Thursday, March 24, 2016

Adventures in Pumping



     With the precision of a surgeon I carefully pull each small part from my sterile plastic bag as I need it to assemble my pump. The amazing little machine that is small enough for me to carry discreetly to work each day and allows me to provide nutrition for my son even while I am away from him all day at work. A long tube, a funnel, a connecting elbow, a small, yellow plastic doo dad, whose function is a complete mystery to me, a small white membrane that attaches to said yellow mystery part and creates the suction necessary to collect that invaluable milk. Everything that I need.  Then, almost in slow motion I watch with terror as the small yellow whose-a-what slips silently through my fingers and lands with a soft thud on my thirty year old office carpet that I know has not been vacuumed in at least a year. It arrogantly rolls under my office chair and rests in the filth of the hundred year old building that houses my office space. “Shit!” can be heard up and down the halls of our fine establishment as I, a successful yet currently topless professional find myself scrambling under my chair to locate my yellow whats-it along with any shred of dignity that may also be discarded under there.

     Breast pumping at work. It's as glamorous as it sounds. When I decided that I wanted to try and attempt to breastfeed my son, I pictured the experience of pumping in a very romanticized way. In my mind, there I would be, relaxing during two different periods of my work day, with my feet up, maybe even reading a book or sneaking in a cat nap. I imagined myself letting the oxytocin wash over me, as I basked in the glow of new motherhood. Maybe I would wear a crown of flowers or something.

     The actual act of pumping at work it turns out, looks a bit different. Significantly less ethereal. Instead of a relaxing book in front of me, I generally flash a computer screen or paperwork for insurance or the social security department. Instead of bathing in oxytocin, I am usually covered in sweat because for some reason my office is always an oven regardless of the temperature outside. Relaxing is generally the last thing on the menu. Yesterday while pumping, I wrote two letters, one to a client's employer and the other to a suboxone clinic, completed paperwork for an upcoming disability hearing and contacted three new clients to schedule their intake appointments. Today, I am writing this blog post in between fielding phone calls and clearing up a billing mistake.

     I hear horror stories from other women about where they are forced to pump at work and my heart goes out to them. I am told stories of being forced into communal spaces and just hoping that no one walks in on you, or pumping in bathrooms or in their cars. Legally, employers are required to provide adequate space for a woman to pump but the truth is, “adequate” is a bit of a subjective term. It is sad that in the year 2016, with all that we know of the benefits of breastfeeding that employers have yet to catch up. I am very fortunate. I have the ideal pumping situation and I know what a shit show it becomes even in a perfect environment. I can't imagine the circus that pumping in sub par conditions must be.

     I always pump while sitting at my desk which allows me to still be relatively productive. I have anxiety and I don't do well with idle time so I am happy to be working while pumping. This facilitates some rather unfortunate incidents, however. I can't tell you how many times I go to pull a form out to fax or have a client sign and see splotches of dried breast milk on them. I pray that no one ever asks why their forms are smeared. I guess I'll just say it's coffee... That's what they usually tell me when I get smeared forms to fill out from them. Who knows what it actually is...

     Phone calls are interesting as well. More than once I have had people on the other end of the phone ask me “what is that sound?” as we are talking. I usually say that the rhythmic suction noise is a copy machine. People must assume that I make millions of copies per day on the slowest copy machine on Earth. Social work, what can I say, I need a lot of copies of things...

     Sometimes I forget my appointment book on the small table next to my chair. I see a frantic text message or call asking for my next available appointment and my heart sinks as I see my book so close yet so far away. With the agility of a carnival acrobat I slowly step over the electric cord that drapes from my pump to the wall and carefully steady my hoses as I reach over to my small side table and feel my fingertips lightly brush the edge of my appointment book. “Not quite close enough.” I then proceed to plan B and gingerly lift my pump up to carry it the extra inch that will allow me enough slack to reach my book. At least at these moments I have some time to plan my steps carefully.

