Defending the Boob

I'll start off right now by saying this post isn't for everyone.  It has boobs in it. 

Lactating ones.

I realize that half of you stopped reading after the last line, but to be fair, I've probably gained a few weird fetish dudes by now so I'm sure it all balances out somehow. 

In any event:  My name is Jen and I am an extended breastfeeding Mom.

As their biological mother, I chose to breastfeed all three of my kids.   I did this as I believe this is the best start that I can give them. I am not here to make you feel bad if you didn't;  we are fortunate enough to live in an area of the world that allows us options.   However, it's my blog and right now we are all about the boobies. 

It's sad in this day and age that you have to defend your choices as a mother, no matter what direction you take.   I am very lucky to have been able to breastfeed my twins up until now.  I struggled with my eldest for 6 months before giving up and switching him to formula. I wish I had known then what I know now (and had gotten a decent pump!)  The babies are now almost 14 months old and we are still going strong.   When Wyatt was born, I was open to any an all options for him in particular;  if it turned out that he needed to be tube or bottle fed pumped milk, then I would have done that.  We were very pleased when he was able to breast feed; not only would it provide the best dietary option and boost his immunity, but the increased resistance would give his oral-facial muscles a better start. 

As part of the 31 for 21 Blogging Challenge that I participated in last October, I put out this Factoid Friday:  7 Good Reasons to Breastfeed Your Baby with Down Syndrome.  Babies with Down Syndrome commonly have feeding problems;  I came across a study from Italy where 57% of babies with DS born in the four university hospitals were bottle fed (Pisacane, etc, 2003)  Depression and frustration were two of the most common cited reasons.  Feeding difficulties was the most common.  Only 30% of the children admitted to the NICU were breastfed.  I've run into similar studies from South America.  My advice to any new DS parent facing their options would be to do the research.  If you can do it, do it for the 7 Reasons that I've listed.

Now that the babies are 13+ months, I've now moved into very uncharted waters.  I'm now part of a new category:  the extended breastfeeder.  I have had (mostly well meaning) folks ask me "how long are you going to keep that up?" and the like.  (Also, "why are you still feeding both of them?", like I can pick one of them?) The stereotype, of course, is the "crunchy" mom who breastfeeds until the kid is in middle school... and yes, I have been asked that as well. Both Wyatt and Zoe are eating a variety of solid foods.  When I am at home, they continue to receive breast milk (they are supplemented with homogenized milk when I am working and there is not enough pumped milk in the fridge).  Why am I still doing this?

Really, it's more like: why the hell wouldn't I be?

There is no medical explanation as why I should cease breastfeeding my twins;  those 7 reasons still apply.  Between my insane work schedule and, well, life, any close, quiet snuggle time I get with the babies is important.  So what is the issue then, other than a vague societal idea that it is somehow weird and unnecessary?

To be honest, I did think about quitting.  It would be easier in some respects.  Pumping at work can be a drag, when all I want to do on my break is close my eyes for a few minutes or possibly eat something at a comfortable pace.  I might also want a glass of wine or two (or three) some evening at home. Then there is Zoe, who now has a mouthful of teeth.  Sharp, needle-like teeth.  I probably don't need to expound on that one. 

Ultimately, for me, it comes down to Wyatt.  Yes, he is eating solids, well above what is "expected" of a child with Down Syndrome at his age.  However, is solid food and cow's milk the best I can do for him and his special needs?

It is true that after 6 months, with any baby, supplementary feeding is recommended.  However, that does not mean that breast milk ceases to be of any nutritional value.  In fact, once you are over the year point, it is the exact opposite.  In 2005, Mandel determined that milk from mothers who had been breastfeeding for over a year showed "significantly increased fat and energy contents, compared with milk expressed by women who have been lactating for shorter periods."  To further expound on this, Dewey (2001) found that "Breast milk continues to provide substantial amounts of key nutrients well beyond the first year of life, especially protein, fat, and most vitamins."  In fact, when analyzed, 448 ml of breast milk (in ages 12-23 months) provides (of the daily requirement):

