The tube is out. I repeat: The tube is OUT.

And we are leaving it out.

This weekend, I sent Stella’s pediatrician and occupational therapist an email outlining my concerns about the tube and research to back up those concerns. Today, they agreed to a tube-free “trial.” Her doctor said two to three weeks without the tube would be “low risk” given how healthy she is.

We will meet with her occupational therapist tomorrow, and see her pediatrician on Friday. I have been in contact with the Austrian feeding clinic, wired them the registration fee, and they will offer weaning guidance via email as well.

I’d intended on leaving the tube in tonight, and taking it out in the morning. But she yanked it most of the way out tonight, so we went with it. And let me tell you… her tube-free face was a sight for sore, exhausted eyes.

The plan is really quite simple. Feed Stella when she is hungry. When she TELLS me she’s hungry (with her whining). Give her no more than she wants to take. Don’t panic if she doesn’t take much. Wait for her to tell me she’s hungry again, whenever that is, and repeat.

Stella, the feeding reigns are in your precious little hands. Show ’em what you got.

We set ’em up. Stella knocks ’em down.

Another triumphant feeding! Daddy and Stella celebrate after Stella takes 135 mls from the bottle!

Another triumphant feeding! Daddy and Stella celebrate after Stella takes 135 mls from the bottle!

Cody, Stella and I had a relaxing holiday weekend. I’m sad that it’s over and that Cody will have to return to work tomorrow. He’s been working a lot, which has been tough. Just having him around makes me feel better, and Stella loves it, too.

When I get down, he helps pick me up, and vice versa. Of course, when feeding doesn’t go well, we both feel discouraged and can sometimes work together to find the positives and pull ourselves up together.

This weekend, we realized that our standards had really risen in regards to Stella’s eating. We found ourselves feeling bummed when she took “only” 70 to 80 mls. We had to step back and remind ourselves that not long ago, that was considered a good feeding! 

Today is an interesting example. She had only four bottles because she slept so much, and because we gave her the usual two feedings via pump while she slept. The average number of mls she took per bottle was 111.75 (yes, we are that exact). Remember, her formula has 24 calories per ounce instead of the usual 20 calories per ounce, so she gets more calories with less volume–big feedings can really exacerbate reflux.

She complained a bit before her first feeding, but other than that, she accepted the bottle right away and was very comfortable while eating. Stella has come so very far! This whole feeding fiasco–or should I call it a “challenge” instead–has been an exercise in the power and importance of positive thinking. Slowly but surely, I’m learning.

Tonight, I returned the hospital grade breast pump that I rented two months ago. I was surprised by how emotional I got during this seemingly simple errand. I cried a lot and it really caught me off-guard. Then again, that pump and I, we spent so much time together. We worked so hard! We were side by side through the scariest times with Stella. When she didn’t want to eat and I thought her health was in serious danger and that it was my fault. When my milk supply was low because she wasn’t taking enough. When we had no idea what was going on with Stella and were desperate to get answers.

I tried. I really, really tried. Hundreds of ounces of breastmilk still sit in our freezer.

I tried. I really, really tried. Hundreds of ounces of breastmilk still sit in our freezer. Just can't bring myself to dump it. Too much effort and love went into making it. I'm wondering if I can donate it somewhere.

That huge, yellow pump became a fixture in our living room. It represented my long, last, and intense effort to continue breastfeeding Stella–and I suppose I had a hard time letting the pump go for that reason. Breastfeeding was what I wanted for her, and for me. I really miss the closeness that we enjoyed through breastfeeding. The proud and assured feeling that I was giving her the very best nutrition. The knowledge that I was nurturing her in such a direct and intimate way. I am grieving the loss of breastfeeding, though it’s not as sharp as when she had her first bottle of formula, or when I stopped pumping a couple of weeks ago. Even though formula truly helped Stella thrive by getting her comfortable and willing to eat, part of me really feels like Stella and I are missing out on something. However, toward the end of my time with this impressive piece of machinery, pumping was taking away more than it was giving us. 

At the hospital,  Stella was put on hypoallergenic formula “temporarily” to see how she’d do and to allow the doctors to do their assessment. (Of course, it didn’t turn out to be temporary, as stool testing showed that the switch helped Stella in many ways. I think that deep down, I actually knew that it would not be temporary, or at least I feared that would be the case.) I was pumping eight times a day even though it wasn’t clear if she’d ever safely be able to enjoy breastmilk again without jeopardizing her comfort and willingness to eat. I’d given up soy and dairy for the cause, which was difficult but wouldn’t have been as big a deal if anxiety wasn’t already beating the crap out of my appetite. 

