Friday, November 9, 2012

7QT: Toddlers are Weird


--1--

About three weeks ago, I discovered an odd looking spot on my hip, went in to have it checked, and the doctor said I should get a punch biopsy to check it out.  (I'm skin cancer waiting to happen, given my family history and skin tone, so I'm kind of paranoid about odd spots).  I told her to do the biopsy right then, since I had no idea how long it would take me to get in to see a dermatologist (my previous experience with dermatology had not been great on that front).  So she had me lay on my side and started drilling away.  Listen, I've had four children without drugs, and that punch HURT.  Turns out it was a dysplastic nevi, which is not malignant, but has the potential to be, so she sent me on to dermatology for follow up.  I went this morning, and the lovely dermatologist gave me a full body scan, looked at the site of the biopsy, and said they'd do a bigger resection of the area.  I admit, I was a little afraid of the pain.  Then she pulled out a lovely little needle full of lidocaine.  Oh the bliss.  I didn't feel a thing!!  And now I'm wondering why the heck my GP didn't use one on the initial punch!  So I'm now sporting a few more stitches in my hip, but at least everything should be cleared out.

--2--

Please somebody, for the love of all that is holy, tell me that my children will someday be able to dress themselves without constant hectoring from me.  My eldest is particularly bad, as he can dress himself, he just chooses not to.  He dawdles, loses his concentration, gets distracted by something and spends approximately 20 minutes every morning wandering around stark naked while I or my husband exhort him to put his underpants on.  And then his shirt.  And then his pants.  And socks.  And....well you get the idea.  It is frustrating.  Boo is still unable to dress himself, but can help at least, so that is something.  He just fights getting out of his pajamas every morning, so it takes two of us to hold him down and get him dressed.  Gah.

--3--

I was going to say something about the election (specifically, independent candidates), but I've decided to refrain, and instead leave you with this little gem. 





--4--

I went to Target earlier this week for a rare run, mostly because we needed some things that are difficult to get locally or online, plus Boo needed bloodwork and Quest was near the Target store.  One of the things we had to get was a new winter hat for Boo.  Normally I try to shop for these sorts of things sans children, because they tend to pick out things I'm not crazy about, but sometimes it can't be helped.  So Boo is now sporting a trendy Lightening McQueen pilot cap and hasn't taken it off since Monday.  He's even been sleeping in it.  We also bought him some house slippers, since his old ones didn't fit and there wasn't a pair from Piglet to go into.  He's been sleeping in them as well.  Whatever makes him happy, I guess.  We've been having a lot of two or three pacifier days lately.

--5--

I really like hot dogs, much to my husband's chagrin.  I usually reserve them for days when he is out of town, and so one night this week when he was away, the kids and I had hot dogs for dinner.  Everyone was happy, it was fast, and easy to clean up.  A win-win in my book.  At least until 1:00 a.m. when Birdie threw up all over the place.  I think that might just have put me right off the stuff.  Plus it was super to have to give her a bath, wash her sheets, pajamas, blanket, and so on at that hour.  Plus the whole fact that it was about 62 degrees in the house and it took a while for the tankless water heater to kick on when I was bathing Birdie.  Poor thing was blue and shivering by the end.  Not to worry, I got her bundled up well and back to bed with clean sheets and a fresh bottle and she slept the rest of the night without incident.  Probably just a freak occurrence and not the beginning of something else.  At least, I hope not.  If you don't hear from me this time next week, you'll know that we have succumbed to the dreaded stomach flu.  So far so good.

--6--

Okay, I know this is totally frivolous, but when one feels yucky for weeks on end, Netflix is a good place to be.  I've been rewatching Alias, as I wrote last week, but I also started in on Ringer, a show that I read about last year when it premiered.  So far I'm liking it.  (Doesn't hurt that Ioan Gruffuld stars with Sarah Michelle Gellar).  I'm curious to see where the season goes.  I've also decided to whittle down my network shows to three: Scandal, CSI, and CSI: NY.  I'm sort of tired of everything else I was watching.  

--7--

I finally got it together and photographed some things I made recently.
  

I made both of these a few weeks ago when my husband was away (again!).  Both are CASEd from the catalog.  I usually don't love the samples in the big catalog, but this year, there were so many good ones, I actually bought quite a few sets on the strength of the samples!  Both of these cards fall into that category!

 


Go see Jen and Co. for more Quick Takes!

Saturday, November 3, 2012

Conquering Mount Washmore

Whenever we are planning a family trip, I am inevitably asked several weeks before we leave "if I've started packing yet."  I must admit, I'm always a bit flummoxed by this question, as I don't know how I would pack a family of five for a trip of any duration several weeks before the departure.  We simply don't have that many clothes for everyone!  That has been a particular strategy of mine with regard to the extremely limited storage in this house.  The boys both have about a week's worth of clothing, give or take, the baby has a bit more, I have a bit more (since I am the one who is likely to be on the receiving end of bodily fluids from little people), and my husband has a week's worth of clothing in both business and casual attire.

