Monday, January 30, 2006

in disarray

Well, dh left for his trip to Japan, so i am all scatterbrained and out of it. C did not like the fact that daddy was gone last night, she did *not* want to stay asleep -- up every 45 minutes or so. She wasn't sick or in pain though, just really pissed off about something. So i guess it is that he is gone? I dunno.

The stomach flu i had cycled through the rest of my family all week last week, so that is why i have not been updating the blog.

I don't know if i will be blogging much, now that dh is gone, what with all the stuff i have to do and all....i will try if i have a chance. It seems like there is just so much that has to be done...and in addition my face has broken out in some sort of freaking rash. I should probably go to the doctor but i was already there last week and the week before, so i just don't even feel like going back.

Anyway, this is boring -- i could bellyache until the cows come home. So i will shut up now. Now i have to go have lunch with a departmental visitor i don't particularly care for. Heck, it's a free lunch though.

Wednesday, January 25, 2006

This week's maternal advice

"A, nihilism will get you nowhere."

worth a read

My friend S. lent me the book "Mothers who Think -- tales of real-life parenthood", which is a collection of essays that originally appeared on salon.com. Most of them are interesting, at least. Some (of course) contain sentances that make me want to bitch-slap the author, but that is a standard for the post-stillbirth mom i think. The last one, though, is beautiful and true and worth a read -- and available online too. It is called Dancing with Death. I gather from reading the article that the woman writing it is not in fact a grieving mother herself. Yet, her compassion and understanding for 'us' are clear, and she does not shy away from death and its role in our lives -- as so so many people do. So in fact i was very impressed by her writing...

vomit and in-laws

Actually i am feeling better today -- considering that i spent most of yesterday puking i would say that today i am feeling just fine in comparison. But yesterday was pretty miserable.... stomach flu, i guess. Luckily these things are usually only 12 or 24 hours long, today i am back to a garden-variety cold.

And, of course, the Steelers won on Sunday, and so they are going to be in the super bowl this weekend, which happens to be in MY town this year. Now, tell me if this is wierd. My MIL is coming, with a coterie of her friends -- they have rented an RV and will all drive up together. Some will stay in the house, some will stay in the RV. But, okay, (this is the wierd part) they don't have tickets to the game and don't intend to try to get them. Apparently tickets to said game cost $2500 each, yes that's right, two thousand five hundred f***-ing dollars to watch a football game. Okay i will not ask how many starving children we could feed instead of having this game! I will instead be happy that this game is taking place in a city which can certainly USE an infusion of out-of-town cash.

So, they are driving up here just to *be* here. They will go to a bar or something to watch the game (i have no TV) and they will do i don't know what all weekend...i truly think it is bizarre. DH doesn't care, he is going to Japan again -- he will not even be here. I don't really care, i am not going to clean the house excessively for them though!

She has been badgering me by phone these last few days -- 'Can you move the dumpster, i will pay for it!', (answer: the dumpster is in the backyard, not in your way), 'Can you send me the names and numbers of good restaurants i like, like Carl's, so i can make reservations', (answer: yes i did it, i looked them up on Google just like you could have done yourself), 'Will A wear a Steelers hat and scarf?' (answer: no), 'you know you could rent out your house and make a lot of money' (answer: yes, i bet i could make the people a bed on the band saw table. We are a construction zone here REMEMBER?) It is starting to get irritating. Last time she called me, the first thing she asked was 'Are you teaching class?' and i had to reply, 'no, if i was teaching class i would not be on the PHONE'. Oy.

Anyway, the only thing which i wonder is how the national media and various visitors will react to our lovely city of Detroit. OR rather, what terrible things they will say about it THIS time....i look forward to hearing it!

Monday, January 23, 2006

Photo Friday -- Pink

[photo removed]

Ok, Catherine has inspired me to do the 'photo friday' thing....that and this week's subject which seemed very appropriate for Miss C. I suspect that dh actually took this picture, because it turned out rather well and i am not usually that good...

