ROOMYS

Wie hou nie van roomys nie??

Fokus vandag op die mooi en die lekker wat jy voor jou het. Moenie dat dit voor jou verbygaan en dan mis jy uit op dít wat jy reeds ontvang het nie!

Moenie jouself met ander vroue/mammas vergelyk nie. Hulle het weer hulle eie “struggles”. Al lyk hul lewe Instagram-prentjie-perfek. Jy weet nie van die hartseer oomblikke agter toe deure wanneer die kamera ophou “flash” nie.

Wees vandag dankbaar vir die “roomys” in jou hand: Hoe lyk jou seëninge? Is dit jou man? Is dit jou kinders? Jou gesondheid? Jou kinders s’n? Jy het genoeg kos? Klere? Daar’s ‘n dak oor jou kop? Jy het ‘n werk? Jy haal asem? Jy kan loop, jy kan dink? Jy het vriendinne wat omgee? Jy het familie wat lief is vir jou.
Moenie dít miskyk nie. Netnou smelt dit…

“Gratitude: it turns what we have into enough.”

Onbekend.

Vrede ♡

Quote Cred: Crowned Crane. Vertaal na trots-Afrikaans.

MAGTELOOS

Voel ander mammas ook so magteloos?
Ek wil jou net só graag troos…
Ek voel ek het al ALS probeer
Maar hoekom klink jy steeds hartseer?
Jou skrille-skreeu sny tot binne my
Niks sou my óóit kon voorberei
Soms voel ek vreeslik swak en dom
Hierdie is my beste poging
Al is dit skeef en krom
Weet net mamma is SO lief vir jou
En wil jou altyd naby hou.


Ek wens ek het geweet hoe om jou te troos…ek wens jy kon my sê…dit lyk of jy in pyn is….dalk ‘n wind wat vassit? Dalk krampe? Dalk oorpyn? Miskien kry jy tande? (Dis dalk nog ‘n bietjie te vroeg daarvoor…) Kry jy koud? Kry jy te warm? Jou doek is droog. Ek’t dit sopas geruil. Is jy nog honger?…

Klink dit vir jou bekend?
Voel jy ook so? Het jy ook al herhaaldelik deur dié soort lysie in jou kop gegaan?

Vrede vir jou, mede-mamma.

REFLUX – part 2

Tips & Tricks for the Management of Reflux in Babies, by Dr Nické Theron

In the last few weeks I have spoken to many moms and read many blogs to do some more research regarding reflux in babies. (SEE THE PREVIOUS POST to learn more about what reflux is). There are some interesting and scary treatments suggested out there! As a mom I wish I could give you a miracle-cure that would help your baby sleep better, cry less, spit up less. Unfortunately I know such a cure does not exist, no matter how alluring some moms on social media make it sound. As a pediatrician I would like to stick to what has been proven to work and what is safe for your precious baby now and in the long run. So here goes:

General management for all babies with reflux (GER and GERD):

• Upright positioning (90°) for 20-30min after feeds.
Babywearing keeps your hands free and keeps baby happy and safe.
“Reflux pillows” that elevates your baby’s head while sleeping has not been proven to make a big difference. Please remember the safest sleeping position for a baby is flat on his back to reduce the risk of SIDS (Sudden Infant Death Syndrome).  Even though babies with reflux sleep better on their stomach or left side down, I cannot recommend this if your baby is not monitored continuously.
Placing your baby in a rocker or car seat can worsen reflux due to the scrunched up positioning and increased pressure in their stomachs.

• Feeding volume and frequency:
It helps to give smaller feeds (so that you do not overly distend the abdomen) more frequently. Working out the smaller volumes if you are bottle feeding also prevents over-feeding and unhealthy weight gain.
Breastfeeding moms can feed on demand, but try to help soothe baby in other ways (baby-wearing, sucking on your fingers or a dummy) if the previous feed was less than two hours ago so that you do not worsen the reflux symptoms. Breast milk has a protective effect against reflux, so you are doing a great job!

• Thickening of feeds:
Studies have proven that this can decrease the episodes of spitting-up, but it is a very laborious process. Formula or expressed breastmilk can be thickened with rice or oatmeal-porridge or Maizena.

