Read In Fullscreen - Sagua Mañagu + MPG

The First
Trimester
Jan.Feb. 2014
Vol. 13 #1
Preparing the
Pack for Its
New Addition Part 2
Valuable
Lessons
Breastfeeding:
More than the
Numbers
Break Time
Celebrating the
Holidays Across
the Miles
Holiday Babies
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editor's letter
One of the wonderful things about my job is that there is always
something to celebrate.
At the end of each year, Sagua Mañagu and many generous sponsors
provide lovely gifts for the Holiday Babies born at the birthing center
from Christmas Eve through New Year’s Day. In addition to the seven
Holiday Babies born in December, Sagua Mañagu was also the
birthplace of Guam’s first baby of the New Year: Amber Chrisha
Caponpon. Amber and the 2013-2014 class of Holiday Babies are
featured in this issue of MAÑAGU.
Velma Ellis and her family celebrated their second Christmas on Guam
in as many years. Her husband Mike’s career in the Coast Guard
brought them home for a few years after living in different parts of
the country for over a decade. In Celebrating the Holidays Across the
Miles, Velma shares ideas that can be used throughout the year for
families like hers whose loved ones can’t be together for all the special
occasions.
New mom Sonia Alcorn offers more insights on introducing infants to
the family pets and midwife, first-time mother Jessica Pettigrew shares
a new take on breastfeeding. Experienced mothers Roberta Yamamoto
and Carla Bordallo give us a peek into the lives of tweens when
they’re not in the classroom. Tara Tydingco, teacher and mother of five,
transforms classroom observations into Valuable Lessons. Whether they
know it or not, each of these moms finds a way to make the everyday
things special. And for me, that’s worth celebrating.
Mañagu
Editorial Contributions
Sonia alcorn
Carla Bordallo
Velma Ellis
Barbara Mafnas, RN
Jessica Pettigrew
Tara Tydingco
Roberta Yamamoto
Owners
Annie Bordallo, MD
Ellen Bez, MD
Managing Partners
Lina Leon Guerrero
Flori Sanchez
Published by
Sagua Mañagu
Editing & Layout
David Castro
Carlene Okiyama
Cover by
Expressions Studio
Lastly, I ask you to join me in celebrating Barb Mafnas and her success.
In December, she completed her Bachelor of Science in Nursing and
the first 2 months of a new personal journey. Read her column, A
Promise to Me. I promise you’ll be happy you did.
Thank you for reading MAÑAGU. It’s certainly our pleasure to bring it
to you.
Copyright © 2014 by
Sagua Mañagu
All rights reserved.
No portion of this magazine may
be reprinted without prior
written permission.
We welcome your comments at:
info@saguamañagu-mpg.com
or contact us at
www.saguamanagu-mpg.com
2 • MAÑAGU • Jan.Feb. 2014
CONTENTS
8
The First Trimester 6
Breastfeeding: More than the Numbers 8
10
Preparing the Pack for Its New Addition Part 2 10
Holiday Babies 12
Celebrating the Holidays Across the Miles 22
Valuable Lessons 24
22
Break Time 28
26
Regular Features
Congratulations to all the Families
Born at Sagua Mañagu 30
Barb’s Corner 32
Pardon Us
In “Reading is FUNdamental” (Nov/Dec
2013 MAÑAGU), we incorrectly attributed
Alma Terbio’s responses to Vanessa Garcia
and vice versa. We apologize for the error.
You may see the corrected version of the
story on our website www.saguamanagumpg.com.
About the cover:
“Our sleeping beauty is
Guam’s first baby of the New
Year: Amber Chrisha Laxamana
Caponpon.
Photo by Expressions Studio
Jan.Feb. 2014 • MAÑAGU • 3
Lamaze and More in 2014
Instructor Barbara C. Mafnas, RN, LCCE, CLC, IBCLC
Lamaze® Classes: A combination of
relaxation, breathing techniques, comfort
measures and position changes that are
designed to help during labor and birth.
We stress that partners are essential
throughout labor, birth, postpartum and
parenting. Please bring: a pillow, blanket,
bath towel (for foot soaks), tennis ball,
snacks and water. Moms need to wear
shorts or slacks and comfortable shoes as
you’ll be doing some floor work!
Baby Bonding: Designed to help mothers
and fathers gain confidence as they pick
up on feeding cues and other needs
of their babies. The class includes the
first hours after birth, breast feeding
and feeding cues, baby bath time and
massage.
Prenatal Care: Covers journey of
pregnancy from positive pregnancy test to
third trimester. The class Includes prenatal
care, nutrition, common discomforts,
early warning signs and sexual activity.
Also covered are the benefits of rest and
exercise.
Orientation: A class specially designed
for parents who choose Sagua Mañagu,
covering pregnancy from positive
pregnancy test through third trimester, then
onto childbirth and newborn care. The first
part of the class includes procedures and
care during pregnancy, good nutrition and
exercise as well as answers to common
questions regarding discomforts, early
warning signs, sexual activity, the effects of
alcohol, smoking and recreational drugs.
The second part is an orientation to Sagua
Mañagu that includes patient rights and
responsibilities, the differences between
birthing centers and hospitals; family
involvement; newborn care here and what
to expect when you go home.
Sibling Class: Designed for parents and
children. Discussion of child involvement in
the labor process and emotional aspects of
being with mom at this time. Also covers
mother/child relationship changes and
expectations. Film “Lizzie and the Baby”
addresses relationship changes, doctors
visits with mom, animated growth of the
fetus, how baby is born, what new baby’s
look like, what they can do, how to hold
them and more!
Baby Daddy Class: Designed exclusively
for dads to help increase their confidence
in becoming a new dad. Dads will
have better understanding of his woman,
recognize the classic signs of labor and
what to do, verbalize 3 feeding cues of
the newborn, understand relationships and
dynamics, and understand his role as the
new dad.
Parenting & Safety: This 2-hour class
helps parents understand the importance
of interacting with their baby and
understanding growth and development to
provide realistic expectations. The class
will also use open discussion to talk about
subjects as discipline, prevention of Sudden
Infant Death Syndrome, and Shaken Baby
Syndrome. Life skills such as basic infant
CPR will be included.
