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Jennifer Margulis

Mothering Outside the Lines

If the Wine’s High End, Is it Okay to Drink During Pregnancy?

February 16th, 2011

“Do you drink alcohol?” the nurse practitioner, who’s checking off boxes on a list of questions that goes on for four pages, looks sternly up at me. I am pregnant. Pregnant women in America are not supposed to drink.

“Never,” I tell her.

I’m lying.

The gimlet my husband and I shared in a fancy Italian restaurant to try Philip Marlowe’s favorite drink was before I knew I was pregnant. But I did not mention the sip or two of red wine I have at dinner almost every night.

Every pregnant woman in America knows she’s not supposed to drink. Drinking can cause an array of problems for the fetus, from fetal alcohol syndrome to learning disabilities to birth defects that can occur in the heart, kidneys, lungs, eyes, ears, and bones. Michael Dorris’s heartbreaking memoir, The Broken Cord, about adopting a child born with fetal alcohol syndrome shows just how devastating alcohol during pregnancy can be.

But it turns out that some of our assumptions (and fears) about pregnancy and alcohol are culturally based.

When I was eight months pregnant my husband and I traveled to Paris. “They won’t let you on the plane,” my mother-in-law fretted. I waddled down the aisle in a red sundress. Three different stewardesses insisted I put a pillow between the seat belt and my abdomen, scolding me in clipped French when I refused. Other than that, though, the flight overseas to attend a friend’s graduation passed without incident.

François was graduating from one of France’s finest business schools. Tall, lean, and fair, François and I had met when an acute attack of appendicitis sent him to Cambridge City Hospital. Alone in a hospital room in a city whose language he could barely understand, François bore his illness stoically. I visited him every day. My concern for this stranger, the son of the brother of a colleague of my mother’s, transformed into a deep friendship that has continued for more than ten years, despite language, culture, and religious differences.

After the ceremony at Versailles, there was a celebration in Sézanne, a small walled town in Champagne, at François’s family’s ancestral home, which was built in 1610. François’s father ushered us in arms wide in welcome. Before the other guests arrived, Mr. G showed us one of the house’s many secrets—an underground wine cellar. He explained that during World War II the cellars, which formed a labyrinthine underground network of tunnels, were used to hide Jews from the Nazis.

In a dank dark corner of the cellar were two shelves each containing a handful of fine wines: one shelf for François and one for his younger brother. On one shelf, Mr. G found what he was looking for: a bottle of expensive champagne that he had bought 25 years before with the intention of opening when his infant son did something especially worth celebrating.

We toasted Francois’s graduation with that twenty-five-year-old bottle of fine wine. François’s family urged that I drink—insisting that a really good wine (“Un bon vin”) would be good for the baby. Cheap table wine might cause fetal brain damage but not un bon vin. Have another glass! What, you haven’t finished that one yet? I took modest sips. Two weeks later I gave birth to a healthy baby girl. Not long after, James and I bought an expensive wine bottled in our daughter’s birth year.

When Hesperus graduates from college we plan to open the bottle. We’ll offer the first glass to François.

Do you think it’s okay to have a sip of wine at dinner or a glass of “un bon vin” while you’re pregnant? Do you collect fine wine to share with your children when they become adults?

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[ 14 comments ]

Advice for a Single Mom: A Reader Response Post

December 6th, 2010

A reader, let’s call her “Karen,” contacted me recently for advice. She’s a single mom with a five-year-old and she’s pregnant again. She’s feeling very scared and lonely, trying to figure out how she’ll negotiate life with a new baby and a full-time job.

I’m so grateful for the advice of readers on this blog so I asked Karen if I could post her dilemma here.

Here’s Karen’s story:

I am a 30-year-old single Mom with a five year old daughter. Being a Mom is the greatest joy in my life. I am also 16 weeks pregnant. I was dating someone who was told he was sterile. After many months of dating, I broke it off with him—because of many reasons, one of which was that I didn’t like how he spoke to me and my son and another was he is not family-oriented and he said he didn’t want kids. Right as our relationship was ending I was increasingly ill and found out I was pregnant. It is his child. I am keeping it happily.

