Wednesday, October 14, 2009

A Little Frazzled

We had our big Dr.'s appt Chop today. In typical Jen & Jeff fashion, we were late. We got up at 6 am and left at 7 for our 8 am appt. in the city. Should have left a good half hour to hour earlier. We might have made it or been just a few minutes late, but there was an accident on 95 and our exit was actually CLOSED, therefore causing us to get off another exit, get lost (Nav wasn't working, of course) and we missed Ruby's audiology appt. entirely. In the meantime, the poor kid got car sick and vomited all over herself, her new coat, her outfit and her car seat. Poor sweet thing. I cleaned her all up with the plethora of wipes in my bag and stuck them in one of the extra ziplocks I always carry. I could almost pat myself on the back for having those things, except I forgot the most important thing that every parent told me you always have to have: an extra change of clothes! I forgot. Ugg. I swear I am going to get it all together soon, but I'm so tired I keep forgetting things! So I just washed her down the best I could with the wipes till we got there (a smelly 1/2 hour of traffic later) and then washed her and I in the bathroom. She was so cute though. Looked at me a little fearful at first when she got sick. As if, uh-oh. She looks to me for approval all the time whether it is something good, funny, or indifferent. As soon as she saw the look in my eyes and heard me say oh, honey, it's okay, she just gave me the sweetest smile like okay, I'm better now! She is so darn sweet. Such a little love it takes my breath away! She was an angel at the appt and they just loved her. We were actually early for our 2nd appt. with the adoption specialist. Ruby is quite the charmer and played all the stacking games and showed off for the therapists. Even winked for them which Daddy taught her and is hilarious. Gotta get that on video!

As for CHOP, I was not entirely impressed. It's a kids hospital and there were no toys in the waiting room, for one. The Dr. was nice and the occupational therapists were great, but we were not in total agreement with the Dr. on a few things and she seemed to not listen to what we were telling her. For one, she was going entirely on the the US growth chart and telling us Ruby was so underweight and we needed to feed her more fat. She suggested more meat, butter, ice cream, and whole milk. What? How can a doctor actually recommend these things? I am baffled. Meat, okay. Whole milk, maybe if her stomach can take it. But butter? Ruby is not underweight according to the Thai growth chart and yet she completely disregarded that. She did lose her pot belly a bit since she's been home, though, so we definitely want to make sure she gets enough nutrition and gains a few lbs. I can't imagine how she lost .6 kg when she eats like a horse. She will literally eat almost as much pasta or rice as me!  We do fresh fruit and whole grain/sprout toast for breakfast, rice or pasta for lunch and dinner with veggies and/or chicken, and snacks in between each meal. I thought that was pretty good. We do dessert only once or twice a week and did give her some pumpkin pie. I just don't do it all the time and I just give a little bit. The doctor told me to give her whole milk after I told her that she seemed to not take dairy well. When I told her we give her lots of juice and she said that was "junk". Okay...what??? I don't give her the commercial sugar loaded brands! We give her fresh, organic juice! How is that not good? Clearly, I missed something! She recommends Flintstones vitamins which have aspartame, dyes, colors, and preservatives in them! I was really surprised. I told her we were happy with the vitamins she has and assured her they had zinc which she felt Ruby needed more of for her skin. She told me we needed a pro-biotic for her to be more regular after I told her how regular she is. So I asked her again what was regular, and she described exactly what I had told her Ruby was doing. It was as if she was just asking and saying the routine stuff and didn't hear a word we said. So frustrating, cause I want to do all the right things for Ruby! I feel I am getting to know her so well and know what she needs and yet this doctor was telling me just the opposite. So now I am not so sure. She wants us to get $5000 worth of blood tests done - for many things she has already been tested for in Thailand. Another HIV, another TB test, and a ton of others. Is this normal? What have some of you adoptive parents experienced? What tests did you do and what did you feel unnecessary? This is a grey area for me. Our insurance will cover the tests but it just seems like so much for Ruby and not all of them needed. In many ways the appt went great. Maybe I was just overwhelmed with it all and hate to see Ruby do so much testing. I'd love to hear from some of the moms out there on this stuff. 

