenting styles and choices–battles over breastfeeding versus formula-feeding and catfights about co-sleeping and cribs, and that’s just the tip of the judgemental iceberg. This sad reality is partly why, even though it was necessary to ensure Stella’s wellbeing, the switch to hypoallergenic formula was so difficult.

I’ve thought a lot about all the guilt and shaming and I think that what it really boils down to is that today, there is no one clear way to raise a child. Somehow, with a constant flood of opinions, experts, and information, there are more questions than answers. Nothing is clear cut. We’re all so worried about making the “right choices” for our children that we cling tightly to our way of doing things, and they come to define us. It’s as if we are trying to convince ourselves, not just others, of their correctness. Defensiveness and insecurity can be the only explanation.

However. What I’ve learned through my experiences with this blog is that none of that matters. Not one bit. I’ve heard from mothers across the country and around the world–moms in Singapore, New Zealand, Ireland and Texas whose babies refuse to eat. We all do the same desperate things, ask the same questions, and think the same thoughts. Our feelings, stories and longings are not just similar, but identical. The fact that some of our babies enjoy breastmilk and some formula, and that some sleep nestled under our arms while others are tucked into lovingly adorned cribs, makes no difference whatsoever. These women span a diverse range of nationalities, but you’d never know it.

As I think about Hatice, Rocio, Erin and all of other moms who’ve contacted me, I am overcome with emotion. Not just because I’ve been where they are and know how gut-wrenching their struggles are. Not just because I know how terrifying it is to insert an NG tube, how the tape turns their scrumptious little cheek into a red, raw mess that seems to symbolize disfunction, and how an aversion comes to suffocate every other aspect of life. No. Really, my heart aches and expands when I think about them because they love their babies so very, very much–literally to the point of madness, sometimes. They would do anything at all, gladly handing over their own wellbeing and comfort, to ensure that their babies are happy and healthy. It’s that simple.

The truth about moms is that we are all incredibly alike, when it comes to what actually matters.

Me and Stella, all cozy and matchy matchy.

Me and Stella, all cozy and matchy matchy.

Well nourished

Super Stella can eat a pancake in a single bite (practically).

Super Stella can eat a pancake in a single bite (practically).

Sometimes I worry (shocking, I know) that Stella and I don’t venture out often enough for grand adventures. You know, to the Woodland Park Zoo or Pike Place Market. But then I turn on the vacuum or open the refrigerator door, and she goes absolutely bonkers with joy and excitement, and suddenly I’m certain in the knowledge that she gets her share of thrills right here at home.

The fridge is by far her favorite destination at the moment. She’s developed a particular fondness for a large bottle of light dijon dressing. If there happens to be some Cava chilling in there (which is often the case), she’ll  make a beeline right toward it, and I’ll smile and think to myself that we are incredibly alike.

Food and drink remain a big focus of our days. But a shift is underway–a very healthy shift in thinking and eating. Stella is eating plenty of food via bottle, spoon and finger. I think–I really, really think–that she has finally convinced us to chill the F out. Really. This is big, and it’s about time. I mean, on how many occasions has she rebounded from eating “less than usual” to eating “more than usual”? Tons. How many bottles has she drained? Countless. How many Cheerios and pieces of tofu has she stuffed in her mouth? So many that her grocery bill is starting to rival mine and that is really saying something, people.

I purchased a horribly edited but very helpful and well intentioned book called Super Baby Food by Ruth Yaron. The purple tome has helped me change Stella’s diet for the better (and by “better” I mean healthier and fresher). The book is frustrating on one hand, because it confusingly cross-references itself to the point of eye-crossing ,book-hurling annoyance, but it’s also empowering in that, by patiently plugging through key parts of the book, I’ve established a real plan for giving Stella a complete, incredibly nutritious, age-appropriate diet. Until recently, I really felt like I was just winging it. I had the feeling I could do better. Also, Stella has enjoyed three nasty colds in as many months, so I’d been wondering if there was a way to boost her immunity, even just a little bit, through her diet.