• 29% of energy
• 43% of protein
• 36% of calcium
• 75% of vitamin A
• 76% of folate
• 94% of vitamin B12
• 60% of vitamin C

After the first year then, breast milk continues to be a valid form of nutrition for a toddler.  What else can it do?  Building on our previous 7 reasons:


"1)  Breastfeeding provides antibodies and protection from illness"

After the first year, breast milk continues to provide immunity and fight infection.  In fact, it has been shown that breast fed toddlers have less infections and a reduced severity of illness (Gulick, 1986). Also, breast milk has an increased amount of antibodies in the second year (Goldman, Goldblum, Garza, 1983) which increases even further at the time of weaning (Goldman, 1983).  It would seem that extended breastfeeding is a beneficial practice for the health of any child, especially one who is statistically prone to infection and illness due to his genetic make up.

"2)  Breastfeeding improves mouth and tongue co-ordination which will aid in speech and language development"
  
Breastfeeding provides a variety of "positive effects on the development of an infant's oral cavity, including improved shaping of the hard palate resulting in proper alignment of teeth and fewer problems with malocclusions." (Palmer, 1983). In terms of both motor skills and early language development, another study found "The proportion of infants who mastered the specific milestones increased consistently with increasing duration of breastfeeding." (Vestergaard, etc,1999).  Therefore, extended breastfeeding would only continue to enhance speech and language development.

"3)  Breastfeeding promotes increased brain growth due to DHA, a fatty acid that is not found in most formulas or cow's milk." 

Extensive research in this area has shown that there is a direct relationship between breastfeeding and cognitive ability.  Of particular note is a study from 2002, whereby "a significant positive association between duration of breastfeeding and intelligence was observed in 2 independent samples of young adults, assessed with 2 different intelligence tests." (Mortenson, etc, 2002).  Extended breastfeeding then, would further aid any child's cognitive development;  ostensibly providing a boost to one who was developmentally delayed.

"4)  Breastfeeding provides the opportunity for extra sensory stimulation as there is more skin to skin contact"

Many studies have shown that breastfeeding enhances motor skills and overall development.  In fact, "The psychomotor and social development of breast-fed babies clearly differs from that of bottle-fed ones and leads at the age of 12 months to significant developmental advantages of the psychomotor and social capabilities." (Baumgartner, 1984).  As the senses develop the more they are stimulated, it would be easy to infer that the more one is breastfed, the more developed the senses would become.  It is obvious how this would be helpful to a child with Down Syndrome.

"5)  Breastfeeding fosters closeness"
and
 "6)  Breastfeeding enhances mothering skills"

I think this quote says it best;

"A major reason for practicing sustained breastfeeding in industrialized countries in the face of social disapproval has been the belief that it provides a closer bond between mother and child. These children are often said to be more secure and more independent. They continue to remember this close bond and their mothers believe that it continues in some sense, even into adolescence, easing the difficulties in the mother-child relationship during this period." (Grenier, 1995)  

The strong bonds created with breastfeeding appear to last well into childhood, at least by our perceptions.  Ferguson found "significant associations between the duration of breastfeeding and maternal and teacher ratings of conduct disorder obtained at six, seven and eight years" (Ferguson, et al, 1987). 
 
"7)  Breastfeeding reduces the risk of Type 2 diabetes"

Breastfeeding your child reduces his or her chances of developing Type 2 diabetes.  What is not commonly known is that extended breastfeeding decreases the mother's chance of developing Type 2 DM as well.  According to the Journal of the American Medical Association:  "increased duration of breastfeeding was associated with reduced risk of type 2 diabetes".  In fact, for each year of lactation, a woman decreases her chances by 15%.  (Stuebe, etc, 2005).  With that in mind, if a woman has two children and breastfeeds them both for two years, she has reduced her chances of developing Type 2 diabetes by 60%.  Other diabetes related finds of note:  suppressed lactation actually increases the chances of diabetes. Also: "lactation was associated with improved glucose tolerance, fasting glucose, and total area under the glucose tolerance curve. In an analysis stratified by use of insulin during pregnancy, fasting glucose levels were significantly lower in the lactating group." (Stuebe, etc, 2005)

As it turns out there is also some evidence that extended breastfeeding reduces the mother's risk of certain cancers, rheumatoid arthritis, and osteoporosis.


