Tuesday, September 4, 2007

Vaccines—MMR

The MMR (Measles, Mumps, Rubella) vaccine is one of the old standards. It is given sub-cutaneously (meaning just under the skin, but not into the muscle). As this is a live virus vaccine, reactions are quite common, and it is possible for the vaccine to actually cause the disease against which it is supposed to protect. While the combined form is standard, it is worth considering getting the three vaccines in separate shots—at least for the first dose of each—so that if a reaction occurs, you can tell what the reaction is to.
With many vaccines, the adverse reactions are difficult to define. Meaning that while one person may be certain that the symptoms are effects of the vaccine, it is difficult to prove that the two are linked, and (in these days of multi-vaxing) it is even more difficult to determine which vaccine caused the reaction. HOWEVER, studies have PROVEN that the MMR vaccine—the rubella portion in particular—can cause arthritis or arthritic symptoms which may be temporary or permanent. This happens in about 25% of cases, and it causes by chemical confusion (the molecular structure of some components of the vaccine are extremely similar to some components of natural joint fluids, and the immune system becomes confused and while it is attacking the toxins from the vaccine, it also attacks the joints…) There are innumerable reactions attributed too vaccinations, but this is one that is proven. I repeat, this reaction is NOT speculative, it is proven. Furthermore, it is common.

MMR is a famous ‘bad guy’ vaccine, because it is commonly said to cause autism. (The other infamous link is DTP and SIDS.) I have two things to say about that 1—causality cannot be proven, but neither can innocence. 2—you won’t find something if you refuse to look for it. As Upton Sinclair said, “It is difficult to get a man to understand something if his salary depends upon his not understanding it.” Personally, I am fascinated by Stephanie Cave’s chart showing the parallels between the symptoms of autism and the symptoms of mercury poisoning. I strongly suspect they are the same thing, and that thimerosal-free vaccines will help enormously in reducing the rates of autism. Additionally, primary brain development slows down by age 2, so waiting until that time to give this vaccine may help reduce the risk of adverse reactions, including autism.

Schools require 2 doses of the MMR, and the MTC recommends the same. Doses should be administered at least 4 weeks apart. The recommended schedule is 12-15m, 4-6y, and then a rubella booster (although the full MMR is usually given) especially for girls around 12y or the onset of puberty. Note that doses given to a child under 12months don’t count for anything.

The MMR vaccine contains gelatin (allergen), sorbitol (allergen), neomycin (an antibiotic), and in the measles and mumps portion, it contains egg (allergen). The original serum for the rubella vaccine was made in 1964 with aborted fetal tissue (the mother got Rubella). While I appreciate that that is an effective way to acquire the virus, there are moral considerations about the fact that it was aborted human fetal tissue that was used.

So, what are these diseases? Well, they are not really as scary as we are led to believe.

Measles is no fun. On the other hand, it’s not usually that big a deal either. The patient gets spots and feels yukky for a while, but that’s about it. Once it’s over, they have natural lifelong immunity. Primary treatments include doses of vitamin A (suggesting that this would also be helpful with the live vaccine). It used to be most common in children 4-5years old, but since the introduction of the vaccination it is most common between ages 10-14y, and is seen as young as 6m and as old as 20y. About 1 in 1000 cases is fatal. Most cases of measles in the USA are in people who were vaccinated. Recent outbreaks have been in vaccinated populations, and weird strains of measles are appearing, suggesting that the virus is mutating and the vaccine is clearly losing efficacy. In decades past, women had childhood measles, and then their natural antibodies protected their (breastfed) infants during the first 12-15months of life. However, now that most mothers have been vaccinated, they do not have those natural antibodies, and so cannot protect their children. The result is that infants are catching measles during their first year of life, when they are too young for the vaccination, and too small to cope with the actual disease. In other words, mass vaccination of one generation has now put the next generation at increased risk.

Mumps is an all around mild disease, and natural immunity results. For years people have feared it because of the rumors that it can cause sterility. While it is true that about 25% of cases do include infection in the reproductive organs, it is rare for that infection to cause sterility. Even if sterility of the organ does result, it is VERY rare for the infection to attack both testes or both ovaries, so while fertility might be reduced by half, it is almost never lost entirely. Furthermore, the effectiveness of the mumps vaccine is questionable. Some doctors theorize that it is 75-95% effective, and lasts for around 30 years, but not everyone agrees. The one thing that is certain is that there has been a 600% reduction in mumps infection rates since introduction of the vaccination.

