Showing posts with label schedule. Show all posts
Showing posts with label schedule. Show all posts

Monday, April 18, 2016

7 week pregnancy weight loss | Submarine officers JO tour dream sheet

7 week pregnancy weight loss


While my hubby was in prototype he came home and said it was time to fill out his dream sheet. Since this is for his JO {Junior Officer} tour-- his first tour as a submarine officer-- he was only able to rank locations and types of boats. For his JO tour, he could only pick out of the submarine bases, which there really arent that many.

Submarine bases:

1. Groton, Connecticut {Naval Submarine Base New London}
2. Norfolk, Virginia {Naval Station Norfolk}
3. Kings Bay, Georgia {Naval Submarine Base Kings Bay}
4. Bangor, Washington {Naval Base Kitsap-Bangor}
5. San Diego, California {Naval Base Point Loma}
6. Honolulu, Hawaii {Joint Base Pearl Harbor-Hickam}
7. Guam {Naval Base Guam}

Before I get started on this guide, I want it to be known that this guide is for the spouses, not the military members. This is a very general and very brief summary of the types of boats with information on schedule and boat life. I would also like to state that the only experience my hubby and I have had on a submarine is on a fast attack {read "STA-21 Officers Program"}.

There are two different types of submarines:

1. Boomers
2. Fast attacks

BOOMERS {SSBN}?

Well start with boomers. Boomers are ballistic missile submarines {SSBN}; they are Ohio class. Their job is to keep our seas safe by guarding the perimeter. They are huge submarines and have two crews, a blue crew and a gold crew. The two crews take turns manning the boat. The crews are given a schedule ahead of time: 3 or 6 months on crew followed by 3 or 6 months off crew. As a spouse, this gives you a little planning room for when your military member will be home or away. Boomers are based out of Georgia and Washington. They are also forward deploying, meaning the crews family lives in Georgia or Washington but the boat doesnt pull into port except for maintenance; on crew flies to where the boat is {usually Guam for Washington and Italy for Georgia}.

More reading on boomers: "The US Navy: Fact File: Fleet Ballistic Missile Submarines: SSBN"

FAST ATTACKS {SSN}?

Next up: fast attacks {SSN}. Fast attacks are Los Angeles class, Seawolf class, and Virginia class submarines, much smaller than the Ohio class submarines. They have one crew and no set schedule. Fast attacks run missions. They can be underway a week, in a week, underway two months, in for a couple weeks... While underway the crew is on 18 hour days making the in and out exhausting for the crew and making a lot of the in port times revolve around catching up on sleep. As a spouse, there is little or no planning to be done around the boat schedule; basically, dont make plans that you expect your spouse to be there for because the schedule is written in sand. FRG meetings are exceedingly important on fast attacks because this is where you will receive a general idea of the boat schedule. My hubby never went on a deployment {picked up STA-21 right before the boat left on deployment}, but he was gone 75% of the time we lived in Hawaii just from underways. What I enjoyed most about fast attacks were the homecomings at the pier and watching the boat come in and out of port. It is amazing to behold. Fast attacks are stationed out of all the submarine bases.

More reading on fast attacks: "The US Navy: Fact File: Attack Submarines: SSN"

GNs {SSGN}?

Finally, GNs. Guided missile submarines {SSGN} are Ohio class submarines. How Ive had them described to me is "fast attacks on a boomer schedule." These submarines run missions, but also have a two crews and a schedule like boomers. They are also forward deploying, just like boomers. GNs have homeports in Washington and Georgia.

More reading on GNs: "The US Navy: Fact File: Guided Missile Submarines: SSGN"

Note on schedule: what is really important to remember when reading this list is that the schedule with submarines often does not go as planned. Shipyard is longer than expected... off crew gets called in... stand down gets cancelled... things change.

For more reading on submarines, check out this link: "Frequently asked questions about submarines"

When we filled out our dream sheet for my hubbys JO tour while at prototype, we ranked our choices from 1 to 10 considering location and type of boat. For example:

1. Washington-- SSN
2. Washington-- SSGN
3. Georgia-- SSGN
4. Georgia-- SSBN, etc.

{That isnt the order of our dream sheet, but an example to show you how you get to pick location and specify the boat type in the order of your choosing.}

Dream sheets are exactly that: dream sheets. The detailer will look at the dream sheet when assigning you a boat, but this might be a crash course on "the needs of the Navy," a phrase often quoted in regards to getting your bottom choice. We heard it a lot as we waited for our assignment. "I hope we get our top choice, but, you know, the needs of the Navy..." Thankfully for my hubbys class, most people were assigned one of their top choices {my hubby received his #2 choice!}.