Typical Fees:
Lamaze $60
Lamaze Refresher Class $40
Baby Bonding, Prenatal Care, Orientation,
Sibling Class, Baby Daddy, & Parenting
& Safety are offered courtesy of Marianas
Physicians Group and Sagua Mañagu-
All classes are held at Sagua Mañagu Birthing Center
Website: www.saguamanagu-mpg.com • Phone: 647-1417 or 1418
SATURDAY
Prenatal
Care
12p-2p
Baby
Bonding
3p-5p
TUESDAY
Lactation
Consult
with Barb
5p-6p
Traditional
Lamaze
5 class
series
6p-8p
FRIDAY
&
SATURDAY
Customized
Lamaze
2-day
course
6p-9p
SATURDAY
THURSDAY
FRIDAY
SATURDAY
SATURDAY
Lamaze
Crash
Course
1-day
Noon-6p
Orientation
5:30p8:30p
Orientation
5:30p8:30p
Orientation
Noon-3p
Breastfeeding
Social /
Support Group
9a-11a
Lamaze
Refresher
6:30p8:30p
SATURDAY
FRIDAY
Sibling
Baby Daddy
Noon-3p (5-10 yo)
5p-6p
Parenting &
Safety
1p-3p
Orientation
3:30p6:30p
FEB
Feb 22
Feb 18,25
Mar 4,
11,18
Feb 21,22
Feb 1
Feb 6, 13,
20, 27
Feb 7, 28
Feb 8
Feb 1, 8, 15,
22
Feb 15
Feb 21
MAR
Mar 15
Mar 25,
Apr 1, 8,
15, 22
Mar 14,
15
Mar 1
Mar 6, 13,
20, 27
Mar 7, 28
Mar 8
Mar 1, 8, 15,
22, 29
Mar 22
Mar 14
APR
APR 12
Sea above
Apr 11,
12
Apr 5
Apr 3, 10,
17, 24
Apr 4, 25
Apr 19
Apr 5, 12,
19, 26
Apr 26
Apr 11
*Subject to change without notice*
4 • MAÑAGU • Jan.Feb. 2014
your pregnancy
Dr. Annie U. Bordallo
MPG Founding Member
Congratulations! Expecting a
new baby is an exciting and
wonderful experience.
At Marianas Physicians
Group, we certainly appreciate
the opportunity to share that
experience. As we provide
prenatal care, we strive to
deliver care with compassion,
respecting and being attentive
to the individual needs of our
patients. We work to build lasting
relationships with our patients, to
support their health maintenance
during pregnancy and throughout
their lives.
6 • MAÑAGU • Jan.Feb. 2014
To help expectant mothers,
Marianas Physicians Group
developed a packet of
information that offers a general
outline of what to expect during
the patient’s prenatal visits. The
folder serves as a reference
guide that is useful throughout
one’s pregnancy and provides
a place to keep any documents
that a patient may need to submit
to the clinic, the lab, Sagua
Mañagu or the hospital.
All of Marianas Physician
Group’s patients have two
options for delivery: Sagua
Dr. Ellen P. Bez
MPG Founding Member
your pregnancy
Mañagu or Guam Memorial Hospital. Whichever facility a
patient chooses, one of the MPG providers will be there to
deliver her baby.
1ST TRIMESTER Conception to 12 weeks
During the 1st trimester, patients can expect to see their
doctor or midwife once every 4 weeks. The first visit will
probably be the longest as it involves a thorough physical
exam and a comprehensive patient interview. Here is what
to expect during 1st trimester appointments.
MEDICAL HISTORY & PHYSICAL EXAM
The healthcare provider will ask for your medical history,
including medical and/or psychosocial problems, blood
pressure, height, weight, the date of your last menstrual
period (an accurate LMP is helpful when determining
gestational age and due date), birth control methods,
history of abortions and/or miscarriages, hospitalizations,
medications you are taking, medication allergies, and your
family’s medical history.
The provider will also perform a thorough physical,
including breast and pelvic exams. She will do a Pap smear
(unless you had one recently) to check for abnormal cells,
including cervical cancer. She will also do a culture to
check for chlamydia and gonorrhea. Lastly, a tuberculin skin
test, often referred to as a PPD, will be given if you have
not previously tested positive.
PRENATAL LAB WORK
After your first visit, you will be asked to get some
laboratory work done. Routine blood tests can assess
blood type (A, B, AB, and O); Rh factor (Rh positive or
negative); glucose, iron and hemoglobin levels. They can
also be used to assess whether you are immune to rubella,
to see if you have a sexually transmitted disease, or to
Alice E. Leliukas, CNM
see if you have a toxoplasmosis infection. Other tests are
available if a higher risk for certain medical conditions
presents itself.
Should a concern arise regarding any laboratory
results, the clinic will contact you immediately. Otherwise,
your provider will review the results with you at your next
scheduled appointment.
PRENATAL CLASSES
There’s a great deal to learn when you’re a first-time parent.
At MPG, experience has shown that new parents appreciate
the wide range of prenatal classes that patient educator
and registered nurse Barbara Mafnas has designed to help
them understand what to expect during pregnancy. Several
classes including Prenatal Care, Baby Daddy and Parenting
& Safety are offered courtesy of Marianas Physicians Group
and Sagua Mañagu. There is no cost to you.
ROUTINE OBSTETRIC CARE
Discussion of pregnancy: The provider will review your chart
and follow up on any issues that were brought up during
your previous prenatal visit(s). The provider will want to
know how you are feeling in general, both physically and
emotionally. Remember that these visits are your opportunity
to bring up any questions or concerns that you may have, so
don’t hesitate to say whatever is on your mind.
Measurement of fundal height: The provider will feel
your abdomen to check the size of your growing uterus and
baby. From mid-pregnancy on, she’ll use a tape to measure
your fundal height (the distance between your pubic bone
and the top of your uterus) to estimate your baby’s size and
growth rate.
Listening to fetal heart tones: Checking your baby’s heartbeat will become a regular part of every prenatal
visit. Bring your partner to share in the thrill of hearing this
dramatic sign of the life you’ve created together.
Kimberly R. Walton, MD
Farrell A. Cole, MD
Janna M. Melsness, CNM
Teresa L. Anderson, CNM
Jan.Feb. 2014 • MAÑAGU • 7
your baby
Breastfeeding:
more than the numbers
By: Jessica Pettigrew
“Just Julius and Mama snuggling, talking … I love feeding him,” says Jessica.
I always knew I would breastfeed my children. Before
I was even pregnant with my son Julius (born in July), I
had dreams about breastfeeding my babies. Strange?