His parents, who live in the same city as me, while great in some ways, are very very controlling and all they can talk about is “their bonding time with the baby” at least nine times his Mom has brought up the idea of me going back to work after one month (might I add that I have to have a C-section due to some physical issues) and that they would watch the baby and help pay for daycare. They also are pressuring me to go take time off to meet their family, who the father of this child is estranged from and never speaks to.

It is so much stress and pressure on me.

What puzzles me is that I am a great Mom, my daughter is awesome, and she and I are really close. She is happy, well adjusted, and healthy, and they are aware of this. With my first baby I worked from home, at night, doing virtual administration and clerical work and editing, so I could stay home. When she was three I got a job outside the home and she went to daycare for the first time. I am a breastfeeding, babywearing, love-being-a-Mom parent, and they think this is strange and over the top.

I want to share this baby with the family, but I’m having panic attacks that they are trying to separate me from the baby. I called a meeting with his parents to tell them that I appreciate their support and involvement, but that I need them to stop talking about these things that stress me out. My ex-boyfriend’s Mom even told me last night that she didn’t think that my Mother should come right after the birth because there would be too many people at my house, and that she and her husband would take care of my needs and care for the baby. My own Mother she is trying to push away.

Readers, what advice do you have for Karen? How can she keep a relationship with her ex-boyfriend’s family—and accept help from them—but also set clear boundaries and have the time and space she needs to bond with her baby? Strong advice and opinions are fine but please be kind and compassionate in your responses.

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[ 19 comments ]

Another Reason to Feed Your Kids Organic Food (be forewarned: this post is a rant)

August 27th, 2010

-0127A long-term study of pregnant women from the Salinas Valley in California shows that expectant mothers with high levels of pesticides in their bodies (measured by urine samples) are much more likely to have children with Attention Deficit and Hyperactivity Disorder (ADHD).

There was a 500-percent increase in attention problems in 5-year-olds whose moms had had the highest levels of pesticides in their bodies when they were pregnant.

These findings add more evidence to another study, published in the journal Pediatrics in May (read more at Time.com) that links pesticide exposure in the womb to higher rates of hyperactivity and attention deficient disorders.

It’s hard not to have a million reactions.

Yes, of course, chemicals that are designed to KILL living creatures (”pests”) must be harmful to humans.

Though that seems so obvious, a statement like that won’t fly with skeptics without more specifics.

If you want to get technical about why/how, here’s the explanation from Time.com:

“Organophosphates are known to cause damage to the nerve connections in the brain — that’s how they kill agricultural pests, after all. The chemical works by disrupting a specific neurotransmitter, acetylcholinesterase, a defect that has been implicated in children diagnosed with ADHD. In animal models, exposure to the pesticides has resulted in hyperactivity and cognitive deficits as well.”

At the same time, I have questions about whether we are over-diagnosing children with ADHD and about what other things are causing our children to have trouble concentrating.

The CDC claims that 4.5 million American children have ADHD.

I wonder if the increasingly high rates of ADHD are partly the fault of an American school system that keeps children at their desks?

And of a society where on average children spend more than seven hours a day looking at computers, television screens, and other media?

I’ve noticed that my children are much more attentive and focused once they’ve had some time outside running around, goofing around, rolling down hills, jumping over fallen logs … you get the idea.

Human children aren’t supposed to sit still most of the day, be driven around in cars from place to place, or even spend the majority of their time inside.

So what can we learn from the disturbing information in these new studies linking pesticide exposure to hyperactivity and attention disorders?

1) America needs a government policy to stop the use of pesticides in agriculture.

2) American consumers (like you and me) need to buy organic food as much as possible, and demand that the price of organic produce go down.

3) Organic food is not a luxury for rich people. It’s a necessity for every American woman and child. And man too.

4) American children need exercise, fresh air, and sunlight. This will help them concentrate, improve their learning capacity, and put them in a better mood. Teachers need this too.

5) Parents need to push for more nature walks and outdoor time, as well as daily exercise as part of the American school curriculum.

6) American cities and towns (like Ashland, Oregon) need to stop spraying pesticides in public parks. Even in our progressive town, we are still using Montsanto’s Round-Up in public spaces. How sick and wrong is that?

Special thanks to ChezSven for first alerting me to news of the pesticide study. If you care about the environment, ChezSven (Alexandra Grabbe) posts about environmental issues and activism on her excellent blog about being an innkeeper on Cape Cod, updated daily.