• Trial of a milk-free diet:
If you are breastfeeding, you can cut out all dairy and beef products from your diet for 2 weeks to see if there are any change in symptoms. You might have to cut out soy-products too.
If you are formula feeding, you can try a trial with an “extensively hydrolyzed formula” (also called hypo-allergenic such as Neocate or Similac Alimentum). It is not recommended to change to a soy-based/ goats-milk based / lactose free formula for this trial as there can be a cross-reaction to the allergens. Once baby is diagnosed with a milk-allergy you can try these substitutes under guidance of your doctor and dietitian.

• Avoid exposure to tobacco smoke as this can further decrease the pressure in the lower esophageal sphincter (see previous post), causing more frequent episodes of reflux.

• Adding probiotics has been suggested, but there is not enough evidence to prove if it will help.

• The use of a Chiropractor is not recommended as most of their procedures are not evidence based. “Subluxations of the spine after birth” mostly cannot be proven, will not cause reflux and the interventions they apply are either too delicate to really change anything in the bony structure, or too rough to be safe for the developing spine of your child. Please be careful.

If you have tried all of these tips and your baby still shows SIGNS OF GERD (as discussed previously) you can discuss the following steps with your doctor:

1. Is it really GERD?
Many diseases can mimic reflux and will not respond to reflux medications:
• Cow’s milk-protein allergy: this is a type of food allergy that can best be diagnosed by an exclusion diet.
• Eosinophilic esophagitis – this is inflammation of the esophagus due to an allergic reaction involving a specific type of white blood cells. These babies can have trouble swallowing, vomiting and chest pain. Diagnosed with a biopsy during an endoscopy.
•  Anatomic abnormalities of the esophagus – sometimes there is a connection between the esophagus and trachea (air pipe), or a web of veins causing a partial occlusion of the esophagus. This can be diagnosed with the help of a contrast swallow.
• Celiac disease – allergy to gluten causing inflammation in the esophagus, stomach and intestines, can also have many other symptoms. Diagnosed with an exclusion diet and can be confirmed with a blood test.

👉As you can see an endoscopy (looking at the esophagus and stomach from the inside with a camera, your baby will need sedation or anesthesia) can help to clarify the diagnoses. It can also evaluate for inflammation and check the response to treatment with PPI’s.

👉Another diagnostic test often used is Ph monitoring where the height of the acid reflux and the amount of episodes over 24hours are tested. Because reflux can also happen in normal infants this test cannot give us a definitive answer.

2. Does my baby need acid suppressing medication?
PPI’s (Proton Pump Inhibitors for example Nexiam, Losec) are used to suppress the amount of acid formed in the stomach. It will NOT decrease the number of reflux episodes or the amount of vomiting, but it could make your baby more comfortable if there was inflammation and pain due to the acid.
The acid in your stomach is actually very important for your baby’s digestion and immune function, and decreasing the acid content certainly does have risks.

👉Who should get PPI’s and for how long ?
• Babies with proven esophagitis seen on endoscopy (use for 3-6months and then re-asses)
• Babies with severe symptoms of GERD that does not respond to conservative measures can be given a trial of two weeks. If there is a definitive improvement, medication can be continued for 3-6months and then re-assessed.

👉Possible complications of PPI’s:
• Higher risk of acute diarrhoea and pneumonia because you remove a line of immunity defence. This can also lead to infection of the gut with Clostridium Difficile.
• Interferes with the absorption of Iron and Vitamin B12 and lead to anemia (low red blood count).
• Can affect calcium absorption and lead to increased risk for fractures.
• Allergic sensitization – there is a link between using acid suppression in infancy and later development of allergies.

When you want to stop the PPI, it is important to wean it slowly as there can be a rebound higher acid production for the first few days after stopping the medication.

3. Are there other medications that could help?
• Antacids such as Gaviscon have been shown to provide some relief in the symptoms of reflux. It works by coating the stomach contents with an alkaline layer which makes it more difficult to push back and less painful to the esophagus. It can be used in the place of thickening feeds in breastfeeding babies. Although there are not a lot of studies done in babies, it seems safe to give for short periods (less than two weeks) or on occasion. Using it for longer periods could lead to aluminium toxicity or rickets (Vitamin D deficiency).
• Prokinetics such as Domperidone (Emex), metoclopramide or erythromycin could help to speed up the passage of feeds through the esophagus and stomach. They could however have many unpleasant side-effects affecting your baby’s movement, brain and heartrate.

