PPD Update

Back in November, I was diagnosed with PPD, but marginally. It's more like depression with a dose of newborn.

Babies are drains. Money, sleep, sanity, and any preconceived sense of self start circling that drain the instant the mother "recovers" from the post-adrenaline crash after the first kid is pushed into the world. It's not so bad with subsequent kids. Usually.

I became a better, stronger person with each kid. And, I think, a better mom. "Place the oxygen mask over your own mouth and nose before assisting others who may be travelling with you, including small children."

I told my physician about my success with a certain drug (and failure with others). Told him about the studies done on the drug's transmission through breastmilk. Told him I was okay with any risks it might pose, based on what I knew, but if he knew anything additional, we should discuss it. He went to consult with a colleague  who cited the studies I cited. Nothing new. I started on the lowest dose the next morning.

Atticus' behavior has had no discernible change. I felt markedly better within two weeks. The last three weeks, I've had the flu and a stomach bug and I went away for three days. Medication was not a priority. Three days in Montreal would have been better medicated, I think. I'll start again in the morning.

It's nice to feel like me again.

Is this PPD?

I've been medicated for depression since 2001. I was taken off them before I got pregnant with Alex, and stayed off them until she was weaned at 27 months. I was taking them until I got the stomach flu at 10 weeks pregnant with Atticus and couldn't keep anything down. Knowing I have a history of depression, I have been seeing a brain care specialist for months now and everyone is monitoring me for Postpartum Depression (PPD).

I'm not sure, but I think I'm coming down with it.

Everyone, medical, thought I was doing really well. I haven't had an appointment to see anyone in nearly 2 weeks. This week, I feel like I'm falling apart. I'm not sure what happened...

I'm still doing the good mommy stuff. He's got clean diapers, no diaper rash. Feed on demand - started feeling guilty about the pacifier, so we're nursing more (An author I read recently described nursing as being nibbled to death by caterpillars. I enjoy it more than that, but I can see the comparison). Feeling guilty about not pumping, so I haven't put it away. It's still here in the living room. Staring at me.

My nipple actually split the last time I used it, so I have to get my guts up to put it to my breast again. The split has healed; but there's nothing like watching blood and milk getting sucked out of your body, threatening to contaminate the precious half ounce you did manage to pump over the last 40 minutes... Yeah. Pumping and me still aren't buddies. Alex was well fed. She was 90th percentile for length and weight, she was constantly nursing, and I could get maybe half an ounce after pumping for 30 minutes. Atticus... our nursing relationship is weird - I'll blog it later, but I'm sure it's feeding into this PPD thing. And the pumping is even harder this time.

Without a supply of milk for him, I have to take him everywhere. That includes class. My professor is really sweet about it. When Atticus was really wee, he'd sleep and nurse through class. As he's getting bigger, he's less quiet and our nursing relationship is more fraught, so I take him out of the room to nurse. I'm missing class. I'm so embarrassed. I know my course grade is suffering. But at least my professor let me stick it out.

Since Atticus was late and I got mastitis the second week, I missed the first two weeks of class. The other course I was enrolled in, I was told to withdraw. I had already missed too much. Since I was no longer on track to get all my coursework done, I am no longer graduating in May. I'm taking two courses in the spring and another two in the fall. Because I am no longer enrolled in the correct number of courses, some of my financial aid has been withdrawn. I can't make rent in December.

The financial aid thing is a bummer. Since Bryn and I got married (I kind of waited to marry him because of this), I'm not sure how eligible I am for financial aid anymore. I filled out my last FAFSA before we got married, and now it's not my last FAFSA. Keep your fingers crossed for us, folks.

