Read In Fullscreen - Sagua Mañagu + MPG
Transcription
Read In Fullscreen - Sagua Mañagu + MPG
The First Trimester Jan.Feb. 2014 Vol. 13 #1 Preparing the Pack for Its New Addition Part 2 Valuable Lessons Breastfeeding: More than the Numbers Break Time Celebrating the Holidays Across the Miles Holiday Babies * milestones don’t happen overnight. they’re nourished over time. Every time you feed your baby Enfamil ® Newborn, you nourish healthy development that helps him reach key milestones — like focusing . Cognitive, motor, social and communication. These are the areas of the brain that drive milestones — so they’re the areas pediatricians check for most. Enfamil Newborn has a patented formula that also includes DHA, which is important for newborn brain development. Enfamil Newborn is part of Enfamil Staged Nutrition — expertly tailored for newborns, infants and toddlers. enfamil.com LK1069 5/12 ©2012 Mead Johnson & Company, LLC Nourishing milestones at every stage.™ Scan to learn more about our formulas and see how moms rate them. Enfamil Newborn provides: • an easy-to-digest protein blend • the expert-recommended daily level of vitamin D in 27 fluid oz. *Pediatrician survey did not include Enfagrow® productss editor's letter One of the wonderful things about my job is that there is always something to celebrate. At the end of each year, Sagua Mañagu and many generous sponsors provide lovely gifts for the Holiday Babies born at the birthing center from Christmas Eve through New Year’s Day. In addition to the seven Holiday Babies born in December, Sagua Mañagu was also the birthplace of Guam’s first baby of the New Year: Amber Chrisha Caponpon. Amber and the 2013-2014 class of Holiday Babies are featured in this issue of MAÑAGU. Velma Ellis and her family celebrated their second Christmas on Guam in as many years. Her husband Mike’s career in the Coast Guard brought them home for a few years after living in different parts of the country for over a decade. In Celebrating the Holidays Across the Miles, Velma shares ideas that can be used throughout the year for families like hers whose loved ones can’t be together for all the special occasions. New mom Sonia Alcorn offers more insights on introducing infants to the family pets and midwife, first-time mother Jessica Pettigrew shares a new take on breastfeeding. Experienced mothers Roberta Yamamoto and Carla Bordallo give us a peek into the lives of tweens when they’re not in the classroom. Tara Tydingco, teacher and mother of five, transforms classroom observations into Valuable Lessons. Whether they know it or not, each of these moms finds a way to make the everyday things special. And for me, that’s worth celebrating. Mañagu Editorial Contributions Sonia alcorn Carla Bordallo Velma Ellis Barbara Mafnas, RN Jessica Pettigrew Tara Tydingco Roberta Yamamoto Owners Annie Bordallo, MD Ellen Bez, MD Managing Partners Lina Leon Guerrero Flori Sanchez Published by Sagua Mañagu Editing & Layout David Castro Carlene Okiyama Cover by Expressions Studio Lastly, I ask you to join me in celebrating Barb Mafnas and her success. In December, she completed her Bachelor of Science in Nursing and the first 2 months of a new personal journey. Read her column, A Promise to Me. I promise you’ll be happy you did. Thank you for reading MAÑAGU. It’s certainly our pleasure to bring it to you. Copyright © 2014 by Sagua Mañagu All rights reserved. No portion of this magazine may be reprinted without prior written permission. We welcome your comments at: info@saguamañagu-mpg.com or contact us at www.saguamanagu-mpg.com 2 • MAÑAGU • Jan.Feb. 2014 CONTENTS 8 The First Trimester 6 Breastfeeding: More than the Numbers 8 10 Preparing the Pack for Its New Addition Part 2 10 Holiday Babies 12 Celebrating the Holidays Across the Miles 22 Valuable Lessons 24 22 Break Time 28 26 Regular Features Congratulations to all the Families Born at Sagua Mañagu 30 Barb’s Corner 32 Pardon Us In “Reading is FUNdamental” (Nov/Dec 2013 MAÑAGU), we incorrectly attributed Alma Terbio’s responses to Vanessa Garcia and vice versa. We apologize for the error. You may see the corrected version of the story on our website www.saguamanagumpg.com. About the cover: “Our sleeping beauty is Guam’s first baby of the New Year: Amber Chrisha Laxamana Caponpon. Photo by Expressions Studio Jan.Feb. 2014 • MAÑAGU • 3 Lamaze and More in 2014 Instructor Barbara C. Mafnas, RN, LCCE, CLC, IBCLC Lamaze® Classes: A combination of relaxation, breathing techniques, comfort measures and position changes that are designed to help during labor and birth. We stress that partners are essential throughout labor, birth, postpartum and parenting. Please bring: a pillow, blanket, bath towel (for foot soaks), tennis ball, snacks and water. Moms need to wear shorts or slacks and comfortable shoes as you’ll be doing some floor work! Baby Bonding: Designed to help mothers and fathers gain confidence as they pick up on feeding cues and other needs of their babies. The class includes the first hours after birth, breast feeding and feeding cues, baby bath time and massage. Prenatal Care: Covers journey of pregnancy from positive pregnancy test to third trimester. The class Includes prenatal care, nutrition, common discomforts, early warning signs and sexual activity. Also covered are the benefits of rest and exercise. Orientation: A class specially designed for parents who choose Sagua Mañagu, covering pregnancy from positive pregnancy test through third trimester, then onto childbirth and newborn care. The first part of the class includes procedures and care during pregnancy, good nutrition and exercise as well as answers to common questions regarding discomforts, early warning signs, sexual activity, the effects of alcohol, smoking and recreational drugs. The second part is an orientation to Sagua Mañagu that includes patient rights and responsibilities, the differences between birthing centers and hospitals; family involvement; newborn care here and what to expect when you go home. Sibling Class: Designed for parents and children. Discussion of child involvement in the labor process and emotional aspects of being with mom at this time. Also covers mother/child relationship changes and expectations. Film “Lizzie and the Baby” addresses relationship changes, doctors visits with mom, animated growth of the fetus, how baby is born, what new baby’s look like, what they can do, how to hold them and more! Baby Daddy Class: Designed exclusively for dads to help increase their confidence in becoming a new dad. Dads will have better understanding of his woman, recognize the classic signs of labor and