I know I spend an awful lot of time talking about clothing.  Well, clutter starts in the closet, and I'm definitely not immune.  I will say that I think I've finally got my wardrobe into great shape and I've a much better eye for what will and will not work with my aesthetic.  Which basically means, I'm buying less, buying better, and buying smarter.  My closet has pieces that all work with my vintage-esque look, and are organized by outfits rather than by type of clothing.  My closet is a ridiculous Victorian job that is just over two hangers wide and approximately 12" deep.  There are two closet rods hung back to front that are about 7" long each.  I have another similarly sized closet on the little landing outside our bedroom, so I have a total of 28" of closet space.  Each rod comfortably holds between seven and eight hangers, so I put all the dresses on one side, separates on the other.  My winter wardrobe hangs in the hallway closet, along with a few items that are for in between weather or don't fit yet (still working on that baby weight!)  But I digress.

But here is the point about laundry.  We are a family of five, and my oldest child is 4.5, the youngest 14 months.  I currently do laundry about twice a week, usually a dark load one time and a white load one time, with the occasional load thrown in for soiled bed linens or pajamas.  I find I usually do more when a baby is first born (probably once a day, or every other day), but as the baby gets bigger, a little less, and then less yet.  Over time I've figure out several tips for doing laundry infrequently with a growing family.

One is have fewer clothes.  This sounds paradoxical, as the child with fewer clothes will need them washed more often to have them clean to wear.  But actually, I find it cuts down on the laundry significantly.  If there is less overall clothing in the house, there is just less to wash.

Another is to wear clothing more than once.  Before everyone gets all skeeved out about the poor hygiene over here, think about it.  In generations gone by, people wore the same set of clothing for a whole week, and changed for Sundays.  I'm not advocating that sort of austerity, but my general rule of thumb is, if it is still visibly clean, it is clean enough to wear again.  My boys often wear their clothes 2-3 days at a go.  (Although we do have the odd stretch where Boo is going through 2 shirts and 2 shorts a day with meal/diaper messes.  It happens).  Birdie has just reached the age of occasionally wearing an outfit two days in a row, but mostly she needs fresh clothing every day right now. (I think it goes without saying to change one's underthings every day...)

Maybe I'm weird, but I make my kids wear bibs at every meal.  Even the 4.5 year old.  It makes the wear and tear on the clothing so much less and ensures that they can wear said clothing for more than a day (or a meal!) at a time.  I'm extremely fond of the Bumkins Super Bibs as they have a pocket in the front and can be washed out after every meal and still will be dry for the next meal.  And they are waterproof (for soup spills and the like).  I also still insist on sippie cups for all the little people. Piglet could technically handle having an open cup, but then Boo thinks he needs one too, and he can't handle it yet.  Plus Piglet is clumsy and inattentive at meals and tends to knock over his sippie cup all the time anyway.  So it is one less thing to clean up.

Finally, just do all the clothing together.  Of course, separate lights and darks, and if you want to, do a whites-only load, but don't do the baby's things separately from everyone else's or it just gets ridiculous.  I use All Free and Clear for my detergent and no one has ever had a problem with it in our house.  Use Dreft for the whole family if you are very concerned about it.

I will say I'm not very good at folding/putting away clean clothes in a timely manner (there are times when stuff sits on the drying racks in the basement for several weeks before getting up the stairs, but that is more an issue of stairs than of laundry).  I usually pull the basket of clean stuff up to our bedroom on the third floor the same day, but then fold it a day or two later.  I know, I know!  I'm working on it.  I do pull out anything that will be horribly wrinkled by sitting in a laundry pile for more than a few minutes and hang that up right away (like my husband's button-down shirts, or his pants), but otherwise, the clean stuff can wait until I'm ready to do it.  It helps also that we have a small capacity washer, so each load is fairly manageable.  Two loads together take about 20-30 minutes to fold and put away.  Lately I've been folding the laundry on the first or second floor while I'm doing something else, and that seems to be helping me stay on track with getting clean laundry put away in a timely manner.  I find if I've got a movie on the computer, or music on the stereo, or some other form of distraction, it is easier for me to fold it and put it away.

I know, nothing earth-shattering, and I know that those of you with larger families are probably laughing your heads off at me right now, but that is what is working for us at the moment.  I'm off to fold some laundry.


