The intellectual equivalent of a ham sandwich.

Posts tagged ‘Weekly Wacko’

Thoughts From a 4am Rocking Chair Session

  • A child’s cry is magical – what else sends someone into a panic and flurry of activity so well? I can picture some sales person or ad executive having a child and thinking, “how can I recreate this for my upcoming ford f150 campaign? If only people could hear the ad, freak out and run to their nearest dealership in an emotional panic!”
  • I like to pretend I’m an overworked waiter at a restaurant and the chef has gone nuts and only makes one dish – milk. Then I have to talk up the milk, it’s organic, it’s fresh, the milk supplier is treated well, etc. My son may grow up crazy, but he’ll be creative and crazy?
  • The sight of tiny snaps will cause my tremors of fear even when I’m old
  • Maybe some kids don’t want to listen to music from their parents generation because their parents sang terrible versions of it, off key, lacking rhythm, and with words changed to sing about poop and pleading with their child to not cry. Then, years later, mom or dad says, ‘hey I loved this song when I was your age’ and the child instinctively clenches and begins to scream.
  • Is my son’s urine in a league for evil?
    • It does escape whenever it has the chance. Diaper gone … MOVE MOVE MOVE.

The Kiddo – Part II – Game Day

Saturday

Thursday my wife had woken up and vomited, which we were worried might mean an infection … but after some investigation and talking with nurses and doctors, we figured it might be a side-effect of one or some of the many medications she was on. Sure enough, a nurse we liked looked it up and several medications said a common side effect was dizziness.

Friday night we went to bed and all I hoped was Saturday she would wake up feeling slightly more human.

I had begun to think, as great as it is for the little guy to continue to cook … at what cost? It felt like every day under this duress and discomfort was taking a few months off her life.

And whadya know, I got my wish … Sort of.

She did wake up feeling better. Score one point. She also woke up and informed me that she had started feeling pretty regular contractions starting at 2 am. Ah. Minus five points. When a nurse came by for the morning check-in, we showed her the log my wife had started when contractions were happening.

I was still hoping that these would subside, some contractions are no big deal. Regular contractions, especially those that gain strength, those are a different story. We wanted to make it to Friday! It’s only Saturday!

But my wife’s body knew better – it finally felt marginally normal, which meant it had the strength for the big show.

***

The contractions continued, and as my wife had told me during one of the childbirth classes, contractions equal DO NOT TOUCH. She wanted to try and go deep within her mind and find some inner calm while the body did its thing. Fair enough.

As they gained in strength, we again talked to the nurses and they decided to move us. Back to the birthing center we went.

My wife’s mom arrived and the three of us formed an odd party.

My wife, on the labor bed, going into her mind with a clear grimace painted on her face once every X times per hour. My wife’s mom, sitting on a chair, watching shows on her iPad, and talking to her husband to determine if he should go ahead and fly out. Myself, reading a book, glancing up to see my wife in growing pain and discomfort, then glancing back down to finish the paragraph. Sounds cold and whatever the antonym for reassuring is, doesn’t it? But hey, the wife wants what she wants.

***

I grabbed lunch.

My wife’s mom ran an errand for us.

My wife laid in bed, retreating into herself, then coming back and chit chatting with us.

All the while, a Law & Order marathon played on the TV.

BUM. BUM.

***

The doc working that day was busy, surgery after surgery. Finally, she found some time in early or mid-afternoon to stop by and check on the Mrs.

One complication with my wife having broken her water a week-plus prior is that the doc doing the good old ‘let me stick my hand up there to check out the sitch’ check was a little more cautiously viewed. Because the water had broken, one barrier to infection was down, which meant that anytime a foreign item was introduced (i.e. the doc’s aggressive hand) it could increase the risk of an infection. But, with the way the contractions were going, it was time to get a read on the cervix.

cervicaldilationThis chart is a common sight – the size scale. I don’t know how many bagels I ate while staying at the hospital during this time. I often missed the window where people were making good stuff, so I would settle for a bagel. Odd to look at that chart and think that’s what we were shooting for. By we I mean her.

The doc never-so-lovingly shoved her hand in and let us know, ‘who wants Oreos!?’ (Nah, she said you’re 4cm.)

My wife had been in pain during the contractions, but the pain during the cervix check was excruciating. This rattled her much more than anything else had, and it made her question her ability to do this without drugs.

***

The afternoon continued. Contractions. Reading. Watching. Bad guys hearing puns while detectives and lawyers accused one wrong person after another until finally finding the REAL bad guy.

