Wednesday, October 9, 2013

Jack's Birth Story



I woke up 2 years ago on this day and was tired of being told not to move, not to walk, not to worry, not to, not to…..  I spent much of the previous day in tears because I was tired of being on bed rest, stuck in a hospital room and away from my daughter.  Her tears made mine worse.  Frankly, I couldn’t believe that my water had broke so soon.  But, I guess one should have assumed that something like this would have happened given the history of my second pregnancy.  It’s probably safe to say that I was mildly depressed about this event, because I thought I was out of the woods with difficulties, troubles, problems, worries- you get my drift. 
As I attempted to start my daily routine that I had going for myself, I started praying my rosary, ordered my breakfast, countless fetal checks, and eventually a shower, I started to feel optimistic about my situation.  The nurse that day was so friendly, caring and really brightened my day.  As she helped me, along with Steve’s help, get ready to shower, I kept wondering what this next specialist was going to tell us.  The several neonatologists and other fetal specialist shared some pretty scary stuff with us.  We listened intently, asked all the right questions, prayed a lot, and appeared to be the most prepared couple in the hospital for this bundle of joy about to enter our lives, of course believing it’s all going to be completely perfect.  They shared some scary statistics with us for white, male babies.   We had another appointment that morning in the hospital at 9 AM with the fetal specialist from University of Cincinnati, Dr. Evans.  It was protocol, as were the countless other visits from specialists of all sorts for premature babies.  Worried….at this point, not so much.  I was confident that I prayed hard enough, did what the Dr’s told me to do during my pregnancy, I figured they were just following their protocol of keeping parents informed of potential outcomes or possibilities. 

They wheeled me to another room with “important equipment”, and an ultrasound tech along with Dr. Evans met Steve and I in the room.  Our baby looked perfect.  She looked amazing.  Her hair was floating in fluid, she was active, and looked happier than ever.  I was convinced our baby was a girl….and white girl odds are much better than white boys odds.  Our 45 minute appointment with him was enjoyable, especially when they had nothing but great things to say about the development of our baby, and how healthy she looked.  Steve and I enjoyed another look at our baby.  As much as we enjoyed our 45 minute appointment, the final minute of our appointment with him created much anxiety.  Dr. Evans was clear on his medical recommendation.  Our baby had to be delivered today.  We didn’t have a choice.  We weren’t expecting that, but the risks of keeping our baby in the womb were just too detrimental to their health.  Of course, doing what any great parent would do, we followed their directives.  Thankfully, I only ordered breakfast…I never was able to  eat it. 

Suddenly, my mindset changed.  I couldn’t get it out of my head.  This sweet baby girl was going to be born.  Steve and I prayed together, made many phone calls to make sure we had arrangements for our sweet 6 year old to meet her new sibling, and for family to be present for this wonderful event.  We prayed more.  Steve and I discussed our girl name again; we both weren’t agreeing on the same name.  As the day went on, my anxiety rose.  I worried.  I worried a lot.  I worried that my C-Section wouldn’t go as planned.  I worried that I wouldn’t walk again after my surgery.  I worried that Madeline wouldn’t make it in time to be there for Daddy to come tell her about her new sibling as soon as they were born.  I worried that our little baby might experience some of the THOUSANDS of issues they shared with us numerous times on the days leading to today.  The only way I could relieve my worry was to pray and cry.  I cried.  I cried a lot.  I was scared.  Very scared.  As the day went on, the nurse continued to be that foundation that I needed.  As she prepped me for surgery, she promised to be there for me while getting my spinal.  I cried through it.  I hugged her.  She knew I was scared.  She was there for me when my husband couldn’t be.  She reassured me of my amazing Dr., and the amazing team of Dr.’s that were present in the delivery room because our baby was premature.  It was overwhelming to see so many people in there.  Happy to see everyone there just for MY baby, but a very clear reminder that something could go very bad. 

Surgery started, I was still crying, worried out of my mind.  Having Steve by my side was the most comforting thing I could have had.  Seeing him smile at me as I lay helpless reminded me of just how special he is to me, my daughter, and the strength we need right now, literally.  He rubbed my tears, kissed my cheek and gave me the strength I needed to pull myself together.  We couldn’t wait to meet our baby girl.  