Friday, November 2, 2012

7QT: Hurricane Sandy Edition



 --1--

I spent the run up to Hurricane Irene in labor with Birdie and then rode out the hurricane on the postnatal floor of the hospital where she was born, so I can't say that I did much hurricane preparation a year ago except to pray fervently that Birdie would be born ahead of the hurricane (and she was, by about 18 hours). I made some food for my husband and boys to eat while I was unavailable, but that was about it.  I would have done that anyway because of the intense nesting urges I get while in labor.  So when it suddenly occurred to me on Friday evening that we were directly in the path of a category one hurricane that was 800 miles across, I freaked a little.  I went to the grocery store, stocked up on groceries (especially bread, which we were suddenly out of), and then worried that we didn't have enough water in the house in case something happened.  I started filling up (clean) empty bottles and containers from the recycling bin and reading about hurricane preparation.

--2--


Being Orthodox, we always have plenty of candles on hand, plus we keep a small oil lamp burning in the icon room, so I wasn't so concerned about light if the power went off.  I wasn't even that concerned about food--we had plenty of things to eat that didn't need cooking.  I worried a little about having enough formula on hand for Birdie (our supplies were slightly low).  I ended up going back to the store on Saturday and Sunday for things I'd missed, or suddenly realized it would be hard to be without if the power were out for a week as they were predicting.  Judging by the picked over shelves, I think everyone else around here had the same thought.

--3--

Sunday night, Piglet's headmaster called to say school was cancelled for Monday and Tuesday, and then later that evening, our CHOP pulmonologist called to say that the department was going to close Monday morning, but that if we wanted to keep Piglet's appointment, he'd still be coming in.  I said yes, we'd get there come you-know-what or high water.  We've been waiting months for this appointment and Piglet is out of options.  He's been coughing his head off for four years now, and we just can't get to the bottom of it. And believe me, we've tried a lot of different things.  It interferes with his sleep, he is prone to croup and respiratory infections, and I think some of the behavior issues that we struggle with for him are related to the fact that he is so tired all the time from all the coughing.

--4--

Unfortunately, SEPTA stopped running at midnight on Sunday, and the taxis stopped service sometime Sunday night, so my sitter couldn't get in on Monday morning.  My husband was considering going in to work that day, but I convinced him that the campus-wide notice to stay home applied to him and got him to stay with the littles while Piglet and I braved high winds and heavy rain to get to CHOP.  I'm so glad we did!!  Piglet is seeing Birdie's pulmonologist, who has been fantastic, and I like having the same (very smart) brain thinking about both of them.  He thinks Piglet has tracheomalacia, which is one of the things Birdie has, and is starting him on the medicine that has helped her so much.  It's too soon to tell, but I'm hopeful.  In addition, he is scheduling a bronchoscopy to have a look-see in Piglet's lungs, because we just don't have a good picture of what is really going on down there.  GI is going to do an endoscopy at the same time because of long-standing unresolved GI issues as well.  So we'll have to wait a few weeks for the departments to coordinate their schedules, but I remember it didn't take that long with Birdie in the spring, so hopefully sooner rather than later.

--5--




We went home soon after the appointment as the wind and rain lashed us all around, but we were lucky.  I found myself cooking ahead, afraid we'd lose power at any moment.  I'd done all the laundry on Sunday, just to be safe, and kept filling empty containers with water as we had them.  A big branch came down from our neighbor's brittle pear tree and missed our power line by 1/2"!!  We were very fortunate to keep power through the whole storm.  There were some big branches down on our street, and the pear tree didn't fare so well over all, but everything stayed rooted, the lights stayed on, and we were all safe in the end.  I'm just shocked by the flooding in New York City--so many of the places that are under water are places we regularly visit when we are there.  There are tons of photos online of the devastation, but I found the photo of seawater rushing into Ground Zero particularly sad and poignant.


--6--

In news unrelated to the hurricane, this morning Birdie figured out how to clap her hands!  It is hysterical.  She slaps her hand against her chest first a few times, then looks at her hands, and then slaps them together, chortling all the while.  Of course, Boo and I were clapping our hands and saying "Yay!!" the whole time, so she may have been confused about the purpose.  She's also getting a few more steps every day--still unsteady, and still mostly cruising, but she is standing unassisted for longer periods, and is starting to get more brave about taking a few unassisted steps from point A to B.  Personally, I'll be glad when she takes off because I think she'll be happier overall.  Plus it may help with our current problem of having to completely confine her during church.  There is a world of difference between a walking toddler and a crawling toddler in an Orthodox space.

--7--


After having all three kids home for three full days (in addition to the weekend, when my husband worked all weekend), I'm all done in, as the British say.  We had planned to pull Piglet out on Wednesday because we don't celebrate Halloween, but I wasn't planning on Hurricane Sandy!  My boys get kind of nuts whenever the barometer changes, so they were all nuts this week.  I'm still feeling a bit under the weather, so even though it is finally sunny today, I just don't have it in me to go outside and photograph all the stuff I've got ready to go from the last little while.  On the upside, Alias is now available to stream on Netflix, so I've been re-immersed in the world of Syndey Bristow and Milo Rambaldi once more.  Gosh, that was a fun show.  Can I be as cool as Sydney when I grow up?