Due to the pain of the cervical check, my wife decided to enlist some help – laughing gas.

This was the lowest level of drug support you could get. You would hold it up to your face and take breaths from the mask when you wanted (e.g. during contractions) and then lower it and breathe room air. After a few breaths of room air the laughing gas would no longer be in your system. Easy peasy.

My wife was in the bathroom when the doc came back, and I grimaced expectantly. My wife came out of the bathroom and quickly plugged into the gas. It had been doing its job wonderfully at ‘taking the edge off’ with the contractions, but would it pass this test?

Nope. Nope nope nope. The pain was still very present. And, unfortunately, she was only 4.5cm and a solid hour or two had passed. Not the progress we wanted.

***

The contractions were showing up on the monitor, but the doc began to wonder aloud to us about the idea of an internal monitor. Guh. This would be some sort of medical instrument that gets shoved up in there to more accurately measure the strength of the contractions.

(Dear son, be glad you’re not a lady.)

The doc did one more check, this time with my wife gulping down the laughing gas like a runner pausing at the top of a hill, and still bad results – not much more dilation, still incredible pain.

The doc made a call at this point – there is indeed a uterine infection. We are now on a timeline for this baby coming out, and if it doesn’t happen within that time frame, he’s coming out by c-section. The risk of him getting infected by the uterine infection made this an easy call for our doc. Pitocin was called for to speed things up.

My wife, with some frustration, called for more backup. An epidural. The cervical check pains were too much.

***

The anesthesiologist seemed nice, but when you’ve just shoved a needle into my wife’s back, and you’re controling a numbing agent going into her body, and then you’re at your little machine and you say, ‘oh crap!’ … you know … that just doesn’t do much for me.

But, thankfully, it appeared that nothing was actually wrong, because the epidural was doing its thing. The numbness was taking over.

Contractions, pitocin, epidural, uterine infection, all the ingredients for a great party.

Our main nurse brought in a blanket for me and I laid down. At this point, it was maybe 10 pm.

***

I woke up to a lot of medical jargon being said (this was a recurring theme during the stay there). It’s very confusing. One of the doctors we talked to, who was great, said that whenever a doc comes and spews out a bunch of information, you’re likely to retain 30% of that. Therefore, it’s great to have two people in the room, and hopefully each retains a different 30%, and then you’ve got 60%, and that’s not bad. She said this with a hint of humor.

The doctor came in for another cervical check (still hurt), and then decided to insert the internal contraction monitoring device. But wait … it just … (dear God the look of pain on my wife’s face) won’t … (so much pain) … insert.

Oh, and look at all that blood on the doc’s gloved hands. Is that right? Should there be blood?

The doc made another announcement – abruption! Wait, the exclamation point is misleading. How do you denote ‘not good.’ Like, not good on top of the other not goods? Anyway, it was not good.

***

Once a doctor calls out for a c-section that needs to happen pronto, it REALLY HAPPENS PRONTO. I think it was 1:58 am or so that she called it, and we heard our little pal crying at 2:10 am.

Those 12 minutes included going from that room to the OR, putting me in a bunny suit, cutting my wife’s belly open, taking her guts out, taking a baby out, and saying, ‘hey dad, want a picture?’ (Woof. What a sight.)

***

From there things happened at a confusing pace.

I was asked if I wanted to come over to see the kiddo, so I said sure. I left my wife’s face (they had a curtain that started at her neck, which blocked our view of the gut-opening) and went to a corner of the OR where there was a team of 5-6 people surrounding my son. He was crying, which was glorious to hear and brought a few tears to my wife’s smiling face, but the presence of so many people was alarming.

He continued to cry out a few times, which always prompted one of the NICU people, the only male (Josh, who I later met under more normal circumstances) cracked jokes and would say, ‘oh! tell me! tell me!’ They sucked a bunch of fluid out of his lungs and then, at some point, I guess decided he was looking a little blue because they put a tiny oxygen mask over his mouth.

From there we wheeled out of the room, stopping briefly to let my wife glimpse her son from the operating table, and then we were walking to the NICU. The charge nurse was with us and saying … some stuff. God knows what. I think she told me a few times he was doing great, but if he was doing so great, why do we have so many people and we can’t hold him? Great for 33 weeks, I suppose.

