Tuesday, December 17, 2024

Have we talked about the doctor ?

 Anyone ever struggle dealing with kids and doctors? I’m remembering the days of smalll kids and screaming fits when a shot came out. Middle schoolers and a total meltdown over a finger prick. 

Hard to remember how exactly I dealt with them in these situations before they were old enough to talk and reason with. I’m fairly certain that before they understood the word prize I held them down when I had to and once they got the gist I bribed my way through the small child stage. I’m sure a parenting expert could advise us about how to deal with that age group. Right now I’m more thinking through that age and stage when they’re old enough to get it and some things are just plain hard or painful but we have to get them through it anyways. 

My 11 year old has spent the last several years in and out of the doctor with a variety of illnesses. She is one of those kids who seems to pick up everything. I won’t go into detail about the medical pieces behind it all that we’ve discovered but I’m trying to think through how to help her deal with this adversity when she’s feeling rough or just can’t take dealing with doctors and illness anymore. It’s funny since I dealt with years worth of doctor visits with my oldest - from the time she was diagnosed until she aged out of the system and no longer needed me to accompany her - but I think her young child trauma from illness played a huge part in her anxiety at the doctors and the methods I used with her are definitely going to be different than the ones I’m employ now. They’re also very different types of kids and, let’s be honest, I’m a very different type of Mama now. 

I’ll preface this discussion with a few things - the first of which is that for the most part my daughter’s been super reasonable about most of the chaos. With two in patient stays, a colonoscopy before the age of 10, and more blood draws than I can count - she’s definitely had her fair share of stuff for an overall normal healthy child. Second, I like to write these things as much for me as for my kids - I pray I’m around for their parenting phases and that by the time someone is coming back to read my thoughts instead of coming to me with their questions of how I handle something it’s a great grandchild (if they even want my opinion by then) but you never know so always good to get it on paper when I can. 

With that - I want to brainstorm ideas about how to approach all things medical with our kids. 

1. I’ve always believed they should be in on the discussion. I know a lot of people disagree with me on this but from the time I had a baby with a brain tumor I’ve felt that the more she knew, in an age appropriate manner, the better it was.  Secrets were just another thing to manage during what is already a hard enough situation.  I obviously didn’t include my toddler in our powwow’s with the Dr but once she was old enough to understand what was happening we talked with the doctors together. Not only did she learn how to ask the questions needed to understand, it also helped get buy in when needed. I’ve been using that technique this time around as well. When the Dr suggests a treatment plan we talk about it all together. Let her ask her questions. Suggest reasonable modifications when appropriate.  Just yesterday we did several tests trying to troubleshoot yet another situation and after all the regular tests, the doctor suggested a finger prick for something which was on the outside of likely.  Instead of just agreeing, since I saw we were close to the end of our rope of cooperation, we discussed it and agreed to do that test later in the week if all the others came up negative. 

2. It’s ok for things to be hard. Acknowledging the pain, discomfort, upset is better than the shh, shh it’s ok method. When they’re babies, patting their back and telling them it’s ok is soothing - as they get older it’s another way we accidentally don’t let kids listen to themselves. Being sick stinks, sometimes you feel awful - it’s ok to acknowledge it and let them feel the yuck and feel heard. 

3. Google is your friend when used cautiously.  As long as you can choose a site that doesn’t scare the pants off your child, educate them about what they’re dealing with. It helps to know the process, it’s educational but also gives them an idea of what to expect, from length of illness to symptoms that are normal and when to tell you if something is off. Funny enough, we’re dealing with pneumonia this week and we just helped one of my older daughters, who is currently teaching high school physiology, make slides about the respiratory system so this time I had easy to find info on the issue. Major disclaimer for this - if your child is on the nervous side and creates symptoms - this is not for them. 

4. Pick your battles carefully. This is always a rule but really important when it comes to medical situations. Fluids are worth fighting about whereas getting normal food in less so during a short illness. You know your kid and your situation - just try not to fight with them about everything if they’re being unreasonable. Think about how unreasonable we can be when we feel awful!

5. Take care of yourself so you can take care of them. This means different things for each person - some need breaks from their kids to stay sane - lean on your partner or friends for this. Other people just need a shower and a book while sitting at their child’s side. 

I pray for good health and little need for this discussion, but always good to think through it while it’s not happening because trying to make good decisions and plan an approach on a few hours of sleep doesn’t usually work out that well!