Saturday, January 21, 2006

OK, i can't find Dr. Collins' email (i think that piece of paper got thrown out already! Oy!) but you can probably find it on the Pregnancy Institute website or on Missing GRACE.

Oh, and i have a pdf file of a recent article which reviews the current medical literature on stillbirth, if you want it i will email it to you -- just mail me at kate_baloh@yahoo.com

more cord talk

I highly suggest that anyone with previous cord issues check out Dr. Collins' web site The Pregnancy Institute . He has alot of information about cord accidents and reccurence, a downloadable book and a dvd which is available, and a protocol that he has developed for subsequent pregnancies/pregnancies with cord issues.

In response to your question Julie, it is important to understand the culture of science (and therefore medicine). Collins is a bit of a maverick, if i do say so myself. Having studied cord accidents for so long, he kind of sees everything in terms of cord issues. He has published papers in peer-reviewed journals but most of his stuff is case studies and protocols he has developed based on his own experience. Which means that the sample size is not large. If you are asking a group of scientists to change their beliefs and methodology, you need a study with 25,000 people or more -- not stories of 25 pregnancies that you have been following. Plus, in an effort to make a difference, Dr. Collins makes his information available to us, the patients. (A group which is not particularly respected by doctors, unfortunately.)

So, i'm not discounting what he does -- i think it is extremely important. I am just trying to explain why the doctor, confronted with a patient coming in with a pile of information she printed out off the web from some dude in Louisiana, will of necessity have an adverse reaction. Dr. Collins understands this too -- that is why, he told us, he is always willing to talk to doctors. So, he says to any pg woman who is concerned -- give your doctor my information and have him call me. When he talks to me, things will change.

Nicolas had a cord that was on the shorter end of average too. Long cord/short cord is something which does recur, if i recall correctly, and is correlated to adverse outcomes. Clare, i don't think there is anything you can do about how long or short the cord is, but Dr. Collins has his protocol for monitoring such cases. Torsion or hypercoiled cord also does recur, amniotic banding does not (inso far as we know). Blood clots in the cord may mean torsion or may be connected to an autoimmune disorder, i think. I am less clear on this, probably Dr. Collins' website has some info.

Also, i once emailed the Pregnancy Institute at their general information email and recieved no response. So i suggest that if you do email him, you use his private email which i will dig up for you when i can.

Friday, January 20, 2006

Here's an interesting study...

....to freak you out even more. Sorry, Lauralu. Just don't read it...

Actually last night i participated in that tele-conference call with Dr. Collins that Catherine mentioned on her blog, thanks Catherine! It was very interesting to talk with him. He mentioned a new study that was just announced, out of Wayne State University and it took me some time to track down the abstract since that Elisiver ScienceDirect site always gives me problems. Anyway I will cut-and-paste it here because i know most of you don't have computer access to the American Journal of Obstetrics and Gynecology. Probably i am not allowed to this, so don't tell LOL. I had to edit the html a little but all the info is still there.


Adverse perinatal outcomes in subsequent pregnancies in women with prior stillbirth

Sean Blackwell,Jerrie Refuerzo, Israel Hendler, Sonia Hassan, Nahla Khalek, Yoram Sorokin.

Wayne State University, Obstetrics & Gynecology, Detroit, Michigan

Objective
To study the frequency of adverse perinatal outcomes (APO) in subsequent pregnancies of women with a prior stillbirth (SB).

Study design
A computerized perinatal database was used to study singleton pregnancies delivered from Jan 1, 1991 to Dec 31, 2004 at one tertiary care urban hospital. SB cases were identified through perinatal database and confirmed with medical records ICD-9 codes. SB was defined as fetal death at GA > 20 wks or birth weight (BW) > 400 grams at delivery. Demographic, clinical, and obstetric variables were studied for women who delivered a subsequent pregnancy > 20 wks at the same hospital during the study interval. Maternal race, parity, obesity, prior cesarean delivery, and gestational age at prior SB were studied for the impact on APO in subsequent pregnancies. APO was defined as preterm birth (PTB) <> 20 wks; there were 15 cases of recurrent SB (SB rate = 58 per 1,000 births). There was a high rate of other pregnancy complications including PTB < 37 wks (24.3%), SGA (16.2%), and severe preeclampsia (1.5%). Overall, 30.9% of subsequent pregnancies had at least one APO. There were no differences in the rates of APO between African-American and Caucasian women (32.7% vs. 29.0%; p=0.27).

