Color me happy

One of the keys to raising multiples is organization. And one of the keys to my organization is color-coding. At first the system was meant to help different caregivers remember which pacifier or sleepsack or sippy cup (or whatever) belonged to whom. But, as the kids have grown, having an assigned color has made it easy for each of them to readily identify his or her own backpack, toothbrush, washcloth, MunchieMug, and so much more. The kids enjoy having a sense of ownership over something (a feeling that's hard to come by when you're a quadruplet!), and I love how color-coding eliminates the need to argue over whose stuff is whose: If it's [insert color], it's gotta belong to [insert kid]!

One of the downsides to the kids getting older, though, is that some things just don't come in multiple colors anymore. I was recently lamenting this fact on Facebook when a fellow quad mom gave me a great tip: Just use different colors of electrical tape to label identical items—genius!

As a direct result of that conversation, I'm now the proud owner of four rolls of plastic tape, perfect for color-coding mock Crocs (the kids all wear different shoe sizes):

And Radio Flyer tricycles (adjusted for each rider's height):

Now I don't have to sort out which pink shoes belong to which girl, or which red trike belongs to which boy. The kids just grab their colors and go. What a time saver!

Something I know I won't have to label with my fancy new tape, though, are the kids' preschool folders. This year I tipped off their new teacher to our color-coding system before school started, and she gave each kid a take-home folder in "their" color (or as close to it as possible). The kids are tickled pink—way to score bonus points, Miss M!

Multiples and more!

As a mom of quads, I am always looking for new tips and tricks to make life with multiples run smoothly. The Multiples & More blog is a great place to find advice because it draws on the combined experience of a very large community of moms of multiples (MoMs). I love reading about how other MoMs handle different situations, and I'm always tucking away a nugget or two of knowledge for when my kids reach a new stage.

Every Tuesday, Multiples & More highlights a MoM blog, and today they are featuring ... me! Go check out my interview and let me know what you think!

Our first playdate!

This morning the Fab Four finally got to play at a friends' house like normal kids do. These particular friends, however, are far from normal—Kenny, Emma, and Grace are 16-month-old triplets!

Their mother Megan and I met when we were both new residents of the high-risk L&D unit at St. V's, but our real friendship began when we reconnected at a Moms of Multiples get-together. Since that night, Megan and I have exchanged countless e-mails about schedules, sleep problems, feeding ideas, and discipline. Having a friend like her—someone who has multiples the same age as mine and knows exactly what I'm going through—has helped keep me sane, and I know that she feels the same way about me.

Me and Megan at the last MoMs get-together

Unfortunately for me, the Megans (as Ted calls her family) are moving away later this week. In light of our shared experiences, Megan and I felt that it was only right for her trio and my foursome to meet each other before the big move, so she rearranged her schedule just to make it possible for us to come over for a last-minute playdate.

I was a little apprehensive as to how the Fab Four would react to the new surroundings and the other children, but it turns out that I had no reason to worry. They got along great with the triplets—although the boys were pretty much loners and Lucy was a little shy, Dahlia got in a quite few hugs and kisses with Emma and Grace! There were lots of toys to keep everyone busy, and my kids loved running around and exploring the big basement that serves as the triplets' playroom.

Seven sets of busy hands

Due to our schedule, we could spend only a little more than an hour with the Megans. We were all having such a good time that the minutes flew by, and everyone (including the mommies) was sad when it was time to go. I really wish that we could do it again soon—keep in touch, Megan!

Triplet and quad buddies, together at last!
(left to right: Kenny, Grace, Emma, Lucy, Dahlia, Isaac, and Jude)

10 months old ... and 10 new things!

When I was pregnant, I didn't realize what a wonderful resource (and source of support) my local Moms of Multiples (MoMs) group would be to me once the babies came. The women in the group share everything from quick and easy recipes to Halloween costume ideas for multiples to real-life horror stories (for example: lady in Target asks triplet mom who's shopping with her girls, two of whom are identical, "So which one is the ugly one?").

One of the most useful tips I've gotten from the veteran MoMs so far is to buy a notebook for each child and keep it in the kitchen. That way, every time one of kids does something new or cute, I can quickly and easily jot down whatever it is before I forget. The notebooks are not as fancy as baby books, but they're not as much work, either. Exactly what I need!

