Sick

Once upon a time I thought that sickness meant being sick. You feel gross, you take medicine, you press through when you have to and get extra sleep when you can, you get better. Then I had children. And my children got sick all the time. And I got sick all the time too. And I realized that sickness effects everything.

Sickness is exhaustion. It is baby waking up every 10 minutes because she is too miserable to sleep. It is baby “sleeping” on top of you, elbow in your face, knees in your side, moving restlessly. It is middle of the night throw-ups: wiping faces, changing pajamas, stripping sheets, settling a pale child back into bed. It is daddy putting on new sheets while mama deals with crying child. It is the washing machine going in the middle of the night. It is lying in bed with children climbing all over you because you are too tired to get up in the morning.

Sickness is nursing and nursing and nursing. It is wishing you had stopped nursing by now. It is being so glad you are still nursing, when your baby or toddler won’t drink anything else and is looking increasingly less pudgy than a few days ago. It is nursing your almost 2 year old in the middle of the night, even though you finally got her night-weaned months ago, because she is so miserable and just needs comfort.

Sickness is an everlasting fever chart. It is peering confusedly at the medicine record, bleary eyed in the middle of the night. It is feeling that telltale hot forehead and knowing it is starting all over again. It is finally throwing out the fever chart and then reluctantly starting a new one the next day. It is owning 6 thermometers because somehow they never seem to work.

Sickness is trying to keep track of who is supposed to have medicine. It is managing to get your children properly medicated but realizing you forgot to take your own medicines, again, even though you really aren’t supposed to miss it.

Sickness is vitamin C and elderberry, probiotics and apple cider vinegar and essential oils and hand cleaner...and wondering if they will do any good against germs coughed directly into your mouth. Sickness is toddler who won’t leave your lap coughing into your food at every meal, and wiping her nose on your shirt, and drinking from everyone else’s water bottles. It is children who remember to cover their mouths...sometimes...and who use tissue to wipe their noses...when you remind them.

Sickness is coming down with your own sickness when already worn down from nights of comforting and days of carrying around a fussy, clingy baby. It is planning your day around possible naptimes. It is not having enough voice to read home school. It is dragging yourself out of bed to make chicken soup. It is children watching too much TV. It is everything you own exploded all over the floor.

Sickness is slowly getting better – itching to clean that mess which is driving you crazy, catching up on home school reading with a scratchy throat, dealing with the dire laundry situation. It is arms so tired, hanging up the clothes. It is dizziness. It is the decision whether to press on or to lie down and rest.

Sickness is trying to listen to your body, when it says you need to rest or you might fall over and die. But sometimes your body says, “What you really need is coffee. Lots of coffee and sugar and carbs.” And sometimes it says, “I hate you. Why are you so mean to me? How would you like some double pneumonia,” and you don’t need that kind of crap right now.

Sickness is wondering why there isn’t more public recognition of the monumental milestone of “learning to throw up in a bowl,” because it may be second only to “sleeping through the night.” It is when everyone has been throwing up enough you start to hear phantom throw-up sounds.

Sickness is toast and crackers and electrolyte popcicles. It is rejecting any food or drink. It is ravenous hunger before you are allowed to eat. It is excitement over the first real food – an egg or that blessed first peanut butter sandwich.

Sickness is asthma flare-ups and extra inhalers and that barky, croupy cough going on and on.

Sickness is lying in bed looking out the window at the waning sun, darkness falling over your room like a weight, like depression. It is the knowledge that you have spent almost all day in bed, and bed feels like a prison. It is summoning energy to get children to bed amidst the evening fever rise, feeling stale and dirty but too weak to shower, looking ahead to another sleepless night.

Sickness is the disappointment of canceled plans. Missing a rare party or your child’s performance or a date with a friend. It is staying home with sick children during the holidays. It is having to tell your child that she won’t be able to go to the party she has been talking about all week. It is your toddler insistently bringing you her shoes wondering why she never gets to go outside anymore.

Sickness is confinement. It is days without stepping outside the confines of the apartment. It is well-children going stir crazy, because you can’t even send them outside to play. It is well-children missing school because you don’t want to take the sick children out in the cold and pollution.