Contrary to popular belief then, extended breastfeeding (past the first year) has valid benefits for both mother and baby. I must admit, although it can be tricky (mainly due to other people), it provides a quiet time that I can spend with both my babies at once.  They make eye contact with me, they make eye contact with each other.  Occasionally, one will poke at the other, but that is the story with any siblings.  It's also easy and free, which scores bonus points as well.  I won't know for sure if it will make the difference between Wyatt taking this course or another in high school.  I will know that when I do get a chance to cool it for a bit, I can rest easy knowing that I did my very best for him and his sister.  Which is all any of us aspire to do, really.

Long live the boobies.  To my twins at least, they're like no udder. 



---------------------------------
Baumgartner, C. Psychomotor and social development of breastfed and bottle-fed babies during their first year of life. Acta Paediatrica Hungarica 1984; 25(4):409-17. 

Dewey KG. Nutrition, Growth, and Complementary Feeding of the Breastfed Infant. Pediatric Clinics of North American. February 2001;48(1).

Ferguson, D. M. et al. Breastfeeding and subsequent social adjustment in six- to eight-year-old children. J Child Psychology and Psychiatry 1987; 28:378-86.

Gulick EE. The effects of breastfeeding on toddler health. Pediatr Nurs. 1986 Jan-Feb;12(1):51-4.

Goldman AS et al. Immunologic components in human milk during weaning. Acta Paediatr Scand. 1983 Jan;72(1):133-4.

Goldman AS, Goldblum RM, Garza C. Immunologic components in human milk during the second year of lactation. Acta Paediatr Scand. 1983 May;72(3):461-2.


Mandel D, Lubetzky R, Dollberg S, Barak S, Mimouni FB. Fat and Energy Contents of Expressed Human Breast Milk in Prolonged Lactation. Pediatrics. 2005 Sept; 116(3):e432-e435.

Mortensen EL, Michaelsen KF, Sanders SA, Reinisch JM. The Association Between Duration of Breastfeeding and Adult Intelligence. JAMA. 2002;287:2365-2371.

Nursing Beyond One Year by Sally Kneidel, NEW BEGINNINGS, Vol. 6 No. 4, July-August 1990, pp. 99-103.

Palmer, B. The Influence of Breastfeeding on the Development of the Oral Cavity: A Commentary. Journal of Human Lactation. 1998;14(2):93-98

Pisacane A, Toscano E, Pirri I, Continisio P, Andria G, Zoli B, Strisciuglio P, Concolino D, Piccione M, Lo Giudice C, Vicari S.  Down syndrome and breastfeeding.  Acta Paediatr. 2003;Dec;92(12):1479-81.

Stuebe A., Rich-Edwards J., Willett W,  Manson J, Michels M, Duration of Lactation and Incidence of Type 2 Diabetes.  JAMA 2005;294(20):2601-2610.

Sustained breastfeeding, complementation, and care by Ted Greiner, Food and Nutrition Bulletin, 16(4):313-319, 1995

Vestergaard M, Obel C, Henriksen TB, Sorensen HT, Skajaa E, Ostergaard J. Duration of breastfeeding and developmental milestones during the latter half of infancy. Acta Paediatr. 1999 Dec;88(12):1327-32.

Postively New Year's

Here we are again; New Year's Eve.  It’s a time for reflection, a time for resolution.  It's a time where we look at where we've been and where we think we are going.  It's a time where the partitions between the past, present and the future are at their thinnest.  Despite all our shortcomings, despite what may have happened in the old year, it always seems that we are all on the cusp of something wondrous.