Feeding Stella with the bottle, then the tube/pump is time-consuming and then to have to pump myself–it was too much for me to handle. I wanted more time to spend just being with and enjoying Stella instead of operating various pumps for hours a day. I needed rest, which was impossible with having to wake up to feed her via tube and stay up to pump. As my friend and cousin Regan pointed out, breastmilk is very beneficial to babies. But just as if not more beneficial? Happy, healthy moms.

Happy and healthy is how we can now describe Stella. Sure, I wish breastfeeding worked out for us. But it didn’t. It’s that pesky parenting lesson that keeps popping up! In short, sometimes things don’t work out like you planned or hoped or envisioned, and you just have to make the best of it. Besides, I have three months of fond breastfeeding memories to hold onto. I remember nursing her for 30 minutes right after she was born. I remember her first few weeks, when she’d wake up hungry in the middle of the night, and Cody would change her diaper and then place this beautiful, tiny, wriggling little baby next to me. She’d be crying and squirming and sucking on her hands–and then she’d latch on and suddenly be so peaceful. Later, that all changed and breastfeeding was not so peaceful, of course. But I’m so glad we had those early experiences together. And, stepping away from my emotional attachment to breastfeeding, I’m so very glad that the formula took away much of the pain Stella was experiencing.

She may no longer get my milk, but she’ll always get my best! I just love her so much. And that’s really all there is to it.

Merry Christmas!

Stella's first Christmas.

Stella's first Christmas rocked (and rolled).

I thought Stella’s holiday outfit made her look like a candy cane. Cody said it made her look like an escapee from Leprechaun Prison. Either way, she looked adorable.

Sleepy after eating too much ham and sweet potato pie, it’s time for us to hit the hay. Just wanted to wish everyone a very happy holiday, and inform you that Stella raised the bar in the feeding department. She took 530 mls by bottle, which is outstanding progress. A new record! And a very thoughtful Christmas gift for her parents–she really nailed it.

Just as importantly, she rolled from her belly to her back for the first time in weeks, saw and talked to her grandparents, great-grandfather, auntie and uncle via Skype, and helped me and Daddy cook Christmas dinner. A very merry day indeed. Hope yours was grand!

“We’re gonna need a bigger bottle.”

I said that this afternoon, when Stella finished a bottle and was sucking on the empty nipple. We were flying so high. (I apologize in advance for a less than sparkling post. I’m very tired and a bit grumpy, and lack the patience required for halfway decent writing, something I really care about and aspire to provide.)

This weekend. Stella took bottle after bottle–sometimes not finishing completely, but close enough. We weren’t even using the tube, except during the night feedings.

But then, a few hours ago, she pulled out her tube, even ripping the tape off of her cheek, leaving behind a pink patch. The feeding after that was a little rocky. She took 88 mls, still quite good, but during the feeding that followed, she was barely sucking and only took 20. To feed her, I still lightly swaddle her to keep her calm and stand up, with her in my right arm. After weeks of practice, I know how to use my hip to support a lot of her weight. But I often get a terrible pain in the pit of my stomach while feeding her. I don’t know if I’m developing an ulcer or it’s simply a matter of still having an unhealthy amount of hope and emotion and fear hinged on each feeding such that it affects me physically.

I’d let my hopes and expectations get so high that this setback (the 20-ml feeding) felt like a crushing blow. I jumped to the worst case scenario and wondered if the tube coming out was some kind of disastrous last straw that irritated her throat and erased her seemingly new and positive attitude toward eating. Cody urged me to step back and see it as the tiny blip it was. I’m actually embarrassed for getting so upset about it, given how incredibly well she is doing overall. Clearly, I still haven’t come to peace with the tube’s presence, as much as I try to accept it as the helpful and temporary tool it is. Then again, emotional raggedness and impatience comes with sleep deprivation and stress. I know that I need to be gentle and patient with Stella as she progresses at her own pace. And it just dawned on me that I need to treat myself the same way.