Go see Jen and Co. for more Quick Takes!

Friday, October 26, 2012

7QT: IEP Edition

--1--

For those not familiar with the term IEP, it stands for Individualized Education Program, and you get one whenever your child receives services from Early Intervention or Special Education.  It is reviewed annually, and states the problems your child showed on evaluation, the goals of therapy, and the specifics how those goals will be accomplished in therapy.  It is not a short document.  Piglet's IEP from last December is 23 closely spaced pages long and full of bureaucrateze. 

--2--


I'm about to be a mom to three IEPs.  Piglet and Birdie both have sensory processing disorder (in addition to Birdie's physical delays because of her health issues), and we are having Boo evaluated for the same given the high risk and the behavior issues we've been having with him.  I think it is likely he will qualify, which will make me the proud manager of three IEPs (as opposed to our current measly two).  But it adds a layer of complication to our lives.  It means juggling another set of therapists, and schedules, and making sure everyone is receiving the correct number of hours of therapy they qualify for.  For the children under 3, this hasn't been an issue because the agency that manages children birth to age 3 is well-run in the city.  The agency that takes over at age three has been horrendous.  (And I've heard from numerous other parents the same experience).  It took a whole year for them to get Piglet's therapy lined up and consistently on a schedule.  During that time, my calls to our service coordinator and his supervisor were ignored.  They are required by federal law to provide services within 14 days of an IEP meeting (which occurred last December), and there is absolutely no enforcement or accountability.  It is frustrating.  I'm glad that Boo is under three, so at least if he qualifies, we will get six months of decent service before entering the bureaucratic morass once more.  Gah.

--3--


I'm also somewhat discouraged about the challenges of parenting my kids well.  They all need a lot from us, and they need it all the time, every day, all day.  And my husband is very busy with his job.  The ebbs and flows that used to characterize his work life during the school year have sort of gone away in the last few years, and now he seems to be busy most of the year.  Sometimes it seems relentless.  But some of that is just being a parent of a lot of littles, I think.  I just need to pull up the big girl panties and stop moaning into my tea cup.  On the bright side, my kids are incredibly funny, charming, intelligent, interesting characters.  They will be fascinating adults, I think.  We just have to get them there. 

--4--

A random aside.  You know how I mentioned The Victorian Kitchen series last week? It really is all that and a bag of chips.  But what I really want to know is how on earth did those Victorian ladies maintain such slim figures on the sorts of diets the upper class ate?  Goodness sake, if I ate that much food every day I'd weigh 300 pounds!! (Bacon, eggs, kidneys, toast, fish, etc. for breakfast, then elevensies, then lunch, then a substantial tea at 5:00, followed by a SEVEN-course dinner at 8!!)  The amount of food consumed on a daily basis in a Victorian household is just astounding.  The narrator did say at one point that the amount of daily food was equivalent to one week's worth of food for a family today.  Speaking of food and food preparation, I'm having a hard time adjusting to having three hungry boys in the house!  My husband (the skinny wretch) eats a ton, and my two boys can sometimes eat both of us under the table.  I am always struggling to know how much to make because sometimes one recipe isn't enough, and sometimes double is too much.  Sometimes it all comes out fine, but mostly I find myself either scrambling to find more food to serve, or staring at way too many leftovers.  Last night was particularly disastrous as I made my mother's wonderful Sloppy Joe recipe, and there was barely enough for everyone (and in fact, I had to give about half my dinner to the boys and eat something else later on--so unhealthy)  I grew up with all sisters, so this is all new to me.  Anyone with boys have tips? 

--5--


Thanks to everyone who wrote to me about my dad.  He is back at work on a borrowed scooter so that he doesn't have to be on his feet at all during the day, but the word I hear from home is that his improvement has been very very slow.  So please continue to pray for him.

--6--

Okay, now for something totally frivolous.  I hit my pre-pregnancy weight with Boo this week!  (And even briefly dipped 2 pounds below it!).  That seems like a bit milestone for me.  I still have a few pounds to go for my weight with Philip, and a bit more before I get to my weight with Piglet (I was unusually thin when I became pregnant with Piglet).  But the point is that the scale is finally heading in the right direction, and I'm feeling great about that.  

--7--

 

I admit, this card isn't much too look at from the front (I think it needs a little somethin' somethin', but can't think what), but the inside has a fun pop-up surprise that I thought was cool to make.  


Alright.  Go see Jen and Co for more Quick Takes!