Perhaps, but it always seemed as natural and therefore
normal to me as giving birth. When my son was born, I
knew the benefits of breastfeeding for him: lower chance
of developing asthma, eczema, obesity, ear infections,
colds and even lower chance of dying from sudden infant
death syndrome (SIDS). I knew of the benefits for me: lower
chance of developing breast cancer, quicker return to my
pre-pregnancy weight, not to mention there were no bottles
to wash, buy, or prepare. What surprised me was the true
maternal instinct that I felt while nursing.
At each feeding those first few days, I carefully watched
his color, noting signs or symptoms of jaundice such as
the skin yellowing. I scanned his body at each feeding
8 • MAÑAGU • Jan.Feb. 2014
for development of any rashes or irritations. At night, I
could immediately tell if he needed a little hat or warmer
jammies when I felt his cold ears and hands on my chest. There were those times when the milk would come out so
quickly that he would pull back, coughing, gasping for air.
I would talk to him, tell him to catch his breath, and then
his wide-open mouth would be ready for more. Now that
he is older, that doesn’t happen as much; he has learned
to regulate the flow and rapidly gobbles down milk when
it comes out quickly. Nursing allows me the time to do a
quick physical exam of my little boy, several times daily.
When I first returned to work, some days he would come
with me, he was the best little pump. Other days, he stayed
home with his Dad and I brought my breast pump with me.
I noticed that some days I pumped more milk than others.
While some moms might be alarmed by this, I know that
your baby
some feedings he is really hungry, like the
first feeding of the day. Other times,
he just needs a snack. My body
responds and sometimes makes a
lot of milk, other times, it is just his
little snack. Sometimes he eats on
both sides, sometimes just on one
side. And most importantly, I look
at Julius, not at the ounces that
he eats or that I pump. At the
age of 2 months, he was
nearly 14 pounds, clearly
this kid was getting enough
to eat. I watch to see if he
is satisfied and sleepy after
a feeding. Sometimes he
squirms and whines at the
end of the feeding. For “Juju,”
this tells me he is gassy and
needs to burp.
Breastfeeding is the ultimate
fast-food. I choose not to cover myself
or my baby with a wrap or cover.
So when Julius is hungry, I always have
everything I need to feed him: my breasts.
I’ve nursed when out for lunch, at the beach, in the
grocery store, in the car, at the library, at work (all the
time), and at family functions. Not once has anyone
ever given me a wayward glance for feeding my
baby. I have noticed a lot of kind smiles. I have not
allowed nursing to take me away from my social
life, or what I have to do. It is portable and goes
where we go.
One challenge I have is that when I
nurse Julius, I can’t do anything else. I
can’t be cooking, doing laundry, or
chatting on Skype with my sister.
I’m normally a go-getter and try to
multitask and hate asking people
to get things for me. I find myself
asking my husband to bring me a
glass of water because I just can’t
get up and do it myself. But is that
a bad thing? To take a few minutes,
a few times each day to hang up the
phone, disconnect, and wholly pay attention
to my baby. To be just Julius and Mama,
snuggling, talking, letting him know I am here,
I love him, and I love feeding him. And no one
else in the world can provide for him what I can,
hot and ready any time of day.
Jan.Feb. 2014 • MAÑAGU • 9
your baby
Preparing the Pack
for Its New Addition
– Part 2
By: Sonia T. H. Alcorn
In the last segment, we discussed how to prepare the home
and family (including pets) for a new baby, acknowledging
that the bulk of the training should occur before baby
arrives. Now, we will move onto situational awareness;
learning how to anticipate, encourage cohesion and avoid
accidents.
Body Language
Almost everyone has experienced a communication
barrier where body language becomes the only method
of understanding one another. Posture, hand movements,
intention of the eyes and vocal intonation are all common
ways to express oneself and what is desired. This is the
same for man and animals; parent and infant. When
words cannot be exchanged, we are compelled to resort to
physical characteristics.
10 • MAÑAGU • Jan.Feb. 2014
Brett Silks, a local dog behaviorist whose practice
began at 10 years of age, explains how to understand the
way a dog thinks. Do not wait until the dog reacts in fear
or anger. If you notice any of these physical signs, correct
the dog immediately and appropriately:
• Tail tucked (a.k.a. scared)
• Dilated eyes
• Hackles up (“Mohawk” on the back of the neck)
• Stare (always confrontational)
• Tightlipped/closed mouth
• Stiffness (rush of adrenaline; “fight or flight” response)
• Panting (release of that adrenaline rush)
• Ears (will depend on other body signals)
Brett also described the four levels of response to a potential
your baby
threat, comparing the similarities between man and dog:
Man’s Level of Response
Body Language
Yelling
Hitting
Fighting
Dog’s Level of Response
Body Language
Barking
Snapping/Biting
Fighting
Getting Along
You may notice that your animals become watchful around
their newest pack member. As Baby grows, you will need
to teach both dog and child how to peacefully co-exist.
Demonstrate similar behaviors to your dog that your baby
might do (e.g., tap his head, play with his ears, etc.). This
will keep them from feeling so surprised when your baby
excitedly crawls over to say “daa!”
At the same time, the baby must also learn how to be
gentle. If the child does not learn how to properly handle
an animal, then you are training the dog to tolerate any
kind of treatment. As we all know, it is only a matter of
time before the abuse can no longer be tolerated and the
victim snaps. Teach children from the beginning to help
avoid potential dog bites.
Instead of waiting until the baby is sleeping, include
him as you play with your pet. Baby’s presence is a good
thing! Taking walks or playing fetch can be enjoyable for
parent, baby and pet!! Talk to your pet while holding your
baby to set an example of how to be respectful towards
an animal. Unless initiated by you, petting is a submissive
behavior. Your baby should eventually learn how to call
the dog to him to display love and affection rather than the
dog coming up demanding attention.
Is it Safe?
In 2012, State Farm Insurance reported that children
were most often bitten by a dog in their own household.
They also stated that it was usually because the dog was
bothered during feeding or startled from sleep. Although
the statistics can be intimidating, many instances can be
attributed to parents’ ignorance and/or the children’s
lack of training. Accidents can easily be avoided with the
proper education.
Special thanks to Brett Silks, owner of “Boonie B&B” and
expert dog behaviorist, for all of his knowledge shared in
this article.
Does your baby
need a follow-up
hearing
screening?