Once in the NICU, they took him straight to his room, which we came to know well over the coming weeks. Josh continued to crack jokes, which was the only sign that everything was not awful. Someone who was apparently more in charge walked me out of the room and repeated that everything was great, and then she said that I would need to put on some surgical clothes if I wanted to stick around because they’d be doing ‘blah, blah, blah …’ (medical confusion). The charge nurse asked if I wanted a glass of ice water, which I assumed meant I looked pretty pale and shaky. The woman talking to me seemed to indicate it might make sense for me to check on my recovering wife instead of staring at people putting in a gavage tube and whatever else they did.

***

The Mrs. was sitting in a post-op room, looking much less pregnant, and wiped out. She was shivering, which they said is common and can be from the surgery and from the anesthesia.

She would need to stay in that room for an hour to make sure the i’s were dotted and t’s crossed. I excused myself to let my wife’s folks know how she was doing, and also to get a snack because I began to feel a bit woozy. I guess all of the excitement and nerves had  gotten to me. I grabbed two cookies (got my cookies after all), a thing of milk, and I walked to find a chair with no one around, really hoping I wouldn’t pass out because I figured if I passed out in a hospital I’d wake up with an IV in me and that is a bit of a nightmare situation for me (I’m no good with needles). I ate a cookie, cried a bit, ate another cookie, and sat worrying about my wife and son.

***

My wife and I were told, when she left the post-op room, that we’d able to swing by the NICU to see the kiddo, but unfortunately he was still undergoing … whatever it was they were doing. Sure, he’s doing great, but why’s that taking so long?

Back in our room, my wife’s folks were waiting, and my wife and I tried to doze off. We would go see the kiddo when he was ready for us.

This plan was derailed by some violent shivering/shaking my wife was doing. She asked a nurse who responded, honestly, that it normally wears off by now. Huh. Helpful. Later we realized it was probably the infection that amplified the shakes. Speaking of later realizations – that’s also what made the cervical checks so agonizing.

What fun, eh?

With my wife looking like a wreck, and the kiddo’s whatever it was taking longer than expected, my wife’s folks decided to leave for a while … I think after I said they should leave. It’s a bit of a blur. The night/day was called. 24 hours after contractions started, and after many hours of labor, an emergency c-section and a lot of pain later, we needed rest, and all we could do was hope our son was ok.

 

The Kiddo – Part I – Watership Down

First of all, I’ve never read Watership Down, and I ought to.

Second of all, it’s been a while, blogosphere! Hi, friend! I had wanted to sit down and write a few times since all of the craziness of the last month kicked off, but I was pretty busy AND it felt wrong to be reflective about an ongoing though. Maybe it was superstition, I don’t know, but I didn’t want to pause to think when there were still so many things going on that could be scary. This is still the case, but the frenetic pace has slowed – as I write this, my kiddo is in front of me in his bassinet on the coffee table and my wife is upstairs catching a much-needed nap.

***

Thursday

‘Brad, Brad, Brad, Brad.’

My wife was downstairs saying my name with a note of alarm. Her brother and his wife were driving up to visit us, and I assumed it was some mild nuisance of a this-house-better-be-impeccable variety.

I was packing in our bedroom, preparing for our drive to Santa Fe the next day. We were going to catch the opera (it’s outdoors there, and my grandparents used to love doing that) and enjoy the foods, art, and tourist shops of downtown Santa Fe for a weekend.

I came to the top of the staircase and looked down, my wife said, ‘I think my water just broke.’

She was on the phone calling her doctor, I rushed back to our room to grab a hoody (we had done an ER trip a month before and it was cold in that hospital), shoes, wallet, keys, and a hoody for her.

Thankfully, we live 10 minutes from the hospital, and yet, I couldn’t help but think proudly as I calmly rushed us to the ER, I bet I would be good if I was a cop in a car chase.

I dropped off the Mrs. at the entrance and zoomed to a parking spot. Someone came down quickly, within minutes, and we began walking to an elevator to go to the birthing center area. The night prior we had taken a tour of the hospital as part of our childbirth class. The Mrs. had ironically asked a question, ‘does anyone ever not make it through the whole class? Because they deliver early?’ I had spent the tour thinking about the fact that they deliver fresh cookies every day at 4 pm to the birthing center. How can I get my wife to time her labor so that I can leave the room right after he’s born to have a few cookies?

A nurse quickly came to see us, a test was performed and yep, her water had broken. The midwife came in and she had the nurse do a second test, a different one, to verify, and yep, water still broken.

She was just shy of 32 weeks pregnant.