Photo by Jennifer Margulis.

Do you buy your family organic food? Do you try to stay away from pesticides? Do you think ADHD is being over-diagnosed? Please share your thoughts in the comment section below.

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[ 20 comments ]

Doctors Doing Damage

July 6th, 2010

When my friend B. went to see a specialist last Thursday, she watched a representative from a drug company sail into the waiting room carrying six cups of coffee and a bag of pastries for the office. In the meantime she sat and waited. And waited. And waited. She had an 8:30 a.m. appointment but wasn’t seen until 9:15. “It’s just wrong,” she wrote in an email to some friends.

We haven’t been to the doctor in almost three years and I have been struggling with camp forms lately, wondering who to list as our primary care physician. Do we even have one? But I remember four years ago when I took one of the kids to the doctor and was told to take a seat.

After twenty minutes I asked if the doctor was running late.

The receptionist answered with a surprised smile, “Oh, no. He’s on time. Have a seat. We’ll call you.”

It took an hour and fifteen minutes to be seen.

In what other profession can a sales representative who flits in without an appointment be seen ahead of a paying customer? In what other profession could you stay in business and constantly be so late?

If you show up an hour and fifteen minutes after class starts … you miss the class.

If you’re a pilot and you come an hour and fifteen minutes late for a flight … you get fired.

We weren’t even given an apology, or an acknowledgement that we’d been waiting for so long.

Not only were these doctors running inexcusably behind schedule, they seemed to feel no accountability for their actions.

But there are much bigger problems in today’s medical system than just an astonishing lack of punctuality.

Instead of treating us like active participants in keeping up the health of our bodies and our children’s bodies, doctors often act like we’re obtuse.

This power dynamic usually starts from the first interaction. A doctor introduces himself by his last name and title, expecting to be called Dr. X, but inevitably calls you by your first name (or just “Mom” if you’re in the hospital having a baby, which is even more insulting), establishing that he is (presumably) more educated, more knowledgeable, and more worthy of respect than you are.

He acts hurried in your presence (he is, of course, because he’s running an hour and fifteen minutes behind schedule) and treats your questions like petty annoyances.

Even when you have a good, genuine, equal relationship with your health care provider, your relationship can change in a shorter time than it takes to snap your fingers if you refuse a recommendation.

Pregnant with my first child, I declined a pregnancy-induced diabetes test. I was aversely affected by sugar and I knew the test would make me sick for the rest of the day, if not the week.

Since I couldn’t eat sugar, I was on an ultra healthy no-sugar diet. A typical dinner was raw broccoli, green beans, a glass of milk, and a half a cup of plain yogurt. I wasn’t eating that way to be virtuous. Small quantities of healthy high protein food and vegetables alleviated the overwhelming nausea I had. I exercised every day and lost weight in the first trimester.

So when a hospital nurse midwife ordered this routine test, I asked for more information. She got annoyed. I explained that I was severely affected by sugar and was eating none, and barely any fruit (except pineapple, which I sometimes craved). She told me the cure for pregnancy-induced diabetes was to go on a low-sugar diet, the diet I was already on.

“You’re going to buy yourself a C-section,” the nurse midwife said angrily, scaring me with a detailed list of the myriad problems that would result because of my refusal. My baby would be enormous and possibly malformed. I could die in labor. Because I refused a simple glucose test? It seems silly now but I left her office, sat in the car in the parking lot, and sobbed.

Eight months later the doctor (I switched practices) ordered an emergency sonogram. “For inter-uterine growth retardation,” she said offhandedly. “You’re measuring too small.”

After six and a half months of nausea, I felt so good I had started biking long distances every day, fast.

“Could I be measuring small because I’ve been exercising?” I suggested.

“Not a chance,” she said, hurrying away to “help” another patient.

We all have the same goal: good health. It’s time for doctors to slow down, talk reasonably instead of using scare tactics, and not be so hurried and so prejudiced by their own preconceptions that they do not listen. It’s time for them to put the needs of the patients first and the needs of the drug companies last.

It’s also time for people seeking medical attention to insist on being treated respectfully and not assume that the doctors know what’s right for them.

