Early birds

My youngest woke up at 5am this morning. Ouch. I wouldn’t mind so much if he didn’t wake up early every single morning! I know what I should do (according to my sleep consultant): set the wake-up time for him (e.g. 7:00 am) and let him fuss until that time. Eventually, babies are supposed to learn that wake-up time is at X o’clock. Logically, this makes sense. If I go to him when he wakes up at 5:15am, 5:30am, etc., then I am rewarding him for waking up early (if I wake up early I get milk! cuddles! play!).

I have a hard time doing that, for no good reason really. But I think: if he slept from 7p-5a, that’s actually pretty good! Or: maybe he’s not tired. Or: maybe he’s just an early bird (before kids, I used to be an early riser). And most times I just can’t deal with the crying. In sum, I make a lot of excuses for him. I did the same with my first. He used to wake up 4:30a-5:30a! I would prep my walking/running gear the night before, wrap him up first thing in the morning, and set off for the park to let my husband sleep in a bit. Other times I would try to see whether he would fall asleep again (he was much better at doing so than my second, who never falls asleep once he’s up in the morning). And probably 70% of the time I’d make coffee and see what games we could play that involved my laying horizontally the entire time.

Two weeks ago, I tried to nip this early wake-up behavior in the bud. I had razor-sharp focus because we were awaiting a family visit and I knew that the kids would be sharing a room. Now, I can deal with one child up at 5a, but I do not want to deal with two children up at 5a, especially when one is a toddler and nothing is worse than a sleep-deprived toddler! So when my little guy woke up at 5a, I let him fuss until 6a. It was easy to do because I was so tired that I just kept drifting in and out of sleep. Lo and behold, the first night they were in the same room, he slept until 6:45a. But this slowly deteriorated to 6:30a…6:00a…5:45a…5:30a…5:15a…and, today, 5:00a. But I don’t have the courage to let him fuss in his brother’s room at 5:00a because, again, the horror of sleep-deprived toddlers.

I just keep holding out hope that this early-rising phase will soon come to an end. My first started “sleeping in” somewhere between 18-20 months, and he was a terrible sleeper. So this little guy, who sleeps better overall, should start sleeping in soon, right? Fingers crossed. Until then, I’ll keep drinking that coffee…

Magical thinking

Two months after my (now) husband and I met, we spent a weekend at a vegan B&B in Vermont. We went to a very crunchy college and I was still, at 3 years out, in a very crunchy phase of my life. There was a terrible winter storm that weekend, but we braved the drive. Once in Vermont, we encountered a small narrow bridge. On the other side of that bridge was a sharp turn. It was impossible to see what was approaching from around the bend. Since we had just met, I was still allowed to drive, and my husband was keeping his backseat driving in check. I said: “That’s a tiny bridge! The last thing we need is for a Hummer to come around that bend.” No less than 20 seconds later, a Hummer came around the bend to cross the bridge. I couldn’t believe it! My husband will say that this was just a coincidence, but I see it as an example of the magic that is all around us. I mean, what are the chances that at that exact moment a Hummer – of all cars! – would appear out of nowhere?

The two week wait

For people who are trying to become pregnant, the two week wait is the worst of times. Here’s how it works: there are generally 2 weeks between ovulation and the time when you may be able to find out that you are pregnant. This translates into roughly 14 days that you can obsess about being pregnant/not being pregnant and swing from disappointment to elation to hope to relief.  The pendulum can swing either way and you have no control over it and you can’t force time to pass any more quickly than it is already moving.

With my first, for whom we underwent fertility treatment, I experienced a great number of disappointing two week waits. I am not a patient person, and I spent hours Google-ing any and all symptoms to see whether they could “correlate” with pregnancy. Slight abdominal twinge? Metallic taste in mouth? More sleepy than usual? Hair slightly curlier? Seriously – there was no such thing as low-hanging fruit. I can’t even tell you how much money I spent on ovulation strips and pregnancy tests! Sometime in March of 2014, a week and change after I ovulated, I experienced terrible cramps and was certain that I was out for that cycle (my fifth of oral ovulation induction). Then, a few days later – a positive urine home pregnancy test! Finally! It was the best of times.

