Showing posts with label babies. Show all posts
Showing posts with label babies. Show all posts

Friday, April 10, 2020

Investments

                                     

June 2030

Nadia was tired of waiting to take control of her future, but had very little savings. But she wanted a baby so much that she felt it in her bones. What she wasn’t feeling was any meaningful connection with the guys she met on the five swipe-dating applications on her phone. She had read the statistics. Every year she waited, she risked infertility. Why should she wait for a man to have a baby?

On the other hand, Nadia still really wanted to find Mr. Right, even Mr. Right enough. She knew statistically her odds of finding love as a single mom would drop drastically. If she were divorced with kids, it wouldn’t be that big of a deal. But for single moms finding a good, decent human being to love is just not easy.

In addition, she had her career to think about. Women can have it all? That’s been proven to be false. It would be very difficult for her to teach full time at the suburban school where she had recently been tenured with a child.

So she would go to Mexico. In Mexico, the fertility treatments were safe and literally 10 times cheaper. She applied for a Fertility Loan from the bank (since the clamp down on immigration and the decline of the American birth rate, the loans were interest free), and once she had her approval, she set up the meetings with her department chair and principal.

She requested a leave of absence to spend the school year in Mexico to improve her Spanish. Her administrators lauded her decision, as they had recently been fined by the Federal Government for not serving their Spanish speaking population.

“We can put Nadia’s efforts into the report, “ Dr. Martin said excitedly, speaking as if Nadia wasn’t there. He had his PhD or Ed.D, but no one knew exactly in what. They just knew they had to call him Dr.

“Thank you for the approval, Dr. Martin,” she said.

In June, after the last day of school, Nadia found someone to sublet her apartment. She moved in with her parents and after the first day of her menstrual cycle, she flew direct from Chicago to San Diego. She didn't tell her parents what she was doing. Only that the school had given her time to learn Spanish. She crossed the border over to Tijuana which would be her home away from home for the next few months. After checking in at the hotel, she spoke to the Director of International Admissions to confirm her arrival.The next day she would leave her hotel and check into the Tijuana International Fertility Clinic. It was the only clinic in Mexico where the entire fertility process was in-patient. She did not understand the rationale, however, she was happy to be in a secure place. She also didn’t relish taking all of the shots as her hands shook when she was nervous. The staff there would do it for her.

The Fertility Clinic looked more like a spa than a clinic. She imagined this must be similar to the drug rehab facility her college roommate frequented. There were drink stands with herbal teas, water with cucumber, and fruit drinks. After filling her water bottle, she headed to the lab to have her blood drawn and vaginal ultrasound taken. While she waited for the results, she unpacked in her room. It was the size of an efficiency apartment, but that’s all she really needed. Besides, this was temporary. The wifi connection was strong. What else did she really need?

The nurse phoned to say her test results looked good and that she should return to the lab for her first set of shots to stimulate ovulation. Nadia ovulated regularly, but she knew that they wanted to harvest as many eggs as possible to ensure success. For 12 days a month, for three months, Nadia awoke, took a blood test, received a vaginal ultrasound, waited for the phone call from the nurse, went back to the lab and received shots. In the time between, she read, watched Netflix, and selected a sperm donor. Twenty five percent of her eggs she would inseminate and fifty percent she would leave in case she did actually meet Mr. Right. The other 25 percent would probably not be high enough quality.  After each harvest, Nadia felt bloated, but was in good spirits. During her first harvest, the doctor said that he saw at least 10 eggs on the ultrasound. When the anesthesiologist asked her to count down from 10 as he inserted the IV into her arm, she made one last joke: 10 eggs, 9 eggs, 8 eggs, but by 8 she was out.

Nadia finished the process with 60 eggs. It was almost certain that she would become a mother one day. During her last round of IVF, she picked a sperm donor for some of the eggs. In the end, after looking at the quality of the eggs, they would turn five of the eggs into embryos and freeze them, in case she never met someone with whom to share her life.

