
Erin has had a little bit better week. She’s still a little more fussy than usual, but it seems to be the combination of heat and wacko schedule that are getting to her. I also read online about “wonder weeks.” There is a book that outlines more difficult periods in an infants life that are related to jumps in development. Apparently they occur at predictable ages and Erin is smack in the middle of one. I’m not sure that I believe this, but sometimes it’s just nice to read something that explains troubles and reassures you that it’s all temporary. Then again, Mom keeps telling me that I should never get used to the good or the bad because with a baby it’s always changing. Erin has kept me guessing as far as a schedule goes this week. She seems to have thrown out all predictability and that’s been tough on me. Several weeks ago she’d transitioned to eating every 2 hours and was like clock work. Now she’s sometimes eating every hour and other times goes 4 hours. She used to nap after being awake for about an hour and a half and now it’s after 30 minutes sometimes and 4 hours other times. Naps last from 15 minutes to 2 hours. I think that this is making her upset too and it’s making it hard to leave the house to do much because she’s not as happy and she may be getting ready to nap/eat/throw a fit. I think that a few weeks ago I was much more easy going and variability didn’t bother me much, but I’m just not coping all that well this week. Somehow in my mind having things feel settled at home would make me feel better about dealing with the uncertainty of work. I guess I’ll just have to get over it.
Luckily Erin is still sleeping pretty well. We experimented with sleeping unswaddled early this week and it was a failure. That's ok, but it's getting harder and harder to keep her swaddled all night. She is like the incredible hulk busting out of the little bundle with her huge baby muscles. But I've also found that if I reswaddle her and give her the pacifier back she goes back to sleep at night without needing to be fed. Nice. However we have found ourselves in a little bind over the this whole swaddle/pacifier/sleep thing. She does a great job putting herself to sleep when she's swaddled and has the pacifier. I'm sure that we can address the swaddle issue and keep her tightly bundled all night, no problem. However, the pacifier is bound to fall out when she is deeply sleeping and she can't put it back in because she's too little and she can't suck on her hands because she's in a straight jacket. Hmm... dilemma. I guess it just means that for now she's going to need someone with free hands in the middle of the night to help her out.
Work starts Monday for me and it’s a doozie of a day. I have orientation at HCMC from 8-10, my clinic from 1-5, and an ER shift from 5-1. Yikes. Beyond worrying about my brain functioning, I just don’t know that I have the stamina for this anymore. I’m sure it’ll come back quick… or it better. Luckily Muggy is coming on Monday to help out. With 3 adults in the house, I’m hoping that we will be just fine. Matt starts a really tough rotation on Monday as well with long days and lots of call. I’m hoping that he’ll be able to give me a few tips about how to balance home and work since he’s been doing it for 3 months now.

Despite all of my angst about Erin and her schedule etc, she continues to be a wonderful and happy baby most of the time. She’s discovered herself in the mirror and loves to smile and coo at that other cute baby. She likes silly voices, lots of smooches and when we play “this little piggy.” Matt played the uke for her today for the first time and she loved it. She sat there on his lap smiling and cooing along with the music. She seems to enjoy my singing quite a bit less. We spent several evenings out this week with friends and watching the Tour de France and she could not have done better 2 of the 3 nights out. She was delightful. The bad night was pretty rotten for about an hour. This is by no means awful as far as babies go, but for Erin it was so out of character. She wouldn’t sleep, she wouldn’t nurse, she was just pissed off. Luckily she tamed her inner monster and we all survived.
We’re still working on her neck issues. For a while it seemed better, but now she’s got a neck tilt in addition to the rotation and seems to be looking left less again. She hates her stretches so I try to do them when she’s happy and won’t protest too much. Her head shape is still pretty asymmetric even though we’re trying to keep her off her back as much as possible. Accomplishing this is tougher than I though. We can’t do much about her sleeping, she has to sleep on her back. The first week I tried to reposition her head after she went to sleep, but she always moves it back to her favorite position. So during the day she’s only in her bouncy seat for about 20 minutes while I eat/pump and then she’s in her stroller for our daily walk. Other than that she’s being held, in the baby bjorn or on her tummy. Maybe it doesn’t sound that bad, but it’s really tough, especially since she’s still not a huge fan of tummy time. And I don’t have a good place to put her in the kitchen when I’m cooking/eating/cleaning. Again, I’m sure that this is going to improve and I just need to be patient, but again the angst is coloring my world.
We got notice this week that our diaper service is going out of business. I’d been half expecting this, but I’m still really bummed about it. We’d been so happy with the convenience and I love having Erin in cloth diapers. Now we’re in trying to figure out the next step. We have another 3 weeks of service and then we get to keep our diaper pail and the diapers. I’m excited about getting to keep the diapers because that’ll give us about 70 really nice cloth diapers in addition to the ones that we already have. I think that we’ll give washing our own a go and I expect that once we get in the habit it won’t be that bad. So those of you who have done cloth, you can expect me to be soliciting advice in a few weeks.
The other issue that is keeping me up at nights this week is my clinic. My preceptor will be leaving the clinic at the end of September and I will need to work with someone else. My preceptor will be leaving some pretty big shoes to fill. Hands down, meeting and working with her is the best thing about my residency and she’s been such a positive influence in my life. I have two options for new preceptors. One is at the same clinic and I think that she’s great. She’s a pretty recent graduate of the program and is the assistant program director for the peds program. I think that we would work really well together, that we could do a lot of learning together and that she’d be a very positive mentor for me. The other is a very senior pediatrician at St. Paul Children’s. He’s really nice and very knowledgeable and I know that I could learn a ton from him because he knows just about everything. However, I’m intimidated by him and think that I would probably never develop a really close relationship with him. I’m torn. My gut tells me to stay at the same clinic and work with Emily, but maybe that’s just because I know what I’d be getting into. The critical part of my mind tells me that I’d learn more going to St. Paul. Ugh, I’m torn.
Anyway, updates may be slightly less frequent and informative in the next several weeks as our little family makes this transition. Maybe I’ll just have to con Muggy into taking on that job temporarily. Wish us luck.