Thursday, August 6, 2015

Lucky Number 7


I can't believe Sonu is already 7 years old.  Seriously...where has the time gone?  It doesn't feel like that long ago that he arrived...making us a family.


And I know I may be biased, but he seriously may have been the cutest baby ever born.  Wide-eyed straight from the oven with lashes for days and that dimple...


He has completely had me from day one.  Even as a baby, he was an obvious old soul.  


And as he has grown his intelligence, creativity, wit, maturity and compassion completely amaze me.  He is talented and thoughtful, enthusiastic and hilarious.


And today, his seventh birthday, was a great reminder to me of how lucky I am to be his mom.  It was awesome.  

We started the day with a big breakfast and a couple cartoons.  Then we left the sibs with the nanny and headed out for Sonupalooza 2015!  It was a little rainy so we hit Coco Keys.  We had a great time going down the water slides and floating around the lazy river.


We ate some lunch then headed over to the arcade.  It was Noonie's lucky day as he struck the jackpot...one game won him more than 2000 tickets!  


He cashed them in for some superhero dolls...one for him and one for each of his brothers.  He's the man.


After coming home and reconvening with the littles we headed out to dinner.  His choice...sushi! 


He is my son...


I hope this day was as special for him as it was for me.  I love our crazy life, but it was so nice to take some time out for some one on one with my biggest little love.  My baby has grown up and I am enormously proud of the boy he has become!  


Happy 7th birthday Noonie!  You are (and will always be!) my sunshine.

Tuesday, January 27, 2015

Winning the Lunch War

As many of you may know, I have always taken a particular interest in nutrition and childhood obesity.  In particular, it pains me to see so many children adopting poor eating habits and to see so many kids already dealing with the struggles and health consequences of being overweight or obese.

I have recently been attempting to do more research in this area as well as to advocate for our children's futures.  I strive to encourage families to make positive changes and hopefully alter the trajectory of the current obesity epidemic.

The following is an article I wrote about packing healthy school lunches.  Though initially intended for parents at my children's preschool, I thought it might be useful to a broader audience.



Better Lunches for Brighter Futures

Today’s generation of children is projected to be the first generation in American history to have a shorter life expectancy than their parents. While this is a striking and tragic statement, taking a look around our community makes it rather easy to believe.  

Currently in America nearly 36% of adults are obese.  Even worse, a third of school aged children are considered obese and 25% of 2-5 year olds fall in to this category.  These statistics do not even account for the number of children considered overweight.  We have become a nation of overfed and undernourished people.  While the scientific, socioeconomic, and psychological factors which contribute to this epidemic are myriad, there are some simple steps we as parents can take to better nourish our children and set them on the path to healthful living as adults.  

As a pediatrician and mother of four kids under the age of 7, I understand the challenges of feeding small children.  For many of you, the idea of your child becoming obese may seem laughable.  “He never eats!” or “He’s so picky!” are common concerns for parents of toddlers and preschool aged children.  It can be stressful to watch your child refuse to eat, and as a result many parents give in to the temptation to continually serve their child the same few foods that they know they will eat.  This practice, while keeping our children loaded up on calories, effectively eliminates what is the key to any healthy diet:  variety.  It’s not hard to see how these habits can eventually translate into an adult diet high in quantity and low in quality.  

Research in child feeding strategies, however, has shown that the best way to improve the variety in your child’s diet is to continue to offer them a wide range of foods and not default to feeding them something else if they refuse what is offered.  The repeated exposure to these foods makes them seem more familiar and increases the likelihood that your child will not only try, but will actually enjoy them.   Even a very strong-willed child will not starve in a house full of food. Go ahead and let them refuse their dinner -- they will be that much hungrier at breakfast time!  Lunch at school is a great time to put this idea into practice as you are not with your child. Thus, they cannot try to coerce you into trashing their healthy lunch and making them another bowl of mac and cheese.

Adding to the stress that can come from trying to feed persnickety toddlers is, of course, the time and money required for eating healthfully.  Trying to pack a healthy school lunch for your child during the morning rush or when you are exhausted at the end of the day can be, at times, overwhelming.  For this reason and the fact that processed, pre-packaged “convenience” foods are frequently less expensive than fresh, whole foods it is easy to get sucked into the temptation to throw a Lunchable in a bag and call it good.  However, research has repeatedly demonstrated that children who eat a NUTRITIOUS lunch have more energy, learn better, score higher on standardized tests and are better behaved at school.  So, in other words, it’s worth spending a little more time and money here.  

So what does a nutritious lunch look like?  Most of us probably have a good idea, but a little refresher never hurts.