As I looked over my entries yesterday, I realized that the babies started doing 10 new things during their 10th month (how appropriate!). One or more of them can now:

Feed themselves! Exactly a month ago, Isaac fed himself a Cheerio at the dinner table. A couple of minutes later, Dahlia did the same. Then Jude did it. And then Lucy did it! I find it amazing that, while the babies usually reach milestones days or even weeks apart, they all started feeding themselves within minutes of each other. We are now trying out various table foods, with varying degrees of acceptance.

Isaac at 10 months: Almost always the first to do something new!

Clap! Dahlia started doing this on her own one day at the breakfast table. At first she would get the cheesiest look on her face when she clapped; I wish I had gotten it on video because now she just claps like a normal baby.

Play with a ball! Isaac has discovered that some toys bounce if you throw them! So he now plays his own game of fetch, throwing bouncy toys in one direction, crawling across the pen to get them, and then throwing them in the other direction. Ted is certain that Isaac is going to be a pro athlete one day and make us all millionaires.

Bite! Everyone but Lucy has two teeth now (she has one), but some teeth have had more time to grow than others. Isaac's are pretty big, and, with more on the way, he will bite on anything for relief. Including our arms.

Throw tantrums! Okay, so this started before the 10-month mark, but I just recorded the phenomenon last month. Dahlia wants to be an only child, and if she doesn't get your attention when she wants it, she'll throw back her head, arch her back, and kick her legs wildly. This is accompanied by very loud screaming, of course. We've been using the "ignore" tactic—does anyone have a better suggestion? I am afraid that the other babies will get some bad ideas from Dahlia!

Dahlia at 10 months: Doesn't she look so innocent?

Babble! Dahlia and Lucy have been babbling for a while, but Jude recently joined them in saying ba-ba, da-da, and na-na. Jude has also started chirping and making other cute sounds when he plays—so cute!

Jude at 10 months: Happy to see Mommy after his nap!

Say words! As I related earlier this month, Lucy can say "Pepper," and she often will call the kitty's name when she is in the room. But Lucy has also added to her repertoire by repeating "banana" at dinner and "bubbles" at bath time. Oh, and while we were watching "This Week with George Stephanopoulos," Lucy said "Obama"—twice!

Lucy at 10 months: Learning to pattycake with Abuelita Joanna

Call me! Everyone except Isaac cries, "Mamá, mamá," whenever they are upset. I am pretty sure that they are talking to me most of the time!

Sit up, crawl, and pull up! When Lucy decided to catch up with her siblings, she did it fast: She sat up and crawled on the same day, pulled up to standing 5 days later, and started cruising 5 days after that! She can pretty much keep up with the pack now.

The Fab Four at 10 months: Nothing can stop them now!

And, last but not least:

Stand alone! Isaac has been experimenting with letting go when he's standing up. I have seen him stand on his own several times in the past week. From this position, he can also squat to sit without holding on to anything for support. I have a feeling that walking is around the corner. Eleven months, here we come!

9 months old ... it don't come easy!

I won't sugarcoat it—this past month has been a hard one.

We kicked it off with all of the babies getting roseola (several days of fever, followed by a rash). Naturally, their symptoms did not all appear on the same day—Lucy was the first to have a temperature, then Jude, then Isaac, and finally Dahlia. To compound the sheer misery of dealing with miserable babies (thank God my mother was in town!), the air conditioner chose to die on the second day of fever (which happened to be my birthday). A new air conditioning unit was not the kind of birthday gift I'd envisioned, but at that point I would have paid anything for a little relief.

Then, just as the roseola subsided, Isaac started cutting his first tooth. Suddenly, the kid who'd been sleeping 10 solid hours a night started waking up screaming every 2 hours! He now has two teeth on the bottom to show for it, but his sleeping patterns have yet to return to normal (I suspect another tooth is on the way). Dahlia, on the other hand, cut her two bottom teeth around the same time Isaac did, with very little change in her mood or sleeping patterns. Are my kids proving the theory that women have a higher pain tolerance than men do? We'll see how Jude and Lucy react to the ordeal when it's their turn!