what to do, verbalize 3 feeding cues of the newborn, understand relationships and dynamics, and understand his role as the new dad. Parenting & Safety: This 2-hour class helps parents understand the importance of interacting with their baby and understanding growth and development to provide realistic expectations. The class will also use open discussion to talk about subjects as discipline, prevention of Sudden Infant Death Syndrome, and Shaken Baby Syndrome. Life skills such as basic infant CPR will be included. Typical Fees: Lamaze $60 Lamaze Refresher Class $40 Baby Bonding, Prenatal Care, Orientation, Sibling Class, Baby Daddy, & Parenting & Safety are offered courtesy of Marianas Physicians Group and Sagua Mañagu- All classes are held at Sagua Mañagu Birthing Center Website: www.saguamanagu-mpg.com • Phone: 647-1417 or 1418 SATURDAY Prenatal Care 12p-2p Baby Bonding 3p-5p TUESDAY Lactation Consult with Barb 5p-6p Traditional Lamaze 5 class series 6p-8p FRIDAY & SATURDAY Customized Lamaze 2-day course 6p-9p SATURDAY THURSDAY FRIDAY SATURDAY SATURDAY Lamaze Crash Course 1-day Noon-6p Orientation 5:30p8:30p Orientation 5:30p8:30p Orientation Noon-3p Breastfeeding Social / Support Group 9a-11a Lamaze Refresher 6:30p8:30p SATURDAY FRIDAY Sibling Baby Daddy Noon-3p (5-10 yo) 5p-6p Parenting & Safety 1p-3p Orientation 3:30p6:30p FEB Feb 22 Feb 18,25 Mar 4, 11,18 Feb 21,22 Feb 1 Feb 6, 13, 20, 27 Feb 7, 28 Feb 8 Feb 1, 8, 15, 22 Feb 15 Feb 21 MAR Mar 15 Mar 25, Apr 1, 8, 15, 22 Mar 14, 15 Mar 1 Mar 6, 13, 20, 27 Mar 7, 28 Mar 8 Mar 1, 8, 15, 22, 29 Mar 22 Mar 14 APR APR 12 Sea above Apr 11, 12 Apr 5 Apr 3, 10, 17, 24 Apr 4, 25 Apr 19 Apr 5, 12, 19, 26 Apr 26 Apr 11 *Subject to change without notice* 4 • MAÑAGU • Jan.Feb. 2014 your pregnancy Dr. Annie U. Bordallo MPG Founding Member Congratulations! Expecting a new baby is an exciting and wonderful experience. At Marianas Physicians Group, we certainly appreciate the opportunity to share that experience. As we provide prenatal care, we strive to deliver care with compassion, respecting and being attentive to the individual needs of our patients. We work to build lasting relationships with our patients, to support their health maintenance during pregnancy and throughout their lives. 6 • MAÑAGU • Jan.Feb. 2014 To help expectant mothers, Marianas Physicians Group developed a packet of information that offers a general outline of what to expect during the patient’s prenatal visits. The folder serves as a reference guide that is useful throughout one’s pregnancy and provides a place to keep any documents that a patient may need to submit to the clinic, the lab, Sagua Mañagu or the hospital. All of Marianas Physician Group’s patients have two options for delivery: Sagua Dr. Ellen P. Bez MPG Founding Member your pregnancy Mañagu or Guam Memorial Hospital. Whichever facility a patient chooses, one of the MPG providers will be there to deliver her baby. 1ST TRIMESTER Conception to 12 weeks During the 1st trimester, patients can expect to see their doctor or midwife once every 4 weeks. The first visit will probably be the longest as it involves a thorough physical exam and a comprehensive patient interview. Here is what to expect during 1st trimester appointments. MEDICAL HISTORY & PHYSICAL EXAM The healthcare provider will ask for your medical history, including medical and/or psychosocial problems, blood pressure, height, weight, the date of your last menstrual period (an accurate LMP is helpful when determining gestational age and due date), birth control methods, history of abortions and/or miscarriages, hospitalizations, medications you are taking, medication allergies, and your family’s medical history. The provider will also perform a thorough physical, including breast and pelvic exams. She will do a Pap smear (unless you had one recently) to check for abnormal cells, including cervical cancer. She will also do a culture to check for chlamydia and gonorrhea. Lastly, a tuberculin skin test, often referred to as a PPD, will be given if you have not previously tested positive. PRENATAL LAB WORK After your first visit, you will be asked to get some laboratory work done. Routine blood tests can assess blood type (A, B, AB, and O); Rh factor (Rh positive or negative); glucose, iron and hemoglobin levels. They can also be used to assess whether you are immune to rubella, to see if you have a sexually transmitted disease, or to Alice E. Leliukas, CNM see if you have a toxoplasmosis infection. Other tests are available if a higher risk for certain medical conditions presents itself. Should a concern arise regarding any laboratory results, the clinic will contact you immediately. Otherwise, your provider will review the results with you at your next scheduled appointment. PRENATAL CLASSES There’s a great deal to learn when you’re a first-time parent. At MPG, experience has shown that new parents appreciate the wide range of prenatal classes that patient educator and registered nurse Barbara Mafnas has designed to help them understand what to expect during pregnancy. Several classes including Prenatal Care, Baby Daddy and Parenting & Safety are offered courtesy of Marianas Physicians Group and Sagua Mañagu. There is no cost to you. ROUTINE OBSTETRIC CARE Discussion of pregnancy: The provider will review your chart and follow up on any issues that were brought up during your previous prenatal visit(s). The provider will want to know how you are feeling in general, both physically and emotionally. Remember that these visits are your opportunity to bring up any questions or concerns that you may have, so don’t hesitate to say whatever is on your mind. Measurement of fundal height: The provider will feel your abdomen to check the size of your growing uterus and baby. From mid-pregnancy on, she’ll use a tape to measure your fundal height (the distance between your pubic bone and the top of your uterus) to estimate your baby’s size and growth rate. Listening to fetal heart tones: Checking your baby’s heartbeat will become a regular part of every prenatal visit. Bring your partner to share in the thrill of hearing this dramatic sign of the life you’ve created together. Kimberly R. Walton, MD Farrell A. Cole, MD Janna M. Melsness, CNM Teresa L. Anderson, CNM Jan.Feb. 2014 • MAÑAGU • 7 your baby Breastfeeding: more than the numbers By: Jessica Pettigrew “Just Julius and Mama snuggling, talking … I love feeding him,” says Jessica. I always knew I would breastfeed my children. Before I was even pregnant with my son Julius (born in July), I had dreams about breastfeeding my babies. Strange? Perhaps, but it always seemed as