The One Thing That Made Me a Happier Tubie Mom

Whether you are a new tubie mom or a mom with many moons under your belt, I think we can all attest to the fact that tubie life IS HARD.

 

 

It’s hard not only for the many reasons that can lead to our babies having a tube (e.g. countless uncertainties and diagnoses, numerous hospital/doctor visits, food aversions, weekly therapy appointments, etc.), it’s hard because it isn’t what we thought motherhood was going to be.

None of our daily routines look like what we envisioned and it’s frustrating beyond words some days. Gagging, vomiting, severe food aversions, are all a reality for many of us and it’s mentally and physically exhausting.

My little L had her gtube placed while in the NICU and we were nervous but we were so excited to finally have our babygirl home.

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My tired exhausted self enjoying some snuggle time.

To say it was a learning curve is an understatement. Unbeknownst to me, this was going to be one of the hardest journeys second to the NICU.

My husband and I were exhausted from the regimented feeding schedule and all the processes that accompanied tubie life. Clamp, meds, unclamp, flush, clamp, beep beep, clamp… repeat. Sound familiar?

Not to mention I was pumping around the clock and dealing with wretched clogged milk ducts every single day.

And….. our L vomited A LOT. We were told to keep offering her the bottle, and if your babe was anything like ours, it was a struggle each time.

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Precisely how we all felt about feeding time. 

We would not only pour our energy to do all the tricks to get her to eat but we also poured our hearts and hopes, only to be disappointed 95% of the time. She never drank more than 30ml at one feed and this was rare.

But then, she’d puke that up more than half of the time.

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L’s first time drinking 1/2oz for us. Yes, she did puke it up shortly after…

I was exhausted and overwhelmed.

I remember crying in disappointment, not in her, but in me. Why can’t my girl eat? What am I doing wrong? Why is she puking all the time?

Then I remember crying in anger. This can’t be a good life for her! Why is this happening to us?? Why is she puking?! Why won’t she just eat??! Why can’t the doctors or therapists help us!?

Then after hours of researching, I would feel encouraged to find a solution. If only I did x, y, z, then that’ll fix everything.

Only to find that it wasn’t… again, my hopes were crushed and I felt discouraged many days.

As you can see, motherhood for me wasn’t the joyous time everyone protested it to be. Don’t get me wrong, I love my girl more than anything but I felt so angry all the time.

Until, I did this.

I was in one of my lows with tubie life. L must have puked 5-6 times that day and I was exhausted from cleaning up vomit and smelling like it. I was tired of being house ridden because we were afraid of the pukery in the car or in public.

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L with her infamous puke bucket

After my boo hoo cry, I remember thinking, this isn’t a good life for ANY OF US. I was so stressed out, my marriage was on the rocks, and I knew my girl could feel it.

Then it hit me. I don’t want my L to grow up thinking all she is worth is whether she can eat or not. So I had to stop focusing so much on that. Read that again.

There is so much more to L than her ability to eat. She was cooing, smiling, shaking toys. She had come so far from her little 1lb 10oz self. But if I wanted her to grow up knowing how amazing she was/is, then it had to start with me.

I had to make the shift from “Did she eat? How much? Did she puke? Oh nooo!! Dangit! How was she positioned? What is wrong now?” to

“Oh, she tried some! Cool.”

“As long as her food experience is positive.”

“Look at everything else she is learning.”

“She’s alive, I’m alive.”

“So what if she has a tube all her life? She’ll be quirky as all hell.”

I want L to have a healthy relationship with food. Not a stressful one. So again, this has to start with me.

Once I made this shift in my thinking, it was life changing. It wasn’t an immediate 180 but I felt so much more peace. Feedings weren’t as stressful anymore. There wasn’t this undue pressure 6-7 times a day. I was more able to enjoy motherhood and my marriage again.

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And, coincidentally or not, she started to drink more or at least allow things in and around her mouth without gagging and puking.

Even as a licensed therapist I struggled with tubie life… it took me 6+ months to get to this place and I needed this perspective change.

This isn’t to say I gave up trying to find out the source of her vomiting or inability to eat, but there wasn’t this pressure to figure it all out right then and there.

There were still moments of disappointment and frustration but they became less intense and less frequent with time and practice.

This was a new way of thinking and like any other skill, I had to keep practicing to become better at it..for it to become second nature.

Your brain is like a muscle, and the way you think is a skill. Learning something new will take time and practice for you to be good at it.

So allow yourself some grace as you learn a new way of thinking. Allow yourself to feel what you feel but gently nudge yourself to think differently, to believe differently as you’d like a best friend to do for you when you’re upset about something.

I know for damn sure it isn’t easy. But you’re not alone mamas. Whether it is a gtube, CP, trach, mobility issue, speech issue, whatever the struggle is, we all struggle and it’s a process of grieving. So many of us out there struggle with this very thing, though our plates may look different, we still feel the weight.