That's not to say that life is always neat and clean peachy-keen.  It isn't.  If you know anything about my life (and reading this blog, how could you not?), you will know that my world exists on a trade route that visits all stops.  My regular ports of call include Zen, right through to Hot Mess and straight on to Disaster, then back again once more.  This isn't due to a stroke of bad luck, a mental illness or even a gypsy curse.  It just is.  It's life.  Sometimes the wind is with you, sometimes it is not.  Sometimes it sucks.  Buy a helmet.

It's well known that my year has been all over the place.  I'm not going to go into that right now.  I will say that there have been a lot of points where life has sucked.  Big, giant, donkey balls kinda sucked.  There have been times where I have not known where to look, what to think or what to do next.  Those that know me well, know that this rarely happens.  There's always something I can do.  That comes from nursing; the ability to act quickly (whether right or wrong in the end), to come up with a plan and just GO. There have been times where I have lost my 'go'.  I don't do powerless or hopeless very well. 

My sense of humour, however dark, has seen me through those times.  My family;  my husband and my son and my (not so!) little babies have seen me through.  My friends, my extended family... all beacons in the storm.  I've employed all the old faithful coping mechanisms; Sarcasm and her edgy younger sister, Snark... food (especially chocolate!)... deep breathing and visualization, then finally research and blogging.  They have all helped, for better or for worse, in the end. 

What I found really surprising was how much having a positive outlook helped.  That sounds silly in a way, and superfluous in another.  I have told hundreds (if not thousands) of people in my career to be more positive, but really I'd never gotten the hang of it myself.  Sarcasm or something darker always won out.  Actively deciding one day to accept and overcome obstacles that I perceived to be in my path was one of the best things that I had ever done.  It gave me the ability to focus on learning more about my son's conditions, and ultimately, learn more about my son.  I was given the ability to see through his challenges and see HIM, not his Down syndrome.  See him... my boy, with the shining blue eyes, not the infant who can't sit up or has his mouth open most of the time or can't catch up to his twin sister.  Him.  Wyatt. 

It's not a matter of walking around with the proverbial "rose coloured glasses" or acting like what one family member has always referred to as "Doris Day".  It's not walking blindly in the sun, oblivious of the consequences.  Having a positive outlook is about knowing about life's little pitfalls, about accepting them and moving on.  It's about allowing you the ability to enjoy life; I mean to really enjoy it.  To see William Blake's "heaven in a grain of sand...", to see the potential in something, to be able to see in my mind's eye, my twins chasing each other around in the back yard like I dreamed of while I was pregnant.  Wyatt looks a little different now, he's a little clumsier than his sister and older brother, but he's there.  For the longest time I lost that little mental movie reel... happily I have found it again.  Instead of always being ready to fight, instead of always circling the wagons or assuming the stance or planning for disaster or whatever analogy you want to insert here, I'm approaching things a lot differently. My eyes are open, but so is my heart.

Negativity is like a cancer... it spreads, it metastasizes.  You can see it in the workplace; you can maybe see it in your own family.  The pain is there.  It does not go away.  It lingers and grows and eventually will wear down the strongest.  Every group has a "cheerleader"... after a while in a toxic environment; those pom-poms can seem awfully heavy.  Positivity is harder and it often isn't as fun.  It's hard to see the good in some things, it is difficult to maintain, but it too can spread, often like wildfire.  I was talking to my cousin about an inspirational link I had posted and she put forth the idea that in this day and age, people are so starved for good, for positivity, that they will react to the smallest amount.  We live in a world where sarcasm is the norm, where rejection is expected and when it doesn't occur, we end up in a momentary state of shock, unable to process what the hell just happened. That is sad.  In these crazy days, people need hope.  People need a little ember to warm their hands by, they need a little light in the dark.

I've realized in the last little while that providing information and a story that people can relate to is not enough.  I'm a not-so-new-anymore new special needs parent; what I've learned so far is that in those early days after Wyatt's diagnosis (and then birth), I craved positivity.  I needed to hear that things were going to be ok.  That I would breathe again without hesitation.  That I would have my happy family with my three little ones.  That I was strong enough…  That I could walk the walk, as it were.  I can.  I have.  I will. 