Those providers have forgotten me—not one could remember my name. But their words, their insensitivity, their hurriedness, and their arrogance have had a lasting effect.

A version of this post first appeared in a print issue of the Ashland Daily Tidings.

Do you spend a lot of time at the doctor’s office? Are you happy with the way you and your children are being treated by your health care provider or do you feel your doctors are doing you a disservice?

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[ 22 comments ]

Is There Ever a Right Time to Get Pregnant?

May 11th, 2010

“My daughter still tells me we should never have had children when we did,” a friend confides, remembering how broke she and her husband were when their oldest was born, how far from town they lived, and how she used to haul baskets of dirty cloth diapers 17 miles to the laundry mat since they had no running water in their cabin.

Another friend, Steph Auteri, has recently launched a relationship blog on YourTango (where she also works as an editor) where she’s chronicling her decision to become a mom. In today’s post she asks the question, “Is there a perfect time to get pregnant?”

Some couples need only look coyly at each other and they are nine months away from having a baby. Others try for years to conceive, go through soul-wrenching infertility treatments, and end up giving up the dream that they will become parents. Although so many people take fertility for granted, you really don’t know if you’ll be able to get pregnant until you start trying.

And even if you do get pregnant, you may not stay that way. We planned to have our last baby before I turned 40 and tried to conceive so the baby would be born in the spring. Sure enough I got pregnant. Some days I was so nauseous it was all I could do to crawl out of bed, splash water on my face, and take care of my other kids. But even though I had all the right symptoms, something about the pregnancy didn’t feel real. I wasn’t surprised but I was totally heartbroken when I started bleeding. I bled for two weeks and wasn’t pregnant anymore.

There is no perfect time to try to conceive. There’s no perfect time to be pregnant. And there’s no perfect time to have a baby.

No matter how much money you’ve saved, no matter how much help you’ve lined up, no matter how much job security you think you have, no matter how fit and healthy you are, babies–who then grow up into children–change your life. They change everything about you. They change what you want. They change how you think. They change who you are.

“We wanted our lives to be exactly the same after our son was born,” a high-achieving totally brilliant friend once said to me. “We hated seeing how all our friends changed when they became parents.”

But changing and growing and learning and becoming someone new has, for me anyway, been among what I love best about becoming a parent. My children have helped me open my heart. I never knew you could love someone so much it ached, and keep loving them that much, ache after ache, until my children were born.

Maybe you’ll want to rush back to your old life like my friends did. But maybe you’ll realize how self-centered you once were, how much you used to take your time and space for granted, how much of a privilege it is to have a tiny creature to care for, and how lucky you are to be the person who makes your baby’s eyes crinkle every time she sees you, lighting up your heart with her toothless drooly smile.

If you have children, what surprised you about becoming a parent? Did you plan your pregnancies or did your children come as a surprise? What factors do you think people should take into consideration when they are thinking about starting a family and trying to conceive?

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[ 21 comments ]

10 Things No One Tells You About Pregnancy

November 15th, 2009

IMG_3852-1
1. Your feet may get a half shoe size bigger
, and stay that way.

2. If you travel on an airplane, your husband’s ankles may get swollen during the flight. That’s what happened to my friend Emily and her husband when they took a trip during her third trimester.

3. Your hair might fall out, like my friend Annette’s did. She thought she had a terminal disease but actually she was pregnant.

4. Or your hair might get thick and shiny and gorgeous. But it’s not yours. Once the baby comes you will start losing it in clumps.

5. You may not have any of those vivid Technicolor pregnancy dreams everyone tells you about.

6. You may get “morning sickness” in the afternoons and evenings and feel perfectly fine in the mornings.

7. Turning from side to side in bed becomes a Herculean task. Think: beetle stuck on its back, legs flailing in the air.

8. You will love your pregnancy body pillow more than your husband.

9. A lot of people won’t even notice you are pregnant, even if you’re as big as a brick house. “I just thought you’d been putting on weight, like I have,” Perii at the library said to me. When I was pregnant with my second child, I was lecturing in front of 40 students three times a week. Though I was eight months along when the semester ended, more than half of them had no idea I was pregnant.

10. Your baby will not come when you think it will or want it to. It will come when you’re least expecting it. I expected to be two weeks past the due date with my first. Instead I was two weeks early.