So, please feel free to comment about your tubie (or special needs) mama journey and your own experience with the ‘shift’. It may just be the one thing another mama needs to hear.

Happy Shifting Mamas!

 

xx, Mary

How I Stayed Afloat As An Unemployed Special Needs Mom

When you join the Special Needs Mom group, you are thrown for a loop. Everything changes about your life. Your day-to-day routines. Your relationships. Your work. Your finances. Often times, you have to give up your job to take care of your little one.

This is what happened to me when I gave birth to my micro preemie baby. She was born 3.5 months early and was in the NICU for 5 months.

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During the first month, I was out of work to recover from my c-section…which hurt like heck!

I was fortunate enough to have maternity leave so my job was protected, but it wasn’t paid. I had accumulated sick days to help cover some of our living expenses in the first few weeks. Thankfully I have a wonderful workplace where generous colleagues donated their sick time to help me out too.

When I was able, I returned to work while my babe was in the NICU. But, I was at a lost for when my baby came home. I was out of any paid time off and my position was no longer one I could fulfill. So, I had to make the difficult decision to leave my dream career so I could begin my new job, a stay-at-home-mommy.

After the first couple of months, it became very apparent to my husband and I that there was no way I could have continued to work outside of the home and still provide the care my daughter needed.

Every week was filled with numerous specialist appointments, therapies, and countless hours on the phone with insurance and medical providers. Not to mention the tube feedings and vomit clean up duties around the clock.

I was exhausted and drained every day. Although my husband works very hard and makes good money, we, like most of you, were accustomed to living off two incomes and it was a stressful time to figure out how to continue to pay for everything.

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Above the obvious suggestions of budgeting, cutting out some luxuries, consolidating, purging and selling stuff around the house, and being frugal; it wasn’t easy, but I have actually been able to thrive in my new SAHM role and here’s how:

Disclaimer: Some of the things I mention are SC state run programs, which may or may not be available to you. I still share in that maybe you can research and find something similar where you live.

  1. MEDICAID

    This wonderful yet very complicated resource provides low income families the ability to receive medical services. It is basically like health insurance that is free to qualified individuals. When my daughter was in the NICU, she automatically qualified for Medicaid due to her prematurity. But once she was discharged, that all changed because now it would be based off income. My husband made too much but we desperately needed health benefits for all of my daughter’s medical needs for appointments and supplies.

  2. TEFRA aka KATIE BECKETT

    This is medicaid for children with disabilities. This program only looks at the child, their disabilities and THEIR income, which should be zero. This program has been an absolute life saver so we could continue going to our appointments and getting feeding supplies at little to no charge.

  3. GAS MILEAGE REIMBURSEMENT

    I learned of this from our case manager. The program is through Logisticare, a transportation service for medical appointments. This program offers two things: actual transportation for Medicaid recipients to and from medical appointments, or gas mileage reimbursement if they are being driven by someone. The reimbursement rate is $0.32/mile. It isn’t a ton, but it adds up when you’re driving to specialist appointments and therapies every week and you’re getting money to do what you would normally do anyway. I generally receive anywhere from $100 to $200 a month depending on our schedule.

  4. MEDICALLY COMPLEX CHILDREN WAIVER 

    I learned about this through our caseworker. This waiver allows us to receive in-home nursing care for my daughter at no charge. My daughter qualified for this program due to her prematurity and her g-tube. The interview was fairly straightforward. They asked about her medical conditions and what it all takes to care for her throughout the day (e.g. medications, tube feedings, etc.). This has been such a blessing! I was very apprehensive at first, but I don’t know what I would do without our nurses. They have become like family, and they allow me some reprieve, as well as the ability to do part-time work and side hustles for extra money.

  5. BABYNET

    This program is typically available in all states, but it is called something different. For instance, in Florida, it is called Early Steps. It is a program geared to providing therapeutic interventions for children under the age of 3 with anything necessary for growth and development. Our Early Interventionist comes once a week to provide therapy to help L meet developmental milestones, such as grasping, climbing, walking, talking, etc.

  6. HEALTH INSURANCE PREMIUM PAYMENT (HIPP) PROGRAM

    This program is through Medicaid and is a life saver too. Currently, we have private health insurance through my husband’s employer, but since it is a smaller company, our monthly premium is insane (like a mortgage insane)! We have Medicaid as our secondary insurance, and so Medicaid has this program that will pay for the child’s insurance premiums. The notion is that this would be cheaper than being our primary insurance and paying for all of the child’s claims in fully.

These resources are beneficial in two ways: by giving us the medical support for services and supplies; and giving me the time and energy to seek out part-time employment.

I never thought I would ever need to take advantage of resources like these, but here we are. Knee deep in specialist appointments, therapy sessions, and down one full-time income. I am SO thankful that there are programs like these because honestly things would be much more stressful. Now, I am a work-at-home-mommy, and I love it.