With my second, I wasn’t sure when I ovulated (not a medicated cycle), so I took a slew of pregnancy tests around the 28-30 day mark until I was sure that I was not pregnant. However, because I was still late, I took another test a week later and, lo and behold, it was positive.

I am ruminating on this because we’d like to have a third. The situation is different now: with my first, I didn’t know if we would ever be able to have a child, so each two week wait was a truly emotional rollercoaster (would I ever be a mother? what was wrong with me?). With my second, it was more of a surprise (although not unintended). There was less stress and more joy. Now, I am torn between wanting to BE pregnant/closing this chapter of my life, and sticking with the familiar – two kids under three, a known chaos.

Sleep desperation

When my first was born, I pined for sleep on a 24/7 basis. X didn’t sleep, EVER, unless someone was holding him. Classic first-time parenting mistake, but also personality-driven, as I learned after having my second.

Here’s how the first few weeks went: During the day, X would nurse and fall asleep, and someone would hold him. Or he would snooze in a carrier (we used the Boba wrap the most during those first few weeks). When we lay him down, he slept less than thirty minutes. After officially giving up, he slept in this carrier until I went back to work when he was 4 months old.

At night, we would swaddle him tight and lay him on his back. He would sleep anywhere from 20 minutes to maybe 3 hours (max). We were up a lot at night. 8-9 weeks in, my husband held him for 5 hours one night just so I could sleep. It was my first time sleeping for longer than 3 hours since his birth. I was a zombie. I also felt terrible complaining – I had undergone infertility treatment to get pregnant. I felt so fortunate to have this baby in my arms – how could I complain about something as measly as sleep?

Did I mention that he had colic? This made the first few weeks even more difficult. Every night, from approximately 3-4p on, he could only be soothed by being held in the carrier. We tried every “S” that existed, but nothing helped.

We had a Pack n Play, a co-sleeper, a bassinet. He wouldn’t sleep in any of them. We tried every swaddle imaginable (except this one, which was actually my fave after our second was born). We had a consultant (a post-partum doula of sorts) visit our home to observe our interactions with him. She recommended double-swaddling, which was of no help, His startle response was intense! We spoke to two sleep consultants, including a well-known author of an infant sleep tome, who charged a steep price to give his two cents, which were unfortunately not helpful.

Somewhere around 8-10 weeks, we were desperate. Since I didn’t sleep at night, I spent the time reading every sleep book under the sun (this was my favorite).  So one day, I placed him on his stomach during nap time (NOT a recommendation from the book). He was un-swaddled and I sat next to him the entire time. He slept for 2 hours! I was in shock. At night, we started placing him on his stomach to sleep. His sleep improved marginally – regular 3 hour stretches. For the first few weeks, we watched him the entire night. At first, we had family visiting so could easily take shifts. Once they left, this became much more difficult and we were not much better off! We used a movement sensor, which put our minds at ease, but in actuality, it would not have been very helpful in the event of SIDS given the lag between breathing cessation and alarming. E spent a ton of playtime doing tummy time, and first rolled over at 8 weeks, although not reliably until 3.5-4 months. Let me be clear: I do NOT recommend that infants sleep on their stomachs. Infants should sleep on their backs. Please follow the American Academy of Pediatrics guidelines for safe infant sleep. I was terribly anxious the entire time that we did it, often waking up in the middle of the night (he slept in our room, in the co-sleeper or Pack n Play, until he was 4 months old) to frantically check on him. And with our second son, we never once placed him on his stomach to sleep. However, during those first few months of the newborn haze, it seemed like the best of bad options. We didn’t trust ourselves to stay awake while holding him (we were exhausted!), we were afraid to have him in our bed, we couldn’t justify the cost of a night nurse, and we had to sleep!