natural and therefore normal to me as giving birth. When my son was born, I knew the benefits of breastfeeding for him: lower chance of developing asthma, eczema, obesity, ear infections, colds and even lower chance of dying from sudden infant death syndrome (SIDS). I knew of the benefits for me: lower chance of developing breast cancer, quicker return to my pre-pregnancy weight, not to mention there were no bottles to wash, buy, or prepare. What surprised me was the true maternal instinct that I felt while nursing. At each feeding those first few days, I carefully watched his color, noting signs or symptoms of jaundice such as the skin yellowing. I scanned his body at each feeding 8 • MAÑAGU • Jan.Feb. 2014 for development of any rashes or irritations. At night, I could immediately tell if he needed a little hat or warmer jammies when I felt his cold ears and hands on my chest. There were those times when the milk would come out so quickly that he would pull back, coughing, gasping for air. I would talk to him, tell him to catch his breath, and then his wide-open mouth would be ready for more. Now that he is older, that doesn’t happen as much; he has learned to regulate the flow and rapidly gobbles down milk when it comes out quickly. Nursing allows me the time to do a quick physical exam of my little boy, several times daily. When I first returned to work, some days he would come with me, he was the best little pump. Other days, he stayed home with his Dad and I brought my breast pump with me. I noticed that some days I pumped more milk than others. While some moms might be alarmed by this, I know that your baby some feedings he is really hungry, like the first feeding of the day. Other times, he just needs a snack. My body responds and sometimes makes a lot of milk, other times, it is just his little snack. Sometimes he eats on both sides, sometimes just on one side. And most importantly, I look at Julius, not at the ounces that he eats or that I pump. At the age of 2 months, he was nearly 14 pounds, clearly this kid was getting enough to eat. I watch to see if he is satisfied and sleepy after a feeding. Sometimes he squirms and whines at the end of the feeding. For “Juju,” this tells me he is gassy and needs to burp. Breastfeeding is the ultimate fast-food. I choose not to cover myself or my baby with a wrap or cover. So when Julius is hungry, I always have everything I need to feed him: my breasts. I’ve nursed when out for lunch, at the beach, in the grocery store, in the car, at the library, at work (all the time), and at family functions. Not once has anyone ever given me a wayward glance for feeding my baby. I have noticed a lot of kind smiles. I have not allowed nursing to take me away from my social life, or what I have to do. It is portable and goes where we go. One challenge I have is that when I nurse Julius, I can’t do anything else. I can’t be cooking, doing laundry, or chatting on Skype with my sister. I’m normally a go-getter and try to multitask and hate asking people to get things for me. I find myself asking my husband to bring me a glass of water because I just can’t get up and do it myself. But is that a bad thing? To take a few minutes, a few times each day to hang up the phone, disconnect, and wholly pay attention to my baby. To be just Julius and Mama, snuggling, talking, letting him know I am here, I love him, and I love feeding him. And no one else in the world can provide for him what I can, hot and ready any time of day. Jan.Feb. 2014 • MAÑAGU • 9 your baby Preparing the Pack for Its New Addition – Part 2 By: Sonia T. H. Alcorn In the last segment, we discussed how to prepare the home and family (including pets) for a new baby, acknowledging that the bulk of the training should occur before baby arrives. Now, we will move onto situational awareness; learning how to anticipate, encourage cohesion and avoid accidents. Body Language Almost everyone has experienced a communication barrier where body language becomes the only method of understanding one another. Posture, hand movements, intention of the eyes and vocal intonation are all common ways to express oneself and what is desired. This is the same for man and animals; parent and infant. When words cannot be exchanged, we are compelled to resort to physical characteristics. 10 • MAÑAGU • Jan.Feb. 2014 Brett Silks, a local dog behaviorist whose practice began at 10 years of age, explains how to understand the way a dog thinks. Do not wait until the dog reacts in fear or anger. If you notice any of these physical signs, correct the dog immediately and appropriately: • Tail tucked (a.k.a. scared) • Dilated eyes • Hackles up (“Mohawk” on the back of the neck) • Stare (always confrontational) • Tightlipped/closed mouth • Stiffness (rush of adrenaline; “fight or flight” response) • Panting (release of that adrenaline rush) • Ears (will depend on other body signals) Brett also described the four levels of response to a potential your baby threat, comparing the similarities between man and dog: Man’s Level of Response Body Language Yelling Hitting Fighting Dog’s Level of Response Body Language Barking Snapping/Biting Fighting Getting Along You may notice that your animals become watchful around their newest pack member. As Baby grows, you will need to teach both dog and child how to peacefully co-exist. Demonstrate similar behaviors to your dog that your baby might do (e.g., tap his head, play with his ears, etc.). This will keep them from feeling so surprised when your baby excitedly crawls over to say “daa!” At the same time, the baby must also learn how to be gentle. If the child does not learn how to properly handle an animal, then you are training the dog to tolerate any kind of treatment. As we all know, it is only a matter of time before the abuse can no longer be tolerated and the victim snaps. Teach children from the beginning to help avoid potential dog bites. Instead of waiting until the baby is sleeping, include him as you play with your pet. Baby’s presence is a good thing! Taking walks or playing fetch can be enjoyable for parent, baby and pet!! Talk to your pet while holding your baby to set an example of how to be respectful towards an animal. Unless initiated by you, petting is a submissive behavior. Your baby should eventually learn how to call the dog to him to display love and affection rather than the dog coming up demanding attention. Is it Safe? In 2012, State Farm Insurance reported that children were most often bitten by a dog in their own household. They also stated that it was usually because the dog was bothered during feeding or startled from