Thursday, October 25, 2012

Update on Birdie

I'm writing this update here (and will copy the link to Facebook) because I think more people will be able to access it that way, so forgive the pseudonyms if you are new to the blog.  Birdie is our youngest daughter, now 14 months, and several people have commented to me lately that "she is looking so well!" that I thought it was time for another update on her health.

The short story is that she is doing well.  After her last hospital stay in April, we upped the dosage of a medication she takes to help strengthen the muscular walls of her airway and esophagus.  The higher dose, combined with a long course of antibiotics (nearly 6 weeks all told) helped her a lot.  At the beginning of April, she was not yet rolling over, sitting up, and was struggling with good head control.  She was 7 months old at the time.  She began receiving physical therapy through Early Intervention twice a week in April, and since then has made tremendous strides.  She rolled over for the first time in early April, and by mid-May was sitting up independently.  By the end of May, she was scooting along on her belly, and by mid-June had begun crawling in earnest (and boy can she go!).  In July, she started cruising a bit on the furniture, and in late September (13 months) took 2 independent steps!  She is now cruising very confidently, standing independently for about 30 seconds at a time, and working toward good walking.  She can climb stairs with aplomb and is always on the go.  So all good things.

The longer story is that kids with significant airway malacia are fine until they aren't.  Her pulmonologist warned us that she will have two bad winters before we see significant improvement.  I fully expect a few more hospital stays this winter and spring.  On the upside, she is bigger and stronger now, and has weathered the last 4 colds quite well.  She had a pretty bad cold at the beginning of October that I thought might land us back in the hospital, but she managed to get over the hump herself.  Her breathing is much less noisy now as the larygnomalacia has gotten better, but she does still cough every day, and still vomits a few times a month.  (But compared to when she was vomiting multiple times a day, that is a big improvement).  She is off two of the medications she was on, and so her medication schedule (and accompanying expense) has gotten a lot less complicated.  She is down to three medications per day, which is much easier to keep up with.


The other news is that Birdie was recently diagnosed with Sensory Processing Disorder.  Those who read this blog regularly know that Piglet has the same thing and has benefited greatly from intense occupational and speech therapy over the past year.  Since Birdie is still under age 3, she will receive occupational therapy through Early Invention in addition to the physical therapy she currently receives.  We are lucky that her PT has a background in sensory issues, so he is well-attuned to the particular challenges she faces.

Compared to where we were in March when I last wrote an update, she is doing ever so much better.  She has basically caught up to her peers in terms of physical development, and her growth curve has improved to the 30th percentile (up from below the 3rd percentile).  She seems to understand a good bit of what is said to her and has a handful of words (although to the untrained ear, they all sound alike).  She loves to imitate sounds and gestures and is extremely extroverted.  She is a little girl with definite ideas about life and wants what she wants when she wants it!  She has long given up baby toys in favor of taking the big boy toys (all the better if one of the boys is playing with said toy).  She spends her days careening around the living room, running into corners, climbing into carts and baskets, and generally trying to outdo the boys in everything.  Her appetite is quite good, and she loves meat to distraction.  (We sometimes call her the Atkins girl).  She loves to laugh and is quick to smile.  She doesn't love to cuddle or be held, and would rather be off exploring as fast as her body will take her. 

Friday, October 19, 2012

7QT: Fall Friday



--1--


The biggest thing on my mind this morning is my dad.  My mom called last night to tell me that my dad has another blood clot in his leg, this one much bigger, and so I find all my takes have flown out of my head.  My dad needs a new hip, but can't get said hip until he has so long without a blood clot, but he's going to keep getting blood clots unless he gets a new hip....well, you get the picture.  Anyway, I'm a bit worried about him, and hoping those of you who read this and are praying sorts of people can send a few his way.

--2--


I just started watching this brilliant BBC series on YouTube called A Victorian Kitchen.  Each episode is 30 minutes, and details the workings of a Victorian kitchen.  Filmed in 1988, the producers restored a real kitchen, found a retired kitchen maid who'd worked in one in the 1920s, and filmed a little documentary.  It's like reality tv but without the fake drama--I love it!  There is a second series about a Victorian Kitchen Garden on the same channel that I might have to watch when I get through the kitchen series.  This series is a must-watch for all Downton Abbey fans, if you ask me!!

--3--

There is a new store that recently opened downtown that is supposedly one of the best bra fitters in the area (they have a flagship store somewhere on the Main Line), so I'm going down there this morning to get measured properly for once.  I have a terrible time finding well fitting undergarments (a problem which has gotten ever so much worse in the last six months), so I'm hoping they can help me!

--4--

I might have mentioned before that October is a big birthday month around here--my sister and her husband both have birthdays, plus their anniversary, and my husband's brother and his whole family have their birthdays in October.  So I sent a lot of cards this month!!  This is the card I made for my niece, who turned 3 on Monday.  I CASEd it from Jen Timko.