Sickness is anxiety. It is looking helplessly at your listless child who has hardly sat up in two days. It is listening to your baby’s rapid heart rate and labored breathing. It is the dread of having to go back to the local hospital. It is self-prescribing. It is finally going to the hospital...waiting in lines and lines with sick people who touch your child’s face. It is the 30 second check up and antibiotics you hope are actually warranted. It is the fear that it could be something serious. It is searching Google, even though it will try to convince you it is cancer or TB or the plague.

Sickness is kids who act like jerks, even when they aren’t the sick ones. It is being an even bigger jerk than your children, when you are supposed to be thirty years more mature. It is taking a while to even feel bad about being a jerk because the whole world is stupid and deserves your full wrath. It is parents snapping at each other, even though we know we are both just tired, so tired and not feeling well.

It is hoping your kids forget the jerk-mom and remember the one who put a cool washcloth on a hot forehead. It is cups of juice with bendy straws and crackers to nibble. It is making meals you are too sick to eat. It is realizing your baby would sleep if only you stood rocking her for the next 10 hours. It is little heads drooped on big shoulders, little hands wound through hair. It is finally seeing the shine return to their eyes.

If, of course, you aren’t too sick to notice.

Tale of a Second Nursling

A few years ago I wrote Juliana's nursing story, and I wanted to record and remember my nursing journey with Adalyn as well.

I think even Adalyn was shocked by the speed with which she entered the world.  She wailed loudly, protesting the harsh transition. But as soon as the excitement died down, she happily settled down to nurse. I loved being able to provide her with such a safe place in the strange new world - the warmth of mama's skin, a known voice, a familiar taste, a first and continuing connection.

But after her good start, Adalyn was sleepy and not so interested in nursing. The hospital's lactation consultants offered assistance, but when we left the hospital after two days, she was still not nursing well.  I wish I had asked for more help, but I figured we could work it out at home.  Besides, I had already done this before so surely I should know what I was doing, right?  Of course, Adalyn was just learning everything for the first time.

My milk came in by the second or third day, and since Adalyn wasn’t nursing so efficiently, I quickly became super, painfully engorged.  It caused a high enough fever I had to trek back to the doctor the day after leaving the hospital so they could rule out uterine infection.  Armed with pain medicine and cabbage leaves, I improved over the next few days.

The first weeks were rough.  I contracted mastitis twice in two weeks time - super high fevers, painful swelling, the whole works.  I have rarely felt so terrible in my life, but a hungry baby was always waiting, and of course nursing - the last thing you want to do - is one of the things you have to do constantly both for your sake and the baby’s.  During the worst of it, Kevin laid Adalyn next to me in bed and helped get her latched on since I couldn't sit up.

Thank goodness we were still with my family.  My mom, who has years of experience dealing with sick kids in the middle of the night, took over when I couldn't think clearly.  She helped get my fever down, called my midwife, and made trips to the 24hr pharmacy for more antibiotics, and she took care of everyone during the days of recovery.

Around this time, The Womanly Art of Breastfeeding arrived from the library.  I read it practically cover to cover, even the parts that didn’t really apply to me.  I realized how much I had forgotten about nursing from the first time around.  It was so affirming and normalizing.

The mastitis finally improved but I was left with what appeared to be a plugged duct.  After working at it for days with no success, I went back to see the hospital lactation consultant and was examined by my midwife, who thought it seemed more like a cyst than a plug.  She scheduled an ultrasound and mammogram.  We spent the afternoon at the hospital, but fortunately the cyst turned out to be harmless and didn't need any extra attention.

Finally we reached the end of the first month, and things really started turning around.  During that first month, I was so grateful for my previous nursing experience to look back on.   I kept reminding myself, "This is worth it. It will get better. You really loved nursing."

Even in the pain and difficulty, there were sweet moments during that first newborn month.  The wailing impatience of a hungry baby instantly satisfied by the breast.  The milk-drunk baby who cannot resist drifting off into sleep. The tiny hands that reach and knead.  Waking up to discover you and baby have both fallen asleep nursing side by side.  Such closeness.

And things did get better after the first month.  At least until the second month, when I discovered another plugged duct.  After working and working at it with no success, I finally went to see the doctor, who ordered an ultrasound.  The results of the ultrasound were inconclusive, so a biopsy was done.  The whole process took weeks since it was over the holidays, so I had plenty of time to imagine tragic scenarios.  Finally I got the results - everything was normal!