My New Year's resolutions have always been a bit of a joke.  This year... well, my list has a few new items.  Yes, losing weight is still on there, as is taking better care of myself, being more organized... New to the list are Inspire and Support and Educate.  I've been trying to do a lot of this since May, but I am going to continue in the New Year and in the years to come.  Love is on the list, has always been on the list, but only as a lurker, the ever present servant in the background.  She's a feature player now, as is her sister Compassion.

You can never be sure what is around the corner, but there is no sense cowering and no sense plotting and planning yourself to death.  Sometimes things just happen.  A little chromosome here, a little hole in the heart there.  Two for the price of one.  Life, all of it.  It's just life... you just have to decide whether you are going to live it, or mourn it.  I choose to live it, for as long and as well as I can. 

Happy New Year to you, my gentle reader.  May this year bring you inspiration, may it bring you joy.  May you too find your ember and may it warm your soul.

So There Ought to Be

It has been a week of firsts with my family.  Some were better than others, some were simply fantastic.  With our twins, especially Wyatt, we have learned to see even the smallest milestones for what they are:  wondrous little victories.

We started out last Friday with our first big road trip with the babies.  As I have mentioned numerous times before, going anywhere with these babies is quite an undertaking.  With one baby, you have to pack up his or her room... with two babies, you have to pack up most of the house.  We tested the limits of our cargo space last weekend and I have to admit a begrudging acceptance of the Whaaambulance.  Two babies, three days.  Aside from our suitcase and Quinn's bag, bike and bag of toys we had the following:  two baby swings, two bouncy chairs, two bumbos, diapers for two (half a bag), wipes, two bags of blankets (one with receiving blanket/burp cloths/towels and one with heavy quilts),  a bag of baby toys, bottles, pump, nursing pillow, formula powder, sterilizer and a rolling carry-on full of baby clothes. I had a cooler full of bottles and a frozen stash of EBM.  I took my own bottle brush, drain tray and dish soap for the bottles.  I took my own laundry detergent in case I had to wash baby clothes.  It was nuts! Luckily they had a play pen there so that saved us another bulky item.  The only things that didn't get used were the bumbos, the dish soap (they didn't use antibacterial) and the laundry detergent (I washed everything when we got home).  Everything else was used at least once. 

Aside from the supply truck that you need with the twin road trip, there is also the set up and the implementation.  By now we have a pretty set routine around here;  where we keep the supplies, where we change and feed, where we do everything.  I have diaper stations and supplies on every floor of the house and set places that I keep things... now I had to figure that out somewhere else.  I tried to keep from descending on the in-laws like a swarm of locusts but some things could not be helped.  It is busy with twins;  there is always something that you have to be doing. Unlike at my house where I can and do leave dirty bottles in water in the sink for hours on end (to save time... I do the wash up once or twice a day), you can't do this elsewhere.  I was constantly washing and cleaning up something.  Plus I eat like a horse and drink copious amounts even when it is not hot... My five year old was running around wild as it was someplace new and hubby and I were snapping at each other as we couldn't find things.  The temperature soared, the babies didn't sleep very well and Zoe screamed a lot.  I'm sure we were the guests from hell.  Despite all of that, we did have a good time.

We also went to a family reunion where we had a great time.  I was so busy catching up and visiting that I didn't even think of getting out the camera until it was too late.  There was a group shot taken of everyone there so I look forward to seeing that.  It was very hot, but we visited with lots of good people and had a lot of good food.  Baby wrangling is a lot easier when others want to hold them.  :)

High maintanence?  Us?

We also received some handouts from Infant and Child Development to help Wyatt strengthen his muscles and develop.  They aren't as much exercises as positions to place him in to play.  Most are ways that we hold him to begin with, so that was a bit validating.  Each has a list of things to encourage, a list of what this particular position helps to do and play ideas for when you are doing each one. We've started consciously adding them into our day as much as possible.

