return of the one-handed typist

Here I am again. I have lots to say, but little time to say any of it. Once again, I feel the need to apologize for the sparsity of my comments and comment responses. I can manage to read on my laptop pretty well, and am actually quite well caught up reading the posts in my feed. But seeing as I have a newborn attached to me what feels to be about 75% of my waking hours (plus some of my sleeping hours), most of the typing I’ve been doing lately has been one-handed. And often in the dark, as Theo is bothered by bright lights. My remaining awake time, when I have the use of two hands, I tend to spend eating, fixing food for or otherwise tending to Phoebe, and doing occasional other tasks. I’ve even had more than one shower in the past 3 weeks.

Things are largely good, though our household has been beset by a cold. Phoebe had a minor cold a few days ago, and as of yesterday, the rest of us seem to have caught it. Theo included, poor munchkin.

We went down to see John’s parents this weekend. They were thrilled to get to meet Theo. When Phoebe was born, they drove up from New York they day after we got home from the hospital. But now with John’s dad’s continuing health problems (he is largely unable to leave his bedroom, let alone the state), and with John’s mom being the primary caregiver, they had been unable to meet their newest grandchild. Seeing as Theo got a glowing bill of health at his 2 week appointment on Monday, and seeing as our schedule is looking tight for the next few weeks, we took the opportunity to drive down on Saturday.

Phoebe was very excited to go visit Grammy and Grampa. She’s been asking to visit for a while. She did, however, suggest that we should leave Theo at home for this visit.

The visit was good, but seeing as we did not heed Phoebe’s advice, passed by for me in a bit of a blur of feedings and diaper changes. (Note: I just had to rephrase this, as I had typed “…passed by in a bit of feedings and diaper changes for me.” There are times when one just doesn’t want to leave attachment ambiguity hanging like that.)

We had a phenomenally smooth drive down. Both kiddos slept. We ran into no traffic. As we approached rest areas, we decided to push on, knowing that stopping would mean that Phoebe would be awake from that point forward. In the end, we didn’t stop at all, and arrived in just about 3 hours.

We came back late last night. The ride back was not too bad either, though there was some traffic, and a few stops. Well, I guess the trip was closer to 5 hours. Phoebe was awake for about half of this, demanding that we “talk about” stuff. (One of her most frequent phrases these days is “talk about X.” Current favorite Xs include air conditioners, alarm clocks, and car accidents, a topic that didn’t thrill John as he was driving…) So perhaps it was a bit of a long trip. But there was no screaming, at least.

My hands are often full these days.
My hands are often full these days.

10 days later

So, here we are, 10 days later. 10 days since Theo arrived on the scene, 10 days since I posted. I fear that with my continued silence, I may be eliciting undeserved sympathy. Things have been busy, mind you, but not actually overwhelming. I’ve been meaning to post at least some sort of update, but haven’t managed to muster up the motivation to do so during the available windows. (I’ve usually been opting to, say, eat or bathe when finding myself with 2 free hands.) Plus I keep falling asleep at night, which has traditionally been my writing time. My body and mind have just been shutting down after about 10, and I can barely manage to pry myself off the couch and get ready for bed.

Anyhow, here’s what’s been happening since Theo was born early Monday morning. I stayed in the hospital Monday night, and asked for an early discharge. We got to go home Tuesday evening. The following days zipped by in a blur of appointments. Two weight checks at the doctor’s office, a visiting nurse, a lactation consultant, and 2 more appointments at the doctor’s office to follow up on concerns over a possible infection to the umbilical cord stump. (It turned out to be fine, but there was some redness and swelling, and then later a bit of smelliness. Which I’m sure you really wanted to know about.)

In general, things could not be more different than when Phoebe was a newborn. For the first couple of months of Phoebe’s life, I went a little bit insane. I was extremely sleep-deprived, and miserable much of the day. And night. Quite honestly, I dreaded going through all of that again. But so far, Theo has been a remarkably mellow baby. He soothes easily. He feeds well. He seems to be gaining weight. We are not beset by the bevy of breastfeeding problems. I’m recovering and healing much more quickly. I have even actually managed to get some sleep. (Actually, as I said, I haven’t managed to stay awake at times.) And believe it or not, I managed to do some work over the weekend. Sunday was the deadline for a paper submission (for one of the projects on which I’m a co-author), and I was at least able to contribute a few more hours to some of the last minute scurrying to get references sorted out and such.