Rubella is also called ‘German Measles’ because it causes spots like measles does, however it should not be confused with regular measles. Rubella does carry some danger, but only to unborn babies. In fact, the vaccine is recommended for children to protect the pregnant women around them rather than to protect the children themselves, for whom the disease would be no big deal. The danger to a fetus is so extreme that a pregnant (or potentially pregnant) woman should NEVER get a rubella vaccination, and no one living in a household with her should get the vaccination. A woman receiving the rubella vaccination should be careful to not become pregnant for at least 3 months (the advice used to be 6 months, and before that they said 12months…actually no one knows how long the live virus remains in the body, but 3 months seems to be the shortest anyone is willing to go). The danger is this: if a woman contracts rubella in the first half of a pregnancy it can cause deafness, bone defects, heart defects, glaucoma, mental retardation, cataracts, poor growth or death to the baby. Miscarriages and stillbirths are common results of rubella.

I have personal experience with a reaction to the rubella vaccine. I was fully vaccinated for rubella as a child, but at age 25, my titers showed that I did not have the antibodies. Whether they had worn down, or whether I had never developed them, we don’t know. Since I was pregnant, the doctor recommended getting the vaccine immediately after delivery. I chose to do so.
Within a couple of days I developed SEVERE itching all over my body. I am one who can usually resist scratching, but this was so severe that I developed rashes on my arms, legs, belly, and breasts, and even broke the skin in a few places due to scratching. I called the doctor’s office to ask what they recommended I do, and the nurse told me that they usually recommended a benadryll cream. Usually? Meaning that is kind of reaction was common?! Yup. So I got a benadryll cream, and applied it…I used almost the entire tube in 4 days, and that was trying to use the minimum possible because the label warned against using it on large areas! So, the itching subsided after about a week, although the rashes took at least another week to clear up. Then came the joint pain. My wrists began to be sore. At first I thought it was from holding my baby—that I was inadvertently putting my wrists at bad angles and thereby hurting myself. So I paid careful attention to not bend my wrists, but to keep them straight while holding my baby. The pain continued. I wondered about carpal tunnel, but the symptoms didn’t quite match. The soreness came and went a little, but I always noticed it at night, especially when I lifted my baby to feed him. He was a small baby, but just picking him up caused such excruciating pain in my wrists and hands that I had to grit my teeth to do it. This lasted for several months.
Finally, all the symptoms faded away. I now sincerely regret having chosen to get that vaccination though. I had never had a reaction to any vaccine before then, and certainly did not expect to have one this time. But I’m now a little wiser for the wear I suppose, and I cannot think of any circumstance where I would recommend that a mother get this as I did.


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My Conclusions:
Well, following my rubella experience, I don’t care what future titers may say about my immunity or lack thereof—I will not get that vaccination ever again. Mumps seems hardly worth protecting against, and measles, well, who is to say that the vaccine will hold up to the new mutations of the virus?! This vaccine has been around a long time, and until my recent experience and research I would never have thought to question it…but I must say, it’s definitely worth questioning.

Monday, September 3, 2007

Vaccines—DTaP

The DTaP vaccine is recommended for missionaries entering the MTC. “Full vaccination” for school consists of 4 or 5 doses, administered into the muscle, a minimum of 4 weeks apart for the initial series (3 doses), with subsequent boosters at least 2 years apart. (The CDC states that giving boosters too often will increase negative reactions, and frankly the potential reactions for this vaccine are scary enough already!) Most vaccination schedules recommend giving this vaccine at 2m, 4m, 6m, 15-18m, and giving a booster at 4-6y. However, so long as the final dose (the booster) is given after age 4, only 4 doses are needed. Efficacy for the combined vaccination is 80-85%.
The DTaP is NOT approved for use in children over 7y. However, both the tetanus and diphtheria vaccines require boosters to maintain efficacy, so the Td or Tdap are approved for children over age 10. Boosters should be given every 10 years throughout life. Be aware that there is no approved vaccine for diphtheria or tetanus for children between the ages of 7-10 years, and that there is NO pertussis vaccine approved for children over age 7. (A pertussis vaccine for older children was recently approved in Canada though, and may be in the USA soon.)