Conclusion
Women with a prior SB have approximately 10× increased risk of recurrent SB and have APO in over 30% of subsequent pregnancies.


Appearing in: American Journal of Obstetrics and Gynecology, V. 193, issue 6, Supplement 1, December 2005, Page S106. (it's a conference proceeding)
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Did you get that? 10 times the risk if you have had a previous stillbirth. (Also interesting -- no difference in the rates of adverse outcomes between blacks and whites. ) So much for "it's so rare, it will never happen to you again" (actual quote from my OB with Nicolas, who by the way was the *head* of Obstetrics at that hospital...)

Dr. Collins mentioned that certain types of cord accidents specifically seem to have recurrences.

Actually i have alot to say about this subject but digging up all these stillbirth articles (i have about 5 to read now) took up a good chunk of time and i still have a pile of quizzes to grade. So, more later i suppose....

Friday, January 13, 2006

Life's little victories

I teach every morning now at 8:30 am, which of course means that i end up sprinting out of my house at 8:05 without having enough coffee. And in fact there have been times that i took my coffee with me, in my ordinary mug, which ended up with me either slopping it all over myself, and/or drinking cold coffee, as the temperature of the coffee decreases rather rapidly as soon as you walk out the door. I should have a travel mug, i know -- but i will not buy one because i know i had several but since we moved i cannot find them. The effect of the wet, cold coffee spilled all over self is of course enhanced on days when it happens to be raining, because i have several umbrellas but i cannot find them either.

Well, today, i considered going home early but since it was *pouring* rain, i decided to clean my office instead. My house tends to be fairly neat but i cannot keep up with everything in my life and my office is a total pigsty. My desk is cluttered with papers and articles and math books piled up high, i cannot find anything, and it is horrible. I clean it maybe once a year, which is far too little.

But today....upon tackling the tottering pile of papers and books on the desk...i unearthed....first, a travel coffee mug! Then, a whole pound of coffee beans! Several staplers, miscellaneous office supplies...And, finally -- an umbrella....

Tuesday, January 10, 2006

Just showing off

[photo removed]

Here are me and my snot-nosed little girl in the hats i made us for Christmas. C will not wear a hat in general but i thought that maybe if i made us matching hats she would wear hers. It seems to have worked, she really likes her hat. I had originally been planning to make one for my mom as well but i ran out of time and considering how that visit went, i am glad now that i did not make the effort. It is a felted pattern by Pick-up sticks. I really like this felting stuff and i would like to make a purse or two, but i have some other projects i need to finish first. I made this same hat for C last year but nobody told me that white did not felt properly, sigh, so that was a disaster...

Monday, January 9, 2006

Again, and again...

I realized that my posts are becoming incredibly long...oops.

A few days ago i read the sad news on Laura's blog that one of their aquaintances had suffered a stillbirth. Then today i received a note in my email about someone else, not someone i 'know' personally but someone from MISS who just lost their subsequent baby to another full-term stillbirth. That makes stillbirth, miscarriage, stillbirth, all in a row for that family.

I have no words, i am bewildered and bedeviled yet again. It seems even futile to ask 'Why, God, Why?'

I almost think my mother is right and i should get out of this, no more support groups, no more blogs, no more emails. Stick my head in the sand and pretend babies don't die and say 'it doesn't concern me'. Because what can i do about it, anyway?

Friday, January 6, 2006

The rich get richer...

