Pumping in the car en route to Delaware

There is no such thing as a convenient time to pump. Even when people say that when you wake up or go to sleep, those could be good times to pump, well… those are also good times to go exercise and… SLEEP EARLIER. But it’s especially annoying when it comes to travel. Because not only do you have to think about how to pump and cover up if in public, but how do you store your milk once it’s pumped? So on the way to Wilmington today, I pumped while in the car. Chris drove. Kaia babbled and napped. I pumped. I set myself up while Chris stopped the car to get gas, and I pumped en route, which actually wasn’t so bad after all. It was a good way to pass time during the 2+ hour drive. When you’re in a fast moving vehicle on a highway, you don’t have to worry much about people noticing that your nipples are out and exposed, connected to an electric nipple sucker. It was just a bit nerve wracking to disconnect and empty out the milk while the car was still moving. I just got lucky and there were no sudden stops or bumps as I was consolidating the milk and getting the last drops out of the flanges and duck bill valves.

I told my friend, who has also breastfed and pumped, that next month, I would go down to 3 pumps per day once Kaia reached 11 months of age. Then, when Kaia turns 1, I’ll go down to two pumps per day. It’s a bittersweet thought: I’ve both hated and been grateful for pumping this whole time. It’s been massively inconvenient, but I’ve been grateful to my body for what it’s been able to provide my baby, and I’ve taken great pride and joy in knowing I can feed my baby food that my body produces just for her. She insisted to me that although it would make me feel a little sad to not do this for Kaia anymore, it would also be extremely liberating, which I know would be the case. But it’s what our night nurse originally told me: everything has its time, and cumbersome things like pumping have a definitive start and end point. I’m closer to the end of my pumping journey than the beginning of it.

“You’ll have many other ways to bond with her,” my friend said to me. “Your relationship will grow.”

I hope so.

Shishito pepper for baby

“Are you CRAZY?! Do you want me to call child protective services on you?!”

My nanny was going a little ballistic at me this afternoon when I told her that as part of her dinner, I’d add some shishito peppers to Kaia’s plate. I would pan fry them on the stove until blistered, then slice them in half. I’d test a half of each and then give her the other half to ensure they weren’t hot. With shishito peppers, there’s always a bit of a “surprise” element: you never know if you will get one that is mild to plain, medium heat, or HOT. I’ve been eating these tiny peppers for years, and while the vast majority have had no heat, a handful have had mild heat, and maybe one or two ever were actually spicy hot. Our nanny had never had shishito peppers, and she seemed wary when I described them to her. She thought it seemed a bit suspect that it was not predictable whether they’d be hot or not hot at all; she’d never heard of these peppers before. So I cooked them, then offered her some. She tried and said she liked them. Plus, neither of the ones she had were hot, so she seemed more open to having Kaia eat them for the first time.

“This is a very different house,” our nanny declared. “Kaia has quite the life!”

192nd food tried will now be shishito pepper. She’s doing pretty well at 10.5 months of age for variety.

10-month doctor’s visit and freebies at the pediatrician’s office

The nanny and I brought Kaia to the doctor’s office today thinking that we were just going in to get her second flu vaccine (baby flu vaccines are two doses), but they ended up taking all her vitals and doing a semi-thorough examination of her. I wasn’t expecting that, but it was nice to see her get measured and weighed again. The doctor is very pleased at her growth and proud of how much solids (and the variety of which!) she’s been getting. She was also not surprised at exactly how much Kaia hated being at the office. My baby cried the entire time she was getting measured. Then, when the doctor came in to examine her, she cried the whole time, not even stopping to allow the doctor to take a quick look at her little pupils. It was absolutely tortuous for her.

The funny thing I always notice every time I go to the pediatrician’s office is all the free samples: baby lotion, baby body/hair wash/shampoo, diaper rash cream, booger wipes. It’s always something different each visit. So me being me, I always scope out the new stuff to see if it would be anything interesting we could take with us during our travels given their size. I also leave a few items like rash cream or lotion in Kaia’s diaper bag. This time, there were booger wipes (yes, that’s what they are actually called), which I still haven’t used, as we had some other samples we were given previously. But there was also something completely not baby related: face wash with exfoliating beads in them. It looked like an item you’d get at the doctor’s office if you were a teenager, trying to figure out how to maintain and care for your skin.

Not sure how targeted those free samples were, but I guess free is still free, even if it’s not relevant to the audience. I suppose parents do need to wash their faces after all, so I grabbed two!

First period since pregnancy and giving birth

One of the greatest things about being pregnant (other than being pregnant, duh) was never having to worry about a period. And in my postpartum state, because I have been actively breastfeeding and pumping, unless I was one of those rare, unlucky mothers, I could count on keeping my period at bay for at least six months according to my OB-GYN, or eight to nine months according to my mom friends. Well, I was able to be period-free for even longer than any of them guessed: I lasted 44.5 weeks, or 10.5 months, before finally getting my period today. Well, I don’t know if it’s an official period, per se, but I guess I will count it as one since it’s the first time I’ve had any menstrual anything since before pre-pregnancy. That means that the last period I ever had was in March 2021 — that was INCREDIBLE!!! That’s 19.5 months being PERIOD FREE! Weeee!