Money shouldn't be that big an issue. Bryn is working darn near full time now. The hourly rate isn't awesome, but it's more than $10/hour and more than 30 hours per week. It's not much, but we can make it through - we get food stamps. We get more food stamps than I think is ethical, but we manage to spend every cent every month. On top of that I get WIC. But money is an issue. Alex's child support isn't getting paid, so I have absolutely no money in the bank. I haven't for months. If I need money, I have to ask Bryn. I can't so much as treat myself to a cup of coffee in a nice cafe. I can't get Alex new shoes. I can't get the oil changed in the car. I can't pay the gas bill or the electric. I can't do anything without asking Bryn for money. And the first thing he asks is if I've spent all of the money he transferred last time. I haven't had more than $10 in my account for more than a few days (waiting for autopay on my phone) since July. Bryn's birthday is next week. His first since we got married. Am I really going to spend his money buying him a present? Last year, without the child support, this wasn't an issue - I had my financial aid. This year? I just want to know that my bills are getting paid. Is it cold in here?

So, my thesis fell through, for a lot of reasons. I knew what I wanted to do; everyone on my committee tweaked it until I didn't really recognize it. I did the reading that they wanted and discovered that what they wanted was stupid (like I thought) and I couldn't make a five page paper, let alone sixty-five, about how stupid my thesis was. I still think my original idea would work, but now I can't prove it. No one wanted to read it. Thesis option has been scratched. Since I'm not writing a thesis anymore, I need to take more courses and take broader comprehensive exams. So we're here in Burlington for another semester, at least.

I hate Burlington. Everything is more expensive than it needs to be. I have so few friends up here that I am surrounded by people and completely isolated at the same time. I am tethered to the house by my homework and the baby. Housework needs to get done increasingly by me now that Bryn is working so much. And no one just drops in. I miss having friends who would just drop by. I miss having friends I could drop in on. I don't know where a single one of my friends lives up here. Doesn't matter. They all have jobs too.

Family.
My mother moved up here! That was cool. She just finally got a job. Second day? She wakes up from a dead sleep with a sore throat. She gets to try again next week. I'm really worried. She has a history of absenteeism, and I don't want it following her to the new job. I worry about her health, but what is the English major going to tell the Registered Nurse?
My father still hasn't seen Atticus. He lives two hours away and hasn't made the trip. But he did write a check for his lifetime hunting and fishing license, so there's that. I haven't called him in months. Not even for his birthday. Daughter of the freaking year... I just hate the guilt-trips.
Bryn's mom... She came (from freaking Florida, Dad) to see Atticus; but she's gone home now.
Alex is awesome. Until she makes me want to throw her outside. The morning clothes argument. The afternoon homework struggle. The nightly bedtime battle. Thank God Nana lives nearby now.

Bryn. He's not a mind reader. He's a good man trying to make the best out of a bad situation. He works hard and he comes home tired and sore. I just want to curl up with him and let everything else go to hell. But he needs some alone time and time with his friends, and the baby and Alex need tending to...

I just wish I felt necessary. Bryn could handle the mornings without me if he got up earlier. And he could go to bed earlier if he weren't waiting up for me. I stress him out and make him worry; that's not contributing. I feed the baby. That's all I can do that Bryn can't do better on his own.

He knows that I'm not right. We just talked about it. He's been worried for three weeks now. I don't eat much. I don't hydrate. I shower on Wednesday and sometime during the weekend. I'm still going to class and getting all my homework done, but that's about it. The kitchen is gross. Mom being around has been helpful - she does dishes and laundry. She also holds the baby so I can do some stuff. But she isn't always here. And sometimes I need to go out.

Yesterday, I found myself running errands in three day old jeans and my hair was still in the ratty ponytail I'd put up the night before. I cleaned up a bit and took Al to caramel apple dipping, then ran home to start supper. Bryn got home, Al got home, and supper was still cooking. Then we had to leave for bowling with our resident advisors. Alex really wanted to go. We had promised... I took supper out of the oven and we went bowling.

It was nice getting out with everyone. And we weren't sitting in the dark ignoring each other. I didn't even score a 50... Bryn did really well. Alex did really well. I want to go again and prove that I can do better. I used to average between 150 and 175... But that was years ago.

I dropped Bryn and Al at home and went to a party. It was nice being out with people from the program (I guess I do know where one person lives...) and beyond. English people and queer folk were invited for board game night. I had to bring Atticus. I was dehydrated so I was confined to water. I was lousy at the board game and I was working on a headache, but I had fun. I think I talked too much. It's been a while since I talked to grown ups other than Bryn or Mom.

