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#61 of 555 Old 07-08-2010, 02:03 PM - Thread Starter
 
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Some interesting developments with DH's job next year. When he first called his NG unit they said that a position was available for him and there were plenty of funds in order to pay him. Cut to yesterday when he emailed to find out what/if moving expenses would be covered by them. Apparently the email was forwarded to someone else he hadn't spoken with who said unless you receive active duty orders you are responsible for the move, and at this point I'm not sure funds are available to cut those orders. So two completely different answers, not sure which one is accurate at this point. He wrote back and said that if there isn't a position for him, we won't have any choice but to move to a different state where he can get a job and drill with another unit. He'd still deploy with his NY unit, of course, but it's definitely a big change in plans. I'm not surprised at all given how everything else has gone.

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#62 of 555 Old 07-08-2010, 02:24 PM
 
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I wouldn't refer to it as "making rank" until the party in question has actually been selected.

It's my understanding that your referral is the key, and Tricare will have to pay the cost since you are in FL. And as I recall, homebirth midwife costs are much more in FL since insurance companies covering birth can't exclude homebirth...
I've already talked to Tricare over the phone, and they said that as long as I got the referral, and the referral was for a CNM, they would pay. It's considered "care not provided by the MTF," which is key, because the MTF always has the right to "first refusal."

MW care is VERY expensive here. $5,000+. And while I agree it's worth it, I am planning on getting out in 1 1/2 years, and we're trying to save for that. So not really an expense I care to take on right now!

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#63 of 555 Old 07-08-2010, 02:36 PM
 
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Marinewife- yes, where did the time go? My son is getting married this summer too! As for the heart palpatations of his joining the military- well they certainly are there but I am used to his thrill seeking nature. He is a firefighter and autocross races. But nothing has prepared me for the separation anxiety I am feeling!
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#64 of 555 Old 07-08-2010, 02:57 PM
 
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Marinewife- yes, where did the time go? My son is getting married this summer too! As for the heart palpatations of his joining the military- well they certainly are there but I am used to his thrill seeking nature. He is a firefighter and autocross races. But nothing has prepared me for the separation anxiety I am feeling!
to you.

Katie ~ That sounds crazy. Honestly, even though you've explained it to me a couple of times, I still don't completely understand your situation. I don't know anything about the NG and not much about the Army so mixing the two really confuses me.

Whew! That is a lot for MW care in FL. It's almost half that here in NC but that's with a CPM. It might cost more with a CNM if any of them did homebirths.

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#65 of 555 Old 07-08-2010, 03:02 PM
 
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to you.

Katie ~ That sounds crazy. Honestly, even though you've explained it to me a couple of times, I still don't completely understand your situation. I don't know anything about the NG and not much about the Army so mixing the two really confuses me.

Whew! That is a lot for MW care in FL. It's almost half that here in NC but that's with a CPM. It might cost more with a CNM if any of them did homebirths.
Both CPMs and CNMs do homebirths here, and, amazingly enough, their charge is equal (in my area, anyway). I had considered a CPM if I was going to have to pay out of pocket, only to find that she charges the same amount as the CNM here.

FL does have some beautiful birthing centers, too, which are a good option. I just wish one of them was closer to where I am!

BTW- I'm active duty, and I still get confused about NG vs. traditional vs. reservist vs. IMA etc. etc.

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#66 of 555 Old 07-08-2010, 03:03 PM
 
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Hello

Newbie to the MDC forums - looking for some new like minded-mamas! I'm at Fort Bragg, moved on post not too long ago.

So howdy!

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#67 of 555 Old 07-08-2010, 03:28 PM
 
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Hello

Newbie to the MDC forums - looking for some new like minded-mamas! I'm at Fort Bragg, moved on post not too long ago.

So howdy!
Welcome! There are several of us here in area at Bragg/Pope.

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#68 of 555 Old 07-08-2010, 03:30 PM
 
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to you.

Katie ~ That sounds crazy. Honestly, even though you've explained it to me a couple of times, I still don't completely understand your situation. I don't know anything about the NG and not much about the Army so mixing the two really confuses me.