The DTP has been generally agreed to be one of the more dangerous routine vaccines on the market. More than half of reported vaccine reactions have been to the DTP, with fever and prolonged inconsolable crying topping the list. Many people also attribute *SIDS to this vaccine. The new version—the DTaP (with acellular pertussis, rather than the whole-cell pertussis of the original)—has fewer side effects, but inevitably still carries risks. The vaccine contains aluminum (toxic), formaldehyde (eww!) and thimerosal (mercury—toxic). To my knowledge, there is NOT a thimerosal-feee version of this vaccination like there are of all the others. However, unlike some other vaccinated diseases (such as chicken pox), these diseases have risks of their own, and can be extremely severe.

The highest risk group for diphtheria is children between the ages of 2-5years. Diphtheria is transmitted via touch or respiratory droplets, so is highly contagious. It is considered treatable, but the current treatments cannot mend the damage caused by the disease—they can only stop additional progression. Diphtheria can be difficult to diagnose in the early stages because it often looks like a simple cold; in the later stages however, heart damage is common, and often a tracheotomy is needed to allow breathing. [Does this scare anyone else? You can’t catch it early, can’t fix the problems it causes, and may end up with a busted heart or a hole in your neck just to survive the thing.] There is a 5-10% death rate in diagnosed cases. There is no telling what the actual infection rate is. Getting diphtheria will NOT provide immunity against getting it again. The vaccine is considered about 95% effective.

Tetanus bacteria cannot live in oxygen (they are anaerobic), so they thrive in deep wounds. One fairly effective way to protect yourself against tetanus is to be sure to thoroughly wash any deep wound—flowing blood will oxygenate the area, and substantially reduce the risk of developing tetanus. This is not always possible however, because potentially infectious wounds include burns, dental infections, crushing wounds, puncture wounds, and ear infections. If acquired, the tetanus bacteria produces a poison which blocks the nerve signals that relax the muscles. The result is strong and painful muscle spasms which can even break bones. In the United States, 30% of tetanus victims die, usually from suffocation when their chest muscles become rigid. Getting tetanus will NOT provide immunity against getting it again. The vaccine, although it requires boosters every decade, is considered over 95% effective.

Pertussis, also called Whooping Cough, is not a pretty disease either. Its name results from the fact that heavy mucous in the airways inhibits breathing, often causing the victim to ‘whoop’ as they cough. The disease usually lasts 2-4 months. Children under the age of 1 year have the greatest risk, with 75% of cases occurring in children under 10. A case of Pertussis often will include nosebleeds, bruised ribs, pneumonia, bronchitis, ear infection, and hemorrhaging in the eyes. The virus is transmitted by respiratory droplets, so even brief exposure to an infected person can lead to infection. Natural infection will provide the patient with immunity.
The CDC says that the pertussis vaccine is 70-90% effective (meaning that is the percent of people who develop antibodies and immunity), and it has reduced infection rates by 98%.

It seems to have been the whole-cell pertussis portion of the DTP vaccine that caused most of the negative side effects. These effects included convulsions, shock, high fever, swelling of the brain, brain damage, cardiac distress, and respiratory distress. In 1996, the switch was made to using the DTaP, which has acellular pertussis, and the number of negative reactions has dropped drastically. The pertussis toxin remains the most dangerous portion of this vaccine, but vitamin A improves the body’s response to it.

An interesting study showed that infants die at 8x the normal rate within the first 3 days after receiving this vaccination. *SIDS is more common within the first 3 weeks after any DTP (the original or a booster). Both apnea (stopped breathing) and hypopnea (shallow breathing) are documented reactions to the DTaP vaccine, and some doctors feel that is the reason for the increased death rate.