I had a feeling I was ovulating because this and last month, I saw discharge that was egg-white in consistency, which is a sign that ovulation is near and approaching. And my period coming back is also an explanation for why the last few days, my milk supply has decreased quite a bit. I wonder if I will be one of those lucky moms who have a temporary decrease in milk supply at certain points of their cycle, and then it goes right back up!

Lots of cooking on a Sunday, like in old times

Pre Kaia’s arrival, Sunday was always the day I did most of the cooking for the week. We’d usually never go anywhere or make plans that day unless it was near home, and I’d focus on food for the week. Then, I’d usually experiment with something new, project-type cooking that would require lots of different ingredients sourced from all over the place, lots of steps, and potentially take hours if not all day. Not much of that type of cooking has happened since she was born, but today almost felt like it. I finally decided that since I saw beef chuck on sale at Whole Foods that I would get to making beef rendang with Auria’s spice blend. I’d had so many rendang packets accumulated, but never got around to making it because I knew that even though she simplified the process by putting all the necessary spices in one pouch, it would still take hours of nursing over the stove and stirring every ten minutes. I decided this was the weekend. I put the oil, water, coconut milk, and spice blend in the Dutch oven. I let it come to a bubble, then added the beef chuck chunks, and then simmered… for FOUR hours. I had to stir it periodically in the beginning, then the last hour, stir every ten minutes, but the result was worth it: it tasted restaurant quality, and it was HOT. I just added some extra sliced makrut lime leaves and salt to the adult portion, and set aside a small bowl for Kaia’s meals this week. I knew it would be good, but I didn’t think that much about HOW good it would be.

On top of the beef rendang, which was already a project, I also made pumpkin spiced mini muffins, quinoa with homemade frozen stock, as well as pessarattu (spiced whole green moong dal pancakes) for the baby, plus white jasmine rice to go with the rendang. That’s five different things in a single day! This was almost like pre-Kaia Sunday cooking, except this time around, I was way more tired. I did all this in between feeding her, pumping, and cleaning. This is really what multi tasking looks like now as a working mom.

Right thumb feels loose and.. (gasp) good?!

I woke up this morning and for the very first time, I didn’t feel a need to loosen my right thumb. It actually felt… sort of normal?! It’s been so long since I haven’t had any hand, wrist, or elbow problems, so “normal” seems almost like a foreign feeling or thought to me. Four days after getting my first steroid shot in my right wrist, and I actually feel pretty good. I still feel a little tightness at the tendon area on the wrist with certain movements, but it actually feels like I can do everyday things without any sharp pains or snaps.

As I thought about this today, I really regretted waiting so long to see an orthopedic doctor. I guess I was so anti medical intervention, and the idea of a cortisone shot seemed so invasive. I also just didn’t want to deal with going to a doctor. But I wish I had gotten the referral sooner so I could have been free from pain sooner. I’ve already scheduled a second visit for a shot on my left wrist. As I’ve been overcompensating with my left since I can’t lift with my right this week, it unfortunately feels stiffer on my left side now. The orthopedic doctor I saw told me that between him and the other co-director of the hand and wrist center, they each get 2-3 people (usually postpartum or pregnant moms) every single DAY getting cortisone / steroid shots, so this is a very common condition, and a just as common procedure, and the vast majority of patients get relief that is permanent. With one couple, both the mom and dad had to get the shot in both wrists, and so they alternated weeks so the other could lift the baby!

So I’m hoping just one more shot on my left side will do the trick for me… I hope.

Forest Hills — stroller city

I went to visit my friend, his wife, and baby in Forest Hills today. As soon as I got off the train, it was like I was surrounded by strollers — bassinets, regular seat attachments, car seats on wheels. I couldn’t believe how many parents, grandparents, and nannies I saw with strollers. And all I could think was… when did Forest Hills become the new hot place for new parents to move? The last time I came here, I couldn’t remember seeing this many babies at all.

Then, I thought about how annoying it is taking the stroller up and down the subway stairs and how some strollers, being over 25-28lb in weight (that’s without the baby in it!!) could never even go on the train unless you had at least 2 people helping to carry it. If you lived here, you’d probably need to get around by car or by foot only.. because not only are the stairs annoying for the train, but the weekend schedule for the train would make train trips even more of a hassle. I have yet to be at a train station in Queens where you can easily see working elevators for getting into the station, but also onto and off the subway platform. Clearly, no one factored in that many moms suffer from pregnancy and postpartum carpal tunnel, not to mention mommy thumb/de Quervain’s tenosynovitis.