They felt Ruby was attaching very well and said just to try to avoid her hugging and running to random people. She did this once at Target and again to at the Dr.'s office so they said besides Grandparents to make sure no one feeds her, holds her, or hugs her back - only us for another couple months or so until she is even more securely attached. Still, they thought she was doing great. Her motor skills are doing good but we need to work on more climbing and balancing so I am joining a Mommy and Me somersault & self esteem class next week at my local Little Gym. Looks so cute! I am looking forward to that! With speech and language she is at about a 18-24 month level, which at 30 months and considering her time at the orphanage, isn't too far behind. They feel she learned a lot with us already and expect her to catch up in the coming months. We do too. They recommend speech therapy which we agree with and we are gonna check into that next week. Still have to go to get the blood work done and the vaccines at our local doctor. That appt. is next week.

 I have to admit that just when I feel I got it all together and we are settling in, I start to feel overwhelmed and like I haven't done enough or second guessing if I am doing the right things.  Anyone else ever feel like this? I am only letting Ruby watch an hour or 2 of TV (Baby Einstein and Sesame street) in the am - but not every day - and an hour at night to bring her down a bit - like the Wonder Pets or a Disney movie. The Dr. told me this is way too much and I feel so stupid cause I should have known this. She said a half hour a day is more than enough and that studies show kids don't learn that much from TV - even Baby Einstein. Of course, I knew that interaction with us was the most important, but she picked up a few things from her Baby Einstein video already so I don't totally agree with her. I also bought all these great California Baby Organic products for her and it's making her exzema worse not better. I had all these grand ideas about how I was going parent. I researched far and wide and am bummed to see I bought all the wrong products and frustrated that I can't relieve the poor things itching. She is waking up in the night, scratching like mad. I so wish I could give her some comfort! Was hoping someone would give me more of a solution that "give her less baths". My friend Kimi told me to get Vanicream so I'm going to get that today. Bought Aveeno and will start using that today also. Has anyone used a dandruff shampoo on their child more than once a week? Once a week is really not doing enough for her.

I had hoped to be so on top of things, plan my menus, make home cooked meals every day, and be super mom, but it is harder than I thought! Not hard to parent Ruby. She's an awesome kid and so easy most of the time. I love every second with her! But hard to get or stay organized, keep up with the laundry, keep the house cleaned, make meals, and remember everything and keep things fun and stimulating all at the same time...especially when I am tired a lot. It was easy in Thailand because we were at a hotel, had room service, housekeeping, and my hubby. He helps a lot around the house and with Ruby, but somebody's got to work and pay the bills! He is torn between wanting to be with her and trying to get back into the swing of things with his company. I am really admiring my amazing mother more than ever right now, having raised 3 kids on her own! How did you do it, Mom?

On another subject...I miss my blogging buddies! Haven't had many comments or emails since I got back and I miss hearing from you! So sorry I haven't had time to check blogs! I am so out of touch with blog-land. It's been all about getting into our groove here at home with Ruby. Hopefully, I will get myself a bit more together this week and make some time. Hope you are all well and having a nice fall! Would love to hear from you and welcome any advice!

14 comments:

rosemary said...

Oh my gosh, my poor Jen, that sounds overwhelming! You are doing a great job and being a great mom. You just have to figure out all the stuff that works for Ruby (diet, shampoo, etc) and that will take time. No one could do it better than you though!

I also got irritated at our Dr. who refused to even admit that there was another growth chart beside the caucasion one. Yea, time for a new Dr!

Carey and Norman said...

Sorry to hear about your frustrations at the doctor's office. It can be hard if you do not agree with your doctor's advice or opinions. As a mother, I would do as you feel. You are only parenting one child; whereas, the doctor is seeing multiple children in one day. You know what is best for Ruby, so follow your instincts. There is no right or wrong way to parent. You will make mistakes, but you learn from them. You laugh and move on. As long as Ruby is well cared for and happy, you've got it covered. No need for superhero capes. Just enjoy each moment!

So glad that you are doing so well now home. Sorry I've missed the last few posts. Funny how time gets away from you and before you know it, you've missed two weeks of posts. Just glad things are going well since your return.