For those of you less familiar with the new “My Plate” dietary guidelines, it’s similar to the “food pyramid” we all learned about in health class as kids.  The main difference is that fewer grains and relatively more fruits and vegetables are recommended.  Also, they have done away with suggesting a specific number of servings from each group and instead recommend a relative proportion each food category should occupy in terms of one’s total diet.

The approach I generally take in packing my children’s lunches (or in preparing any meal for my family, really) is to try my best to adhere to a “rule of 5” ---namely that each of the 5 food groups listed on My Plate are represented. This often translates to me packing 5 separate items in my child’s lunch box.  For example, a typical lunch may be:
  1. Cut strawberries (fruit)
  2. Sliced cucumbers (vegetables)
  3. Whole grain crackers (grain)
  4. Turkey lunch meat (protein)
  5. Yogurt (dairy)

Five items, five food groups represented. And no, I don’t make my own yogurt nor do I raise organic turkeys in my backyard.  I do, however, try to choose minimally processed foods and feed my kids as much fresh and home-made food as possible.  I choose organic foods when available.

So, my challenge to you is to join me in fighting the overfeeding and undernourishing of our kids by improving their school lunch.  Try to adhere to the “rule of 5” to ensure that your child is getting a well-balanced meal.  Do your best to reduce the amount of processed and pre-packaged food you pack and try to vary the foods you offer in each category as frequently as possible.  Taking these simple steps can make a huge difference in improving the quality of food that nourishes our children and as a result improve their well-being, enhance school performance and set them on the path to making better food choices as healthy adults.




Do you have a particular strategy for packing healthy school lunches or feeding a finicky toddler?


Saturday, September 6, 2014

So you're going to be a soccer mom...

 
Today was Shaan's first soccer game.  As you can tell from the look on his face, he's a natural-born athlete.



I could tell that he was really excited that Shikhar was going to be his coach.  Despite the fact that he has been horribly ill all week, Big Daddy sucked it up and took the field with the rug rats...because he's AWESOME.

 
So, by default I guess I became "team mom".  Now I'm not going to pretend like there is much to this job...send around a sign up sheet for snacks, get the names ironed onto the jerseys, maybe an email or two...

Honestly, I think soccer at this age is more a chance for kids to get to run around outside and feel like people are EXCITED to come see them DO SOMETHING...And as a bonus we get to take pictures of how cute they look in their little uniforms so we can later use these photos in their graduation photo montage. 

For Shaan in particular, I thought this was important.  It seems that his older brother, Sonu, is always having the new experiences and eventually Shaan just gets lucky enough to tag along.  It felt nice to do something that was all about him.

 

So, how did it go?  Well, as you might imagine...a crowd of preschoolers trying to figure out which way to kick the ball.  At one point I know our team had too many kids on the field, but one was just running in circles around her dad (also on the field)...so I'm not really sure if she counted.  And the game ended as expected...called on account of too many kids crying and/ or refusing to play.  Gotta love it...it was a glorious 16 minutes.

 
And I know we aren't supposed to keep score.  But we MAY have won...thanks to the single solitary goal scored by this handsome soccer star above.  I'm just sayin'.  

 
And the coach, he's a natural.  I love watching how he goes out of his way to make sure everyone feels like they were awesome. 

And while there is still very little actual SOCCER involved in my SOCCER MOM experience I couldn't help but pause for a minute today to think about how much life has changed. 

Having actually arrived early to the field (imagine that!), we took a minute to drive by my husband's old high school (Creighton Prep) which was nearby.  The school he was attending when I met his adorable little 17 year old self.  

It doesn't seem so long ago...until you see the freshman sitting outside...and then look at us --in our mini-van, with our three cuties in car seats and baby girl on the way.  We have jobs and responsibilities...and our idea of a big Saturday is the 3 year old's soccer game. 

 
But, alas, maybe growing up isn't as lame as I once thought it was.  And...if you think about it...I got to spend at least part of my Saturday hanging out in front of Prep with four good lookin' guys that I'm pretty sure REALLY like me. 
 
And I would think even my 17 year old self would be excited about that. 

 




Monday, August 25, 2014

Gettin' Schooled.

Today I sent my baby to school.  Like real, honest to goodness school.  And while kindergarten may not be the most rigorous academic challenge he'll face in his life (his day as he described it mostly involved recess, lunch, PE, reading time, and snack...though he did have a vague recollection of French class...), it certainly represents one of the most substantial milestones in the life of this little man thus far.

 
 
And, God bless him, he was ready.  I mean, the kid is 6 years old (but acts like he's 16) and has been in preschool for four years. 
We talked about it all summer long.  What the schedule would be like, new things he could do.
We attended all the events -- the round ups, the picnics, the back to school night, the camps. 
We met the teacher, we brought in our school supplies early.  He was set. 