Whew! That is a lot for MW care in FL. It's almost half that here in NC but that's with a CPM. It might cost more with a CNM if any of them did homebirths.
My homebirth will be with a CNM and yeah... it costs a bit more with her than with a CPM but I <3 her and would not trade her for anything... I had to give up my FP back in IL when I moved down here, was soooo glad to find a CNM who was willing to take me despite me not moving here til third tri AND is basically just like the FP I left (whom was the one talking me into homebirth to begin with!)

ein- SO glad they are going to pay for you, that is awesome and I wish you a ton of luck with it!


Tricare will not pay for my homebirth because ... uh... she explained it to me but its really confusing? She works (or worked? not sure there) at the NH on base... and because Tricare will pay for her there, they will not pay for her to do a homebirth.

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#69 of 555 Old 07-08-2010, 03:48 PM
 
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Oh, hm. That's interesting because my dh gets the TC Prime newsletter even though no one here is on TC Prime. I just assumed it was to inform him of his options.
He gets it to make sure he knows what his options for you are. It is their way to lure the family members back to prime.



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Tricare will not pay for my homebirth because ... uh... she explained it to me but its really confusing? She works (or worked? not sure there) at the NH on base... and because Tricare will pay for her there, they will not pay for her to do a homebirth.
Yes if the midwife or any midwife works on base then they will not cover the cost of a midwife off post if you are prime. Same thing if there is any other specialist you need on base and you wanted to go to one off base you typically can't get them to let you.



I can't find any midwife no matter status that will do a homebirth where I live or a birthing center

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K-03/98, B-01/00, D-03/02, M-09/03, TL-12/04, TM-09/06, I-10/08 edd 02/02/11
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#70 of 555 Old 07-08-2010, 04:31 PM
 
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A friend of mine has given birth at a birthing center and at home with the same CPMs in Jacksonville, FL. TC covered both but I don't know how much.

TC used to cover homebirths with a MD, CNM or NP. I don't know the rules about someone who currently works at the MTF. If she doesn't work on the base anymore, TC should cover the cots of care with her. She has to have doctor back up in NC to legally attend homebirths so that might be the problem. I didn't know there were any CNMs in the area who did homebirths. With Prime you can always use the POS option if you don't have a referral or non-availability statement from the MTF. TC should then around 50%, I believe. You can file the claims yourself for reimbursement if your provider doesn't want to. Don't do that, though, if you are doing dual care because they will want you to pay them back for the OB care since you've been paying for care with someone else.

The reason I said TC used to cover homebirths is that when I went to the link I have bookmarked that discussed homebirths it's not mentioned any more. Now all it says is that TC might cover low risk births at birthing centers. Have they changed the rules again?

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#71 of 555 Old 07-08-2010, 04:36 PM
 
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Some interesting developments with DH's job next year. When he first called his NG unit they said that a position was available for him and there were plenty of funds in order to pay him. Cut to yesterday when he emailed to find out what/if moving expenses would be covered by them. Apparently the email was forwarded to someone else he hadn't spoken with who said unless you receive active duty orders you are responsible for the move, and at this point I'm not sure funds are available to cut those orders. So two completely different answers, not sure which one is accurate at this point. He wrote back and said that if there isn't a position for him, we won't have any choice but to move to a different state where he can get a job and drill with another unit. He'd still deploy with his NY unit, of course, but it's definitely a big change in plans. I'm not surprised at all given how everything else has gone.
So confusing. Could he get a different type of orders that would require them to pay? (like maybe someone would be willing to call it something different to get him a paid move...?) Huz is "technically" a reservist, even though he's been on active duty for the last six years. Maybe that's kind of like the NG? When he is promoted at the end of this month he will "technically" move over from the reserve side to the AD side. Just before we met, he was offered temporary active duty orders and negotiated himself into extended active duty orders which entitled him to a paid move. This might be totally different, just throwing it out there.

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#72 of 555 Old 07-08-2010, 04:54 PM
 
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I'm very upset. I just read the actual TC handbook and there's no mention of homebirths at all. It used to be mentioned as a covered service with particular providers at the bottom of the maternity care section. It's not listed in the exclusions, which is good. If it's not specifically excluded there should be a way to get it covered.

BTW, there is ADM info in the TC handbook so they are associated somehow.

