If your toddler spits out medicine…

Antibiotics_1850

“She must get the WHOLE DOSE.” Pediatrician says. “If she spits out half, get another half dose in her.”

If only my toddler could resist infection the way she resists medicine.

I don’t blame my girl. What happened to the Bubble Gum Medicine of my childhood??? This new stuff smells and tastes terrible.

Alice is on Day 8 of a 10-day cycle of antibiotics. Day 1 she threw up  the meds, Day 2 we switched to new antibiotics, Day 3 she mastered the spit.

The trouble with a 16-month-old is that you can’t bribe her to take her medicine.

I tried everything. Tiny squirts of medicine, aiming for the back of the throat or the side of her cheek…I plugged her nose so she’d have to swallow to breathe–didn’t work, she’d spit it out to breathe. I tried blowing in her face while administering the medicine–no effect.

I scooped the antibiotics back into her mouth. She screamed and spit and fought.

So how do you get a toddler who doesn’t understand reason or bribery to take her medicine? 

English:

 Ice cream soup. Mix the medicine in with melted chocolate ice cream and put it in the syringe.

The fight was over. Alice is no longer spitting and crying–she’s pretty happy about medicine now (just as good as Bubblegum Medicine!) and she’s getting the proper dose.

My successful recipe is 1 tablespoon of chocolate ice cream to 1 teaspoon antibiotics.**Ask your doctor first–our antibiotics were compatible with dairy but not all medications are.

 That’s my “parent hack” for sick toddlers…what’s yours?

Parenthood

More relaxing times…

It’s 9 pm. Tonight Alice was the sickest she’s ever been–limp, feverish, shaking. Scary. She puked all over me. Twice. There was no toweling it off. We had to take a bath together.

If she couldn’t keep her antibiotics down we were in for a trip to the emergency room for an antibiotic injection–doctor’s orders. Charles, the patient and crafty, mixed her antibiotics with milk and spent an hour dribbling tiny amounts into her mouth against her protests. She didn’t throw up. Emergency room trip averted.

She perked up a little once the Motrin kicked in. Enough to get fully cleaned up and go to bed. I’m dreading when it wears off.

There is a garbage bag of pukey clothes by the front door that one of us needs to take to the laundry room–but we are beat.

We really are parents, aren’t we?

Being an Effective Advocate for Your Special Needs Child (BlogHer 2012 Recap)

I sat in on a wonderful HealthMinder Session at BlogHer called Special Needs and Caregiving: Becoming an Expert Caregiver–and I took notes for all of you who couldn’t be there.

My only personal IEP experience is that I acted as a Spanish interpreter at one (1) IEP meeting in Boulder, CO when I was in college–I read about these issues a lot, but I’m not an expert–these panelists are:

Carol Greenburg -an Aspie Mom who is Executive director of Brooklyn Special Needs Consulting, and the East Coast Regional Director of the Autism Women’s Network.

Kristen Chew -  a Classics professor; mother of a 15-year-old son, Charlie, who’s on the moderate to severe end of the autism spectrum, blogs at We Got Him about life with Charlie and blogs about education, disability, politics and human rights at Care2.com.

Tanis MillerThe Red Neck Mommy, a funny and fabulous blogger who is also mom to two special needs children: Shale, who died suddenly before his fifth birthday, and Jumby, who has spastic cerebral palsy among other serious physical and developmental problems.

And now, their advice:

1. When you’re working with your child’s school, teachers and district, it’s helpful to understand where they’re coming from. (from Carol Greenburg) The Individuals with Disabilities Education Act (IDEA- the law that controls how states provide early intervention, special education, etc) is a federal mandate the is UNFUNDED. The federal government says, “States, you have to make this happen, but we’re not going to give you any money to do it. You figure out how to take care of these kids on your own.” This means a lot of the teachers and administrators you talk to are feeling the pressure of limited resources.