4. Will surgery help?
Surgery is usually not indicated in children under 1 year of age. Even in older children and adults the results of a Fundoplication surgery are not very satisfactory.

“Be joyful in hope, patient in affliction, faithful in prayer”

Romans 12:12

If you have read all the way to here you must truly have many questions! I hope that I could give you some answers, some advice and some hope. Remember that you are not alone. Talk to other moms and share the burdens and the joys. Talk to your doctors and walk the road with them, they want to help you.

These days feel long, but the years are short and before you know it your child will be waving goodbye on their first day of school (without vomiting all the milk from their morning porridge)!


Pediatrics and Playdough
Medicine Mommy

Resources:

1. Rosen R, Vandenplas Y, Singendonk M, Cabana M, Di Lorenzo C, Gottrand F, Gupta S, Langendam M, Staiano A, Thapar N, Tipnis N, Tabbers M; “Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN)”; J Pediatr Gastroenterol Nutr. 2018 Mar; 66(3): 516–554. ; doi: 10.1097/MPG.0000000000001889
2. Rybak A, Pesce M, Thapar N, Borelli O; “Gastro-Esophageal Reflux in Children”; Int J Mol Sci. 2017 Aug; 18(8): 1671; Published online 2017 Aug 1. doi: 10.3390/ijms18081671
3. Campanozzi A, Boccia G, Pensabene L, Panetta F, Marseglia A, Strisciuglio P, Barbera C, MagazzùG, Pettoello-Mantovani M, Staiano A; “Prevalence and natural history of gastroesophageal reflux: pediatric prospective survey.”; Pediatrics. 2009;123(3):779.
4. Davies I, Burman-Roy S, Murphy MS, Guideline Development Group ; “Gastro-oesophageal reflux disease in children: NICE guidance”; BMJ. 2015;350:g7703. Epub 2015 Jan 14
5. https://www.mayoclinic.org/diseases-conditions/infant-acid-reflux/symptoms-causes/syc-20351408
6. Safe M, Chan WH, Leach ST, Sutton L, Lui K, Krishnan U; “Widespread use of gastric acid inhibitors in infants: Are they needed? Are they safe?”; World J Gastrointest Pharmacol Ther. 2016 Nov 6; 7(4): 531–539.; doi: 10.4292/wjgpt.v7.i4.531

REFLUX

What is Reflux?

Dr Nické Theron, pediatrician, is here to empower our mommies with knowledge.

Most moms know the feeling of getting your little one all dressed up and ready to go, just to have them spit/vomit milk all over everything just before you leave!

Thank you for all your questions and comments about your journey with reflux. I will try to answer most of you in the next few paragraphs while I explain more about the what, why and how of reflux:

Gastro-Esophageal Reflux (GER) is a 100% physiological (natural) occurrence in healthy babies, children and adults where the contents of the stomach push back into the esophagus (swallowing tube). It is more prominent in babies (40-60% of healthy babies struggle with reflux) because of their immature lower esophageal sphincter (the gate that is supposed to contract to keep the stomach content inside), fluid diets (fluids push back easier), slower passage of food through the stomach and the fact that they are mostly laying down (yes, gravity does play a role here).

Preterm babies have even more trouble with reflux because the esophagus is still too immature to “swallow” the milk down and they are often fed via feeding tubes (which opens up the lower esophageal sphincter even more).

“So do flux and reflux–the rhythm of change–alternate and persist in everything under the sky.”
― Thomas Hardy, Tess of the D’Urbervilles

Symptoms of reflux can start from the first few days of life when they start drinking larger volumes of milk, and usually subside by the age of 12-18months. This is due to a combination of all the factors mentioned above improving. There are some studies that show that children who had reflux as a baby are more prone to struggle with it as they get older.

Babies who have reflux (GER) usually spit/vomit up milk after feeds (yes, it can come up through their noses), (yes, it can be quite a lot!), they can also be irritable after feeds or arch their backs. They often sleep for shorter stretches and want to feed often (the milk actually soothes their throats, but more milk can also cause more trouble). Remember this is still NORMAL baby-behaviour!

“Silent reflux” is a non-medical term applied when a baby has episodes of reflux into their esophagus and airways without vomiting it out. (Making it more difficult to diagnose). In the end the same diagnostic and treatment rules apply.