I am nervous and excited to go back to boat life. My hubby loves his job and so Im excited for him to get back to what he loves doing. Im also very excited about living near close friends again {love our Navy family!}, but Im also dreading the return of a boat schedule and duty days. The last time we were on a boat we had one child and now we have four. I think it will be a very different experience from dealing with one infant/toddler to older children who are far more aware of Daddy coming and going.

Ive been a submarine wife for 8 years; this move will be our 5th PCS together. Im still learning new things about submarines and Navy life!

What was your experience filling out your dream sheet?

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Saturday, April 9, 2016

pregnancy weight loss after birth | iPhone Blogging And A Crazy Schedule

pregnancy weight loss after birth


Ok you guys, here goes my first try at blogging from my iPhone...


Our internet wont be hooked up until Sunday and there is no way I can wait THAT long to blog! But hey, I am so loving my new house, my new neighborhood and I so want to share...Hurry up Sunday!!!  In the meanwhile, here is a run down of these past few days, in a nut shell:

Wednesday: Officially moved, loaded up the truck and slept in our new house.

Thursday: Woke up, went back to our old house to clean and gathered up the "few" remaining items that were scattered throughout the house. HA! Those "few" items turned out to be six more, completely cram-packed, SUV loads of stuff!

Friday: Back over to our old house to mop the floors and finish cleaning the kitchen. It was a huuuuge house!  Can you say cleaning marathon! Ha!  And, keep in mind, we were doing all of this with a teething baby. The piano movers came to the old house late in the afternoon to bring our treasured upright piano over to the new place. Sam stayed cleaning, while I brought Káel back with me and the piano movers to the new house.  After the delivery,  I came back to the old house (with Káel) to help Sam.  After we finally finished cleaning, we all three headed back to our new home. When we got there, we unpacked a few kitchen boxes, then hit the hay. (Whew! Am I making you tired yet?) ;)

Saturday: Sam cleans out the garage, back at the old house and takes a few loads to Goodwill. (Stuff be gone!) Finally!  Completely done at our old house! Now, on to more unpacking! 

Sunday: On a super fun and mega enjoyable note, yesterday I had a blast at my friend Caitlyns baby shower! It was a pool party, with a frozen drink machine and the most awesome food ever! We drifted around in the pool, sipping our preggo, virgin pina coladas, enjoying sheer bliss for the day! It was so refreshing and was a much appreciated break after all the moving, packing and unpacking.


My hot, amazing moving man!



The dining room became a depot for the "undetermined" stuff and was part of the last to go.




As we cleaned, Forest boy discovered a new found friend...the vacuum. Ha!


Little man was so good at entertaining himself, while momma & daddy finished cleaning up. =)




Even though we purged like crazy before the move, we had an unbelievable amount of boxes!


Now to create some pathways as the unpacking continues!


My lovely mermaid beauties at the baby shower for Caitlyn on Saturday.


Precious and beautiful Caitlyn at her baby shower.


Today:  I am back to more unpacking and getting ready for a crazy full schedule for the month of August! Besides setting up my new home, my calendar includes preparing for a baby shower that I am throwing next Saturday, for a beautiful friend on their amazing farm! Two weeks later is Sparrows birthday party. And, to finish off the month, the following week is Forest boys one year birthday party! Ah! I told you it was crazy full! Ha! Weve got lots going on and lots to do...and lots of joy and celebration!

Well, I think I have pretty much caught you up with my world. And even though my recap may sound rather choppy and repetitive,  thats what weve been up to. :)  And with the last few days behind us now, it feels so good to be able to focus on our new home! It is THE perfect amount of space for us and just a dreamy little nook of a neighborhood.

Ill be doing my best to get posts up, as soon as possible to keep you guys in the loop. Hope you have a great week and try and stay cool in this crazy heat wave that we are having!

