Monday, January 31, 2011

Those doctors!

We were only in the NICU for about three weeks.  It felt like forever, as we had to stay overnight because it was an hour's drive to the hospital.  We got to where we were feeding her every 3 hours (the doctors were so hesitant in upping her feeding, although she did really well)  And although she still had the NG tube, we were going to go home very soon.  We took the CPR class, the discharge class (which was like taking a temp and bathing your baby....come on, really?)  and we bought the car seat and were ready to go.  We were all packed up and the nurse came in to give me all of my left over breast milk. 

But then, as we were celebrating how lucky we were that she was eating and going home healthy with no scares, the doctor came in and said that we couldn't go home because she needed more tests.  She had some high numbers come back from some blood work and the kidney specialist wanted to check her out some more.  So we thought, ok a few extra hours and then we can go home.  However, this was not the case. 

The doctor came in and told us that her numbers were reading high levels of potassium and calcium.  So they did a test to see if she had reflux in her kidneys, which she did.  The doctor said that her kidneys were failing and the we had to think about maybe dialysis or a kidney transplant.  This was a huge shock to us.  We went from being happy to go home to our daughter is dying.  We could no longer give her my breast milk, but a special, very expensive formula for babies with kidney failure.  It was an awful day for me.  I felt like the one thing I could do, give her breastmilk, was killing her.  I couldn't even breastfeed to comfort her or walk around and hold her.  We had to sleep another night in the rooms that they had given us.  The nurse that night was pretty mad because they waiting until we were about to be discharged to do anything about the numbers that were sitting there for a week.  What a way to take a great day and smash it all to pieces!

We went home the next day, but we were feeling pretty low.  The good news was that we got to meet our pediatrician that day.  He was pretty awesome.  When he looked at the numbers, he was almost sure that her numbers were high because of the additive they were adding into the milk in the hospital.  He put her back on breast milk, much to my liking and ordered tests.  The next few weeks we had test that came back more and more regular.  However when we went to the kidney doctor again she freaked out on us.  It wasnt until she saw the tests herself that she agreed to keep her on the breastmilk, as if she was the final choice on that!

Another of the things we were shocked in a bad way about was her heart.  She was born with the bypass coming out of her heart in the wrong place.  The fetal echocardiogram saw this, along with leaky valves and the usual openings in her heart.   The doctors, both the cardiologist and the paranatal doctors said this was totally ok and did not mess with the function of her heart.  When we saw the cardiologist, she said she wasnt worried about the valves or the openings, these would resolve for themselves, but the bypass came out of her left cusp instead of the right and was in the heart muscle and between the valves.  So in the event of very elevated prolonged heart rate, the valves would be open and essentially cut off supply from the bypass and cause an infarction. 

Or in other words, a heart attack.  In a normal baby this would be silly to even think about because the most they do is be pissed off because they are hungry.  However with this syndrome, seizures are a big possibility and that would do enough to give my little baby a heart attack.  This was also something that felt like a sucker punch.  We cannot do further testing because of her small, low functioning kidneys.  The doc said this problem is 50/50 among doctors at doing a surgery because of the dangers of going into the heart, they don't necessarily outweigh the threat of a heart attack.  So we wait for something to develop in that area.  Obviously the bypass is not "ok" and we have to worry about that.  Whenever we take her to the hospital for something big, we will have to have them test for a heart attack.  It just doesnt seem fair!

I am sure this is just the beginning of my woe's with doctors and getting it wrong.  We are trying to keep in mind all of the great things that she can do.  She can eat all on her own, no tube.  She can pick up her little head to look around.  She can hear really loud noises, but we are not really sure how good she hears.  She thinks it is funny to look at the fan.  She is almost closing her eye all the way now!  And she is still here giving us a blessed life.  It just would be more convenient if we knew everything right now and there were not any more surprises.  I used to love them, but now, not so much!

Wednesday, January 26, 2011

The things we say

I have been thinking today about all of the things we say to people. I am trying to figure out how to train myself to only speak words that matter and are true.  Sometimes I feel myself talking and talking and I am not really saying anything of substance.  What a waste of every ones time.