Phoebe has been adjusting well so far, though there have been rough patches. She’s still been going to daycare 3 days a week, which I think helps a lot. It was also hugely helpful to have my mother out here. For Phoebe’s sake especially, but also for help with meals and household things. John was also able to take a few days off work, too, and has been putting in extra hours with Phoebe even now that he is back to the grind. So I’ve pretty much only had one very small, very mellow child on my hands. (And I can even often find other hands to help out with him.)

Of course, my mother went home yesterday, so we are just beginning our real test. But I’m at least starting off feeling moderately sane and well-rested. Not to mention lucky.

Theo at 1 week old.
Theo at 1 week old.

Standoff at the P.P. Corral

Prologue: Following a week of scattered confrontation, Phoebe “The Kid” and the Marshall square off for a day of showdown.

Scene 1: In a kitchen, shortly after breakfast.

    Phoebe “The Kid”: I need to go pee-pee.

    The Marshall: [perkily] Do you want to try sitting on the potty?

    Phoebe “The Kid”: No!

Scene 2: In a living room, about 20 minutes later.

    Phoebe “The Kid”: I need to use the potty

    Marshall: [perkily] Okay.
    [Phoebe and the Marshall go into the bathroom. Phoebe pulls down big girl underwear, climbs onto the toilet with special potty topper for small-bottomed bandits. Phoebe tenses up. Silence ensues.]

    Phoebe: I’m all done now!

    The Marshall: But Phoebe, there was no pee-pee. Can you sit there for a little bit longer?

    Phoebe “The Kid”: I’m all done now!

    The Marshall: [Attempts to negotiate, using various pleas, grovels, bribes…] Just like you’ve done so many times before. And you can get a sticker!

    Phoebe: [starting to sob] I’m all done now! I don’t need to go pee-pee.

Scenes 3, 4, 5, 6, 7, 8, 9, …
Scenes play out much as above, with dialog varying slightly. Intersperse with scenes of Phoebe looking uncomfortable and wanting to be held like a little baby. The music builds. The bladder holds tight. The underwear stays dry. The Marshall’s resolve withers.

Summary of the umpteenth scene, the final standoff, over 4 hours later: The Marshall realizes that she is outgunned and outwitted. Banging her head against the wall (which offers no more than a satisfying thud), she is about ready to raise her hands in defeat and give in to the diaper demands. In desperation, she calls for backup. The reinforcements come. As the Marshall sits pouting on the couch, the reinforcements’ masterful negotiating skills convince Phoebe to surrender her urine to the potty. Phoebe “The Kid” appears to be reformed, and is awarded a star.

Stay tuned for the riveting sequel, wherein new versions of the scenes above are played out following the nap.

———–

Over 6 weeks, 4 full charts, 28 stickers each chart, representing well over a hundred successful potty usages. (Things were looking so promising that we weren’t even putting stickers for most pee-pees. I’m sure you don’t want to get me started on the topic of “the other,” which has been another story. Actually, the story hasn’t been all that different from today’s feature film. Imagine dialogs much like those above, repeated about every other day.) Anyhow, we seemed to be in the home stretch. Phoebe had been using the potty at daycare for 2 straight weeks, coming home in the same dry pull-up diaper we sent her in. And then this last week, she stopped using the potty at daycare altogether. It could be that a new baby started at daycare. Which doesn’t quite bode well for the upcoming weeks…

It’s not like we’re back at square one. Phoebe is still using the potty at least once a day. But damn would I like to be done with this.

Preparing the Home for Baby (Tips from American Hovel Magazine)

As someone in the final throes of the third trimester, I have spent a lot of time recently sitting in an ob/gyn waiting room. Usually I go equipped with some sort of reading material.