Hey guys! One more thing.  If my blog makes you smile, would you mind taking a moment to click the link below?  It will take you to another link that will ask you to click one more time to give us a vote.  Top Baby Blogs has been a great place to connect with so many wonderful people and I cant tell you just how much I really appreciate you helping to keep us ranked. Thanks so much! xo Jess


Click To Vote For Us @ the Top Baby Blogs Directory! The most popular baby blogs









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Saturday, March 26, 2016

post pregnancy weight loss yoga | Homeschool schedule

post pregnancy weight loss yoga






When this homeschool year started, I was excited. Our first "real" year of homeschooling! I opened up my calendar and my feelings shifted slightly, "Oh no! There is nothing on our calendar!" So I started adding things to our calendar.

I continued our piano lessons on Wednesdays. He is really interested in music and learning piano.

I found a fun ASL co-op class on Thursdays. He likes sign language and I thought he would enjoy doing it with other kids-- just for fun.

I found a storytime on Fridays. This is really our only "toddler-friendly" activity.

Fall started. We enjoyed our schedule.

Then we found a fun co-op class on Wednesdays after our piano lessons. We joined that.

Then one of our toddlers needed speech therapy on Mondays.

Plus we go to church on either Saturday night or Sunday morning.

Plus we still had to go grocery shopping...

...and I joined a mommy meet-up group that I never had time for.

...and a homeschool field trip group that I never had time for.

...and friends that I was having a hard time finding room in our schedule just to hang out with.

...and a house to take care of.

...and toddlers that were still napping.

...and a newborn.

Oh, yes. And homeschool to actually accomplish with our kindergartner.

Suddenly our schedule was not fun. How had kindergarten become such a chore?

At a park playdate I opened up my calendar to a homeschool mom currently homeschooling her 4 children. I figured that she is wise at planning her family calendar since her oldest 2 are teenagers. I asked her, "What am I doing wrong? We are stressed and fighting every morning when we leave the house and we are homeschooling kindergarten! I dont think it should be this hard." Bless her she went through my schedule and helped me cut it down. {Side note: be thankful for honest friends!}

We dropped piano lessons and ASL co-op to free our schedule and because winter break was a good point to drop the classes before we move.

We obviously kept church and speech therapy.

The Wednesday co-op stayed since it was one of the things that our oldest loved and really wanted to keep on the calendar, plus it wasnt too stressful to get to or be at especially after our calendar was cut way down.

Friday storytime is drop-in and so on Fridays when we are looking for something to do, we go. On Fridays where we are way to busy after a hectic week, we dont.

I dropped the mommy meet-up group and the homeschool field trip group. Even being part of them online was stressful. I never had time for the playdates, even the ones that I wanted to go to. It feels so much better not having that "failure" hanging over me. I figure that if our schedule ever dies down, then I will consider joining again, but first I want to get in the swing of things.

After such a busy schedule, I wanted to give us a chance to breathe and regroup. Our co-ops and commitments ended in December then we hit the winter holidays. I gave us the freedom and flexibility to let school happen or to take a break. We ended up doing more no-school days than school days over Christmas, which was fine. We started school early this year and have plenty of days we can take off for moving, if we need to. As we get ready to start school again post-holiday, Im keeping in mind the lessons I learned this past fall.

Dont feel that homeschooling means open schedule.

Dont fill up each day with an out of the house activity.

Dont make it harder than it needs to be.

Since Ive cut down our schedule Im being far more discerning as I put things on our calendar, especially weekly commitments:

1. Does it include all the age groups of our children? Finding activities that all our boys can participate in is wonderful, specifically our oldest 3. If I have something interesting for them to participate in, it is so much easier to get us out the door. "Lets all put on our shoes for our nature explorers park trip!"

2. If it doesnt, do I already have several things on the calendar for that age group? For instance, my schedule was very heavy with activities for our kindergartner, our "official" homeschooler. Even though we were doing things for him, I was still bringing his 3 younger siblings to all those activities and they were getting bored and tired of hanging out in the car or lobbies or sitting quietly on benches watching their brother. While I do think that some activities geared toward a particular age group are great and fine {storytime for our toddlers, co-op for our oldest}, it is important to balance how often I put things on the calendar for one age group.

3. How busy will I be? Over extending myself on weekly commitments meant a lot of the other daily tasks became much bigger chores, such as grocery shopping, house cleaning, laundry, and the kitchen. As a family, we love cooking together and eating dinner at home, but we were short on ingredients and short on time. Our dishes were stacking up. Our laundry was piling up. It was stressful because each day we had too much going on. With young children, leaving one day {Tuesdays, in my case} open wasnt much help because I couldnt count on that day being a good day to get chores done. What if the boys came down with colds? Or our toddlers were exceptionally uncooperative that day? Or the baby was up all night and I was feeling sluggish?