Of course, none of this—fever, rash, or teeth—stopped the kids from keeping us on our toes with their continuing efforts to become fully mobile. Isaac started cruising a couple of weeks ago (and will loudly protest when confined to the playard); Dahlia occasionally pulls to standing; Jude can sit himself up, pulls to standing like a pro, and is almost officially crawling; and even little Lucy is rocking on all fours (only when she wants to though—you can't make her!).

Freshly bathed and happy—but it's getting harder and harder

to get them to sit still long enough for a quad pic!

We ended the already difficult month with a change in our feeding schedule—never an easy adjustment for any of us. Specifically, we've added a third meal of solid foods (so now they have breakfast, lunch, and dinner—just like real people!), and we've taken away one round of bottles. (Thanks for the advice, Christy!) This means that we are now going through 4 pounds of baby food per day, while the formula we are using has decreased to about two-thirds of a gallon a day. Incidentally, we are using just over two dozen diapers every day now, but we change approximately twice as many dirty diapers as we used to (thanks, baby food!).

As for naps, they've gone from three a day to just two—one in the morning and one in the early afternoon. We have to fight to get the babies to stay awake until bedtime, but I'd say that it's been paying off: Last night Dahlia slept for 12 straight hours! Dare I hope that the others follow suit (and save my sanity) in the near future? Stay tuned!

Table for four

Move aside, Mission-style dining room set: You have been replaced by a glamorous quad feeding table!

One of our first times at the table (August 2009)

This wonderful piece of furniture came our way courtesy of the Murray Crew, whose four boys have graduated to using booster seats at the "real" table. Since I didn't really relish the idea of purchasing four highchairs and having to clean them up after every meal, this table is a dream come true for me! And we've been having a lot of fun in the weeks since we started using it; I think the kids are really starting to look forward to that time with me and with each other. This morning I left Isaac, Lucia, and Dahlia at the table while I changed Jude in the other room, and I could hear them "talking" to and laughing at each other in the kitchen. So cute! Here is everyone hanging out after breakfast yesterday:



Feeding four at once can get hairy since they don't yet understand the concept of taking turns, so I usually try to start out feeding two; once they're close to being finished, I add a third, and eventually a fourth. Doing it this way also lets me focus a little more on each individual, which means that I am quickly learning about all of their little "eating quirks." For example, I've discovered that Isaac likes to dance in his seat, especially when I sing "The Wheels on the Bus." Jude is usually too busy looking around to care very much about the next bite, which can make feeding him quite time-consuming, but I can't shovel the food in fast enough for Lucy, who's our little solid-food-eating machine. And although Dahlia is the most finicky, she will almost always laugh and take a bite if I do the "airplane" with her spoon.

Thanks again, Murray Crew! We cannot express how grateful we are to be on the receiving end of such a generous hand-me-down, and we're looking forward to making many more special memories at this table in the months ahead!

4 months old ... yes, already!

I can't believe that it's been a month since I posted my last update. I have no excuse except that I've been too busy, enjoying my four babies as they blossom into little people with heart-stopping smiles and infectious laughs!

Isaac continues to be our big boy at 14 pounds. His new trick is to suck on his fists and then rub them all over his face, which has the unfortunate effect of making his skin break out (we call this condition "formula face"; the cure is to just wash his face more often!). Isaac also loves to smile and coo at the chandelier in our living room. His big news, though, is that he has slept through the night on 6 of the last 7 days! Ted and I are absolutely thrilled by this development; we never expected our most demanding eater to be the second one to sleep through the night. Let's hope he keeps it up!

Isaac wearing one of Lindsay's cute
"One-Two-Three-Four" bibs

Jude is about the same length as Isaac, but weighs only 12 pounds. A couple of days ago I put him on his tummy and he propped himself up on his arms for the first time—and then he surprised me by immediately rolling over onto his back! In the past week, he has also started to intentionally reach for the toys that hang from the play gym. Right now, Jude is the biggest talker of the bunch, and his face lights up when he sees Mommy or Daddy. I could gaze into his beautiful brown eyes and listen to him say "goo" and "boo" all day!