*SIDS, or Sudden Infant Death Syndrome, is the label they use when they don’t really know why the child died. There are theories ranging from uneven growth of vital organs (with one causing another to stop functioning) to toxins in old mattresses to sleep apnea/stopped breathing. Personally, I think that the apnea/hypopnea theory makes a lot of sense.


~~~~~~~~~~~~~~~~~~~~~~~~
My Conclusions
These are three REALLY ugly diseases. The vaccine carries risks, but so do the diseases—and in my opinion, the diseases are worse than a wisely administered vaccination (meaning dosing up on vitamin C, vitamin A, etc). Diphtheria and Tetanus do not even bestow natural immunity, so there is no benefit whatsoever to acquiring the disease. These all have fairly high rates of severe side effects or death.
This is a vaccine I do believe in. As always, it should not be combined with other vaccines, and should be preceded and followed by immuno-boosting vitamins and herbs.

Fire Insurance

I solemnly wear that this is 100% true. I am not making any of it up. I typed this up minutes after completing the phone call because I didn't want to forget it.


We rent a little apartment over the fire hall. In other words, when I go downstairs to do laundry, I walk past a covered pickup truck with a medical sign on it (the town ambulance), and a tiny fire truck.
After we moved in, I called our insurance company to sign up for renters insurance. We owned a home in Utah before we came up here. When we moved, we rented out that house, so we switched from homeowners insurance to something called a ‘fire policy’ (meaning that it protected the actual house, but not the contents, since the contents were not ours). In order for them to provide that policy, however, the company insisted that they also provide our renters insurance. So, as soon as we got settled in, I called them to set it up.
I gave the agent all the information, and he said he would run the numbers and call me back in thirty minutes.
An hour later, he called. “We can’t cover you,” he said.
“What do you mean?”
“Well, we can cover classes 1 through 9, but you are a class 10…” [here began a long explanation which may or may not have been in English]. “So, we’re not going to be able to provide renters insurance for you. Our underwriters just won’t do it. Do you think maybe you can find a company in your town that could give you coverage?”
“This town has a population of under 200 people. I’m pretty certain there’s no insurance agent here.”
“Is there a larger city nearby where you could go?”
“Well, Juneau is about 90 miles away…by seaplane. I really don’t have access to any larger cities.”
“It sounds like you’re pretty remote then…that’s what the problem is with the underwriting; they’re concerned that in the event of a fire, you’re too far from the nearest fire department.”
“Fire?!”
“Yes, there’s no fire department near you, so that makes you a higher risk.”
“Our apartment is over the firehouse.”
“What?”
“Our apartment—it’s built over the firehouse.”
“Oh, like a volunteer fire department?”
“I’m sure it is, but in a town this tiny, it’s not like it takes long to get anywhere…and, as I said, we LIVE at the firehouse...if the bell rings, they all come straight here. Furthermore, we live in a rainforest, and there is ocean on three sides of the building. I don’t think fire is much of a risk to begin with, and if somehow one managed to break out, I don’t think it would get very far.”
“Hmm, that is very interesting. You know, let me give that additional information to our underwriters. We may be able to work this out.”

Saturday, September 1, 2007

Some Things You Never Knew You Never Knew

Thoughts extracted from the thoroughly enjoyable book “The Book of General Ignorance: Everything you think you know is wrong” by John Lloyd and John Mitchinson.

Goldfish actually have a memory of three months (not three seconds or three minutes). And they lay eggs, rather than get pregnant, so a pregnant goldfish can’t be called a ‘twit’ because (ahem) they don’t get pregnant.

The tallest mountain in the world (from base to tip) is Mauna Kea, in Hawaii, at 33,465 ft (although only 13,799 are above sea level). Everest is the highest mountain (with its tip at 29,029 ft above sea level), but it cheats by already being on the Tibetan Plateau.

Antarctica is the driest place on Earth (places there have not seen rain in over 400 years). It is also the wettest (with 70% of the world’s fresh water), and the windiest (with recorded windspeeds of over 200mph).

The European Earwig has two penises. This was discovered when a couple of gentlemen in Tokyo were watching a pair of mating earwigs, and playfully pinched the male back end. The bug’s penis snapped off, but he calmly brought out a backup. Apparently this is not an uncommon occurance.

In other weird penis facts, barnacles’ penises are seven times their own body length.

Tigers cannot abide the smell of alcohol, and will attack anyone who has been drinking.

The surface of Mars is roughly the color of butterscotch. The red is dust.

Eskimos only have four words for snow; maybe only two. (There are several related languages spoken by the Inuit peoples, thus the confusion…most Eskimo groups only give two words, but consideration of various root words leads to the possibility of as many as four.)