At 6:00 P.M sharp, our baby was born.  Dr. Aichholz tugged, pulled, shifted and tugged some more to get our baby out.  She was in no rush to get out.  We heard a nice squeal from our new baby.  And Dr. Aichholz announced , “IT’S A BOY!”  I laid there in SHOCK!  What!  How could this be!?  I wasn’t upset, I was thrilled, but immediately, I had a WHOLE new set of worries. And then, I looked at Steve and knew right away things were not good.  I couldn’t hear our new baby boy screaming anymore.  I could only hear rumbles of medical professionals working behind me, but no one was saying anything.  After what seemed like an eternity, a nurse shared with us that our little guy was having some troubles.  He was doing EXACTLY what those countless Dr’s told us that would happen.  She shared that they were doing respirations for our baby….he quit breathing.  He needed help.  After doing CPR, they knew that he needed to get some help.  They took him quickly to the Special Care Nursery at Christ Hospital.  There, he immediately was put on oxygen.  Dr. Melton, the neonatologist, was in charge of his care.  We were impressed with her during our meetings with her, and we were confident should would take care of our baby to get him healthy as quickly as possible.  Steve followed our baby boy, Jack, to make sure we knew what his medical needs were.  

I laid on the operating table filled with worry, and again was alone.  The nurse was my foundation while my husband was gone.  I needed somebody now, more than ever, but my son needed someone now more than ever, for the sake of his health.   
After several hours of being in the special care nursery, he was stabilized  with the support of a CPAP machine.  I was so sick after my delivery, I wasn’t able to visit him that evening.  It devastated me, even while I was vomiting.  I had to take Steve’s word that he looked ok and was acting ok.  My nurses didn’t even know how he was doing since he was with a whole different crew.  Steve shared pictures of Jack with me from his phone.  When I saw the first picture, I cried.  I kept praying.  The tubes looked scary.  This isn’t what I dreamed would happen.  I found myself in a place of disbelief, a horrible nightmare. But, sadly, this was as easy as life was going to be for Baby Jack for a couple of weeks.  As I was working so hard to pump to try to give Baby Jack “liquid gold”, I was filled with fears.  I didn’t know what to be scared of, but I did know that my little baby wasn’t alright.  I tried to sleep, but the alarm that went off every 3 hours on my phone so I could pump was really hindering my attempts at a good night’s rest.  We didn’t hear anything through the night from the special care nursery and we thought and hoped that this meant Jack started to show improvements.  

As we started the day on the Tuesday morning, Steve went right to see Jack.  He came in and nothing had changed, with the exception that Baby Jack was struggling more than he had the night before.  Steve’s eyes showed his fears, but his shoulders showed me that he was confident he was in good hands.  We decided that even though I was feeling lousy, extremely nauseated, it would be best for me to get in a wheelchair and see my bundle of joy.  It was a terribly painful ride after my C-Section and my nausea was pretty intense.  My pale skin was evident of that and the nurses in the special care nursery took notice right away.  They let me see Jack.  I cried.  I cried a lot.  My mind started wandering in all directions because I was so worried.  I could see his poor little lungs just laboring to work for him.  I took a picture because I was so happy to see him, but seconds after I had to leave.  The nausea overcame my body and I vomited several times.  I was so upset because I just wanted to sit next to my baby, but they wouldn’t let me.  They knew my body needed some time to recover and I needed to rest.  It ripped me apart inside to have to leave my baby.  Being wheeled back to my room, my emotions took over and I couldn’t control my worries.  I was overcome with tears.  Loud crying, bawling might be an appropriate term. 
After getting settled back in my room, 30 minutes later Dr. Melton came to talk to me.  She had a confident composure about herself.  But, she had glossy eyes.  I could almost see what was coming.  At 11 AM, I didn’t want to hear this.  I didn’t EVER want to hear this.  EVER, NEVER! Jack had something terribly wrong.  They had to perform a procedure that they were hoping was going to work.  We didn’t have a choice, it HAD to be done to keep him safe from more damage.  She was going to perform the procedure and report back to us after they could tell if there was a change.  Jack had developed a pneumothorax.  He now had air escaping his lungs and into his chest cavity because of holes in his lungs.  No one told us this could happen.   Shortly after she performed this procedure and having x-rays done every 5 minutes, it seemed, Jack was showing no signs of improvement.  We now had much more to worry about.  After performing a procedure 3 times, he needed some intensive support.  This came several hours later, and Dr. Melton told us we had 30 minutes to get him to Children’s Hospital before something life altering could happen.  The clock started.  She made phone calls as we panicked and made frantic, desperate calls for help from our family.  We needed support because we were crumbling.  The thought of our baby not making it wasn’t a possibility EVER, but now we were told that they are going to make every effort to keep him alive.   Our fears turned into nightmares.  The clock was still ticking.  10 minutes after Dr. Melton told us to get prepared to tell our Baby Jack good bye, she said that the Cincinnati Children’s Hospital Medical Center Neonatal Intensive Care Mobile Transport team was on its way.  She told us what to expect and told us we would be overwhelmed because of the amount of members that would be traveling with Jack just a few short miles up the road.   She also shared that they would be bringing Jack to my room in his isolette once the team had him stabilized so we could say our goodbyes.  There aren’t any words to describe this moment.  The intensity of this moment was clear with the raw emotions that Steve, Madeline and myself were experiencing, along with my mother.  No longer in shock because we couldn’t be, we continued to cry and prayed together for a good amount of time.  