Tio Johnny and Jude make a connection during
Johnny and Holly's visit late last month

Dahlia has been sleeping through the night for over a month now and currently weighs 11 pounds. She demands the most one-on-one attention, and scrunches up her face in delight when she realizes that you are talking to her. Fortunately, entertaining her can be as easy as folding laundry in front of her—she gets a big kick out of that! Her favorite place to be is on the changing table, probably because she gets undivided attention there. She's very strong during tummy time and I wouldn't be surprised if she is the next to roll over!

Dahlia chilling in her Bumbo

Lucia remains the tiniest of the bunch at just over 10 pounds (I keep telling her that she needs to eat more if she wants to grow up and be a leggy supermodel). She is so mellow that sometimes I am afraid I don't give her enough attention! She is also very bright: A couple of weeks ago, she was the first baby to notice the others, which led to our first quad-to-quad interaction on Easter, when Jude looked right at her and said "goo" while Lucy returned his gaze and squealed with laughter. It was adorable!

Lucy sharing a quiet moment with Abuelito Nehiel
during his visit earlier this month

We are so grateful for how well the babies are doing—so far they are keeping up with their chronological age (meaning that they are acting like 4-month-olds, and not like they were due just 2.5 months ago) and are as healthy as can be. Ted and I have nothing to complain about, so we gripe about the lack of sleep. We did get some relief on Ted's birthday this week, though, when my mom (who's here for a few days) and her sister Esther took quad duty and sent us to a hotel for the night. We can't thank them enough for doing that! Although we were a little sad to leave these adorable faces for that long:

Jude, Lucia, Dahlia, and Isaac (left to right) in the hoodies
that Tio Johnny and Aunt Holly gave them

Last but not least, I'm happy to announce that our stroller arrived a couple of weeks ago! The Everest Quad Buggy (from the Adventure Buggy Company in New Zealand) is a double-decker beast that maneuvers like a dream and has removable sun and rain shields, built-in storage, and four reclining seats with sun roofs—the babies don't realize how lucky they are to have such a sweet ride. We've been out in it several times, enjoying the sunshine and the wind in our faces. We haven't gotten too much attention around the neighborhood yet, so we've been able to enjoy some very peaceful walks. Thanks for the tip on this great stroller, Jenna!

This is what quad mom independence looks like!

Lookalikes and more

As I promised to do a while back, I scanned a baby picture of me to compare it to a photo of Lucia at the same age:

Suzanna at 3 weeks

People tell me all the time that Lucia is my mini-me, but looking at these photos together, I'm not so sure anymore:

Lucia at 9.5 weeks (3 weeks adjusted)

I wish I had a 3-week photo of Ted to post for the sake of comparison, but the earliest one I have of him is his 1-year portrait. I did take pictures of the other kids when I took the one of Lucia, though, and I can't decide which one (if any) most resembles my own baby picture:

Jude at 9.5 weeks (3 weeks adjusted)

Isaac at 9.5 weeks (3 weeks adjusted)

Dahlia at 9.5 weeks (3 weeks adjusted)

In addition to posting new pics of the kids, I wanted to give everyone an update on Jude's echocardiogram: As I suspected, it showed no signs of a hole in his heart! Unfortunately, this doesn't mean that all is well with the little guy. For the past few days, both he and Isaac have been constipated, probably because of the rice cereal we'd been giving them to combat acid reflux. Since Jude no longer shows signs signs of reflux and Isaac's seems to be under control with twice-daily doses of Zantac, we've stopped the rice cereal on the boys (as well as giving them sugar water and using the infamous lubricated Q-tip method) in an effort to get things moving again. No luck yet, but I figure it's gotta come out sometime, right?

Despite the boys' troubles, the girls are still on rice cereal (and Zantac in Dahlia's case) for their acid reflux. Their systems seem to handle it just fine, and although they do eat less than the boys, they are steadily gaining weight: At the girls' 2-month appointment yesterday, Lucia weighed 8 lb. 6 oz. and Dahlia was 8 lb. 8 oz. Yes, the little runt has surpassed her sister by 2 ounces! I think that Lucia is going to have to stop looking in the mirror and get serious about eating if she is going to keep up with Dahlia.

