Thursday, September 20, 2012

How to be realistic with kids' eating habits

When my daughter Ila was 3 years old, we went through a very scary time. She starved herself. Literally starved herself. I had an anorexic 3 year old! Looking back, I wish I had taken photos of her to show you. However, think of one of the typical National Geographic photos you would see of a starving African child. Yep, that's how my little white girl was starting to look. Her food decline started slowly until finally we couldn't even force food down her. If we did, she would vomit it right back up immediately. I became a very irate, scary, concerned, worried mother. I couldn't get my own child to eat ice cream, McDonald's food, fries, spaghetti, etc. Nothing worked. And it didn't take long for her to starve herself that she lost the sensation of even being hungry. Her body stopped creating hunger cues. 

I went into the pediatrician who recommended that putting calories in her was the main goal and I should melt butter and put it on all her food. Initially this sounds like a great plan. You're getting tons of calories in them. However, in my mind, I looked forward to a year down the road and saw me trying to switch over to non-buttered food and pictured Ila throwing one of her epic tantrums. I decided this was a way I never wanted to go. We weren't looking for a short term solution, we were looking for a long term solution! After a few more pediatricians later and with help from a program Washington State offers, we got on WIC that helped supply a lot of Pediasure. The only thing that saved Ila during that dark time was the supplemental shake. She would drink about 2 a day. It wasn't much, but it was better than nothing.

Now, I'm sure at this point you're asking why in the world she did this. Control. Simply because of control. Some kids control potty training. Mine happened to control her food. We initially tried ignoring the behavior. It got worse. Then we tried to take back the control and it got worse. By the time we did all we could do, I was distraught. I was actually scared for her life! My precious child was starving herself and no amount of coaxing, bribing, yelling, screaming would help. 

In this time frame, I found a ARNP that I really liked at my doctor's office. I felt she realistically knew what I was going through and we came up with a few game plans. Well, when things hit rock bottom, I called her and said, "If we can't get her on more of a level track, I see no point but to hospitalize her with a feeding tube." She agreed and suggested that we try a few sessions of feeding therapy. I agreed. To make sure the therapists didn't quickly judge me as a "bad parent", for 2 weeks leading up the appointment, I weighed her food, before and after each meal and recorded what she ate (or didn't in my case). I took pictures of each meal so they knew I was providing balanced meals but meals that were calorie rich. I have other kids that are small, so I knew how to cook a meal that were calorie rich, but still wholesome and healthy. 

After about a month of going to feeding therapy and being on WIC, we were more on a level track. They determined it indeed was a control issue and that she did NOT have any aversions to food because of taste/texture. They taught me a few useful things in how to encourage the eating. 

1) If your child refuses to eat the food, grant permission that they do not have to eat it, but they DO have to either kiss it or lick it. This allows them a chance to discover that it may not be as bad as they thought without being committed to chew and swallow it.

2) yep, that's about it. I had done everything else they recommended by that point.

So, as we started forcing around 5-7 Pediasures down Ila a day, her hunger cues starting coming back and we very slowly started to take control of her meals again. Now at the age of 5 (yes this was a VERY LONG battle) will eat a lot of what I give her, even the vegetables. I just never in my wildest imagination would expect I would deal with an anorexic 3 year old. It honestly scares me for when she's a teenager, but now that she's in school, it's giving me a realistic idea on how well I've handled the last few years. She has been doing a good job eating her food (even the vegetables) and coming home with an empty lunchpail nearly every day. 

Here are some realistic ways to get your child to eat more or get more calories in them: (This in no way is a substitute for expert advice, this is just what helped my family)

*Pediasure is a great tool. My kids love it. It's a bit expensive if you're paying out of pocket for it, but it's so worth it if your child is malnourished. 

* Never put more on your child's plate than what they can handle. For Ila, I will generally put 4 bites of meat that are cut to about dime-nickel size, a few tablespoons of rice, and 2 strips of peppers. Then after she's done eating that, then if she's still hungry, I'll bust out the fruit. I think for a young child, it makes sense to give them just what you expect them to eat than saying "You need to eat 4 more bites of rice and 2 more bites of meat before you can be excused" is really confusing for them.

*Kid's do NOT need Ranch to dip. Peanut Butter, Almond Butter, Nutella is a great, healthier alternative!

*Create a fun face plate that you can decorate with their food. I bought the plate at the dollar store and got inexpensive paint at Hobby Lobby for ceramics. You paint and bake and you're done!


