Archive for April, 2010

Healthcare

Tuesday, April 27th, 2010

So, healthcare. Oh no, are you yelling and screaming at the monitor already? All I said was ‘HEALTHCARE.’ I know, I know, it’s a touchy subject. I won’t wax on with my opinions about the healthcare bill because I really don’t know what the hell ended up in it after all was said and done anyway. Do you? No judgments on your character, but chances are good you don’t. I don’t think many of us do, let’s be honest. There were ‘town hall’ debates that essentially involved a lot of yelling and screaming and horrible homemade poster board signs designed to attract the media’s attention, there were left wing/right wing crazies, there were a lot of old white men in suits in Washington jabbering and sneering, and then there was a bill: signed. Cool. I guess?

I want to share with you my little healthcare story. I know we all have one. There are likely a few hundred million of them out there across the land, and I would wager that very few are positive. It will never be fixed, I get that, but maybe if the small problems were addressed, we could all take a big CHILLAX pill and not freak out when anybody utters the ‘H’ word.

Here goes. I signed up for a Flexible Spending Account (FSA) at the end of last year. If you don’t already know, (and I’m sure you do, you’re all so smart!), an FSA allows you to deduct pre-tax dollars from your paycheck to pay for eligible medical expenses. I think we can all agree that that’s a good idea. At the time, with a baby on the way, I figured that an FSA was a Super Good Idea. I knew I’d be spending a lot of time and money at the pediatrician’s office and God knows where else in baby’s first year of life.

Fast forward a few months. I’ve used my FSA credit card approximately four times. I have now received two letters from my FSA benefits provider. One states that a claim I previously submitted has been denied and another is requiring me to submit a receipt to verify that a charge was eligible.

…we have not been able to verify that the purchases were for eligible medical expenses,” the letter states. Hmm, I think. Maybe I used the card at a CVS? I scan down the letter. Under “Provider” it lists “Post Road Pediatrics.” Post Road PEDIATRICS. Can you think of anything one might purchase at a pediatrician’s office that might NOT be eligible? It’s not like they sell M&Ms or Glamour magazines there. I didn’t pick up a new fun and flirty skirt for summer while my son was getting his DPT, polio, measles mumps or wha-bella vaccines.

I get on the horn, prepared to give these FSA people a piece of my mind, and immediately realize this won’t be possible. My customer care associate speaks awful English and has a hard enough time taking down my contact info. I don’t think he’d be able to process a soapbox rant from me. I change tactics, opt to speak slowly and ask politely how it’s possible that a pediatric claim be considered questionable. He explains that the benefits provider maintains a list of doctors’ offices and if your doctor is not on the list for whatever reason, the charge comes up in their system as generic and automatically requires more detailed proof.

Here’s my question: whether or not Post Road Pediatrics is on the list, at what point does human logic come into the equation? Is there no one anywhere on this chain who can peer down at an electronic charge and see that it originates from a provider with the word ‘Pediatrics’ in the name? But, I understand my question is futile in a highly processed digital era, so I ask my guy how I can proceed moving forward. Can I get my pediatrician’s office added to the list?

I am informed that an entirely separate department manages this list. His group has no power or authority to add offices or even request that one be added. I’m not surprised. For all I know, those decisions are made in another country. After much back and forth, I am finally given instructions for my specific situation, ones that require me to provide receipts from a past visit in order to prove eligibility and to write a letter to the provider stating that the pediatrician is a recurring visit so that I will not have to ‘prove’ future claims’ eligibility.

It’s absurd and ridiculous and petty what you have to go through to take advantage of such a good idea. Doesn’t it seem as though every time American healthcare gets their hands on something good—something seemingly simple—they find a way to make a mess of it, to throw a steaming pile of beauraucratic shit on what was once an unsoiled, novel idea? My problem is a small one, to be sure; but if we can’t get the little things right, what hope do we have for the big ones?

My Job

Monday, April 19th, 2010

I haven’t mentioned it explicitly, but if you’ve been reading for awhile and are good at context clues, you may have guessed that since the birth of my son I have transitioned jobs and am now a stay at home mom.

The title ‘stay at home mom’ really opens up a Pandora’s box of reactions, doesn’t it? If we were to play word association, what words would come to mind? Old-fashioned? Necessary? Unnecessary? Ideal? Noble? Luxury? Drudgery?

I was always of two minds about the institution. My mom was a stay at homer in the eighties, arguably a post-feminist decade when women had already trailblazed their right to work in corporate America and were headed to offices in all their boxy blazered, shoulder-padded glory. “Latchkey kid” was a common term back then and I recall that many of my classmates were just that. Of course, kids never want to be different, so in those days I wanted my mom to work just because everyone else’s mom did. I was too young to appreciate that there was always someone there to ask how my day was when I walked through the door, even though as I got older my response was always ‘fine’, followed by a trudge upstairs to my room. Ah, teenage angst!