Saturday, December 14, 2024

Finding Balance

I was going through my blog and found an old draft from 2019 that I wrote but never finished. The recent post I wrote had such positive feedback it had me sitting and rereading old ones I enjoyed sharing. I hope this one finds the right readers who needed to hear this:

When I was in high school, my favorite topic to philosophize about was how to find the balance in life.  Things that seemed so complex to me at that age now seem really straight forward, but needless to say I spent a lot of time trying to figure this topic out.  Honestly, it is something I think we all struggle with in life, and in parenting which just mimics a lot about our own lives, daily.  When is a focus on a certain topic or habit good, too much, too little, obsessive? Finding and establishing lines is such a complex process and it isn't over after you figure it out - you need to constantly reassess.

I recently posted about creating positive health and body image with kids and I've worked so hard to find that balance, the line at which you are creating a positive health outlook for kids and yet not overly focusing on it to the point where they become obsessed or turned off.  Then, just two weeks after writing that piece, my own child tells me they think they're "fat" and need to watch what they eat.  I thought to myself, are you kidding, we literally discuss healthy choices all the time and how did he not get the message? Why was his line skewed? Then I realized that he doesn't only hear what I'm saying, he hears what siblings, friends, other adults - everyone around him - are all talking about and no matter how hard I try, the balance isn't necessarily going to be set by my own approach.

Same is true with any topic, we could just fill in the blank.  There is always some line we will need to tow where a few steps to the left or right means trouble.  When is it safe to let your kids walk alone and when will they defy you if you hold out too long and they disagree with your safety recommendations? When is it ok to let your teenager watch their food intake because they need to learn how to be healthier and when do you cross the line and open the door to an ED? I could think of a million iterations of the same idea.

The question I've been thinking about is - can we help kids self identify their line and learn to respect it and ask for help when they feel they've lost it?

As always, I don't presume to have a one size fits all answer.  I think, however, there are certain skills we can help kids acquire and once they have those skills it will come more naturally to them to find their lines.

The most essential skill any parent can give their child is learning how to listen to themselves.  To trust their instinct.  To be open and understanding of their own personhood.  This, of course, has limits - they aren't fully developed cognitively until a certain point so I wouldn't let them trust themselves to drive a car before they've learned to or cross streets when they feel ready - but this is more about listening to your inner self and not quashing your feelings.  How many times have we told our kids, as they're crying and in pain, "you're ok."  Or when they are worried about something we say "there's nothing to worry about!"  Without realizing it, I think we inadvertently ignore our kids feelings and try and supplant our own feelings onto theirs.  We know there's nothing to worry about or that it will only hurt for two minutes and they'll be back to playing - so we try and push that onto them.  Instead, we could try to acknowledge their feelings and then guide them to the next step.  Subconsciously, we are giving them a very different message.  You are allowing them to acknowledge and trust their own feelings while still helping guide their responses to those feelings.  It is subtle but over time, I think very important.  Kids who can learn to listen to the signals they are getting from their bodies and minds are going to eventually learn to respect and trust themselves and their lines.

Take a kid who finds themselves anxious or shy in the presence of new faces or situations.  Some parents try to push them into it and assume they'll just learn to adjust eventually.  Others let them completely stay away from these situations and assume they'll eventually grow out of it and learn to cope.  But some take a more middle of the road approach.  They help the kid put a name or word to their feelings (scared, nervous...) and they talk before these situations about how to approach them.  What are things you can do when you feel that way? How can we make these situations easier.  This gives them the skills to approach a situation and hear what their body/mind is telling them and coach it through.  It puts them in touch with their inner voice.  Once they understand that voice, they can help guide themselves through different situations. 

Ok, I know what you may be thinking - it isn't that easy.  And it isn't.  And what about those kids whose inner voice is forever telling them to do crazy things - do we teach them to listen to that one too? Of course this has limits and exceptions.  But yes, in a way, we do teach them to listen - and curb it.  The same way you can teach the anxious child to overcome their anxiety, you can teach the wild and reckless child to hear the inner voice and curb it to a reasonable degree.