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#73 of 555 Old 07-08-2010, 05:01 PM - Thread Starter
 
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So confusing. Could he get a different type of orders that would require them to pay? (like maybe someone would be willing to call it something different to get him a paid move...?) Huz is "technically" a reservist, even though he's been on active duty for the last six years. Maybe that's kind of like the NG? When he is promoted at the end of this month he will "technically" move over from the reserve side to the AD side. Just before we met, he was offered temporary active duty orders and negotiated himself into extended active duty orders which entitled him to a paid move. This might be totally different, just throwing it out there.
I'm really not even sure how it's going to work. He was one of the first people to take the kind of deal he did coming out of ROTC so they're still working out all the flaws with him, you'd think it'd be more straight-forward but it isn't. He's required to go back to his unit next year when his AD is up, no one has made any promises in terms of him having a job up until recently. They don't stay in contact with him about anything. DH himself doesn't even really know what's going on, only that there is a discrepancy on whether he'll have a job. He is active duty but this NG unit handles everything in terms of promotion, pay, moves, etc. They don't communicate with his active duty unit here as they should, though. There is no room for negotiation really with the deal he took, he has to go back to that unit but if they don't have a job for him they have no choice but to let him drill somewhere else so that he can get a job.

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#74 of 555 Old 07-08-2010, 05:06 PM
 
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A friend of mine has given birth at a birthing center and at home with the same CPMs in Jacksonville, FL. TC covered both but I don't know how much.

TC used to cover homebirths with a MD, CNM or NP. I don't know the rules about someone who currently works at the MTF. If she doesn't work on the base anymore, TC should cover the cots of care with her. She has to have doctor back up in NC to legally attend homebirths so that might be the problem. I didn't know there were any CNMs in the area who did homebirths. With Prime you can always use the POS option if you don't have a referral or non-availability statement from the MTF. TC should then around 50%, I believe. You can file the claims yourself for reimbursement if your provider doesn't want to. Don't do that, though, if you are doing dual care because they will want you to pay them back for the OB care since you've been paying for care with someone else.

The reason I said TC used to cover homebirths is that when I went to the link I have bookmarked that discussed homebirths it's not mentioned any more. Now all it says is that TC might cover low risk births at birthing centers. Have they changed the rules again?
http://www.midwiferyservices.net/staff.html <-- Olivia in case you were wondering (well, Meredith too but my main is Olivia) She is from Hampstead... and stopped working at the hospital this year to focus on doing homebirths but is still affiliated or some such with them? That is what I am mostly confused about. I know she does homebirths and can and used to work at the hospital but not totally clear on what is going on with that now (and really do not care, tbh lol... shes a great midwife and that is all I care about) but from what she told me her situation prevents her from asking tricare to cover her in my home... but if I had to go to the hospital for whatever reason it would cover it there.

We are fine with that though. Her cost is $3250, plus birth kit. Honestly, she is worth every cent and then some. Ive only gotten to have two appointments with her, due to having lived 1100 miles away until recently, but she has been very supportive and helpful through email before I even moved down.

She is also really helpful for DH, which I love. He doesn't know a lot of what is going on or what is going to happen... and the things I cannot answer, she is very willing to.

She is about an hour drive from my home, if it is not morning/lunch rush hour on base she has base stickers and can cut through on 172 to get here faster.

I worry a little about an unplanned UC because of it though, since between questioning my labor enough to go to the hospital and holding DD in my arms was only 3 hours... she told me to call at the first sign of anything so she can get up here ASAP lol.

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#75 of 555 Old 07-08-2010, 05:32 PM
 
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Tricare will not pay for my homebirth because ... uh... she explained it to me but its really confusing? She works (or worked? not sure there) at the NH on base... and because Tricare will pay for her there, they will not pay for her to do a homebirth.
There are two issues with getting HB covered in most situations.
-The patient needs a referral to a homebirth provider.
-The homebirth provider has to participate in Tricare, which, from my limited understanding, I gather means both that the provider has to accept Tricare and that Tricare has to approve the provider.

With your particular provider (my friend just had a HB with her a couple of months ago) she has Tricare approval when practicing at NHCL, but not independently. Last I heard she was working on establishing it independently as well.

MW, this CNM stepped up when our CPM took her sabbatical. There is also a brand new CPM in the area who just completed her certification. The CNM and new CPM are practicing together. I don't know if ours has returned from her sabbatical or even if she's planning to. Do you happen to know?

