Kids nutrition

I am sure all of you mom's out there are like me and once you become a mother all of a sudden you are concerned about what your kids are putting in their mouth's. I have become more and more aware of all the options since Avery was born. With Avery, I breastfed him for 2 years and thought that that was enough, I guess. I never considered supplements until Matthew was born. I did make sure Avery ate mostly healthy food, but I never gave him vitamin supplements until almost 3. When Matthew was born, I became even more obsessive about germs and boosting their little immune systems. Of course, I breastfed him until he was 2 also, but I also really starting researching kids nutrition and health. I began to buy organic when it was available, even seek it out even if I had to order online or go to several different stores. I had made Avery's baby food, but not with organic fruits/vege's, so I used those for Matthew's.
I had always used Germ-X and lysol wipes when we went out, but now that I had 2 to worry about, I even started to think long and hard about going out with them during the flu season. I am sure some of you think that that is ridiculous, but really, the kids don't go many places between October and April. Easter is our debut back at church! (Shaw and I take turns going during the winter). If I didn't think it helped after all this time, I wouldn't be so strict about it. I really think it does help. The kids aren't sick much and that makes us all happy!
Our vitamin regimen is as follows: GNC kids multivitamin, Probiotics-1.5 billion cultures twice a day, around 1000mg of vitamin C split over doses am and pm, Calcium 250 mg for Matthew and 500 mg for Avery. It is important for calcium not to be taken with other vitamins as it won't absorb well. Probiotics and Vitamin C are important to boost the immune system. We are also adding an omega fatty acid supplements with omega 3,6, and 9, and also raw unrefined cocao bean, and coconut oil. I will let you know how this goes. The cocao bean is what is responsible for the antioxidants in dark chocolate, but grinding the raw bean yourself increases that antioxidants ridiculously, plus no added sugar and anything else processed. The coconut oil is to sweeten the cocao some and also has its own nutritional value for us. I will let you know how are newest additions go. I told Shaw that this needs to be it though, because of how I am about vitamins, I need to stop reading about more and more supplements. Of course, the body absorbs vitamins and minerals best through food and not a pill, so that is the first step. Our new additions are food, so I feel good about that.
I have really enjoyed Jessica Seinfeld's cookbook Deceptively Delicious to help with kids eating well and also C is for Cooking by Susan McQuillan is fun too. My kids do love to eat and snack, so it is important that they do not fill up with junk all day. I do not keep any kind of chips, cookies, candy, etc in the house at all. If I did, I would eat them also. I try to have healthy snack available and where they can reach since they like to get it themselves. I like the Annie's and Kashi products too for snacks and cereals. I try to always do a fruit and vege for both lunch and supper to make sure they get 3-5 serving in. Of course, we miss the mark every day about something, but the important thing is to keep trying every day and never to give up!
I will leave you with a recipe that Matthew and I made this morning for breakfast before Avery got up: Pumpkin muffins:

Ingredients:
3/4 cup whole wheat flour
3/4 cup all purpose flour
2 tsp baking powder
1/2 tsp baking soda
1/2 tsp cinnamon
1/4 tsp salt
1/4 tsp ground ginger
1 egg
2/3cup brown sugar
1/4 cup olive oil
1/2 cup canned pumpkin(i used 1/2 can not reading it well)
1/2 cup plain yogurt( i used french vanilla)
1 cup oatmeal( i used steel cut oats)

makes 12 muffins, bake at 350 degrees for 25 minutes
mix sugar and wet ingredients first, then add dry.
spray muffin tin with nonstick spray (i like to use the floured ones for cakes and muffins)
from Sesame Street "C is for Cooking" by Susan McQuillan, RD

They turned out great, not overly sweet though. The kids loved them! Matthew and I had fun making them too, of course.
I will leave you with pictures of the kids eating supper last night. Spaghetti with sweet potatoes and carrots in the sauce (thanks Jessica Seinfeld) and organic wheat noodles, apples slices, and small slice of Daddy's unhealthy garlic bread (hey, getting 2 out of 3 to eat well is not bad!)