*I created 2 different games my kids play
            1) THE DINNER GAME- A "Candyland" style board with spots that say different things like, "Eat 3 bites, chair 1 and 3 sound like a dog". So each chair is labeled and if they eat there bites before the time runs out, they're rewarded with a charades show. At the end of the game, they roll the dice and have to take that many bites before the actually win. (this game is best for smaller kids) I used a white flat (but fitted works great!) sheet and drew with colored Sharpes. 


           2) DICE DINNER GAME- all you need for this game is a dice for each player. Everybody rolls their dice at the same time. Whatever number comes up, that person eats that many bites before the time runs out. The person that finishes their dinner first is the winner! (this game is best for larger kids)

The best part of these games is you can pile on the vegetables and they will eat them because they're compelled by the actual game and the will to win!

*One way to get more water in my kids is to stop in through a drive through. They all LOVE water if it comes from Taco Bell. For some reason the water at home isn't as great. ;)

*Trick your child by a giving them a cookie. What they don't know is that it's healthy! Here is my recipe below:


*Also, if all else fails, remember, while some calories are healthier than others- calories are calories. For example if your kid is sick for a week and has ate little to nothing, indulge them in whatever they want. Bad calories are better than no calories. 

*If some old person gives you the advice "Don't worry, they won't starve themselves!" Tell them, politely (and maybe in your own words) to SHOVE IT! From my experience they CAN starve themselves and it is a very very VERY long road to get back to normal. 


The following tables were found at: http://www.earthsbest.com/node/364
Please take a few minutes to look at REALISTICALLY what a serving size actually looks like for a toddler/child.


Below are the recommended number of servings and serving sizes, and representations of some of those sizes:

Grain Group: Six Servings
One Serving:1 to 3-year-old:3 to 6-year-old:
Bread1/4 to 1/2 slice1/2 slice
Muffin1/4 to 1/3 muffin1/3 to 1/2 muffin
Crackers2 saltine size2 to 4
Hot Cereal2 tbsp to 1/4 cup1/4 to 1/2 cup
Cold Cereal (Dry)1/4 cup1/3 cup
Cooked Pasta or Grains2 tbsp to 1/4 cup1/4 to 1/2 cup

Vegetable Group: Three Servings
One Serving:1 to 3-year-old:3 to 6-year-old:
Cooked1 to 3 tbsp1/4 to 1/2 cup
Raw Chopped1 to 3 tbsp1/4 to 1/2 cup
Leafy Greens1/4 to 1/2 cup1/4 to 1/2 cup

Fruit Group: Two Servings
One Serving:1 to 3-year-old:3 to 6-year-old:
Canned or Pureed1 to 3 tbsp1/2 cup total
Fresh1/4 cup total1/4 cup to 1 whole
Dried1 tbsp1/4 cup total
Juice (Full Strength)1/4 cup (2 oz)1/2 cup (4oz)

Dairy Group: Two Servings
One Serving:1 to 3-year-old:3 to 6-year-old:
Milk or Milk Substitute1/2 cup (4 oz)3/4 cup (6 oz)
Cheese1 ounceup to 2 ounces
Yogurt1/2 cup3/4 cup
Cottage Cheese1/4 to 1/2 cup1/2 cup

Meat, Fish, Poultry, Dry Beans, Eggs & Nut Group: Two Servings
One Serving:1 to 3-year-old:3 to 6-year-old:
Cooled, Lean Meat, Fish or Poultry1 ounce1 to 1 1/2 ounces
Peanut Butter2 tbsp2 to 3 tbsp
Egg2 saltine size2 to 4
Hot Cereal1 egg1 egg
Nut, Seeds, Soy Beans1/2 ounce3/4 ounce
Cottage Cheese1 ounce1 to 1 1/2 ounces
Dry Beans1/4 cup1/3 cup

Fats and Sweets
One Serving:1 to 3-year-old:3 to 6-year-old:
Butter of Margarineup to 1 tsp1 tsp
Salad Dressing2 to 3 tsps1 tbsp
Sugar, Honey, Jam, etc.use sparinglyuse sparingly

Serving Comparisons
Sometimes the best way to understand what they really mean by a serving size is to actually see it. But actual size pictures are unrealistic for here, so try these relative comparisons to get the idea.
  • A standard muffin is the size of a tennis ball
  • One ounce of cheese is a pair of dice
  • One ounce of meat is your ring and little finger
  • Two tablespoons of peanut butter is a ping-pong ball
  • One quarter cup fruit, vegetables, yogurt, etc is the size of a medium egg