Nadia left the clinic with 57 frozen eggs and 3 level one frozen embryos - two didn't fertilize for whatever reason. Nadia was thrilled. She signed the paperwork, hugged her favorite phlebotomist Maria goodbye, and headed to the airport for an intensive Spanish seminar in Mexico City.


June, 2045

Nadia met her husband of two months Christopher at a wine bar in Lincoln Park.

“Damnit, I can’t believe this place isn’t handicapped accessible,” Nadia said to Christopher, lamenting her bad choice.

Christopher was in a wheelchair. He had been paralyzed after being hit by an IED during his tour of duty in Iran. On their third date, Christopher told Nadia that he couldn’t have children. On the fifth date, Nadia told Christopher about the clinic in Tijuana. She had spent the last decade or so liberated by the fact that she could have children on her time table, not on anyone else’s. She didn’t treat each date as a man whom she could possibly marry. She could be relaxed and just enjoy her life.

They left the wine bar and headed over to the Mexican restaurant with burritos and frozen margaritas as big as your head.

“It’s a bit dumb to be eating Mexican food the day before we go to Tijuana,” Christopher said.

“The food there isn’t like this. This is American-Mexican food,” Nadia said.

Christopher nodded and sipped his drink. The tequila was making him sleepy.

The next day Christopher and Nadia boarded the plane. They each had two suitcases. Each one cost $100 to bring on the plane, but they would need everything that they packed.

After tipping the Uber driver generously, he helped them to unload their luggage at the Airbnb. On their way to the Fertility Clinic, they held hands, unable to contain their excitement. They had made this appointment ten months ago, the day after their engagement, and couldn’t wait to get started. Then they headed to the fertility clinic. Maria was there to welcome her. She had been promoted to Director of the International Department, and they hugged like long lost friends.

“You must be Christopher,” Maria said.

“The one and only,” Christopher smiled.

“Both of you can put on your hospital gowns and then come with me,” Maria said.

“Why do I have to wear a hospital gown?” Christopher asked, looking uncomfortable.

“We must maintain a sterile environment, Mr. Christopher,” she said.

A tech disinfected Christopher’s wheelchair, and they suited up and went through three steel doors that required fingerprints, retina scans, even a DNA sample. Finally, it was time.

The dark room mimicked the sounds of a womb. It was loud but calming. Maria walked them over to the sealed tank filled with thick fluid.

“Meet Baby Xlh9z56 and Baby Ynotg7h44,” Maria said with a tear in her eye. She had done this many times, but she had always felt a special connection with Nadia.

“Would you like to do the honors, Dad?” asked Maria. “The password is today’s date. Don’t forget the 20 for the year.”

“Ha! That’s the passcode for our Airbnb,” laughed Christopher.

They all chuckled. Then Christopher pressed the code for the first tank and then the second. Within five seconds, the fluids from both tanks came gushing out into the drainage system. Two nurses were ready with towels and scales. They were perfect. She weighed 6 pounds, four ounces; he weighed 7 pounds, two ounces. Beautiful eyes. Beautiful screams. They whisked the babies to the postnatal rooms. Both Nadia and Christopher took off their shirts to hold the babies skin to skin.

“They’re perfect,” Nadia cried as she gave her baby girl her first bottle.

“Yes,” Maria said. “They all are.”

Tuesday, December 10, 2019

I'm not Oprah, but Here are my Favorite Things

Another day home with my master cougher so I thought I'd write an unusual blog post for me. These are items that I've purchased over the past couple of years that I really love as a mom of young kids. What would have made them even better is if I hadn't had to pay for them!

So I'm providing you with a list of these items. There is a caveat. Besides the books, the kids might not squeal with pleasure over these things. So if you need that affirmation, my list isn't for you. However, their parents will (might) be happy.