Today at a child's birthday party I think I was obviously not with it. The mom kept trying to include me in conversation and she smiled at me a lot. Alex's present was the smallest (and cheapest) and she specifically came over to compliment the game and thank me. I mean, I thought it was neat, but it wasn't that cool. And in hindsight, not a birthday party present. Too small, not showy enough. Al wasn't having much fun, which didn't help my mood. Store cake frosting gives Al a stomach ache, so she hates cake time. She's only ice skated once before, so falling down hurt but she was a trooper. I also failed to get her properly prepared. No hat, no gloves, no helmet. She got a loaner helmet. Remind me to check her for lice tomorrow. At the end of the party the mom thanked me for coming and hugged me. I nearly started crying. I was done. I'd nursed the baby twice, tended to Al's needs and whims, and comforted her poor feet, knees, and hands, stroked her ego and pointed out that no one finished their piece of cake. Al would not shut up most of the way home. I was so done. I just wanted to be done. I fell into Bryn's arms when we got home.

I wanted a nap. I hate that all I want to do is curl up in bed and watch Monsters Inc.

I have an appointment with my brain care specialist on Tuesday. Bryn and I think I need to go back on medication. I've been worse, but we need to get this now. Two or three weeks ago would have been better, but you work with what you've got.

If it were just the situational stuff, I'd be perfectly entitled to being down. Having just had a baby... why does that make me feel guilty about being down? I've always advocated for PPD selfcare, awareness, acceptance and love. It's hard to do it for myself.

Still Pregnant...

We have passed my original due date of August 21st. We are on the eve of the "official" due date. I have been having contractions for about four days now. We all sat around waiting on Tuesday. I really wanted to have the baby on Tuesday. I'm not sure why... Well maybe I have a few reasons.

I liked the idea of having a roaring Leo demanding to be the center of attention. I liked the idea of having a week before my classes started again to get used to having the little guy in the house. I just really wanted to have him on Tuesday. I was even ready... He had been pretty quiet, I had very little appetite, I had nothing in my digestive system to speak of; it felt right. Contractions never got closer together than 10 minutes and I could talk through all of them. 

Yesterday, Bryn convinced me to get out of the house and get my mind off of it. We walked around downtown for a little bit. Not much of an appetite. Stronger contractions, but still 14 minutes apart...

Today, I said to heck with it and told Bryn that I planned to go run a whole bunch of errands - on the bus. He vetoed the bus idea and we all went to Big Lots. I went for printer paper. We spent over $70. Good thing we brought the car. Then we took Alex to see ParaNorman. Bryn and I both figured it was our last chance for us to do something just for her for a while. We didn't tell her about it until we pulled up to the theater for fear I'd go into labor and disappoint her. It was a really good movie and she enjoyed it (even though she was scared through a lot of it). She also got a nosebleed in the middle of the movie. That was pretty upsetting too. 

I fell asleep in my chair after dinner, so Bryn sent me and Boo to bed at the same time. I tucked her in  and tried to go to sleep myself. Didn't work. I snuggled with Bryn for a bit. I cried. I whined. I'm uncomfortable. The belly is in the way of everything. My hips hurt. My pelvis hurts. My wedding ring is getting hard to take off. I'm hot. Contractions are about 10 minutes apart... 2 more minutes, consistently, and I can call the midwife. But no... and the last one was 20 minutes ago... I'm not sure I'm ever having this baby. 

Midwife appointment tomorrow afternoon. I'll keep you posted.

Bumpy Canadian Roads and Other Concerns

We made it to Canada safely.

We were at the airport an hour early for our 45 minute flight to Newark. Bryn and I got to see my brother and his wife for most of our 4 hour layover in New Jersey. That was really nice. The big brother gave me grief about my grey hair, but I smacked him, so it's all good now.

We sat on the tarmac for over half an hour while the ground crew hauled out all the luggage looking for bags from a family of four who were not on our flight anymore. The pregnant lady with the tiny bladder was not amused. Two hours later, we were in Halifax. Two hours later, we were at the house.