Lucia admiring the baby in the mirror

As for me and Ted, we are exhausted but seeing a light at the end of the tunnel in the sleep-deprivation department. For the past week and a half, the babies have been sleeping at least 5 hours in a row, and on two nights, three of the four slept 7 hours! If we could just get all of them to agree to sleep that long at the same time, we'd be all set. I didn't let the lack of sleep prevent me from meeting with my Moms of Multiples group last night, though. I had such a great time talking to and laughing with them that I didn't get home until just before midnight (just in time to prevent the Civic from turning into a pumpkin!). The babies even got a play date out of it: This morning I met one of the triplet moms at a park, and we sat with the babies (making sure no one got too close to them) while her kids wore themselves out on the playground. It was exhilarating to be in the outside world and know that I can manage four babies somewhere else besides home and the pediatrician's office. I need to stop procrastinating and get around to ordering a quad stroller soon!

First trip to the park
(left to right: Lucia, Isaac, Dahlia, and Jude)

Bed-restless

I've come to the conclusion that the words "hospital" and "bedrest" belong nowhere near each other. Sure, I am confined to the bed all day, but I would definitely never describe my time here as restful. For one, a nurse comes in every hour to check on me, day or night (at first, they were also taking my vitals every hour, but that's now been knocked down to every 4 hours, thank goodness). Plus, I have to use the commode every 90 minutes or so, due to the massive amounts of water I am drinking and all the IV fluids they're pumping into me. Add to that 5am visits from the residents, midmorning visits from the doctor, daily ultrasounds, twice-weekly physical therapy, twice-weekly massages, twice-weekly weigh-ins, and daily visits from chaplains, volunteers, patient relations, room service, and housekeeping, and it's hard to squeeze in a nap, let alone a full night's sleep!

I guess all this activity is good for me, though—it makes the time go by a little faster and helps to keep my mind off of home (have I mentioned that I miss Ted terribly during the day?). And yesterday I actually got to make a new friend; at the doctor's suggestion, a nurse put me in a wheelchair and took me down the hall to meet a girl who is 22 weeks pregnant with triplets. She was admitted on Monday and, like me, is probably here for the duration. I am hopeful that we will get to visit each other again soon so that we can keep each other encouraged during the long weeks ahead. Even though 28 weeks is the short-term goal (for an 80% survival rate versus 50% at 24 weeks), we would both love to gestate our babies much longer than that—the less time they have to spend hooked up to all sorts of stuff in the NICU, the better!

Suzy's big adventure

As most of you know by now, I came home yesterday around noon. What most of you don't know (because I forgot to include it in my last pre-op post) is that my mom was able to take time off to be with me for my surgery! Ted and I were so glad that she could come; it was exactly what I needed in order to feel completely serene and prepared. She flew in on Thursday afternoon and we did a little last-minute shopping to make sure I had everything I needed for my little "vacation." Then she stayed up with me until midnight so that I could eat and drink until the very last minute (I knew the babies would be so mad at me in the morning when I wasn't allowed to eat breakfast or even have a sip of water, so I wanted to keep them happy for as long as possible).

After a great night's sleep, I was completely ready to go. I got a nice surprise in the triage room when quad mom Jen showed up. She offered some firsthand advice, encouragement, and a prayer, all of which were greatly appreciated. Shortly after she left, they wheeled me into the OR (a little earlier than expected, but I didn't mind). They gave me my epidural and then did a quick ultrasound to make sure all the babies still had heartbeats (they did). The first epidural didn't take, so they gave me another one. Because my uterus had grown so much in the four days since my last appointment, the doctor had them wheel the ultrasound machine back in so that he could see where the top of my uterus was now, to verify that he could still get away with a horizontal cut rather than a vertical one (he could, whew!). The resident who was assisting him commented that I am measuring at 20 weeks, 7 weeks ahead of singleton schedule. Because of these detours, the actual TAC didn't get underway until probably closer to 2pm.

The rest of the procedure, which lasted a little over an hour, seemed to go off without a hitch. I had no pain from the actual surgery, although I did have what they call "referred pain" in my upper arm (not pleasant, but not the worst thing in the world). When all was said and done, the doctor told me that my uterus was "very conducive" before heading to the waiting area to tell my family that I'd lost only 6 tablespoons of blood (fantastic, considering how much the babies need every ounce of blood in my body) and that I had "the perfect anatomy" for this type of procedure (I'll take that as a compliment).