 For instance, "How are you?"  Most of the time it is in a greeting and we don't really want to know how someone is doing.  We just say it out of habit.  We just want them to say "good" or "fine" and then move on to the next part of the conversation.  I also think about when we answer.  Most of the time I am NOT good or fine, but I say I am anyway.  That has got to be lying right?  What kind of example is that?  Mom is freaking out because the cookies are burning and the baby is screaming, but when she answers the phone she says everything is fine?  I like Dave Ramsey's saying when he is asked how he is: "Better than I deserve!"  Although to be honest, I  just always say tired when people ask now.  Because that is what I feel the most!

And what about when we are talking to someone who is going though something painful.  "Let us/me know if I/we can do anything"  And I say it too!  It is really a cop out.  Because most of the time you would KNOW what to do if you really cared to think about it.  When my friend is going through a time where both of her babies are sick and she can't stop throwing up herself, telling her to ask me to help her is crazy.  Why wouldn't I just stop by the store, get her some clear soda and soup and send up some prayers as I drop them off at her door?  Most people are not going to ask you for the things that they really need.  Which sometimes is just a card, or a visit or a hug.  I am not saying it isn't nice to say it, but it doesn't help anyone out.  "I love you and I am here for you."  That is better.  And then follow it up with an action that is not asked for.  I am going to try to change that when I feel like saying "let me know..." 

I am trying to teach my kids to say "I forgive you" when they tell each other sorry.  Because the first thing that I say is "It's OK."  And really, most of the time, it is not OK.  If someone punches me in the face and then apologizes to me it is really NOT OK.  But of course I can forgive them. 

The other big thing I have been thinking about is when we see a new baby.  It seems to be that we always want to assure the mother that the baby they have is just beautiful.  I KNOW that my baby is beautiful.  She may look funny to you because of her birth defects, but she is perfect to me.  I don't need someone to tell me that she is just beautiful.  I am so guilty of this too.  I am curious to know if this is an American problem.  I want to change what I say to: "What a perfect blessing from God!"  Because the quality of our children does not come from the way that they look!

The last thing I am thinking of tonight...(maybe I shouldn't save blogging for late night as I wait for Mark to get home)...is when we tell people we will pray for them.  That is something that I have done.  Someone drops some big news and I say wow, I will be sure to pray for you.  Of course there is nothing wrong with saying it, but most of the time we just say it and then forget.  At least that is my problem.  So now, I am going to try to pray right then and there for that person whenever I feel like saying 'I will pray for you"

I am going to stop typing now, before I say things that are just fluff.  And I dont want anyone to think I am judging anyone else, this is stuff in my head applying to me.  But I want to make a commitment to being sure that the words I say have meaning and are true!  At least it is something to think about.  Whether or not I can train my mind and mouth is yet to be seen.

Monday, January 24, 2011

I walk the line.

I am having a hard time walking the line between being hopeful and facing reality.  I am not exactly an optimistic person to begin with.  If we start something all of the potentially awful things that could happen are what come to me first.  For example: Mark says, lets go camping.  I think, what if there is a river or a bear, and we lose Malachi for one second, he's bear meat or drowned.  What if the they are too cold.  I couldn't bear to have someone wet the sleeping bag.  See what I mean?  That is what comes to me first.  As an after thought I will think of some good fun things.  Pictures will be nice and it always smells pretty good up there.  We would have fun. I am working on this.

However, with Mercy, it is hard for me.  We obviously have many bad things already staring us in the face.  Her kidneys don't work very well.  Her heart has a bypass that is intravalvular and in an event of elevated heart rate could cause a heart attack.  We can't do further testing because of the kidneys.  We cant test her eye for that reason.  We are still working on fixing her hip dysplatia.  Her foot is still in it's cast. We are trying to fatten her up (which is reasonably working, she is just over 7 pounds) to get her in for her cleft surgery.  These are not the things that worry me though.  I think I can handle her body not working.  I worry about what her mind will let her do. 

This is where my dilemma starts.  There is no clear line of where I should hope and where I should accept.  I know that we will know in good time what she can and can't do, but I want to dream big dreams for her.  I want to believe that she will walk and talk.  I want to believe that she will write her name.  But I don't want to be devastated if that does not happen.  That looks so selfish when it is on the page like that.  But it is a reality I face everyday. 