Grieving at work

This last week of work has been really hard on me, so I am sorry I have not posted sooner. Whenever someone hears that I am a labor and delivery nurse, they say,"Awe, that must be so much fun, you must love it!" Well, yes, I do love my job, but what no one else but a labor and delivery nurse thinks about is that sometimes things don't go as well as everyone would hope. In every job there are frustrating parts and my job is no different. It is frustrating when you see mother's who do not take proper care of themselves or their unborn child. It is frustrating when you see a mother that cannot possibly care for or provide for this child because they are so young or have so many or both. Those beautiful scenes that you are picturing are rare. You know, the one where the couple love this baby even before he is conceived and now they are here having the perfect labor and delivery. They are both crying tears of joy as is both of their whole families in the waiting room. The mother looks down at her beautiful (yet a little goopy and bloody) baby and says, "Hello, my love." (i actually had a patient who said this once, i cried). These are the scenes we live for, because they do not happen that often really. Then, the absolute hardest part of my job, when the baby dies, either before they get to me in Labor and Delivery or because of a labor complication or because they are so preterm.

It seems that every 6 months since I had Matthew I have a patient that has a placental abruption (or abruptio placenta). When the placenta tears away from the uterus before birth. If the placenta detaches there is no blood flood to the baby. The babies do not always die, if we can get the baby out before the placenta completely detaches. When I put the mother in the bed and try to find they heart beat and I can't, and I look and look and after about 5 min start to get a sick feeling in my stomach, I think, "Please, Lord let me find this heartbeat." When, I have to look into the mother and father's eyes and say," Well, I am going to call the doctor so he can look with ultrasound, and they see in my eyes what I already know. When, the doctor comes in and with tear filled eyes tries to explain to them what happened, it's not their fault, etc. Then, instead of sitting down and crying, we have to get back to business, we have to get the baby out before the mother's bleeds out. While, we are explaining (usually a cesarean section at this point with a close to term abruption) what must be done with tears streaming down our cheeks and our noses running, we try to hold it together. When the doctor hands me the lifeless baby in the OR, then I usually let go and cry. I hold the baby before the mother does and cry and hold him and cry. Cry for this couple who now will ache for this baby until their dying breath, cry for their families who cannot understand what happened, and cry for myself and my own memories and what might have happened.....
These situations are hard on every labor and delivery nurse, but I especially have a hard time and thank goodness all my co-workers know why and try to be strong for me......
When i was in labor with Matthew it started out similarly to Avery's in that it was back labor and was long. Both my kids were occiput posterior or face up, which causes you to feel the contractions in your back and lower pelvic region. These labors and long and more painful than if the baby was positioned face down. The doctors say,"it's like trying to fit a round peg in a square hole, you can do it, but it's hard." lol. Anyway, things were progressing slowly and I was at home. (I did not use epidurals for my kids, just my preference). After about 10 hours and still not much change, I was in the bathtub waiting for a friend of mine who was coming by to check on me. I felt some fluid come out in the tub, it was bloody. Sometimes, it is a little bloody, so I wasn't worried, but then my contractions were coming back to back. I was like, ok, my water broke this thing is on finally! By the time Nicola got to my house I was feeling pressure and really moaning during the contractions. She said,"It's time for you to go." She stayed with Avery until my mother and mother in law got there, so Shaw and I could go ahead and go to the hospital. Nicola noticed the blood and told Shaw to hurry there was too much blood. After we left, she called the hospital to tell them we were on our way. Then, she went upstairs to my bathroom to clean up a little and saw blood all over the bathroom, the carpet, a couple towels. She knew then, this was not ok. She called to labor and delivery and talked to my doctor, Dr Kent. She told him about all the blood and he said, ok he was waiting on me they were ready.