It was a tough time. When he began to roll over consistently, we moved him into his own room. He continued to wake up every 3-4 hours. However, we were (for no good reason) adamantly opposed to sleep training (Cry It Out). Our friend joked that everyone was vehemently opposed to CIO until they just couldn’t take it anymore. She was right (in our case, at least)! We reached our breaking point around month 7, when X started to wake up every HOUR and NOTHING would soothe him to sleep. Via a friend’s recommendation, we connected with an excellent remote sleep consultant. She was willing to work with a variety of parent attitudes regarding sleep training, and presented us with many options. We ultimately chose a gradual CIO (e.g. Ferber method) plan, and this worked for us. After less than a (very tough) week, our little one was sleeping through the night. Legitimately through the night! We had a few hiccups along the way – early wake-ups (we weren’t very strict on waiting until a certain time to get him), travel glitches, regressions, etc. – but we were able to reset by returning to our original plan.

X’s last regression was at 18 months. Since then (knock on wood), he has been sleeping like a champ. Some days he will sleep in until 7:30am! It’s glorious (or would be if we didn’t have a second who is an earlier riser). And he is generally in bed around 7:30-8:00pm with no tears.

So if you’re currently in the trenches, just remember that those first few weeks to months (to years) can be really tough! There’s no right answer, but eventually you’ll start sleeping again!

 

Supermarket Sweep

When the kids fall asleep, I suddenly feel like I’m in an episode of Supermarket Sweep. Does anyone remember that show? Contestants had to run through the aisles of a grocery store, packing it with as many groceries as possible, in the hopes of collecting the most expensive goods.

When the kids fall asleep I am like one of those contestants – frantically racking my brain for what needs to get done before the little ones awake. I completely forget my To Do list as the most salient tasks in front of me pop up – folding that pile of laundry, washing all of the water bottles and snack containers from the morning outing, putting away the produce we’ve collected from the farmer’s market. So, yes, often there is a lot of cleaning and organizing. Sometimes there will be a work task – following up with a patient by phone, responding to a time-sensitive e-mail, editing a paper or making headway on a deadline. Sometimes (less often than I’d like), I opt to do something creative – reading (New York Times, New Yorker, the current book club pick, another book of interest) or writing (here or in my journal). I respond to messages I haven’t responded to in days. And sometimes I decide to take a nap, because as soon as the kids wake up (more energized than ever), round 2 begins!

So here I am, typing up a few words before the littles wake up. I’m feeling sleepier than usual today so I may opt to take a nap afterwards. Just another day in my glamorous life!

Easy like Monday morning

This weekend, I left both kiddos at home with their father and spent a weekend in Napa with other moms. It was glorious. Of course, I missed my family (in fact, come Saturday night I was quite lonely!), but I hadn’t realized how far removed I was from the days of leisurely lounging.

A recap of our weekend: wine, uninterrupted sleep (8 hours both nights!), massage, sitting by the pool (in the shade of course), leisurely lunches, appetizer platters for dinner, and lots of girl talk. It was as amazing as it sounds.

Now obviously it isn’t feasible to take regular weekend get-aways, but I’ll be thinking of some ways to incorporate leisure time into my daily/weekly/hopefully at least monthly life! Writing this quick blog post is one way of attempting this before the crazy day gets in the way.

Happy Monday!

Adult friendships

This article resonated with me.

It is tough to make adult friendships. I have wonderful friends from childhood, high school, college, medical school, and residency. But as happens with life, I now live far away from most of those people.

In my post-residency life, my friendships have fallen primarily into the following buckets:

  1. Husband’s friends
  2. Mommy friends
  3. Work friends

I have had the opportunity to meet wonderful people in the past 3 years and I feel fortunate to call these people my friends, but the process has been quite different than in the past. In every other situation, my friends and I spent HOURS together. We talked about everything and knew the most intimate details of our lives. We shared in huge successes and massive failures. We participated in the most mundane of activities and also the most exciting. My friendships now are different. We see each other less often. Our knowledge of one another is based off of brief interactions – a few hours here and there spaced weeks (sometimes months!) apart. We are often engaged in other activities when we spend time together – working, chasing after kids, etc.

It is a truth that I recognize but also not sure where to go from here. I miss those deep friendships from my past. It would be so wonderful to have some of those friendships around to complement my new friends!

