Sunday 26 May 2013

Rhinitis and wheezing


Felix has had a cold all his life.

Or so we thought. 

Every night, without fail, he would be bunged up beyond belief. Thick, crusty bogeys, sometimes runny snot too, the sheet on his cot revolting. He snuffled, he snored, he snorted. 

But only at night. Or during the occasional long sleep during the day. Or when I was breastfeeding him - I was always using that as an excuse for why it wasn't a very good feed, because he couldn't breathe through his nose properly. Because he had a cold.

(Babies are 'obligate nose breathers' until around six months. A description which makes them sound like creatures out of Harry Potter. But actually means breathing through the mouth is possible but not preferred.)

Until, at twelve weeks, I started thinking - what if it's something else? And why is he otherwise pretty happy during the day; if it was a cold, wouldn't he have it all the time? 

And if he wasn't like this at night, would he be waking up so much in the small hours? Maybe he's not waking up cos he's hungry, maybe it's because he's as congested as the M4 out of London on a Friday evening.

Then we had a night nanny for the night for only the second time ever. She was disturbingly pretty - almost enough to make you forget how expensive she was. Oops, that sounds like I'm implying something else. I didn't mean to - she was a genuinely experienced maternity nurse.

And in the morning she said "He's not just blocked up. He's wheezing. You need to take him to the doctor."

A shower of guilt poured over my body.

The GP listened to his chest. He wasn't even doing his noisy breathing, cos it was daytime - I didn't think there would be anything for her to hear. But she said he did have a significant wheeze, especially on the right-hand side.

The shower increased to a waterfall.

The options, she explained, were to prescribe an inhaler or to send us up to the hospital to see a paediatrician. Or both. I pocketed the prescription, and booked in to see a private paediatrician. Thank you Bupa.

Thank goodness I had remembered to ring Bupa to add him to our policy the week before though. Apparently if you do it before they're three months, they're free until your annual renewal comes up. Three months and one day and you have to pay. That's a nice, caring rule.

In the meantime, I gave free rein to my tidal wave of guilt, declaring dramatically to anyone who asked after him "I thought he just had a cold, and was a noisy sleeper, but all this time he's been STRUGGLING TO BREATHE!"

The paediatrician took a detailed history, examined him thoroughly and asked lots of questions, eg "Does he have carpet and curtains in his bedroom?" "No, we keep him in the cellar."  Then said it was either a nasal infection from the soft nose prongs on his tubes in the neo-natal unit (which is apparently quite common), an allergy or silent reflux. Or a combo.

So now he has his puffer three times a day (ipatroprium bromide) and some steroid/antibiotic drops for his nose twice a day (not the intended ones, cos they're so rarely prescribed the pharmacy didn't have them, so some other ones usually for eyes or ears) and he's a different boy. At least in terms of his breathing at night. He's quiet. And though he still needs a night feed, he doesn't wake ON AVERAGE, PLEASE DON'T JINX IT quite so early, and he settles more easily, for a longer stretch.

He also had a chest x-ray while we were at the Portland, to check whether he's been inhaling milk. The results were normal. In the waiting room beforehand, the radiographer, looking at Felix in his buggy right in front of me, asked "Have you brought Felix with you today?" "No, I brought a different baby. I thought that would be a help."

We go back to the doc on Wednesday, in his lovely spacious consulting room, with its reassuring leather armchairs and pictures of his own grandchildren, to whittle down the diagnosis. 

In the meantime, here is a pic of of my boys. Felix Webster Tallon French, having taken good note of his initials, is doing what we call his 'Felix WTF?' face


Monday 6 May 2013

Sleep deprivation

I've got a new bag. As fashion is all about reinventing the 90s at the moment, I'm rocking a bum bag. 

Yep, I'm so on trend, people can't take their eyes off it. I wear it all the time. It's useful for keeping things (mainly food) in. But because I'm such a fashionista - hell, sometimes I go mad and shop at Gap when the White Company and Boden don't have anything matronly, voluminous and low-cut enough for breastfeeding - I'm doing it with an ironic twist. I wear it under my clothes.

That's right. Under my lovely, drapey, jersey maxidresses can clearly be seen my bum bag, hanging off my waist, low over my bikini line. It's like a gentle loop of thick rope. 

But of course, I didn't actually buy it. I didn't even ask for it. It's not a real bag - it's my belly. 

Forget saddlebags, bingo wings and muffin tops. After you've had a baby, for a while it's all about the bum bag. And it's very difficult to disguise. Today I wore a pair of spanx-type shorts to try and smooth it out (added bonus - stopped my thunder thighs chafing together in the heat) but I'm not sure they did much good. If anything, they made me look mildly pregnant again because they sort of redistributed and vacuum packed the excess flesh over the whole tummy area, in a tight but wide mound.

The trouble is, anyone who knows you've recently had a baby understands its presence, but passers by in the street I can tell are judging me very harshly. If I'm out without the baby, I feel I need a version of the 'Baby on board' badge to explain. Or a couple of glow sticks, so I might just pass myself off as a hip, bum-bag-wearing clubber on the way home from an all-nighter.

Sometimes, after a testing night shift with Felix, I do feel like I've been clubbing. You're so exhausted, you're almost tripping with tiredness. You feel quite 'other worldly', as my friend Fiona so accurately put it the other day.

Sleep deprivation colours everything. It makes you forget things, move slowly and be vile to your nearest and dearest. You're trapped in a slow-motion horror film. You crave sleep, every minute of the day. Your body sort of quietly buzzes with the deficiency.

Even worse, when your other half is similarly short of shut-eye, you get horribly competitive about who is tireder. Woe betide the spouse who dares to complain of feeling weary if they had a whole hour or two more sleep than you last night. Or lets slip a tactless comment like "I don't understand why you're so tired - you slept through the night last Friday!".

But in the graveyard hours, when I'm burping Felix after a feed or cuddling him after a chilly nappy change, I sometimes fast forward in my head to him being 19. I imagine myself looking at my big, strapping son, who doesn't really need me any more, and think that I would sacrifice all the sleep I have for just one more hour of him sleeping on my chest as a small delicious baby like this.

Because having a healthy, happy baby is a blessing, and I know that we are incredibly lucky to have two. Some great friends of ours had a terribly traumatic time when their son was born almost three years ago. Becky, Felix's godmother, wrote about it so eloquently that I bet you can't read this article without welling up.

Thankfully, their story has a happy ending. But those early days when their beautiful boy was desperately ill were awful for them. So they have never forgotten the care and support they received from the Winnicott Foundation, which supports the neo-natal units at St Mary's and Queen Charlotte's hospitals. 

Therefore Lardy is undertaking an epic bike ride to Paris on Wednesday to raise money for this charity. You can read more about it and see how blond Arthur has become here. I wonder if Lardy will be wearing a bum bag while he's cycling.