I was in recovery for about an hour, during which we got to see another ultrasound of the babies, kicking around and being more active than ever. I used the morphine pump a few times to relieve the burning sensation in my incision, and then I was wheeled to Room 237, my home for the weekend. I clicked the morphine pump once more (kind of out of habit, I think); I didn't have to use pain meds again for the rest of my stay. Mom stayed with me that night, and it was so nice to have her there! She's had several surgeries (including two C-sections) herself, so it seemed that she knew exactly what I needed when I needed it. Neither of us got much sleep due to the nurses coming in to check my vitals so often, but I was nevertheless glad to be in such a great hospital.

On Saturday morning the nurse took out my catheter and IV, and told me to call her when I needed to use the bathroom so that she could help me get up. Well, I was so uncomfortable in the bed that I called her before I needed to use the bathroom, just so she could show me how to get up and walk around the room. It felt so great to stand up and sit in a chair! The nurse was amazed and thrilled that I had started walking around so soon of my own volition. After that, it was just a matter of making sure that my temperature and blood pressure stayed down (they did) and that all my "systems" were back in working order (they were). I got plenty of rest on Saturday (listening to The Beatles on the iPod, watching Tootsie on the in-room DVD player) and made sure that I did a lot of walking around (which was much more comfortable than laying there, anyway). I got another nice surprise when Kristen stopped by to visit (after a big detour to the main St. V's hospital, HA!). Ted stayed with me that night and took me home when I got discharged on Sunday.

I won't see the doctor again until the 15th, which means that I won't see the babies until then, either. They definitely aren't letting me forget about them, though, considering how much my belly seems to have grown in the past few days. Hopefully my incision will continue to heal in record time so that I have minimal discomfort in the growing days ahead. I am thankful that everything went so well, and also that I had the chance to see the hospital and meet the wonderful staff. Knowing that I will be so well taken care of will surely make my inevitable return to the hospital much less stressful. Let's just hope it's not for a long, long time!

It is scheduled

I will be undergoing the aforementioned transabdominal cerclage (TAC) procedure on Friday at 1:30pm. It actually wasn't that hard of a call to make after I decided that I just cannot ignore all the good outcomes that my doctor has had with dozens of triplet/quad pregnancies. Plus, I figure that if I didn't go through with it and the babies came too early to have a chance at a normal life (or even at life, period), I would always wonder whether things would have turned out differently if I'd had the TAC.

Something else that made my decision a little easier was the opportunity I had to talk with a wonderful triplet mom named Linda (thanks for the contact, Christine!). She had the procedure done a few years ago with the same doctor and was able to answer a lot of my questions (most of which seemed too trivial to ask the doctor himself). I am all about studying up and having all the information beforehand, so my chat with Linda really set my mind at ease. And hearing about her once-tiny babies and how well they're doing three years on was really encouraging. I hope that a couple of years from now I can share my successful quad pregnancy story with a newbie!

In other news, I had my 12-week appointment with the doctor this morning. I got a full first-trimester screening, which means I got to look at my babies for a whole half-hour! For those keeping track, they now range from 5.5 to 6 centimeters in length (crown to rump). The ultrasound tech was excited when she stumbled upon the view below, which shows all four of them in one shot. She says not to expect it to ever happen again:



Part of the screening involved measuring the skin folds on the back of the babies' necks. To do this, the tech had to get a profile shot of each baby. To my delight, while she was measuring the distance between the neck muscles and skin, I got to get a good look at the faces of each of my babies. I think that Baby A looks just like Ted:


And Baby B looks like my brother did when he was little:



Babies C and D were harder to pin down, looks-wise, but it will be interesting to see if my first impressions of the other two babies turn out to be accurate. It's so exciting to see them looking more and more like little individuals!

My next ultrasound will be right before they wheel me into surgery, and then I'll have another one a few minutes after the procedure to reassure me that they all made it through okay. I will probably be too out of it to post, but Ted assures me that he will take advantage of his contributor status in order to let everyone know how things went. If all goes as planned, I'll be back in posting form by early next week!