     Once, I sat at my pump on my break, an open chart in front of me, waiting eagerly for my phone to ring announcing the peer to peer review that I had scheduled for a client. This is a conversation that I am forced to have every few months with a doctor working for the insurance company where I must beg to be allowed to continue services longer than they would like to pay for. It's a nerve wracking and important call. Right on time, I heard my phone start ringing... All the way across the room on my side table. “Shit.” My shoulders slump right along with my sinking heart. If you miss a peer to peer review call it is a nightmare getting the doctor back on the phone so I leap like a gazelle over my extension cord praying that everything stays in place throughout the journey.

     Every once in a while I get caught up doing something and realize halfway through my break that I forgot to pump at all. This leads to a mad dash of setting up my machine, always with disastrous results. One time after a hasty set up, with my mind on a million other things, I forgot to attach one of my bottles. The funny thing about breast milk is that it is the exact same temperature as your body, so you can get an amazing amount on you before you realize it. Thankfully, the lack of bottle also effected my pumps ability to create adequate suction and function properly so it wasn't as bad as it could have been. Not like the day that I was involved in an especially heated conversation with a lawyer who was giving one of my client's a very hard time. I didn't notice that one of my bottles was overflowing until I had an enormous puddle of milk in my lap.  This is an unpleasant experience for the obvious reason of looking like you peed yourself for the rest of the day (and when you explain that it is actually breast milk people aren't really that relieved. Some seem to prefer that it was urine, oddly enough.) But it also means that you've wasted all of that good milk which will make any nursing mother want to cry into her soiled pants.

     Sometimes pumping at work can be frustrating, like when I just need to fax something to be able to be done with a task but I can't because I'm topless and tied to a desk. It sounds like more fun than it is. Usually, I use the same pump parts for both of my sessions in a day, I just clean them in between. I always put them away however, because I have sessions in between and I feel like pump parts are private. They seem along the same lines as a new tampon or bra to me. I know that as an adult, client's are aware that I use all of these things, but it is different knowing that someone uses something and actually seeing it strewn about. I also care less about another woman seeing these things than a man. The gig is already up with other woman. Usually my system works perfectly and I maintain some of what modesty I have left. Other times things go awry and it is absolutely mortifying.

     On one such mortifying occasion I was sitting in a session with a young veteran. He was very sweet and really struggling with severe PTSD as the result of the experiences that he had while being deployed overseas. He was such a gentleman and very, very respectful of everyone that he came into contact with, especially women.

     Sitting in his session after a particularly busy pumping break, I glanced behind me and my eyes grew wide with horror...   “Oh my God. I forgot to put my pumping stuff away!” I silently screamed.  There, central on my desk, sprawled out vulgarly like a prostitute in a brothel laying on a couch were all of my pump parts. Funnels, hoses, membranes, weird pumping bra with the nipple holes cut out and all. And the worst part, were the full bottles of milk just sitting there going bad by the second. I could hear the clock ticking in my mind and while logically, I knew that they would be fine until the end of the session, I like all women lose logic when it comes to full bottles of perfectly good breast milk. I did the only thing that I could. I stood up and calmly walked over to my desk, silently throwing a small towel over my pump parts while praying that he had not seen them. Then, as nonchalantly as I could muster with sweat dripping down my back, I picked up each little milk bottle while still talking about therapy stuff and placed it tenderly in it's little cooler. I was grateful that my shy soldier was likely too much of a gentleman to call any attention.

      As I write this blog post today, I am accompanied by my trusty pump and while I am so very grateful for the opportunity that it provides to me to be able to both work and provide nutrition to my little one, I maintain respect for the fact that it can F-up my day any time it chooses or feels that I am neglecting it's unique gifts. So today, I bow to the breast pump gods and thank them that thus far today, my pump is functioning perfectly and I am not wearing my own milk. For any pumping mommy, that is the mark of a good day!

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