When we got there, they were waiting on me on the ramp. It's nice to know everybody in a situation like this. Another friend, Jen, was waiting with the wheelchair. She said, ok when this one is over let's get in the wheelchair. They waited and waited, and waited some more. She felt my belly and it was staying firm, no breaks. She said, "Shaw, help my get her in this chair, we need to go!" I remember being flown back to my room and saying, "OH! I wanted room 5, where Avery was born!" They were like TOUGH! get in the bed. My actual nurse was Kim. She put me on the monitor and the baby looked ok. Kim said (knowing i did not want pain meds),"do you want the monitors off? I said,"no, they are fine." i really didn't want anyone touching me to be honest about it. Dr. Kent checked my cervix and I was 8-9 cm's., but my water was not broken yet. ( it was just blood that I had felt and saw).I remember Dr. Kent saying something about I needed something for pain, I was having to hard of a time. Kim, said, "No, Dr. Kent. that's not what Gretchen wants." The baby was having variables (decelerations with contractions) then, i saw them on the monitor. Well, that sometimes happens at the end of labor, but they started an IV then. Then, Dr.Kent wanted to put a scalp electrode on to monitor the heartbeat better and to break my water. So, he did. That's when everything happened. When he broke my water and put the monitor on his head, blood poured out and his heart rate went straight to 40(normal is 120-160). I was so out of it, I didn't even realize what was going on. The said turn to your side, I didn't comprehend. Shaw finally went over to me realizing something was wrong and turned me. I heard Dr. Kent say," It's time to go girls, NOW!" Kim still trying to help me have my natural labor said, "Well, maybe she can push, it is her second baby. They let me try once, but he was still so high, i didn't feel the urge to push. Dr. Kent said after i tried once,"NO, let's go now, let's go. Gretchen, I will see you in the OR!" I still didn't comprehend until I looked over at the fetal monitor and I SAW the 40, 40, 40, 40. The baby wasn't even trying to come up, usually they at least try. Then, I got it. I stood up and walked over to the stretcher to get on. Jen said,"Wait, i will help you." but now I got it and I understood- I might LOSE this baby, he might DIE!!!! let's go now, 10 min ago!!!! NOW! I looked at Shaw and said, "this is bad, babe. You need to pray!" He said, I will , i love you." And then we went, no catheter, no preop meds, no IV fluids (I did have a heplock at this point). No anything, let's just go! On my way to the OR it was surreal. I remember thinking,"This is not happening, there must be a quicker way to get the baby out than THIS! I cannot have a c-section." But then, reality kicked in, this was the best way. When I got into the OR Dr.Kent was waiting on me already scrubbed and sterile. He said, "Shug, get on the table, quick!" I did. I lay down and saw more familiar faces. I wanted to say, "Please, save my baby's life! What will we do if we lose this child!? We have waited so long for him, all of us, even Avery. (we had 2 miscarriages after Avery, before Matthew). PLEASE, LORD,PLEASE!!!!!! Finally, I cannot lose MY Matthew!" but that's now what came out. Guess what came out? I told the anesthesiologist Dr James, I need some Zofran!" He said ok later.... Then, Dr.Kent said, "Have you peed lately, Shug?" Remember, no catheter. I saw him hold the scalpel over my belly and watched it come down (no drape either) to my belly and then I was out... When I woke up in PACU, my baby was alive and surprise surprise, it WAS another boy! He was still sick and getting a blood transfusion. Later, I found out that I bled and bled and poor Dr. Kent, who is more like family after 8 years of working together and taking care of me with Avery and my miscarriages, was talking to me when I was asleep, "Now, Gretchen, you cannot do this to me, you have got to stop bleeding, you cannot do this!" I finally did stop after losing 2 liters or more. My friend Nicola made it just in time and was met with the admissions clerk saying, " You need to hurry, your friend is in trouble!" She made it to the OR and was then met with Shaw in the dressing room connected to the OR on his knees, crying and praying to save our baby's life! She said when she saw me with the ET tube in my throat and my eyes taped shut, she lost it. She said all she could do was cry and pray (well that was enough after all). She was their when I woke up in the PACU. Shaw was not allowed in there. Shaw had taken a picture of Matthew and as soon as my eyes opened, she put in my face and said,"it's a boy, he's ok, he's ok." Shaw wrote me a note on the back of it that was so sweet. I said, "Where is my husband?" and "why did this happen?" Of course, i knew the answer, there is no answer, because it just does sometimes. The recovery was hard for both of us, but I will not do into that, since that is not the point of this story. Thank you, Lord for saving my baby's life and giving Matthew to us!