Do I trust God?  Yes.  But I still worry.  I still can't bear to think about my baby not "being there"  Do I regret not listening to the doctors and terminating the pregnancy?  Never, not for a second.  I know she can feel.  She can hear me.  I make her cry if I am there and not holding her.  She loves to have her little fanny in the air when I take off her diaper and it is like she almost smiles.  Can I expect her to be "normal?"  No.  That I have accepted.  She won't be like her brother or sister.  And that is great.  Who wants to be just like someone else anyway. 

But I want her to be here.  I want her to be able to talk to me.  I want her to be able to walk and play.  I want to know she can enjoy things.  When the diagnosis is "moderate to severe/profound" retardation of course I want to be on that moderate side.  But honestly, she is missing over 300 genes.  There are others with this with a lot less deletion that cannot even eat.  My heart is heavy.  I pray and hope and dream for "moderate" retardation.  But in my heart I am preparing for "profound"  And I cannot reconcile the two.  As she picks up her head on my chest I wonder how much of that is just muscles moving and how much is her thinking about doing it.  I feel like I fail her when I don't believe that she will walk or talk.  But I can't lie and say I don't think it. 

I feel like I am torn in two.  Hope and Despair.  Of course I want to choose hope for her and I am working on it.  It just seems to be that despair is much easier.  It is easier to expect bad things.  Trust and Hope are much harder.  Everyday I am walking down this thin thin line between promise of hope and the threat of failure.  The dance between the two sides is exhausting.  Sometimes I do a crab walk backward with half of me on each side.   My goal is to just jump to one side.  Hopefully the hope side. 

But for now I walk between the two, waiting and watching.  Everyday is a gift that I am trying to enjoy.  I am trying to live only for that day.  To enjoy what each of my beautiful children have to offer.  To enjoy the great responsibility of raising them to be selfless and loving people.  And to accept the Mercy that God gives me new every morning.

Saturday, January 22, 2011

In the NICU

I almost got out of the hospital the day after my surgery but I fainted in the bathroom.  I thought that was a pretty good sign to stick it out another day.  We were finally out of there 2 days after she was born and I headed home to shower and change and then we were going to make the hour drive to see Mercy.  I was so happy because I stood in the shower all by myself for the entire time.  It is funny how much we take for granted.  I even washed my hair, which took a little squatting action since the shower head is at about my shoulders.  Once I was dressed, I loaded up all of the stuff (pump kit, antibiotics, water) and we were out the door.  I felt really good on the way over physically , we did stop to get the wheelchair from our church since I could only walk a little while before it felt like my guts were going to fall out. 

I still can't really describe how it felt on the way to see my baby.  I was worried that I wouldn't feel the way I felt about her like I did Mel and Malachi.  I was worried I wouldn't want to see her or I would think that she looked funny or bad.  I was also afraid of how the tubes and monitors would look and if I would be too stressed out.  I was worried I wouldn't know her.  The hour drive went by pretty quick.

If you have never been in a NICU it's interesting.  There are security desks, a little intercom that you have to talk through and give your own personal security code and loads of hallways.  Mark pushed me all around in that wheelchair.  We came up to her room.  The noises are crazy.  Buzzes, alarms, ringing.  It was like a little symphony of machines.  There were tiny tiny babies in the isolettes.  I remember a nurse saying "these aren't eggs, they ARE NOT incubator's."  And when I got out of the wheel chair and scrubbed up, 30 seconds continuously and all the way up to the elbows, I hobbled over to where she was on a warming table.  And I just felt relief.

She was beautiful.  I felt just like I did with the other babies; proud, excited, worried.  Just the same.  She held onto my finger and I know she looked over at me.  We couldn't hold her because she had the umbilical cord catheter.  We had to wait for the PICC line.  She was doing so well.  No breathing tube.  So we just got to hang out with her for a while. 

After that we commuted a few days and then we got my husbands parent's trailer so we stayed up there with her.  We got to change her diaper and check her temp.  Eventually we got to try a bottle with her and dress her.  Days kind of blurred together.  It was frustrating to not be able to hold her or nurse her.  It was weird having to ask permission from some nurse to do things you would normally just do at home.  She took the bottle pretty well and it was only a little while before they let us give it to her every feeding.  She moved out of the ICU a few days after being there and into a family care unit.  This meant she was doing so well and we would be coming home soon!