sleep. Although the statistics can be intimidating, many instances can be attributed to parents’ ignorance and/or the children’s lack of training. Accidents can easily be avoided with the proper education. Special thanks to Brett Silks, owner of “Boonie B&B” and expert dog behaviorist, for all of his knowledge shared in this article. Does your baby need a follow-up hearing screening? If you are not sure if your baby needs a follow-up hearing screening or if you have any concerns about his/her hearing, consult your family doctor. To schedule a FREE HEARING SCREENING for your child before he/she turns six months of age, contact the Guam Early Intervention System (GEIS) at Phone: 300-5776 / 5816. Sources: http://healthypets.mercola.com/ www.statefarm.com Produced by the Guam Early Hearing Detection and Intervention (Guam EHDI) Project with 100% funding support by the U.S. Department of Health & Human Services, Health Resources and Services Administration, Grant No. H61MC00094, in collaboration with the University of Guam Center for Excellence in Developmental Disabilities Education, Research, & Service (Guam CEDDERS). Jan.Feb. 2014 • MAÑAGU • 11 Holiday Babies Each year Sagua Mañagu celebrates the births of our Holiday Babies. Every baby born from Christmas Eve through New Year’s Day receives gifts from the birthing center and many wonderful sponsors. Our sponsors are: Abbott, Ambros/Huggies, Anchor, Bank of Guam, Calvo’s SelectCare, Expressions Studio, Frito-Lay, Keebler, Kellogg’s, Mauna Loa, Micronesian Brokers, Mead Johnson, Neni & Me, Procter & Gamble, Quaker, Staywell Insurance and TakeCare Asia Pacific Special thanks to our Holiday Babies and their parents for choosing Sagua Mañagu and making our holiday season bright. 12 • MAÑAGU • Jan.Feb. 2014 Ezekiel Chase Golveo Cacapit Parents: Hazel Golveo & Christopher Cacapit Date of Birth: December 24, 2013 Weight: 7 lbs. 12 oz. Length: 19 in. Mommy’s Doctor: Dr. Kimberly Walton Baby’s Doctor: Dr. John Garrido Nurses: Carla & Anne This has been my 3rd experience here delivering at Sagua. Each experience has been wonderful with the staff so caring. But this 3rd experience particularly was a special one. The team was just so patient and understanding and helped me get through this labor with their tough love and encouragement. Thank you SAGUA! Christopher Aidan Pocaigue Babauta Parents: Kiarralene Daniesha P. & Christopher James C. Babauta Date of Birth: December 25, 2013 Weight: 7 lbs. 13 oz. Length: 20.5 in. Mommy’s Doctor: Teresa Anderson, CNM Baby’s Doctor: Dr. Robert Leon Guerrero Nurses: Anne, Leah & Eileen We came into a place filled with caring nurses and doctors. Sagua Mañagu helped us deliver the greatest gift we could have ever asked for on a very special day. Jan.Feb. 2014 • MAÑAGU • 13 Tyler James Kaleb Mendiola Parents: Serena Kaleb & Edward Mendiola, Jr. Date of Birth: December 26, 2013 Weight: 7 lbs. 13 oz. Length: 21 in. Mommy’s Doctor: Teresa Anderson, CNM Baby’s Doctor: Dr. Dennis Sarmiento Nurses: Grace & Rowena Imani Tiul Homsher Parents: Melody & Forrest Homsher III Date of Birth: December 26, 2013 Weight: 9 lbs. 10 oz. Length: 21 in. Mommy’s Doctor: Alice Leliukas, CNM Baby’s Doctor: Dr. John Garrido Nurses: Mari, Johna & Anne Amazed at the Sagua team! We arrived ready to push and the team of nurses had everything ready as the midwife arrived from her home in less than 10 minutes. Imani was born 3 pushes later. Thanks Sagua, Great job! 14 • MAÑAGU • Jan.Feb. 2014 CALL US TODAY AT 647-1417/1418 contact us at www.saguamanagu-mpg.com Jan.Feb. 2014 • MAÑAGU • 15 Guideon John Lanzaderas Ybañez Parents: Norma & Guido Ybañez Date of Birth: December 27, 2013 Weight: 7 lbs. 3 oz. Length: 19.5 in. Mommy’s Doctor: Janna Melsness, CNM Baby’s Doctor: Dr. Gladys Linsangan Nurses: Glenda & Leah Very helpful and excellent job! Amanda Jean Lujan Stovall Cabrera Parents: Amanda Stovall & Jake Cabrera Date of Birth: December 28, 2013 Weight: 7 lbs. 7 oz. Length: 21 in. Mommy’s Doctor: Janna Melsness, CNM Baby’s Doctor: Dr. Robert Leon Guerrero Nurses: Christina, Rowena & Johna 16 • MAÑAGU • Jan.Feb. 2014 Jan.Feb. 2014 • MAÑAGU • 17 Coral Faith Tingzon Parents: Cindi Rae Tingzon & Peternilo Valdez Date of Birth: December 30, 2013 Weight: 6 lbs. 13 oz. Length: 19 in. Mommy’s Doctor: Dr. Kimberly Walton Baby’s Doctor: Dr. Robert Leon Guerrero Nurses: Christina & Rowena An amazing experience! Thanks to all the nurses who helped. Amber Chrisha Laxamana Caponpon Parents: Amor Laxamana & Christian Caponpon Date of Birth: January 1, 2014 Weight: 7 lbs. 6 oz. Length: 21 in. Mommy’s Doctor: Dr. Thomas Shieh Baby’s Doctor: Dr. Edna Santos Nurses: Mae & Christina The nurses are all nice, always there when needed. Received many gifts from them and different companies.Very trustworthy birthing place. 18 • MAÑAGU • Jan.Feb. 2014 Leila Ku’uleiho’o’ilinau’i Navarro Bello Parents: Brittney Bello & Jocelyn Lamas Navarro Date of Birth: January 1, 2014 Weight: 5 lbs. 15 oz. Length: 19 in. Mommy’s Doctor: Dr. Shieh Baby’s Doctor: Dr. Fojas Nurses: Mari & Rowena Amazing experience! Staff was extremely friendly, made mom feel at home. The accomadations are superb, no other place we would have rather be on new year’s day. 20 • MAÑAGU • Jan.Feb. 2014 your child Celebrating the Holidays Across the Miles By: Velma Ellis “Nana Linda” Cole shares holiday smiles with her granddaughters, Tasi and Isa (L-R). The holiday season is the time of year to reflect and be thankful for all that we are blessed with. It’s a time to gather friends and family and to reconnect and celebrate. Unfortunately some family members do not have the luxury of hopping in the car and heading to Nana’s house. With an ocean between them and plane tickets costing an arm and a leg, travelling for the short holidays is far near impossible. Whether they’re a financially strapped college student in a new town, a bustling military family stationed away from home or a young married couple seeking new opportunities in a foreign place; our loved ones need other means to connect and share in the joys of the season. My memories of the holidays 22 • MAÑAGU • Jan.Feb. 2014 as a military child growing up in the states were filled with mornings with my immediate family and evening gatherings with friends that became our extended family. Wherever we were stationed there was always a group of islanders that found each other and celebrated the holidays together. For Thanksgiving there was the traditional turkey and always a side of kelaguen of some sort. The belen or nativity scene was set up before Christmas and the tree didn’t come down until after Three Kings’ Day. These were some