On occasion, though, I have felt compelled to pick up one of the various maternity magazines that litter the waiting area. These magazines give all sorts of largely redundant advice about how not to kill your baby, and what host of $80 products you will absolutely need to give your baby a bath.

Since it’s been a while since I have contributed to American Hovel Magazine (The Magazine dedicated to lowering acceptable neatness standards in the home), I felt inspired to submit a few tips of my own for getting ready for baby.

AHM’s tips for Preparing the Home for Baby

Decorating the Nursery:
Other magazines will advise you about sets of exquisite crib bedding, with coordinating sheets, bumpers, window valences and diaper pail cozies. Not only are these items expensive, but they will lead to your child setting high expectations for style and organization in the future. It is best, then, to make sure the nursery fits in with the decor of the rest of your home. As it is, the room you intend to use as nursery is probably already functioning as a storage area for various piles of clothing and dirty dishes, boxes of bills and junkmail, as well as broken electronics and half-completed craft projects. Many of these items are quite colorful, and will be attractive additions to the baby’s room.

Be advised, though, that it is best to keep power tools, sharp knives, and hazardous materials out of reach of baby, and these should not be stored in the crib or sleeping area itself.

Where the baby will sleep:
While you may opt for a piece of furniture, such as a crib or cradle, it is also possible place your baby in a mobile storage container for temporary storage. Such an item is often called a Moses basket, befrilled versions of which can cost upwards of $200. A laundry basket works just fine. Don’t worry if the laundry basket has dirty laundry in it: the baby would get it dirty soon anyhow. Those buggers spit up like crazy, and diapers leak all the freakin’ time.

Caution should be used when adding dirty laundry to the laundry basket: covering the baby in piles of clothing may cause the little tyke to struggle for air, and may also make it harder for you to find the baby when relatives come to visit.

Laundry hints:
AHM typically advises you to avoid doing laundry. However, with a baby in the house, you may need to do a load of laundry or two over the course the first month.

You may remember the advice to separate light from dark clothing. Also make sure to separate the baby from the clothing. While running the baby through the washing machine may be tempting as a time-saving shortcut, this method is not recommended. Even on delicate cycle.

Home Safety:
With a newborn in the house, safety is always of the highest priority. Make sure that your smoke detectors and fire extinguishers are functional, and that your home is moderately free of the squirrels, raccoons, and other potentially plague-bearing animals that typically inhabit your living area and furnishings.

Congratulations, and best of luck to you as you prepare for the arrival of your little one!

early intervention (part 4): getting up to speed

This is part of my series about our experiences in getting Early Intervention services for Phoebe’s expressive language delay. Phoebe started receiving services in January of this year, which consisted of one-on-one meetings with a speech pathologist, and weekly attendance of a parent-toddler group. For background, you can refer back to parts 1, 2 and 3. This post is a bit about the course of Phoebe’s language progress, and a bit more about what went on during the services she received.

(I should make it clear that the rapidity of Phoebe’s progress is not typical, and most likely not due solely to the EI services she received. I also can’t say how the service she received compare to those of other locations, and other kids. But here is what we experienced, for what it’s worth.)

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When Phoebe started EI services in January, she would primarily use single word utterances, with occasional utterances of 2 words or longer. Through the next couple months, we would get plenty of the 2 word utterances, like “eat cake” or “candles hot”, with more and more 3-word strings.

She was getting more and more comfortable making requests (which became more and more like demands). We tried to encourage her to request using a sentence, such as “I want X,” like the more advanced speakers at the playgroup would do, but she would only produce this reluctantly. She must have been giving this a lot of thought, though, as there was one early morning in March when she was apparently practicing in her sleep. I was startled (and amused) to hear the words “I want a cookie” ringing out loudly and clearly from the baby monitor. (And then she went back to sleep.)

By April, 3- and 4-word sentences were the norm, with more and more of the adult-like grammatical elements showing up. (She would regularly produce plurals and articles, for example.) More helpful to us, though, was that we were getting to the point where Phoebe could really communicate. She could tell us not only her wants and needs, but more information about her state of being. After she had been sick, it was really thrilling for us to hear her produce the sentence “tummy feel better now.”