4. Do we have free time? I love free time. The best things happen out of free time. Our boys invent a wild game to play together. We bake together. We do crafts together. We snuggle up and watch movies and eat popcorn together {we love watching movies together!}. When our schedule was so full, free time was miserable. The boys were tired and always fussing at each other. I needed a break and didnt feel like engaging when I finally had a minute to myself. Free time gives us the chance to let our math lesson run over because we are having fun. Free time lets us read just one more book together. Free time allows us to throw on shoes and take a walk. Free time lets us say "yes" to our neighbor that wants to come over and hang out for awhile. I am a firm believer in free time.

What lessons have you learned regarding your family calendar and homeschooling?

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Tuesday, March 8, 2016

7 week pregnancy weight loss program reviews | Cloth diaper troubleshooting

7 week pregnancy weight loss program reviews


Several weeks ago we started having problems with baby #4 and Freetime diapers. {What is a Freetime? Read my post "Cloth diapering an infant: BumGenius Freetime and Elemental diapers."} Everytime I put him in a Freetime diaper, he would break out in a rash. I started suspecting that his skin might be getting irritated by the liners in a Freetime diaper, which are different than the organic cotton in an Elemental. Well, one day he ended up wearing a Freetime diaper and taking a long nap. When he woke up and I went to change him, he had a bad diaper rash. Over the next couple days, the diaper rash turned into yeast and suddenly we had a full blow problem on our hands. How do I clear up yeast when in cloth diapers?

After some Google searching, I learned nystatin is not cloth diaper safe. The nystatin will get on the liners and form a waterproof barrier, apparently. {This is the same reason why a lot of diaper rash creams are not cloth diaper safe.} I read about two methods to clear up yeast while in cloth diapers:
1. use disposable liners to make a barrier between the nystatin and the liners in your diapers, adding bleach each time you wash them.
2. switch to disposable diapers until the yeast infection is cleared up.

While I was Google searching I started wondering how our little guy got yeast in cloth diapers. This was a reoccurring problem for us in disposable diapers with all 3 of our other boys. Baby #4 had his first bought of yeast right before 5 months, but his brothers all dealt with it several times before that in disposables. All the Google searching lead me down many roads: wash routine, detergent choice, etc. I ended up in this cloth diaper Facebook group that slammed homemade laundry detergents as well as "cloth diaper safe detergents." The conclusion of this group was that nothing would get your diapers clean unless you were using Tide {or a similar mainstream detergent} and bleach. I was so disheartened reading all these posts on the group. I kid you not, I started crying. I had a baby with a horrible yeast diaper rash {it flared up really bad by then}, all this money invested in our cloth diapers, and this website is telling me that nothing will actually clean our diapers {and yeast} unless we are using Tide and bleach, two products we dont use?

This bothered me a lot because part of the reason why we switched to cloth diapers is our environmental impact. I know that might sound lame, but we have 6 people in our house. We fly through products. I felt horrible about the landfill we no doubt created with our twins, despite my efforts to use biodegradable diapers {does anything biodegrade in a landfill?!}. We make a conscious effort to use biodegradable products and products with minimal packaging, buying in bulk where we can, and raw ingredients instead of processed. We make as much as we can at home, including most of our household cleaners {read "Homemade household cleaners"}. So hearing that we needed to use Tide-- a detergent I dont use for our laundry-- and bleach-- a product we dont keep in our house-- made me feel like, "What is the point of cloth diapering then?" If cloth diapering is going to make me introduce cleaning products that we dont use and detergents that dont biodegrade, what is the point of cloth diapering over disposable diapers?

The next morning I packed up our poor sweet baby with his, by that point, really bad diaper rash and headed to my favorite local baby store. When the owner greeted me, I am pretty sure that I came close to tears as I unloaded my problems on her. Thankfully she had all the answers. She started with a hug, which I needed, and then moved to the immediate problem: the yeast diaper rash. She recommended switching to disposables and focus on clearing up the yeast rash. She said it is the quickest way to clear it up, especially with how out of hand his rash was.