Sizing up the O-pponent (before exercising with the O-Ball)

Our other firsts this week belong to Wyatt who can now roll over AND giggle.  I missed the very first roll as I found him on his tummy, but eventually I saw him do it.  Zoe is an old pro and lands in perfect position with her head up (not bad for two weeks practice),

Rolling Zoe

but Wyatt is still trying to steady his noggin. One day...

Keep on Rollin' Wyatt!

The first giggle totally caught me by surprise last night.  Sean was bathing Zoe and I was playing with Wyatt in the crib.  Since he is so flexible and we are encouraging him to grab his feet, I had his legs and was playing with his feet.  I tapped his nose with his big toes and he smiled.  I put one of his feet on either side of his face;  the smile got wider and there it was, the cutest "ahuh huh hee hee".  I squeaked and ran to tell Sean, tears in my eyes.  I guess I freaked him out as I couldn't get him to do it again, but I look forward to many more giggles with my little man.

Every new first with a baby is magical.  Every new first with twins is doubly so as you get to see it repeated at a later time and in a slightly different way.  We have the added little extra of seeing it repeated in the DS way.  I have always wanted a house filled with laughter and I believe we are well on our way of achieving that little victory as well.  After all, these are the things that matter most;  the little milestones that not only bring us closer to our goals, but also to each other in our journey.  Although each new little thing means my babies are growing up, our discovery of new things together brings us together with much wonderment and joy.  If that is not magic, I don't know what is.

"When the first baby laughed for the first time, the laugh broke into a thousand pieces and they all went skipping about, and that was the beginning of fairies. And now when every new baby is born its first laugh becomes a fairy. So there ought to be." -- James Matthew Barrie

The Upside of Down

It is only Thursday and I am pooped.  It has been a very busy week so far (and will continue to be so), but we have had a few nagging questions addressed. I am happy to report that these answers have brought a lot of relief and comfort.

As I mentioned previously,  Our worker from Infant and Child Development Services came Monday morning.  Their workers come from a variety of backgrounds including ECE, Psychology, OT, Nursing... ours comes from an ECE and Developmental Psychology background, which suited me fine. She came in, introduced herself... and spent over two hours chatting with me and playing with the babies on the floor.  It was great.  Quinn was in fine form as well;  when he heard that she had arrived, he hurried to get dressed.  Unfortunately, he missed the pile of clothes that I had left on his bed for him (shorts and a t shirt as it was going to be a very hot day).  Instead, he came down in brown track pants and a light coloured pullover with a collar on backwards.  He came right up to us on the floor and sweetly announced "Hi, I'm Quinn" while wearing what looked like a straitjacket. That's m'boy.  She didn't bat an eye... I guess she was too busy gazing into his.  I sent my little lunatic upstairs to change and we got on with the assessment which was only occasionally punctuated by an off the wall [to us] but perfectly pertinent [to him] statement or question.

The whole conversation, like my brain, was very tangential and informal. It totally centered around what the kids were doing.  Both babies were awake and alert and ready to show their stuff.

Listen... they're talking about us again...

Wyatt's head is getting a little more steady every day, which is very encouraging.  "A."  was happy that Zoe could push herself up on her forearms and showed me a little trick to help them master it.  Overall she was very pleased with Wyatt's development;  she remarked on a few things, including his vocalizations, his mouth shapes during these vocalizations and his ability to track by sound and sight.  He also reaches well for things.  A. continued by listing off a few things that I can do to help both of them improve and I was very happy to hear they were things that I was already doing.  Little things such as ankle/wrist rattles, using the dangling toys on the Gymini-jillikers (Gymini play mat), the simple toys I was using, talking to them, imitating their sounds, changing their environment, introducing texture, playing music for them, singing and so on.  We talked about their delivery, Wyatt's diagnosis, their stay in the NICU and how we managed that... even Zoe's surgery.  She was amazed that a) I managed to make it to Mother Goose at all and b) how I was "handling" everything.  Sometimes you have to have things pointed out to you and I am no exception.  I guess our story is a little incredible if you think about it.  A. made a point of relaying how well she thought Team Logan worked together and how well we have dealt with our roller coaster lives over the last two years or so.  I told her that all you can do is laugh sometimes, and cited the dishwasher (which died a horrible leaky death the night before).  What are you going to do?  That's life.