Yesterday night i volunteered at the pregnancy center, and we had a busy night. Today i went to the fancy expensive mall in order to return said Christmas gifts from my dh. So probably that was not the best combination for anybody's mental state.

It was just me (still a trainee, remember) and an older lady working there last night. But we had more people that night than have come in, total, all the time i have worked there. It was like 6-7 in that one-and-a-half hour period. That does not sound like alot, but it is. We like to spend some time with the clients, not just give them what they want and shove them out the door. Mostly it was routine requests for baby clothes, maternity wear, etc. We spent alot of time trying to find the right paper to give a voucher to one mother, for free furniture from St. Vincent de Paul. I hope she was able to get it.

Then it was nearly the end of the evening and a lady came in with mother and husband in tow, to pick up a portacrib and stroller. Her baby boy is due in 3 weeks, and she had everything ready, but they had a fire on monday and lost everything. I had to look up her file, and though i did not read in detail i did notice she was one of the ones who was referred to us by the fellow who prays outside abortion clinics.

I don't know how i feel about that whole thing. They say he is very kind and humble, and does not yell at the women or anything, but tries to intervene if they can and tell them that there are organizations (like ours) that can give them what they need, if they choose to have the baby. But still in my mind it is a little too much. Nevertheless, this woman was sent by him, and she has 5 other children, ranging in ages from 16 to 8. Obviously she thought she was done done done, and this new pg threw her for a real loop. I know that feeling, it really threw me for a loop when i found out i was pg with Nicolas, 10 years after having A. Hence the panic, the run to the abortion clinic, the last-minute change of mind. I can relate to some extent.

And then, what? The intervention, the decision made to keep the child, the preparations. She got everything she needed for herself -- this woman has a job and a dh at home. And then, three weeks before the baby is due, the house burns down. Heck, it is not anything near having your baby die. But it is a loss nevertheless, and i felt very bad for her. You feel like, if you made the 'right' decision, God should reward you, not take more. But then again, i chose the 'right' way too -- i chose to have my babies, even though they were unplanned. And i think that in our culture, most people who are faced with an unplanned pregnancy will consider abortion, because it *is* an option. And so i did have A, and Nicolas too, but Nicolas was taken from me.

Anyway, that is neither here nor there. While i was dealing with her, the phone rang and i *had* to get it, because the other volunteer was closeted with a 15-year old who had just taken a pg test (negative, but i didn't know it at the time). It was a woman who said she has just been evicted and she was standing on the sidewalk with her 3 kids -- 6,3, and two weeks old. She said she needed help getting to her mother's house, in a city about 45 minutes away. Now, i did not at all know what to do. She was hysterical, evidently. She had a car but no gas, all her stuff was on the sidewalk and in the car, it was dark and cold. She was not a client of ours, i did not know why she had called our number. Still, i thought, maybe the other volunteer will know who she should call, who can help her. So i interrupted that counseling session and sent her to the phone -- because i thought that being the *experienced* volunteer, she should know.

Well, as far as i know, she told that woman that we could not help her and that was it, she hung up the phone. Later she said something like ,'what is she calling us for, at that point you just call a taxi!!'. ?? Then she paused, 'ok, i realize she has no money but STILL'. ??!! ARGH, i can't believe it. This female i was working with apparently personifies that oft-thrown criticism of the pro-life movement -- that they only care about babies until they are born. I was livid, but i said nothing, because i had panicked at the phone call and i had done nothing better.

What should i have done? Hell, if i knew where she was i would have driven out myself and given her the $40 in my wallet. But i had not extracted her address from her while i was on the phone. And i know *very well* how dangerous and stupid it is to do such a thing, we don't live in Maybury or wherever it was that Ward & June Cleaver lived. But in default of that, i could have had her call the homeless shelter -- even if they could not pick her up they would know what advice to give her. But i panicked, and flubbed it. Who knows even how much charge was left on her phone? If she was able to contact someone to help? Maybe they were out there all night. A two-week old out all night, in January in Michigan? God i could not sleep thinking about it. And maybe it was all a lie, that sort of thing happens too, i am sorry to say.