Then she moved to the diapers. There is a lot of chatter online about whether or not yeast grows on cloth diapers once there is a yeast infection. She told me to ignore the bleach comments and wash everything hes worn on the highest heat setting a couple times and put them in the sun. Since he was going to spend the next 2 weeks in disposables, he would not go back to cloth until after his yeast was cleared up, at which point there wouldnt be a problem with yeast anymore.

After that we had a long discussion on detergents and wash routine. She asked me why I was looking up the wash routine and I told her that we werent really having a problem with our wash routine, but I was noticing that our Elemental diapers had a strong smell when I changed them. I didnt notice the smell when he was wearing them, but once I got him on the changing table and started the changing process, I really noticed the ammonia smell. I didnt feel like there was an ammonia smell the first couple weeks of cloth diapering so I was worried somewhat that our detergent wasnt making the grade, especially since he somehow got the yeast diaper rash. I talk about our wash routine in "Cloth diapering an infant {logistics};" we had been using unscented Babyganics laundry detergent. She told me that she recommends unscented Rockin Green laundry detergent. I asked her about our homemade laundry detergent, but she said no since I use borax in it, which is somewhat of a question when dealing with the PUL {waterproof cover} on cloth diapers. Rockin Green also makes a Rockin Green Funk Rock Ammonia Bouncer. I asked her if she recommended I use that for a bit and she said she really didnt think I needed that with the problem Im having.

We also discussed the Freetimes. Since I was very confident that the rash started in the first place from the Freetimes {my children have inherited my sensitive skin}, I decided to shelve the Freetimes until much later before trying them again.

I left her store with a plan:
1. disposables and nystatin until the yeast is cleared up
2. wash all my diapers twice on high heat and sun them
3. switch from BabyGanics to Rockin Green detergent
4. put away our Freetimes and stick to Elementals

I was fairly certain that I would be back for the Rockin Green Funk Rock Ammonia Bouncer, but she insisted I wouldnt need it. I went home and followed all the instructions. Baby #4 spent almost a full 2 weeks in disposables. His rash started clearing up immediately when we put him in disposables with nystatin. The diapers were washed and sunned and I used up the last of our BabyGanics on our household laundry, not our diapers.

When we finally put baby #4 back in cloth, the Rockin Green detergent worked amazing. The ammonia smell that I noticed went away. She was right that we did not need the Funk Rock. I have been exceedingly pleased with the Rockin Green. {Maybe too pleased. I flew through our first bag because I started washing all of our household laundry in it, just to experiment with its cleaning capabilities.} We kept the rest of our wash routine the same because we really didnt have issues with our diaper laundry.

Of course in a house of 6, mistakes are made. Baby #4 accidentally ended up in our remaining Freetime {I swapped the other Freetime for an Elemental on a local b/s/t page}. When I went to change him, his bottom was covered in rash. Thankfully we caught the error quickly and have not put him back in a Freetime. I do believe that his skin reacts badly to the Freetime liners. I am going to trade my last Freetime for an Elemental. We only had the 2 Freetimes because they dry quicker than the Elementals, but I pulled out all the used Elementals I bought on a swap page {11 used diapers} plus the new Elementals Ive bought for baby #4 {10 new diapers} and so our stash is large enough to support using Elementals exclusively, even with a longer drying time {21 Elementals total}.

Having the box of disposables in the house from the yeast has actually been handy. Weve had some colds pass through the house and the craziness of getting ready to move again has lead to days of forgetting to either do or move the laundry, which is a problem since for some reason I only have one night diaper {a problem I plan to remedy}. When we move this time, we are going to be traveling for a couple months before settling in our new state, so we will be using disposables during that time. It has made me reluctant to invest in more cloth diapers for the time being, even though we will resume cloth once we settle.

Have you had to deal with yeast and cloth diapers? Have you had to use disposables while cloth diapering? What are your cloth diaper troubleshooting tips? :)

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Tuesday, March 1, 2016

weight loss during pregnancy success stories | Preschool schedule

weight loss during pregnancy success stories


“Its bad enough wasting time without killing it.”
? Norton Juster, The Phantom Tollbooth ?

Preschool... wow. In all honesty, I was really looking forward to the one-on-two time with my toddlers that preschool would give me, since my four-year old would be there for half a day. Now that weve been on the "preschool schedule" for the past couple weeks, I am looking back slightly longingly at the easy-breezy summer days!

