healthy weight loss during pregnancy | 2013 flu shots

healthy weight loss during pregnancy

Ready to get their flu shots

To start this off, I am NOT against military clinics. I know many people immediately start looking for the bad when going to a military clinic or automatically assume the doctors arent as good or whatever. We have used three military treatment facilities (MTF) so far in my husbands naval career and two civilian providers, this being our third MTF. I knew what to expect heading back to the MTF. Before moving here, I was very nervous about moving our asthmatic toddler from our last pediatricians office. They were wonderful there and knew his whole history, what his triggers are, what medicines hes been on, etc. They took excellent care of our boys there, especially O, and I was nervous to move right before cold and flu season. (Read "Reactive airways.")

When I walked into the clinic here in South Carolina, I was impressed. It seriously looks like a mini Walter Reed National Military Medical Center. I have been seen quickly both times I went to the clinic, no long wait times. The pharmacy moves right along and they have a drive up window. The staff is great. The lab is quick. They even have an email service that Ive used several times. I have sent my doctor emails that reach her nursing staff. They have replied to my messages promptly, within 30-40 minutes or first thing the next morning if I sent one at the end of business day.

Downside?

It is October 23rd and they still do not have flu vaccines available to dependents.

There are posters all over the clinic advertising the importance of getting a flu vaccine and they still have no definite date on when flu shots will be available to dependents. My PCM even told me, "They say next week, but theyve told us next week every week." So I asked her, "Can we get a referral or prescription and go out in town?" She kind of beat around the bush in the office and I didnt have a place I knew we should go, so I didnt press the issue. She did emphasize before I left how important it is for me to get O his flu shot since his asthma and medical history puts him in a high risk category.

On top of this, South Carolina seems to have very strange laws regarding vaccines for minors. No child under the age of 6 (the age I heard most consistently from pharmacists) can get a vaccine without a prescription from their doctor, meaning no walk-in flu shots. I called Walgreens, Rite Aid, Target, and local urgent cares. Consistently, we were denied flu shots for our two and a half year olds, some said they would be willing to give our five-year old his flu shot. I even offered to pay out of pocket since flu shots are, what, $15 or $20? No, flu shots are $31.99 (times three, since we have three boys), but even paying out of pocket, they still would not give our toddlers the flu shot.

I found a nearby CVS and asked the pharmacist what I had to do to get our boys, including the toddlers, a flu shot there. She said, "Oh, just have your doctor send over a prescription and we can give it to them no problem. We accept Tricare Prime." I went home and messaged my doctor. She sent me back a message this morning denying my request. She told me to take them to the Health Department.

I ended up having to post a thread in a wives group where someone tipped me off about CVSs Minute Clinics. I found our closest Minute Clinic (a little over half an hour away) and we all drove over there this morning. Here is the link to the Humana website with the Minute Clinic information: "Convenient Care May Still Need a Referral." I called Minute Clinic (link to their website: Minute Clinic) and got specific information about the clinic I was going to take the boys too, confirming that they would accept Tricare Prime, that they would administer the vaccine to two and a half year olds, and that they did have childrens flu shots in stock. My husband, being active duty, was already given his flu shot by the Navy and, finding this to be quite the ordeal, I had already gone to Target for my flu shot the week before.

The Minute Clinic has a highly irritating automated answering system. When I finally reached a representative, I was feeling frustrated by this whole process. The guy on the phone was really nice and very helpful. I actually hung up smiling, glad to finally have somewhere to get their flu shots. The woman at the Minute Clinic was an angel, seriously. She was so sweet to our screaming two-year olds and actually managed to give our five-year old his shot without him bursting into tears (he has a fear of shots right now). Getting there was challenging, but CVS made the process as painless as possible. We even got a 20% coupon that we used to buy the boys candy for being so brave. Even our cashier was sweet, telling the boys how good they were.

I am really irritated with how our flu shots were handled at the MTF. I feel like they have basically thrown their hands in the air and said, "Oops! We dont have them yet! Gotta wait!" Come to find out, most of our neighbors do not have their flu shots yet. Ive heard from several people that they find this process so irritating that they dont get them anymore. I have never had this experience with Tricare, at a different MTF, Prime, or Prime Remote. I even asked our doctor if there was an exception for high-risk patients to get their flu shots (me and O) and she said no.

Im still give the MTF a chance. Im switching PCMs, at least for the kids, and seeing if there is a different doctor that we connect with more. Right now, Im just glad that our whole family has their flu shots!

Here is a link to the immunizations page of the health department, by state: "State Health Department Immunizations Websites."
(Without insurance, flu shots are $25 at the Health Department in South Carolina.)

 

Here is a link to an article I really liked about being pro-vaccine: "Im Coming Out... as Pro-Vaccine."

 

My blog post on "RSV and premature babies," outlining Os 4-day stay in the PICU with RSV.

 

My blog post about the "2012-2013 RSV season," when O got the Synagis vaccine.