If you are not sure if your
baby needs a follow-up
hearing screening or if you
have any concerns about
his/her hearing, consult
your family doctor.
To schedule a FREE HEARING SCREENING for your child
before he/she turns six months of age, contact the Guam Early
Intervention System (GEIS) at Phone: 300-5776 / 5816.
Sources:
http://healthypets.mercola.com/
www.statefarm.com
Produced by the Guam Early Hearing Detection and Intervention (Guam EHDI) Project with 100% funding support by the U.S.
Department of Health & Human Services, Health Resources and Services Administration, Grant No. H61MC00094, in collaboration
with the University of Guam Center for Excellence in Developmental Disabilities Education, Research, & Service (Guam CEDDERS).
Jan.Feb. 2014 • MAÑAGU • 11
Holiday
Babies
Each year Sagua Mañagu celebrates the
births of
our Holiday Babies. Every baby born from Christmas Eve
through New Year’s Day receives gifts from the birthing center
and many wonderful sponsors.
Our sponsors are:
Abbott, Ambros/Huggies, Anchor, Bank of Guam, Calvo’s
SelectCare, Expressions Studio, Frito-Lay, Keebler, Kellogg’s,
Mauna Loa, Micronesian Brokers, Mead Johnson, Neni & Me,
Procter & Gamble, Quaker, Staywell Insurance and TakeCare
Asia Pacific
Special thanks to our Holiday Babies and
their parents for choosing Sagua Mañagu
and making our holiday season bright.
12 • MAÑAGU • Jan.Feb. 2014
Ezekiel Chase Golveo Cacapit
Parents: Hazel Golveo & Christopher Cacapit
Date of Birth: December 24, 2013
Weight: 7 lbs. 12 oz. Length: 19 in.
Mommy’s Doctor: Dr. Kimberly Walton
Baby’s Doctor: Dr. John Garrido
Nurses: Carla & Anne
This has been my 3rd experience here delivering at Sagua.
Each experience has been wonderful with the staff so
caring. But this 3rd experience particularly was a special
one. The team was just so patient and understanding and
helped me get through this labor with their tough love and
encouragement. Thank you SAGUA!
Christopher Aidan Pocaigue
Babauta
Parents: Kiarralene Daniesha P.
& Christopher James C. Babauta
Date of Birth: December 25, 2013
Weight: 7 lbs. 13 oz. Length: 20.5 in.
Mommy’s Doctor: Teresa Anderson, CNM
Baby’s Doctor: Dr. Robert Leon Guerrero
Nurses: Anne, Leah & Eileen
We came into a place filled with caring nurses
and doctors. Sagua Mañagu helped us deliver
the greatest gift we could have ever asked for on
a very special day.
Jan.Feb. 2014 • MAÑAGU • 13
Tyler James
Kaleb Mendiola
Parents: Serena Kaleb
& Edward Mendiola, Jr.
Date of Birth: December 26, 2013
Weight: 7 lbs. 13 oz. Length: 21 in.
Mommy’s Doctor: Teresa Anderson, CNM
Baby’s Doctor: Dr. Dennis Sarmiento
Nurses: Grace & Rowena
Imani Tiul Homsher
Parents: Melody & Forrest Homsher III
Date of Birth: December 26, 2013
Weight: 9 lbs. 10 oz. Length: 21 in.
Mommy’s Doctor: Alice Leliukas, CNM
Baby’s Doctor: Dr. John Garrido
Nurses: Mari, Johna & Anne
Amazed at the Sagua team! We
arrived ready to push and the team
of nurses had everything ready as the
midwife arrived from her home in less
than 10 minutes. Imani was born 3
pushes later. Thanks Sagua, Great job!
14 • MAÑAGU • Jan.Feb. 2014
CALL US TODAY AT 647-1417/1418
contact us at www.saguamanagu-mpg.com
Jan.Feb. 2014 • MAÑAGU • 15
Guideon John
Lanzaderas Ybañez
Parents: Norma & Guido Ybañez
Date of Birth: December 27, 2013
Weight: 7 lbs. 3 oz. Length: 19.5 in.
Mommy’s Doctor: Janna Melsness, CNM
Baby’s Doctor: Dr. Gladys Linsangan
Nurses: Glenda & Leah
Very helpful and excellent job!
Amanda Jean Lujan Stovall
Cabrera
Parents: Amanda Stovall & Jake Cabrera
Date of Birth: December 28, 2013
Weight: 7 lbs. 7 oz. Length: 21 in.
Mommy’s Doctor: Janna Melsness, CNM
Baby’s Doctor: Dr. Robert Leon Guerrero
Nurses: Christina, Rowena & Johna
16 • MAÑAGU • Jan.Feb. 2014
Jan.Feb. 2014 • MAÑAGU • 17
Coral Faith Tingzon
Parents: Cindi Rae Tingzon
& Peternilo Valdez
Date of Birth: December 30, 2013
Weight: 6 lbs. 13 oz. Length: 19 in.
Mommy’s Doctor: Dr. Kimberly Walton
Baby’s Doctor: Dr. Robert Leon Guerrero
Nurses: Christina & Rowena
An amazing experience! Thanks to all
the nurses who helped.
Amber Chrisha Laxamana
Caponpon
Parents: Amor Laxamana & Christian Caponpon
Date of Birth: January 1, 2014
Weight: 7 lbs. 6 oz. Length: 21 in.
Mommy’s Doctor: Dr. Thomas Shieh
Baby’s Doctor: Dr. Edna Santos
Nurses: Mae & Christina
The nurses are all nice, always there when
needed. Received many gifts from them and
different companies.Very trustworthy birthing
place.
18 • MAÑAGU • Jan.Feb. 2014
Leila Ku’uleiho’o’ilinau’i
Navarro Bello
Parents: Brittney Bello & Jocelyn Lamas Navarro
Date of Birth: January 1, 2014
Weight: 5 lbs. 15 oz. Length: 19 in.
Mommy’s Doctor: Dr. Shieh
Baby’s Doctor: Dr. Fojas
Nurses: Mari & Rowena
Amazing experience! Staff was extremely
friendly, made mom feel at home. The
accomadations are superb, no other place we
would have rather be on new year’s day.
20 • MAÑAGU • Jan.Feb. 2014
your child
Celebrating the Holidays
Across the Miles
By: Velma Ellis
“Nana Linda” Cole shares holiday smiles with her
granddaughters, Tasi and Isa (L-R).