2. If you can help it, don’t cry. All three panelists agreed that tears weaken your ability to negotiate, but only Carol had always made it out of IEP meetings without crying. Which leads us to…

3. Don’t go solo. Again all panelists agreed that having someone else there, whether it’s your spouse, a friend or a special education advocate, another person provides perspective and support. Race, Gender, Class and Culture all place into IEP decisions–and all negotiations. Your spouse, friend or advocate might be better at reaching the people on the other side of the table and at minimum you have some back up.

4. Advocate for yourself and your child in person. This is from Carol Greenburg – If you have limited resources for help, go in person to the advocacy organization, with all your records, and ask for their help. Most non-profits and resource organizations have limited funds and limited personnel–if you call you might get put off, if you show up the odds are very good you’ll get help.

5. Sometimes what you advocate for might be the wrong thing. This is from Kristen Chew, who talked about fighting her son’s placement in a program that, ultimately, was a great thing for him. ”A lot of advocacy, to me, is about being open to being wrong,” she said. The other panelists agreed that this has happened in their experience too. You know your child better than anyone, but sometimes other people understand the appropriate resources or treatment options better. “Again, it comes back to having perspective,” Tanis said.

6. Avoid catastrophic thinking, but do look your fears in the face and deal with them. “What’s going to happen to my child when he turns 21? What happens when I’m gone?” The panelists said that thinking about these things can be be so scary it paralyzes you. Kristen Chew said she and her husband faced those fears and with the help of a good lawyer developed plans for their son’s life transitions–she highly recommends it.

7. Follow the evidence. When you’re researching treatments, therapies or someone presents a treatment to you, how do you know what’s good? “Evidence-based, replicable science will point you in the right direction,” says Carol Greenburg. And be very skeptical of “cures.”

Some awesome resources that were also mentioned during the session: Wrights Law, COPAA, Parent to Parent

I also want to give a shout out to Lisa Lightner who was nominated for a Bloganthropy Award for her excellent work in special needs advocacy. Her website, A Day In Our Shoes is a must read, these posts in particular:

Common Mistakes Parents Make in the IEP Process

Special Factors to Consider in the IEP

What’s made you an effective advocate for your child?

Highlights from BlogHer ’12: “Our Real Health” Panel at Healthminder Day

I promised a recap of BlogHer’s Healthminder day, but there’s no way I could to all the wonderful women who spoke and participated today justice if I tried to cover it all. I’m going to do a series of small posts with my favorite big ideas, quotes, etc., from the women who participated today.

The First Panel–Our Real Health: The Last Taboo

Moderator: Shwen Gwee

Panelists: Nurse/HuffPo Writer Barbara Ficarra, Patient/Blogger Erin Kotecki Vest, and Doctor/Blogger Dr. Kimberly Manning

There were two big ideas on this panel:

  1. How much personal information should you share when you blog about health?
  2. What is it to be an empowered patient and how should healthcare providers respond to these “difficult” patients?

 The big consensus on how much to share was that every person has to find their own line.

  • Erin (the Queen of Spain) is on the “share it all” side of things–her brave, intimate writing about her life and illness is what has built the online community she loves.
  • Dr. Manning writes about her life and experiences with patients in the hospital–but she doesn’t let it all hang out. She has to protect patient privacy and she limits what she says about family, religion and politics.
  • Barbara Ficarra said she was most comfortable with no personal details at all–she takes the journalist approach to writing online.

What resonated with me: Dr. Manning said she blogs “so she can read it” (Toni Morrison said she wrote The Bluest Eye so she could read it). And she says that “there’s one version of me”–the doctor, the educator, the mother, the woman who doesn’t want to take spinning class because it will mess up her hair…she’s going to be all of that on her blog and in her life as well. She’s gotten comfortable with that.

I’m getting comfortable being the “one version of me” too–and some of the bloggers I spoke to today, The Other Julia Roberts and Jen Lee Reeves of Born Just Right come to mind–also talked about merging their professional selves and their parent/blogger selves into one.  A good trend, I think.

And what of empowered/difficult patients?