--5--

When I was little, there was an older lady in my grandparents' church in Parkersburg, IA, who liked to sew.  I don't know if everyone called her this, but I always called her Grandma Ropps, and one time when I was visiting, she gave me a doll and a bunch of clothes she'd sewn for it.  I think there was also bedding for a doll bed.  Being the rather imaginative child I was, I immediately christened the doll The Grandma Ropps Dolly, and so she has remained.  Boo has been playing with that doll on and off over the last six months or so, and yesterday, he came to me to ask me to put her hat back on.  Then he said he needed to give her a "fresh diaper".  He went into the other room muttering about fresh diapers, and then came to me to say he wanted me to take her clothes off.  I did, and then handed the naked doll back to him.  He then went off, and I heard water running in the bathroom (never a good sign).  Piglet had joined the fun by this point, and they were "baptizing" the doll in the sink.  After multiple dunkings, I took the doll away to dry out in the shower as her head was fairly soggy.  Luckily, she never had any hair, so the water can easily drain out the top. 


--6--

I think this is possibly my favorite picture of the year.  My mom took it one morning during the week we visited earlier this month.  


--7--

My dad's dad served in the Navy in WWII, and when my dad was little, my grandma took one of my grandpa's old Navy peacoats and cut it down for him to wear one winter.  She was a great seamstress, and the coat has held up fantastically well over the years.  My sister's boys were never the right size for it at the right time of year, but my boys both fit it this year! (Which gives you an idea of how similar in size they are, despite the 2+ year age difference).  It was slightly big on Boo, and just slightly small on Piglet, but both looked cute, nonetheless. My mom offered to let us take it home to wear for winter, but I'm afraid my boys would destroy it, they are so hard on things, and the coat is over 60 years old. 

And that's all the news that fit to print.  Go see Jen for more Quick Takes!

Thursday, October 18, 2012

Hunger

Let me just state at the outset that I'm not one of those skinny women with a fat complex.  I am fat, by any standard of measure.  I have a BMI of 30, and while some of that should be adjusted for muscle mass (I'm a fairly muscular person), there is also a fair amount of fat under there as well.  I could blame a lot of things on my weight, but at the end of the day, it comes down to my own poor choices.  Yes, I have slower metabolism; yes, I don't lose weight particularly quickly because of PCOS; yes, I've four children in five years.  But at the end of the day, the weight I've gained and lost over the last five years is mostly my own fault.  The weight itself has became a source of stress for me, and sometime in March, I started half-heartedly tracking my calories using MyFitnessPal after a friend recommended the program.  I'm a Weight Watchers drop out, and found the point system very frustrating (and easy to game, frankly), but I've found the MyFitnessPal database to be much more extensive than WW, and I'm finding it easier to keep up with.  Plus, I had a kind of revelation this summer that has helped me get my head in the game, so to speak. At the good advice of my confessor, I started seeing a therapist again this year after the stress of Birdie's constant illness started to take a toll on me. We talked about my poor relationship with food during the course of our sessions together.  At one point, in a sort of shining light moment, she said to me, "Listen, you have to stop arguing with yourself about food every day and make a decision that this is the way it is going to be. Otherwise there is nothing to stop you justifying cookies for breakfast every day."  That statement was a complete revelation to me, and the beginning of an interesting journey.

I walked out of her office that day with her words ringing in my head.  I repeated them over and over, like a mantra, and over the days and weeks that followed, I found I was able to step away from many of the bad eating habits that were holding me back from real weight loss.  It is always difficult for me to tell myself that I can't ever have something (there is a whole lot of emotional baggage related to those kinds of statements), but I can tell myself to have it later.  I also started reading weight loss success stories wherever I could find them.  I read almost all of Geneen Roth's books and started to be mindful of what was going in my mouth and to start paying attention to my body's cues about hunger and satiety   Sounds like elementary school stuff, right?  For me, I had to relearn a lot of things about food and hunger.  I had to stop being afraid of my hunger.  If there is one bad lesson I've learned from having small children it is that if you don't eat as fast and as much as you can, you may not get it later.  Learning that I didn't have to be afraid of my hunger, that I didn't have to grab it all and eat it now in order to be sure I would get some was a game changer for me.  I stopped being afraid of my hunger, stopped being afraid of blood sugar crashes, stopped worrying about whether there would be enough for me.  I finally figured out that there would always be enough for me, and if there wasn't, it didn't really matter anyway.  It was silly to invest so much emotional energy and power in food.