In spite of all this progress, it was like she was a different child at the playgroup. She would often not say a peep for the first half hour of free play, aside from occasional single word responses to questions. Then at snacktime, she would only whisper her request, which was often only a single word even after she could make longer requests at home. Over the months, she would more and more often make the full-sentence requests that she’d make so readily at home, but very very quietly. Whenever Phoebe was particularly tired, such as after we’d returned from a weekend trip, she’d get even more quiet. Likewise when a new child (and accompanying adult) started in the group, or when a substitute group leader took the place of our regular person.

Things were different with the speech pathologist, J, when we’d meet with her for our one-on-one sessions immediately after the group. Phoebe would need a few minutes to warm up, but would gladly respond to questions and use her words. Our meetings continued to be play sessions, centered around various toys, and Phoebe showed no signs of believing them to be anything other than sitting around and playing with J. I’d sit with them and watch, and play, and sometime encourage Phoebe to tell J about something we’d done since our last visit. Phoebe tended not to speak in quite as complex ways as she did at home, but even so, J never failed to hear evidence of Phoebe’s rapid progress. Each week, I’d have some new bit of language development to report, and Phoebe would usually obligingly produce that construction, if not during that session, within the next one or two. Plurals. Articles. A range of negatives. Multi-word constructions. Past tense. Then full sentences with all the right bits in place. And then, suddenly, complex sentences with subordinate clauses.

Each week, J would write up a report for us of her observations of Phoebe’s progress, and recommendations for things to work on. She’d include a few samples of Phoebe’s longer utterances, which will be nice for me to look back at. She also would give me various handouts about activities we could do to encourage speech, and information about development stages. After the first few weeks, J said that Phoebe’s progress was steady enough that weekly one-on-one sessions were no longer considered necessary. However, seeing as Phoebe enjoyed these sessions so much, and I got a chance to observe the process in action, I asked if we could keep up the weekly meetings. J was happy to continue. (I also got her assurance that there wasn’t some other child waiting in the wings for an opening in the schedule, though.)

I don’t remember when it came up first, but the speech pathologist let me know that come our next assessment, which would be scheduled 6 months from the date we started services, Phoebe would no longer qualify for services.

——————–

I’m still not done with this yet, though it’s getting closer. Next time, I’ll talk a bit more about Phoebe’s progress in the playgroup setting, and perhaps also about our 6-month assessment. I’d also like to share more about what I think that Phoebe got out of the Early Intervention services, and how it may or may not have affected her language development.

juggling acts

It’s been one of those weeks. Nothing major has happened, just a lot of little things that make me realize I can’t quite keep all of my balls up in the air.

I’ve had a lot of demands from work this week that I wasn’t expecting. There’s another deadline at the end of the month, and seeing as I don’t expect to be terribly available then, I feel particularly compelled to contribute as much as I can now. It turned out that a lot of the new data we were adding to the pool for this particular study needed a lot of cleaning up (as well as some of the old data), and I was the one in the best position to clean it up. So I’ve been putting in a lot of hours, including late night hours, this week. I’ve been quite productive, and yet since it was work I hadn’t anticipated, I don’t get the satisfaction of feeling that I’ve made progress. (Especially since this has left me virtually no time to work on my own research projects, and every time I have a pause in the progress there, it takes me a while to get my momentum back.)

Then Phoebe came down with a stomach bug that had been looming at daycare. I had toyed with the idea of keeping Phoebe home, but for one thing, I needed the work time. And for another, it was probable that Phoebe had already been exposed to the bug by the time we learned of the menace. So keeping her home wouldn’t have likely made much difference.

Phoebe is largely okay, though there have been some rough stretches. (This was actually the first time she’d ever vomited, aside from one flukey time when she was a very young baby. She was pretty freaked out by it. And can I just say that I’m lucky I didn’t lose my laptop to the inaugural event, which happened on the couch?) She was pretty chipper by this evening, so hopefully we can put this behind us. (And can I also say that I really, really don’t want to catch a stomach bug right now?)