of our traditions as a family who was making a home away from home. The only thing I was missing was interaction with my extended family back on Guam. Besides from the occasional Christmas card and your child distribution of school pictures there was not much contact moments like these that made the miles seem so few. with them. International calls to Guam in the 80’s were For those family members that aren’t that tech savvy or rare; no one could refuse to update from the Stone Age, keeping in touch afford a $20 phone during the holidays requires a little bit more creativity. call only to find out Personal greeting cards from the kids are sure to put Grandma wasn’t a smile on even the grumpiest grandpa. Hand printed home. It was only Santas and reindeers or a collage of pictures of them when I moved back using their to Guam did I realize bodies to the enormity of my spell out the extended family, word JOY are aunts, uncles and easy ways cousins I didn’t even to give cards know existed. Up to a personal this day my father is touch. If you’re still introducing me to pressed for a distant relative that time or like we randomly meet up things a bit with. more formal, Now that I have you could a military family also upload a of my own that is family photo constantly on the to websites move (5 moves in 12 such as years to be exact), Shutterfly or I have to Cardstock. find ways to There you’re ensure that able to they have a create your connection personalized with where greeting cards I call home and they’ll as well even mail as my them out for husband’s you. hometown. Care We are packages blessed to are always be stationed welcomed. on Guam The kids love at this receiving a time, and box full of Home for the holidays with Christmas trimmings and creative handiwork: Velma, Isa, Ray, Tasi, Maggie and Mike (L-R). although it snacks and may only goodies in the be for a mail that can few years, my children finally have a chance to bond with only be found where their relatives live. We like to send out my parents and create their own memories. Before this we our own version as well that include one-of-a kind drawings had to rely on some lifesaving gadgets and old fashion that the kids made, pieces of our favorite candy we want to techniques to keep in touch with family on Guam and share and holiday projects from school, anything that will Tennessee. give them a peek into our everyday lives. Thank goodness for Skype and FaceTime! There isn’t a During the holidays it always seems like money is just better way to keep in touch with both families during the as scarce as time. No matter how busy the holidays may holidays than with a video chat. This past Christmas, my seem, don’t hold off on contacting someone you care about. in-laws in Tennessee were able to sit in and watch while Closing the distance between families across the miles the kids opened up their gifts on Christmas morning; while is as simple as making a phone call, email or text, and at the same time we were able to join in and say hi to letting them know that they’re in your thoughts. It’s the small everyone who was there for Christmas eve dinner. It was gestures that touch us the most and they rarely cost a dime. Jan.Feb. 2014 • MAÑAGU • 23 your child Valuable Lessons By: Tara Tydingco Evan, Elijah and Ela Tydingco helping me their mom, Tara, clean her classroom at the end of the school year. As a teacher I’ve read and heard a lot of things from my students. The great thing about this disclosure is that it serves as a constant reminder to me of things I could do to be a more conscientious parent to my own children. Our oldest is 24 and our youngest is 3 years old and anything that makes parenting easier is appreciated. The most important thing I’ve learned is that I can’t be passive when it comes to teaching. It is an active process and if I want to equip them with skills to be successful adults, it’s going to take some effort. I’ve included some of my observations and how I’ve tried to use them with my own family. 24 • MAÑAGU • Jan.Feb. 2014 “Chores aren’t that bad.” Yes, real teenagers actually said that. They may complain, but kids actually don’t mind helping out around the house and most feel like they could do more. My kids have chores that they regularly do, and those will increase, as they get older. “I hate math.” Many students feel this way, and a lot of it has to do with them not experiencing success in their math classes. As a parent, I can’t teach my kids’ math classes, but I can make sure they are prepared. This means that when they are your child They share germs. young, playtime includes lots of puzzles, Legos and other building blocks, and a few math worksheets during the summer. I’ve seen a group of teenagers share a whole jar of Nutella with their fingers. Were their hands clean? I have no idea, but I do know that we didn’t have soap in the school restrooms. The best we can do is to teach our kids to wash their hands. It seems obvious until you see how many people don’t wash their hands after using a public restroom. Kids don’t read enough. I’d say that about 5% of my students have shared that they read books for pleasure. The rest may read a little for their classes but not that much, which is too bad because we know that reading is mentally stimulating and can be a great form of stress relief. What’s the point of being literate if we choose not to read? So, we have regular reading time. During the summer, there are certain times of the day when all electronic devices must be shut off for reading time. The kids choose the books, and when they want new stories, we head to the library. “I don’t have a bedtime.” What happened to bedtime? Elementary students need1012, hours of sleep a night, and teenagers need 8-9. Ask any teenager, and you’ll find that most do not go to sleep before 11:00pm. We know what it’s like to have a mild tempered child turn into a monster because she missed Elijah, Kaitlyn, Evan and Keenan Tydingco goofing off after lunch. her naptime. Teenagers aren’t . much different. They may not They know the entire have the severe meltdowns cast of Jersey Shore and the Kardashians. that my preschooler has, but their fatigue most definitely There’s nothing wrong with watching some TV for affects their ability to learn and perform. If it were up to entertainment, but some kids can’t say much more about my kids, they’d stay up until midnight watching shows on Netflix, but it’s not up to them, so they have a bedtime. anything else. They could expand their horizons and read a book, watch a documentary, browse the PDN but not just the comics and sports page. The kids who