The Canary Islands are not named after the bird; rather, the bird is named after the islands. The islands were named Insula Canaria after the many dogs found there (both wild and domesticated). Canaria, you know, like canine…not canary. People sure are weird. Kinda like Nome, AK got named when some explorer saw a villiage, and put a dot on his map with the notation “Name?” and somebody couldn’t read it and concluded that it was a town called Nome. Or like Sequim, WA (pronounced “Squim”) where the mapmaker was feeling fancy and added a flourish to his ‘S,’ and the printer thought it was an ‘e’ and so now the town name is spelled stupidly. Really, people, get a brain here.

Tuesday, August 21, 2007

The Pelican Has Landed

Or, rather, we have landed in Pelican.

Well, we are all safely here now. (49th state for me!) Yesterday we had beautiful sunshine as the ferry landed--almost unheard of out here. Everyone keeps telling me that it usually pours as the ferry unloads and everyone comes down to get their groceries etc...murphey's law I suppose. Anyway, yesterday it didn't rain.

Thanks to the prayers of many, I am sure, not one piece of our baggage got lost by the airlines, in spite of having three legs to our trip and on three different airlines. 4 large suitcases and 10 boxes all made it through safely. The biggest mishaps were that a couple of my food storage packages leaked...so the clothing in one suitcase is full of powdered milk, the clothing in another has some hot cocoa powder in it, and the third has a generous sprinkling of cornmeal...but hey, reletively minor stuff. We have our own washer and drier here, so I just need to put everything through a couple of rinses and we should be in good shape.

Oh yes, and security took away my liquid cod liver oil which I had thoughtlessly left in my carry-on. Apparently a sealed bottle of CLO poses a great threat to the other passengers... I might make them all take a dose or something!!! (or, wait, I could sneak into the cockpit and dump it all out on the captain...yeah, that would make us crash for sure!!!) So I am out one $26 bottle of lemon CLO. Thankfully it was on sale, so I'm out less rather than more...and I have capsules too, I just prefer the liquid. I guess now i will have to see if I can mail order it from somewhere.

We don't have internet to our apartment yet, and I'm not sure when we will...I need to make some calls. In the meantime, I have sporadic access here from the school, but I don't know how often I'll utilize it.

From my bedroom window I can look out to the mountains rising out of the water on the other side of the fjord, They have snow on top and waterfalls cascading down the front. Places like this are where God began creation...places like Orem are what got tossed together at the end when He was tired. We are delighted to be all in the same place again (for only the third day of the last three weeks!)

And now I'm off to visit the grocery store and the post office and get myself a library card. :-)

Friday, August 17, 2007

August 17

Today seems to always be a big deal.
In 2005, I had a baby due on this day.
In 2005, I miscarried a (different) baby on this day, which also happened to be my hubby's first day of work at a new teaching job.
In 2006, I felt my baby (S) move on this day
In 2007, S turned 7 months old (yesterday), my hubby has just started a new job, and I'm packing my whole house and family to move to a new world. Trust me, moving to Alaska is much more than just crossing a state border. It's like a new country, a new state of mind...a new world.
I'm so excited!

(I had an additional exciting experience this afternoon after writing the original post... I was packing and realized why it seemed like I had so little clothing in the box--I had forgotten to get out any long-sleeved shirts before we put my dresser in the garage for storage! In 100 degree weather, I guess it's logical to forget such a thing, but it meant that I got to go on an expedition--a sort of a cross between spelunking and mountain climbing--into the depths of my garage to dig out a few long sleeved shirts. After all, this IS Alaska we're moving to!)

Monday, August 13, 2007

We Are Moving

Hubby got a new job. Here. It pays better, and it's in a nicer place. The only downside is the hassle of moving...then again, I'm getting rid of a lot of things that I didnt' really need anyway...yay for freecycle!

And, for all that I've always been pretty vague about where I lived...well, I don't mind coming out and saying straight up that we are moving to a small Alaskan town of 150. Why do I not mind telling you? Well, if you wanted to kidnap a kid, you would pick a job easier than trucking all the way out (6 hour ferry ride) to get one of mine. Furthermore, if you already live in Pelican, well, if my kid goes missing I can visit every house in town in an hour or so, and I'll find my kid. SO, yeah, I don't mind saying exactly where we're living now!

Monday, July 30, 2007

The Ferber Baby meets The Focker Baby