 
 
He woke up with a smile and said "It's my first day of school!!"  He brushed his teeth and got dressed on his own, asking for only a little help with his belt and "dress shoes".  He said that the uniform was "not so bad" (I picked my jaw up off the floor...usually asking this kid to wear anything but gym shorts results in a certified big boy tantrum).  He commented that he was pretty sure that wearing white crew socks with dress shoes and shorts looked funny.  I proudly agreed...and told him such a fashion faux pas was only acceptable at school  (can't miss an opportunity to teach such an important life lesson). 
He couldn't eat his breakfast...he was too excited.


 
 
I was 98.5% ready.  I had spent the preceding months double checking the school supply list, reviewing the uniform requirements, figuring out the logistics of the "new schedule". 
Despite my preparations, I couldn't help staring at that little square on my calendar (yes, I still use a paper day planner...) marked "first day of K" and sort of wishing it would never come.  I was excited for Noonie and I knew he would love it...but in the back of my mind I knew that after that day things would never be quite the same.  His world would be bigger.   He wouldn't fall under that toddler or preschooler category any more.  And after kindergarten, the years literally count themselves down...


 
 
But, honestly, today was awesome.  He was so eager, so full of pure excitement and happiness. 
He was not sad or scared, he was confident and ready to take on the day.
And I felt truly happy.  Sure, my eyes welled up a little...but I'm nearly 6 months pregnant...so, let's be serious - that is my response to just about everything. 
And I realized that while I had been working so hard over the past couple of months to make sure that everything would be perfect for HIM today...in the end it was Sonu who made today perfect for ME.  I was not sad or scared, I was confident and ready to take on the day. 
And, as usual, this little guy manages to give more to me than I can ever hope to give in return.


 
And the icing on the cake...sharing this experience with my best friend.  As Shikhar and I walked out of school and back to our cars we marveled at how fast time flies....that it seems like  just minutes ago he was our little chubby faced babe.  But it was fun.  One of those experiences where only the two of us knew exactly how the other was feeling.  And those are awesome moments.  

 
 
And when I came to pick Sonu up after school, little brothers in tow, he gave me a giant smile and a huge wave.  He gave his teacher a high five (apparently the check out system...which is rad) and turned to me and said,
 
"I kinda wish I could stay longer..."
 
 
So, yeah.  First day of K...we rocked it.
 


Tuesday, April 9, 2013

On the wrong side of the stethoscope...

Since I'm a pediatrician, people often ask me..."do you even have to take your kids to the doctor?".  The answer to that question is no...and yes.  Having access to all the equipment and supplies at the urgent care owned by our family as well as a license to prescribe medication has allowed us to nearly completely avoid bringing our kids in for visits other than check ups.  And yes, I do bring my kids for check ups...with their doctor...who isn't me. (Another question I sometimes get...).

Sometimes I forget what a blessing it is to know medicine.  I feel comfortable letting an illness run its course...I can generally identify, with confidence, when something is really wrong with my child and when something is really no big deal.  Now I do say "generally" because the truth of the matter is that I can never truly be objective or completely rational about my own children. 

I see kids...sick kids...all the time.  Without even completely realizing it, throughout every office visit I'm asking myself -- how sick is this little person?  is he safe at home?  do we need to do tests now?  will this go away?  does he need meds?  can we just watch and see how this goes?.  The ability to separate the truly sick kids from the not so sick kids is far more important than the extent of your medical knowledge...I mean, you can look stuff up.  But, on more than one occasion, I have found these skills can fly out the window when I'm looking at my own sick kid.  There is some level of illness where the mama anxiety tips over any sort of medical objectivity I may posses...and it's like I took a stupid pill.  I find myself at a loss..."what should we do?".  And I start to remember the REALLY sick kids I've seen through the years.  And I worry.

It's pretty well known throughout the medical community that doctors make terrible patients.  And I would have to say that I am no exception to that rule.  We know too much, we've seen bad things happen, we question everything, and we don't think any of the rules should pertain to us.  Guilty.  But mostly, I think it's that we have a really hard time turning over the reigns to someone else.  I don't see physicians as all-knowing infallible beings.  Nope.  They are just people...like me...and the jokers I went to medical school with.  And they make mistakes...not because they are bad, just because they are people...and that is scary.

Well, recently I have found myself too often on the wrong side of the stethoscope.  We started the year out with a string of illnesses which included a pretty serious case of bronchiolitis for our little Sai guy who, at the time, was not even 3 months old.  Our nanny called me at work and told me that my little baby was working hard to breathe.  I had her bring him over to our clinic and I remember thinking I just needed somebody else...ANYBODY else...to look at him.  I couldn't even think straight.  I had ordered countless nebulizer treatments for patients throughout my medical career...but I had never before held one up to the face of my own wheezing, struggling baby.  That sucks. 