Use Standard Servings
Use standard serving sizes no matter where you eat. A study by The American Institute for Cancer Research showed that 67% of Americans eat what is on their plates, regardless of the serving size. Once you start ordering super size meals and deals, you'll eat it, even if you don't need it. And while young kids tend to eat according to hunger, after the age of five they become much more responsive to serving size. The more you serve them, the more they will eat. So, "toddler-hood" and preschool age is the most sensitive time to help kids stay in touch with inner cues of hunger and satiety. Encouraging them to eat more than they want, or serving unnecessarily large portion size will distort their intuitive understanding of how much they really need. Bring your understanding of portion size back to reality to help your child grow up eating appropriate amounts of food. It's a sure way to help prevent obesity and develop healthy habits.

Saturday, September 15, 2012

Mandy's Homemade Healthy Spaghetti Sauce w/ Butternut Squash


Below is my version of spaghetti sauce. I can it every year and even my picky kids like it! It's a great way to sneak in extra vegetables. 




Mandy's Healthy Spaghetti Sauce

This is my basic recipe for a 7qt crockpot

You'll need 1 butternut squash. Put it in the oven on 350*, seed side down (make sure it's seeded). Cook until you can put a fork through it. Then take out the squash out of the shell and puree it, adding water as needed to make it smooth. 

While it's cooking, this is the time I chop my tomatoes and onions.

Insert a crockpot liner into the slow cooker; saves on the cleanup! I cut my tomatoes up into small pieces and toss them in. You do not need to peel them! Once the crockpot is over 3/4 full, put in your squash puree on top. Add one chopped onion, 1 tablespoon salt, 2 tablespoons brown sugar, 1/4-1/2 cup Italian Seasonings. Depending on how watery your tomatoes are will depend on how much tomato paste you put in. I normally use 1-6oz can or 1-12oz can. I buy organic at Fred Meyers because it's so cheap!

Let cook AT LEAST 12 hours on low. After 6-8 hours, you can turn it down to the "keep warm" setting as it will still simmer.  This will help all the flavors simmer so it tastes like spaghetti sauce and not squash sauce. 

After its cooked, you can:

Put in bags or glass jars and freeze

OR

Put in glass jars and can it. 

Tuesday, September 11, 2012

Hanging Dish Rack

I have a fairly large family. We needed to have a dish rack to put our large dishes in. Luckily we also have a dishwasher, but having a large family means that not all the dishes fit in one load! We had the dish rack on the counter for a while and that didn't work. The dish rack on the counter was cumbersome because it took up too much precious counter-space. Then we moved the dish rack into the larger side of my sink. That didn't work as well because we really needed to use both sides of the sink! So, that left me looking for where I could put my dish rack that I so desperately still needed but where i could still utilize! I devised a plan to hang it from the ceiling right above the sink so we would have easy access to it and it would drain easily into the sink. I went to Fred Myers and got a really neat decorative chains that hold 40 pounds and had my husband put it altogether. After simple seven minutes of labor we were up and running. Let me tell you this thing can get loaded with out being pulled out of the ceiling!
Check out my brilliant idea!

Wonderful Hard Water Cleaner

I've posted it before and I'll post it again. This cleaner is AMAZING! Below, I've shown me cleaning my Corelle dishes that turn yellow from my hard water back to white using this septic safe cleaner. Please note, I wash and sanitize the dishes after cleaning them! Also works great on tubs, toilets and sinks!

Monday, September 10, 2012

Homemade Dishwasher Detergent that WORKS

About a two years ago, I scoured the web looking for a great dishwashing detergent when Washington went phosphate free. I found several recipes. All called for these two ingredients: 
                                         
                                           Borax
                                          Arm and Hammer Washing Soda

The variation of these recipes included salt, vinegar, a little Dawn dish soap, etc. I tried them all. I got dishes that never came completely clean. The cups came out with this film that just would not dissipate. So, I gave up and went back to using the Finish septic tablets. 