How, then, once they can put words to their feelings and listen to themselves, can we help them use these skills to learn how to set the lines? I think that the more in touch we can get our kids with their feelings, the more they can see when something isn't in balance.  They will always need our guidance, that is why they are the kids and we are the adults.  But as they mature and grow toward adulthood - they gain some of our knowledge and some of their own experience and it helps them re-balance those inner voice and recreate the lines they need to redraw.

Lets try and look at this from our own perspective.  How do we find that balance?  Have you ever watched someone who was the YES person, no matter what and at some point they just melted down or lost it.  The mom who is forever scrambling to do every extra curricular for the kids, volunteers for PTA, makes meals for people when they have new babies, and somehow also works full time?  I use moms because I think women tend to martyr themselves and have a harder time finding this balance than men do (I don't see myself as sexist, I am actually a staunch feminist, but I still notice women have more of this tendency than men do...sorry).  Well, the mom in our example has no balance, she just wants to be everything to everyone.  And I've noticed with moms like that how they somehow drop off the map for a while cuz they realize by being everything to everyone they were actually not really much good to anyone (least of all themselves).  So instead of doing this, most of us actually find some sort of balance - we volunteer a certain amount (or not at all if it is too hard on the rest of the pieces), we say yes to some but not all after school activities, we find a way to attempt to take on a reasonable amount without overloading to the point of breaking.  This is us, as parents, finding our own balance. 

Our kids can and need to do the same in their own lives.  Whether it is with friend time, food issues, schoolwork, extracurricular activities, we can help guide them through the same steps we would take to assess the situations and listen to themselves to find this balance.  And, especially when they are younger, we need to find the balance for them and include them in the process so they can see how and why we did it.  If they want to do after school sports but they are struggling to complete their homework each night, we say no, but with an explanation to help them understand how to do it for themselves the next time.

Modeling this process towards finding balance should hopefully lead to them mimicking the process and steps and eventually hopefully finding a balance of their own - one they will constantly be recalibrating. 

Post script - when a topic comes to me it seems to be coming from all angles. As I was running with a few friends last week one showed up with a stroller and another with his dog - we refer to him as the stallion - I commented to one of us in the group that the stroller will keep our pace more doable when she said but the dog will push us faster - and there was my balance playing out right in front of our eyes. We did go way faster than I expected but it was reasonable fast - love that balance. 

Wednesday, December 11, 2024

My Own Form of Feminism - Unity in our Community

I woke up to a dark and rainy world today.  Normally, a day like this would be hard to face - find the energy to get out of bed, get out there and run in the rain, be productive and get to work.  But today was different because last night was different.  Last night, I went to an event in our community organized by women, for women, about women.  It was inspiring and left me uplifted.

When people call me a feminist, I agree wholeheartedly.  As a teenager, my son used to use it as some sort of taunt but I would always respond that I am a feminist and I'm proud.  I even made him read Sheryl Sandberg's Lean In to try and make him understand my perspective.  I'd hardly call myself the bra burning type, more of a woman who is so incredibly proud of women and feel they are invincible.  Women are moms, entrepreneurs, community leaders, athletes, you name it - they can do it.  

Last night's event, sponsored by the Mikvah Emunah Society's Robin Niman Mikvah Educational Fund, was in memory of an incredible woman named Robin Niman, who passed away several years ago after an eight year battle with metastatic breast cancer.  She was a powerhouse of a woman, mom to seven, a force in our community.  She pioneered the concept of women liaising with the communal leadership in our community.  I met Robin at some point after she moved here, the year is hard to pinpoint, it was definitely long after I was a newlywed and long before I became a mother in law.  Sometime in that blur that spans toddlers to teenagers.  She was a lifeboat in a time in my life where I felt I was sinking.  Robin ran an organization in our community called the Mikvah.  For those not familiar, a Mikvah is a ritual bath.  Jewish women have a detailed set of laws that relate to family purity and it can be overwhelming at times.   I won't get into the details of what is entailed but to put it mildly, it can be difficult to navigate.  At a time when my body was in a most uncooperative state, where trying to keep these laws was becoming more and more difficult, Robin was a savior.  Robin became my bridge to the Rabbinic leadership that I didn't want to deal with on matters so intimate and personal.  I know I speak not only for myself but for so many women in my community and probably the world over who dealt with Robin when I say she saved me when it came to this mitzvah.  The night was a fitting tribute to a woman who was larger than life in my eyes.