Steve wasn’t allowed to arrive on the NICU floor at Children’s for about 2 hours after Jack left us because they needed to make sure that Jack was stable before anyone was with him.  Those 2 hours were terribly painful because we didn’t know anything.  Scared doesn’t describe our emotions, nor does panicked, worried, frustrated, angry, sad, or mad.  It’s a moment I NEVER want to live again.  We didn’t know if we did the right thing by having our 6 year old daughter there for that moment, but we knew that we couldn’t live with ourselves if she weren’t there if something terrible were to happen and she didn’t get to say good bye to her brother.  Hindsight, I wouldn’t change our decision.  It’s not what our 6 year old at the time needed to see, but our life had changed so drastically in 24 hours that we needed to do what was best for our family.  And, in reality, what she saw was nothing compared to what she was about to experience in the coming weeks with her little baby brother.  

Steve left us to be with Jack.  His mother came to be with me at the hospital while Madeline went back to sleep at home with my mother.  I again was alone.  I said goodbye to my newborn baby boy and just sent my daughter home with my mother.  I wanted nothing more than for her to sleep next to me in my uncomfortable, padless bed in the hospital room, but I knew that she couldn’t function the next day if I did that.  So, I cried all night long.  Steve finally called around 11 PM.  He had a shaky, shaky voice as he were choked up about something.  I knew then it wasn’t good.  Jack quit breathing.  He coded.  And Steve had to watch it.  After holding back his tears over the phone to communicate with me, he was able to tell me that Jack was finally resting peacefully and they had finally had success intubating him, and his chest tube was in place.  The machines were keeping him alive at this point, but Steve said he couldn’t believe how much better he looked already because his body could finally relax.  I wanted Steve to send a picture but he told me he couldn’t.  He didn’t want me to see a picture of Jack like this without standing by me.  

I went to bed that night praying.  I don’t think I slept that night at all.  I couldn’t believe Jack was having such difficulties and wanted to take ALL of his pain away.  The next day Jack struggled with his chest tube and there weren’t any signs of improvement.  They were now talking about permanent damage to his lungs and the possibility of damaging all of his organs, including his heart, in his chest cavity because of the pressure.  I didn’t think things could get worse.  Another reminder from God that we’re not in charge.  Over the course of the next 3 days I was at Christ Hospital while  my baby was in Children’s Hospital.  These days required God to give me strength to get through each day because it was obvious I had no control over this situation.  It was all in God’s hands.  I prayed HOURS each day in hopes of just receiving 1 phone call from Children’s with good news.  It didn’t happen.  Finally, on the 4th day I was going to be discharged.  Two hours before I was discharged we received yet another phone call from the Dr. that Jack had developed another pneumothorax in his chest cavity, this time from his right lung and they had to perform another procedure.  I cried, screamed, hugged my husband in hopes of burying my worries in his chest, but nothing relieved my fears.  I begged the nurses to make my discharge quick.  I couldn’t take another minute of being away from my very sick baby.  I was convinced that if I arrived soon, Jack would show signs of improvement.  By 12 p.m., I was discharged and Steve drove me straight to Children’s.

Beyond the fear of the triple door entrance to getting to my son, I had to put my “STRONG MOM” cap on.  I needed it to be on for my newborn baby.  Steve steered me in the wheelchair to his pod- D, space 2.  And there he lay, sleeping.  I couldn’t keep my eyes off of him.  He was beautiful.  More than I even remembered from the 3 minutes that I had with him up to this point.  But the constant beeping, wires coming from every direction of his body and machines that decorated his bedside were overwhelming.  My "STRONG MOM" cap must have fell off somewhere.  They scared me.  He looked like a baby, but a really sick, sick baby.  I leaned over his bed, held his hand until I couldn’t stand anymore, and cried.  This isn’t what I was expecting at all.  I didn’t think he was this sick.  Clearly, the monitors all over his area said otherwise.  

1 month later our baby Jack was finally discharged from Cincinnati Children’s Hospital Medical Center.  He has taught us so much in his 2 years and we can’t wait to learn from him in the many years to come. The countless lessons that can be taken away from this are big and small, but if there’s one thing that I know for certain, God is in control.  We have been blessed with Jack and his very mild health concerns now, but if there’s something we remember each day, it’s that every single being on Earth is important and that each person is so special.    

Jack- Happy 2nd Birthday!  You’re a special little boy.  Your smile makes us giggle, your words make us chuckle, and your rising chest while sleeping reminds us just how fragile life is.  We love you!