At the same time, I found myself cutting sweets in a big way.  I've always had a pretty intense sweet tooth, and diets that restrict sweets have always been difficult for me.  Every time I craved something sweet, I reminded myself that "This is the way it is going to be," I found my craving diminish.  I still have sweets, but I've found my tolerance for sweets is much lower, and I'm satisfied with less.  I used to think those girls who said, "I just have some dark chocolate every day and that's enough," were somehow deluded, or kidding.  Actually, it is enough.  But I couldn't have gone from eating baked goods and sugary sweets every day to being satisfied with a few squares of 70% dark chocolate or even just a cup of coffee all at once. It was a long gradual process of weaning.  I still eat baked goods from time to time, but I know that I have to allow for it in my daily calorie allowance, and that it has to be a once-a-week sort of thing, rather than daily.  I pay attention to how they taste and I'm not afraid to throw away a treat that doesn't taste great.  I'm very careful about portions, and try to trim calories where I can by using less oil, or a reduced fat cheese, or whole milk in my coffee instead of half-and-half.  I try not to drink my calories.  I read The Portion Teller Book, which gave me a better handle on eyeballing portion sizes, and also gave me ideas for small changes I could make that would help me lose weight over time.  Given my propensity to extreme choices, making small incremental changes was hard for me--I wanted big change, and I wanted it NOW.  But I also knew that my previous weight loss history suggested that extreme changes all at once was not the way to sustain it.  I had to make permanent lifestyle changes that I could sustain over time, not just when things were going well.  I needed to be able to eat out sometimes, or have a dessert with a friend, or even indulge in a calorie bomb once in a while.  But I had to learn how to do these things in stages.

So, while I'm still in the middle of this journey (I am down 20 pounds so far), I wanted to pass along a few things that I've found work well for me.  One thing that helped me a lot, especially as I was making the small changes in the beginning, was reading what worked for others.  (I should also state that I have gastroparesis, which means my fiber intake has to stay extremely low or I face fairly severe GI consequences.  So as a result, traditional "diet" fare like salads, huge amounts of raw vegetables, high-fiber bread, whole grains, oatmeal in the morning, etc. are out.  I can have oatmeal about once a month but that is my limit.  I recently had oatmeal three days in a row and paid for it dearly).

1. Eat breakfast every day.  But not too much.  I've found if I don't eat breakfast, I set myself up to overeat in the afternoon or evening, but I've also found if I eat a calorie-intense breakfast, it throws off my caloric intake for the rest of the day as well.  So I aim to have between 250-350 calories for breakfast.  Recent breakfasts include the following meals:

Breakfast #1

8 Trader Joe's Honey Wheat Pretzel Sticks
2 Sargento Reduced Fat Colby-Jack Cheese sticks
1/2 medium apple
Coffee with splenda and 1/4 cup of whole milk

Breakfast #2

Grilled Cheese-Egg sandwich:
2 slices white bread, buttered with two tsp whipped butter, grilled in skillet
1/4 c. shredded Mexican reduced fat cheese (although I'd probably half this next time as half the cheese fell out anyway)
1 large egg, fried in 1 tsp butter
Coffee with splenda and 1/4 cup whole milk

Breakfast #3 (this is going to have to be a rarity for me)

1/2 cup dry old fashioned oats
1/2 cup skim milk
1/2 cup water
salt
3 T. shredded Mexican reduced fat cheese
1 tsp chocolate chips
Coffee with splenda and 1/4 cup whole milk

2. 25% air.  I read this in a yoga magazine and while I don't go in for New-Age type stuff, this phrase stuck with me.  "After each meal, you should strive to be 50% food, 25% liquid, 25% air."  I know that sounds a little dumb, but the visualization helped me to figure out when to stop eating.  I have long been in the habit of eating past "full", which I believe is the characterization above.  It does take some mindfulness while eating (a neat trick with three young children, all of whom are high needs and crazy during meal times), and I don't always get it right, but keeping that phrase in my head certainly helps.

3.  Pay attention to how food makes you feel.  I used to buy Little Debbie snacks fairly regularly because they reminded me of childhood, and because they were easy to eat with one hand.  They are also completely fake, and total calorie bombs.  (Anything that lists carnuba wax as one of the ingredients probably shouldn't be ingested anyway).  I started paying attention to how it tasted in my mouth, and how I felt afterward, and suddenly discovered, these things are disgusting.  I've learned that about a lot of things I used to crave--paying attention to how they tasted and made me feel afterward helped me to realize that I was trying to soothe myself with food, rather than filling a nutritional need.  That knowledge has helped me to make better food choices.  I do try to steer toward whole foods that are minimally processed, or at the very least, have less than 7 ingredients on the label, but I'm not strict about it.  Mostly I do it because I find that highly processed food makes me feel awful, and tends to set me on a course of bad food decisions.  I've found as I've cut processed foods, my sodium tolerance is much lower, and some restaurant foods that used to be such a treat just don't taste that great anymore (IHOP pancakes, I'm looking at you...)  And while I miss the idea of Dunkin' Donuts for breakfast, I don't miss the way the donuts made me feel afterward.