Three hours in the air, two hours in the car, four hours in Newark and we shaved nearly seven hours off the usual time to make it up here. Bryn said he'd have rather driven. Aside from getting to see my brother and his wife, I'm inclined to agree. I like the scenery, the navigating, the Tim Horton's. But I do like flying, even after 9/11. I was positively giddy leaving the runway the first time. Bryn kept telling me to calm down, but he smiled when he said it.

We are here to settle Bryn's father's estate. Bob died last August, three weeks after Bryn and I had started trying to conceive, one week into our frantic move to Burlington. Needless to say, this has been a really rough time for Bryn. His father will never meet our son. His father will never see us settled into a real home. He will never have Yankee Thanksgiving with us. Nor will our son get to ride on the tractor with Grumpy Bob (the nickname Bryn's nephew gave him many years ago), or go fishing with him, or just sit in the truck having an ice cream cone. Grumpy Bob will never teach him to drive a nail or change his own oil. Bryn had obviously planned on teaching these things to our son (and Alex), but they were the things his father had taught him, and the values that his father had instilled within him that will never be shared in person. I was very fond of Bob. We had a very comfortable relationship. I am very pissed off that he is dead.

Anyway...

Bryn and I were pretty stressed out come the second day of this trip. Things were missing, feelings were hurt, and I haven't been sleeping well. Bryn's sister decided we needed to go to the beach. As much as I hate my bathing suit, I had to agree with her. Cool water fixes many ills.

There is something wonderfully practical about Nova Scotians. They farm or they fish, historically at least. The shorelines are largely undeveloped and the water is cool enough that very few people go to the beach. We were there two hours and about fifteen minutes before we left a couple of girls showed up with a blanket. That's it. Two hundred yards to the western point and as far as I could see to the east - no one else. Just us.

Let me describe the beach. We parked just off the "road", which was really two ruts through the rough. Climb a slight rise through the sea grass to a swath of rocks that go all the way that way and all the way the other way, but it's only about thirty yards wide. The rocks are almost all rounded with a few pieces of rectangular sandstone and all between softball and kickball sized. The rocks in Nova Scotia are wonderful. They are completely colorblind. Pure white ones nestled amongst the blue, grey, black and pink ones. Pale blue, slate blue, dark blue; pale pink, rose pink, orange-pink; light grey, dark grey, grey with stark white stripes all there together not caring who they trip. Then there is a coarse sand beach with small rounded pebbles thrown in for good measure and one or two bigger rocks just so you can't put down a blanket without covering one. Then the water line starts. Lots of the little pebbles with the rough sand for about five feet. Then the bigger rocks start again for another five to ten feet. Then sand. Not rough sand, like the beach, but soft silky sand like you want to dig your toes into or make sand castles with - except it's at least three feet underwater.

The water. Bryn, standing chest deep, could see his toes. Me going in as far as my toes made me gasp.  I did brave it though. Walking across the rocks under the water was a little scary. They shifted with the waves and under my weight. Not knowing the beach and how far out the rocks went and how shallow it was further out made traversing them scary and a little dangerous. Gratefully, I am buoyant. I got to my navel and made a very shallow dive. After having been in the warmth of the sun, with it beating on my shoulders, that water was COLD! My fingers hurt. Oddly, my toes were fine.

Swimming in the ocean is so different than swimming in lakes and ponds. Rivers are close, but salt water cleanses the soul in a way that no other water does. Just bobbing and floating along healed a lot of what needed to be healed Tuesday afternoon. Maybe we can stop again Saturday morning.

I was buoyant and happy. Coming out of the water over the rocks was awful. Not only were the rocks shifting, but I was suddenly much heavier. The baby seemed to be riding much lower. I was off balance and scared. I actually plopped down in the water and told Bryn I was staying because I couldn't do it. I couldn't walk across those rocks with all that off balance weight. Bryn came and gave me his arm. I was still unhappy.

We sat on the beach for a bit and then decided we should head back to the house. We all jumped in for one more quick dip. This one was quicker, but it took no time to get submerged. Cold Northern Atlantic waters be damned. We all got soaked and happy.

