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Tuesday, November 07, 2006
Too Early For Any Conclusion
Last night I put Jack to bed at midnight. He'd had 2 hour-long naps in the day, one in the evening. I was so engrossed in finishing The Game by Neil Strauss that I didn't sleep till almost 2am. He woke at 2.45am, 7.20am, and then once more (I was too buggered to check when).
I had the ioniser on at Medium and then a/c on at Low. May have been my constant moving around that disturbed his sleep.
Jack had sleep regressed around 4 months (I think, memory no longer 100% reliable) from 5 hours to 4 hours, sometimes 2 hours but finally stabilised at 3 hours. At Borders' latest book sale, I picked up Dr Harvey Karp's Baby Bliss (also known as Happiest Baby on the Block).
Scouring through the book, I decided to try white noise (with our ioniser) set to low. Another realisation that hit was that around the time he sleep regressed, I'd started to set the air conditioner to Auto. Last night I turned it to Low.
Jack slept for 6 hours!
Was it the white noise, the constant temperature, or both? I'll bet on the temperature but will keep the white noise (from the a/c too anyhoo) on too.
We'll try the same config again tonight and we'll see if we get the same results. :D
Kino vouchers from the girls, Ange calling me for a shop-out (she has the Kino card), and that shop-out is a day after my birthday!
I bought:
The Game by Neil Strauss The Blank Slate by Steven Pinker The Language Instinct by Steven Pinker Jenny and the Cat Club by Esther Averill The Pig That Wants To Be Eaten by Julian Baggini
Earlier that month I'd picked up Einstein Never Used Flash Cards by Kathy Hirsh-Pasek, Roberta Michnick Golinkoff, and Diane Eyer, three PhDs writing on evidence-based parenting. Their premise is that, as I understand it, children learn on their own from play (with encouragement from their parents) and structured learning is unneccessary and even harmful to their (particularly, creative) development. That is what I have always felt instinctively, as one brought up on play. Childhood needs to be returned to children.
Parents never forget their children. Even if they were just together for a day...
The other day I went to the funeral of my sister-in-law's mother, an 80 year old woman who had suffered from Altzheimer's disease for several years. She had shut down almost completely about a month ago, no longer eating or speaking, and by the time death came it was a bit of a relief.
At the luncheon after the funeral, a brother of the deceased approached me and introduced himself. He was a dentist and had heard that I was a neonatologist. He told me of a son that he and his wife had 50 years ago who was born at "eight months" along. The baby had breathing problems and died at the age of one day, and the dentist wanted to know if there had been any progress made in the treatment of such babies and diseases.
I told him that yes, tremendous advances had been made, and that a baby like his if born today would likely be a relatively easy case. I told him about the advances made with mechanical ventilation of babies in the late 1960's and 1970's, and of the advent of widespread use of artificial surfactant in the early 1990's.
Although he seemed pleased to hear about the advances, he had a somewhat wistful expression on his face, and I said to him,"You never forget about your baby, do you?" He seemed relieved to have the sentiment acknowledged and started talking more about his dead baby boy. He told me that his son just couldn't seem to catch his breath, and he was reminded of it when he saw his Altzheimer's impaired sister take her last breaths. After our conversation he thanked me and we went our separate ways.
Fifty years ago a small baby lived for one day, and every single day since then his father must have thought of him. There is, I think, no stronger attachment than that of a parent for his or her child.
This is truly a case of believing yourself to death. The sad thing is she leaves behind three young children.
The patient still steadfastly refused all surgery, chemotherapy, and radiation. Against all evidence that the course she had chosen thus far had not resulted in the elimination of her tumor that she expected, she nonetheless insisted on continuing with various alternative medicine treatments. Against all evidence to the contrary, she continued to refuse any form of "conventional medicine." She still believed that her "healer" could save her life, even though she now had a large, bleeding, stinking mass in her breast stuck to her chest wall that had three years ago been a pea-sized cancer that could have easily been excised with a small surgical procedure. She was well on her way to dying in the horrific way that so many women died of this disease 100 years ago.
And a comment by a reader:
If you look at the claims for most alternative therapies, they are very heavy on spiritual and supernatural types of assumptions regarding potent powers, forces, and intentions -- either on a personal level or Nature as a benevolent guide.
Trying to argue a True Believer out of Alt Med is like trying to argue against the existence of God to just about anyone. The tricks and denials built into the apologetics will not only help them disregard just about anything you say, but they'll feel virtuous and wise while doing it. The oncologist is up against it, hard, in a culture which puts "being scientific" slightly lower than "having faith" on the personal merit scale.
More evidence that breastfeeding is good for baby but is it the cause or correlation? Smart Moms + Smart Genes + Nutrition is the likely answer.