Loved the little panda shoes too! How sweet are those?

Thinking of you!

wide open spaces said...

Jen! I love you! So wish I lived near and we could talk through some of this stuff. I am no expert, but I have two and can offer my best advice for what it's worth. I would give up the supermom dream. Not only is it an impossible reality, it's not what our kids want anyway. It's what we want.

It sounds like you are being WAY to hard on yourself. You are doing amazing? Sow hat if you bought the wrong product? That's what life is about... the journey, not arriving at perfection. Forget the dishes for now... go lay outside with your sweet girl that you have been waiting for forever. Just enjoy these days, they are so quick. And don't worry about trying to do it all right. All Ruby needs, she now has. xoxoxo

Maci Miller said...

Oh, thanks so much friends! I really appreciate it! Ruby got sick after lunch today so I cancelled all plans and chores and we just cuddled and played all day. It has been so nice. Even with a belly ache she is such a sweetie. I'm loving every minute with her.

Thanks for all the support. I need a reminder sometimes that I can't do it all...and don't really need to. :-)

Mireille said...

Please Jen do find another doctor! There are doctors out there who understand that Asian children can NOT be compared with the American children. Hey even Dutch children differ from the American growth charge and they are both caucasian! My doctor in CT just looked at their growth process and especially if the head was growing together with the body, and he always assured me that although my girls were skinny, they looked healthy! Butter?! She is nuts! Follow your own intuition, you know Ruby better than anybody and have FAITH in yourself. You are doing a great job!! It's not easy in the beginning, because there are so many new things, but just follow your heart and it will be OK. I know from experience: having 2 babies at the same time, things came up all the time that I hadn't anticipated... but relax, and common sense brings you far! Medical wise I went for the HOMEOPATHICAL way and now years later I am so happy I did! My girls have a strong imuun system that hasn't been broken down by antibiotics and all the medications they seem to precribe so easily these days, let the body fight small things, don't try to over medicate. You are home with her, why do doctors prescribe so easily because parents have to go to work! In the olden days, we just sicked out a flu, and that's what I did with the kids, the old fashion way, and it's so much better for the body. I know you haven't gone through this yet... but with winter coming it will happen! Go for homeopathy it so much gentler on the body! Look into it, there are many doctors these days. They look at the body as a whole, not just a disease they are trying to get rid off!
Sorry for the long message! Good Luck!!

Ellie said...

Awww!!!! Jen!!! So sorry you had a rough day! I can't believe you weren't getting your comments! You probably thought we all fell off the face of the earth! I was trying not to email too much b/c I figured you were so busy with Ruby, and I didn't want you to feel overwhelmed by having to respond to emails. Sorry!

About that appointment... Don't go by the U.S. growth chart... as you well know. Your Ruby doesn't fit that mould! You are doing a WONDERFUL job, mom! You're absolutely right about the dairy. If her tummy can't handle it, don't give it! My sister used to take crap from all kinds of people b/c they chose not to do dairy (or even meat) for quite awhile. Her kids are perfectly healthy! About Ruby... I'm certain that her height doesn't match the growth chart, either. She's probably perfectly proportional for her height/weight. Feed her a healthy diet... as you are, and she'll grow!

You're right about the vitamins... flintstone vitamins are junk. I'm sure you've researched and found a great vitamin. I love the Nordic Berries vitamins for my kids. They are available at Whole Foods (also sold at my Nurse Practitioner's office). If you don't... I'd have her on a good Omega 3 Fish Oil. Nordic Naturals has a good one. Omega 3's are good for brain development, skin, etc... You know your stuff, Jen! You've read. You've researched!

I've got a ton more to say, but just realized I'm about to be late!!!! Got to head to work. Maybe I'll try to call you on my way home or catch you sometime soon!!!

Love ya!!

Sharon said...

Jen, everyone is right, go easy on yourself. We all go through this when we come home. I certainly did. You have to do what you think is right for you and your child. It will be ok .....

Thinking of you!

Sharon xx

Nadine, Conn & Suri said...