Considering driving time, I essentially have a little over two hours while our oldest is in school. So, if I run one errand and it takes me an hour and fifteen minutes--our usual Target time-- I have 45 minutes left to... do what? I cant grocery shop in 45 minutes. I cant go home and let the toddlers nap in 45 minutes. Wherever I drive to, it will take about 10 minutes to unload and 10 minutes to reload, leaving 25 minutes to do something with two toddlers. Some days I do this accelerated shopping trip where I give myself 45 minutes in this store and 45 minutes in that store (these stops are usually for one thing, like PetsMart for dog food or Target for diapers); other days we slowly meander through whatever errand we are running that day to take up the entire 2 hours. The other day at the mall, I let both the toddlers walk. A man came up to me and grumbled, "This is ridiculous! It will take you hours to shop at this pace! Put those boys in the stroller!" First of all, Im not too sure why it bothered him so much that the boys were toddling along behind me (they were actually being surprisingly well-behaved). Second of all, that was kind of the point. The biggest problem with this awkward amount of time is that I end up sitting outside of the preschool long enough for the toddlers to take a 20- to sometimes 40- minute nap, with driving and wait time.

If you arent reading Honest Toddler, you really need to be. He opens up about "The Truth About Car Sleep" and now I finally understand why a 40-minute nap in the car means no 3-hour nap at home.?

Along the lines of "Car Sleep," having a set schedule also keeps my days flying by. We wake up, do our morning routine, spend the 2+ hours D is in preschool doing something, pick D up from preschool, go home to finish lunch, lay the toddlers down for their 3 to 3 and a half hour nap (oh, that part is deliciously sweet), then its time to make dinner and start our evening routine! Throw in evening plans two nights a week and suddenly its Thursday night and I thought it was still Tuesday! Where does the time go?

And our morning routine is horribly flawed, Ive come to realize. Im still not exactly sure how to get three kids out the door in a way that works for everyone. Either they are puffy-faced from crying or I look like I just rose from the dead. This morning was a little of both. The toddlers spent the morning stealing each others toys; the preschooler spent the morning following me around while not following directions; the dog was all over the place (I think he wanted to ride with us?). In the end, I had enough time to dab concealer under my eyes and brush my teeth and the toddlers had enough time to somehow work a fat lip in there. Im feeling like I am probably going to have to start setting an alarm and getting myself ready before all the kids wake up, instead of doing it after I get all of them dressed as I have been doing.

Perhaps Ive just come to realize that childrens school schedules are intense, even just with drop-off and pick-up. Perhaps I really can figure out a way to get us all happily out the door in the morning. Perhaps it really isnt as stressful as I think it is and Im really just stressed about my husbands crazy-busy senior year schedule (our third and final year of STA-21). Perhaps I just need a weekend away with good friends and good wine... Okay, I would even take just good friends and decent wine at this point. Whatever the reason, I need to find my stride. I feel like Im living in fast-forward!


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Saturday, February 20, 2016

pregnancy weight loss success stories | Life still goes on

pregnancy weight loss success stories


Our toddler old was diagnosed with reactive airways disease last spring and we recently wrote an action plan for him with our pediatrician. Looking online, the blogs and medical sites use the acronym RAD (Reactive Airway Disease). There is a lot of conflicting information out there regarding whether or not a toddler can be definitely told he has asthma. Medscape Reference states that a child needs to be "at least 5 years of age" before he can diagnosed with asthma in their December 2011 article "Pediatric Reactive Airway Disease." Expert Advice in the "Asthma: Difference Between it and RAD" Q&A, February 2002, says the diagnosis cant be made in "children under two years of age." Both pediatricians we saw as well as our CPNP and asthma/allergy specialist told us that O has reactive airways with a high probability of it later being diagnosed as asthma, considering our family history and Os personal medical history. While he does not have a diagnosis of asthma, we are proceeding as such because of his own medical history.

Weve started using new words around the home. Instead of saying, "Hes really laboring to breathe," we say, "Hes having heavy retractions." We already used wheezing, but now we talk about crackling lungs instead of saying, "Hes catching when he breathes." Flare-ups, yellow zone, nebulizer, breathing treatment... Our preschooler asks how O is doing and our non-asthmatic toddler watches the administration of breathing treatments to see if hes missing anything.