Saturday, January 8, 2011

Delivery

On the morning that our baby was born, we got up early at ate breakfast together.  Well, at least everyone else did, I was fasting for surgery.  Melodee went to school that day because her class got out at noon and my mom was bringing her to the hospital so she could see Mercy if the worst came.  We took pictures with the kids in their "big brother" "big sister" shirts.  They kissed Mercy goodbye and said they would see her soon. 

The drive to the hospital was short, but it felt like it was all day.  We didn't say much, just held hands as we drove, promising to each other we could get through whatever the day brought us.  Of course, there was no parking, so we had to park on the very top floor of the parking structure across the street.  I was so nervous all morning.  I think I had to use the restroom at least 10 times before I was loaded up on the gurney. 

Check in was normal as always.  Third time is the charm right?  I always hate the IV part.  But she got it the first try and I was all hooked up to the monitor and we just waited for the time to pass until we went to the operating room.  Since we were a special case, our parents and our daughter would be allowed in the waiting room outside the operating room. 

We met the nurse who would be in the operating room with us.  And the neonatal doctor and nurse who would be there as well.  When I explained what was "wrong" with Mercy he was impressed.  He said most of the nursing staff doesn't know about what you just explained to me.  Believe me, I would much rather not have to know this stuff, I thought to myself.  That conversation went well.  Until he got to the hard question.  "Are we doing everything we can to save this baby?"  Meaning, if she is dying do we let her die?  What kind of question is that.  He too, thought that we werent going to be bringing home a baby. 

My mom came in before surgery and walked with me to the operating room.  She said a prayer over us before I headed in to get situated.  The room had quite a few people in it.  The anaesthesiologist, my nurse, the surgical nurse, the neonatal doctor, the neonatal nurse, a respiratory therapist and of course me.  The main man missing, the doctor!  We obviously couldn't start with out him, so we waited.  It was over a half of an hour that I sat on the table, waiting for her to stab me in the back (OK it's really not THAT bad)  When the doctor finally showed up and we got started I felt relieved.  Although I did tell him we almost broke out the scrabble game because he was taking so long. 

After they gave me my first cut my husband came in.  He took pictures of me.  He held my hand and we waited together.  It was my secret hope that she could come out crying.  Crying was breathing.  So eight minutes later, when I heard a tiny little cry, I was so happy.  Relieved.  Amazed.  She was crying pretty good, even if it was very very quiet.  They took her over to the table where they assessed her.  And she got an APGAR test of 9.  That was higher than my other two.  They wrapped her and brought her over to dad to hold.  Of course I was not able to hold her but I could see her little face.  And I know she saw me too.  I couldn't believe she was out and breathing and her heart was working.  It was unreal to me.

As I got put back together my husband followed the whole crew into the other room.  They checked her out.  She needed no oxygen and was on room air.  She was four pounds thirteen ounces and 17 and a half inches long.  The cleft was only her lip and a little of the ridge line of her gum and not her palette.  Although she still was going to be transferred, she was doing everything on her own. 

In the recovery room I waited.  My husband came back and told me all of the answered prayers about our baby.  She needed to be transferred to the NICU so that they could run tests, but things looked really good!
Our daughter was waiting for us as we got back to my room.  We waited for hours for the transport team to come and when they finally showed up, we got to see her before she left.  Melodee got to touch her hand, and even though she was intimidated by the isolette she was in, she was more afraid for me.  Both of my kids wanted me to come home.  And I wanted everyone to be home.

Waiting.

We now had a diagnosis.  We had a few months to wait for her to come out so we could see what we would have to deal with.  Have you ever felt like time was going by way to fast, but taking forever at the same time?  I felt like the day was coming so quickly, but that I had been pregnant forever.  As November got closer and closer, we tried to do more things together as a family because we were afraid when she came, she would not survive.  My daughter would tell me almost everyday, "Mom.  I really love Mercy."  She loved her so much before she even was here!  My son would kiss my belly, but he had no idea really what was going on.  His throne of "baby king" was about to be usurped. 

I looked up 4p- deletion on Facebook.  I thought it may be a long shot, but when I found a few pages and posted on them, it was an overwhelming response to me.  It seems that the WHS family is always willing to love and take in anyone who is looking for answers.  It was an encouragement to me to see all of the beautiful kids and how amazing they were!  But in the back of my mind and my heart I believed the doctor that her life may not last beyond a few minutes and if it did, we would have a shell of a baby.  My new facebook friends encouraged me in my pregnancy and offered help as they could. 

