However, a lot of Henry’s feeding troubles had to do with technique — he was unable to get much benefit from the milk that Helen did produce. There are several mechanical aspects to breast-feeding that influence how much nutrition the infant gets, from the presentation of the breast to how securely the baby latches on to the nipple and areola. Also, mothers must learn to recognize when their babies are sucking productively and when they are merely using the nipple as a pacifier. This was Henry’s favorite way of falling asleep; unfortunately, it often meant going to bed without his supper.

I think the most reassuring aspect of our consultation was the ability to measure how much nourishment Henry actually received when he fed properly. The lactation consultant weighed Henry twice on a digital scale — once before feeding and again at the end of the session. In this way, she determined that he had consumed 14 grams (or roughly half an ounce) of milk during the feeding.

This came as a great relief to us. One of the hardest things about breast-feeding, as opposed to bottle-feeding, is not knowing exactly how much milk your baby is getting.

I think this is a major reason why so many women give up on breast-feeding — it’s difficult enough without having to worry about unintentionally “starving” your baby.

If Helen and I could offer one bit of advice to new mothers who wish to breast-feed their babies, it is simply to ask for help if you need it. Lactation consultants and breast-feeding support groups, like La Leche League, are widely available — use them if you run into problems. The first few weeks are difficult, but it gets easier as time passes. Today, Helen has no trouble producing enough milk to satisfy baby Henry’s voracious appetite, and supplemental formula is no longer necessary. And it shouldn’t be long before the two of them can join me in a good night’s sleep.

Knocking on my desk of engineered wood as I write this, I’m pleased to report that my first few weeks with Henry have not been the typical exercise in sleep deprivation that I know many new parents endure. Certainly I’m not sleeping as well as I’d like, but I’m getting enough rest to navigate through the workday and the afternoon traffic without hurting myself or anyone else. On a good night, I can sometimes approach eight hours in two or three stints.

When my wife Helen reads this, she will rightfully insist that I clarify this last point. There’s a price to pay for my restful nights. Henry (and his father) can sleep soundly on two conditions: He must be held in a constant, maternal embrace, and he must nurse often. Naturally, the burden of meeting these requirements falls heavily on my wife. Helen cannot even dream — or rather hallucinate — about the delicious depths of sleep I have just described because she is allowed fitful rest only during brief windows between Henry’s eight to 10 daily feedings.

This brings me to the most unexpectedly difficult aspect of new parenthood thus far: breast-feeding. In the weeks leading up to the birth, we learned in our Bradley Method classes about lactation consultants — specialized nurses who help new mothers master the finer points of breast-feeding. I must admit that I scoffed at the idea when I first heard of it; after all, haven’t women through the ages successfully suckled infants without the aid of professional consultants? It struck me that the sort of people who employ lactation consultants are the same souls who keep pet therapists and psychic hotlines in business.

Part 1: A New Father’s Diary
Part 2: A New Father’s Diary
Rediscovering Natural Childbirth
The Lamaze Philosophy of Birth
The Bradley Method Philosophy
The Signs of Labor
When Is Inducing Labor Necessary?
Pain Relief in Labor
Parenting & Children’s Health Center

La Leche League International
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I changed my tune when we left the hospital and Henry’s increasingly fussy behavior indicated that he was not getting enough to eat. On the Sunday afternoon following Henry’s birth, Helen paged a lactation consultant who had been referred to us through the Bradley classes.

To our great relief, she called back within the hour, advised us to supplement Henry’s diet with formula, and set an appointment for the following morning.

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* Lasik – a laser treatment that is capable of correcting moderate to severe myopia.

As you can see, many options are now available for corrective eye surgery. If any of these procedures are for you depends on age, amount of correction you need. If you are considering such a procedure, find out where the eye centers are that specialize in these surgical procedures. There are many choices now. Going to an ophthalmologist (eye surgeon) who has experiences with these techniques is critical. Discuss fully whether or not you are a candidate, if it will be beneficial, whether your insurance will cover the procedure.