If you are in SC, feel free to reach out and leave a comment with questions or resources. If you are in another state and have suggestions on resources, share the love below so other mamas can benefit!

xx, Mary

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“This Is Us” in the Preemie World

NBC’s hit show, This Is Us, has captured many hearts since its debut in September 2016. Recently, this show has aired an episode where Kate has a preemie at 28 weeks gestation, and it has had created an uproar amongst the preemie community all across the world.

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Some moms have stated, “I was crying so hard…it hit too close to home”, and others have blatantly said they “can’t bring themselves to watch it”.

Moms who have had preemies all experience trauma. Their birthing stories are far from the normal sweet moments we all envision after becoming pregnant. Many moms are hospitalized days or weeks prior to try and prolong pregnancy through the use of medications and medical interventions. Others are whisked into emergency surgeries due to life threatening complications such as HELPP or placenta previa. All of these moms are frightened down to their bones that their baby may die or live with life threatening or altering conditions.

If the birth was not traumatic enough, the aftermath may even be worse. Typically, these preemie families spend months in the Neotnatal Intensive Care Unit (NICU) afterwards as their baby learns to do the most basic functions, such as breathing, eating, and keeping their heart rate going.

Here, these families are greeted with so many heavy emotions, fear, panic, worry, guilt, exhaustion, confusion, sadness, helplessness. The list goes on and so does the time in the NICU.

Many preemie moms share that even after their discharge from the NICU, they are scathed for life. The trauma continues. Often, these preemie babies do suffer from lifelong conditions (eg cerebral palsy, genetic abnormalities, feeding disorders, etc) that lead to a life of special needs no mom ever imagined.

When Kate’s water ruptured spontaneously, my heart immediately sank. First, I feared the worst, but then, I felt this weird jealousy. I KNOW, RIGHT? It was as if I was like, “yeah, no way… she will probably carry to term. Lucky her.” Now, don’t get me wrong. Never, EVER, do I wish the NICU upon anyone. But for a fleeting moment, some of my darker emotions from the early NICU days came over me.

Then, Kate and her husband, Toby, meet their baby in the NICU and the tears flow. They flow hard. My instant reaction was to shut it off but I forced myself to watch it. I didn’t want to avoid my fears. So, I grabbed my tissues and sobbed along.

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NBC / Rob Batzdorff

NBC did a wonderful job capturing all the nuances of the NICU, the beeping, the wires, and most importantly, the baby. It all looked so real.

I don’t know about you, but I empathize so hard when I watch This Is Us. It gives me all the feels, and this episode was no exception. All of my emotions came rushing back, the sadness, the fear, the worry, the despair…all of it. I was scared for Kate and Toby. Not just for the immediate situation, but what was to come.

I just kept repeating, “Oh my god…he is so small…. he is so tiny”

It made me realize how small my L was, but I never “knew” it. Of course I knew how much she weighed and saw her every single day, but it never truly registered until that night. It seriously made me think about how numb I was in our NICU days.

My post-show reactions are conflicting. I hate that it was so hard for me to watch it. But, I love what this episode has done for everyone else.

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My sweet L (26 weeker) at just a couple of weeks old

It has given us preemie moms a voice. It has shown the world (the millions of viewers at least) a glimpse of our reality. Of course, I have yet to see what is to come on the upcoming episodes, but I am inclined to think that it will increase the awareness of our journey and let non-NICU families “feel” and understand our world a little better. And, hopefully it will bring to light the importance of mental health during a medical trauma that many have been unaware of up until now.

Unfortunately, moms of preemies, including myself, will likely continue to be triggered through the upcoming episodes. I know I have cringed a little at the thought of the next episode but I am also excited to join Kate’s journey (if you can’t tell already, I’m the type to get real involved in shows 🙂 ).

NICU PTSD is real. Certain sights, smells, noises, and situations can trigger strong emotions, and even make functioning difficult for some. But, I’m here to tell you that it shows up in all degrees. It isn’t always the clinical PTSD we are familiar of when we think of combat veterans. It is in the mom who cries and trembles after a they watch a television show of a NICU. It is in the mom who spends countless hours taking care of her special needs child every day but then falls apart at night when she finally gets a moment to break down.

I don’t say this to scare or diagnose. Actually, quite the opposite. I say this to validate our experiences as preemie moms. And, to know that regardless of the degree of PTSD some of us walk around with, you are not broken. You are living through a very traumatic experience. You are not crazy. You are not alone. You are most definitely not a problem to be fixed, but rather healed.

These recent episodes have helped me to see that I, too, have some degree of PTSD from our NICU journey, and that is OK. It is OK to not be OK, and I will be OK.

It is my hope that these new episodes will nudge some moms out there to seek professional counseling to work through their experiences. I cannot stress enough how vital it has been for me to heal through counseling.

And for those who are already working through their experiences, I hope this helps them to feel validated and just a bit more desensitized to the trauma so that each show day gets just a little easier to bear.

I would love to hear how this episode has been for you. NICU mom or not. All experiences welcome. Leave a comment below!

xx, Mary