Getting out was even worse this time. My pelvis started the separation thing the instant my stomach was out of the water. My hips hurt. I wanted to be on my hands and knees and just crawl. I was in a lot of pain. And I still needed to get back across the sand and the rocks and more sand to get to the car. Bryn held my arm and nudged me to walk in the sea grass rather than on the sand where my shifting weight on the shifting sands made my pelvis scream and terrified Bryn that I was going to fall. My mantra, "I'm fine," was repeated for both of our benefits. I tried to say it with conviction. I told Bryn it was a good thing. He started saying, "Peeled grape," with as much conviction as he could muster. We made it back to the car. Getting in hurt, but sitting was good.

We had to go out to dinner. The realtor was showing the house at six, so we decided to go to an Indian restaurant in town that had been getting rave reviews. I was slightly uncomfortable on the trip into town, but the worst part is that the trip takes about half an hour and I stiffen up in less time than that. Bryn has taken to giving me the passenger seat and sitting behind me because he is convinced it's easier for me to get in and out of the front seat. I don't know if he's right or not, but it's nice having him behind me to hold my shoulder.

We parked just beyond the restaurant and Bryn heaved me out of the car. By the time we got to the restaurant I was pretty limbered up. It was closed. No hours were posted. No Closed sign in the window; just dark and locked up tighter than a drum. So we debated going back the way we came to an Italian restaurant or keep going to the restaurant that we had eaten at after the wake last year. We went to the one with a bit of history for us.

The walk went well. Dinner was lovely. Dessert was fantastic. Turns out that it was bought by new people in May and they just reopened a couple of weeks ago. I don't know if it's the pregnancy or what, but I got halfway through my sandwich and decided that I wanted Bryn's mashed potatoes. He switched plates with me. Something about denying the incubator of his only child nothing. I'm glad he liked my sandwich.

I was stiff from the restaurant, so everyone went on ahead of us. Bryn, as usual, stayed by my side and walked the extra five feet to the button for the crosswalk. He held my arm when I was wobbly and helped me down into the car.

When we were about five miles from the house (thank you Mother Webb for your roadside signage) I got a sharp constant pain from what I can only assume was my round ligament. It went from my groin, around my hip, and all the way up my left side to my rib cage. It hurt so badly that I couldn't speak. I just gasped and clutched the armrest. My toes were curled the entire ride home. Bryn had his hand on my shoulder, as usual, and I just clung to it. There was nothing else to be done. It ebbed a bit after a few minutes, but the pain remained until after we arrived at the house. I remember saying something about delivering in Middlebury and Bryn conversed with his step-mother and sister about where we will be delivering, where our closest hospital is, etc... It kept the focus off of me, which is all I really cared about.

We got to the house and I was hoisted out by Bryn. I sent him into the house to get my belly-strap and I walked up and down the driveway as well as I was able. It occurred to me that it was the first time in a long time that I hadn't worn a belly-band, or something similar, all day. Bryn was disappointed in me that I had left my brand new belly support at home. It had come in the mail on Friday and I misplaced it almost immediately.

I slept poorly. There are swalls in the upstairs bedroom. I had to get up four times last night and I hit my head on the slanted ceiling/wall at least once. The rise on the stairs is such that I have to crawl up them with my hands on the step ahead of me. I have to go down them sideways. And the railing is so loose that I want to pull it like a tooth. I'm sure it would come. And the bed is tiny and creaky. It's a double that sags a bit in the middle and the frame is not built to support the weight of both my husband and myself. Bryn has offered to put the mattress on the floor, but that would just make it harder to get up out of it.

This morning, just as Monday morning, I got my last two hours sleeping on a loveseat because I couldn't bear the thought of crawling up the stairs, ducking my head, creaking into the overly hot bed, and trying to fall back to sleep again. I just couldn't do it one more time. I was rewarded with screwed up pregnancy dreams. They were very weird. I may post about them later.

Anyway. Canada. I love Canada. I will gladly return when all is said and done. Right now. I really want to go home.

Let's Over Do It!

I love long weekends when Boo is with her dad. That sentence makes me feel really guilty, but it's honest and a good preface for the rest of this post.