One day I was rounding up the Borax and Washing Soda to make my laundry detergent and stumbled upon Lemi Shine. The bottle claims to be a "Hard Water Expert" and boy, do I have hard water! So I picked up a bottle for about $3.50 and mixed in equal portions:

Borax
Arm and Hammer Washing Soda
Lemi Shine Original

I had put it in a plastic tupperware. I am always doing tons of dishes so I was able to try a load right away. Man, those dishes came out spotless with no film on the cups! I was ecstatic! The downside to this method, the detergent within 24 hours hardened like a rock! So now I am chiseling portions out of the tupperware. 

Take it from me; either 1) Mix the Borax and Arm and Hammer and just pour in the Lemi Shine on top of it when you put it in the dishwasher. OR 2) go to the Dollar Store and get little containers that hold about 2 ounces and make pre-make little containers to use. 

Below, I have attached a photo of the Lemi Shine product. All of these products are easy to find. The Borax and Washing Soda can be found with the laundry detergent products and the Lemi Shine can be found with the dishwashing detergent. 

Yea for finally finding a cheaper way to make the detergent  that WORKS!


Friday, September 7, 2012

God Always Times Events Perfectly

This afternoon I had an appointment with my general surgeon for a post-checkup. I got some pleasantly surprising news! She told me I can go back to lifting! Although, my other surgeon (my OBGYN) still has me on a 20-25 pound lifting restriction. However, I am over the moon! That means I can go back to lifting my little man! That means I don't have to rely on help any more. 

God always times events perfectly. 

Joe found out that he has to work out of town this weekend. He will have to work long hours this weekend. The surgeon's change is orders is perfect timing because we didn't find anybody to help me over the weekend. I know a lot of people just think that Joe should say "No" and pass up the extra hours, but to put it into perspective: God is giving us the opportunity in helping us pay for our onslaught of medical bills that will be coming in very soon. Some have arrived already. We are probably looking at over $3,000 in just what our insurance doesn't cover. Then we also found out that Joe will have to go to California in a week and a half again for more work there. Again, another opportunity God is giving us so we can stay afloat. 

So, I know the next few weeks won't be easy. I am hoping that people don't assume I'm completely healed because I still have a ways to go. The last few nights have been pretty brutal in dealing with my pelvic pain. 

I am itching for more time to go by so I can get doctor's write off that I can go back to exercising. I don't feel as good when I am not working out. 

I don't know if I put in my past posts that I decided to ditch my anti-depressants when I was really sick right after surgery. I figured my body would have to go through a natural balancing of hormones again. The pharmacist told me if I ever got off my anti-depressants without weaning off of them, I would get sick. I figured since I was already really sick and my kids were gone, it would be the perfect time to ditch them. So far, I have done great. I had once instance that I felt I was on the verge of being too "crazy mommy" but other than that, I feel in control of myself. So, I will keep monitoring myself and go from there. 

Although, I must say, I never thought taking my uterus out would lead to such a re-balancing of hormones. I have been extremely weepy and emotional. I can handle weepy. I can't handle irritation and anger. 

Today, a guy in a pizza joint asked what I had planned for the weekend. The conversation went something like this:
Me: "I'm watching my kids this weekend while my husband is away."
Pizza Guy: "Sounds like fun."
Me: "Probably not. I'll be exhausted because they're all young and I'm still recovering from surgery."
Pizza Guy: "Sounds like a movie weekend to me!"
Me: "Yep. I definitely won't win Mom of the Year Award, but my kids will still be alive when the weekend is over!"

I think honesty is good. :D

Saturday, September 1, 2012

How I Live with a Separated Pubis Symphasis Post Partum

It's late right now... I decided that it was time to get back up because no matter what way I tossed or turned, I was in pain. I'm going to give my backstory on how I was diagnosed.

When I was 19 years old and two short months after I got married to Joe, we got pregnant with our first child. The pregnancy actually went quite well. However, Serenity was quite the stubborn baby and with a forced debut, came into the world two days before Joe and I had our first anniversary. I was a young 20 year old mother. I had a normal vaginal delivery with no complications; the doctors didn't have to really even repair me! We arrived home less than 24 hours after Serenity was born. 