The evening began with the moderator speaking about Robin.  She recapped some of the talking points from Robin's funeral and shiva - I can't do justice to her eloquent description - but she described Robin's ability to do everything she wanted to accomplish, despite incredible odds.  She talked about her can do attitude, her commitment to women and community, her going above and beyond in every situation.  

Following this beautiful tribute was a panel discussion where the wives of 8 Rabbis from our community were each posed a question that they addressed.  It was so nice to see the collaboration, comradery and friendship on display.  Again, I will recap what I can reconstruct from memory but please give me poetic license since I didn't even take notes during the event itself.  The order might be switched but the general sentiments are there to the best of my personal take-aways.  The questions for the panel centered around balancing a life with families, community and personal wellbeing.

Rebbetzin Atara Rosenbaum was asked how it is that the same people seem to be the heads of PTA, chairs of volunteer organizations etc while others struggle to find time to volunteer at all.  Her answer, in my humble opinion, was brilliant.  She talked about how as Americans we often think we need to spearhead every idea, do something amazing and be leaders - but being a follower is ok as well.  Not only ok, but essential.  For every event that happens, many worker bees are needed.  She reminisced about how as a kid her mom had them stuffing envelopes for the local school fundraisers, even awarding them precious weekday watching time as a bonus for doing the work.  She also reminded people that leaders are needed, and the way you know that your job is to lead is when you have a real passion for a project and a drive to do it.  How different life stages call for different types of communal engagement.  With a house full of toddlers or teens you might not be able to get out but when you're at a different stage, you may find it more possible.  And she talked about how communal engagement and kindness comes in many forms, small acts that no one ever knows about make the world go round.  She shared a story about Robin where she helped a disabled woman complete her ritual immersion by jumping in (literally) when she struggled.  She reminded every woman in that room that you can give even when you think you're maxed out.

Rebbetzin Rivky Frank addressed the question of disciplining toddlers.  She transformed the question into how to approach relationships at any stage.  She had clearly done research, which showed in her sharing a practical approach she learned from a book she read on behavior.  The CLR (pronounced CLEAR) method, where you comment on behavior (instead of criticize) - find the time when the child (or any age person) is behaving the way you would want and mention it.  The toddler who is rough with his sibling, in a moment of gentleness, strokes the baby's face.  Praise the behavior, then L for Label it - you are kind, you are gentle.  Think of the vision you want for this child (or person) years from now - then create a self fulfilling prophecy by labeling it.  R for reward, which we all need at times.  A practical life tip that everyone, not only toddler rearing mothers, can gain from.

Rebbetzin Chaya Wolvovsky was asked how one deals with the unexpected events that inevitably present themselves in our lives.  The perfectly planned day that gets ruined by something unexpected.  She was spot on when she said don't plan so much because it usually doesn't work out.  But then she took her unique Chassidic upbringing and was able to share a story of two brothers who traveled as peasants, though they were both quite learned.  Once they were with a crowd who ended up in prison and when the time came for Mincha (afternoon prayers) one brother began his preparations to pray.  The other brother stopped him and reminded him that they couldn't pray in this place because there was a bucket (the bathroom for the prisoners) in the room and that wasn't allowed by Jewish law.  When his brother began to cry, he reminded him that G-d put them in this situation and therefore must have not wanted them to pray.  Instead, they began to dance and celebrate G-d.  The warden, on hearing the rucus, came and asked what the cause was.  One of the prisoners basically answered we don't know what this is but it has something to do with the bucket.  Upon hearing that, the warden removed the bucket and they were able to pray.  She reminded everyone that G-d may present situations to us but we have control over how we react to them.  And amazingly, He often makes it possible for us to accomplish great things.  And also, there's usually a bucket like that in all our lives.

Rebbetzin Rachie Reingold was asked something related to feelings of guilt at not being able to be all we think we should be.  She talked about how our list of things we think we are struggling with or failing at is usually far longer than the list of our strengths.  That sometimes we need to adjust our perspective and realize how many things we actually have going for ourselves.  She related how the Jewish people were at the 49th level of impurity and yet G-d still decided to redeem them from Egypt.  Clearly, we all have things we fall short on and it's ok, we should just keep working on improvement and keeping the connection to G-d.  She told a story of a test that her students took where the marks fell far below expectations.  She wanted to frame it in a way that would be positive, so she told them a parable.  It used to be you needed a map to direct yourself (before Waze and even before GPS).  No matter where you were, if you could find your location on the map you could direct yourself.  She said that sometimes you fall far from your destination on the map but all you need to do is make a route and plan how to get where you want to be.  The poor marks on the test were their location on the map, now they knew what they didn't know and where they needed to get.