Most babies with reflux grow well, feed well, are not extremely irritable and do not have any danger signs. These babies are often referred to as “happy spitters” and do not need any further medical intervention. It is very rare for the stomach contents to contain enough acid to cause discomfort or damage to the esophagus / airways. Even in studies where they monitored the reflux episodes by pH monitoring, they often could not associate the episode with the baby being unhappy or waking up from the reflux.

If your baby is failing to thrive (not gaining weight, not reaching developmental milestones), is refusing feeds (turning away his head while arching his back – Sandifer syndrome) or has signs of esophagitis (this is painful inflammation of the esophagus that can only be diagnosed with a gastroscopy, clues will be excessive crying and irritability when lying flat, shortly after feeds and while refluxing) your baby has Gastro Esophageal Reflux DISEASE (GERD). This is pathological and should be treated.

There are many other causes for the symptoms of reflux. Your baby could be going through a growth spurt or be overstimulated or have flu or gastro-enteritis, but if your baby has any of the following Red Flags, please see your doctor asap to exclude more sinister diseases:

  • Recurrent projectile vomiting (when the vomit hits the other side of the room)
  • Yellow bile or blood-stained vomiting
  • Any other abdominal signs: distension or pain of the stomach, constipation or diarrhoea
  • Fever
  • Any seizures, abnormal movements, abnormal head size or other neurological signs
  • Recurrent pneumonias (lung infections)

When you visit your doctor with symptoms of reflux they will probably be able to exclude most of the dangerous conditions by taking a history from you and doing a good examination. Hopefully this, together with the knowledge you were armed with in this article will help you cope with the day-and-night realities of reflux.

I know the mountains of milk-stained washing and sleep deprivation are tough – check back tomorrow to see what you can do to make your little one a little more comfortable.

Resources:

  1. Rosen R, Vandenplas Y, Singendonk M, Cabana M, Di Lorenzo C, Gottrand F, Gupta S, Langendam M, Staiano A, Thapar N, Tipnis N, Tabbers M; “Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN)”; J Pediatr Gastroenterol Nutr. 2018 Mar; 66(3): 516–554. ; doi: 10.1097/MPG.0000000000001889
  2. Rybak A, Pesce M, Thapar N, Borelli O; “Gastro-Esophageal Reflux in Children”; Int J Mol Sci. 2017 Aug; 18(8): 1671; Published online 2017 Aug 1. doi: 10.3390/ijms18081671
  3. Campanozzi A, Boccia G, Pensabene L, Panetta F, Marseglia A, Strisciuglio P, Barbera C, MagazzùG, Pettoello-Mantovani M, Staiano A; “Prevalence and natural history of gastroesophageal reflux: pediatric prospective survey.”; Pediatrics. 2009;123(3):779.
  4. Davies I, Burman-Roy S, Murphy MS, Guideline Development Group ; “Gastro-oesophageal reflux disease in children: NICE guidance”; BMJ. 2015;350:g7703. Epub 2015 Jan 14
  5. https://www.mayoclinic.org/diseases-conditions/infant-acid-reflux/symptoms-causes/syc-20351408

KLEUTER-REDENASIES

Mamma-wees beteken elle-lange kreatiewe redenasies met jou ‘mini-me’.

Medicine Mommy SA

Ons is alweer op die antibiotika-trein…Oudste het middeloorontsteking. Eina.
Maar “high5” vir hom, want hy is ‘n regte kampioen – glimlag steeds en kla basies niks.

Die probleem kom egter in as dit medisyne-tyd raak…Die melkerige mengsel met die meelerige tekstuur en bitter na-smaak laat niemand se mond water nie! Nog minder ‘n amper 3-jarige s’n. Liewe genade, kon die stropie nie maar sjokolade- of selfs bessiegeur gewees het nie? – so aanloklik soos die Vitamien-beertjies of Reuterina koutablette! Dáái eet hy met graagte. Hy vra sommer vir nog!

Vandag was dit weer ‘n omkopery met appelsap (die bitter medisyne het in ‘n Paw Patrol glasie saam met die soet sap opgeëindig) – dít wou hy steeds nie drink nie. “Néé, mamma, hoekom? Hoekom moet ek dit drink?!” (Ja, ons is op die “hoekom” stadium…volgende storie dalk?) Natuurlik verduidelik ek…maar my antwoorde beïndruk Meneer maar min.

