Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Sunday, October 9, 2016

Two months of sweetness

Maëlys is two months old today! The first month passed in a haze of exhaustion and amazement and a pervasive what-the-heck-do-I-do-with-this-creature feeling, but the second month is where the love and confidence have started to grow in earnest.
Smiley Maëlys!
At six weeks, she intentionally smiled back at me for the first time, quelling the sneaking suspicion I had that our daughter would resemble a humorless and demanding alien for the rest of her life. Shortly thereafter, she started to become much more cuddly, burrowing her face into my neck and wrapping her arms around me when I held her. She started showing more interest in her stuffed animal toys, as well as holding a person's gaze for much longer. And this morning, she consistently giggled (cutest sound in the world!) when Rory wiggled her bottom and made a motorboat noise. It's episodes like these that make your heart overflow with love for your tiny human. And make the less fun stuff worth it.  
Our latest otter comparison.
You may be wondering what it's like to raise a baby in Paris. I might also write later about my experiences with labor and delivery and our stay at a French hospital if people are interested, but I'll save that for another post. For now, here are some interesting facets of new parenthood in Paris. For the record, I suspect it's actually quite a bit easier to have a baby in France than it is in the US (though I can't say I've tried the US version). Here are some reasons why.
  • Mothers stay at the hospital for an average of three days after giving birth. This gives them time to recover and learn how to feed, change, and bathe their baby with the assistance of the nurses. They also have time to make sure the baby is healthy before being sent home. In our case, two days after she was born, Maëlys started to have trouble feeding--she had very low energy and fell asleep before she could get enough food, which was a sign of the start of jaundice. Though not uncommon in newborns and not a terribly serious problem, it still freaked me out and had me bursting into tears at the slightest provocation. Instead of being home alone by this time and having no idea what was wrong with our baby, our midwife very quickly diagnosed the problem and the nurses helped Maëlys get better.
  • Along the same lines, mothers in France are entitled to a home visit from a midwife a few days after they leave the hospital. My sage-femme (literally "wise woman") came out to our home and spent over an hour with us to check on the baby and me. The follow-up of mother and baby that is built into the French medical system makes problems less likely immediately following a birth.
  • There are community medical centers called PMIs (Protection Maternelle et Infantile) which offer medical care for women and children free of charge. PMIs offer the services of pediatricians, midwives, puéricultrices (nursery nurses or childcare workers), and psychologists to anyone, regardless of income. Unlike in the US, where a free medical clinic such as this would most likely only be found in poor inner-city neighborhoods and would have somewhat of a social stigma attached to its use, PMIs are used by families from all walks of life and the quality of service is generally quite high. I have visited three different centers and they all had friendly, welcoming staff and a professional yet kid-centered environment. We will be taking Maëlys to our PMI on Monday for her first vaccinations (which are free, by the way). Oh, and there are three PMIs within a 15 minute walk from our house. I think France has some things figured out.
  • Mothers are prescribed la rééducation périnéale following a birth. This is a practice not widely found in the US or UK, but it's essentially physical therapy for a woman's perineum (the muscles that get very stretched and sometimes tear during childbirth). Unlike in most other countries, France actually recognizes that childbirth can lead to lasting medical difficulties for women, particularly problems like urinary incontinence. La rééducation périnéale is typically carried out by a midwife and the goal is to retrain the muscles to prevent problems later in life. I start my first of 7-10 sessions of rééducation this coming week. Although it feels like a very awkward and uncomfortable thing to do, I'd rather not have to wear Depends when I'm older, so I'm willing to give it a try. 
  • I mentioned in a previous post that France gives paid maternity and paternity leave (unlike the USA). Women get 16 weeks and men get two weeks. Rory's work was flexible, so he was actually able to spend most of Maëlys' first month at home with us. This time was invaluable for us to grow into our new roles as parents, to explore our changing relationship as a couple, and to love and support each other through the sleep-deprivation, constant cluster feeding, and piercing newborn screams.  
  • And finally, another great aspect of living in France is that French people love babies. Especially older French women. So if you live in or visit France and want to practice your French conversational skills, I highly recommend having a baby with you (preferably your own). Parisians who wouldn't deign to look at you before will now ooh and ahh over your baby and will chatter away with you. Also, they are largely very kind and quick to offer help if you need it. 
What a cutie!
So it's been a great two months. Challenging, testing of patience, and requiring lots of learning, but an amazing experience nonetheless. Figuring out some of the resources available to new parents and understanding the medical system here has made a big difference in our confidence levels, and despite our very imperfect French language skills, people have been helpful and accommodating. Plus, we have this super cute baby who is learning new skills every day and becoming increasingly loving, responsive, and fun to play with. I'm a happy mama. 

Sunday, May 8, 2016

Pregnant in Paris, Part 2

28 weeks along with our new poussette
A lot has changed since I last wrote about my experiences of being pregnant in Paris. For one thing, I was considerably smaller back then. Now our beginning-of-third-trimester baby is packing on the pounds and so am I. Despite what feels like a hugely noticeable change in my body, I still get comments from people to the effect of, "You're barely showing!" Keep in mind, dear friends, that whether you say, "You're huge!" or "You're so tiny!" to a pregnant woman, it's probably the opposite of what she wants to hear. You've been warned.