A study published this week in the British Medical Journal suggests that the advantage of breastfeeding on baby's intelligence could be explained not by the effect of breastmilk on the infant's developing brain, but by the fact that women who breastfeed are more likely to have higher IQs.
This is perhaps because IQ is correlated with social and economic class, and people in these classes are generally more likely to follow health advice promoted in education campaigns.
Hence, these babies might just be more likely to inherit neurodevelopmental advantages from their mothers (IQ is known to be partially heritable), and are probably more likely to benefit from a range of other factors which better socioeconomic conditions bring.
I suspect that advantage seen in breastfed babies might be a combination of social and genetic factors, as well as the effects of breastmilk.
We know that good nutrition in the early years is crucial to good brain development and breastmilk is a tailor-made for the purpose.
However, the brain also develops through interaction with the environment, so this nutritional advantage has to be balanced against social and educational experience.
At lunch today, a pregnant lady manning a push-cart (and who is due in December), while watching Jack smile and laugh, commented how babies in Singapore never smile but always stare blankly.
I don't know about other babies. I never noticed them before I got pregnant and now that I have Jack, I still don't notice them because I'm concentrating on my own! :p
Since the day Jack was born, I've been greeting him every morning when he wakes up with a "Good Morning" and a huge smile, no matter how tired I am, and he reciprocates. He's always a happy baby, smiling and laughing at strangers (usually female) and especially at his family.
What inspired this? Aside from the fact that I'm delighted to see him in the morning, I got through the tough first month from week 2 when he'd reward me with a smile, albeit in his sleep, after nursing. Plus, I find starting the day happy makes the whole day (and everyone around) happy too.
And here's a sticky for myself on how to give Jack a happy childhood:
- Slow down. Time moves differently in childhood. When I realize I am moving too fast, trying to do too much, I stop and just stare at the clouds until I can see the slow pattern shift in them. It re-sets my pacing to something slower, more natural.
- Enlist help. Parenthood is a LOT about the grungy, hard work side of it - health care, teaching, discipline, feeding, clothing, cleaning up, and not all of it is fun-fun-fun. I came to the conclusion that what I would be least able to do on a daily basis was 'enchantment' - I wanted my children to be enchanted by the world, to see its magic, to have their eyes wide with wonder. That plus everything else is a tall order. So I asked my mom if she would take on the job - provide Enchantment. She was THRILLED. It gave her the basis and boundaries she needed to grandmother without stepping on my toes, and a focus for activities, gifts, trips, and even her house... Her yard is now full of secret and magical places. She takes her local grandkids to museums, to ride on Tall Ships, to meet a REAL Princess (from Sweden), and bakes cookies with them, and joins them on dressup parades around the block. The distant grandchild, she ships unexpected packages with books and treasures, and calls regularly to have magical talks on the phone. I also enlist the help of other relatives, and friends, and teachers. It doesn't have to only come from me.
- Show your pride, awe, and wonder. Kids are as astonishing to us as the world is to them. Let them see that in your eyes (I guess that's the 'eyes light up' thing Moxie mentioned)... I do this intentionally, in various forms, from showing up for birthday parties and assemblies at school, to the way I greet them after school, to how I reach out my arms for each of them in turn as I take them to the car. I also let them catch me watching them with my love and pride showing, as they go about their day.
- Astonish them now and then. Sometimes we go out for breakfast, or have cereal for dinner, or go to the park, just 'because'. It makes them laugh and jump up and down and squeal. Say Yes unexpectedly, give them 'drive by hugs' (especially when they're older), give them flowers, pick them up from school early and go somewhere fun. It works when we're courting a partner, and while we have to tune it to the children's developmental level (dinner in a fancy restaurant may NOT work out!), it still generates that 'you thought of what might make me happy, now I feel special' reaction.
- Simply do things WITH them. Don't just had them crayons, sit down and draw your own pictures, and ask them what they think of it. Make your own play-doh figures, climb on the playground stuff (at least the stuff you can't break!) with them, play tag with them.
- Being present. I could tell when my parents were tuned into me, or when they were around but not really paying attention.
- Knowing that my parents respected my BIG choices. When I really wanted to switch schools in 5th grade, or when I was sick and tired of Sunday school, my parents listened.
- and (I found this one online, and I think it's great) cultivate nice memories by regularly recalling fun times, by showing your kids photographs and other souvenirs of happy things you did together when they were younger. When doing this, you help them build happy memories. Sounds a bit manipulative at first, but I think there's a great principle behind it: learning to emphasize the good things that happened to you in the past will help you become a more joyful person in general.
"To be without some of the things you want is an indispensable part of happiness." -- Bertrand Russell
"Non-violence leads to the highest ethics, which is the goal of all evolution. Until we stop harming all other living beings, we are still savages."
-- Thomas Edison (Harper's Magazine, 1890)