Hi Jen,

I am going to say that just because Doctors are suppose to know it all....they really do not. Its hard to be an expert in everything and I am assuming that international adoption is not the norm for most doctors...However, in saying that...parents know their children and you probably have more knowledge regarding Ruby Kate than any health professional will have, so I will say" take it with a grain of salt and don't feel bad about what was said. Most doctors try to keep up on the growth and dev but alot just know what they have learned at the beginning of their training and really have not expanded on that, unless their focus is Child Development. But I am sure, if you need them for sickness or a health concern, then they are the perfect resource. I just wish more would admit their flaws and work with you, instead of not listening and making you feel like the bbad person, erggg!!!

Is it dandruff that Ruby has or more like Cradle cap? I do have a few remedies that I can hunt dowm for you or I know a great dermatologist here in Canada that might have a sugestion. I also have a cousin who is a peditrician and is currently studying infectious diseases, so she may know. I got her to review Suri's bloood work when I first got it and that relieved alot of stress.

On the bright side, you have a beautiful baby girl, whom you love and adore and will have all the love that can be given...who cares what others think.....

Take Care
Nadine

Nichole and Craig said...

Hi Jen

I am feeling the exact same way as you right now.
I was so set on using cloth diapers. I had them all bought, washed a dozen times, etc. Well Jaxin is such a heavy wetter he can barely use them. I am so disappointed about it. Also I said I was going to make all my own baby food. Well I barely have time to breathe other than cook all the time. And the only person who gets laundry done is Jaxin. Poor Craig has to do his own now if he wants clean clothes.
I am sure I will eventually get used to it. 8-)

Nichole

PS I also bought all the wrong skin care products and had to switch to Aveeno the first week. That stuff is amazing and he has no dry skin at all now.

Glen and Andrea said...

Hi,
I remember feeling most of what you described for the first 6 months home too. Hugo has incredibly dry skin/eczema if I ever use soap on him and if I forget to moisturise. I too tried organic baby washes etc but in the end I use a good quality adults body wash, moisturiser and even adults moisturising shamppoo and conditioner. I read an article on caring for asian hair and skin and this was advised as well as more regular washing of hair. Something about more porous hair or something. I've asked a few asain Mums about their kids skin and they have said they moisturise it each day with adult product.

I too was hung up on a great healthy diet just like my friends with their bio kids. But 2 adoption/attachment advisors reccommended a lot more sugar than we were giving as studies show it aids attachment. Breast milk is very sweet and recieving sweet, pleasurable foods from your Mother is a good, natural thing. I read an excellant attachment book that said teeth can be fixed but an insecure attahment is much harder. Also kids actually need alot more fat than we do. They need fat like butter and whole milk for brain development and growth etc.

We are only now letting Hugo be held breifly by our parents after almost 18 months home, for us it was a necessity. I know a lot of people don't do that but a lot do too. Hugo was showing a lot of worrying behaviours with strangers, so we had to be very strict. Do whatever you feel is best of course but I would definately reccommend reading up on the signs to look for of attachment issues and then you will be confident you know what to look for. I don't want to bombard you with advice, just thought it might help a little bit from someone who has been there done that.

I can't wait to see a photo of Ruby!

excitedtobeafamily said...

Wow, okay take a deep breath-you are doing wonderful! I swear parenting gets easier over time and with more kids-it is never easy though and you always wonder if you are making the best choices, ect-you got to have faith that you are. I was way too hard on myself in the beginning. I also learned to trust my gut with doctors and keep hunting until you find one you like. I would definately keep her on the vitamins you have, I do agree though that juice is junk and I only give it to my kids at birthday parties and such, we also limit TV, other ways to add fat is avocados, cream in scrambled eggs, etc. I have a very petite little girl and they have told me the craziest things like put oil and mayo in all her food-yuck! I do give her whole milk when I think of it and no one else in the family gets it and do serve lots of avocados and nuts. She has always grown on her own curve and that is all that matters. If the doctor doesn't consider the Thai charts I would look for a different doctor all together. Just my two cents for now. Seriously relax and enjoy life because it takes awile to adjust to the changes and they grow so fast. It sounds like you are doing a great job!

Lizzie Lawson said...

