While a bottle of bubbles might seem out of place in a hospital setting, you might be surprised to learn that, for thousands of children around the world born with cleft lip and palate, they can be a helpful tool in comprehensive cleft care. Lilia, who was born with cleft lip and palate in 2020, is one of the many patients who received this care. 

As a toddler, Lilia underwent two surgeries to treat cleft lip and palate with Operation Smile’s surgical program in Puebla, Mexico. Because of Operation Smile’s comprehensive care, it wasn’t long before her personality transformed: Lilia went from a quiet and withdrawn toddler to an exuberant, curious explorer, babbling, expressing herself with a variety of sounds, and engaging with others like any child her age. 

Lilia is now a healthy five-year-old, with the same cheerful attitude and boundless energy. Her progress is the result of care at every level, from surgery to speech therapy to ongoing support at home—but it’s also evidence that small, sustained interventions throughout it all can make a meaningful difference. 

Cleft Conditions: A Global Problem

Since 1982, Operation Smile has provided cleft lip and cleft palate surgeries to more than 500,000 patients worldwide with the help of generous volunteers and donors. Cleft conditions are congenital conditions, meaning they are present at birth. With cleft lip and palate, the lip or the roof of the mouth do not form fully during fetal development. Cleft conditions put children at risk for malnutrition and poor weight gain, since their facial structure can make feeding challenging. But cleft conditions can have an enormous social impact as well: Common difficulties with speech can leave kids socially isolated and unable to meet the same developmental milestones as their peers. 

Surgery is a vital step in treating cleft conditions, but it’s also just one part of a much larger solution. Organizations like Operation Smile emphasize the importance of multi-disciplinary teams that provide comprehensive, long-term care to patients across many years. This approach, which includes oral care, speech therapy, nutritional support, and psychosocial care, not only aids in physical recovery from surgery but also helps children develop the skills and confidence to eat easily, speak clearly, and engage in everyday life. This ensures that each patient receives the full range of support they need to thrive. 

A Playful (and Powerful) Solution

Throughout a patient’s care, simple tools like bubbles can play a meaningful role from start to finish. 

Immediately before surgery, children are often in a new and unfamiliar environment far from home, some of them experiencing a hospital setting for the first time. When care providers or loved ones blow bubbles, it’s a simple yet effective technique: Not only are the children soothed and distracted, the bubbles also help create a sense of joy and playfulness that eases their anxiety. 

In speech therapy, bubbles can take on an even more important role. Blowing bubbles requires controlled airflow, as well as the ability to form a rounded “O” shape with the lips, which are skills that children with cleft conditions may struggle to develop. Practicing these skills with bubbles allows children to gently strengthen their facial muscles, improve breath control, and support the motor skills needed for speech development. Beyond that, blowing bubbles can help kids connect with their parents or providers in a way that’s playful, comforting, and accessible even for very young patients. 

Finally, bubbles often follow patients with cleft conditions home in the “smile bags” that each patient receives when the surgical procedure is finished. Smile bags, which help continue speech therapy outside of the hospital setting, can contain language enrichment booklets, a mirror, oxygen tubing, and bubbles. While regular practice with motor skills can help with physical recovery, small acts of play help as well, giving kids space to simply enjoy themselves and join in on what peers are able to do.

Bubbles at Home and Beyond

Today, because of Operation Smile’s dedication to comprehensive cleft care, Lilia is now able to make friends and speak clearly, all things that could have been difficult or impossible before. Instead of a childhood defined by limitation, Lilia—and others around the world—can look forward to a childhood filled with joy, learning, discovery, friends, and new possibilities.  

CTA: Lilia’s life was changed for the better with the care she received through Operation Smile. Find out how you can make an impact in other children’s lives by visiting operationsmile.org today. 

Every year, back-to-school season brings new school supplies, a trip to Target for clothes, and social media channels flooded with photos of kids holding chalkboards. Over the past decade, back-to-school photos with kids standing on their doorsteps with signs with their name, grade, year, and teacher have been ubiquitous on social media.

There’s nothing wrong with the photos, they’re a cute way for parents and kids to mark the passage of time. For most parents, it’s a way to remember that it all goes by way too fast. However, for the “perfect” parents out there who like to flaunt their Instagrammable lifestyle, they’re another way to show off their “flawless” first days on social media.

One mom said what we were all thinking

In an attempt to show parents they don’t have to fall for the myth of perfection on social media, Jeni Bukolt, a mother of two boys from Waxhaw, North Carolina, posted a first-day photo of herself looking burnt out and wearing sunglasses. School hadn’t even begun yet.

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“Mom’s first day of school,” the handmade sign read. “I am 42 years tired. I’ll probably miss a school ‘theme’ day. I really like sleep. Please don’t ask me to volunteer. But I will buy you supplies.”

“I make signs for my kids each year but lately I’ve thought about how I always feel behind, as though I’m failing (in some way),” Bukolt told Today. Clearly, other parents feel the same because it was a hit with a lot of them on Instagram.

A lot of comments were from parents who thought the photo was a breath of fresh air during a stressful time of year. “Brilliant, you speak for millions!” cathycole wrote. “May we all survive the drop off/pick up lane,” merakifitnessandpole added.

“I thought maybe if I can create a lighthearted moment, some other moms will laugh and understand we’re all in this kind of struggle together. Like, let’s have empathy for each other,” Bukolt told Good Morning America.

Bukolt hopes her post builds an “empathy bridge” between parents. She’d also like to shine a little reality on the parents who feel judged on social media.

“I also feel like when you look at social media, there’s all these, [picture perfect] worlds,” she added. “It’s not the true story. And some people think like, ‘Oh, they have it better or they’re perfect,’ and this is an opportunity to say no, we’re all real human beings … we’re all in the struggle together.”

Not everyone thought it was funny

But of course, there were some humorless parents who thought her post wasn’t supportive of teachers or her two sons. So Bukolt made a follow-up where she explained that she was just having fun.

“For the keyboard warriors… yes I do have a job, yes I love my kids and no, I don’t hate teachers. Back to work. Have a great day!” she wrote.

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She kept it going the next year too

The next year, Bukolt returned with another sign where she said she’s “43 years tired,” has a “new sleep routine,” and please don’t ask her to do any math. “Liam asked me about division last night. I know that common core math should be easier, but apparently I am NOT smarter than a 4th grader,” she joked in the comments.

Parenting is hard and we all fall short of glory at times. Kudos to Bukolt for making us feel a little less alone and letting us know that some folks have already accepted their imperfections on the first day.

“If other moms can get a good laugh about it, then that makes my heart happy,” she said.

This article originally appeared four years ago. It has been updated.

If you’ve ever spent a significant amount of time with twins, you know that no other relationship compares. My husband has twin brothers, and one of those brothers had twin daughters (busting the twins-skip-a-generation myth), so our family is quite familiar with the twin bond.

Over and over, we’ve watched with amusement as one adult twin will move across the country for one reason or another, with the other twin eventually, but inevitably, following them. Twins redefine the word “inseparable,” which makes sense since they’ve literally been together since before they were even born.

This baby monitor video says it all

Nowhere is that bond more apparent than in a video of twin babies at the end of their first day of separation ever.

In a TikTok video shared by @thattwinmama back in 2023, we see black-and-white footage from a baby monitor showing baby twin sisters standing in adjacent cribs.

@thattwinmama_ Will forever make........

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