were taught to Dropping F-bombs fish, cook, play an instrument or fix cars have so much more Are you able to use the F-word in every single sentence? I to say and are less likely to complain of being bored. know some teenagers who can. There isn’t a more versatile word in the English language, and our kids are putting it to Kids are dehydrated. full use. I can’t control my son’s language when he hangs A few athletes bring water bottles to school, but otherwise, out with his friends, but I have asked him to please, try to kids don’t think about drinking throughout the day. They use other words, and he’s okay with that. need to be reminded to drink more water. They’re good at sharing. When a kid stops at the Mom & Pop store to get Flaming Hot Cheetos and King Car, it means everyone gets Flaming Hot Cheetos. Kids love this stuff. I love this stuff, but as a food source, it’s garbage, and my kids are eating it regardless. I’m sure I’m not the only parent whose child has come home with Famous Amos Cookies or Pringles even though I put a banana and a granola bar in his snack bag. I appreciate the generosity, but I want my kids to eat foods that will energize them and keep them healthy. When they come home, they can have an apple, some grapes and almonds. If they’re thirsty, they drink water. I provide the healthy choices and hopefully they will continue to choose to eat healthy when they leave the house. They love to talk. At first, teenagers seem quiet, but when asked the right questions, they’ll open up. They have opinions and don’t mind speaking if it’s about something that’s important to them, like One Direction or Minecraft. With my kids, I don’t stop at, “How was your day?” I also ask what they ate, who they played with, what they learned, etc. TMI - Too Much Information One of my students shared how she was affected when she was three years old, her sister was born and she could no longer sleep in her parents’ bed. Another student tried to relate and shared how he also use to sleep in his parents bed but was traumatized when he woke up find them in the process of making another baby. It was a good teaching Jan.Feb. 2014 • MAÑAGU • 25 moment to explain how some things are appropriate to discuss, and some things are private. At a young age, we teach our kids that they might tell their friends gross jokes on the playground, but we don’t discuss poop and pee at the dinner table. It helps them develop a sense of propriety. “My parents Evan Tydingco assembling Ninjago Legos. don’t know what I do on my computer.” Most students have either a computer or a phone that they can use in the privacy of their room. What some parents may not realize is that these students also know where to find inappropriate content online. It’s not just about the free porn, but there are predators and bullies. Because of this, my son knows that I may check his phone or tablet at any time. Zayn Malik & Harry Styles are important. A few of my students looked at me like I was an imbecile when I misspelled Zayn’s name, which is ridiculous because I don’t need to know the members of One Direction or any other boy band. I’ve learned that as easy as it is to tease some of these pop stars, it’s not a good idea. Instead, I tolerate their taste in music and resist the urge to attack these easy targets. As tough as some may act, teenagers’ feelings can be easily hurt, especially when it concerns their taste in music. They take it as a personal attack, and that doesn’t help our working relationship or their learning. Because of this, I have lightened up a bit and allowed my kids to listen to Kidz Bop in my car. This makes my kids happy, and when they’re happy, they’re less likely to bother each other. “My parents just yell at me and tell me I’m lazy.” Parents forget how their words affect their children. As a teacher, I’ve seen the power of positive reinforcement. It’s 26 • MAÑAGU • Jan.Feb. 2014 tough with over 100 students, but it is effective in increasing motivation. I am strict with my own children, but I make a point to acknowledge when they are doing something right. It may start with, “thank you for using good behavior on the ride to Nana’s house,” or “thank you for using your inside voice.” Reinforcing good behavior early on will reduce bad behavior later. “I trust my child.” I’ve heard this many times from well meaning parents, and it’s great, but it’s not a matter of trust. It’s a matter of learning, and if a child doesn’t know how to study or manage his time, “trusting” him to figure it out on his own might not work. Our teenagers are still learning, and if he isn’t doing his homework everyday, then he might need to learn that behavior through regular practice and some help from a parent. We think our kids are honest, but sometimes kids lie. Yes, they lie. So, when he says he doesn’t have any homework, ask to see his homework planner. Ask what he did in each class that day. Ask what projects are coming up and when they will be due. Most of my students have some sort of homework, everyday. If it seems like your child never has homework, I would verify with the teacher. I see well meaning parents who would do anything for their child to see them succeed, but they fail to follow up with doing homework and completing assignments. If you train them to do this, you won’t have to do it forever. They will eventually learn to do it on their own. I can’t be with my children 24 hours a day, but I can try my best to give them the skills they need for when they leave home. I am grateful to all of my students who have taught me so much and given me insight to what goes on when parents aren’t around. Jan.Feb. 2014 • MAÑAGU • 27 your tween Break Time Roberta Yamamoto As a kid I looked forward to any break from school: summer, Christmas, holidays. As a parent, I dread it. What can I do to keep my kids occupied? When I was younger, I had no problem sleeping in until noon but now that I’m older and value time, I feel like my children are wasting half the day away when they do it. It’s not the short breaks that are a problem; it’s the long summer break. When my kids were younger I sent them to a sports/ adventure camp. They played various sports, did arts and crafts, went hiking and even had “lock ins” or sleep overs. They really enjoyed it. When I picked them up they would fall asleep before we got home. For a while, they went every year. Since my tween likes animals, I sent her to an animal care camp and, since she likes to swim, I sent her to a hotel camp. But as they got older, summer camps were no longer an option. Apparently they are “too old” for that. When she is at home, my tween is very