Last night I sat on the floor of the living room with my husband, showing him how to work the nebulizer and how to give a breathing treatment. We talked about Os medications and what they were for: Pulmicort, Albuterol, Oprapred, as well as his short-term antibiotic. We used the word "corticosteroid" several times today. I myself take a corticosteroid twice a day, Flovent, and have Albuterol inhalers tucked in key places around the house (though I havent had to use it in awhile, knock on wood). However, I am comfortable telling my doctor that I need a refill on my bronchodilator. It seems like a whole different ballgame having my son need a bronchodilator.

Corticosteroids are used for asthma management. This is what keeps your lungs "in shape," and is often referred to as a maintenance medication. No matter what "zone" he is in (check out my blog "Reactive airways"), he will take the Pulmicort twice a day. An article in Doctors Guide titled "FDA Approves Pulmicort Nebulized Corticosteroid (Budesonide) For Asthmatic Children" says that use of "inhaled corticosteroids has allowed physicians the ability to target inflamed airways." In "Managing Your Childs Asthma" published by the Childrens Hospital of St. Louis, it states:
Sometimes, flare-ups do occur even when asthma is controlled with the best possible means. At these times, your physician may prescribe Prednisone or Orapred, oral steroids used to reduce the inflammation in the airways and help in the resolution of the asthma flare-up. These oral medications are given for 5-7 days.  
O has an Orapred prescription for those flare-ups." I really like this article from the Childrens Hospital of St. Louis, so Im going to quote them again for the bronchodilator, Albuterol, or "rescue medication:"
The most commonly used rescue medication is Albuterol, which relaxes the contracted muscles surrounding the airways and helps move air through the airways. Use this when your child is having an asthma attack or when you expect an asthma exacerbation...
With all of these medications and things to watch and keep in mind, having an Asthma Management Plan is key. This is something that we wrote with our pediatrician. Again with the Childrens Hospital of St. Louis article, "An asthma action plan will help you manage your child’s asthma on a daily basis as well as serving as a guide for a) what to do if an asthma attack occurs and b) when to go to the ER for help."

We spent awhile today brainstorming what we are going to do when leaving the boys with our childcare-- drop-in childcare and with our baby-sitters. Our big dilemma is that our twins are identical. We wouldnt want our regular baby-sitter giving C Pulmicort when it is O who needs it, or for O to go unmonitored at drop-in childcare because he was confused with his brother or lost in the crowd. Or what about at the church nursery where there seems to be a new volunteer every week? I did some online research as well as posted on some twin groups. In all the websites I looked at, there seemed to be three basic options of bracelets: stainless steel small classic bracelet from American Medical ID, childrens adjustable alert fashion bracelets from Colonial Medical Assisted Devices, and a 3-pack of toddler sized asthma alert medical ID rubber bracelets from E-Bay. What kind of bracelet works best for a 17-month old? I dont think he would keep a Velcro bracelet or the child-size rubber bracelets on. Im also concerned about the information on the engraved medical ID. If we engrave Pulmicort and it gets changed, we would need a new medical ID... but dont we want to list his medications? Ugh. I dont know. I did get some great tips from the twin groups, such as zipper pulls and shoe charms (although Im lazy and his shoes are Velcro... haha!). My husband had a great idea this afternoon. You know those clear ID badge holders? He suggested I make a chart on the computer, print it out, and cut it out to fit an ID badge holder. I could have Os information visible on one side and print the medical symbol large for the other side. These would be much more affordable to make, so I could clip one on his diaper bag, hang it one on the stroller, and even attach one to Os person. This addresses all my concerns, making sure they would have all Os information in an emergency and preventing my toddlers from getting mixed-up. (Just one of a million reasons why I love this man!)

We did well today. O had a rough nap and slept fitfully. He woke up wheezing and out of breath. We watched him for a little while, "Does he need Albuterol? Is this just his cold working its way out? No, hes really wheezing... but hes smiling..." Every medical professional we have encountered has remarked on what a sweet boy O is. He always has a smile. He is very obedient. It makes it easy to treat him, but difficult to assess where hes really at. Even with extremely low oxygen levels in the PICU last February, he had smiles for the staff. We ended up giving him an Albuterol treatment this afternoon, which took care of the wheezing. I even left my husband home alone with the boys while I went to the movies with girlfriends. He gave O his Pulmicort and I tried not to think about him the whole time I was out of the house. It was good to get out for a bit.

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