Tuesday, May 27, 2014

May 27th, 2014 – 2 month checkup, time to vaccinate!

The time has come for our little Monkey to see his pediatrician for his 2 month checkup.  This checkup is difficult for new reasons.  It is time for Monkey to start his vaccinations.  You might be tempted to think that being married to a pediatrician I just unquestioningly go with what Doc says when it comes to the healthcare of our son.  You would be wrong though.  I ask a ton of questions.  I ask to read the research myself.  I question not only my husband but every pediatrician about the options available.  I am not an uninformed consumer going with the flow.  Anyone familiar with my Facebook feed can tell you I am an outspoken advocate for children’s health care.  It matters to me that I put current information out there for my friends that don’t have access to as many doctors to badger with their questions.  I even connect them with doctors and sources so that they can get the information first hand.  And in the end here is what I concluded was the best treatment option for our son; to be vaccinated on the currently recommended schedule. 

I am not excited about watching my son get 3 shots this week.  I will not love watching the nurse hold my 2 month old down and jab him 3 times while I listen to him scream out.  I will feel as if I utterly betrayed him when I allow this to happen.  But I have to own those feelings and get comfortable with them, because they are not in my son’s best interest.  Without those shots I am putting both his quality of life and actual life up for grabs to the nearest virus.  With each shot I reduce the chances that I will have to watch them stick needles in his back, watch them shove tubes down his throat to help him breath, watch him suffer needless torment because I was unable to manage my own anxiety about getting his shots.  For 5 minutes of anxiety and discomfort I could save my son’s life or the life of someone he comes in contact with. 

There is a lot of misinformation out there about vaccines being spread about by an anti-vaccine movement that has no author other than celebrities.  I haven’t read anything by a board certified physician that supports the anti-vaccine movement.  I have read many of their claims and when I spent the time to investigate further I found they had almost no merit and generally twisted facts to make vaccines sound more dangerous than they are.  Vaccines are incredibly well studied.  Every vaccine side effect must be reported by the witnessing physician, and then reported by the CDC to the public.  There is no conspiracy to keep side effects quiet.  If the risk were as great as these terrorists allege every doctor I know would have unvaccinated children, because they would be the front line for seeing the side effects.  Every physician I know vaccinates and does it on the standard schedule. 

One of the reasons I choose to vaccinate on the standard schedule is that it is the way vaccines are studied.  Children are vaccinated on a schedule that has been found to be most effective at reducing risk of both vaccination side effects and prevention of the diseases.  I don’t want to mess with vaccine efficacy.  There isn’t as much research available for the alternative schedules.  I know that the majority of pediatricians will say the alternative schedule is better than no vaccines, but I don’t have the research to back it up.  There has been no evidence to support the claim that vaccines can overwhelm the immune system of the child.  Healthy children shouldn’t have any difficulty with getting vaccines on the regular schedule. 

My other reasons for vaccinating on the recommended schedule are more practical.  First, I don’t want to have to keep track of the vaccines.  Parents who vaccinate on the alternative schedule are in charge of making sure their children are actually getting all of their vaccines.  It is ridiculous to expect that a doctor can remember 200 different vaccine schedules, so the burden falls to the parent.  I don’t want it.  Second, I want fewer visits to the doctor’s office.  I love our pediatrician, he is a good friend.  I love the office, my husband works there.  However, the pediatrician’s office is a great place to get sick.  The less time we spend there the better.  Not to mention that each visits disrupts our daily schedule.  I also want my son to have fewer negative associations with the pediatrician’s office.  The fewer painful visits the better.  Basic psychology at play there. 