creative. I have 28 • MAÑAGU • Jan.Feb. 2014 come home to find shirts cut up, and then tied back together with beads dangling from the ends. She would never wear them out of the house but it kept her busy. She’s made paracord bracelets, soda tab bracelets and belts, even a shirt purse. She is a hands-on type of person, not much of a reader (although I wish she were). There are also times during the short breaks that my daughter would go to a friend’s house. My tween and her friend would make their plans then, within a few minutes of their discussion, I would receive a text or a call from her mother inviting my girl over to their house. Since I know the parents and as long as they are fine with my tween hanging out, I am ok with it. She has fun but I also remind her to be respectful and behave when at her friend’s house. During the Christmas break, I am fortunate that my sister comes home to spend the holidays with the family. As we say when she arrives, “Auntie’s daycare” is now open. Her presence is a joy to the kids. She enjoys spending time with her nieces and nephews and vice versa. They would make up games to play, bake cookies or cupcakes and take your tween silly pictures/videos; they even set up a calamansi stand in the middle of the living room. With the convenience of the internet, she would send us pictures of their shenanigans. I warned my sister that there was too much fun going on and that the kids may not want to return to school. Her reply was,”Noooo, I need my sleep.” So the next day, to get them wanting to go back to school, she had them scrubbing the kitchen floor and cleaning the yard. But, no matter what they do during their break from school, I can’t help but wish they would take it upon themselves to do something productive in the house. I once had a vision of my kids cleaning the rooms and washing clothes. I’d come home from a hard day’s work to a spotless home, laundry folded and dinner on the table. That fantasy quickly faded after coming home for lunch to find them still sleeping. Sigh. Carla Bordallo graveyard shift and Mike got the kids off to school. As the kids got older, they were enrolled in extended care after school. And once they reached middle school age, they joined interscholastic sports. MAÑAGU asked what arrangements were made for the kids when they were on vacation or holiday from school. Carla said they were fortunate because her children could spend holidays and short school breaks with her parents. “The long break, summer vacation, would have been too much though. My kids all went to UOG’s summer camp. It was great for them. They made lifelong friends. They’d come home exhausted; shower, eat, then straight to bed. The next day, they’d wake up excited to go back to camp.” When asked about weekend activities for her children during the tween years, Carla said that sleepovers were common. The kids alternated between the Bordallo home and their friends’ homes. “At that age, it was pretty simple. Just being together with their friends was enough. They didn’t expect to be entertained. They just liked hanging out together at our house or one of their friends’. Renting a movie and eating snacks were fun.” “Family outings were another thing,” Carla adds. “Whether it was movie, or eating out, they’d follow along like ducks.” At that age, the kids were a captive audience. Life with the kids seemed much simpler then. But that’s probably because that phase of parenting is over. Carla and Mike Bordallo recently reached another milestone in parenting. With two children in college and a freshman in high school, the Bordallos have finished raising tweens and live to tell about it. MAÑAGU asked Carla what her kids used to do when they were tweens, between the ages of 9 and 12. She recalls that was the age when Josh started to play video games. “He played a lot of outdoor sports, too, mostly soccer. He grew up playing on the soccer field, while Mike coached.” Their daughter, Stephanie, also started getting into sports during her tweens albeit reluctantly. “She didn’t like to get sweaty, so we had to force her at first. We were all on the soccer field. It was only natural to have Steph play.” Serena is the youngest of the three Bordallo children. Although she plays volleyball and soccer, Serena enjoyed reading more than anything else. Carla remembers a series of fairy stories were Serena’s favorite at the time. “She liked reading so much that she got in trouble for it at school,” Carla says with a chuckle. “After lunch, she sat down on the curb to read and got scolded by one of the teachers. They weren’t allowed to read ‘outside material’ during school hours.” Like many parents today, Mike and Carla Bordallo are both working parents. For several years, Carla worked the Jan.Feb. 2014 • MAÑAGU • 29 Congratulations to all the babies born at Sagua Mañagu! November Kayden Cole Larieva Rea Kristine & Sebastian Taman Neverin John & TakioLast Erwin Gigi & Carl Carpio Louraine Leyble & Francisco Rolinski Jude Colin Richelle & Dario Garcia Odelia & Mark Deras Brennan Cole Tanya Hubbard & Thomas Cruz Saori & Greg Dungca Jace Alexander K2Reighen-Etkein Rodney Figure-Eightmina Kepwe & Rodney Terry Janelle Meno & Benjamen Gomez Caitlin Kesewaol & Bruce Kloulubak Megan Andrea Daniel Taryn Fae Dezray Dawn Madyson Jhayde Ozaiah Christian Dylan Yu Tayden Jude Butz Pelobello & Raymond Estoy Johilda & Jesse Babauta Alberta Mendiola & Joshua Mangune Lehuanani Blas Gewill Van Unen & Dominik Salas Tia Lynn Santos & Jason Salas Edrian Bamba & Noel Mc Dermott Elouise Gomez & Derric Superales Leilana & Jean Villaverde Kristel Carpo & Raymond Arazas Edelyn & Ryan Navio Glazle Cunanan & Edrian Cabuntocan Carrollyn Malicdem & Nikki Tan Sachiko & Ryoichi Ishida Ta’amu Kameron Hana Lee & Jah Hyun Seh Melodie Macaraeg & Neal Vicente Eli Mar Gabrielle Ooka & David Damian Colin Matthew December Katherine Martinez & Jonathan San Nicolas Isaiah Joseph Stephanie & James Guerrero Amia Larae Gilda & John Iriarte, Jr. Jace Tyler Alvina-Nicol Zhian Enzo Kaila & Damon Fitiausi Stephanie & Buenvenido Barcinas Maelene Nangauta & Charlie Gabertan Jonilee & Sedrick Serisola Skye Ayvry Noah Katelyn Rae Vanellope Ann Yena Gavin Michael Ethan Josiah Hazel Golveo & Christopher Cacapit George, Jr. Kiarralene & Christopher Babauta Pua Krisclem Vaifaga Serena Kaleb & Edward Mendiola, Jr. Kelijah Scott Melody & Forrest Homsher, III Raiden Josiah Norma & Guido Ybañez Khloe Lovelle Amanda Stovall & Jake Cabrera Ray Kisha Apusa & Ieremia Fagavao Abrianna Issabella Bonnie Taijeron & Oscar Cruz Shoji Ryan Caroline Cardines & Napoleon Finch Neveah Rose Arlyn Suda & Palsis Palsis Miyuki