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Recently a new option to correct eye this eye condition through surgery has become available. Radial Keratotomy (RK), astigmatism keratotomy (AK) actually surgically changes the way that images are focused within your eyes. It may free you from needing any corrective eyewear. The best candidate for RK or AK is someone over 21 who has had myopia or astigmatism for a long time and who is otherwise in good health with no other eye problems.

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Doctors are not yet sure what causes asthma. Research suggests that asthma is due to inflammation and that allergies can make symptoms worse.

If you have asthma, you and your doctor can develop a plan to manage your condition. It is important to remember that people with asthma can lead full and productive lives.

Asthma that is not treated adequately, however, can be disabling and even life-threatening. Despite recent advances against asthma, the number of asthma deaths and asthma-related emergency room visits continues to rise.

Coxsackievirus was named after Coxsackie, N.Y., the town where this virus was first isolated. Enteroviruses can cause a wide array of illnesses in children and adults, ranging from a mild sore throat or conjunctivitis (“pink eye”) to high fevers, pneumonia, meningitis, inflammation of the heart muscle and other severe problems. Poliovirus, which can cause muscle paralysis and severe brain inflammation (encephalitis), is one of the Enteroviruses.

Coxsackievirus causes very specific illnesses in children, especially during the summer months. Younger children, particularly toddlers and young schoolchildren, are very likely to develop a mild illness called hand-foot-and-mouth disease (not to be confused with the horse illness hoof-and-mouth disease!).

Children with this viral illness often have two to three days of generally mild fever (101-degree range). Fever is followed by a sore mouth or throat with tiny red spots or ulcers on the lips, tongue, top of the mouth or the inside of the cheeks. At the same time, children with hand-foot-and-mouth disease develop painless, non-itching tiny red or white blisters on the sides of their fingers or toes and on their palms and soles. Among toddlers in diapers, the rash may also appear on the buttocks. I have sometimes jokingly referred to this illness “hand-foot-mouth-and-butt disease.”

Children with hand-foot-and-mouth disease almost invariably do well with acetaminophen for fever, extra fluids and avoidance of very spicy or acidic foods (which can cause more mouth discomfort). The rash and mouth sores usually clear up within two to six days.

Another common childhood illness caused by a Coxsackievirus is herpangina. Herpangina is a mild fever illness that is associated with numerous red, painful ulcers in the back of the throat and on the tonsils. Herpangina can be confused with a first case of herpes simplex in a young child, but herpangina is not related to herpes infections. The name “herpangina” loosely translated means “painful like herpes.” Herpangina also clears up without any specific treatment, in about five to seven days.

While most illnesses caused by Coxsackievirus are relatively mild and resolve uneventfully, on occasion these viruses and other Enteroviruses cause high fever in very young infants, especially in August and September. They are an important cause of chest infections (pneumonia, croup and bronchitis) in young children, as well as one of the most common reasons why children to develop viral meningitis during the summer.

Viral meningitis in general is much less severe than bacterial meningitis (which is usually caused by pneumococcus or meningococcus) and requires no specific treatment.

Laboratory tests have been developed to identify some of the Enteroviruses. While treatment is not necessary or beneficial, it is sometimes helpful to know that a virus is the cause of an illness. It is likely that your child has already had, or will have, an enteroviral illness. Your pediatrician is an expert on identifying Enterovirus infections and can provide you with more specific information about what to expect if one is diagnosed.

The progress stimulated by the previous exercise session has not yet been achieved
The body is not fully capable of stimulating further gains.
Physical capacity is therefore diminished or at best sustained. Even more importantly, the effort expended becomes useless or even counterproductive. At some point eating a cookie might be better for your cardiovascular conditioning than the Stairmaster. Talk about Nirvana!

In any case, the basic relationship, between exercise intensity and muscular recovery must be understood. The entire basis of exercise physiology is involved in this simple process. As the level of intensity increases along the scale of aerobic exercise, different “types” of muscle fibers are required to attain and sustain that increasing intensity. In a certain sense, this intensification produces a situation wherein the delivery system (heart and blood vessels) becomes less important and the “utilizers” (muscles) become the more influential element in the process.

