Friday, August 28, 2020

Guest Post: Frenemies

This isn’t the way I had wanted it to be. When I met and married my husband I had envisioned a relationship with my mother in law that would be better than those of other mothers and daughters in law. We would not become frenemies. My husband would not become the pawn or middle man in our petty disagreements. I would be patient and respectful, and eventually develop a love for the woman that bore and raised the man I loved. Most importantly, I would not become my mother, who I felt harboured a lot of resentment towards my grandmother over things that seemed trivial.

It is clear to me now that how we are and how we come across is as much of a reflection of who we are with as who we are ourselves internally. My best intentions have slowly over the course of the decade chipped away leaving me chronically agitated at the woman who I had hoped to understand and befriend.

 

She has always been a hypochondriac. Something is twitching. Is it a sign of something dangerous? Her face aches with tomatoes. She must be allergic to vitamin C, in fact she is sure of it. She can feel her blood pressure go up, so she will check it every 5 minutes until eventually it does. Her blood pressure is too low, she feels sick. She has this pain, but doesnt want to take tablets. Who knows what the side effects will do to her? We have been there for countless trips to the emergency room via ambulance, only to be sent home soon after as all is fine. I humoured all this, not only because of my commitment to the relationship, but being in the medical profession I was kind of used to dealing with strange and unreasonable people. I had developed a patience with them at work and this transcended easily over to my relationship with my mother in law. So we were doing fairly well, until the children came.

 

With the children came a loss of boundaries. I remember the extreme pain of trying to hobble over into the bedroom with the baby in one hand and breast pump in the other, barely clothed (what was the point?) and the episiotomy and high vaginal tear still very much fresh. My mother and father in law had decided to come by unannounced and were at the front door of our small apartment. Of course they wanted to see the little munchkin. Had he gained any weight? Was I breastfeeding? Were my breasts making enough? It was very important he was breastfed. My husband was breastfed until he was two, my father in law touted proudly. I excused myself, scrambling to hide the formula and baby bottles drying near the sink. Why was he crying now? Had he been changed? Maybe he was hungry. Had I fed him? At this point my mother in law would take it upon herself to soothe the crying baby. My rocking wasn’t good enough. I was failing at mothering already. She had more experience with rocking babies. She would be able to fix it, of course.

 

This only got worse over time. At outings I was instructed to give my son some more chicken, more bread perhaps, the orders from across the table never stopped. He never seemed to have enough food to her satisfaction. She never trusted me to know how much my child should be eating. Of course he didn’t sleep through the night, he was cold and he needed more layers on! (she’d never heard of SIDS). When I went back to work the pity she expressed for my son when he started daycare would make you believe I was sending him to an orphanage to be raised by drug lords. It wasn’t only parenting that my mother in law second guessed me. Here I was managing a delivery suite by day, and then having to convince my mother in law that I have enough medical knowledge to know this rash my son has is not worrying. He does not need to see a doctor as I, his mother and a doctor myself, am not worried. All of this preyed on my insecurities as a new mother. I was a doctor first, and I loved it. My time and attention was divided. This could not work any other way. Would it be enough for my son? It would have to be. Perhaps her words and actions were not as bad as the feelings of incompetence and loss of autonomy they elicited in me.

 

With the second baby came more of the same, but I was better equipped. No she isn’t breastfed, it just didn’t work for us. But I am happy to report she is fed, Sorry, I can’t let you in. I just got out of the shower and am not yet clothed. I will not be opening the front door naked. If you had called before coming I would have told you. They have had enough to eat, thank you. In my assertive and often uncomfortably direct responses to her behavior, I have resigned myself to a relationship with my mother in law that is nothing short of frenemies.



En322  is a OBGYN in London who has been a silent follower of MiM for years. She has two children who are 8 and 2.  

Sunday, August 9, 2020

Speaking Up


It’s a strange time to be living in rural America. I suppose it is a strange time to be living anywhere in America, or anywhere in the world for that matter. This is not new territory for my husband or I as we both grew up in small towns and the country side, but we did spend the last few years in metro areas and suburbs before committing to our hopefully forever home here. 

There’s a strange disconnect from what happens in the large metro areas only about an hour away to what is happening here. A large portion of my patients think wearing masks are unnecessary and the whole coronavirus is blown out of portion. I am somewhat removed from the direct horrors of the virus myself, as I am currently working outpatient care in a “clean clinic” which means you have to undergo intense screening to make sure no cough, cold, or loss of smell sneaks through the cracks (which also means I have some frustrated COPD patients I haven’t seen for months). However, an hour away my best friend from medical school is working part time in a COVID clinic seeing 30+ patients a day and part time in the hospital and telling me the stories of the young healthy patients who came down with vicious complications. 