Our little Sai guy was born with a urologic abnormality known as a hypospadias.  All in all, not a major functional issue, but something that is going to require surgical repair when he is about 9 months old.  Thinking about my little cutie laid out in the OR, intubated, being cut...kills me.  I know it needs to be done.  Really, I just wish I didn't know what surgery on a baby looks like.  I wish I could be more blissfully naive and trusting of the surgeon and the anesthesiologist.  I'm sure they are great at what they do...but they are just people.  Scary.

I thought Sai was going to be our first munchkin to undergo an operation.  That was until the last month or so when Shaan started to complain "Mommy, my ear hurt..." nearly every day.  Even when he was on antibiotics.  I drove to the pharmacy and asked them to give me a print out of all the antibiotics he had been prescribed over the past year...decided that it was probably too many.  Off to the ENT we went on Monday. 

As suspected that "owie" ear was full of fluid, hearing was decreased on that side, and the decision was made...tubes next week.  I recommend tubes for kids ALL THE TIME.  And I feel good about this decision.  As I say to my families who are apprehensive about their own child's upcoming tube placement, "I've never met anyone who regretted it".  I mean, it's a 20 minute procedure.  He will feel better and hear better.  But still...it's just a little different when it's my own baby.  I don't like to imagine what they look like under general anesthesia.  Ugh.

And so, despite my propensity to avoid playing patient, it looks like we have signed ourselves up for a least a couple major goes at it over the next few months.  I have faith that all will go well...and this experience will help me be a stronger parent and a more empathetic doctor.  And though they may have a few minor imperfections, we will rebuild my little six million dollar men...we have the technology after all.



Saturday, February 9, 2013

Sonu - 20 Questions.

So here's a little keepsake I've been wanting to make for the boys.  Lifted from Pinterest, of course, the idea is to ask your kiddo the same 20 questions annually after they turn three--- and muse at how adorable they are as their responses change from year to year.  Well, Sonu is actually 4 1/2, but I was eager to start. 

So here it is...the world according to Sonu, version 4.5.

1.  What is your favorite color?
      Blue
2.  What is your favorite toy?
     My Transformer (actually Shikhar's Transformer from when he was little)
3.  What is your favorite fruit?
     Apples
4.  What is your favorite TV show?
     Superhero Squad
5.  What is your favorite thing to eat for lunch?
      Sandwiches
6.  What is your favorite outfit?
     T-shirts and "comfortable" pants
7.  What is your favorite game?
     Chutes and Ladders
8.  What is your favorite snack?
      Nuts
9.  What is your favorite animal?
      Pteroydactyl
10.  What is your favorite song?
      The Superhero Squad theme song
11.  What is your favorite book?
      The Avengers
12.  Who is your best friend?
      Cooper (from preschool)
13.  What is your favorite cereal?\
      Cinnamon Toast Crunch (like father, like son!)
14.  What is your favorite thing to do outside?
      Ride my bike
15.  What is your favorite drink?
     "Sonu Sunrise" (a mocktail we make involving OJ, grenadine, and club soda)
16.  What is your favorite holiday?
      Christmas
17.  What is your favorite thing to take to bed at night?
      My Spiderman book
18.  What is your favorite thing to eat for breakfast?
       Bacon
19.  What do you want to eat for dinner on your birthday?
       Brinner (breakfast for dinner!)
20.  What do you want to be when you grow up?
       I don't know...but definitely not a robber.  :-)

Saturday, January 5, 2013

Girl...where you been?

OK...yeah, it's been a while...

I could come up with several excuses as to why this mama has been MIA...but really it mainly comes down to this...

 
Sai Krish Saxena was born on November 11 at 11 PM (thanks to my very talented obstetrician!).  He weighed in at a healthy 8 lbs 3 oz., and we busted out of that hospital a mere 18 hours after his birth. 

Now at 8 weeks old our little Sai-guy is cuter than ever.  He loves to eat (as you may have guessed from those cheeks!) and is an excellent snuggler.  He is just starting to smile responsively (said the pediatrician...) which, for me is always a huge developmental milestone --- kinda that first little sign that he's happy to be part of this crazy family.  Just the positive reinforcement a mama needs during that 4 am feeding!

Shikhar and I couldn't be happier to welcome the wee man into our brood, and his two big brothers certainly can't get enough of him. 

 
As we are making the transition from man-to-man to a zone defense we are working hard to establish a new routine.  It's been an adventure to say the least, and sometimes things get a little crazy...
 
 
...like when you don't notice the 2 year old completing his masterpiece in the living room.  He was so proud.  But overall I think we are adjusting nicely to life as a party of five.
 
So back to the blog I go -- as I desperately try to document this insanity.  I figure now, more than ever, I'll need a reliable reminder to take a few moments out to reflect and absorb just how truly blessed we are. 
 
 
 
Happy 2013!!