What surprised you about being pregnant? Share your thoughts in the comment section below.

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[ 25 comments ]

If You’re Pregnant, The Swine Flu Vaccine May Not Be Safe

November 4th, 2009

ConfusedPregnantWomanThe Washington Post reported in early October that 28 pregnant women have died of the swine flu and the CDC specifies that pregnant women are at higher risk of death if they catch the swine flu, especially in the third trimester. An article in the November 3, 2009 British newspaper, the Telegraph, reiterates that pregnant women are at a proportionately high risk of having severe health problems from the swine flu.

My father-in-law, who reads these kinds of mainstream newspapers and Web sites, has been so disturbed by the increased risk to pregnant women that he’s been calling my husband to make sure I’m okay.

“I got my swine flu shot today,” he told James. “Jennifer going to get one?”

The answer is no. I’m one of the pregnant women criticized in articles like this one from from WebMD who are wary of the swine flu vaccine and have decided not to get the shot.

Citing a new survey that shows that only one in four pregnant women plan to get vaccinated against H1N1, this WebMD article laments that so many pregnant women have “confusion” about the risks of the vaccine and then dismisses the concern that the vaccine might cause adverse reactions, claiming that “… researchers say the H1N1 vaccine is made the same way as the seasonal flu shot and has been found in clinical studies to be safe and effective at producing an immune response in healthy adults.”

But there are several compelling reasons why pregnant women should not run to the nearest pharmacy and get vaccinated.

Just ask Vicky Debold, an RN with a Ph.D. in Public Health who is also the Director of Research and Patient Safety at the National Vaccine Information Center. DeBold believes pregnant women should be wary about the swine flu vaccine, though when she wrote a response to a pro-vaccine op-ed by Paul Offit (a vocal spokesperson in favor of vaccines who also developed and co-owns the patent on one of the newest vaccines mandated on the CDC schedule for children), the New York Times did not publish it.

Bottom line: Debold argues that there is not enough information about the effect of the vaccine on pregnant women and their fetuses for anyone to claim that it is safe.

1) The vaccine has not been adequately tested on pregnant women: The NIH’s H1N1 pregnancy trial began less than two months ago (in September) and includes only 120 women. We have no results from this trial to date but, according to Debold, we do know that an earlier 1997-2002 seasonal influenza vaccine study of over 49,000 pregnant women showed that vaccination did not reduce influenza-related hospital admissions or doctor visits. At the same time, the influenza vaccine package inserts explain that animal reproductive tests have not been conducted on the vaccine and the potential harm to fetuses is unknown.

2) The H1N1 vaccine contains thimerosal, a mercury compound known to be a fetal toxin: There are two versions of the vaccine, one that contains 25 mcg of thimerosal and one that does not. Although pregnant women can request the thimerosal-free vaccine, it is harder to find. If you do not specifically ask to be given the vaccine without thimerosal, chances are you will be injecting a known neurotoxin into your blood stream.

3) There is no real data about the evidence of the effectiveness of the vaccine: Risk assessment is a tricky business. Some people—like me—believe we should take the risk of contracting a wild virus found in human populations over the risk of potential damage done by a pharmaceutical product that makes money for big business and doctors. Other people—most of American society—believe the opposite. But I wonder why anyone would choose to be injected with a pharmaceutical product that has not been adequately tested and very well may not work.

4) Health officials are assuming that the H1N1 vaccine is “as safe as the seasonal flu vaccine,” but this assumption may simply be wrong: The H1N1 virus is behaving differently than the usual seasonal flu viruses, so we cannot assume that the H1N1 vaccine will provoke the same reactions in different people as the seasonal flu vaccine. Debold isn’t buying this unsubstantiated assumption. I’m not either.

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[ 16 comments ]

The American Prejudice Against Big Families

October 29th, 2009
Athena, 3; Etani, 8 months; Hesperus, 5

Athena, 3; Etani, 8 months; Hesperus, 5

I understand why people raise their eyebrows at us for being pregnant with our fourth baby.

The vast majority of Americans still only have two children but there is a small subset of the population creating such large families that one Women’s Health writer suggests the craze for more children stems from an addiction to being pregnant. She argues that women become pregnant because they like being treated like rock stars and being in the limelight and she dubs women like me with more than two children “bumpaholics.”