I also have plenty of Facebook contacts from various circles posting fake news and theories about mask dangers from hypoxia - at what point do I step in? At what point do I stand on my medical training and credibility and post that “this is not right” while awaiting the wrath of anyone who dares to post back?

I was raised to not argue from when I was young. I was taught it often doesn’t get you anywhere other than trouble. I have always leaned away from engaging in controversy. I want those around me to feel comfortable in my presence. And I have always been much too cognizant of what others think of me.

However, during my last year of residency I learned a lot about the power of advocacy through social media from some of my favorite mentors and the power of a Tweet- especially a Tweet by a physician. I reactivated my Twitter account when I strongly disagreed with plans to shut down an area hospital that directly served some of the most underserved in the area and probably annoyed my entire handful of followers with my onslaught of Tweets that followed. 

On one hand, I’m not brave enough - or maybe I simply don’t have the energy to fight off Facebook warriors. On the other, I don’t know how much misinformation I can continue to ignore - especially when I happen to have an advanced degree in the field being discussed. 

 So I have to ask - how have you all been handling your social media? Especially friends and family? 


Tuesday, August 4, 2020

Mindful Parenting and a Toenail Drama


It started back in May. She dropped her stainless steel sippy, and the bottom rim landed right in the middle of her big toenail. For hours, she was beside herself. All we could do was kiss and hug her and say, “Yep… it sucks to drop something on your toe.”

It was the first, but it won’t be the last. A week or two later, there was a good-sized, eggplant-colored bruise right under the nail. Welcome to the Black Toe Club. She didn’t seem to care too much about the discoloration, and we went on with life as normal.

Fast forward to a week ago, when I noticed that the nail was starting to unroof itself. It became so… flappy... that it started to catch on things, which resulted in fits of pain and crying. Being the Doctor Mom that I am, I devised a treatment plan involving an epsom salt bath followed by lidocaine ointment and a sharp pair of scissors. But after the bath, she had a freakout.

She WOULD NOT let me cut it. Would not let me even touch it. We fell into a cycle of hugging and talking and attempting, followed by pullback and more crying.

Her: “I’M SCAAAAAARRRRED!”

Me: “This is the best way to deal with this. Otherwise it’s just going to keep catching on things and eventually rip off, which will be even more painful. Trust me! I’m a doctor! You just took a bath! It’s soft right now! Let me cut it!”

Her: [uncontrollable sobs]

This went on and on, extending past bedtime. And repeated for 3 days. The toenail would catch on something, even bleed. It separated further from the nail bed until it was sticking straight up in the air. I got so frustrated… if you’re a physician, you’re likely familiar with the experience of family members not taking your medical advice. All those past memories welled up, compounded by a screaming, inconsolable child.

One night I threatened to rip it off after she went to sleep. One morning I told her we weren’t going anywhere until it was dealt with. We devised different plans, all foiled by her going into a crying fit… and when one involved her dad helping to hold her down, he looked at me with his peircing eyes and said straight up, “What are you doing?”

[long pause]

Um…. What WAS I doing?

I was trying to control the situation. I was worried for her, anticipating the great pain she might experience if the toenail ripped completely off on its own. So instead of letting things take their course, I tried to solve the problem for her. Like lots of well-meaning parents these days, I was coddling.

I was acting on my own aversion to the appearance of her toe (as a self-confessed Picker, if it were my toe I would have cut that flapping nail off immediately despite any pain pemature action might have caused). The sight of it bothered me more than it bothered her.

I was using logic to appeal to an illogical, 4 year old little human. Although I want to respect her as her own person, she’s not a little adult. Yet I sometimes talk to her like she is.

I was trying to control someone else’s body. Someone’s body that is not mine to control. And I was using threats (again) to try to get what I want.

These are all Respectful Parenting fails.

Before even having kids, we decided that respectful parenting was the kind of parenting we wanted to do. I read books like The Gift of Failure and The Conscious Parent. I listened to Janet Lansbury‘s podcast. But like so many things having to do with mindfulness, theory is different than practice. It’s easy to have a plan, but what matters is how you act in the moment of need. Sadly, this time it took me approaching the use of force to realize how far I had drifted off the path I meant to be on.

Defeated but brought back to reality, I admitted I was wrong. This was wrong. My emotional bank account depleted but not quite in default, I was able to salvage the day by taking responsibility.

She put on flip flops with her little nail sticking straight up, I tried not to look at it, and we went about our day. I dropped her off at the gym childcare center, assuming I would get a call about another episode when she caught her toe on the playground or something.

But do you know what happened? When I picked her up, the nail was gone! She hadn’t even noticed it fall off; it didn’t hurt a bit. After all that, leaving it be was probably the best thing to do anyways.

I’m so lucky to have her (and him); I’m always learning from them. Being a parent has been the greatest lesson in mindfulness.



(A version of this post first appeared on the blog practicebalance.com)