I am so, so not ready for the new kid to arrive. The guest room still needs to be readied for my mother’s arrival (or for the contingency plan), the infant carseat installed, and there’s some form I’m supposed to send to the hospital that I haven’t even looked at. I haven’t even visited the hospital to find out where to go, where to park, etc., when the time comes. I’m told I’m supposed to have packed a bag by now, but that feels too much like admitting that I may need to use such a bag soon.

When people ask about “decorating the nursery,” I can only laugh. As far as nesting goes, I’ll be lucky if I can find the time and energy to clear out whatever lifeforms are currently nesting in my fridge.

So if you’ll excuse me, I have a few balls to chase around.

catching up, bearing down

I don’t have much time tonight, as it’s 10:30, and I’ve got some work to do before a meeting tomorrow. However, I feel compelled to give an update.¹

Pregnancy seems to have finally caught up with me. After feeling strangely spry for the first 2 months of the 3rd trimester, my body apparently caught sight of the calendar. Suddenly, the heartburn has kicked in stronger. I’ve started having joint pains. Gravity is now exerting a greater than normal force on me, causing me to be more strongly adhered whatever surface I happen to be sitting on. And most irritatingly, the sausage feet that visited me occasionally have not only returned, but apparently camped in for the long haul. I feel like I am walking around with a 5 pound weight strapped to each of my feet, and I can barely shove my feet into the pair of sandals that had previously fit just fine. When I take my sandals off, I get a couple of big stripes of puffiness and dents that would make the Michelin man proud. Attractive as this may sound, there is a downside. My feet hurt, dammit.

I’ve been trying to keep my feet up when I can, but this is not as often as one might expect when one is tending to a toddler. While Phoebe has gotten quite capable at many tasks, showing amazing fine motor skills in her paper-folding abilities, she has not yet mastered the art of cookery. Letting her have a go with the cooking knives did not go well, and she struggles with even the most rudimentary recipes. (This should not surprise me, considering previous research.)

Then there’s the potty training, which continues to be the bane of my existence. We are on our third chart now, each glimmering with sparkly stickers of victory. 28 stickers on each completed chart. And not a single potty usage at daycare. (The child, who apparently has some sort of will of her own, has announced her intentions of using her diaper at daycare. She can do well keeping her big-girl underwear clean and dry at home, but if she is wearing a diaper, she tends to use it. And the daycare provider is not comfortable with kids wearing underwear until they have demonstrated an ability to use a potty for a couple of weeks.)

I had an ultrasound today, as the new kiddo was stubbornly keeping his head up at my last appointment. Happily, he is now facing the general direction of the exit. Also, he appears to be growing well. (I actually had an ultrasound 4 weeks ago, too, to check on growth. My external measurements were not increasing over a whole month, which was a bit unsettling. We’ve both caught up, though.)

I also had my last violin lesson for some indeterminate amount of time, which should at least make my schedule feel slightly lighter as I continue to grow heavier. Which is good, since I am feeling the pressure of time bearing down on me. I still have work/school goals I haven’t yet abandoned, and there is some chance I can get some of them done.²

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¹ I’m apparently still addicted enough to this blogging business that I will take a break from my other methods of procrastination in order to blather on.

² Assuming I stop procrastinating.³

³ I’m still also working on finishing up writing about our experiences with Early Intervention. I’ve also got some pants on the backburner. (And I say Phoebe has trouble with cooking?) So, as soon as I have a chance to catch up….

she picked black for the background of the most recent chart.
Phoebe's progress charts. Note the evidence that Phoebe is our child: she picked black for the background of the most recent chart.

early intervention: starting to get into it (part 3)

Last week I started writing about our experiences with Phoebe and Early Intervention for a language delay. Part 1 was about the original assessment, and part 2 was about starting to work with a speech pathologist. (If you are interested, you may also want to see what I wrote before the original assessment back in November.)

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Some time in January, our speech pathologist told us of an opening in a parent-toddler group that we could attend on Mondays. I wasn’t sure what to expect from the play group. I hadn’t had a whole lot of interaction with groups of parents and toddlers.