Matthew's first picture

Matthew getting blood

Sleeping peacefully

Bath time with Big Brother

This experience affected not only me as a labor and delivery nurse, but my coworkers as well. Everyone was crying and praying for me that day, everyone was in a fog for the rest of the day. So, when I have a patient who has an abruption whether we save the baby's life or not, it is very hard on me. I usually get a migraine, one time my whole mouth was filled with canker sores for a week, after a particularly stressful one. I usually have a hard time holding it together especially when the doctor hands me this lifeless beautiful baby, this could have been my Matthew! I know that the Lord saved my baby for a particular purpose and this was his plan for Matthew. I know that it was the Lord's plan not to save this other baby's life. I know, I must trust that He knows what he is doing and this was not an accident that He could not have prevented. He could have prevented it, if it was in His plan. I also, know that just because we have faith in the Lord's plan, that doesn't mean we ought naught to grieve. Grieving is biblical, and so grieve I do for these parents. I cry without shame, hold the baby and cry, hold them and cry, hold their family and cry. I only hope as a nurse, that in some way can make such an awful thing a little better by truly grieving with them. I know this is long, so I will close, but I do want to say one more thing about the girls that I work with at night. We have become so close over the last 10 years, that we finish each others sentences, don't have to ask before they are already doing it, and if it were not for these people, I could not make it through these hard times at work. I know they understand me and I understand each of them. We are not ashamed to cry together, pray together. I know that their faith in our Lord is strong and together we will get through these truly hard times at work.

Matthew 5 months old and Avery 31/2

A Busy week at work

This week we have been slammed in labor and delivery. Most of us are working 4 12 hour shifts this week because one of our coworkers is out until next week. All of us are SOOO tired from doing overtime for the last month during the holidays and the pace of work during the holidays. The busyness has kept on through this week. We were so busy last night I went to the bathroom once at 2a and that was it, no supper or anything. All of us were so exhausted by morning, but labor patients and inductions just kept coming in! BUT in the midst of all the chaos this week, I really had some great patients. There were several this week that were a lot of fun and SOO happy to be having their babies-and that makes it all worth it. You probably do not realize this, but on the 7p-7a shift we have a lot of outpatients and inductions to admit that stay all night. So, if you ask how many babies we had and I say 2, that does not mean that we were not busy.

Our wonderful babysitter is going back to college Sunday, so the little bit of sleep that I was getting while she was here will be gone again. Sally has been our babysitter since Avery was 1 month old and she was 12. The kids adore her and miss her SO much now that she is in college. This morning, she took them to Monkey Joe's so I could sleep for a while. They had a great time! We miss you already, Sally!

Cute things that the kids are doing now..... Matthew will only wear the same outfit everyday. His Clemson shirt and sweatpants. I have other Clemson clothes for him, but he wants that EXACT outfit everyday. Avery has followed and wants to wear this same shirt and jeans everyday saying, "I look handsome in this, don't you think, Mommy?" of course!

This morning Avery said ,"Mommy, I think that we need to go get one of those kids without food and clothes and bring them here to live with us. I think that every family in America needs to bring one of those homeless and starving children home to their house to live, you know those without parents. Then, maybe there wouldn't be any left and everyone would have a home and food." I said, "well, maybe..." Then he said," but how will we find one for us?" I said, "Well, if God wants us to have one of those babies, then he will bring him to us and we will know." Avery said, "ok, then." Can you believe how sweet that is? I guess I have used that starving, homeless example a little too much, but I guess I am getting the message across.

Matthew still remains faithful to my belly button, football, and reading books. He is at such a sweet and cuddly age. He is always getting eaten by me and Shaw (of course, Avery is too). He thinks that Avery or RA-RA as he calls him is the best thing ever. He always wants to be in the same room with him and follows him around constantly.

Thankfully, both of them are very understanding of their tired Mommy and seem to understand that I need to take a nap after working the night before. I have even had a killer migraine when Shaw was at work before and Avery took Matthew in their room to play. They were quiet and Avery came and checked on me a few times and refilled my ice pack. I was in bed all day. Avery even got them snacks throughout the day. I finally felt better around 5p. Both of them are now all the time trying to help Mommy stay away from migraine triggers, mainly chocolate and caffeine. Even Matthew will say when I wake up sometimes, "Your head hurt, Mommy?" I know I have gone on and on, but they are so sweet and we enjoy them so much.

