friday, and a little bit about breasts

to do list

 

what we did

 

Yes, that is my second child sitting on top of the table.

And "bra" is the last item on the list. This week, my clinic's monthly medical talk was on mammography. The speaker showed a slide of the effectiveness of mammograms in dense breast tissue. The current debate is whether we should or shouldn't recommend yearly screening before age 50. His point was that comparing the 10 years before 50, to the 20 plus years after does not give an accurate picture of the gradual increase in effectiveness of mammography- and decrease in breast density. He advocates screening annually starting at 40, as does the American Cancer Society. For a low risk woman, the American College of Obstetricians and Gynecologists and the American Academy of Family Physicians recommend getting a mammogram every 1 to 2 years between 40 and 50 and starting annually at 50.

His talk was clear and persuasive, but when he showed the slide of 5-year increments of declining tissue density, all I could see was my unavoidable future of sagging breasts. Cancer? Maybe yes, maybe no. Sagging? Guaranteed! An informal survey after the lecture showed 99% of women in the audience had the same thought. I can eat my antioxidants, wear a seat belt, and get my mammograms, but my future health is largely out of my hands. And I can't prevent gravity and time teaming up against me. So I'll get a new bra with a stronger foundation.

Thrown Back In

A little vomit never fails to clear writer’s block. Or writer’s absence, really. Blogging is low in the order of my life- down below pedicures and exercise and massage- none of which I have accomplished recently. That is not to say I don’t love to write and find it helpful/ relaxing/ whatever. But it just gets buried. And we traveled four out of the last eight weeks. After all that time, I lost my momentum. Several phrases have popped into my head over the past two months. Opening sentences, full of charm. But they always come while driving, or holding a screaming child, or in the room with a patient. So I can’t write them down, and like everything else I don’t nail to my skull, they’re gone. Poof.

But the vomit stuck without a hammer. I wrote about puke at least once before. So here we are at the vomit’s silver lining- the inspiration to blog. The vomit was minor, actually. Just once and not too much. But the timing was stellar. Otto had a vaccination on Tuesday and fussed most of the wee hours of Wednesday. Augusto was holding him while I made breakfast and said, “Can you hold him a sec?” No sooner had Augusto walked out of the kitchen when Otto retched all over my clean from the hamper fuzzy sweater. Right then I announced that I would be going to work and Augusto would be home with the puker as he had NEVER been thrown up on by anyone in our household, and I had been lucky one too many times. Off I went, working mama who knows how to put her foot down.

These days, work at work is easier than work at home. The clinic’s problems are within my control. People don’t whine too much, and I can shut the door at the end of the day. At home, we have certainly rounded the one-year mark. Otto’s birthday was last month. We are night weaning. I remember the clearing when Stella turned one. And I feel it now, but we have this giant baby of a dog who hasn’t rounded whatever mark he should. He is improving with less ankle biting and fewer destroyed toys (nice wooden ones which have survived and been handed down through three families). I think I feel a change coming. Soon.

***

We went to Baltimore for Thanksgiving and Brazil for Christmas. We also went to my 20th high school reunion in Philadelphia. I recognized many people, but I couldn’t remember how I knew them. I didn’t know if we had been friends, or lab mates, or just been trashed together at a party. It was weird, to say the least. And I connected with others I held dear long ago. It was good. The pictures of our 1980’s hair were worth the trip.

It was a joy to see family. Otto is a sensation everywhere we go. His charms and easygoing way pull in strangers and family alike. Even Stella copies him and is becoming more outgoing. The best gift from Brazil is Stella’s Portuguese. She started speaking when my in-laws were here, but now she digs it. She invents new lyrics in Portuguese. It’s cool.

***

Tonight is the first Friday of February. Otto and Rex are napping, Stella is at school. Augusto is at work. I’m going to get started on our monthly soup and enjoy the quiet while it lasts.

Just Thinking

Just when you think it’s safe to share a new trend, it changes. I was silly enough to brag about Otto’s longer sleep nights. He was finally sleeping 5 ½ to 6 hour stretches and I rejoiced in the company of other parents. “Oh, how much better I feel today than the past 7 months!” I told one woman who is due to have her first baby any minute. Stupid.

I am sitting here pre 7 am (way before my pre-kid days) after one measly 4 hour stretch last night and then Stella woke up to pee. And then Otto was up an hour and a half later. You do the math. I know how short it was without counting. Augusto up for the 4 am potty break, but the slightest loud breath wakes me these days. Lying in bed is far better than carrying 30 something pounds to the bathroom. So I can’t really complain about it.

It makes me crazy how much of the time I want for the past or hope for a change in the future. The focus of our childbirth prep class was being in the present. Meditation. Taking a big breath. Dropping the Doom of Dwell. I worked really hard at it. Or didn’t work hard. Whatever I was supposed to do. Let go into the moment. I sucked at the practice. There is nothing like labor or a newborn to keep you mindful of the present. I hung around for those… but now I’m a time traveler. Monday I was so grateful for my job and looking forward to my increased hours. Yesterday I was pining for my maternity leave as I strolled to the playground and library, latte in hand. (When out on a weekday, I’m always amazed at how many people are window shopping, sitting at cafes, not working or caring for children. What ARE they doing? Self employed? Trust fund? Laid off and taking a break from the job hunt?)

Anyway. I’m up after too little sleep and will be heading to work in an hour, so let me be present with this gift: this happy, babbling little guy all to myself before the rest of the house wakes and the rush of the day begins.

On My Own

Shopping On My Own

I select 16 oz of garbanzos,
42 small diapers,
four boxes of our favorite
cereal.

I can’t stop staring
at one pale tomatillo-
its papery skin removed.

All 12 pounds of my little daughter
are at home.

Was Stella really already 3 months old when I wrote this poem? I didn't get out before then!? January 7 was the first draft. That's when the in-laws were here. It must be so. The emptiness of that first hour away from her was a hard surprize. I remember it well.

Today I left home at noon and my only contact with Stella before 7 am tomorrow will be in a few moments -when I sneak to her side and check the blanket on my way to bed. And it is easy. Every Monday is like this; I see patients until after 9pm.

My own time. Now it is sweet and rich with gratitude.