Now I just have to mentally prepare myself for this visit as well as for the things that come after the visit.  I can expect my son to have his first fever this week.  Fever is a very common reaction to vaccinations and a recent study found that treating the post vaccine fever with Tylenol actually reduced the effectiveness of the vaccines, so I will have to just cope and hopefully teach my son how to cope in the process.  Fevers are so scary for parents.  I get that.  However, after years of listening to pediatricians I have come to have a slightly different view of fevers.  They are not dangerous.  I don’t know where we got this fear of fevers or these thoughts that they will bake your brain.  They won’t.  Even really high fevers are safe.  Febrile seizures are even safe, because they are not true seizures and do not cause the damage usually associated with seizures.  These things are terrifying to us as parents, but I am going to have to remind myself they are not dangerous.  And when I am unable to manage my fears I will rely on my pediatrician to remind me that fevers are actually a sign of a healthy immune system.  We are relying on that healthy immune response to help my son produce the antibodies necessary to have made these shots worth it. 

I realize that there are those individuals who are unable (for a variety of valid reasons) to be vaccinated.  Mostly we are talking about the very young, those who are already sick, and in extremely rare cases those who have an allergy to a particular vaccine component.  Individuals who are suffering from a serious illness, such as cancer, may be unable to get their vaccinations because their immune system is busy with a much bigger battle.  Chemotherapy drugs and drug treatments for organ transplants reduce the body’s natural immune system.  Because these individuals do not have the normal immune responses in place they are unable to fight off infections and produce the antibodies necessary to protect them.  We protect them with herd immunity, which is why getting our vaccines and getting Monkey vaccinated is so important. 

It is also important to understand that vaccinations are a preventative measure.  Once a child is sick it is too late to offer them the protection afforded us by vaccinations.  One of the saddest stories I have heard to date is that of an unvaccinated child who was in the hospital being treated for cancer.  The lack of protective antibodies combined with the treatments for cancer made the child susceptible to every disease and illness that walked into the hospital.  Unfortunately the child contracted several all at once and the suffering was intense and long lived.  I cannot imagine that the parents ever imagined that would be the consequence of their choice. 