I've heard from others moms in Paris that France is the place to be if you're pregnant. There are special check-out lanes for you at supermarkets, you can cut to the front of the line in many situations, people are supposed to give you their seat on the bus or subway, and you're just generally treated like a rock star. Plus, once you actually have the baby, French men in particular seem to have been trained to help mothers with strollers whenever needed, such as carrying the stroller down the stairs to the metro station. There is apparently a lot of kindness and consideration here for those who are gestating.

But I haven't really experienced it yet. Not much, anyway. The one time I was offered a seat on the metro was when Rory was very obviously rubbing my protruding tummy. I've seen it happen to other pregnant women though, so maybe the perks will start coming when I've gained a few more inches in girth. And as for the special lanes in stores, or people letting you go first, well, those special lanes are usually clogged with normal-appearing people, and no one has yet offered to let me skip a queue. But we shall see.

The healthcare puzzle

In my last pregnancy post I mentioned the French health care system, or what little we understood of it at the time. I think I have a better handle on it now, though figuring out the sécurité sociale (how one is reimbursed by the government for healthcare expenses) and what to do in case of grossesse (pregnancy) has been more challenging than I anticipated. It's rather like being told to put together a jigsaw puzzle for which you have been given only half of the pieces and no final picture to aim for. You have to find the remaining pieces by yourself with no instruction on where to look. Oh, and by the way, it's a 5000-piece Impressionist painting jigsaw puzzle. Bonne chance!

Briefly, the hunt to acquire a social security number for myself has gone something like this.
-Learn that I can be attached to Rory's social security number. Rejoice!
-Learn that I can't be attached to Rory's social security number. Despair!
-Call an English helpline and be told to fill out a form, put together a dossier, then go to a CPAM office to ask for a social security number.
-Get to the CPAM office and be told to mail them the dossier instead and wait two months for a response.
-Proceed to wait, hearing nothing, while still paying for monthly doctor's and medical lab visits out-of-pocket.

The plot thickens...
Meanwhile, around February, I registered for auto-entrepreneur status (translation: self-employment) for the teaching work I've been doing. I received complex documents in French regarding paying taxes on my business earnings, but no concrete steps on how to do so or on how to obtain healthcare coverage with this status. Suddenly! I received a letter saying I had been registered with the RSI, the social security/healthcare coverage organization for auto-entrepreneurs. The what?? I had no idea this even existed. And voilà! Just like that they gave me a social security number! Had I not become an auto-entrepreneur, I suspect I would still be waiting for my number and going back and forth with the CPAM office.

Now that I'm finally in the social security system, one might think it would be straightforward from here on out. Alas, this is France.

So shortly after this revelation happened, I spent three weeks in the US and we moved to a new apartment just outside Paris. Thus, I received no more letters or instructions and couldn't access any online systems to update my address. With varying success, I tried to contact the various organizations in charge of my health care and tax status and ask for information, and I've now managed to update my address with all but one. I recently learned who to inform about my pregnancy and who I should contact about healthcare cost reimbursement, which was really my goal in the first place. So I feel cautiously optimistic that things are finally looking up.

Ever so slowly I am finding these hidden puzzle pieces and the picture is starting to take shape. Now all we have to do in the next three months is buy most of our baby gear, prepare for giving birth, learn how to take care of a baby, figure out taxes, start getting reimbursed for healthcare, receive my French residence permit, and find all of the remaining thousand or so puzzle pieces that constitute our life in France. NBD.  



Wednesday, September 16, 2015

One month!

Today is a month since we moved to France. We haven't actually spent the whole month in France - we've been to Belgium, and taken a couple of trips to Scotland (and England, technically) - but today is a month since we moved.

So, what has happened in that time? Here's a run-down:

Work

I've started work. Being a postdoc is hard - harder than being a graduate student - and adjusting to a new environment with new colleagues is difficult but rewarding. Foremost among these differences, apart from, y'know, being in France, is that I am now in a cognitive science department, while I got my PhD in a linguistics department. So I've gone from being at the cognitive end of studying language, to being at the linguistic end of studying cognition.

Previously I had colleagues who wondered about why "John ate", "John ate the steak", and "John devoured the steak" are all fine English sentences, but "John devoured" is not acceptable. Now I have colleagues who wonder about how the mammalian auditory system represents acoustic information, or human metacognition under attentional load, that sort of thing. Well, we do more than just wondering, but I'll spare you the discussion of experimental research methodologies in cognitive science.

Apartment

Our apartment is set up and we're living just fine. We might do a little furniture rearranging or adjusting while we settle in, and we could probably do with some particular kitchen items to help us cook specific recipes, but the basics are all there. It's rapidly becoming a home.

 

Necessities of modern life

Bank accounts, library accounts, ATM cards, phone numbers, we have all of these. We've figured out the transport system and can navigate easily. Talia doesn't yet have her carte de sejour (residence permit), but that's a long process. We also don't yet have our cartes vitales (a card which entitles you to healthcare), so I'll probably need to chase up someone in HR at my work. French bureaucracy is somewhat labyrinthine so I'm not entirely looking forward to it.

 

Friends

Friends! Friends are good. We've met up with a few people we knew before we moved, not to mention seeing people on our trips to Belgium and Scotland. We went to a Bahá'í feast the other week and met some local Bahá'ís, which was really great. We have more friends-of-friends on the horizon who we will be meeting soon, too. I've always found making friends hard, especially when moving to a new place, but the effort has always paid off.

Language

Our language skills have improved a lot since we arrived. Well, Talia's have at least. She's been making her way through all sorts of complicated interactions in French just fine. I've been a little slower, partly because my work is more or less in English, and because I've not been trying as hard. I'd better catch up!