In very practical terms, this new level of performance or conditioning which is aspired to by many involved in the exercise process requires the application of manipulations which are basically irrelevant at the more modest stages of fitness. The methods and rationale for the acquisition of the higher levels of conditioning are the subject of other articles. At this time it is sufficient to state that some variety in exercise exposure is required and that increased sensitivity and “body sense” must be developed in order to successfully establish the aspiration of higher levels of fitness.

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Perhaps a little bgcolor information concerning the cause and effect relationship of aerobic exercise, recovery and resulting conditioning responses might be helpful. Initially, it should be established that there are two major reasons for engaging in aerobic (cardiovascular, endurance) exercise. Those objectives are improved cardiovascular function and the reduction of body fat.

Improving cardiovascular function involves the stimulation of physical response mechanisms which increase the body’s capacity to both deliver and utilize oxygen at the sites of the working (exercising) muscles. Intrinsically involved in this process are the “deliverers” of the oxygen (the heart and blood vessels) and the “utilizers” of that oxygen (the exercising muscles).

The basic formula for attaining aerobic conditioning is continuous, large muscle activity engaged in 3 to 7 days per week for 20 to 60 minutes at a level of intensity that ranges between 60% to 85% of maximum capacity. Conforming to these guidelines accounts for the normal scheduling of at least 3 classes or exercise sessions per week and the duration of these sessions consisting normally of 30 to 60 minute exposures and the checking of the popular “target heart rate”.

However, as one attains higher levels of cardiovascular condition the precision of the exercise protocols becomes more and more critical. The basic formula becomes less applicable and subjective interventions become very important. In simple terms, this means that the exerciser MUST begin to sense when the levels and amounts of exercise are appropriate AND if the recovery from these sessions is sufficient.

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Here is the proper technique:

Stand in front of a sturdy bench or aerobic step that is six to 12 inches in height. Your knee should not be bent more than 90 degrees when your foot is placed on top of the bench.

Beginning with your right leg, step up so that both feet are flat on the bench. Pause momentarily, then step down off the bench, again beginning with the right leg.

To start, perform 10 repetitions beginning with your right leg and 10 beginning with your left leg. Exhale as you step up; inhale as you step down.

Make sure your back is straight and your eyes are looking straight ahead.
Once you are able to complete 15 repetitions with each leg, add resistance. Hold a light dumbbell in each hand, keeping your arms hanging at your sides. As you make progress, the dumbbell weights can be increased gradually.

The clothes were essential, obviously, but I didn’t end up bothering with my special nighties. The hospital stuff was fine; I was way too tired to care all that much about my appearance — I knew myself well enough not to bother with a makeup kit.

It turned out to be a two-parent job to get Hannah into her booties, T-shirt, and gown. My husband and I were petrified about manipulating her little limbs and head into the stuff and I burst out crying before we were done. In truth, we could have spared ourselves the trouble, as Hannah was born in late August in Texas. A diaper, T-shirt, and booties probably would have sufficed.

What can I say? I am a chronic over-packer. I can’t stand the idea of being caught unprepared. Why only pack one pair of socks when you can chuck in two? Why should I limit my choices when I can just stuff in a few different shirts? Doesn’t extra underwear always come in handy? And how can you argue with The Experts, who have written a book? They obviously know what you need better than you do.

So goes the thinking of the anxious first-timer. I thought that the bag was somehow important, part of the Motherhood right of passage. There was clearly a connection between being prepared and a smooth delivery. Wrong-o.

Now I know better. The bag is like the busy work you used to get in third grade — it does no harm, but neither is it essential. It sustains that illusion so cherished by hospital staff that you are composed and ready for The Event. The truth is, you can still have a baby even if you come to the hospital with all the wrong stuff, or entirely bagless.

This time around, I’m not even going to pack my bag until about a week before my due date. I’ll take my Clif bars, my mouthwash, some reading material, a few clothes and toiletries, maxi pads for me, and diapers for the baby. That’s it, I swear! The playing cards, X-Files videos, paper bags, and lollipops definitely won’t make the final cut.

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