The holiday season is the time of year to reflect and be
thankful for all that we are blessed with. It’s a time to
gather friends and family and to reconnect and celebrate.
Unfortunately some family members do not have the luxury
of hopping in the car and heading to Nana’s house.
With an ocean between them and plane tickets costing
an arm and a leg, travelling for the short holidays is far
near impossible. Whether they’re a
financially strapped college student
in a new town, a bustling military
family stationed away from home
or a young married couple seeking
new opportunities in a foreign place;
our loved ones need other means to
connect and share in the joys of the
season.
My memories of the holidays
22 • MAÑAGU • Jan.Feb. 2014
as a military child growing up in the states were filled with
mornings with my immediate family and evening gatherings
with friends that became our extended family. Wherever we
were stationed there was always a group of islanders that
found each other and celebrated the holidays together. For
Thanksgiving there was the traditional turkey and always a
side of kelaguen of some sort. The belen or nativity scene
was set up before Christmas and
the tree didn’t come down until after
Three Kings’ Day. These were some
of our traditions as a family who
was making a home away from
home.
The only thing I was missing was
interaction with my extended family
back on Guam. Besides from the
occasional Christmas card and
your child
distribution of school pictures there was not much contact
moments like these that made the miles seem so few.
with them. International calls to Guam in the 80’s were
For those family members that aren’t that tech savvy or
rare; no one could
refuse to update from the Stone Age, keeping in touch
afford a $20 phone
during the holidays requires a little bit more creativity.
call only to find out
Personal greeting cards from the kids are sure to put
Grandma wasn’t
a smile on even the grumpiest grandpa. Hand printed
home. It was only
Santas and reindeers or a collage of pictures of them
when I moved back
using their
to Guam did I realize
bodies to
the enormity of my
spell out the
extended family,
word JOY are
aunts, uncles and
easy ways
cousins I didn’t even
to give cards
know existed. Up to
a personal
this day my father is
touch. If you’re
still introducing me to
pressed for
a distant relative that
time or like
we randomly meet up
things a bit
with.
more formal,
Now that I have
you could
a military family
also upload a
of my own that is
family photo
constantly on the
to websites
move (5 moves in 12
such as
years to be exact),
Shutterfly or
I have to
Cardstock.
find ways to
There you’re
ensure that
able to
they have a
create your
connection
personalized
with where
greeting cards
I call home
and they’ll
as well
even mail
as my
them out for
husband’s
you.
hometown.
Care
We are
packages
blessed to
are always
be stationed
welcomed.
on Guam
The kids love
at this
receiving a
time, and
box full of
Home for the holidays with Christmas trimmings and creative handiwork: Velma, Isa, Ray, Tasi, Maggie and Mike (L-R).
although it
snacks and
may only
goodies in the
be for a
mail that can
few years, my children finally have a chance to bond with
only be found where their relatives live. We like to send out
my parents and create their own memories. Before this we
our own version as well that include one-of-a kind drawings
had to rely on some lifesaving gadgets and old fashion
that the kids made, pieces of our favorite candy we want to
techniques to keep in touch with family on Guam and
share and holiday projects from school, anything that will
Tennessee.
give them a peek into our everyday lives.
Thank goodness for Skype and FaceTime! There isn’t a
During the holidays it always seems like money is just
better way to keep in touch with both families during the
as scarce as time. No matter how busy the holidays may
holidays than with a video chat. This past Christmas, my
seem, don’t hold off on contacting someone you care about.
in-laws in Tennessee were able to sit in and watch while
Closing the distance between families across the miles
the kids opened up their gifts on Christmas morning; while
is as simple as making a phone call, email or text, and
at the same time we were able to join in and say hi to
letting them know that they’re in your thoughts. It’s the small
everyone who was there for Christmas eve dinner. It was
gestures that touch us the most and they rarely cost a dime.
Jan.Feb. 2014 • MAÑAGU • 23
your child
Valuable Lessons
By: Tara Tydingco
Evan, Elijah and Ela Tydingco helping me their mom, Tara, clean her classroom at the end of the school year.
As a teacher I’ve read and heard a lot of things from my
students. The great thing about this disclosure is that it
serves as a constant reminder to me of things I could do to
be a more conscientious parent to my own children. Our
oldest is 24 and our youngest is 3 years old and anything
that makes parenting easier is appreciated. The most
important thing I’ve learned is that I can’t be passive when
it comes to teaching. It is an active process and if I want to
equip them with skills to be successful adults, it’s going to
take some effort. I’ve included some of my observations and
how I’ve tried to use them with my own family.
24 • MAÑAGU • Jan.Feb. 2014
“Chores aren’t that bad.”
Yes, real teenagers actually said that. They may complain,
but kids actually don’t mind helping out around the house
and most feel like they could do more. My kids have chores
that they regularly do, and those will increase, as they get
older.
“I hate math.”
Many students feel this way, and a lot of it has to do with
them not experiencing success in their math classes. As a
parent, I can’t teach my kids’ math classes, but I can make
sure they are prepared. This means that when they are
your child
They share germs.
young, playtime includes lots
of puzzles, Legos and other
building blocks, and a few
math worksheets during the
summer.
I’ve seen a group of teenagers
share a whole jar of Nutella
with their fingers. Were their
hands clean? I have no idea,
but I do know that we didn’t
have soap in the school
restrooms. The best we can do
is to teach our kids to wash
their hands. It seems obvious
until you see how many
people don’t wash their hands
after using a public restroom.
Kids don’t read
enough.
I’d say that about 5% of my
students have shared that they
read books for pleasure. The
rest may read a little for their
classes but not that much,
which is too bad because we
know that reading is mentally
stimulating and can be a great
form of stress relief. What’s
the point of being literate if
we choose not to read? So,
we have regular reading time.
During the summer, there are
certain times of the day when
all electronic devices must be
shut off for reading time. The
kids choose the books, and
when they want new stories,
we head to the library.
“I don’t have a
bedtime.”
What happened to bedtime?