As the doctors appointments went on, she was always so tiny.  About a month before she was born she was 3 pounds, give or take 8 ounces.  I told the doctor 8 ounces is a lot to give or take when you are only 48.  He only smiled.  We also could never see her kidneys although there was pee pee so there was at least one.  I think it is so funny how excited we were that the bladder was full.  The tiny things that gave us hope make me laugh.  No one with a "regular" baby would be so excited to see that in an ultrasound. 

I had shots of Prednisone to help her lungs along because they were sure my pregnancy would not go to full term.  My C section date was not scheduled until the end of October because my doctor thought I would be going into labor at any time.  All of my facebook friends were praying for Mercy to just hang in there and get big.

I honestly did not know how I felt.  Sometimes I felt afraid, that I couldn't handle this.  I read the book \by Angie Smith called I Will Carry You.  Her baby died shortly after it was born and they KNEW it for most of the pregnancy.  In a way I envied her, because she knew her baby would most likely die.  I had no idea what was coming.  You can't prepare for all of the possible outcomes.  And I would be stuck caring for a struggling hurting baby.  My whole life.  I know that is selfish, but everyone dreams about seeing their kids grown, married and on their own.  Having life to yourself again.  Dreams that I did not even know I dreamed about felt crushed to me.  And then I felt so guilty for feeling that way.  Feeling that way about my own baby.  How much of a bad person did I have to be to do that.  And everyday was a day closer to finding out what our life had in store for us.

My delivery was first scheduled on November 8th, which is my birthday.  My husband was greatly opposed to this, as it would ruin that day if anything went wrong.  I was pretty sure it wouldn't matter what day if the worst did happen, but as it really bothered him, I changed the date to the 9th at noon.  We had a date.  It almost felt like D-Day.

Genetic "Counseling"

I remember people at church telling us that they had "scares" in the family.  That the doctors thought something was wrong and it never was.  Looking back now, I never liked the way I felt when people said that.  It was as if they were trying to reassure me that my kid was going to be normal.  There was no reason to feel that she wasnt going to be "normal", no matter what a test said or how she was born.

 I remember that day that they told us she was too small.  She had a cleft lip and most likely a cleft palette.  She had a club foot.  I remember crying and holding my husband because I really believed that it was going to be ok and wasnt prepared for it when it wasnt. 

We sat with the genetic counselor and she explained that there are a few things it could be, such as trisomy 18 or 21.  I worked as a special ed. aide so I knew about most of the things she was explaining.  We decided to do an amnio to see what it was so we could be prepared.  They did it that same day.  I realize now it was because I was on the very edge of being able to terminate the pregnancy.  They needed the results ASAP because if I wanted to abort this baby, then it needed to be quick. 

Waiting for the call with the results was awful.  I prayed, please call and let her tell me that everything is ok.  Because, no one wants to have something wrong.  I worked and came home and coached and cleaned.  Everything was going through the motions as we waited for the call.  She called me at work.  She told me that the results were back.  There is news.  Its not what we wanted, but she is missing some genetic material on the short arm of her 4th chromosomes.  (As though that made sense to me)  Its called 4p- deletion.  There is retardation with this.  When can you guys come in? 

That was some fun times.  I hit the computer in the office as soon as I got off the phone.  (I work with my mother in law so it was ok)  We found about 2 paragraphs about this disorder.  We saw that line "Severe to profound mental retardation"  My heart was broken.  Will this baby eat?  Will it walk and talk?  Will it live?  My husband was at work so we couldn't go in that day.  We scheduled an appointment the next day to meet with a doctor.

My mom came with us as they told us the news.  I remember as they explained what exactly was wrong in my baby's genes.  She told us she was missing from 15.3 on, the worst she had ever seen with this condition.  Her life would have little or no quality.  She would only be fed through a tube and suffer from terrible seizures.  She would be in constant pain with the surgeries she would require.  She would be a burden to us financially.  She gave us a list of what would be awful about our lives.

Think about your other children.  If the baby survives, they will have to take care of her.