We just put the tube back in and as usual she was upset for a couple minutes, but settled down quickly. I can’t help but hope that this is the last tube. That we’ve put it back in for the last time. It’s quite possible. She has come so far. But we can’t rush this. She is where she is with feeding, and to fight that or be at odds with it is ridiculous and helps no one.

We took a walk in the snow tonight to show Stella some of the more dazzling Christmas light displays in our neighborhood, from decked out palm trees to a grand, electricity-hogging envisioning of Santa’s workshop. She was mesmerized.

During our stroll, we came across a sweet, sociable adolescent boy playing alone in the snow. His excited energy was in stark contrast to the tranquility of the dark, quiet, snow-filled streets. He encouraged us to make snow angels, informed us of the week’s weather forecast (more snow on Christmas eve? Awesome!), and told us how much fun he was having. I wanted to kidnap/adopt him. I’m not sure why, but as we went on our way, he wished us, “Good luck!” He had no idea how perfect a farewell that was.

Stella’s four-month shots made her a bit crankier than usual for a day or two. But, in the middle of a diaper change, she had her first bout of real laughter on Saturday and we captured some of it on video. Enjoy!

Stella is four months old.

Love at first sight.

Love at first sight. (Four days old.)

On Wednesday, December 17th, Stella turned four months old.

It’s absolutely stunning to think that she’s only been here for four months. How is it even possible to love a virtual stranger so deeply in so little time? How can your world change so drastically in a matter of mere weeks? How can so much drama, change, growth and wonderfulness unfold in just one third of one year?

Today, we went to Dr. Numrych’s office for her four-month “well child” check-up. Stella continues to amaze. Sure, she’s had some setbacks with eating due to her reflux and dairy intolerance, but developmentally, she’s right on track. She’s supporting her own weight when you stand her up and help her balance. She’s grasping and pulling things to her. She recognizes her parents from across the room (you can tell by the big smile). She babbles and laughs often–her signature sound is what Cody calls “motorboat noises” while I see it as a cross between cooing and purring. Basically, all of this and a few other skills make her one fabulous four-month-old.

Of course, at these check-ups, you get the line-up of baby stats. So here goes. She now weighs 14 pounds and 6 ounces, which puts her in the 75th percentile for chubbiness. She is 24.5 inches long or tall, depending on how you look at it, which places her squarely in the middle at the 50th percentile. Her head circumference of 43 centimeters means that her noggin is in the 90th percentile, which should come as no surprise. Cody and I have giant heads.

Big heads run in the family.

Big heads run in the family. (Two weeks old.)

A couple summers ago, I headed to a nearby bicycle shop on a simple, safety-conscious quest to buy a helmet. To my embarrassment and salesperson’s awkwardness, the largest women’s helmet was way too small. My head looked like an orange with a mushroom cap sitting on top of it, so I had to head to the men’s section. Cody just bought a one-size-fits-all wool cap from our favorite coffee shop, Fuel, and it doesn’t cover his ears, so it’s practically useless in this cold winter weather and just serves to squeeze the top of his head while emphasizing his cheeks. It kind of reminds me of when we put Stella’s Red Sox cap on for the first time–we really had to squeeze it on. In a most adorable fashion, the hat accentuated her chubby cheeks and left an indentation on her forehead. (Later, I stretched it out and it fit just fine, but it took some doing.)

I woke up at midnight, 3am and 6am to feed Stella last night–I did it one extra time because we’d fallen behind yesterday. Each feeding takes 40 minutes to complete. We woke up at 8am. So some quick math should tell you how braindead I am right now. But even in the midst of sleep deprivation delirium I can tell you that despite all the challenges, fear and exhaustion of the past four months,  I wouldn’t trade them for anything. Not even a blissful eight-hour stretch sleep on a magic mattress made of soft, billowy clouds.

Stella celebrates her four month birthday.

Stella celebrates her four month birthday.

This blog is supposed to be about Stella, but I can’t help but reflect on how the past four months have affected me. I’ve become expontentially stronger and a lot more vulnerable at the same time. I’ve cried and laughed more in these four months than in the rest of my 31 years combined. I’m more tired than ever, but also more alive. I’ve lost my mind while becoming more responsible. I’m a different person, but more fully myself. It’s insane. Insanely difficult! Yet it’s truly been the best time of my life. Stella has brought me more joy than I ever could’ve imagined. And we’re just getting started.

The question I keep asking Cody is, “How did we get so lucky?”