Acupuncture for infertility

When I was trying to get pregnant with my first, I turned to acupuncture. I should clarify that I turned to acupuncture in addition to (most importantly) seeing a fertility specialist (a doctor). I also: purchased and wore a fertility bracelet (how can it not be legit if it’s featured on Real Housewives of NJ!?), signed up for a yoga for fertility course, read countless books about infertility, and tried to meditate. In sum, I desperately wanted to get pregnant.

Although stressful at the time, I now have very fond memories of my acupuncturist. She was very close to my (then) home in southern California, close to downtown. She burned herbs during the treatment session so I always left smelling like I had just smoked weed. Once the acupuncture needles were in place, she lay some of the herbs on the acupuncture needles and burned them (or something of the sort). I don’t quite know because my eyes were closed the entire time, as I was trying to both meditate/unwind while also trying not to freak out about the needles.

I got pregnant after one such session. It was a Thursday in February and we had just finished our in-service exam (a test all dermatology residents across the US have to take to prepare for the actual boards). I fit in an acupuncture session before flying up to northern California, where my husband lived. I was pretty sure I was going to ovulate because the ovulation stick had shown a solid smiley face, which is different, apparently, than a blinking smiley face.

I parked my car in the downtown area, where they happen to have a farmer’s market on Thursday evenings. I completed my acupuncture session only to find that my car had been thisclose to getting towed. That would have put a real damper on the conception plans. In any case, to make a long story short: I made it to NorCal and our baby was conceived that night. When I am feeling particularly dramatic, I’ll say to my husband: “I got pregnant thanks to acupuncture” or “I got pregnant thanks to my fertility bracelet”, to which he’ll reply “I’m pretty sure you got pregnant thanks to medicine – aren’t you a doctor?” This is when I’m most proud of him, because I did get pregnant because of medicine, although I’m sure everything else helped a little bit.

Summertime

We spent the weekend doing #allthingssummer. We played outside almost all day – at the playground, the beach, the pool. We rode bikes, splashed around, ate outdoors. It was hot but so so lovely. It brought back fond memories of summertime in NY. I don’t know what it’s like for those who grew up in California, but if you grew up in NY, you savored the summer.

As a child, I remember hot days kicking a soccer ball around the park behind our home, climbing trees with my friend Michael, and spending days swimming in Kristen’s pool. Now, when I say pool, you may be envisioning a beautiful in-ground pool with a diving board. Kristen’s pool was above-ground and in retrospect not much larger than a hot tub. But at the time it was the bomb! Kristen was the only kid I knew with a pool and it was key for those hot summer days. My parents would also take me to the community pool. I loved it there. I would swim for hours! My lips would turn blue and my teeth would chatter but I would refuse to leave the pool. I fondly recall learning how to dive here and feeling so proud.

A few years later and a little bit older, I remember long days of  running around the neighborhood. I would wake up in the morning and eat bowls and bowls of cereal (Blueberry Morning was a real favorite) while reading. My mom would tell me to focus on one or the other (in retrospect, she was right) but I would keep on downing cereal and taking in the words. Once I had carb-loaded, I’d head out the door.  I’d meet up with friends and we would spend hours running around. We’d ride our bikes, rollerblade, play tennis (and pretty much any other sport one can play outdoors), pop over to each other’s houses, and find creative ways to pass the time. We’d come home hours later tired and dirty.

Hot, sticky NY summers also called for a lot of ice cream and ice pops. For a while I was really into the patriotic, red, white and blue pops. This must have been before I became obsessed with chocolate.

Older still and we’d stop for bagels before spending the day at the beach. The Long Island beaches were always crowded once Memorial Day hit. We’d put on our tanning lotion (these were my pre-derm days; I wish I could take them back now that I see the sun damage on my face) and lay out on the beach for hours. We’d head back home tired and happy. On other days we’d hang out at a friend’s pool or canoe. And there was still ice cream.

So many memories – too many to jot down in one sitting, but I hope to pass these very same memories onto my own children. So looking forward to all that summer 2017 has in store!