Elementary students need1012, hours of sleep a night,
and teenagers need 8-9. Ask
any teenager, and you’ll find
that most do not go to sleep
before 11:00pm. We know
what it’s like to have a mild
tempered child turn into a
monster because she missed
Elijah, Kaitlyn, Evan and Keenan Tydingco goofing off after lunch.
her naptime. Teenagers aren’t
.
much different. They may not
They know the entire
have the severe meltdowns
cast of Jersey Shore and the Kardashians. that my preschooler has, but their fatigue most definitely
There’s nothing wrong with watching some TV for
affects their ability to learn and perform. If it were up to
entertainment, but some kids can’t say much more about
my kids, they’d stay up until midnight watching shows on
Netflix, but it’s not up to them, so they have a bedtime.
anything else. They could expand their horizons and read
a book, watch a documentary, browse the PDN but not just
the comics and sports page. The kids who were taught to
Dropping F-bombs
fish, cook, play an instrument or fix cars have so much more Are you able to use the F-word in every single sentence? I
to say and are less likely to complain of being bored.
know some teenagers who can. There isn’t a more versatile
word in the English language, and our kids are putting it to
Kids are dehydrated.
full use. I can’t control my son’s language when he hangs
A few athletes bring water bottles to school, but otherwise,
out with his friends, but I have asked him to please, try to
kids don’t think about drinking throughout the day. They
use other words, and he’s okay with that.
need to be reminded to drink more water.
They’re good at sharing.
When a kid stops at the Mom & Pop store to get Flaming
Hot Cheetos and King Car, it means everyone gets Flaming
Hot Cheetos. Kids love this stuff. I love this stuff, but as
a food source, it’s garbage, and my kids are eating it
regardless. I’m sure I’m not the only parent whose child has
come home with Famous Amos Cookies or Pringles even
though I put a banana and a granola bar in his snack bag.
I appreciate the generosity, but I want my kids to eat foods
that will energize them and keep them healthy. When they
come home, they can have an apple, some grapes and
almonds. If they’re thirsty, they drink water. I provide the
healthy choices and hopefully they will continue to choose
to eat healthy when they leave the house.
They love to talk.
At first, teenagers seem quiet, but when asked the right
questions, they’ll open up. They have opinions and don’t
mind speaking if it’s about something that’s important to
them, like One Direction or Minecraft. With my kids, I don’t
stop at, “How was your day?” I also ask what they ate,
who they played with, what they learned, etc.
TMI - Too Much Information
One of my students shared how she was affected when she
was three years old, her sister was born and she could no
longer sleep in her parents’ bed. Another student tried to
relate and shared how he also use to sleep in his parents
bed but was traumatized when he woke up find them in the
process of making another baby. It was a good teaching
Jan.Feb. 2014 • MAÑAGU • 25
moment
to explain
how some
things are
appropriate to
discuss, and
some things
are private. At
a young age,
we teach our
kids that they
might tell their
friends gross
jokes on the
playground,
but we don’t
discuss poop
and pee at
the dinner
table. It helps
them develop
a sense of
propriety.
“My
parents
Evan Tydingco assembling Ninjago Legos.
don’t
know
what I do on my computer.”
Most students have either a computer or a phone that they
can use in the privacy of their room. What some parents
may not realize is that these students also know where to
find inappropriate content online. It’s not just about the free
porn, but there are predators and bullies. Because of this,
my son knows that I may check his phone or tablet at any
time.
Zayn Malik & Harry Styles are important.
A few of my students looked at me like I was an imbecile
when I misspelled Zayn’s name, which is ridiculous because
I don’t need to know the members of One Direction or any
other boy band. I’ve learned that as easy as it is to tease
some of these pop stars, it’s not a good idea. Instead, I
tolerate their taste in music and resist the urge to attack
these easy targets. As tough as some may act, teenagers’
feelings can be easily hurt, especially when it concerns
their taste in music. They take it as a personal attack, and
that doesn’t help our working relationship or their learning.
Because of this, I have lightened up a bit and allowed my
kids to listen to Kidz Bop in my car. This makes my kids
happy, and when they’re happy, they’re less likely to bother
each other.
“My parents just yell at me and tell me I’m
lazy.”
Parents forget how their words affect their children. As a
teacher, I’ve seen the power of positive reinforcement. It’s
26 • MAÑAGU • Jan.Feb. 2014
tough with
over 100
students, but
it is effective
in increasing
motivation.
I am strict
with my own
children, but I
make a point to
acknowledge
when they
are doing
something right.
It may start
with, “thank
you for using
good behavior
on the ride to
Nana’s house,”
or “thank you
for using your
inside voice.”
Reinforcing
good behavior
early on will
reduce bad
behavior later.
“I trust my child.”
I’ve heard this many times from well meaning parents,
and it’s great, but it’s not a matter of trust. It’s a matter
of learning, and if a child doesn’t know how to study or
manage his time, “trusting” him to figure it out on his own
might not work. Our teenagers are still learning, and if he
isn’t doing his homework everyday, then he might need to
learn that behavior through regular practice and some help
from a parent. We think our kids are honest, but sometimes
kids lie. Yes, they lie. So, when he says he doesn’t have
any homework, ask to see his homework planner. Ask what
he did in each class that day. Ask what projects are coming
up and when they will be due. Most of my students have
some sort of homework, everyday. If it seems like your child
never has homework, I would verify with the teacher. I see
well meaning parents who would do anything for their child
to see them succeed, but they fail to follow up with doing
homework and completing assignments. If you train them to
do this, you won’t have to do it forever. They will eventually
learn to do it on their own.
I can’t be with my children 24 hours a day, but I can try my
best to give them the skills they need for when they leave
home. I am grateful to all of my students who have taught
me so much and given me insight to what goes on when
parents aren’t around.
Jan.Feb. 2014 • MAÑAGU • 27
your tween
Break Time
Roberta Yamamoto
As a kid I looked forward to any break from school:
summer, Christmas, holidays. As a parent, I dread it. What
can I do to keep my kids occupied? When I was younger,
I had no problem sleeping in until noon but now that I’m
older and value time, I feel like my children are wasting half
the day away when they do it.
It’s not the short breaks that are a problem; it’s the long
summer break. When my kids were younger I sent them
to a sports/ adventure camp. They played various sports,
did arts and crafts, went hiking and even had “lock ins” or
sleep overs. They really enjoyed it. When I picked them up
they would fall asleep before we got home. For a while,
they went every year. Since my tween likes animals, I sent
her to an animal care camp and, since she likes to swim, I
sent her to a hotel camp.
But as they got older, summer camps were no longer an
option. Apparently they are “too old” for that.
When she is at home, my tween is very creative. I have
28 • MAÑAGU • Jan.Feb. 2014
come home to find shirts cut up, and then tied back together
with beads dangling from the ends. She would never wear
them out of the house but it kept her busy. She’s made
paracord bracelets, soda tab bracelets and belts, even a
shirt purse. She is a hands-on type of person, not much of a
reader (although I wish she were).