Many of our questions were finally answered.  Infant and Child Development Services sets you up with whatever extended services you might need, such as OT, speech therapists, etc.  Usually, speech therapy and the like start after 1 year of age.  The idea being that you assess where the child is with their speech, etc at that time and then intervene appropriately.  We talked about Wyatt's physical health and swimming was discussed.  I was surprised that they don't recommend exersaucers and jolly-jumpers and the like, but she went on to say that many parents leave their children in them for hours at a time where they are standing on their toes and that interferes with proper leg and foot development.  She did add that 10 or 15 mins here and there would be fine and would be helpful, but no more.  A. went on to say that the best place for them would be just as I had them, on the floor, where they could grow and stretch and build their muscles in a more natural way. 

ICDSP also has a ton of resources for us to utilize:  They have toy and book/video libraries, will and estate planning, evaluating eligibility for and setting up government funding, groups and programs tailored for your needs... and the list goes on.  They will also be involved before Wyatt starts school;  the spring before he starts JK, we (A, the OT, any other development specialists, the teacher, the principal and Sean and myself) will all meet and discuss exactly what his needs are and whether or not he will need additional support in the classroom.  I guess at the time we will also discuss whether our school separates twins or not, but that is another issue.  Even though I knew that he would be going to regular classes like a regular kid, for some reason hearing it from this woman made me relax a little.  I don't know why... perhaps, once again, a small amount of validation can go a long way.  She will be visiting us monthly for the first while to assess his continuing development, which I was also pleased to hear.  I found the whole experience to be extremely positive;  Wyatt's doing well, we are doing well and we are doing the right things for him.  I don't think it gets better than that.

That night we took them to our GP for their 4 month shots.  I'm not so sure of their scale to be honest, but according to it, Zoe weighs 12 lbs, 6 oz and Wyatt weighs 12 lbs.  Zoe has officially beaten her brother in the weight department (you can chalk that up to the muscle tone).  Our Family Doctor was pleased overall with their progress and gave them a shot in each thigh.  I had Sean hold them down... I couldn't bear to do that again.  They were reasonable that night, but were feverish yesterday...  light to no clothes and Tylenol seems to have taken care of that for us.

Tuesday we had a trip to the cardiologist and once again, the kids were on.  I really do like going there as everyone is so friendly and very helpful.  We didn't have to sedate Wyatt (which is always a relief) and it was such a pleasure to watch the babies interact with the staff.  There were a few awkward spots especially when Zoe started crying right when we were doing an echo on Wyatt, but one of the staff just walked over and got her to smile as if this happened every day.  Wyatt had his checkup and his echo and the Dr. is so pleased with his progress that we do not have to see him for another 6 months.  Fantastic! 

We had a happy little moment on the way out as well.  Quinn was playing with a new friend in the waiting room and when we were leaving, I was delighted to see that the (younger) boy he was playing with so easily had DS.  I introduced myself to the boy and his mother and talked to Quinn that his new friend had the same condition that Wyatt has.  "But, they don't look the same" was his reply, to which I responded that "G" looked like his family while Wyatt looks like ours.  I don't even think Quinn noticed that his new playmate was non-verbal... they totally "got" each other.  "G"'s mom was very pleased with the interaction and I was too...  as it was just a little heartwarming glimpse into the future.

It is always good to hear good things about your kids, it's even better to be given the reassurance that they are doing well and most importantly that you are doing the right things for them.  Although I think we are pretty good parents and we strive to be the best that we can for our kids, it is good to have that little extra bit of validation.  Armed with that, we can continue on knowing that Wyatt (and all our kids) will be the best that they can be.  We may not be able to predict Wyatt's journey, but his path will take him places... of that I am sure.

Wyatt intently listening to big brother Quinn

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