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herbalife weight loss during pregnancy | Military Monday Family Planning Linked with Eights on the Move

herbalife weight loss during pregnancy

So Im trying my first "link up" and Im not sure if Im doing this right, so please bear with me. I discovered this blog, "Eights on the Move," and she does a Military Monday topic where people link their blogs up to hers and answer the questions posted on the topic. This weeks topic is about Family Planning. Here is the link to her blog to see what other people posted, "Military Monday: Family Planning."

Being a military family influences many aspects of your life. For instance, you never know if your husband will actually be present for your plans. Some plans are fine, like a family movie night that you really wanted to have-- easy enough to cancel or reschedule. Some are frustrating, like family pictures with a professional photographer ("Um, can you Photoshop my husband in...?"). Some are emotional, like your wedding; my husband didnt tell me at the time of our wedding that he did not know until a couple days before our wedding that he would be able to make it. He didnt tell me until afterwards because he thought it would "stress me out." Since he was able to make it, I guess it really doesnt matter either way. I did ask him how I would have felt if he told me two days before the wedding that he couldnt make it... talk about stress!

Other things are just straight up complicated, like planning when to have a baby. If you have been following my blog, you have read about my miscarriage and partial molar pregnancy. We planned on having Baby #4 in North Carolina. My husband had no duty days or underways going through college. We didnt have to deal with a boat schedule. It was the perfect time to have our last baby. You know, until we miscarried and then discovered it was a molar pregnancy and I needed to have weekly and monthly blood tests before we could get cleared to try again...

The wrench was thrown into our plans and it had nothing to do with the Navy.

When is the perfect time to have a baby as a military family?

Honestly, there isnt a perfect time for us. We never feel that our finances are in the right place or that our plans are under control. Ive never felt in shape enough or prepared enough to welcome our newest family member or family members-- definitely didnt feel prepared for twins!

After being a military spouse for almost 7 years now, I have come to the realization that the only certainty with military life is uncertainty. You never know what life will throw at you. And once you have that little person in your life to care for, you still have the other aspects of military life to contend with. Our oldest came down with reseola during one of my husbands underways when we were living in Hawaii. My parents, on the east coast and 6 hours ahead of me, were powerless to help, despite my many tearful phone calls to my mom. He had a fever over 105, projectile vomiting all over my bedroom, and I was frantically getting us to the car to head over to the emergency room in the middle of the night. I did not know at the time that he had a common childhood illness; I just remember thinking, "Please be okay. I do not want to send a Red Cross message to the boat with a horrible message about our son." I was terrified and my husband was out to sea.

We did luck out with our timing for having twins. My husband was picked up in the STA-21 program and sent to North Carolina for 3 years to get his degree in mechanical engineering. Shortly after arriving, we found out I was pregnant with identical twins. I thanked God every night that my husband wouldnt be going underway or standing duty on a boat, that he would be home every.single.night. The pieces fell together perfectly.

This time around, God has His own perfect timing in mind. I really thought it would be perfect to have our last baby at the same OBGyn that we delivered our twins at, that we should have the baby before we moved to South Carolina. It just felt perfect to me. We dont know when the perfect time is now. We have no idea what my husbands schedule will be. First we hear he will be in the October class for power school, then he wont, then he will... I dont know. I dont know how long we will be living in South Carolina. I dont know how long it will take us to get pregnant. I dont know if there are good OBGyns close by who I would trust as much as I did our last OBGyn, especially considering my history (first pregnancy miscarriage, second pregnancy induced early for medical reasons, third pregnancy identical twins, fourth pregnancy a partial molar).

For us, the right decision is to proceed with business as usual. So we dont know my husbands schedule or where we will be living in 9 months. So we dont know when I will get pregnant or if it will be viable. There are so many unknowns that we deliberately put out of mind: What if it takes a long time to get pregnant and he finishes power school, SOBC, and prototype and is back on a boat, deployed? What if we dont like our new OBGyn and they dont do enough monitoring in the first trimester? We may be a military family, but we are still a family-- a husband and wife, following God, raising three boys the best way we can. Times like these are when we need to hand over our concerns to God and trust that it will all work out in the end, which it will. So what if it takes a lot longer to get pregnant this time? So what if he is deployed when I deliver? So what if we have to fight more for first trimester monitoring? We will face those challenges as they come, but not before then.

Want to read more about the things I mentioned in this blog post?

• Check out "In my life," where I give more details on how my sister delivered their one and only while my brother-in-law was deployed.
• To learn more about my miscarriage and partial molar pregnancy, read "3 months down." Here is my blog post just about what a "Molar pregnancy" is.
• Here is information about the "STA-21 Officers Program."

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can weight loss happen during pregnancy | Government shutdown

can weight loss happen during pregnancy

I keep posting a bunch of articles on Facebook so I thought I would compile them in one place. I dont know how long this government shutdown will last and I dont know all the far-reaching consequences of a government shutdown. Some of the statistics that Ive been reading on how it will affect the economy are unsettling to read.