Haruna & Jon-Jay Sabati Jr. Dori-Ann Diego & Brad Nauta 30 • MAÑAGU • Jan.Feb. 2014 Daemarie Ely Keko & GeneAllen Tennessen Gemma Mendoza & George Cascasan, Jr. Virgie & George Masga, Jr. Amber Nicole GianYosef Florence & Alvin Lopez Miki & Ryan Posadas Damien Noah Davey Phaynid & Rockson Elden Masako Oshiro & Thomas Sosar Mary & Lance Sam Kayo Aaliyah Camille Carla & Sylvester Tellei Maelyanna Ruth Eesha Ryzel Raphael James Tricia & Robert Camacho Robin Han Leopoldo Ezekiel James Carolyn Villagomez & Adrian San Nicolas Ann Marae DeLeon Guerrero & Daryl Camacho Spencer Kaliyah Saige Deerock Dave Aleczander Gene Ezekiel Chase Christopher Aidan Tyler James Imani Tiul Guideon John Amanda Jean Coral Faith Cindi Tingzon & Peternilo Valdez Marianas Physicians Group is now accepting new patients. Dr. Annie U. Bordallo, Dr. Ellen P. Bez and certified nurse midwife Alice E. Leliukas welcome to the MPG team: Farrell A. Cole, MD Kimberly R. Walton, MD Teresa L. Anderson, CNM Janna M. Melsness, CNM Marianas Physicians Group is designed to serve women. Our team of health professionals strives for excellence in a caring and nurturing atmosphere. Specialists handle high risk and low risk pregnancies and provide routine and complicated women’s health services. We offer care options, letting our patient choose what best suits her needs and personal preferences. Specialzing in... Women’s Gynecology Annual Physicals Menstrual Disorders Health Services Maternity Care Menopause Infertility Pap Smears Adolescent Care Feel free to call us for an appointment. 647-1830 marianasphysiciansgroup@saguamanagu-mpg.com Most health insurance plans accepted. 472 Chalan San Antonio, Tamuning, Guam 96913 barb's corner A promise to ME… Barbara Mafnas, RN, LCCE, CLC, IBCLC So the last article I wrote, I shared with you that I was ready for change.I confessed my struggle with weight and how I have vacillated between staying where I am, or changing. I also boasted about my identified support group. It probably sounded more like confessions of a foodie. But I was sincere and truly desired a change for my life. I was ready. I started my meal plan 2 weeks before the October holiday and have not looked back. I have been determined to move closer to my goals, and every day, I am a little closer. I have been diligent with nutrition and exercise and it is paying off. I have more energy during the day, I feel vibrant, my clothes are becoming loose and I feel good about myself. To date, I have lost 40 pounds and don’t intend to find them. If you find them, you can keep them. I do not want them back, ever! I report in weekly to my trusted support person and she is the only one who knows my real starting weight. One day, I will proudly reveal that number for the world to see. I try to weigh myself once a week, but find myself sneaking on the scale almost every chance I get. Even though the holidays are tough on “dieters” I managed to make it through with continued weight loss and did not gain the customary 6-8 holiday pounds. Besides, I am not a dieter! I am creating a lifestyle change that incudes meal planning and exercise and a whole new thought process. I often try to wonder what 40 pounds of fat looks like. It could look like four sacks of potatoes, 40 tubs of butter, a car tire, or a 5-gallon jug filled with water. I thought about heading to the local butcher and ask for 40 pounds of fat, just to see. Looking at it would bring it into perspective. Someone suggested I fill a back pack with equal amounts of weight lost and carry it with me when I walk so that I can appreciate my hard work and what I have lost. I think my energy is better served focusing on the goal at hand. When I first started, my goal was to lose 75 pounds by May. The rationale behind this was that I want to march at graduation with my students this year as they receive their diplomas. Several years ago, I was mandated to march in the graduation procession and was given a gown that did not fit. No one wanted to trade with me. My boss made me wear it and made me walk even though I could not zip it. I was mortified that I had a 5 inch gap between the open zipper. To make things worse, I wore a colored shirt which brought even more attention to the fact that it 32 • MAÑAGU • Jan.Feb. 2014 did not close. I held onto my cap with one hand and tried to hold the gown closed with the other. I remember taking that gown off tossing it in the corner, leaving, and crying all the way home. I have not participated in graduation since that horrible night. How could I ever tell my students the real reason why I don’t attend and celebrate their accomplishments at graduation? I did not have a gown that fit! This year will be different. Twelve years ago I graduated from Alpena Community College in Michigan with an Associate Degree in Nursing. I have always wanted a higher degree, but kids, money and life just got in the way. It was not for lack of trying that’s for sure. Living in a day and time when education and credentials are desired, it was time to return to school. I was afforded the opportunity to return to school on a grant. From December to December, in just 12 short months, I received the letter of completion for my Bachelor’s Degree in Nursing. I was also inducted into Sigma Theta Tau, a national honor society for nurses; I now belong to a sorority. So, not only did I graduate, but with honors. This is a proud moment for my family and me. So when I march this year it will be for several celebrations: their graduation, my graduation and my weight loss. So why 75 pounds? When I did the math, it was a realistic goal. I am half way there already. The truth be known, I want to lose 150 pounds in all, but that will take more time. So, I have lost 40 pounds, 2 dress sizes and several inches here and there. What have I gained? Self-esteem, confidence and respect for myself. A few of you have noticed my change and have commented and supported my endeavor. For that, I thank you. The best part about my weight loss so far is that I feel better physically and spiritually. I can also reach my toes and tie my shoes without contorting my body and breaking a sweat, which is an added bonus! So how do I keep a promise to myself? I bought myself a “promise ring” to remind me that I made a commitment to me. It is a symbol of my pact with myself. A contract, I intend to keep. It is a band with three rows of stones: diamonds, sapphires and more diamonds. Since it is a band, I wear it on my ring finger. With my hand on the steering wheel as I drive, it sparkles in the sunlight and it makes me smile. When I look down at it, I am reminded of my promise to me.