(I don’t know about you but my experience being pregnant in America has not involved red carpet treatment strewn with rose petals and last time I checked having stretch marks, morning sickness, leg cramps, hemorrhoids, insomnia, and a myriad of other pregnancy side effects did not equate to achieving celebrity status, but a rant against the arguments in this unsubstantiated article—which was written by a writer I respect and consider a friend—is off the topic of today’s post).

Etani 3; Hesperus, 7; Athena 5

Etani 3; Hesperus, 6; Athena 5

Though I think the argument that some women are addicted to pregnancy is specious at best, I understand why people feel judgmental about big families. I am very concerned about the environment and fear global warming with an anxiety that manifests itself in the pit of my stomach every day:

My kids: Why can’t we drive Mommy? We don’t want to walk/take the bus/bike today.

Me: Because we homo sapiens are going to pollute ourselves out of existence like the cyanobacteria! The polar ice caps are melting and polar bears are drowning and WE ARE NOT DRIVING NO MATTER WHAT!

A recent study by researchers at Oregon State University suggests that the best way to reduce your carbon footprint is to have fewer children (or no children at all).

I worry about overpopulation.

I worry because I want my children to feel special and loved and cared for, and I want to be the best parent I can be for each of them, and my time feels pretty divided already (especially when everyone’s talking at once at dinner), and I wonder what will happen when I have to turn my attention to caring for a newborn.

I worry because, like so many others, our finances are not nearly as robust (read: we’re broke and money is a big concern) in this down economy as they should be to have a big family and I read things in magazines like “you should have six months of savings no matter what.” We don’t have six days of savings.

My son Etani, who just turned six, asks for another hug at bedtime. He smells warm and salty when I kiss that soft place on his neck a hundred times. “Goodnight Pineapple,” he whispers patting my stomach. “I love you.”

There are lots of legitimate arguments against having even one child. Our new baby isn’t here yet but already I know that our lives will be much richer and more meaningful when he or she is in it.

Etani, 6; Athena, 8; Hesperus, 10

Etani, 6; Athena, 8; Hesperus, 10

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[ 19 comments ]

People’s Reactions When I Tell Them I’m Pregnant

October 28th, 2009

boy_looking_surprisedAbout five seconds after we conceived this time, I looked like I was five months along, but we felt shy about telling people we were pregnant until I was almost at the end of my fourth month.

“Was it a surprise?” The principal at my daughter’s school asked.

“Were you planning it?” another mom wanted to know.

“Were you so shocked?!” said a third parent. “Wasn’t it an accident?!”

“My husband and I were joking that you must be turning into Mormons,” another friend said.

“We were wondering if you are becoming religious,” was yet another comment.

I was a little nervous about telling people we were expecting but I didn’t anticipate these reactions. People can get very weird when you’re having a fourth child (or even a third… or a second).

I wrote my friend Holly, who has four children, and told her my feelings were hurt that everyone I knew seemed so surprised and judgmental that we—gulp—actually were wanting and trying for another baby.

Holly’s husband is a stand-up comedian. Her firstborn is in college and she has a baby in diapers. Holly always knows what to do.

“Next time someone says, ‘was this pregnancy planned?!’ tell them, ‘goodness no. I have no idea how it happened! Can you explain it to me?’” Holly suggested.

If you’re having a similar experience telling people you are pregnant, try it. It works every time.CIAPenisScam

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[ 8 comments ]

And You Thought YOUR Belly Was Big

October 27th, 2009

Here’s a picture of my friend Karen when she was nine months pregnant with her son. She’s comparing bellies with a friend who was almost eight months along.KarenPregnantBelly

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[ 12 comments ]






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How to Deal with a Completely Toxic Person? posted by bubbledumpster, Sun, 25 Sep 2011 23:44:20 +0000
TOXIC Family... let's have it. posted by Imakcerka, Sat, 24 Sep 2011 12:55:34 +0000
my parents are coming to visit posted by Linda on the move, Wed, 21 Sep 2011 19:33:00 +0000
In a world of endless choices....how do you choose?? posted by youngspiritmom, Wed, 21 Sep 2011 07:36:13 +0000

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