So that's where i was, and who i was thinking about, when i went to the mall today with it's attached Saks and Neiman Marcus to return my gifts. I started in a fairly expensive kid's store that has cute stuff, i have picked up a few things for C there off the sale racks. The sale rack today bore a big sign saying "up to 60% OFF". I pulled out a sweater dress and said, out loud (oops) , 'Oh isn't this cute!' The lady next to me pushing a big stroller said, 'yes, it's darling, they have some really nice things'. Browsing further, i said conversationally, 'Not much at 60% off though!' So she says, 'Well, it's all relative!'

?? No, in fact it is NOT relative, it is math. And it does not take a PhD in math to know that if the original price is $54 and the sale price is $48 then it is NOT 60 percent off. I know her 'it's all relative' meant, 'i think the prices are good and you don't because you are not used to shopping in expensive stores like this one'. (which unfortunately is entirely untrue, i am extremely used to shopping in even more expensive stores than that one -- just ask my credit card company. Why, my credit card has been volubly denied in the fanciest stores on the Champs Elysees and avenue Montaigne...uhh, never mind...long story...) Anyway normally such a thing would not have bothered me at all, but coming on the heels of last night -- i just couldn't stand it. Some rich bitch is snubbing me for not paying $50 for a toddler's dress, after i was unable to help a lady so poor that she can't put GAS in her car to keep a roof over her baby's head. So i left the store, without of course neglecting to first browse the boy's 3T sale section just to make myself feel worse. And let's not forget that as i left the mall, there was George W. Bush on a huge flat-screen tv giving a speech about the ECONOMY and how great it is.

So hence the title of this post, which is no news to anyone -- the rich get richer, and the poor get screwed.

In the garden

Catherine posted a very nice list of gardening blogs which i have been really enjoying, and which of course made me remember the original purpose of this one. No, it was not to give me a soapbox to whine about my mother, that's right.

Wednesday was very warm here, mid 50's, so i went out there to see what was up. Not much to look at in the middle of winter...Nicolas' garden is all sleeping for the winter. The lawn is patchy and awful, but we knew that. It is less awful than i feared. I realized i forgot to cut back the roses. Actually they were partially cut back so i will not cut them fully back now until it really begins to warm up. The hellebore, whose transfer i had been very worried about, seems to have quite a few buds so i am looking forward to that and i am glad he is happy where i planted him.

I have been thinking about the vegetable garden, i should probably order seeds soon if i am going to start any. Also there is the matter of the garage....that hulk of concrete needs to be somehow dealt with first thing in the spring. I was planning on painting it and putting up something to cover the bays, because i don't want the kids going in there. So, whatever is cheapest to cover the bays -- lattice or bamboo fence or whatever they have at Home Depot. But of course that will be ugly, so i will need to grow some fast-growing, hopefully flowering vine to try to cover it. Hmm, what to choose? I want something like morning glories but not invasive -- i know morning glories will drop their seeds all over my lawn and i will never get rid of them. I will have to look into this. Moonflower would be good if it does not invade like the morning glories, or maybe hyacinth bean. Whatever it is will be planted in pots, not in the ground...

Wednesday, January 4, 2006

Post-holiday wrapup

Okay, i am back from 'vacation'. We got in yesterday and i spent all day today doing laundry and getting the Christmas stuff down. And indeed it is all down.

How was my Christmas? Let's see -- sickness, neglect, rejection....that about sums it up. I did get an awesome pair of sunglasses, though.

Santa brought us the stomach flu...well, actually A was vomiting the morning of the 24th and dh was telling him that he ate too much the day before. I was pretty nauseous that evening but i told dh i was fine and would be happy to enjoy my dinner (since he was trying to weasel out of cooking our traditional small christmas eve repast -- christ, can't even poach a fish for the wife eh!) I never did get a full-fledged version of whatever this bug was, since i never vomited. But dh did...so much for overeating huh? He was miserable all Christmas morning. And we had to fly out that evening, so it was unpleasant all around.