In a nutshell, the book encourages you to make baby food yourself, using lots of “super foods”–not just fresh fruits, vegetables, grains and legumes, but with those that are especially jam-packed with nutrients. At the heart of Super Baby Food is Super Porridge, which should constitute the baby’s biggest and most hearty meal of the day. You make it by throwing grains into a blender (I’ve been using brown rice and millet this week), then cooking them in water. You make a few servings at a time and put them in individual containers in the fridge. Come meal time, you take out a serving of Super Porridge and add stuff to it. In ice cube trays, I’ve frozen portions of pureed fresh vegatables and fruits of the “super” variety (including kale and papaya). So I pop one or two of these veggie/fruit cubes in the porridge and microwave briefly, and mix it up with a bit of flaxseed oil and brewer’s (nutritional) yeast. Every other day, I add an egg yolk to the porridge, per the book’s suggestion. On Sunday, I hardboiled four eggs and put them in a sealed container in the fridge. I eat the egg white as I mash the yolk before dumping it into Stella’s porridge. And the shocking thing is, she likes it. She really really likes this porridge stuff. Her favorite seems to be Super Porridge with a cube of mashed avocado, a cube of mashed papaya and an egg yolk (the flax and yeast are givens). I make an effort to prepare the porridge in a way that is appetizing. I’m not down with making her food that is nutritious but unappealing–what fun is that?

According to the book, yogurt has enormous health benefits (big revelation there, right?) and should be the base of one meal per day. I haven’t full-on incorporated this into our routine yet, because Stella is not supposed to have dairy until one year of age. However, I do stir some rice yogurt into her morning fruit meal, and I plan to grab some soy yogurt at the grocery store. I’ll probably do my bowels a favor (I owe them one after months of Pagliacci Pizza, RoRo’s BBQ and Mighty O donut dependence) and stock up on some Greek yogurt for myself.

Super Porridge may sound a little crazy and, well, it is–when you compare it to our old mode of using Earth’s Best jarred baby food and cereal (which I still use here and there as I am not going to become militant about what Stella eats and want her to enjoy a wide variety of foods). Super Baby Food isn’t exactly “simple.” But the level of effort wasn’t too excruciating this first week. I get the sense that in another week or two, I’ll be in the flow of it, making only small batches here and there. I expect this plan to become a habit that doesn’t require the current level of thinking and deciphering. Besides, I feel so good about feeding Stella this way. I love knowing that even on days when Stella doesn’t eat much, each bite she takes is off-the-charts nourishing. At times I still want to chuck the book out a window because it’s such a convoluted read, but I am really grateful for the hearty bits of wisdom nestled within pages full of rampant bolding and italics, near-criminal use of indentation, and random tangents and unneccessary side notes. All told, I love the book and how it’s enabled me to boost the quality of Stella’s daily meals.

I am finally taking better care of myself. As I plan her meals in advance,  I find that I am doing the same for me. I eat when she eats. We eat together, and though feeding her used to feel like a dreaded chore, it’s becoming more fun. I wore earrings and a skirt yesterday, and felt somewhat cute for the first time in ages. Nothing fancy, mind you. But I brushed on a bit of my beloved Jane Iredale SPF 20 Warm Silk mineral foundation, thought for more than five seconds about my outfit, and even accessorized. I don’t want to get ahead of myself, but I may shave my legs soon. (It’s blond and fine so not very visible. At least, that’s what I’ve been telling myself.)

Maybe it’s because we visited Stella’s OT last week for pointers. Maybe it’s the weather or my improved attitude rubbing off on Stella. Maybe it’s a growth spurt or her new homemade super food. Perhaps it’s all of the above. For whatever reason, Stella is chowing down. She seems to enjoy eating more than ever before. I’ve said this before many times. But maybe now, after all these months, we can stop the counting and obsessing and begin a new era of enjoyment. It would be as nourishing for Stella, and myself, as anything I can put in a bowl or bottle.

Bon appetit!

Goodnight, milk.

Stella wasn't sad to see the milk go. In fact, she was delighted.

Stella wasn't sad to see the milk go. In fact, she was delighted.

A couple of weeks ago, I threw out 341 ounces of frozen breastmilk. That was just the bottom shelf. I still need to clear out the top one.