There are also times during the short breaks that my
daughter would go to a friend’s house. My tween and her
friend would make their plans then, within a few minutes
of their discussion, I would receive a text or a call from her
mother inviting my girl over to their house. Since I know
the parents and as long as they are fine with my tween
hanging out, I am ok with it. She has fun but I also remind
her to be respectful and behave when at her friend’s house.
During the Christmas break, I am fortunate that my
sister comes home to spend the holidays with the family. As
we say when she arrives, “Auntie’s daycare” is now open.
Her presence is a joy to the kids. She enjoys spending time
with her nieces and nephews and vice versa. They would
make up games to play, bake cookies or cupcakes and take
your tween
silly pictures/videos; they even set up a calamansi stand in
the middle of the living room. With the convenience of the
internet, she would send us pictures of their shenanigans. I
warned my sister that there was too much fun going on and
that the kids may not want to return to school. Her reply
was,”Noooo, I need my sleep.” So the next day, to get
them wanting to go back to school, she had them scrubbing
the kitchen floor and cleaning the yard.
But, no matter what they do during their break from
school, I can’t help but wish they would take it upon
themselves to do something productive in the house. I once
had a vision of my kids cleaning the rooms and washing
clothes. I’d come home from a hard day’s work to a spotless
home, laundry folded and dinner on the table. That fantasy
quickly faded after coming home for lunch to find them still
sleeping. Sigh.
Carla Bordallo
graveyard shift and Mike got the kids off to school. As the
kids got older, they were enrolled in extended care after
school. And once they reached middle school age, they
joined interscholastic sports.
MAÑAGU asked what arrangements were made for the
kids when they were on vacation or holiday from school.
Carla said they were fortunate because her children could
spend holidays and short school breaks with her parents.
“The long break, summer vacation, would have been too
much though. My kids all went to UOG’s summer camp.
It was great for them. They made lifelong friends. They’d
come home exhausted; shower, eat, then straight to bed.
The next day, they’d wake up excited to go back to camp.”
When asked about weekend activities for her children
during the tween years, Carla said that sleepovers were
common. The kids alternated between the Bordallo home
and their friends’ homes. “At that age, it was pretty simple.
Just being together with their friends was enough. They
didn’t expect to be entertained. They just liked hanging out
together at our house or one of their friends’. Renting a
movie and eating snacks were fun.”
“Family outings were another thing,” Carla adds.
“Whether it was movie, or eating out, they’d follow along
like ducks.” At that age, the kids were a captive audience.
Life with the kids seemed much simpler then. But that’s
probably because that phase of parenting is over.
Carla and Mike Bordallo recently reached another milestone
in parenting. With two children in college and a freshman
in high school, the Bordallos have finished raising tweens
and live to tell about it.
MAÑAGU asked Carla what her kids used to do when
they were tweens, between the ages of 9 and 12. She
recalls that was the age when Josh started to play video
games. “He played a lot of outdoor sports, too, mostly
soccer. He grew up playing on the soccer field, while Mike
coached.” Their daughter, Stephanie, also started getting
into sports during her tweens albeit reluctantly. “She didn’t
like to get sweaty, so we had to force her at first. We were
all on the soccer field. It was only natural to have Steph
play.”
Serena is the youngest of the three Bordallo children.
Although she plays volleyball and soccer, Serena enjoyed
reading more than anything else. Carla remembers a
series of fairy stories were Serena’s favorite at the time.
“She liked reading so much that she got in trouble for it at
school,” Carla says with a chuckle. “After lunch, she sat
down on the curb to read and got scolded by one of the
teachers. They weren’t allowed to read ‘outside material’
during school hours.”
Like many parents today, Mike and Carla Bordallo are
both working parents. For several years, Carla worked the
Jan.Feb. 2014 • MAÑAGU • 29
Congratulations to all the babies
born at Sagua Mañagu!
November
Kayden Cole
Larieva Rea
Kristine & Sebastian Taman
Neverin John & TakioLast Erwin
Gigi & Carl Carpio
Louraine Leyble & Francisco Rolinski
Jude Colin
Richelle & Dario Garcia
Odelia & Mark Deras
Brennan Cole
Tanya Hubbard & Thomas Cruz
Saori & Greg Dungca
Jace Alexander
K2Reighen-Etkein Rodney
Figure-Eightmina Kepwe
& Rodney Terry
Janelle Meno & Benjamen Gomez
Caitlin Kesewaol & Bruce Kloulubak
Megan Andrea
Daniel
Taryn Fae
Dezray Dawn
Madyson Jhayde
Ozaiah Christian
Dylan Yu
Tayden Jude
Butz Pelobello & Raymond Estoy
Johilda & Jesse Babauta
Alberta Mendiola
& Joshua Mangune
Lehuanani Blas
Gewill Van Unen & Dominik Salas
Tia Lynn Santos & Jason Salas
Edrian Bamba & Noel Mc Dermott
Elouise Gomez & Derric Superales
Leilana & Jean Villaverde
Kristel Carpo & Raymond Arazas
Edelyn & Ryan Navio
Glazle Cunanan
& Edrian Cabuntocan
Carrollyn Malicdem & Nikki Tan
Sachiko & Ryoichi Ishida
Ta’amu Kameron
Hana Lee & Jah Hyun Seh
Melodie Macaraeg & Neal Vicente
Eli Mar
Gabrielle Ooka & David Damian
Colin Matthew
December
Katherine Martinez
& Jonathan San Nicolas
Isaiah Joseph
Stephanie & James Guerrero
Amia Larae
Gilda & John Iriarte, Jr.
Jace Tyler
Alvina-Nicol
Zhian Enzo
Kaila & Damon Fitiausi
Stephanie & Buenvenido Barcinas
Maelene Nangauta
& Charlie Gabertan
Jonilee & Sedrick Serisola
Skye Ayvry
Noah
Katelyn Rae
Vanellope Ann
Yena
Gavin Michael
Ethan Josiah
Hazel Golveo & Christopher Cacapit
George, Jr.
Kiarralene & Christopher Babauta
Pua Krisclem Vaifaga
Serena Kaleb
& Edward Mendiola, Jr.