The group leader, N., was a very friendly young woman who welcomed us warmly. The other parents were generally quite friendly as well, and all were supportive of all the kids in the group. There were about 8 kids in the group (each accompanied by a parent or other family member), with the number fluctuating a bit week by week. The first week we were there, Phoebe was the only girl at the group. Apparently boys are flagged for Early Intervention services much more frequently than girls. However, our group did have quite a few girls re-appear and join the group over time, as well. (In fact, at the last group we attended, there were more girls than boys. However, this was considered remarkable.) All kids were under 3, as services only cover kids up to 3. The youngest child was 18 months when we started, though I later learned that he was a “community child,” meaning a child not receiving EI services, and attending the group as a “model.” Most children were closer to 2. (Phoebe was almost 2 when she started.)

While I know groups vary quite a bit, here’s an overview of what went on during the group.

The group met for 2 hours, from 9 to 11 in the morning. Things started off with some unstructured time where kids could ease into things, and play with various toys set up in stations around the room. This gave adults a bit of time to chat (and thankfully, time to run late). The group leader, N, would also move around the room and chat with each child, and also with the adults to get progress updates. Other activities then followed, in a more-or-less fixed order: clean-up from the free play, snack time, playground time (indoor or outdoor, depending on weather), craft time, “circle time” (with songs) and then the good-bye. Each activity had it’s own routine and sometimes associated songs.

Because the group was geared towards working on expressive language and communication skills, the routines typically involved getting the kids to participate and communicate. For example, for the snack, there was always a choice of 2 snack items, and the child was encouraged to express their choice. “Do you want crackers or raisins?” N might ask, showing both options. And depending on the individual’s abilities and level, different answers would be encouraged. For most of the kids, a single word or sign was encouraged. (Some of the kids weren’t speaking, though all in the group were hearing.) Sometimes a “please” would be encouraged. For some kids, such as those just entering the group, pointing to the desired snack was enough. For more advanced speakers, a whole-sentence request was elicited: “I want crackers.” I remember being impressed by one little boy, who was almost 3 and had been attending the group and getting EI services for at least a year, because he could sometimes be prompted to ask: “Can I have crackers, please?”

Our own goal for Phoebe was to get Phoebe to make requests using single words. Even after she started making such requests with us, she was still very reluctant to speak in front of others. She would sometimes manage only to point, or only to whisper her choice in a single word. What was nice was that every attempt was greeted with encouragement and praise, and there was little pressure. If a child wasn’t up to making a request, a choice would be made for them and they would still get encouragement.

I swear that Phoebe loved every bit of the play group time. She was probably fondest of circle time, where we’d all sit in a circle and sing songs. Each child would get a turn, in the order of our seating arrangement, to pick between two toys representing songs: a spider, a fish, a boat, a bus, etc. Most of the songs (or at least the tunes) were familiar to me (and some to Phoebe), and a subset of the same group of songs would be chosen each week. All the songs had some sort of movement or gestures, so that kids could participate with their hands and feet. (Mostly the kids did not sing along, but the adults all did.)

Phoebe behaved quite wonderfully during the group, staying in her seat, following instructions, and observing everything going on around her. I think it helped that she had already been attending daycare, which also had a bit more structure than our time together at home. (I think Phoebe is also rather on the mellow side, as toddlers go.) The kids in the group varied in how well they could focus. A few kids would have trouble sitting still, especially by the end of the 2 hours. But for the most part, all the kids seemed tuned in for at least most of the group time.

While I was worried that I would find the whole thing painfully hokey, seeing Phoebe so engaged was really gratifying. And while she continued to be quiet during the group time itself, she started to show a lot of signs early on that she was really taking in the lessons of the group.

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Okay, I’m still not done. Next time, I’ll write more about Phoebe’s progress. And maybe about the one-on-one sessions. If anyone out there has questions about particular aspects of the EI services we received, please feel free to leave a comment or email me. (See the “contact alejna” page in the sidebar.)