It has been six months since the last of it was pumped, rendering my precious milk expired. At the beginning, every half ounce was sacred. Toward the end of my pumping days, I didn’t bother saving the milk. It sat out for hours, until I forced myself to pump again at which point I would dump the previous yield down the drain. I was so bitter. So exhausted. I’d had it with pumping. Stella had been diagnosed with cow’s milk protein intolerance and fed hypoallergenic formula through a tube for a good month, and still I pumped. The odds of returning to breastfeeding seemed grim at best. Still, it was hard to stop. I didn’t want to give up. I wanted her to have “the best.”

I’d been meaning to throw the milk out for some time now, but couldn’t let it go.

When I stopped breastfeeding, when Stella had her NG tube, I was an emotional wreck. But I was consumed with tube- and bottle-feeding my baby and completely focused on getting Stella over her feeding aversion. I never really allowed myself to think very deeply about the loss. So I never got to grieve my milk or my vision of breastfeeding and what it represented to me. I never really embraced the choice that I made–the only choice that seemed logical, the one that enabled Stella (and me) to thrive. I want to accept it completely and I’m not sure why it’s been so hard to do.

I’ve thought about this a lot lately, since dumping those 341 ounces. And perhaps the answer is simple. Formula-feeding is not what I wanted for Stella. I failed. Or that’s what it feels like. And a very small, insecure part of me wonders if there is simply something wrong with me. My milk made Stella sick. It didn’t protect or nourish her or do anything it was supposed to. I used to joke to myself, in the weeks just after Stella was born, that my breasts were being both destroyed and redeemed by breastfeeding. They were being stretched to the limit with the influx of milk, so I knew I could say goodbye to any perkiness. On the other hand, they’ve always been small and had really only been a source of ridicule from about fifth grade on, so I found it quite astounding that they had the amazing power to nourish my baby. To help her grow! For me, it was empowering. Unfortunately, that didn’t last.

I wrote about our attempt to give her a dairy-based formula. I never followed up on how it went. Let’s just say that the switch was not successful. Her intake started to drop slightly and she developed a couple of red splotches on her face.  We were very quick to switch back to hypoallergenic Elecare,  so we can’t be 100% sure if the milk protein was really bothering her or not. But my gut tells me something was off. It helps a little bit with the recurring thought that maybe, if I’d kept avoiding dairy and soy for just a little while longer, and kept trying to feed her, she’d have come around to enjoy nursing, and get the benefits of breastmilk without all the pain she’d been experiencing. Of course, that’s simplistic thinking, and dismissive of the severity of the issues we faced at that time. But the idea lingers.

So. yes. I’ve been reluctant to throw out my milk. I kept hoping that maybe someday, I could give her some.  My brain kept whispering, annoyingly, “You know, you could add a bit to each of her bottles and she’ll get the benefits!” But it’s clear now that, no, she will never have my milk again.

Every time I read about yet another benefit of breastmilk, I cringe. Each time I read some judgmental comment or article by some zealot who equates formula with poison, I seethe. (For that reason, I can no longer read Mothering magazine.)

Perhaps that’s why I painstakingly calculated the total number of ounces. I needed some proof, some evidence of how hard I tried. I will get the final number soon, when I gather the courage to toss the rest. Maybe then I can finally let go.

Open wide

So, as I reported earlier, we visited Seattle Children’s Hospital this week to see Robin, Stella’s wonderful and very wise occupational therapist. We wanted to check in and see how Stella is doing with solids. We were worried because she wasn’t eating as much as a nine-month-old is “supposed to” by now. She had not been showing any aversive behavior, and once in a while she’d chow down on bananas, avocado or toast, but overall, her intake of solids seemed pretty low–maybe 1/4 of a cup for an entire day and a few bites of finger food. And it was taking *forever*.

Well, Robin assured us that Stella was just fine. In fact, Stella has no feeding problems anymore, at all. I knew this deep down, but it was an incredible relief to hear it from our trusted expert.