-Shannon, momma to H reading.gif 8/03, N heartbeat.gif 9/06, & P homebirth.jpg 8/11, missing S brokenheart.gif born at 11 wks 1/09 

 


 
   

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#76 of 555 Old 07-08-2010, 05:38 PM
 
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There are two issues with getting HB covered in most situations.
-The patient needs a referral to a homebirth provider.
-The homebirth provider has to participate in Tricare, which, from my limited understanding, I gather means both that the provider has to accept Tricare and that Tricare has to approve the provider.

With your particular provider (my friend just had a HB with her a couple of months ago) she has Tricare approval when practicing at NHCL, but not independently. Last I heard she was working on establishing it independently as well.
Won't TC Prime still cover it under the POS option without a referral? (That is excluding the other issue with this particular CNM.) Very cool that she's doing this. I know Meredith peripherally from being around other homebirthers and my CPM.

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MW, this CNM stepped up when our CPM took her sabbatical. There is also a brand new CPM in the area who just completed her certification. The CNM and new CPM are practicing together. I don't know if ours has returned from her sabbatical or even if she's planning to. Do you happen to know?
I don't know what happened and I don't know if she has returned. I was kind of hoping that was who Mae's MW was. Obviously, not.

Mae ~ You could always try filing a claim for reimbursement with TC once everything is said and done. The worst they can do is deny your claim, right?

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#77 of 555 Old 07-08-2010, 05:46 PM
 
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Mae ~ You could always try filing a claim for reimbursement with TC once everything is said and done. The worst they can do is deny your claim, right?
I suppose so, yep. Doesnt hurt to try, especially when we had to take out a small personal loan to be sure we could pay her without having to eat on a budget for a couple months... we had ended up using our money we set aside for her during our move down here because of several large issues that arose. Which really stinks since we had already had a few thousand set aside in case of issues... but that got eaten through REALLY fast.

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#78 of 555 Old 07-08-2010, 06:48 PM
 
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Won't TC Prime still cover it under the POS option without a referral? (That is excluding the other issue with this particular CNM.) Very cool that she's doing this. I know Meredith peripherally from being around other homebirthers and my CPM.



I don't know what happened and I don't know if she has returned. I was kind of hoping that was who Mae's MW was. Obviously, not.

Mae ~ You could always try filing a claim for reimbursement with TC once everything is said and done. The worst they can do is deny your claim, right?
You CAN go POS if you're the spouse/dependent, but not if you're the sponsor.

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#79 of 555 Old 07-08-2010, 06:48 PM
 
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Won't TC Prime still cover it under the POS option without a referral?
Maybe? I'm not very familiar w/POS. But there's no chance they'll cover it if you do concurrent care.

And this CNM was a homebirth midwife before she started working in a hospital setting...I don't remember if she was a DEM at that time or if she was a CNM all along.

-Shannon, momma to H reading.gif 8/03, N heartbeat.gif 9/06, & P homebirth.jpg 8/11, missing S brokenheart.gif born at 11 wks 1/09 

 


 
   

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#80 of 555 Old 07-08-2010, 06:56 PM
 
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Maybe? I'm not very familiar w/POS. But there's no chance they'll cover it if you do concurrent care.

And this CNM was a homebirth midwife before she started working in a hospital setting...I don't remember if she was a DEM at that time or if she was a CNM all along.
her site says she has been a CNM since 1993... but has been a midwife since the 70s

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#81 of 555 Old 07-08-2010, 08:19 PM
 
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You CAN go POS if you're the spouse/dependent, but not if you're the sponsor.
Yep and Mae's a spouse not the ADM.

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Maybe? I'm not very familiar w/POS. But there's no chance they'll cover it if you do concurrent care.
Yes and definitely something to keep in mind because, like I said before, if TC finds out you paid for other care out of pocket they can make you reimburse them for the medical expenses they paid.

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And this CNM was a homebirth midwife before she started working in a hospital setting...I don't remember if she was a DEM at that time or if she was a CNM all along.
Very cool!

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#82 of 555 Old 07-08-2010, 11:50 PM
 
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Wow... I disappear for two days and find I had some catching up to do!


I received a package in the mail today from a friend. She had a shirt made for me that says "Sexually deprived for your freedom!" haha. It definitely made me laugh and lifted my spirits... but I don't know if I could ever be brave enough to wear it out!

Cant wear it now... I mean, obviously not too deprived with a huge preggo belly in front of me

Just figured I'd share!