Books

1. The Gingerbread Girl
by Lisa Campbell Ernst
Run to get this book appropriate for preschool and up. It's our all time favorite.

2. The Piggy and Gerald Series
by Mo Willems
I dare you not to love these books. I double dare you. These books are good for preschoolers through first grade. 

3. Running Across America: A True Story of Dreams, Determination, and Heading for Home
McGillivray, Dave
The title says it all. Primary grades.

4. Just Ask!: Be Different, Be Brave, Be You
by Sonia Sotomayor
Also for primary grades. I read this to a class of first graders and they loved it. The book details people living with different challenges and describes them in a way appropriate for children. The kids loved it.

5. I Dissent
by Ruth Bader Ginsburg
We bought this for my daughter when she was in Kindergarten, but had I read it in advance I would have waited another year. The book is so awesome and inspiring.


Products

6. Natural Citronella Bracelets (not a specific brand)
This might be a weird gift for the holidays. However, my kids and I are mosquito magnets and use these all of the time during the summer and fall.

7. Trueocity Kids Toothbrush 4 Pack - Soft Contoured Bristles - Child Sized Brush Heads (3-10 year old) -
Yeah, if you get a kid toothbrushes for the holidays, they will probably hate you. However, their dentist will be happy.

8. Stainless Steel Lunch Box and Food Container set
and
LunchBots Medium Uno Stainless Steel Sandwich Container 
These items are a game changer for lunch and snacktime storage. They are also great to use as tupperware. 

9. CamelBak Eddy Kids BPA Free Water Bottle
Although it's annoying to have a water bottle that has parts to it, these hold up well in the dishwasher. Throw in some extra valves and straws. Good for ages 3 to 7. 

10. Mabel's Labels 
Another game changer item. Buy stickers or a stamp with your kid's name on them. No more lost items. No more sewing in name tags. 

11. Ezy Dose Kids True Easy Syringe 2 TSP (10 ml) | Baby and Kids Liquid Medicine Dispenser | Infant Oral Syringe
Okay, I get it. This would be a really strange gift. However, little kids get sick. Some more than others. This product provides assurance that you are giving the correct amount of medicine

12. Physio Logic Fever-Bugz Stick-On Fever Indicator
Another weird one. But no kid likes their temperature taken. You just stick this puppy on their back, lift up their shirts, and you can see if they have a fever. I don't find the number to be all that accurate, but it helps me to determine whether or not to give my child a fever reducer. 

13. Munchkin Arm & Hammer Disposable Changing Pad - 30 Pack
When our kids were babies, we traveled on very long flights. These are very light weight and disposable, so it made our travel easier and a tad bit cleaner.

14. Paint with Water Books
This isn't a specific brand recommendation, but a type of coloring book that only requires the child to use water. It will keep them occupied for at least three minutes.

15. Sight Words Flash Cards
You need to know your "sight words" says every teacher ever. This is a great way to help out a little one to learn them. 

16. Dry Erase Workbooks
Remember when we were kids and you'd write in a workbook and then throw it away? Now there's dry-erase workbooks for kids to learn how to write letters, numbers, and more. You'll need to also buy dry-erase pens because there's no way that one pen is going to last more than a week. 

17. Crayola Washable Kids Paint, 10 Neon Paint Colors, 2oz Bottles, Gift
I'm not sure why these paints are better than any others, but I can tell you my kids love them. 

18. Microsocope for Kids or a Telescope for Kids
Schools are emphasizing science like crazy (STEM/STEAM). In addition, prior to school crushing their souls (not my school) kids still have a natural curiosity for life. These products enhance that curiosity. 

19. Sewing and Knitting Kits for Kids
Look what's back in vogue. Learning to sew and knit is all of the rage now, particularly since kids have such poor fine motor skills. Let them tack a crack at it. It might become a useful skill or a way to wind down from this crazy world. 

20. Disposable Children Placemats Stick-on Table
Admittedly, not great for the environment, but these are lifesavers if you are traveling and need to feed your kid in places that just aren't that clean. 