Then the extreme pain set in. Looking back, I'm not sure how long I dealt with the pain before I sought out help. I remember thinking that it was 1) worse than the whole laboring/birthing process combined 2) must just be what every woman went through. However, when I started waking up in the middle of the night crying because I was in so much pain, I knew I had to go in and be seen. I think it was the week she was born, I went into urgent care. After talking to the doctor, he was convinced I had "sprained cartilage" from the birth. Trauma. He sent me home with an anti-inflammatory and told me I would be all healed up in 2-6 weeks. A few weeks went by and the meds didn't help. I spent a lot of nights crying, wondering how I could get to sleep when it felt like my pelvis was falling apart. I eventually went back to the urgent care and was basically told that this was what having babies was all about. My body had changed and this was just the healing/post-partum part. Again, since I was a first time mother and so young and inexperienced, I believed the doctors. However, in the back of my mind, I kept thinking, "If this is like this for every new mother, I am sure a woman would never have another baby. This is too hard to live like this!"

So with no better diagnosis, I resolved that that was the way I was going to have to live my life. A short 19 months later, Ila made her debut! The pregnancy was definitely more difficult. I talked to my doctor about some of the pain I was having and he just always shrugged it off as normal aches and pains of pregnancy. It was particularly difficult when they measured my abdomen. The doctor would feel for the top of my pelvis bone to measure. I always experienced a sharp pain when he did that, but I sucked it up. So again, my pregnancy came to an end. The labor with Ila was not quite so peachy. It was longer (she was induced as well) and she ended up laying on a nerve in my leg that not even the epidural could extinguish. Again, we went home soon after the delivery. And again, I dealt with what I thought was the normal aches and pains of childbearing. 

These first few years of motherhood was so difficult. I spend countless hours crying, trying to find a comfortable position in bed, trying to take weight off of my pelvis. I gave up running because the jolting of my pelvis brought on unmeasurable amounts of pain. 

One day, I took toddler Serenity and baby Ila up to a school area. There was two playgrounds a ways away from each other. Serenity kept going back and forth between the two and I eventually gave up trying to go back and forth with her. It was a pain to push the stroller back and forth and I had a hard time for standing up for long periods of time. So I gave up and just sat down on one of the play areas where I could still see her. Well, eventually, like all toddlers do, Serenity wandered away from the play area. She started to wander to where you could get out of the gate...and go towards the street. Like I good mother, I started screaming at her to come back or stop. Of course I was trying to run as fast as I could towards her. She wasn't even that far away from me, so with my running career behind me, I should have been able to catch her. However, my pelvis had such limitations on me, I could hardly run. If it hadn't of been for her stopping, I would not have been able to catch and stop her before she went into the street. It was in that moment I knew, that was not normal! I should be able to run and play (or catch in my case) my child. So I started the grueling case of trying to find out what was wrong with me. It seems this happened back before I knew about Googling symptoms. 

I was handed off from doctor to doctor; specialist to specialist. They did x-rays, blood work; etc. I'm not sure whose bright idea it finally was to do a special kind of x-ray imaging. They had me sit on this x-ray and took the imaging that way. Here's a brief description of what they're looking for ( http://www.e-radiography.net/radpath/d/diastasis_symphysis.htm ): 

DSP (Diastasis Symphysis Pubis) means an abnormally wide gap between the two pubic bones at the symphysis pubis joint situated at the front of the pelvis. It can only be diagnosed conclusively by investigation such as x-ray, ultrasound or MRI scan. The non-pregnant gap is 4-5mm but in every pregnancy there will be an increase of at least 2-3mm due to the fact that ligaments which ‘tie’ the joint become slightly slacker under the influence of the pregnancy hormones. Therefore, it is considered that a total width of up to 9mm between the two bones is normal for a pregnant woman. Following delivery, this natural extra gapping decreases within days although the supporting ligaments will take three to five months to fully return to their normal state to make the symphysis pubis a strong joint again. An abnormal gap is considered to be 1cm or more, sometimes with the two bones being slightly out of alignment, and remains evident after the time that the joint should have regained the normal non-pregnant width.

The results came back that I indeed had an abnormal gap. Finally, results. It only took over 2 years! Even in that time of being handed to specialists, I can't count how many times I was told a variation of this: "Give it a few years for the relaxin hormone to settle down. If it doesn't by then, then proceed to find something wrong; but the likelihood of anything being wrong is slim." I have since then chose to inform people that even a small chance of being that one person; that weird case, is enough to have it looked as as an option. 

The next step of having a "confirmed diagnosis" was to have a steroid shot injected into the pubis symphasis (the space between the two pelvic plates). If after the shot, if I had no pain, it would be confirmed that I have DSP. I went in for the shot and it was WONDERFUL! Okay, granted the initial shot hurt like a mother, but after the injection sight pain wore off, I felt amazing! 