How you're feeling sounds so familiar - planning on doing EVERYTHING and finding that it is impossible to maintain that level of supermumminess! The fact you care so much and are doing everything you are doing makes you an amazing mum. It took me 6 months to feel like I was in a true rhythm in my new life as a mum and get my routines down. It also took that long for Nat to feel like the bond between us was 100% tight and couldn't be broken. Don't give yourself a hard time about ANY OF IT! And especially about the TV! What rubbish! I'm doing my Masters in special needs and have done and am doing a whole lot of reading on child developmenmt and particularly with children who have experienced trauma and the most important thing you can give ANY child is love and to help them not to experience further trauma - now as long as that is happening they can watch Nemo, followed by Baby E followed by whatever - who cares??? I treat Nat as another little human - what do I feel like on a normal day? Or after I've had a long day of activities? Etc. I like to watch TV to relax in the evenings or whenver. I like to eat ice-cream now and then.

I truly truly believe that the attunement between mother and child is so important - more important than any 'specialist' (who by the way just happens to be a human with opinions - find another specialist, you will find different opinions). YOU know what's best for her and her weight and her development. The last thing you need is to be made to feel guilty or worried etc. Don't mean to sound all 'rA raAAraaa!' - but I hold a lot of reservation about what doctors say or think - if it differs with me or with what I know from talking with others etc.

Anyway, don't know if that helps, but I just wanted you feel confident in what you're doing for Ruby and how brilliantly she is progressing and that's down to you and the decisions you've made based on what you know of her! So keep going girl!

waiting4brianna said...

Jen,
It sounds like you're doing everything you should be doing for Ruby. Don't beat yourself up and second guess what you're doing. The doctors give advice to all of their parents, but they don't even agree on what is 'right.' There is no absolute when it comes to parenting. You need to find out what works for your family and your daughter. It sounds like you are giving her healthy foods. I'm sure she is eating much healthier than most children in the US. I think sometimes the doctors and specialist feel the need to direct everyone.
I went to CHOP with Brianna too. We went to the King of Prussia branch because I hate traveling down 95. They were very nice there, but they took soo many vials of blood for testing. It was awful. They couldn't get enough blood, so they pooked her in both legs and arms, and finally we needed to stop and I had to come back another day. It was very traumatic. I'm not sure how necessary it was, but I just wanted to make sure I did everything I was suppose to do. All of her test came back fine, and it showed that her vaccinations she got in China were all good. I have heard some people say this is not the case when they had their children tested, so I quess it's better to get the test done. As far as the HIV and TB tests, I'm not sure they're really needed if the children have already been tested. It's so hard to decide what to do, when medical people are telling you to do something and you want to make the best decisions for your child.
Brianna is a little behind in her speech also. I feel that she is doing very well considering she has only been with us for 4 months and she never heard English before then, but my ped said it would be a good idea to have early intervention come out and do an evaluation on her. They came out on Friday for the intake interview. I feel like it doesn't hurt to get her extra help and support. The services are free and they come out to your house. It can only be positive. There needs to be a 25% delay. I'm not sure if Brianna will qualify, but we'll see.
Give me a call if you want to talk or get the kids together.
215-945-7444
Dawn from the mall

Chris and Terri said...

Ok I'll try to keep it brief cause you don't have time - lol- I'm not very good at that.

Trust your instincts friend - everytime.

Friend of mine uses Aquaphor for her 3 yr olds's excema. She swears by it. I'm not sure what's in it (natural or not)so you'll have to check out the label. She could also have food allergy's that cause the dry skin. So keep that in mind for later when you get through some of the other appts. There are pediatric dermatologists who can allergy test for just skin allergies.

Weight gain - I've had 3 very respected doctors tell me to give Mark milk shakes every evening to keep weight on him. Sounds like weight may not really be an issue though. Ask your ped when you take her for shots. You could make smoothies from organic soy milk and fruit and they are very yummy.

No "super mom" - you were just tossed into motherhood sweetie - it's ok. It takes a while and then you still just do your best. Somedays your best is super mom quality and other days it's just getting by. That's the reality.

You are doing great! Don't forget that!