  • Erin proudly proclaimed that she is empowered/difficult–and that’s why she’s making progress toward health. She fired multiple rheumatologists before finding “the one.”
  • Barbara Ficarra R.N. said, “There are some difficult patients, but mostly just patients who want to be heard.”
  • Dr. Manning talked about how a patient who asks questions ultimately brings out the best in a doctor. She welcomes the empowered patient and tries to bring out the questions from every patient she sees.
What resonated with me: “epatients” – “empowered, equipped and enabled” are the way of the future–and that’s a good thing according to all three panelists. It’s the healthcare providers who need to learn to be good communicators. Dr. Manning (clearly I’m a fan) talked about how she makes sure that even her more passive patients have all the correct information by asking them, “When you go home today what are you going to tell your spouse about what happened here and what I said?” Often the patient has it wrong and she gets the opportunity to clear up confusion.
That’s all I’ve got for now. Much more to come…

Let’s Hang Out at BlogHer ’12

It’s my first BlogHer conference and I am psyched! I will be at HealthMinder Day tomorrow, and regular BlogHer on Friday and Saturday.

I know this blog has been sorely neglected in the past month (2 months, really), but that’s about to change in a big way.

First, if you aren’t there to experience it yourself, you can expect a full report on HealthMinder day (the Special Needs/Care Giver track) from me–tomorrow.

And if you are here in NYC and going to do the BlogHer thing, I want to hang out! I am a good person to hang out with at BlogHer ’12 because:

  1. I live in NYC and I know how to find a bathroom when you’re out and about. If you’ve ever been here before you know how important that is.
  2. Did you see my business card? Yes, those are rounded corners. If we meet you can have one. My contact info is on the other side even!
  3. I’m going to BlogHer to get to know bloggers. I didn’t even know about the swag when I bought my pass. I don’t do sponsored posts or brand relationships (remember my posts about the Pfizer birth control recall? I don’t think they want to network with me). What I really want to do is meet some other bloggers and geek out about blogging, social media, legal and social justice, children’s health… yes, this is nerdy, but I think that if you’re going to BlogHer there’s a good chance you feel the same way.

So, if you’re reading this and you’re going to be in town for BlogHer, message me on Twitter and let’s do this!

And if you’re not going to be in town, I’m sorry we don’t get to meet this time. BUT, I do promise you that this blog is about to get more interesting and you should still message me on Twitter–we can be internet friends for now.

Back Home

Quick post to say what everyone already knows–the ground doesn’t cave in beneath you if you take a business trip and leave your toddler at home with her dad and grandma.

What did happen:

  • I got a lot of work done.
  • Time went by quickly.
  • If it were possible to love our clients even more than I did before, I do.
  • Skype helped.
  • I got the worst sunburn I’ve had since I was a pre-teen.
  • The taxi ride home from the airport felt like the longest part of the trip.
  • Toddler-Dad bonding was a huge success–she loved him before, but she’s his biggest fan now.
  • We were really, really happy to be reunited.

Another thing – I came home and my baby had officially graduated to toddlerhood. When I left she was cautiously stringing together 5-7 steps when she was feeling adventurous, but mostly she raced around on all fours. She walks everywhere now–or hugs my knees and demands to be held.

When I was in the playroom of our apartment building yesterday and I met a really nice mom of an 11-month-old who is about to travel internationally on a two-week “doctors without borders”-type trip–while her baby stays home. And I was able to tell her that, after all the dread, it was ok.

I don’t know that she needed to hear that, but I’m putting it out there for everyone now.

It was ok! It will be fine.

 

Business Trip with a Baby at Home


How's this for a passport photo?

Tomorrow morning I’m flying to the Dominican Republic where I will be working on a case for 8 days.

Alice will stay home with her dad and grandma.

I’ve never been separated from Alice for even one night. All I can think right now is, “I’m doing the wrong thing by leaving her home. This hurts too much to be the right thing.

The last time I went on a business trip for this case my baby came with me–and that’s why I want her to stay home this time…

What Happened When I Took my Baby on a Business Trip

Back in April I traveled to the Dominican Republic for “my big case.” There was no way I could stay home. This is my BIG case–I’ve been working on it since before Alice was a twinkle. I know the clients, I know the facts, I speak the language–I love this case and the people we’re fighting for.