I hope this list was helpful. The cougher is napping, but I need to wake him up. Have a happy holiday season. 

Sunday, March 9, 2014

Spending Five days in a Foreign Hospital with my Baby

A few months ago I wrote about a negative experience we had at an Israeli hospital. Writing negatively is often easier for me. I’m more impassioned about negative experiences. I don’t know if this is true for all writers, or if it’s just my personality.  I feel an inordinate amount of outrage oftentimes. As I’ve gotten older, I’ve learned out to deal with these feelings, and not be so controlled by them. I also have a partner in life who balances me out, and doesn’t get ruffled by much.

(Actually this positive story has a negative back story, but I’m not going to go into that, although I really, really want to).

On the day of my daughter’s first birthday, Friday, she came down with a cold. The cold did not improve and on Monday, she was sent home from day care with a fever.  I stayed with her on Tuesday. My husband stayed with her on Wednesday, and when I came home from work, we noticed she was breathing rapidly. She wasn’t wheezing, she wasn’t having trouble breathing, she was breathing rapidly.

It was already after hours for my doctor – cue negative story, which I’m not going to write about – and so I called my friend in the US of 20+ years, Dr. Jennifer Miller. 

Jennifer is not just a friend. She is a good friend. The best, really. She is always there if you need her, really always.  And she has always been there for me, amazingly, since high school. So I called her, crying I believe, and I asked her how many rates should Maya be breathing per minute.

She told me the number and Maya was almost double that.  So we took her to the ER. Where to go? Our last ER visit nearest to our apartment wasn’t good. We had taken her to Tel Aviv with an eye infection, that ER was pretty good. But we decided to go to Schneider Children’s Hospital in Petah Tikva.  The hospital has an amazing reputation, and we decided to go.

Being in any ER isn’t usually glamorous, but this ER was very chaotic and very busy with a lot of yelling.  We were put in a mini room fairly quickly, but getting her seen just took a long time. When she was seen, we wouldn’t hear from nurses or doctors for very long periods of time, even after she spiked 105 degree fever.

My husband kept reminding me that we were in a public hospital. If I wanted to go to a private hospital, it would be different. But we were in a public hospital. After 12 hours in the ER, I called my own doctor here and asked him if we were in a good place. He said, the best. So we stayed.

After 16 hours we were admitted.  My daughter was preliminarily diagnosed with RSV, a common respiratory infection that in a small percentage of 0-2 year olds that can be deadly.  Maya wasn’t getting enough oxygen, and she would need to either wear a mask or be under something that looks like a dog house – official medical term. 

By the way, there is an RSV preventative medicine (not exactly a vaccine, but vaccine like), but it's extremely costly and not offered, unless you ask for it. And then, you have to pay a lot of money (unless your baby is very premature).  Although the $25,000 our insurance shelled out for her hospital bill, probably cost them more.

I talked to my older brother, also a doctor,  also while we were at the hospital, and he said my niece had had this. She wasn’t hospitalized, but it was a bit of a long haul and wouldn’t be something that would go away overnight.  My parents said my other brother had this.

We went up to the seventh floor and she was examined by the chief resident.  A nurse led us to our room, and I was shocked. We would be sharing a very small room with two other parents and two other babies.  Maya and I would be sleeping with two strangers.

This is where I have to admit to being spoiled. I’m a spoiled person. I’m not a brat and I’m not a snob, but I am spoiled. I thought to myself, how am I going to do this?

There would be more. We were in charge of Maya’s vitals. We had to take her temperature in the hospital. We had to notify the nurse if her oxygen levels went down. There was no central command center per say receiving this data or reacting to it.  If she needed a bottle, we’d have to get it for her. If she needed Tylenol, we’d have to go ask for it.  If she wet her sheet, we’d have to go get a new one and change it.  Oh, and there was no t.v.