Toe word hy ge”bribe” met ‘n einste Vitamien-beertjie…maar toe die een beertjie nie die “trick” doen nie, maak ek toe maar die omkoopprys meer aanloklik en bied noodgedwonge 2 aan. Hierdie taktiek het gewerk, en ons kon aanbeweeg na die Calpol-stroop. Gewoonlik word só koppie sonder te veel bohaai afgesluk, maar vandag moes hierdie mamma maar ‘n Paw Patrol episode inruil vir die Calpol-drankie aanbied.

Mammas, sê my julle kan ‘relate’ ? 🙈🙃

(Diep asemhaal, tel tot…20… en nogsteeds) Vrede 😉,
Alyssa ♡

GASSKRYWER

AANNEMING // ADOPTION

Deur dr. Lindé Marais

Ek het reeds op skool ervaar dat aanneming deel van my toekoms sou wees. Voor ek en Francois getroud is, het ons ‘n belangrike gesprek oor aanneming gehad, minwetend dat ek jare later só PASSIEVOL daaroor sou voel…
Ek kan nog presies onthou waar ons was toe ek hom vra hoe hy oor aanneming voel…en wonderbaarlik was hy oop vir die idee.

Hierdie DROOM (en passie) het vir ‘n hele aantal jare dormant bly lê…
Aan die begin van 2018, het ek gevoel God is besig om die droom binne my wakker te maak (daar was n soort ‘stirring’ in my gees) en ek het ervaar ek moet begin navorsing oor aanneming doen: die proses, hoe en waar mens dit doen, en natuurlik, wat sê die Woord.

Hoe meer ek opgelees het, hoe meer het ek begin besef dat dit nog altyd deel van God se plan was. Sy groter plan. Met almal van ons.
Daar is 3 goeie preke oor aanneming wat hierdie baie goed verduidelik. (Sien 👉skakel hieronder) Nadat ek daarna geluister het, kan ek nie glo hoe BLIND die vyand ons gemaak het nie…

God het ONS as sy kinders aangeneem! Hy het nie gevra waar ons vandaan kom en wat ons gedoen het om sy liefde te verdien nie. Hy het ons bloot net Sy kinders gemaak. Dáárom is waar ons vandaan kom of wat ons in ons verlede gedoen het, nou irrelevant. WANT Hy is ons Pa en ons is Sy kinders! Ons is nou in ‘n nuwe bloedlyn, die verlede word as’t ware uitgevee, en ons word NUUTSKEPPINGS in Hom en deur Hom.

Jesus het ons gered! (Dit is bo-my-verstand wonderbaarlik.) Maar dit eindig nie daar nie. Nadat ons deur Jesus gered is, word ons deel van God se FAMILIE. Ons word ERFGENAME. Dit is juis in híérdie familie wat ons lewe in OORVLOED kan ervaar.

So, vir my beteken aanneming: LEWE IN OORVLOED. Deur die voorbeeld van my Vader te volg, ontvang ek en my gesin dus lewe in oorvloed. Ons red niemand nie – dít is Jesus se werk. Deur aanneming, tree ons net in ‘n lewe van oorvoed in.

NS. Onthou om die skakel te volg as jy meer wil lees en luister:
👇
https://austinstone.org/resources/sermons/series/49–adopted

ONSEKER

Met my eersteling het ek aan behoorlike ‘cabin fever’ gelei. Ek kon nie wag om net die huilende bondeltjie in iemand anders se arms te plaas, dat ek kan gaan stort of eet of ‘n draai gaan ry nie. (Doodeerlik -jammer liefie!) Maar dis hoe dit was. Met my eersteling het die eie-ek stukkie vir stukkie afgesterf. Die ou-ekke is stelselmatig vervang deur die nuwe mamma-ek. Ek, as mamma, is inderwaarheid saam met my seuntjie gebore – my geboorte was net meer van ‘n uitgerekte pynlike proses…

Ek het daarna gesmag om my stetoskoop weer om my nek te hang. Ek wou weer voel hoe dit is om aan ander “meer belangrike” dinge as drink-slaap-doek skedules te dink. Ek wou weer ondersoek, redeneer, gevolgtrekkings maak…diagnoses maak. Ek wou my blou handskoene aantrek, bloedtrek, drips opsit, my pen optel en notas maak…
Dit was tóé.