Once I became a working professional and found some degree of success in that world, it was hard for me to fathom how I would one day factor kids into the mix. I had worked so hard over the past six years. Would I really just give it all up? I couldn’t see how. Besides, I liked the feelings of accomplishment that came from a job well done. I liked being recognized for my talents and rewarded with the occasional promotion or even less occasional pay raise. I liked the intellectual challenge. So what would my options be if a child were to enter into the mix? Daycare? A nanny? Common choices, obviously, but scenarios that neither I nor Mike had any experience with (his mom was a stay at homer too).

I tried to picture what life would be like in all scenarios. Of course, without benefit of having a child already, this was impossible. In the end, a multitude of considerations guided my choice. And thankfully, it was my choice. Mike understood that while his input was critical, it was ultimately me—the mom—who had the final say.

So here I am: a mom at home. It’s funny, no one (or at least very few) would argue that motherhood—work at home, work outside the home, stay at home—is the hardest job in the world. Stay at home motherhood, though? I understand that there are plenty who question the merits of this career choice. To me, though, being a stay at home mom is like anything in life – it’s what you make of it. I could park myself in front of the TV at every nap time, getting up only when absolutely necessary. And let’s be honest, there are days when I’d like to do exactly that. I choose not to. When the baby is up, alert and wanting attention, I shower it on him. I dedicate myself to being with him – teaching him, making him feel loved, playing with him. At times, this is incredibly tedious. Talking to someone who can’t talk back tends to make you feel a little nutty. Keeping up a chipper tone of voice for twelve hours a day can be incredibly tiresome. Dangling brightly colored objects in front of a person’s face over and over again gets monotonous. But the smiles you get in return, the moments you realize your child has picked up a new skill or learned something about the world because of you really are rewarding.

When Drew’s napping, I work on the other aspects of the job, what those in the restaurant industry call ‘side work.’ I do the laundry, yes, and I iron. I empty and load the dishwasher ad infinitum, I clean the bathrooms. Are these tasks drudgery? Yes, but doesn’t every job have some degree of mindless work?

I try new recipes, with the goal of mastering a signature lineup of dishes. One day when Drew is grown and living on his own, I hope when he comes home he asks for some of these meals, ones I worked hard to master in the early years of his life and that Mike politely choked down while I was still getting the hang of them. I hope that when Drew’s away at college, or living in his first apartment, when talk comes to food he tells friends or girlfriends ‘my mom makes the best…’

The rewards of this job will never come in the form of pay. And I know it’s likely that sometimes my efforts will be rewarded with tantrums, tears, sneers and slamming doors. Many of the rewards may not be reaped for another twenty years. But I’m patient; I can wait. In the meantime I’ll accept http://www.shesjustsayin.com/wp-admin/post-new.phppayment in the form of gummy grins and snuggles.

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Milestones

Sunday, April 11th, 2010

They happen simply, quickly, with no fanfare. They happen at random times, the way the universe intends—when you least expect them. They are small things, really. But they are huge. They are milestones.

For weeks and weeks he stared at you, watched you feed, change and care for him. And then one day he smiles, and that smile changes everything.

His tiny fists were bunched and now slowly, over time, they are not. Now his hands are spread wide, open, accepting of your finger. Where once you couldn’t pry one tiny finger out, now you are holding hands.

His legs were curled up into his abdomen, frog-like. And while you were feeding, changing and caring for him they slowly unfurled. Now they are stretched out, dangling out of your arms while you hold him, kicking the side of the rocking chair, seeking more space to spread out.

His noises were only grunts and slurps, indicators of basic needs. Soon soft coos were added into the mix, vowel sounds, like all the experts said. Now there are consonants sprinkled in, and the sounds are louder, more forceful. He was once quiet (save for the cries), now he’s an endless string of OOOOH, GRRRR, ANNNHHH, RMMMMM, EUUUUUUU.

His head was a floppy appendange, needing to be constantly cradled and nestled close. Now his neck is strong, and his head cranes this way and that. “Focus” you tell him while burping, trying to steer his head back to center.

His back was best, the only way he would lie on the floor. You tried the belly. He struggled, cried. Then, from one day to the next, something changed. On his belly he pushed himself up and looked around, happy, not frustrated. He turned his little swivel head this way and that and took in the new views. He arched his back slightly and leaned, just a little at first, and then more. You watched, pleased with his progress. And then the lean tilted to an even sharper angle and gently the weight of his body shifted. He rolled over. He looked up at the sky, calm. You showered him with praise, tears pricking your eyes. He accepted the praise but his look seemed to say, ‘what’s the big deal?’ It’s as if he’s been doing it forever. Another milestone reached, little, but huge.