***

We were at that hospital from about 8 pm til around midnight. It was terrifying, emotional, and that odd mix of fast and painfully slow. They gave my wife a steroid shot, one of two that she would hopefully receive. The purpose of the shot is to speed up the development of the baby’s lungs. Preterm babies can have respiratory issues, and especially those born in Colorado with the higher elevation. Later, one doc informed us, a 36-weeker born in Houston (sea level) could go home right away, whereas a 36-weeker in Colorado is more likely going to need a visit to the NICU. Ideally, a woman can stay pregnant long enough to get one steroid shot, a second steroid shot 24 hours later, and then hold off on labor for 48 hours to let the steroids take full effect.

They also put an IV in my wife and began a heavy dose of magnesium, which dampens the body’s ability to have contractions and helps the baby’s brain. A two-fer, if you will. This stuff hit hard and fast, my wife described it as taking a shot of bourbon while sitting in a dry sauna. She had that warmth go down her throat (even though it was an IV) and felt hot. Her eyes immediately got a bit distant and you could tell she was under the impact of a powerful drug.

After all of the initial hullabaloo and checking, the pace slowed a bit as we waited for an ambulance to transfer the Mrs. The hospital where we had envisioned having our son could only support babies 34 weeks and up, and we were not looking like we would hit that mark.

***

When the ambulance arrived I swung by home to pack clothes, say hi to my brother-in-law and his wife, pet the dog, and scoot.

At the new hospital my wife arrived around the same time I did (shhh, nobody sped …).

While on her ambulance ride to this hospital, my wife was having contractions once every four or five minutes. If you don’t know, that’s worrisome. We wanted, really, really wanted, for her to stay pregnant.

Thankfully, after she arrived, the contractions slowed and eventually stopped. We buckled in for a long night’s non-rest at the hospital, with a nurse coming to check her vitals and usually help her to the bathroom every two hours. She had the magnesium, antibiotics (the ‘water’ is one of three barriers to infection for a baby, with that gone the antibiotics came in), and an IV of fluids all being pumped in. In addition, her belly had bands on it to monitor her heart rate, the baby’s heart rate, and any contractions. Every two hours they took her temperature, her blood pressure, and asked her to rate her pain. (What on earth is that rate your pain thing?)

A doc came to visit us, I think, and the NICU charge nurse, it was a happening place.

Ideally, she would stay pregnant until 34 weeks, when the risk of infection outweighs the gains of continuing to let the little guy develop, and then they would induce. In the meantime, during those two weeks, she would be on bed rest at the hospital, and if she showed signs of infection, they would induce or carry out an emergency c-section.

Stress, you old so and so, I didn’t know you were in town to see me?! You fu – nevermind, my mom reads this.

The goal: relax! Just relax! But if anything seems wrong, dear God hold tight.

On the plus side, the staff in the ‘birthing center ICU’ as we came to call it, and the whole hospital, were amazing. The amount of negative experiences or exchanges, given how stressful the whole ordeal was, is impressive. One of these sweet people went out and got a labor bed for me, which I slept on that night (and many nights to come).

***

Meanwhile, miles and miles away, my wife’s mom was in action. She had been in a play when the Mrs. called her during our ride to the ER, but when she found out what was happening she began to look into tickets.

This was all right before the big eclipse (doesn’t that feel like forever ago?) and Denver appeared to be a popular destination because they were not having luck finding tickets. But then, aha!, there’s one!

But wait … they booked a flight to Denver from … Dallas!? And they live in Houston. And the flight is leaving not too long from now so … ROAD TRIP!

Stress, huh? It plays tricks on the ability to process information.

***

Friday

Lauren’s bro and his wife swing by to chit chat. It’s lovely, it’s enjoyable, and it’s slightly education for the bro’s wife who is pregnant with twins. Twins are much more likely to arrive early, and at one point during our NICU stay there were four sets of twins.

After they take off it’s only a short while before her folks arrive. Reinforcements!

A little hello, a little how’s it goings, a few tears between the wife and her mama, and then we settle in for some good old fashioned hospital hang out time.

I headed home to shower, see the dog, pack new clothes, and I also took a shower and cried like a baby. I had been go-go-go, handling any little request from my wife, and oozing stress (did you know googling ‘long term health effects 33 week baby’ can result in sheer terror?). The crying was like a sudden thunderstorm, it surprised me, but it was a little refreshing. Don’t let anyone fool you, boys and girls, crying can be cathartic.

I changed, grabbed my bag, and headed back to the hospital. By this point it was mid-afternoon and we were approaching 24 hours since the first steroid shot. This was a big and happy milestone.