And then, it really was smooth sailing.  Adalyn was a faster nurser than her sister, averaging 20 minutes a session instead of 45, which made a big difference, especially during the night!  She nursed often during the day but went for longer stretches during the night, so I really couldn't complain.

As Adalyn grew, she was also a much calmer nurser - perhaps because she was used to constant distractions.  She focused without too much difficulty and attempted much less acrobatics.
Her first birthday passed by with no thought of weaning.  What was a decision with Juliana - extended breastfeeding - was never a question with Adalyn.  It seemed perfectly natural to keep nursing, not “extended” at all.  We gradually reduced sessions until she just nursed before nap and bedtime, or occasionally during the day if she was fussy.  I would sometimes bring her into bed in the morning to nurse, but she rarely settled back down.

She derived great comfort for nursing, and I loved the connection with my busy toddler.  She loved to hold my hand or play with my fingers while she nursed. When she was feeling tired or sad or lonely, she would cry, "Naptime! Naptime!" Which I eventually realized meant nursing.  

Then one day at about 19 months, Adalyn abruptly stopped nursing.  One day she was happily nursing and the next she refused. I thought it was teething, which were obviously making her miserable, but as the days passed with no further interest in nursing, I knew she was done.

She nursed longer than many babies do, of course, but I was still sad for our nursing relationship to end.  I wish I had warning so I could capture those last days of special closeness.  I missed our time of cuddling, which she now had no patience for, and we had to work out a new bedtime routine.

Now I sit beside her crib and sing her a few songs while she sits up and pushes her face between the bars for kisses.  It's not the most calming routine, as it keeps us both laughing, but it's also irresistible.

I am grateful for the 19 months I had nursing my sweet second baby! 

Tale of a Nursling

Note: I am not writing this to make anyone feel bad about whether they nursed or how long; I am writing because I want to share my story of what a great experience nursing can be.


Nursling Baby
Juliana nursed for the first time when she was about half an hour old.  It must have been very comforting, after being thrust into a loud, confusing world, to once again be surrounded by a familiar smell, a familiar taste, and a recognized voice.  Her tiny hands flickered over my skin, and she looked up at me with big, bright eyes.  I could hardly believe she was mine, but she obviously knew I was hers.

The first couple of weeks of breastfeeding were very difficult.  Juliana latched pretty well from the start, but she was jaundiced, so keeping her awake long enough to nurse was nearly impossible.  We took off her clothes and annoyed her in every way possible but she still slept on.  Getting enough milk was important to reduce the jaundice, so the hospital lactation consultant recommended I started pumping and giving her extra feeding from a syringe.  Each feeding I spent 30 minutes trying to wake her up enough to nurse her, then I spent 30 minutes painfully pumping while Kevin fed her tiny bits of colostrum from a syringe.  It was so hard to relax, and the high blood pressure I developed just after leaving the hospital didn‘t help.  She nursed every 2-3 hours during the day and we had to wake her up every 3 hours at night, so there wasn't much of a break before it was time to start over again.

Once the jaundice started to go away, Juliana became more alert and nursing was much smoother.  I was happy to leave the breast pump behind for the most part.  For the first month or two she mostly ate every 2-3 hours, for 30-45 minutes each time, and I felt like I was nursing all the time.  I read 20 books in the first three months, mostly in the middle of the night!  I also watched a lot of TV, both of which were helpful in allowing me to relax.  Once we both started getting the hang of breastfeeding, it became much easier.  I loved the way Juliana would close her eyes and start rooting around when she was hungry, and she would wail pitifully if she had been hungry for longer than 30 seconds.  I loved the way she predictably drifted off to sleep at the end of every nursing session, too warm and cozy to resist.

I first started nursing in public when Juliana was 5 weeks old and we had a 37 hour flight back to China.  I was a little nervous about it since I still wasn't entirely comfortable with nursing even with no audience, but it went fine.  By the end I felt much more comfortable nursing on airports and airplanes and with people looking over my shoulder.  Nursing isn't as popular in China right now, but people do seem to be a bit more open about it.  When we would have (female) students or teachers over and I was nursing Juliana, they would come sit by me and watch her nurse.