But it was a weeklong trip and Alice had just turned a year old. Would she even remember me if I left her with her dad? Would she be confused by the separation?

I have a hard enough time sleeping at night when we’re not in the same room–what if we’re an ocean apart?

So I did the one thing I could think of to make things better…I called my mom.

She agreed to come on the business trip. Baby Alice and her wonderful “Grammy” were going to make a vacation of my business trip. It seemed like this was the way to have it all.

But our perfect plan wasn’t so perfect.

  • I didn’t bring a pack-n-play because the hotel assured me they had one. They didn’t. Alice slept on a mattress on the floor–and she slept very, very poorly.
  • My mom and Alice were pretty much marooned at our very rustic hotel with nothing to do. I felt guilty and they were bored.
  • I worked 12 hours days the entire trip–minimum. I saw Alice for brief moments, usually just long enough for her to want more of me and get upset as I left again.
  • We were extremely careful with what Alice ate and drank, but she still got an upset stomach and lost weight. She’s a tiny girl (5th percentile for weight) so the weight loss was especially scary. It took her a month to regain the weight and almost 2 months for her gut to return to normal.

Next time, I thought, I won’t disrupt her life like that. She would stay at home with people she loves. Comfortable. Safe.

The moment that convinced me: when we came back from the Dominican Republic and she saw her daddy again she was so thrilled! She wanted to hug him RIGHT NOW. That’s when I was sure that my baby wouldn’t forget me if we were separated for a week. And so Charles and I agreed–next time the Dominican calls, Alice will stay home with him.

I’m regretting that decision now. Alternately writing this blog post and going into Alice’s room to hold her while she sleeps.

Google tells me I’m not the first mom to embark on a business trip as the mother of a young child–from the Berkeley Parents Network to Melissa Biggs Bradley in the NY Times to La Leche League –there are plenty of examples of mothers going on business trips–sometimes leaving their babies at home. 

Like those business traveling moms before me, I can’t/won’t stay home. This is a job I need and love. But I can’t help thinking that leaving her comfortable and safe with people who love her isn’t enough. I’m not there. Maybe it’s a bit self-important, but it’s where I’m at.

Any words of wisdom?

Mother’s Day

This is my second Mother’s Day as a Mother. I don’t really remember the first one, but I know I took this photo:

Charles and I co-created this person…

…and on Saturday she walked.

It was just a few steps, and then a few more. Alice is 13.5 months old and she’s thinking seriously about being a walker.

The almost walking, almost talking, beginnings of make-believe, peek-a-boo, and rocking her to sleep  when she wakes at night…my heart just fills up!

On Mother’s Day we picnicked Central Park (how I want to spend every Sunday from now on). When I talked to my mom that night I told her about how I felt sort of silly, getting a day for being a mother–when being a mother is the “most awesome-fun thing I’ve ever done.”

Being a mom of a young kid is really fun, my mom agreed. The most fun. She knows.

I think of that line from Tina Fey’s The Mother’s Prayer for Its Daughter in Bossypants:

“My mother did this for me once,” she will realize as she cleans feces off her baby’s neck, “My mother did this for me.” And the delayed gratitude will wash over her as it does each generation and she will make a Mental Note to call me. And she will forget.

I think this in every profound parenting moment–and the less profound. “My mother did this for me.”

I think she had fun doing it. It’s still fun to be her daughter.

And thank you, Alice–for letting me be your mother. Most fun ever.

If I have to work on Saturday…


This is Maxi and his Mom. They are our clients and I love them.

Maxi was born without arms, and I can’t get into the details why he was born this way because his case is pending–but it’s awful. He, his mother and his two little brothers…they sleep on the kitchen floor in his aunt’s little house in rural Dominican Republic.

We hope that our case will be able to change their lives. Their own little home, full bellies, occupational therapy and some tools for Maxi, school… That’s the dream.

When I talk about how frustrating the legal process can be, I’m talking about Maxi. I want justice for him NOW. Not in 2 or 3 or 5 years, but right NOW.