When baby becomes more communicative

Kaia is getting more expressive and communicative by day. Granted, we could tell from when she was very young when she was happy vs. sad, hungry vs. tired. But now, we can tell even more. I always know when she is coming — the sound of her hands eagerly slapping the hardwood floor as she is crawling towards me, usually in the kitchen or bedroom, always makes me feel happy. I can usually tell her mood depending on how quickly she is crawling and smacking her hands on the floor: when she is slowly slapping the floor, she is cautious and a bit pensive; when she is a little woman on a mission, she slaps the floor quickly and forcefully as she charges forward, usually while babbling away at the same time (and usually trying to go after something she knows I want her to stay away from, like the bug glue trap..). When she wants to be held, she signals that by staring up with eager, happy, or puppy eyes, and then raises her arms towards you, hoping you will oblige.

Usually when that happens, I am pumping. So yeah, pumping still sucks and takes up a lot of my life. Even though I pump only four times a day now vs. 7 in the beginning, I’m connected to a pump for an hour each time, so that’s four hours every single day; that’s like a part-time job in itself. And most of the time because there’s always so much to do, I have to multi-task. But I can’t multi-task by pumping and holding her. So I always feel a little sad when I cannot indulge her while pumping by picking her up. It’s another limitation that is annoying. And this week, I’m also not supposed to be picking her up since I got the steroid shot in my right wrist, so when I do pick her up, the weight has to be in my left arm/hand. So I always end up being a bit of a let down to her, as she probably sits there with her arms reaching out, wondering why mommy is not picking her up…?!

I just love being able to see her be more communicative. And at some point, when she does start walking sometime soon, I know I will miss the happy sound of her eager, purposeful hands slapping and smacking the hardwood floor while crawling on her little missions.

Right thumb – looser, but still hurts

It’s been just over 24 hours since my cortisone shot. While I did wake up feeling like my right thumb is looser and more mobile, the pain point still seems to be there. I can even feel it when I’m fixing the bed and putting on the duvet cover after waking up. It’s so annoying. The doctor said I could experience relief within 24-48 hours, but it could take as long as two weeks for the inflammation to go away and to really heal. That makes me so sad and impatient. I just want immediate relief… like yesterday. The doctor did look at me and say that I probably shouldn’t have waited five months to see someone, as the more time elapses, the worse the condition could get, and the more likely surgery may be the only option for real relief.

But given my left hand is so much better than my right, I’m going to schedule a shot for my left hand in about two weeks, and hopefully, that will have a more immediate healing effect. At this point, I’m happy for all the drugs to feel better and like I have my hands fully back.

1st steroid shot

The last time I went to see an orthopedic doctor in spring 2021, it felt like a complete waste of time other than the exercise I got walking to and from the office. The staff seemed nonchalant. The doctor barely spent five minutes with me, nor did she seem to know anything about my cubital tunnel syndrome. They took an x-ray of my spine, but never bothered doing one of my hands or arms… you know, the area where I was actually having pain. I wondered in my head how orthopedic doctors got paid so much to do so little; is that what happens when you spend an insane amount on medical school tuition — you just get paid a lot to do absolutely nothing to genuinely care for patients…?! What a reward! That idiot doctor sent me to a neurologist to do some nerve testing to see if I had any nerve damage. I did not, and that neurologist sent my results to that doctor… And of course, she never followed up. I never even got a copy of my results.

This time, I got referred by my OB-GYN to an orthopedic doctor, specifically someone who specializes in hand and wrist, which makes sense given why I want to see this specialist at all. I quickly Googled the guy’s name, and not only is he apparently an award-winning physician, but he also seems to get good reviews from patients in terms of his bedside manner and general competence. So I went, and everything went really efficiently, from checking in, filling out paperwork, discussing my condition with the medical assistants, getting a (gasp) hand and arm x-ray, and the doctor came in pretty quickly. He asked me how I was feeling, discussed my condition as he examined me, tested some points for pain (well, pretty much everywhere), and then demonstrated how the tendons, ligaments, and bones are all connected and what had gone wrong with me. He also talked about how pregnancy and postpartum fluid retention makes pregnant and postpartum women more susceptible to de Quervain’s tenosynovitis. He said his wife had the same condition, albeit earlier than I did, in her third trimester of pregnancy, and how he administered the same shot for her. He discussed our options, mainly being the cortisone/steroid shot, potential risks (there are traces of this detected in breast milk, as he did ask if I was still breastfeeding). As suspected, my right side is far worse and stiffer than my left. He didn’t seem that concerned with my left side but did express he was worried about my right. He said we’d start with one cortisone shot today. In 6-8 weeks, if it’s still not 100 percent, we’d do another shot. And if that didn’t do the trick, surgery would be our last and most serious option. I really hope we don’t have to come to that.

So I got the shot in my right wrist, and yes, it hurt like hell for about 3 seconds, after the doctor gave me a cooling numbing spray. It immediately felt looser, which is what he said he expected, but he also said I may experience a flare up of pain after the numbing spray wears off after 2-3 hours. But in 24-48 hours, I should experience immediate relief. I had the option to do my left side, as well, but decided to hold off a week or two to see how my right side fared… plus, I don’t want to be incapacitated in BOTH hands — I’d feel totally useless. They told me not to do any heavy lifting for the next 2-4 days, but to try to lightly move my right thumb as much as possible to regain mobility in the tendon.

Fingers crossed that this all works, as who the heck wants to get surgery, even if it’s outpatient??