Met die 2de een is dit anders. Of ék is anders, ek weet nie. Dalk besef ek nou hoe tydelik alles is, hoe vinnig die uurglas regtig leegloop. In ‘n oogwink is die (eens huilende) bondeltjie groot – hy hardloop skielik reguit na sy karretjies-mat en hou homself besig met sy Duplo en ‘digger loader’ en ‘cherry picker’…
Dalk besef ek rêrig nou dat dié kleine lyfie nooit weer perfek op my bors gaan pas en rustig aan die slaap raak nie.
Dalk is dit omdat jongste so ontsettend siek was en gedagtes van die einde ‘n nare realiteit was. Maak nie saak wat die redes is nie – dis heelwaarskynlik ‘n mengelmoes van almal…

Ek kyk af na boetiebaba wat rustig in my arms slaap – so tevrede in ‘n melkbeswyming. Sy klein baba-handjie is steeds om my wysvinger gekrul – veilig, naby, ék is sy sekuriteit. Netnou gaan sy ronde kraal-ogies weer oop en al soekende met my wil gesels. Daai kosbare sagte baba-geluidjies…
Wakkertyd is hy maar ‘n regte klein ‘moaner’ soos hy kerm-kerm in my arms bons. Ons noem hom glad al “Fiksie & Smiley”! Want ek glo mos aan LEWE-SPREEK en die krag van die tong. So “Fatties & Moanies” gaan nie werk nie. 🤣

Dié keer is ek onseker…
Oor teruggaan werk toe, oor daai stetoskoop waarna ek só gesmag het 2jaar gelede, oor diagnoses maak en vergaderings en oproepe en en en…
Oor mamma-van-twee-wees, oor vrou-wees, die oggendroetine, die “school run”, die huishouding, die admin, inkopies, kosmaak, wasgoed, skoonmaak…

Hoe ‘juggle’ ‘n mamma alles?
Hoe laat val jy nie een van dié balle nie?
Ek het eenkeer gelees dat mens soms maar ‘n bal of 2 gaan laat val – soms perongeluk, soms aspris. Maar solank jy nie 1 van die glasballe laat val nie, gaan alles ‘okay’ wees.

My God en my man en my kinders (en my pasiënte) is my prioriteite. Dít is my glasballe.

Mammas, hoe lyk julle glasballe?
Hoe ‘juggle’ julle alles? Voel dit soms te veel? Voel julle ook by tye onseker?

Vrede &Vreugde ♡
.
.
“If you decide for God, living a life of God-worship, it follows that you don’t fuss about what’s on the table at mealtimes or whether the clothes in your closet are in fashion. There is far more to your life than the food you put in your stomach, more to your outer appearance than the clothes you hang on your body. Look at the birds, free and unfettered, not tied down to a job description, careless in the care of God. And you count far more to him than birds.”

Matthew 6:25‭-‬26 MSG

GEDULD

Om ‘n mamma van ‘n woelige 2-jarige te wees, is vir my een van die mees ‘humbling’ ervarings nóg!
Hy hou my op my tone, maar terselfdertyd stewig op my knieë🙏

‘n Winkeluitstappie is lankal nie meer so eenvoudig soos jouself regkry, handsak gryp, ‘n paar “greenbags” agter in die kar gooi (ek probeer hard om nie meer plastieksakke te koop nie!😬) en daar gaan jy nie!

Nee, met hierdie klein woelwater word elke grens getoets…. “Ek wil nie daai t-shirt aantrek nie. Nee, ook nie daai een nie! Híérdie een, hy’s lekker” (ons het die woord NEE agtergekom) ….. “Nee, mamma, ek ry nou eers op my balance bike”…. “Ek het ‘n piepie” (ons ‘potty train” tans)
En dan is daar natuurlik al die wonderlike ‘space ship’ knoppies op die motor se paneel wat gedruk móét word …”Wat doen hierdie een en wat doen híérdie een, mamma?”
Díé leergierige 2-jarige se nuuskierige ogies mis niks!

Op die foto verskyn my aspatat by die winkelsentrum se parkeerarea. “Ons” moet nou eers op elke sement-bal (watookal mens hierdie ‘obstacles’ noem?) gaan sit voor ons in die motor kan klim! Elkeen word in ‘n ry uitgetoets. “Kyk die snaakse balle, mamma!”
….’Nevermind’ sy huilende honger kleinboet van 2-maande en sy ma en ouma wat hom ‘n paar keer moet aanmoedig om te “Kom nou, liefie”!