We realized that the problem was us–not Stella. Robin gave us some very valuable pointers on how to feed Stella more effectively. It turns out that we’d been so afraid to push Stella, based on early battles over breastfeeding and bottle-feeding, that we weren’t offering her enough via spoon. We were way too timid. Stella doesn’t need to be coddled. Ever since our meeting with Robin, we’ve pretty much been “shoveling it in” and Stella has been enjoying 1/4 to 1/2 cup of baby food plus a few bites of finger food at each of her three meals. Just like she is “supposed to.” It’s amazing!

She seems to really enjoy my homemade blueberry puree mixed with a bit of cereal, and that makes me so happy! That said, Stella has a nasty cold, which is making food less appealing to her–especially chunky things like finger foods. She’s thrown up immediately after some of her meals due to coughing fits, but it’s tapering off as the worst of her illness appears to be over. It hasn’t slowed her down too much, but I’m interested to see how eating goes when she feels better.

Stella had been taking enormous bottles, up to nine ounces at a time for a total of 30 ounces of formula a day. Contrast that to the days when when 3 and a half ounces was HUGE! So in the two and a half hours before her first nap, she was getting 400-450 mls (that’s up to 15 ounces in the first couple hours!). No wonder she wasn’t into solids. She was full! As a result, we’re in the midst of a schedule shift. I’m almost embarrassed to admit this, but it’s made me anxious.

We had our old schedule *down.* I knew roughly how much she would eat when, and it created a nice comfort zone–for me as much as Stella. Well, as she grows we need to adjust, and that’s what we are doing now. But a low-level panic infiltrated my day. By fitting in these larger meals of solids, we are messing with the timing and amounts of her bottles. She doesn’t seem hungry enough to take a bottle RIGHT after solids. I don’t know exactly when she’ll get her 24-30 ounces for the day and it makes me nervous. I have to watch for hunger cues more closely. So, I am officially out of the comfort zone, and am figuring out what works and what doesn’t. It’s a bit of a throw back to when Stella had her tube and when we were weaning her. I never really knew when she would want to eat. I just had to pay attention and wait–not my strong suit.

I’m giving myself pep talks, and they are effective.  They sound a little bit like this:

“If I can survive the anxiety of a newborn that won’t eat, pumping around the clock, mastering the use of a god damned supplemental nursing system, navigating the complexity and chaos of hospitals and healthcare, inserting and maintaining an NG tube, getting no more than three hours of sleep at a time for two months, weaning my baby off of the tube and curing her aversion without (completely) losing my mind, I think I can figure out a new feeding schedule. Damn it, I can do just about ANYTHING.

And so can Stella.”

Return trip

It’s not an emergency. Nothing is really “wrong.” But we’re about to head back to our old stomping ground: Seattle Children’s Hospital. We’re going there to see Robin, Stella’s occupational therapist. Stella isn’t warming up to solids the way all the charts and books say she “should” by now, at the ripe old age of nine months, so we’re looking for some reassurance and perhaps a few tips on how and when to best offer food to Stella–without getting pushy. As we learned with the bottle, pushing only makes her want to eat less.

This morning, a vision from the past won’t leave my brain. I’m not sure why. It brings me back to our first appointment with Robin, before Stella got her tube and back when my entire day was consumed with the struggle to feed Stella. That morning, Robin filled me with hope. She watched Stella scream at the prospect of eating, she watched us spend a half an hour battling with Stella to get her to take three ounces. And then she said, “I’m going to see you through this,” and I suddenly felt a lot less helpless. But that’s not the moment that’s been on my mind.

I remember departing the room where we’d met with Robin, and walking down the hall toward the waiting room with Robin at our side.  Coming toward us at a brisk pace was Robin’s next appointment, a new mother accompanied by her own mother and arduously lugging her baby, left hand gripping the handle of the car seat. She walked with her entire body at an angle, as a counterbalance to the weight of the baby and her seat. She swung the seat forward a bit with each step, lurching along. The baby was peaceful but alert, with an NG tube taped to her right cheek. That terrified me at the time–I didn’t want Stella to wind up with a tube. But it was the mom who got me. There was such determination in her face and in her stride.  She was clearly focused on the task at hand, eager to learn more about how to help her baby. Eyes locked on her destination. Moving awkwardly, but forward. I’ll never forget that mom.

We’re off. I’ll let you know what happens.