Kourtney, happily married to my soldier and raising ds 7/08 .... dd 7/10..... and ds 11/11

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#83 of 555 Old 07-09-2010, 02:35 AM
 
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I received a package in the mail today from a friend. She had a shirt made for me that says "Sexually deprived for your freedom!" haha. It definitely made me laugh and lifted my spirits... but I don't know if I could ever be brave enough to wear it out! !
O.M.G. EPIC WIN!!! I think I LOL'ed so hard I nearly peed myself! I totally want one of those!

I think our FRG would sell more of those than the "The longer the wait, the sweeter the kiss" shirts which totally remind me of some creepy abstinence class that we had in high school.

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#84 of 555 Old 07-09-2010, 01:16 PM
 
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I saw some of those, wanted one!

Instead I had one that said

CLOSED
Until my Marine returns

Artist, photographer, stay-at-home-mom and Marine wife. Mom to 4; a boy and three little girls.
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#85 of 555 Old 07-09-2010, 01:48 PM
 
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Originally Posted by MaerynPearl View Post
Instead I had one that said

CLOSED
Until my Marine returns
I like that. I'll have to get something like that for next time. Did you have it custom made or did you find it already printed somewhere?

knit.gifSAHM to 3 boys and 1 man; 22 jammin.gif, 9REPlaySkateboard04HL.gif, 5 FIREdevil.gifand now 1 year oldtoddler.gif!

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#86 of 555 Old 07-09-2010, 04:32 PM
 
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I think I found it on CafePress

I want to find some good ones for little miss Mae when she gets here in September. We didnt find any maternity ones I particularly liked (not to do with the military at least, we did find one on thinkgeek.com that I LOVE that is currently in the mail on the way here... basically the same thing as what my signature on here says)

DH has learned to keep me away from baby stuff though. I love it all. I did talk him into letting me buy a 5 pack of onesies at the exchange that are soooo cute... all sorts of polkadots, one has a cupcake on it and the one that made him say yes says Daddys Girl with a couple hearts!

We went down to Wilmington the other day and had a 4d done... man was it so worth it to go there over the one in Jacksonville! I just felt uneasy about going to the one up here... I dont know why, but we trusted my gut and it was worth it. We got some of the clearest 4d shots I have ever seen! Both places have a military discount, of course, but are pretty close to the same price, I think the one down there may be like 5 bucks cheaper? if that... but offered more images. It said 15 or more, but from what I saw as she was finishing up they pretty much average between 60 and 70 per baby. So there were some on there with 120+ but those were twins!

Artist, photographer, stay-at-home-mom and Marine wife. Mom to 4; a boy and three little girls.
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#87 of 555 Old 07-09-2010, 05:52 PM
 
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CafePress has some funny stuff. There's a homeschooling t-shirt on there I want to get for my 6yo but I haven't gotten around to it yet.

knit.gifSAHM to 3 boys and 1 man; 22 jammin.gif, 9REPlaySkateboard04HL.gif, 5 FIREdevil.gifand now 1 year oldtoddler.gif!

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#88 of 555 Old 07-10-2010, 12:29 PM
 
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We went to babies r us last night and DH HAD to buy another 5 pack of onesies... just because one of them was cammo lol.

So now I have to find Mae some green and/or brown skirts and pants to match her new onesies that daddy insisted she has. It wouldnt be so bad, since I do have brown skirts... but the brown is not an easy brown to match!

Probably end up just being lounge-around-the-house onesies for her.

Artist, photographer, stay-at-home-mom and Marine wife. Mom to 4; a boy and three little girls.
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#89 of 555 Old 07-10-2010, 01:05 PM
 
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So now I have to find Mae some green and/or brown skirts and pants to match her new onesies that daddy insisted she has. It wouldnt be so bad, since I do have brown skirts... but the brown is not an easy brown to match!
Are you going to use cloth diapers?

knit.gifSAHM to 3 boys and 1 man; 22 jammin.gif, 9REPlaySkateboard04HL.gif, 5 FIREdevil.gifand now 1 year oldtoddler.gif!

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#90 of 555 Old 07-10-2010, 05:19 PM
 
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Are you going to use cloth diapers?
planning on it... its my first one using CD so really hoping I can handle it.

Artist, photographer, stay-at-home-mom and Marine wife. Mom to 4; a boy and three little girls.
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