When Juliana was about 2 months old I developed mastitis.  A student took me to see the local doctor and then tried to translate his diagnosis: "He says you have too much milk."  Eventually we were able to translate the word "mastitis" which made things a little clearer, but then he prescribed some medicine I shouldn't take and told me to stop nursing, which I knew I shouldn't do.  After a call to the doctor-aunt of another student and a bit of self diagnosis, I bought some amoxicillin and it started to improve.  Everything I read said that rest was very important…they probably didn't mean "take a 14 hour train to Beijing and then trek across the city on bus and subway."  But Juliana had a 2 month check-up and immunizations, and at least I was able to see a better doctor in Beijing who confirmed that the mastitis was improving.

Once we got past the early days, nursing was pretty easy and I enjoyed it.  I loved the connection I felt with Juliana and the peace I felt knowing I was providing the nutrition and comfort she needed.  She continued to nurse during the night, but a particularly nasty stomach bug forced me to learn to nurse lying down, which was helpful.  She went through several stages of supreme distraction, and there were times when she drove me crazy by picking at my skin.  She learned to do some pretty complex acrobatic moves while nursing, a skill I didn't always enjoy.  But overall, things were going great.  She became a more efficient nurser and started to nurse for 15-20 minutes instead of 30-40, and she wasn't nursing as frequently so it was much easier to schedule going out or being away from her for short periods of time.  She was never on a strict schedule, but she naturally fell into a relatively predictable routine.
 
Nursling Toddler
Shortly after Juliana was born I distinctly remember telling a friend I planned to nurse her until she was about a year old and that was long enough.  I said, "Once she can start asking to nurse, that's a little weird."  Now I have to laugh at how much my thinking has changed.  When she reached the one year mark I thought, "One year is such an arbitrary time.  Just because it's when most people stop nursing doesn't seem like a good enough reason to stop."  So I didn't.  To my surprise, I found that nursing a past-one year old seemed completely normal.

One day Juliana started walking and suddenly I was nursing a toddler, something I would have never seen myself doing before Juliana was born.  But once again, it seemed pretty arbitrary to stop nursing just because she started to walk.  I read more about the benefits of "extended breastfeeding" both for Juliana and myself.  We were both still happy to be nursing, so why stop?  I knew it would seem strange to some people, but fortunately I discovered many friends who had nursed into toddlerhood.

As Juliana started to enjoy drinking cows milk and became less dependent on nursing, I gradually started nursing her less.  By 15-16 months I was just nursing her before bed and first thing in the morning.  It was nice to have more flexibility during the day, and I enjoyed a chance to cuddle with my increasingly active child.  At bedtime when she asked, "Nurse?  Nurse?" it seemed sweet rather than strange.  Sometimes she would stop in the middle of nursing and look up to give me a kiss.  I could tell these times were important to her for a lot more than just nutrition.  In the mornings I brought her into bed with us and enjoyed not having to get up right away at 6am.  Sometimes she would doze off and we'd both get a little more sleep.

Weaning a Nursling
I planned to stop nursing when Juliana was about 2 years old, but it took a little bit to actually get around to it.   I kept thinking, "I guess I should stop nursing," and then I would think, "But why?  We are both still happy with it."  I don't think there is anything naturally strange about nursing a toddler (in fact the worldwide average age for weaning is four!), though I realize it is a bit countercultural.   At some point I think we have to take cultural norms into account, but let's be honest - there is quite a bit about my life that falls outside of the cultural norms!

Around 26 months I decided to stop nursing at night, since Juliana was only nursing for a few minutes.  I usually prayed for her as she nursed, so instead I just held her and prayed with her.  For a few weeks she sometimes asked, "Nurse?"  I would say, "No, we'll just pray together," and she was fine with that.  A few weeks later she randomly, wonderfully started sleeping much later in the morning, so the morning feeding disappeared rather naturally.  Since her entire weaning experience was so gradual, it was never difficult for either of us. 

I admit that I am a little sad to think of this sweet part of our relationship coming to an end.  It is just one more milestone to show how quickly Juliana is growing.   But mostly it seems like the right time for us to let it go.  I am so grateful for the opportunity to nurse Juliana as a baby and a toddler.  I am grateful for all the support from friends and family and doctors who never doubted my decision.  It has been a beautiful experience.