Every hour felt important and a smidge dire. One of the doctors or nurses told us that every 8 hours he is in the womb is one day less for our NICU stay.

Every 8 hours was divided into 2 hour chunks, because every 2 hours a nurse would come to check vitals. One might assume that every four hours was also a nice chunk, because in the afternoons I would go hunt for fresh baked cookies (they delivered them to the birthing center at this hospital, too!).

***

Sunday

Somehow, we made it to Sunday, when we were told my wife would be transferring to the antepartum/postpartum area, and not only that, we would be moving to a room with two windows! Look out world!

Sunday night, at around 9 pm (who am I kidding, I know exactly when, 9:21 pm), represented 48 hours since the second steroid shot. The kiddo had already benefited greatly from mom sitting tight and him keepin’ on.

Also in the postpartum area, we were down to three vitals checks a day, and no longer constant monitoring of her! Look out world! Instead, in this new setup, a nurse would come in during the morning, early afternoon, and evening to check on her vitals and the kiddo’s heart rate. Thirty minutes of monitoring and then they’d be off … unless, of course, the kiddo’s heart rate drops below the tolerable threshold in which case they’d need to stick around.

Oh, and did you know, when your water breaks, and the little guy moves in the womb, he can sometimes grab the umbilical cord which will cause his heart rate to drop and a nurse to say, ‘well … we were about to take you off [the monitor], but then we saw this little dip …’

Oh yes, our child is a champion of timing.

Also, fun fact, amniotic fluid (the ‘water’) is regenerated by a pregnant woman, and part of the recipe for amniotic fluid is baby urine!

The nurses also came by every X hours for a new dose of medicine. Solid sleep was not a part of the hospital stay.

***

That Work Week

Lauren’s step-dad left Monday, but her mom said I’m here til he’s here (he meaning the baby). From day one of the hospital til the next chapter, The Kiddo – Part II – TBD, we were in the hospital 10 days.

I went to work during the course of that week with the hope and expectation that my wife and her mom would be bored, restless, and watching Project Runway in the hospital. Instead, it turned out to be much more lively. Some highlights of that week are as follows:

  • With her water broken, my wife would sometimes experience pretty intense pain when the baby would move around (no water = no shield for his movements crashing around in there)
  • Bed rest can cause vertigo, or possibly the intense dizziness that yielded my wife throwing up was caused from side-effects of medicine … know what’s scary? When your wife wakes up and pukes and can’t get to the bathroom that’s less than 10 feet away without wheelchair assistance
  • Baby heart rate drops leading to extra ultrasounds and a short but scary trip back to the birthing center ICU
  • A raising white blood cell count, which potentially indicated a brewing infection … This was watched closely, and every time someone would pop by to draw blood I would excuse myself (I’m not so good with needles, thankfully, my pin cushion wife is much better than me about that)

***

Random Thoughts

  1. I was walking into work one morning when I saw a rabbit. This is really common here. We have a bunch of rabbits that live in our backyard, and all around the neighborhood. Because of this, we started calling the kiddo ‘the littlest bunny.’ Seeing a rabbit on the way into work I wanted to make it mean something – a rabbit! Ok, that’s a good sign … right? Or maybe it means he’s coming now!? Then it struck me, it must have been so easy for ancient peoples to concoct gods or various meanings for all kinds of things. I felt so powerless in this whole situation, and even though there was plenty of science and educated people talking to us about what was going on, I wanted to assign meaning to all kinds of arbitrary things.
  2. My wife was on a lot of powerful drugs, lacking sleep, and feeling stressed. As a result, she was in a sort of perpetual beaten down state. In this state, she had a funny habit of everything getting the same level of urgency. ‘Brad,’ said with a sort of sad and concerned voice, which would immediately awaken me or draw me out of whatever distraction I had thrown myself into (generally stupid apps), ‘I can’t find my chap stick.’ Ridiculous to have it awaken fear in me every time I heard my name said with that voice, right? BUT. With the SAME EXACT TONE, ‘Brad? … I feel too dizzy to get up, can you help me?’ I mean, come on.
  3. I had been reading, very slowly, one of those what to expect books, and you can sure read a lot of pages in a hurry when your kiddo is taking the bullet train to the station.

***

I doubt I encapsulated all my thoughts or feelings with much articulation. But I wanted to get this down for myself. I’m sure I’ll look back on this and feel like I left out big chapters in this story, but up next I’ll talk about the day he said ‘READY OR NOT, HERE I COME!’