The neglect part is due to my dh and we will not go into the details here. Yes, he did get me *a* present, two in fact -- the specifics of which i would prefer not to discuss. We can say though that they are both being returned this week, and i do not return gifts lightly. In fact i almost never return gifts, unless they are apallingly, insultingly, neglectfully chosen (such as this year's Exhibit A) or just inexplicably stupid-expensive (like the $250 Prada wallet he bought me one year -- WTF was up with that?). So that is what, 2 times returned in 13 years? I don't think that is excessive. He bought me sex toys for my birthday one year, and i did not return them. Didn't use them either, but that is another matter. I really have to do something with that box before i die, because i can just see my kids going through all my belongings and finding THAT one -- 'Huh, this one's not marked, i wonder what's...'

The rejection, of course, comes from dear old Mum...i rented a car and drove to see her (3 hours) but she would not let me in the house. First she was not there, and then when i got back she would not come to the door, but did answer the phone. So we argued until my cell phone battery ran out, her in her house and me sitting in the rental car in the driveway, and then i turned around and drove back.

But truly since then i have been thinking a little bit differently about the whole thing. First of all, i am done with it. She told me to get lost, to go away, to leave her alone, that i was no longer her daughter and until i changed she wanted nothing to do with me. She has said this kind of stuff before and i have tried to continue to keep contact with her, but right now i am done with that. We have had no further discourse since then, and will not for awhile -- i told her that she knows how to contact me if she wants to but i did not go there to push myself on her (as she accused me of) and i do not push myself onto people. So she knows where i am when she wants me.

So, what have i done that i am so bad, that i need to change? I know you want to know my heinous crimes against her. After all, i have abused her for years and she is not going to take it anymore (her words). She will pick up the pieces of her life and move on (also her words). My heinous crimes are varied and multifold, and so complex that i cannot do full justice to them in this blog. But they seem to boil down to getting married and moving away and making a life of my own...okay i am being vicious, i will stop.

Seriously it is true that i have probably neglected her a little over the years. It is true that i have become more direct since i moved out of her house, and that i often completely miss the subtext of interpersonal relationships -- since my dh does, and in fact forget subtext, even the TEXT he misses....It is true that dh's mother sees the kids alot more than my mother does (yes, because she comes HERE, and all the time at that). It is true that we spend holidays with dh's family, always. (Yes, because we have been uninvited to my mother's house for many many years) It is true that when my father calls, and passes the phone to his wife, i am polite to her and chat a bit. And i do not view that act as a betrayal of my mother. And yes, three years ago i told my mother she could no longer drive A. in her car because i did not believe she could see well enough to drive safely. I certainly DID do that.

But the things she accuses me of, i mean you would not believe. And the thing is, i have just simply ignored all this crap that she says about me -- about how i lie, and manipulate, and am only interested in money, that i am embarrased about her because she has no money and lick my MIL's ass because she does have money, my kids are spoiled and C is hyper and A is rude and i am rude and dh is the rudest of all and yadda yadda....but none of this stuff even touches me, i never even gave it much of a thought. Basically i have had to swallow so much *shit* from her where Nicolas is concerned, i have gotten used to it. The shit rolls of my back. It smarts for a short while, and then it goes away. In fact the few things i wrote up there do not cover all the crap she has accused me of recently....i just can't really remember any more right now.

Okay, but if i think of it from her perspective, i mean what if she really believes that stuff to be true? It's kind of gross but i think she really *does* think all that of me. If i thought all those things about someone, i sure would not want them in MY life. I mean, quite honestly, who would? If she really believes i have been abusing her for 13 years, since i got married and ditched her for somebody 'better' (that would be my MIL i guess, or my dh? or both) , then hell -- good for her for getting rid of me. Who needs a daughter like that?

I can only hope that she will go back to obsessing about how much she hates George Bush, and then she can stop obsessing about how much she apparently hates me?