(For people who are not spoiled, this is not totally normal from where I’m from in the US. You may have to advocate, but you don’t really have to do anything, typically. And there are t.v.s)

After her first 24 hours in the hospital room, Maya was doing great. We wanted to take her home. The next chief resident and the attending doctor said, “no.” She needed a full 24 hours oxygen free, no exceptions.

So I went to the chief resident and said, “Do you really think she needs to stay?”

He said, “She is borderline for sure, but you should know this disease can work very fast and she can get very sick, very quickly. But you are not a prisoner, you can leave if you want.”

We decided hesitantly that she should stay.  I didn’t want to take a chance and knew that some of my desire to return home was based on my own discomfort with the language and the nurses. (Also, my husband offered to be there with her all of the time, but I refused to leave, and needed him to run errands and sleep at home.)

Most people in Israel speak English, but at the hospital most of the nurses didn’t. I am also really uncoordinated and was very nervous. I wasn’t doing things the right way, or the way that they wanted me to.  I was also very tired, and my Hebrew just wasn’t working. The nurse would say, “Ima,” and then all I could hear was blah blah blah blah blah.

And then there were my roommates: One family was Orthodox, one family was Ultra Orthodox. Also, I didn’t know who would be staying overnight, the mother or the father, so I wasn’t comfortable sleeping in a room with strange men, no matter how religious they were. But clearly, I didn’t have a say on whose mom or dad stayed.  I also was dreading Shabbat. I wanted to be on my computer or talk on the phone. I didn’t know if they’d say something or ask me not to.

However, Friday, Maya took a turn for the worse. She was totally lethargic, feverish and needed constant oxygen. Had we gone home, we would have come right back. My in laws came with food.

We got along with our roommates very well. Their babies also had RSV, as did three other babies on the floor. One of the babies had stopped breathing and had come to the hospital by ambulance. They were both about 6 months old. Maya was a little on the old side to be hospitalized with RSV, and it’s unclear why she reacted that way. I spoke with the other mothers in my broken Hebrew. They were very nice and our religious differences never mattered. On Shabbat, I’d answer the phone, but leave the room. They never asked me to do this, but I did. I used my computer and they never said a word.  One time, I needed to change Maya’s sheets and couldn’t manage holding her and changing the sheet at the same time – although they had no problem doing it with it with their kids. They helped me and told me to ask them for help anytime. It was religious pluralism so lacking here and in the U.S., thriving in a small hospital room.

After being there a few days, the nurse realized I hadn’t bathed Maya. I was reluctant to bathe her in the sink there. It just seemed gross. The nurse told me it wasn’t her job to help me bathe my daughter, but she would help me. She cleaned the sink and then spent the next long five minutes yelling at me about this or that. “Ima blah blah blah blah blah” I apologized for not understanding what she wanted, and she said it was okay.

By the way, nurses in Israel are extremely overworked and underpaid, more so than the US.  Starting nurses make about $19,000 here. There is also a significant nursing shortage, embarassingly so for a first-world country. The nursing care we received, with the exception of one nurse, was excellent. Also, the nurses do every thing, you don’t see a doctor very often, really only once a day.

On Sunday, Maya was doing better, and we were released by about 5 p.m. As I walked around the floor with her, I kept thinking how lucky we were, and thought of all of the parents and kids where the hospital was basically their home away from home, because their children were born with severe defects or had cancer or liver failure. All I could feel was gratitude, especially for the resident who convinced us to stay after the first 24 hours and the attending physician who demanded it. 

The resident was beginning his shift right as we were being released. I found him and thanked him.

He said, “You know, the next day at home I looked you up in the computer to see what had happened.”

 “I sort of figured you would,” I said.

So, it wasn’t the US, but Maya received excellent medical care. It wasn’t fancy, but they got her better.  And in the end, that’s all that matters.

And maybe, just maybe, I’m a little less spoiled.

Maybe.