Most of these pregnancies miscarry, you are just too good of a momma.

If this was me, I would terminate this pregnancy.

I cant guarantee that the baby will die.

And at the end she said, We are here for you no matter what you choose.  I guess all life has value, but you need to think about what is best for everyone.

If not for my mom, we would have left that meeting scheduling an abortion to "spare" our daughter from the awful things that would be coming.  They made us feel that having her would be a burden to us, our children, the medical community and just the world in general.  We were pretty far along in the pregnancy anyway, it would have to be a special doctor if we wanted to have it done.

The night before I dreamed I had a perfect little girl, with a cleft lip of course.  But she was beautiful and looked just like her sister.  She looked up at me while I held her in my arms and it felt so right.

My husband also had a dream that he died and went to heaven.  When he got there Jesus had a beautiful little baby in his arms.  When my husband asked who it was Jesus told him, "This is the baby that I lovingly created for you.  You missed out on the many blessings I wanted to give you through her." 

I believe those dreams were meant to show us that this is the life that was chosen for us.  And it was right and it was going to be just fine.

We scheduled a meeting with our mom's and dad's and the pastor to talk about it.  Before we could get to explaining all of the bad things about the baby our pastor interrupted and said "Well, I see here that it is a girl.  What are you going to name her?"

And we said "Mercy"  And it all fell into place.  She was "there" enough to have made it this far.  Who are we to say what her life would be.  What if they were right and it was nothing but torment.  But what if they were wrong.

My husband said, "How can we bring our daughter into the world, knowing she will be in pain, suffer, and die?"  Our pastor's response "God did it."  And we felt so much better.  We knew what we were about.  We were having another beautiful daughter. 

Her name is Mercy.

Friday, January 7, 2011

Starting Out

I am going to start my blog from the beginning.  The day that we knew we were pregnant.  Our oldest was four, and our son was two.  Everything was great.  There was going to be more kids than adults in our house, although some would argue that was already the case, and we were totally excited.  .  We told our families before our first visit to the doctor.  Eight weeks along and everything was as it should be.  We would have a baby the beginning of November. 

Our church had a service that ended with a communion and annointing with oil and prayer.  We told our life director (ex-pastor) and he annointed us with oil and said a prayer.  This pregnancy was blessed from the very beginning.

It was April 22nd, our anniversary, and we were looking at our third child for the first time.  We bought the CD so we could take it home and watch it over and over, like good obsessive parents.  Our other two children were crazy in the womb, twisting and turning, sucking thumbs and the like.  The ultrasound tech was nice, but seemed distracted as she scanned.  Our two kids were interested for all of two minutes. 

The baby did not move very much.  We didn't want to know the sex, we wanted it to be a surprise.  The baby was setting too low and not turning (something that would happen for every ultrasound during my pregnancy) so she didn't get all of the info she wanted.  She asked us to come back  a few weeks later when the baby was bigger.  She measured the baby and told us our due date would be around November 23rd. 

We left the office with the feeling everything was OK, but our baby was going to be different.  Maybe just small and mellow.  How nice to have a baby who fits in the right size clothes, I thought.  A baby that will sit quietly and not send me in every direction.  We were happy we were going to get to see the baby again.

I went alone to the second visit mostly  because the other kids were too bored in there.  Lisa (the tech) had the same issue.  The baby was way too low to see very well and not really moving around.  We even tried jiggling her and me in many different positions.  This time her due date came up as November 28th.  She asked if my other two kids were small babies, and I said no, both over 8 pounds.  She told me not to worry, the doctor would look it over at my next appointment. 

My next appointment with my OBGYN was a couple of weeks later.  He did not like the small size of the baby and wanted me to go to the Maternal Fetal Center of our local Childrens Hospital.  They got me in for the next day.  The promptness of a hospital appointment was alarming.  As well as the call to conform my ultrasound, paranatal doctor visit and genetic counseling.  The last bit was a surprise to us.

Still, we felt like everything was fine and normal and this was all precautionary.  The first ultrasound at the Childrens Hospital found out some things we did not know before.  We saw a club foot and a cleft lip.  This information was enough to prompt them to discuss "options" with us.  Because of the two birth defects, they suggested an amniocentisis.  So we had that done.  The two weeks waiting for the results was awful.  But that was all we could do.