(aside: if anyone has ideas about an NGO or charity that might be interested in getting some of these basic things to Max ASAP, I would love to talk to you about it…)

I’m thinking about Maxi right now because a deadline in his case means that I’ll be spending a few hours in the office tomorrow–on a Saturday. Something I try to never do.

I’ll be away from this little girl:

She’s going to spend Saturday with her Daddy, which is fun for a toddler–I’m the only one missing out.

No lie: I’m feeling a shadow of heartache over this. I wish I finished all the work earlier. But Maxi is my boss and he deserves the best we can do.

He gets a Saturday–and a lot more than that if he needs it.

Edited to Add: I know I’m really lucky–tons of lawyers (and other people too) work late on evenings and weekends without adorable clients like Maxi.

How do you feel about working Saturdays? I know I’d feel a lot more angst about it if it weren’t for Maxi…

Breastfeeding Discrimination takes a Blow (Thank You, Dr. Sophie Currier)

Breastfeeding symbol

The Supreme Court of Massachusetts made a pretty groundbreaking decision last week. In their own words:

“The condition of lactation is inextricably linked to pregnancy and thus sex linked. The fact that a women is no longer pregnant when she is nursing or pumping matters not as lactation is a natural incident of pregnancy.”  That means…

Massachusetts now recognizes that breastfeeding discrimination is gender discrimination.

You and I have known forever that pregnancy and breastfeeding are linked to sex and gender, but U.S. Civil Rights Law has barely woken up to this fact. I wrote about this in Why Breastfeeding Discrimination is Legal–the most meaningful way that women can be protected from breastfeeding discrimination is if courts recognize that it’s part of gender discrimination–but judges seem to have a really hard time with that because they view breastfeeding as a “choice” and not as something tied to being a woman. As the Massachusetts Supreme Court put it:

“Indeed, even in the context of the pregnancy discrimination act, 42 U.S.C. § 2000e (2006), one Federal court has noted that ‘no judicial body thus far has been willing to take the expansive interpretative leap to include rules concerning breast-feeding within the scope of sex discrimination.’ Derungs v. Wal-Mart Stores, Inc., 374 F.3d 428, 439 (6th Cir.2004).”

 

But the Massachusetts Supreme Court goes there, “Our decision in the context of the equal rights act and public accommodation statute counts, that lactation is a sex-linked classification, recognizes that there remain barriers that prevent new mothers from being able to breastfeed or express breast milk.

Thank you. I know it’s obvious to most of us, but thank you, Supreme Court of Massachusetts for recognizing it!

It’s a big deal that the Massachusetts Supreme Court has unanimously recognized that breastfeeding discrimination is gender discrimination. This extends a new level of protection from discrimination to breastfeeding mothers in Massachusetts and it will have a positive impact in other states too.

The Supreme Court of Massachusetts came to this new point of view in the context of the case Sophie Currier v. National Board of Medical Examiners. The basic facts of Dr. Currier’s case:

“In 2007, when Dr. Sophie Currier’s daughter, Lea, was four months old and still exclusively breast-fed, Sophie requested extra break time during an all-day medical licensing exam to pump her breasts. The test’s overseers, the National Board of Medical Examiners, said no, that breastfeeding was not federally recognized as a legal disability and therefore could not be accommodated.”–from Behind Breastfeeding Victory: ‘Motherhood And Career Collided’ by Carey Goldberg (WBUR, 4/20/12)

Dr. Currier sued to get pumping break time, and she won break time for her exam in an excellent 2007 opinion by Judge Katzmann, but that didn’t do much good for other breastfeeding medical students or mothers in general, because the 2007 opinion only applied to Dr. Currier and the NBME refused to change its policy for other test-takers.

So Dr. Currier continued the legal fight after her exam and took the issue to the Supreme Court of Massachusetts–she did this to change the law for other women’s benefit with no possible gain for herself. 

And for that, I have to say:

Thank you, Dr. Sophie Currier

(and thank you, Dr. Currier’s Lawyers!)
I’m realizing that Dr. Currier deserves her own Thank You post. She’s getting one from me shortly…

 

Are you feeling hopeful too?
Follow

Get every new post delivered to your Inbox

Join other followers: