Waiting is Killer (3/10/17)

So perhaps I should stop waiting on my journey and start waiting for my miracle.

Today we should receive the initial amnio results which will tell us the direction we are headed on this journey.  The waiting is killer.

It’s a beautiful day outside and I should take the kids outside to play but I just want to curl up into a little ball on the floor.  I’ve already yelled and scolded them more this morning than they’ve ever deserved. It took everything within me to continue sitting on the bathroom floor, smiling and encouraging my two little guys who were both sitting on their potty chairs, when I heard my phone ringing downstairs where I had accidentally left it. I lost patience with my husband simply because he called and the sound of the phone caused my heart to skip. I almost threw up thinking maybe it was THE call from the doctor.

I’ve put all my angst into today’s waiting when in reality, regardless of what the amnio results say, I still have 4.5 months of waiting left. Then the waiting will start over again. The question is, will it be waiting for minutes and hours or waiting for weeks and years?

The phone call that I missed, it was a dear friend of mine who I hadn’t shared the news with yet.  I called her back and in between deep breaths and tears managed to tell her what is going on.  Her first response to me “God can grow his heart. God can heal this.”

Yes, He can. So perhaps I should stop waiting on my journey and start waiting for my miracle.


*********UPDATE**********

At 4:30pm the dreaded anticipated phone call came. Amniocentesis results are negative. This means Jonathan is eligible for open heart surgery to give him a chance at life.

I cried, and I honestly don’t know if it’s because I’m relieved or scared.

Amniocentesis (3/9/17)

As I laid in bed that night I focused on the physical pain I was in. I’m sure that made it feel much worse than it actually was but that felt better than the emotional pain and mental anguish I was feeling

Regardless of my faith/hope/peace in God I was absolutely terrified to go in for the amniocentesis….ok, maybe terrified is an exaggeration but I was definitely a little anxious to say the least.

My sweet friend Erin drove me to the appointment.  On the drive over we talked, joked, had normal conversation.  As we parked I begged her not to leave because once she left I knew things were going to get a little too real. Somehow having her there felt like holding back the tide. Danny met us and they both accompanied me back for the procedure.

The ultrasound tech greeted us with a smile and was upbeat as she told us she was going to take a peek at the baby first before the doctor came in etc etc. I wondered if she knew our baby was missing half of his heart.  I felt really bad for her. How was she going to react when she saw that shocker on the monitor?  Wow, this could get really uncomfortable, really quick.  Danny must have wondered the same thing because he interrupted her and asked if she knew why we were there.  She instantly became somber and as she spoke I realized that she had intentionally been trying to keep the mood light, to tell us the plan without having to say what she was then forced to say.

“I need to make sure there still is a heartbeat (at all) before we prepare for the procedure.”

Strangely this admission put me at ease.
We began the ultrasound and as the first image popped up on the monitor Erin burst out “Oh look at his nose! Look how he cute is!”
My heart leapt within me because I suddenly remembered, “this is still a baby. This is still my baby.” It’s so easy to distance myself and allow all of the “medical stuff” to dehumanize him.

The doctor came in and discussed some of the medical pieces with us including risks. The risk of miscarriage related to the procedure is 1:500 which she explained was actually less than the risk of the results coming back abnormal (based on the presence of the heart defect). Through the ears of a mother whose baby who has been given a probable death sentence my brain processed this info and said, “the risk of your baby dying because he’s dying is much more likely than dying because of the amnio so what does it matter what the miscarriage risk is?”
I did ask the doctor if she suspected the amnio results would be bad news. She responded that she honestly didn’t know in this specific instance because of the NIPT having been negative. She explained that NIPT is so new that in instances like these it is very much unknown how accurate the results of the testing really are.

The doctor and ultrasound tech kept the atmosphere of the room light as they bantered back and forth with each other and us. I may not have been able to express it to them, but I did appreciate it. They were pleased that Jonathan was in a “perfect” position for them to perform the amnio. While there was definitely discomfort involved it was actually much less painful than I had anticipated. The doctor and tech remarked to themselves afterward how smoothly it had gone, one of the quickest and easiest they’d done. Thank you Jesus.

After the catheter was inserted through my stomach and into the amniotic sac, Jonathan reached out and grabbed it. Everyone laughed and called him a stinker.
“Can he see it?” I asked in astonishment.
“No, there’s no way he can see it but somehow he seems to know that it’s there.”

The lighthearted moment struck something heavier inside me. What if this is the closest to interacting and playing with my baby that I ever get? It even seemed sad to me to see the tubes of amniotic fluid. Just a moment ago the fluid was touching my baby and may have gotten to hold him for longer than I will.

The amount of pain I was in after the amnio surprised me, even though the doctor had warned me about it and given recommendations for managing it. I had contractions, my back hurt, my abdomen hurt, it hurt worse when I laid on one side.

 As I laid in bed that night I focused on the physical pain I was in.  I’m sure that made it feel much worse than it actually was but that felt better than the emotional pain and mental anguish I was feeling.

This is what we refer to in hospice as “psychological pain.”  We periodically see a patient who no matter how much their pain medication dosage and frequency are increased, report that it has absolutely no effect on reducing their pain level. In essence the person is struggling to confront the mental/emotional/spiritual pain they are going through related to the end of life and instead experience it as physical pain. I can admit, this is most likely what I was doing to myself.

I felt certain the results would come back positive for an additional complication. Danny was convinced they would not. During those days of waiting he began to prepare himself for the hard road of surgery and recovery. I prepared myself to say goodbye to Jonathan.

The Next Step (3/7/17)

There’s just something really terrifying about the thought of having your pregnant belly stuck with a 10 inch needle down through your uterus and breaking into your baby’s amniotic sac.

I always swore I would never have an amniocentesis. There’s just something really terrifying about the thought of having your pregnant belly stuck with a 10 inch needle down through your uterus and breaking into your baby’s amniotic sac.  However, when we met with our OB/GYN he did recommend we go forward with it as the fetal cardiologist had suggested we do.
(If any chromosomal abnormalities do exist, such as a trisomy, doctors will not be able to go forward with open heart surgery to save Jonathan’s life. Even though we had a NIPT with negative results it is not 100% accurate and a specific defect seen in the fetal echo indicated a possibility for a trisomy. An amniocentesis is the only way to completely rule out the possibility of a trisomy before birth.  Without the amnio, a blood test would have be done after birth which means two days of waiting for results to determine if doctors can move forward with surgery.)

Danny was on board with the amniocentesis and was in fact the first person in the room to say it should be done.  Inside of my head I was furious with him. I felt like he was betraying me. He wasn’t, even though he knew how much I did not want to do it.  I was ok with the unknown. So what if we plan for surgery then once we get down to it we find out it’s not a possibility and we have to scrap it? So what? I can live with that.

My doctor explained it this way: these are two very different paths for the remainder of the pregnancy with two very different preparations for the end.

Danny needed to know which path we were headed down.   He needed to prepare.  Should he go forward with making plans to relocate closer to Children’s Hospital or did he need to prepare himself for letting go of his child?

The doctor agreed with him that we needed to know which path we were on.  I was angry with everyone and everything.  There was one thought that brought me some peace with what the results of the amnio might bring.  I could feel tears burning my eyes when I asked the doctor “if there is a chromosomal defect do I get to stay here to deliver?”
The answer: yes.
Ok.

I know this is horrible but part of me is relieved at the thought that the results will come back and show that there is nothing the doctors can do.  Then I know that all I have is to pray for a miracle.  I won’t have to plan to leave my home and give birth in an unfamiliar place. I won’t have to plan childcare or spend days and weeks in a hospital, trying to pump and trying to take care of multiple children, with multiple needs, in multiple places all at the same time.

At least then I know what the end looks like. It won’t be any easier emotionally but there won’t be the roller coaster of maybe today he lives but tomorrow will he die?  Best case scenario, I deliver at my own hospital with my own doctor, then he’s born and it’s a miracle, he’s ok.