Rebbetzin Yaffa Lopiansky was asked how to deal with the commandment to honor one's parents when parents can be extremely challenging.  She told an anecdote from her childhood where an entertainer told the story of the giving of the Torah.  G-d brought it to many nations and each rejected it for a different reason.  When it came to America, the people asked what was in this Torah and G-d responded, "honor your parents," to which the Americans basically said we have Mother's Day and that's enough.  She gave practical advice - saying even when a parent is a difficult person you need to respect them and to do that, you should try and find one thing they are very good at.  Focus on that one thing and respect that, it will help.  She told a story she heard at someone's shiva where the in-laws were not interested in the new son-in-law and didn't treat him well.  When those same in-laws were elderly and infirm, the son-in-law took care of them.  When his son asked him why, he simply responded that whatever the issues they had with him were their problem, but his responsibility was to honor them and he knew they were great people, it was a them problem not a him problem.

Rebbetzin Dvora Bulman, who side note is a friend from growing up, pretty cool seeing her on that side of the table - spoke about boundaries with personal life and communal responsibilities.  She spoke about finding the balance in prioritizing communal needs and family needs and values.  She emphasized her view that as the wife of a Rabbi, she felt her first priority was the wellbeing of her own husband (so he could serve the community better) and her children.  Her husband worked as a Rabbi in an out of town (even more out of town than Silver Spring) community for many years and they had to find ways to educate their children and send them away while still keeping them close to the family unit.  This included finding ways to fly them home on off weekends despite the cost involved.

Rebbetzin Elana Weinberg was asked how we can instill Jewish values in our children while still honoring their individuality.  She discussed how modeling behaviors is far more powerful than telling them what to do and how to behave.  When they see a parent stopping to pray despite their busy day they learn to make time for prayer.  She also shared the idea that sharing your struggles with your children is healthy, that they shouldn't think everything comes easy to you and you don't have a hard time with things.  She highlighted a Gemara about how some people need strong iron gates to keep them from doing things but we need the equivalent of a hedge of roses - a reminder about how to behave.  She talked about how rules actually provide a framework for our children to live and given full freedom, it is actually no freedom at all.  She used an example where a teacher can give an assignment that instructs the students to write about anything in Jewish History.  In the end, that is too open ended and withouth guidelines, most people drown in that type of directive.  If, however, you say write about a specific time period spanning certain years, you can narrow down what you want to write about much easier.  She compared that to the rules we live with - with no rules it is hard to function but within the framework of rules taught lovingly, we can foster children who feel free despite living in a society with rules.  She also discussed how sometimes, despite how much we want our children to do whatever they feel is right for them, our society does have rules and we have to put down guidelines and teach what is right and wrong.

I honestly don't remember the question posed to Rebbetzin Devorah Walter, but I remember her talking points.  She told a story about a woman who wrote an article about her cup of coffee.  She described making a hot cup of coffee and just as she sits down to drink it, she's called by the school and has to run to bring a forgotten lunch.  Then she sits down again to her probably lukewarm coffee when the repairman shows up to fix something.  Etc. Etc. until she finally gets to her now cold coffee to drink.  And then the woman says "Halevei that was my cup of coffee" - meaning I wish that was my life.  The author, struggling with fertility issues, always had her piping hot coffee to drink quietly each morning.  She reminded us that no matter what our struggles, to have sensitivity to everyone for we are all going through our own situation that, most of the time, no one else likely even knows about.  Not to minimize the struggles, but to put them in perspective.  I'm sure she discussed something else about struggles but that cup of coffee stayed with me.

Walking away from this incredible evening, where every seat was taken and there were not enough to go around, reminded me of how amazing the community I live in can be.  Sometimes we need a reminder, to pull ourselves out of our 4 cubits and realize what surrounds us.  That there are so many women, not all of them wives of Rabbis, but every woman in that room has something to give and share and we are all here to support and uplift each other.

Learn more about the Mikvah Emunah Society.

For those interested in donating (I was not asked to share this, but I felt it a worthy cause to spread the word about this), click here.