So my third pregnancy came upon us. The worst pregnancy by far. The first three months, I remember nothing other than the sight of Serenity and Ila playing on my living room floor while I watch them from a horizontal position. I was so sick I lost 20 pounds and had to stop working. I had a few good months in there. However, Aviana quickly grew. With her weight and her position, I could no longer even care for myself. I was in agony all the time! Joe had to take on pretty much all the household responsibilities, he had to lift my pelvis in the middle of the night and rotate it, he had to help me get dressed, I had a shower chair, and I walked around with crutches to take some of the weight off my pelvis. To make matters worse, it was during this pregnancy I noticed that I had a nerve in my left leg/groin area that bothered me. Luckily we got through the pregnancy. It was tough, but we survived! Right after Aviana was born, we did a steroid injection into the pubis symphasis before I even left the hospital. This helped manage my pain. Don't get me wrong, I was still in a substantial about of pain, but not as bad as before. 

After Aviana was born, my OBGYN had heard from a physical therapist of my situation and wanted to work with me. So I went in and saw him. He opened up a whole new world to helping me cope with my pelvis. He re-aligned my pelvis plates which then causes back/leg problems. That really helped with my pain level. 

The question after this was, were we done having babies? I really thought so at one point. My doctor told me I could have more if I chose to; I would just have to live with the pain again. It was a tough decision for me. I really wanted a son. Finally one day the decision just hit me. 9 months wasn't forever. Joe did an amazing job helping me with all the other pregnancies and if I didn't have a 4th (which was my limit regardless), I would spend the rest of my life wondering what my 4th child would have been like. So, we chose to have one last baby. Lone and behold, we had a son! The pregnancy was easier than Aviana's, but still tough. 

I also think at some point, when you live in a higher pain level on a daily basis, your idea of what is painful gets skewed a bit. After Rowen turned a year old, I decided that I was going to try to get back to whatever kind of normal life I could. I would do it no matter the pain. I was sick of being overweight because my pelvis hurt which kept me from exercising. So with the help of Tylenol with codeine and a lot of determination, I lost 45 pounds. 

In the last few years, I ended up doing some research with the help of Google and my OBGYN. I also determined that I suffer from Pudendal Neuralgia or Pudendal Nerve Entrapment. So not only do I have a hard time with my pelvis overall, I can't sit or lay on my left hip for more than a few moments at a time. Discovering this problem was quite difficult as well as it is also uncommon. A list of some my symptoms from both medical conditions include: pain in my left hip/leg/genital area, sexual dysfunction, limited mobility, lack of being able to stay in a seated or standing position to long, constant pelvic pain, constipation, pelvis popping/slipping, back pain, difference in leg length, etc. 

What the years looking forward for me is going to hold, I am unsure. At this point, for cost solutions, it is better for me to try to manage/live with my pain than to fly elsewhere in the nation looking for surgery. So in the mean time, I may have nights like tonight when I feel like my pelvis is being held together with glue and a fishing net. 

For anybody reading this, I have a few recommendations in sleeping positions to help deal with Pelvic Girdle Pain (PGP). 
*Stomach sleeping
*sit sideways on a couch with your side and knees laying against the couch with your knees drawn towards your chest
*sit "Indian-style" on a bed and fold a body pillow on top of itself. Insert the folded end between your lap and your stomach. Lay your upper body on the top of the pillow. Focus on putting your weight on your legs, not your pelvis. (This is my favorite position when I'm in a lot of pain)
*lay on your side with a pillow between your legs

The hardest part of my medical problems is people look at me and think, "Well, she looks fine." Looks can be deceiving. I have had friends that have been around me in my painful moments or in the moments where my pelvis chooses to pop back into place (it's grossly loud!) and can vouch for me. My pain has been so bad and can be so debilitating emotionally and physically, I have wondered if I could qualify for disability. However, in the meantime I just keep telling myself, "No excuses" and try to do the best job I can do. Of course, I have to make sure I make choices that will not hurt me worse. For example, during the winter I have to be extremely careful in walking in the ice. I fell down once and put myself out of commission and into intense pain for a few weeks!

I hope that this information out there can perhaps help somebody that suffers from the multifaceted medical condition of Pelvic Girdle Pain. Also, if anybody knows of an expert or surgeon in the Inland Northwest area, PLEASE let me know. I only seem to know of surgeons and experts in the UK or Canada. Not exactly close to home!