Bases are putting out on their Facebook pages and websites the various functions that will be affected by the shutdown, including closures, limited duty, and things that will stay open with little change (NEX and Navy Lodge, for instance-- "NEXs and Navy Lodges to Remain Open in Light of Possible Government Shutdown" by Navytimes.com).

What does the government shutdown mean to military families, now that congress has passed a bill saying military will continued to get paid? ("President signs Pay Our Military Act" by Militarytimes.com)

A military wife at our installation shared this list of closures for our base. This is not a list of closures at all military installations due to government shutdown. Im not sure where she found this comprehensive list, but here is the edited version (for privacy) of closures at the base we are stationed at:

* Commissaries OPEN briefly on October 1st to clear out perishables and CLOSE October 2nd until funding is restored.
 * CE responds only to Life/Health/Safety issues and emergency work orders (electric, sewer, water), all others deferred
* Environmental: Hazardous waste only
* Cease real property/space management actions
* No boat repairs, limited locomotive and forklift repairs
* Mission-critical (below MEL) vehicle repairs only
* Large contracts stop
* Base Support activities impacted
* Youth Programs and School Liaison Office closed
* Fleet and Family Support Center closed
* Education Center open for testing only
* Civilian Personnel closed after furlough in effect
* Libraries and LIBERTY programs closed
* ID card issue at PSD
* PSD can support transfers, receipts and pay on a limited basis.
* HHG shipments - new ship arrangements cannot be made until the continuing resolution or an appropriations bill passed. Previously arranges shipment will be as scheduled.

Thats right. Commissaries are closed: "In shutdown, overseas commissaries would stay open; stateside commissaries would close" by NavyTimes.com. Most commissaries will be open on October 1st to clear out the perishable items, but will close indefinitely on October 2nd, until funding is restored.

TRICare has issued statements in response to the government shutdown, reported by the Air Force, "TRICare issues statement about government shutdown":

While we cant predict the exact consequences of a shutdown on every part of our MHS, we will likely see some impact on the delivery of health care services within our military hospitals and clinics... Patients needing to schedule new routine appointments might experience delays. For TRICARE beneficiaries using providers in the private sector, little or no effect is anticipated at this time.

 On Tricares website, they have the same article, "TRICare Statement About Government Shutdown."

USA Today posted "66 questions and answers about the government shutdown."

Washington Post posted "Absolutely everything you need to know about how the government shutdown will work."

Washington Post posted this article, "As government shutdown looms, Americans brace for possible disruption, disappointment," several days ago. It had some good facts about how the government shutdown will impact America, like this quote:

Visa and passport applications from almost half a million prospective travelers would sit untouched every week, and late tax filers facing an Oct. 15 deadline would find the phone lines at the Internal Revenue Service dead. The National Zoo and museums on the Mall would close to the public. The WIC program, which provides food to 8.9 million low-income women and children, would be out of money, its supporters say. And in the District, garbage could go uncollected.

Military.com posted this article "Troops Pay Protected as Government Shuts Down." Here are some highlights from the article:

Stateside commissaries will close after Oct. 1, routine medical appointments for troops and their family members may be delayed or canceled, and veterans’ benefits – from pension payments to call centers – could be postponed... [D]eath benefits for survivors of service members killed in the country will probably be delayed, the official said.

Navytimes.com posted this article, "CNP: Shutdown could delay special pay, slow advancements." Quote from the article:

Sailors won’t receive the danger pay they get in war zones. And advancement results, personnel transfers and the training pipeline could all see delays... Navy Personnel Command will only process permanent change-of-station orders to activities deemed essential or for those heading from boot camp and training to their first duty station. 

This article was posted by a fellow Navy wife and is full of information, specifically for Navy families: "What We Know Now About the Government Shutdown" on Navy Life by Vice Admiral Bill Moran.

The Wounded Warrior Project released this statement on the government shutdown: "Government Shutdown Statement." Here are some quotes from their statement:

We will maintain our nonpartisan position on individual issues, but will speak out strongly on the need to resolve the current impasse, as well as the looming discussion over the national debt, without a break in the pay, benefits and healthcare earned by America’s veterans, members of the military, and their families. These brave men and women fought and sacrificed for the very rights and freedoms that allow these debates to go on. We owe them more than this.

(The Wounded Warrior Projects statement also includes a basic list of services that will be interrupted due to the shutdown, services that will continue, and how to contact the WWP Resource Center if you have specific questions.)

There is a lot of information about the government shutdown online and in the news. My husband and brother-in-law are AD Navy. My parents are both non-essential personnel, as are many of my friends. I have several friends who will be working through the shutdown, many of whom are contractors or essential personnel who will not be receiving paychecks.

I know that in my community, the government shutdown has a very real and very felt impact.

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