Tuesday, March 19, 2013

What I Cried About Today.. A letter to my Aunt who Passed Away

I've recently lost a great aunt...my cousins lost their dear mom and my mom lost her loving sister. It's a sad time for all of us since we didn't see it coming. The only signs of her being sick was her fatigue, which can be easily mistaken for something unalarming.
She was diagnosed with Acquired Aplastic Anemia a few days after her 62nd birthday. She was confined the hospital for about a week, and just last Saturday morning while my family was in Tagaytay, we got the news that she passed away already.
It just hurts a lot...many of us cannot believe she's gone now. And I know many of us are asking "why?".  But we don't know what God's plan is. For her husband and her kids and the rest of the family she herself was not ready to leave behind. We just have to move on and keep memories of her in our hearts.
Many of us were not able to say goodbye and see her alive one last time, so this is my way of getting some closure...

Dear Auntie M.,

Thank you for being a wonderful sister to my mom. I will always be grateful for the way you  candidly advised her, looked out for her and listened to her.
I love the candid photo of you taken at my wedding...how you smiled and cheered for us. You looked so happy for us that day, I truly am touched at how you embraced being our Ninang that day.
We will miss your leche flan, the gigantic prawns you bring to christmas dinners, your ready laugh and fondness of the kids.
We will just miss you.

May you be at peace, Auntie M. Don't worry about us... we will get through somehow. You taught us how to be strong.

Sunday, March 10, 2013

My Breast Eczema Ordeal and My brief encounter with Dr. Jack Newman

I almost weaned my 19 month old toddler prematurely. The pain I experienced from breast eczema was so bad, I was biting my lip from trying to bear with the pain everytime my toddler latched on. I came to dread breastfeeding the past month. My baby refuses to drink from a bottle and would cry when I refused to nurse, so I bore the pain for weeks, thinking the sores will eventually go away. I thought I had thrush since almost everyone I know and most of what I've read online pointed my symptoms were that of a bad thrush infection. But after several anti-fungal drug treatments and I wasn't getting any better, I decided it was time to visit Dr. Christina Bernardo at Medical City. She's one of the highly recommended Gynecologists/Pediatrician here in Manila who specializes in breastfeeding and lactation problems.

My symptoms:
1.  Sore & cracked nipples that didn't improve even with the use of several good nipple creams.
2.  Dry flaky skin around nipple and areola.
3.  Sores developing on the sides of nipples due to tearing when baby latches on to sensitive and dry nipples.
4.  Occassional bleeding due to the cracks.
5.  Incredible (sometimes shooting) pain during breastfeeding due to the sores ("singaw"-like wounds) that is isolated near nipple/areola area.

After my visit to Dr. Bernardo, it was such a relief to know that I only had severe breast eczema and not thrush as I initially thought. Turns out that thrush has symptoms almost similar to breast eczema except that the shooting pain you feel usually radiates from the nipple towards the back of the breast near your armpit. And with thrush, your baby usually has white spots or sores in his mouth as well...something which my S didn't have. She prescribed oral antibiotics to help the sores heal faster and a topical steroid/anti-inflammatory cream to be applied on the affected areas. She asked me to take the antibiotics and use the cream for seven days.

I was so thrilled when I noticed an immediate improvement after the first application of the cream. After seven days, my nipples looked normal again! The eczema made my nipples look so dreadful for so many weeks that I've begun to forget what my normal nipples looked like! And the best thing? My baby and I can finally breastfeed pain-free after so long :)

The downside...eczema doesn't clear up easily. My areola started to get dry and itchy again with signs of the flaky skin returning a day after I stopped using the steroidal cream.

I was dreading the return of the eczema again and was afraid continous use of the steroidal cream would be bad for my baby as well. That was when I stumbled upon Dr. Jack Newman's facebook account and email add. Almost everyone who researched about breastfeeding would know Dr. Newman and his wonderfully informative latch-on videos. From what I've observed, he was generously giving advice to anyone who posted breastfeeding questions on his FB wall. So I tried emailing him the details of my symptoms and concern. What have I got to lose? I was desperate for advice. I was so thrilled when he responded within an hour after I sent him my email! Dr. Jack Newman responded!!! Wow! ;)

He reassured me that it was safe to use the steroidal cream every 2 to 3 days and see what works for me until the eczema clears up. He also suggested that I could use olive oil to help with the dry patches that may appear. So far, the olive oil and occassional use of the cream helps in keeping the eczema at bay.

To contact Dr. Jack Newman, in case your breastfeeding concerns are not addressed by his online sources, you may contact him here at the IBC site.

Dr. Christina Bernardo can be reached through The Bernardo Clinic, or you may contact her assistant Jane thru 09228216012.