I am a night person. I loved working in the theatre. It loved the people and the work, but the hours were fantastic. I will happily stay up until 2 or 3 in the morning. I have to push it to make 5 or 6, so working 3rd shift never worked for me. Getting up before 9 is like torture for me, even if I go to bed at the stupid early time of midnight. Seriously, not a morning person. Being an English major is right up my alley. All the classes are in the afternoon and I can work in peace and quiet after the kid is in bed. It just makes getting her up and out the door a pain in the butt.

For the last two nights I have stayed up late and slept in. It has been glorious. I love being in my comfy bed with the sunlight streaming through the window. It's decadent, I tell you.

Bryn and I finally got our acts in gear at about 3 and went down to the garden and plotted and tilled and sowed. I made little cards for each type of crop and planted the beans and peas. Bryn helped me with the corn. I just couldn't bend over and do it myself. He had to pick me up off the ground when I had been working on the little signs. The baby feels really low and really heavy. It's hard to believe I still have about three months left...

Bryn decided we needed to go when I started getting woozy. I was a little unsteady on my feet, but I blamed the hills and trying not to mess them up. I had a terrible headache and had already drunk all the water we brought with us. I felt very sorry for Bryn; he had sweat dripping off his face and I'd had most of the water. Bryn brought me home, had me sit in the comfy chair, and brought me water while he made supper. I have a wonderful husband.

That reminds me: Every now and again I look at him and say, "We're married!" and he smiles and nods and hopes no one heard me. It is a little weird, but I'm just so happy to have him for my husband. Occasionally, it just wells up inside and I have to tell him how happy I am. But to the casual observer, it's probably pretty weird. Me and my big belly. He and I have been together for seven years and engaged for two. But we've only been married for three months. And I adore him. Seven years into this relationship and I am still blissfully happy most of the time. We have our moments, but they are few and far between (and mostly it's me being overly emotional - I blame the hormones). I can't imagine my life without him.

Speaking of over doing things and being emotional: Last weekend, Bryn went backpacking with his friends. I hated every minute he was gone. I hate being alone with Alex. I second guess everything I do with her. I am the sole caretaker when he isn't here and I get scared that something awful is going to happen. I can handle it on my own, but it's easier when we can talk to each other and lean on each other. Bryn leaves us alone and she gets a tummy ache, every time. The one thing I can't cope with. So of course, I'm up all night worrying about her tummy and hearing things that aren't there. Listening for her running to the bathroom. Listening for her not making it to the bathroom. And all I hear is the upstairs neighbor playing bocce ball in the living room.

So, I drove Bryn and a friend up to the trailhead last weekend and while driving up the mountain road, I hit a chipmunk. I freaked the hell out. I started crying so hard that I had to stop the car - in the middle of the road. Then I realized how stupid my crying was and started laughing hard enough that I still couldn't drive. And I waffled back and forth between crying and laughing until I finally calmed down. I drove about 20 feet and freaked out again, "What if it was a mommy and has babies in a nest?!?!" and had to slam on the brakes again. Eventually, I got them to the trailhead. I was still sobbing and Bryn's friend Ed practically dragged me out of the car and I wound up the center of a group hug. It was terribly embarrassing, but sweet.

Ed is a nice guy. He and his wife have three kids. Until recently, I only knew his wife pregnant or nursing. I told her that my Christmas present to her this year was that I was pregnant so she didn't have to be. She gave me the hugest hug I got over the holidays. All that said, Ed gets the pregnancy hormones better than most of the men I know. Bryn had no idea what to do with me, other than to let the giggle-tears run their course. Ed managed to nip it in the bud so I could get on with my day. Yes, it was embarrassing, but it was over... Until they headed up the trail and I started missing Bryn and started crying all over again.

Last weekend was pretty long. This weekend is long and will be much better. It has been better already. This weekend I slept in twice, ate Peruvian beef heart on a stick, had a Rookie rootbeer float, watched a fire juggler, ate outside twice, and if we include Friday afternoon, I had a milkshake and a strawberry ice cream cone. The garden is about a third of the way done and it's supposed to rain tomorrow so we can stay in and tidy-up. My mom is coming next weekend.