Do you remember in the mid 1990s when everyone was talking about the babies in orphanages in Romania? That was the first time I became aware of some of the horrors going on around the world. These babies were going colorblind because they had no colors in their cribs to stimulate them. Infants, toddlers, and even older children sat in cribs (sometimes tied to them) all day and all night... there were not enough adults to care for them, so they were not cared for. Most of these children cried day and night when first placed in the orphanages. It broke the hearts of reporters and television viewers alike to see these children cry and cry and cry...

Eventually, the children would give up and stop crying.

That broke our hearts even more.

And yet, somehow, we don't accept that we are doing the same thing to our children. How many times have you heard that you need to let your baby 'cry it out' or 'learn to self-soothe'? Have you heard of the 'Ferber baby'? The baby that doesn't need adult attention, it just shuts up and goes to sleep by itself. That is SO SAD!!! The Ferber baby is a baby who has given up!!!
I LOVE the scene in "Meet the Fockers" where Jack Byrnes is explaining how they have "Ferberized" their grandson by never responding to his cries and not picking him up. Bernie Focker turns to him and says proudly "we always picked up Greg when he cried. We didn't Ferberize him, we Fockerized him!"
Hey, now that sounds like a good idea! Hold the baby when he is sad. Go to him when he cries (after all, babies do not develop object permanence until 6-8 months--that means that if they cannot see you, they don't know that you still exist, and feel truly ALONE). In other words, let's show our children that we love them, shall we?! Let's go Fockerize them!

A Little Story

So, Jim Brown walks into Mr Mac clothing store. He walks over to a salesman and says
"I have been thinking about getting a new suit. I have heard that styles are changing, and that my 10yr old suit is probably not very 'in' anymore...but I'm not sure if I really need one or not. Can you give me some advice?"
The salesperson, of course, sells Jim a suit. It's his job. He gets paid to convince people that they need suits.

The same afternoon, Jim's wife, Jane, takes their baby to the pediatrician. Jane is remarkably like her husband. She is chatting with the doctor, and says
"I have been thinking about vaccinations. I have heard that they have some dangerous ingredients, and can have frightening side effects. I'm not sure if I should get them for my baby."
The doctor, of course, sells Jane on vaccinations. It's his job. He gets paid to convince people that they need vaccinations.

Is anyone else bothered by the idea of asking your local doctor or health department for advice about vaccinations?!
Do you see why we cannot ask the salesman? Why we need to do the research at the source?
I do not think that doctors are evil, malicious people who are just out to get a buck. I DO think that they are busy people, and do not have time to keep up with everything...so they read summaries and listen to people who take them out to dinner and give them free samples... No doctor has the right to make decisions for your child's health; to give advice, sure, but to make the final decision? No. YOU are the parent, and YOU have the right--and the responsibility--to make those decisions.
Stand up. Be responsible. Do the research. Make the choices!

Friday, July 27, 2007

The Family Homestead

Yesterday we took a trip with my in-laws up to visit the town of Brighton, which was originally homesteaded by WSBrighton 150 years ago... (My son, 6 generations later, is WSBrighton II). The first W built a hotel and humbly named the place after himself. The property was sold off in little pieces, with the last 4 lots finally being sold by my Father-in-laws father during the depression. So, unfortunately, our family has no piece of the fortune now earned there from the ski industry...BUT, we can go and get keychains and bumper stickers with our name on them! Dear Hubby picked out one of those license plate-edger things which says "B-Right-On." Since I figure I tend to be a right-on Brighton too, I wanted one for the van. So we got two.

While up there, we took a little hike up to Lake Mary. WS was from Scotland, and immigrated with his wife and young children. On the 2-month voyage over, his 2year old daughter, Mary, contracted measles and died, and was buried at sea. When he arrived here and homesteaded, he named a pretty alpine lake after that daughter. He named another lake after his wife, Catherine. We have suggested to our W that he might like to be baptized in Lake Mary. It would be cold, but he does have a summer birthday, and it sure would be an amazing experience. (We'll leave the choice up to him of course, but we have planted the idea, and thus far he seems to like it!)
The hike is only about a mile each way, but it gains about 700ft altitude, so there are some steep parts! I wore S in the wrap on the way up, but he's 17lbs now, and that's enough that it was throwing my balance off on the way down, so Hubby wore him on the way down, and S fell asleep. I love that my sweet hubby likes to wear the baby too, and I think he was delighted to get to feel the trust of a baby just falling asleep in his arms again. :-)

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