Saturday, May 3, 2014

May 03, 2014 – The Mommy Wars

    I have been coming across something more and more frequently and assume as I continue to write my blog it will only get worse, so I feel like it is time to address it: The Mommy Wars.  This is a war of women against women over how to raise children.  It is a battle that serves only to inflate egos and divide women (reducing the amount of support available).  It is the separation of moms into subcategories and pitting them against one another; breastfeeding vs. bottle feeding, cloth diaper vs. disposable, schedulers vs. child directed care, stay-at-home vs. working mom, day care vs. personalized care, home schooled vs public vs. private.  At first glance it would seem that these subgroups would allow moms to find like-minded people from whom to gain support.   However, that isn’t where it ends.  It becomes a hot topic debate that divides moms against moms.  She isn’t a good mom because she does things differently than I do.  Why does this battle happen?  Simply put the ego. 
    The most well defended belief I have ever come across in women is that of “I am a good mother”.  This belief is so strongly defended that I have worked with moms who literally treated their children worse than I would treat a rabid dog and yet heard them repeat over and over again that they were a good mom.  Their proof?  They could list the dozens of ways that they hadn’t wronged their children by comparing themselves to other moms they knew of or their own mom, effectively elevating themselves by putting down another mother’s decision.  So yes, they sold their child into prostitution, but they also kept them fed and this makes them a better mom than the mom who refused to do anything and let her kids starve.  It is a completely distorted logic provided to defend her ego against the thought that she has harmed her child or done less than her best for her child.  Looking at it in this extreme example it seems easy to see how dysfunctional this defense mechanism is, yet we all use it to defend our egos in the very same way.  Of course when we use this defense mechanism it isn’t usually to this extreme, but we are using it for the same purpose.  We let mom guilt take over because we feel like we are letting our children down in some way, so we over compensate with the defense of the ways in which we are being a good mother.  We even take these nuggets of guilt and build them up in defense of our ego.  For example Doc and I have discussed allowing our son to attend daycare 2 days a week.  The main reason is so that I have some adult time away from our son.  The longer we sit with this idea though the more likely we are to start defending it as the “right” option.  Daycare will provide good socialization, exposure to germs, it will expose him to a new place with new rules… all of which defend my ego against the guilty thought of “I am a human being who needs time away from my son to focus on my selfish self.”  My initial reason for considering daycare was a valid and sufficient one for placing my son in daycare (still haven’t committed to this), however mom guilt tells me how selfish I am for not wanting to be with my son always.  Don’t I love him more than anything?  And then the thought that I am being a bad mom creeps in and in order to defend my preciously held belief that I am a good mom I begin working on new reasons for my son to attend daycare, ones that sound like it is for his benefit.  Now, if I wanted to participate in the mommy wars I would take this one step further: I would begin to condemn and look down upon mothers who choose to spend all of their time with their children.  Doesn’t she have a life… doesn’t she want him to have better social skills… look at how much better I am at being a mom because I made the decision to allow my son to go to daycare for 2 days a week.  Meanwhile those who choose to keep their kiddos with them defend their choice by pointing out what a selfish person I am and they feel sorry for my son because his mom doesn’t enjoy being a mom enough to do it every day.  See how the mommy wars go?  They divide us instantly.  All so we can defend our egos which really don’t require this much defending because most of the choices we make are really not going to make or break our kids.
    So how do I combat my ego’s desire to participate in the mommy wars?  The first thing I do is acknowledge that every mom (or parent) is doing the very best that they can with their experience, knowledge, skills, and available resources.  I have had so many people argue with me that this is a false premise, but I have never had anyone give me an example of how it is false.  That mom that treated her child like a dog?  She was doing her best considering her extreme mental illness, upbringing, situation, and resources.  Was it my best?  No, but it was her best.  Does that make it okay?  No, but it was her best.  Can she do better?  Yes, if she is given the proper tools (treatment, medications, behavioral plans, skill sets).  See how this works?  You can acknowledge that someone is doing their best and still not be okay with the outcome.  The acceptance of this premise helps to take away our instant hatred of other parents and replace it with compassion, which is what allows us to connect with and help one another.  The second benefit of this premise is that you are also doing your best with your situation, skills, and resources.  This helps to alleviate the need to justify your decisions and choices which means your ego isn’t threatened and you don’t need to participate in the mommy wars!  Peace will reign in the parenting kingdom! 
    I also try and call myself on it when I am being judgmental.  This means owning it when I find myself looking down on someone else’s choice and reminding myself that they are doing their best and that I don’t have all the information that went into their decision making process.  It also means having an open dialogue with the people around me so they can help me avoid participation in the battle against other parents. 
    Finally, I have to acknowledge that my decisions are just my opinions on how to handle a situation and it isn’t any better than anyone else’s.  I may have a lot of experience and education guiding my choices, but really what that education and experience has taught me is that there is no one right way to raise a child.  Amazing people come from a variety of situations and my choice of diaper really won’t be what inspires my son to be a great man. 
    So this entry is me waving the white flag.  I don’t want to participate in the mommy wars.  I plan to share my opinions in this blog, but they are not the only opinions in the world no matter how strongly I may state them.  My hope is that by sharing what works and doesn’t for us it will help other parents find more enjoyable ways to share their lives with their children.  Just because I schedule, breastfeed, and diaper with disposables doesn’t mean I look down on those who choose a different route.  I don’t consider myself to be a better mom for my choices; it is just that these are the choices that work best for me.  I know so many amazing moms and they all do it so very differently from one another and it seems to work for them and their children.  I know great working moms, bottle feeding moms, cloth diapering moms, organic moms and so many other kinds of great moms.  And their success as a mom in no way affects how I feel about the kind of mom I am.  We are all doing our best with the information, skills, and resources available to us and since we have decided that it is okay to do it differently from one another we can all be supportive of each other as moms, which gives us a whole new layer of defense for that most preciously held belief, “I am a good mom.”