4.  Eat anything you want, but be sure you really want it, that you are hungry, and stop when you are full.  This is basically Geneen Roth's food philosophy, and I like her approach.  But I would add that you should be sure to account for it in your daily tally.  So if I want to have Utz Ripple Potato Chips one day, I have them.  But I try not to eat them two days in row, I account for every chip in my daily calorie tally, and try to pay attention to when I'm satisfied.  Do I overeat the chips sometimes?  Yes, of course.  I try not to get all bent out of shape about it, just tell myself to do better next time, and move on.  Not every food moment needs to be a deal-breaker.  (That is the biggest part of the "this is the way it is going to be" thing--realizing that I'm in charge of what I put in my mouth, and I can decide to overeat.  But I have to take responsibility for it, and stay in charge of the situation by making better food choices next time to balance everything out).

5. Be honest with yourself about how much you are eating.  With the Weight Watchers Points system, I found it too easy to game the system, and not really account for what I was eating.  I don't know exactly why MyFitnessPal is easier for me to stay honest, but it does work better that way.  I try to steer toward restaurants that publish calories per portion because that helps me make better choices when we eat out.  The only thing I find difficult to be accurate with is recipes I make myself because it is hard to gauge what a portion is.  (For example, I have a beef stew that I make that says "serves 8", but I find it feeds our family of five twice.  But I don't think that means it is 10 portions, because the boys don't always eat as much as the adults--although sometimes they do--and also, I'm not sure how to account for a portion.  I should really just ladle out the whole recipe and figure out how many ladles there are and divide it that way, but til now I've just been guessing.  Ditto for the pumpkin bread recipe that goes with the soup--I don't always pay attention to how many slices come off the loaf, so I'm a bit flummoxed about serving size.  Again, I need to pay more attention next time.  See #3).

6. Realize that one calorie bomb dessert, one 1,000 calorie restaurant meal, one 3 oz bag of chips isn't going to make or break you.  You are in charge of your food choices, and as long as those things stay in the 5% of the time and under (meaning once a week or less), it isn't going to derail your efforts.  But be mindful of why you think you need the whole thing.  I used to tell myself all the time that I was going to eat the whole thing, and it was okay.  And it was okay, but I think telling myself that it was okay to eat the whole thing perversely made it easier not to.  So sometimes I leave food on my plate, but sometimes I eat the whole bag of chips.  It is okay.

I'm hoping that I can reach my goal weight in the next few months, and that I can sustain my lifestyle changes through the next pregnancy.  (I'm not pregnant now, just for the record).  I'm not one of those cute preggo girls who looks like she has a basketball under her shirt at 40 weeks.  I look more like I'm hosting the whole basketball team by about 24 weeks and look rather frightening at full term.  But knowing that pregnancy weight gain is inevitable, while also understanding that excess weight gain is something of a head game will help me, I think.

I could say that I'm doing this because I want to be healthier (and that is true), or that I'm doing it for my kids (not really); mostly I'm doing it because I want to look and feel better.  As the weight has come off (slowly at times, more quickly at others), I've noticed that I feel better overall.  I have fewer stomachaches, fewer lower GI symptoms, and I'm not dragging through my days so much.  I don't jump out of bed in the morning full of pep, but at least I don't feel like I can't get out of bed in the morning.  I like that my clothes fit better, and that some are getting too loose on me.  (I don't love that what little I had in chest department has basically flown the coup, but that is another story...)  I'm not exercising because in the past, my approach to exercise has been to get myself into a completely dysfunctional relationship with it.  But I do climb a lot of stairs every day, and carry my barnacle-like 30+ pound two-year-old around a lot, so I think that counts for something.  I've been taking the bus every day for preschool pick up, which has increased the amount of walking I do every day, but I'm not stressing out about the amount I move every day.  If I spend a day on the couch, that is okay too.

Do I have it all figured out?  No.  Am I terrified of falling back in bad eating habits and destructive self-soothing methods?  Of course.  I think that the struggle with food will always be with me, but I feel like I now have some tools in my arsenal to help me weather the bad patches.  I also worry that by posting something like this publicly, I'm inviting close scrutiny of my plate, which I most certainly do not want.  But I also know that these types of posts from other bloggers and magazine writers have been so helpful to me during this process.

I've made a few other lifestyle changes that have nothing to do with food, and learned a few life lessons (that I hope to discuss in a future post) and I think those changes have also contributed to a better sense of well-being.  Food has ceased to occupy such a huge space in my head, and now there is more room for thinking about other things.  Like writing novels.