Goals

Wednesday, April 7th, 2010

The Internet is a great place to go if you’re looking for some motivation. Sundry’s constantly pushing her limits and documenting her goals and then going out and grabbing those goals by the balls and showing them who’s boss. She Like’s Purple’s got a list right on her site, and she’s systematically crossing things off as she goes. That’s accountability right there. It’s inspiring, it really is. It’s also humbling.

I read about the things people are doing after setting their minds to something and I wonder, what do I want to do? For years I had an endless string of goals I set for myself, and I’m proud to say I achieved just about every one of them. Move to New York City: crammed myself into a tiny Manhattan apartment nearly seven years ago and haven’t left the metro area since. Get a job in media: landed an entry-level gig at an ad agency a few months after graduating college. Run the New York City marathon: got the medal to prove it. Work at a magazine: rose up a few ranks at one of the world’s foremost business magazines.

My most recent goal, although that doesn’t seem like quite the right word for it, was to become a mom. If you’ve read any of this blog, you know I achieved that one. And of course, my tandem goal to go along with that was to be a GREAT mom. I don’t know that I can judge my progress on that one—I’ll probably always give myself a little less credit than I deserve. After three months though, I feel confident saying I think I’m doing a pretty good job. Check back in eighteen years when my ‘masterpiece’ is complete.

So now, what’s next? Here’s where I’m drawing a blank. I don’t have any Big Dreams right now, and I think what bothers me most about this is not so much that I don’t have anything I really want to accomplish at the moment but more that I feel badly that I don’t. Have I become complacent? Boring? (don’t answer that one!)

Maybe it’s just a phase. Maybe we should be given a break on life goals during the first year of our firstborn’s life so that we can instead focus on pressing matters like making sure the baby is still breathing each night and fretting over whether or not he’s reaching each developmental milestone and worrying that he’s too high or too low in those vaunted percentiles. Maybe as a child learns he is independent from you, you too begin to remember that you are independent from him. That you can have dreams all of your own again–dreams that aren’t wrapped up in him. Dreams that he can one day understand, acknowledge, and—eventually—congratulate you for achieving.

Needs Work

Saturday, April 3rd, 2010

Well, it had to happen sometime. Everything was going so well. Too well. My almost three month old was sleeping for beautiful, GLORIOUS stretches each night. Six, often seven, once even eight hours straight! And now, we have regression. Not just a slight ebb back a couple of hour notches though. Oh, no. We’re back to the endless wakeup calls that left me a walking zombie when Drew was barely two months old.

For the past several days, Drew’s night time awakenings have occurred at 2.5 – 3 hour intervals. This is the stuff that can drain a woman’s very last will to live. Two nights ago, I settled into bed hoping this would be the night we’d return to the beautiful progress we’d made. Boy was I wrong. The ;ittle bugger woke up at midnight, then at two thirty, then at five. By six thirty, when he woke up for the day, I was sapped of all my strength and, I’ll admit it, angry. Three wake ups in a five hour span?!

I try to reassure myself that these setbacks happen. I’ve read about them, heard the tales. “It’s probably a growth spurt,” most knowing moms and experts would say. And I hope it is. Because that’s a good thing. And if that’s what’s happening, then at least there’s good cause for greeting nearly every hour of the night. That would indicate we are making progress of some kind. But what if we’re not?

What I don’t like, in addition to the return of feeling like I’m zombie-walking through the day, is the guilt I feel. You see, every time Drew wakes up at a time of night I find unacceptable, I get mad at him. I know this is irrational. He’s a baby. He doesn’t know better (right??). When he’s crying out in the night, there is some need that he feels needs to be met. He’s not waking me up out of spite. But when the clock reads 12:02, or 2:26, or 4:58 and I stomp into his room, I don’t greet his wide, innocent baby eyes with a “what’s wrong, baby?” look of concern and a calming touch. I know I should. Instead he gets an exhausted, frustrated, “what IS it?!” And I feel terrible about that.

During the sparkling daylight hours when his eyes are bright and he’s giggling at something I did or looking at me attentively while I talk to someone else, the guilt pricks at my insides. You picked him up too forcefully, I scold myself. You plopped him back into his crib while he cried and walked away. You didn’t hold him close and soothe him back to sleep. You lost your patience. You’re usually so patient.

When the guilt seeps in I pick him up and give him an extra squeeze. He can’t see the salty tears resting in the corners of my eyes. “I love you bud,” I murmur into his ear. And I promise myself I’ll do better next time. But I’m afraid that I won’t.

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