Kelijah Scott
Melody & Forrest Homsher, III
Raiden Josiah
Norma & Guido Ybañez
Khloe Lovelle
Amanda Stovall & Jake Cabrera
Ray
Kisha Apusa & Ieremia Fagavao
Abrianna Issabella
Bonnie Taijeron & Oscar Cruz
Shoji Ryan
Caroline Cardines & Napoleon Finch
Neveah Rose
Arlyn Suda & Palsis Palsis
Miyuki Haruna & Jon-Jay Sabati Jr.
Dori-Ann Diego & Brad Nauta
30 • MAÑAGU • Jan.Feb. 2014
Daemarie Ely
Keko & GeneAllen Tennessen
Gemma Mendoza
& George Cascasan, Jr.
Virgie & George Masga, Jr.
Amber Nicole
GianYosef
Florence & Alvin Lopez
Miki & Ryan Posadas
Damien Noah
Davey Phaynid & Rockson Elden
Masako Oshiro & Thomas Sosar
Mary & Lance Sam
Kayo
Aaliyah Camille
Carla & Sylvester Tellei
Maelyanna Ruth
Eesha Ryzel
Raphael James
Tricia & Robert Camacho
Robin Han Leopoldo
Ezekiel James
Carolyn Villagomez & Adrian San
Nicolas
Ann Marae DeLeon Guerrero
& Daryl Camacho
Spencer
Kaliyah Saige
Deerock Dave
Aleczander Gene
Ezekiel Chase
Christopher Aidan
Tyler James
Imani Tiul
Guideon John
Amanda Jean
Coral Faith
Cindi Tingzon & Peternilo Valdez
Marianas Physicians Group
is now accepting new patients.
Dr. Annie U. Bordallo, Dr. Ellen P. Bez and certified nurse
midwife Alice E. Leliukas welcome to the MPG team:
Farrell A. Cole, MD
Kimberly R. Walton, MD
Teresa L. Anderson, CNM
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Marianas Physicians Group is designed to serve women. Our team of health professionals
strives for excellence in a caring and nurturing atmosphere. Specialists handle high risk and
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Feel free to call us for an appointment.
647-1830
[email protected]
Most health insurance plans accepted.
472 Chalan San Antonio, Tamuning, Guam 96913
barb's corner
A promise to
ME…
Barbara Mafnas, RN, LCCE, CLC, IBCLC
So the last article I wrote, I shared with you that I was
ready for change.I confessed my struggle with weight
and how I have vacillated between staying where I am,
or changing. I also boasted about my identified support
group. It probably sounded more like confessions of a
foodie. But I was sincere and truly desired a change for my
life. I was ready.
I started my meal plan 2 weeks before the October
holiday and have not looked back. I have been determined
to move closer to my goals, and every day, I am a little
closer. I have been diligent with nutrition and exercise and
it is paying off. I have more energy during the day, I feel
vibrant, my clothes are becoming loose and I feel good
about myself. To date, I have lost 40 pounds and don’t
intend to find them. If you find them, you can keep them. I
do not want them back, ever!
I report in weekly to my trusted support
person and she is the only one who knows
my real starting weight. One day, I
will proudly reveal that number for the
world to see. I try to weigh myself
once a week, but find myself sneaking
on the scale almost every chance I get.
Even though the holidays are tough on
“dieters” I managed to make it through
with continued weight loss and did not
gain the customary 6-8 holiday pounds.
Besides, I am not a dieter! I am creating
a lifestyle change that incudes meal
planning and exercise and a whole new
thought process.
I often try to wonder what 40 pounds of fat looks
like. It could look like four sacks of potatoes, 40 tubs
of butter, a car tire, or a 5-gallon jug filled with water. I
thought about heading to the local butcher and ask for 40
pounds of fat, just to see. Looking at it would bring it into
perspective. Someone suggested I fill a back pack with
equal amounts of weight lost and carry it with me when
I walk so that I can appreciate my hard work and what I
have lost. I think my energy is better served focusing on the
goal at hand.
When I first started, my goal was to lose 75 pounds by
May. The rationale behind this was that I want to march at
graduation with my students this year as they receive their
diplomas. Several years ago, I was mandated to march
in the graduation procession and was given a gown that
did not fit. No one wanted to trade with me. My boss
made me wear it and made me walk even though I could
not zip it. I was mortified that I had a 5 inch gap between
the open zipper. To make things worse, I wore a colored
shirt which brought even more attention to the fact that it
32 • MAÑAGU • Jan.Feb. 2014
did not close. I held onto my cap with one hand and tried
to hold the gown closed with the other. I remember taking
that gown off tossing it in the corner, leaving, and crying
all the way home. I have not participated in graduation
since that horrible night. How could I ever tell my students
the real reason why I don’t attend and celebrate their
accomplishments at graduation? I did not have a gown that
fit! This year will be different.
Twelve years ago I graduated from Alpena Community
College in Michigan with an Associate Degree in Nursing.
I have always wanted a higher degree, but kids, money
and life just got in the way. It was not for lack of trying
that’s for sure.
Living in a day and time when education and
credentials are desired, it was time to return to school.
I was afforded the opportunity to return to
school on a grant. From December to
December, in just 12 short months, I
received the letter of completion for my
Bachelor’s Degree in Nursing. I was
also inducted into Sigma Theta Tau,
a national honor society for nurses;
I now belong to a sorority. So, not
only did I graduate, but with honors.
This is a proud moment for my family
and me. So when I march this year it
will be for several celebrations: their
graduation, my graduation and my
weight loss.
So why 75 pounds? When I did the math,
it was a realistic goal. I am half way there
already. The truth be known, I want to lose 150
pounds in all, but that will take more time. So, I have lost
40 pounds, 2 dress sizes and several inches here and
there. What have I gained? Self-esteem, confidence and
respect for myself.
A few of you have noticed my change and have
commented and supported my endeavor. For that, I thank
you. The best part about my weight loss so far is that I feel
better physically and spiritually. I can also reach my toes
and tie my shoes without contorting my body and breaking
a sweat, which is an added bonus!
So how do I keep a promise to myself? I bought myself
a “promise ring” to remind me that I made a commitment
to me. It is a symbol of my pact with myself. A contract,
I intend to keep. It is a band with three rows of stones:
diamonds, sapphires and more diamonds. Since it is a
band, I wear it on my ring finger. With my hand on the
steering wheel as I drive, it sparkles in the sunlight and it
makes me smile. When I look down at it, I am reminded of
my promise to me.