Aaaaagh! Soms voel dit of ek kan bars van ongeduld en sommer net frustrasie…ek moet bieg.
Maar kyk nou net hierdie oulike mensie: hy ‘explore’ en leer elke dag nuwe opwindende dinge! Ek wil nooit die ontdekkingsreisiger binne hom tem nie.
(Alles binne perke tesame met gehoorsaamheid, natuurlik) 😉😉

Ek dink die Here wil my iets leer… 😉

“Patience is a virtue”
Patience (noun) = the ability to wait calmly; the capacity to accept delay without getting angry | Virtue (noun) = a quality or trait that most people consider to be morally good or desirable in a person

Vrede & Vreugde!


GASSKRYWER

Ek het op hierdie stukkie afgekom en dit is baie gepas vir vandag se koue, triestige weer in George.

Hierdie wêreld is dikwels koud, donker, of sommer net boos. Die lewe is nie altyd nét maanskyn en rose nie…en vandag skets ons die donkerte en seerkry met woorde…

Maar voor ons té diep in die spelonk van negatiwiteit verdwaal 😊, word ons herinner dat daar altyd êrens HOOP is.

Onthou, daar is met elke nuwe dag ‘n sonsopkoms. En elke donker wolk het ‘n silwer randjie… Soms is ons visie net ‘n bietjie te  ‘clouded’ om dit raak te sien.

|| J A M M E R ||
Deur Magda Burger

Du Toit se oordrom het gebars.
My hart wens om die pyn weg te neem.
“Mamma is jammer,” probeer ek troos.
“Hoekom is Mamma jammer?” vra hy.
“Ek is jammer dat jy so seer het,” huil ek saam.

Die hartseer knaag die maand aan my hart. Sommer net pure seer. Want die wêreld is ‘n seerplek. Sonder genade. Sonder pleisters.

Ek besef daar is mooi in die lewe, maar vir ‘n rukkie wil ek net ruk van snikke en my neus behoorlik uitblaas en nie na die misvormde prentjies van mooigoed tussen trane deur kyk nie.
Want partykeer bring die mooigoed die trane. Die liefdespand wat jy met trots gedra het. Die eens agtermekaar-mens wat alles kon doen. Die drome wat lugkastele gebly het. Die paradys waar daar nou net donker storms heers. Die oogwinke – wat dalk al jare kom – waarin alles verander.

Ek is jammer.

Miskien sal jy toelaat dat ek saam met jou in die reën sit.
Langs jou.
Ek kan nie die reën laat ophou nie… maar ek het dalk ‘n sambreel.

PEDIATRICS & ME

Mammas, ek is ongelooflik OPGEWONDE om julle hiervan te vertel!

Ek en die kinder-dokter, Dr. Nické Theron van Pediatrics and Playdough, het koppe (en harte) bymekaar gesit om vir julle ietsie spesiaals op te tower…

Een keer per maand gaan ons ‘n mediese onderwerp/toestand of siekte kies en dan het AL die mammas (en oumas) die geleentheid om hul vragies in te stuur!

Daarna gaan Dr. Nické in ‘n interessante artikel julle vrae beantwoord!

Hoe klink dit?

Vrede, ♡

@medicine.mommy.sa
@pediatrics_and_playdough

Ontmoet vir dr. Nické Theron!

Hello! My name is Nické Theron and I love kids! From as far back as I can remember I wanted to work with children and this dream was realized when I qualified as a paediatrician at the University of the Free State in Bloemfontein. In 2017 our beautiful baby boy, Eran, was born and he made me a mommy! It was the perfect mix of theory and practical experience! I have a passion to help other parents understand more of the what, why and how of these tiny humans. The wonder of neonatology and the resilience of kids in developmental paediatrics are also special interests.

In 2018 we embarked on a new adventure with my husband, André, who is doing a fellowship in Leuven, Belgium. It is a privilege to watch our son grow and develop while exploring Europe, and learning from mothers from around the world.

“For You created my inmost being; you knit me together in my mother’s womb. I praise you because I am fearfully and wonderfully made; Your works are wonderful, I know that full well.”

Ps 139:13-14