I am leaving you with a couple of pictures of them playing.

Enjoying doughnuts

Matthew the knight

Avery's sign to direct people to their playhouse

The "playhouse"

Avery loses his second tooth, you see that the adult tooth was almost all the way in

Christmas

Well, I am going to try again because the kids are getting so big, and they say so many cute things that I do not want to forget. Hopefully, this time I can figure out the layout of the blog and keep it up. I am going to try to make this blog about a working mom's struggle to get everything done each day and the struggle we have with guilt I know we all feel about being away so much. I also know that we are all doing the best we can, and should not feel guilty about helping our husband with the finances; nevertheless, I know we do. It is a struggle to fit everything in between work, housework, cooking, shopping, homework, homeschooling, working out (hopefully), disciplining consistently, your own quiet time with the Lord, devotions with the kids, spending quality time with your husband and kids, and then, oh yeah, we need to sleep sometime too. Please include comments and suggestions wherever you have them to help all of us. We all need a little help and encouragement sometimes or all the TIME!

CHRISTMAS

We had a great Christmas this year complete with Auntie Cristina and SNOW! Not very much, but it was nice. The kids got a bunch of costumes and games this year. We have had a great time with them, and I am going to try to include a few pictures. Both Avery and Matthew loved having Cristina here for 4 days and really did not want her to leave. Avery is really starting to understand the meaning of Christmas and it is so sweet to hear him talk about it and ask questions about it. I heard him telling Matthew that Christmas was not about the presents, but about celebrating Jesus' birth. Matthew said,"No, it's not! It's about-GO TIGERS!!" Well, I guess you can see who trained who in this family! lol. We went to the Christmas Eve service together and the kids really enjoyed the singing and the candles. I went to work at 11p-7a, so they were in bed when I left and when I got home. I had to wake them up and say,"It's Christmas! Get up!". I was SO excited that I did not miss anything by being at work this time. The kids were so cute and excited. Shaw read the Christmas story again and then we thanked the Lord for the abundance that we have been blessed with this year and for Jesus' birth. We had fun watching them open presents and Matthew throw his presents across the room when he could not get into them! Later, we napped and had roast beef, mashed potatoes, green beans, rolls, and pumpkin pie. Cristina cooked for us and it WAS so yummy! What a nice family day it was. Snow actually came the next day. Just enough to stick to the porch and bushes, but not the ground. The kids still enjoyed it though.

We started back with school the Monday after Christmas and the day Cristina left. Avery is doing well and it is going a little quicker now. He seems to enjoy it more also. He is reading signs and anything he picks up really. Even Matthew will point at a work and say, What does that say, Mommy?". So sweet. Avery is learning to focus on one subject for a little longer and not get so frustrated when he doesn't get it the first time. I really try to focus on trying and applying yourself more than actual grades, which I am sure all you know and know why. He is doing really well grade wise actually, but let's not focus on that. I love spending the time with both of them during school and listening to their questions. Matthew is learning the basics, shapes, colors, etc. The other day he pointed out a cactus and said,"Look, mommy, there is a cactus!" I was like, wow, yeah, it is. Shaw is doing a great job also with school. I do the planning and organizing and picking curriculum, but he also likes to be involved. I leave a list of what we did not get to that day, and they usually finish. Days I work, I usually start school and Shaw finishes after I go to bed.

About work, we are working extra and have been for a while, due to being understaffed. Any extra nights I work, I have to stay up and not sleep. Shaw is going to work that day so we switch in the am. I know a lot of you have these kinds of hectic schedules. It is nice for us because we do not work at the same time, we have never had to use daycare. I am happy about that and know that one day I will sleep normally again. When Avery says,"Mom you are the best teacher ever, thank you for teaching me at home, I love you so much!" Everything is worth it, isn't it? When Matthew says," I wuve you, I missed you!" and gives me a big smooch, I would stay up even more than I already do! I know, all of our hard work is paying off and worth it! Just nice to hear it sometimes, right?