Showing posts with label grief. Show all posts
Showing posts with label grief. Show all posts

Wednesday, January 5, 2011

A Thin Thin Line

On Monday as we left our acupuncture appointment, E and I went to the grocery store. Outside, there was a woman, obviously very down on her luck, who asked for spare change. E and I both gave her the change out of our pockets - a total of maybe a dollar. She went into the store - it's a natural foods market and produce stand, so I felt self-righteously okay that she'd be buying some whole grain bread or some organic clementines or something with her money; but I also didn't necessarily think too long about it.

When we were getting ready to check out, she was in front of us in line. Clearly agitated, like she was desperate for a fix. E looked at her purchase, and said to me, "That makes me so sad." She was buying a copper scrub sponge thing, something that is apparently used to smoke crack. Along with a bag of oranges. The woman in front of her in line made a very rude and judgy comment to the checker at the store about needing to pay by check because she refused to let the woman see that she had cash in her wallet. I was so angry with the judgy woman it just about made my blood boil, but I kind of couldn't figure it out. (At that time, I hadn't seen that the woman was buying crack paraphernalia, so I'm not sure if that would have changed my reaction or not.)

When we got out of the store, and we saw the woman panhandling again, E then relayed to me that he had seen she was buying crack accessories, and that is why he had said he was so sad about it.

It made me sad too. I had this realization, this phrase that I've heard so many times but never before had it had such a true feeling for me, "There but for the grace of god, go I."

Really.

E and I are so lucky to have the resources and support available to us that we do. Family close by. Thoughtful family, who talk about Otis and talk about missing him and talk about loving him, instead of pretending this is all just some horrible incident to forget about and move on from. Support professionals galore: we see three therapists - one just for me, one just for E, and one for the two of us. They all have given us reduced rates so that we can afford to go for as long as we need. My grandmother is our landlord, and we haven't paid rent for 4 months now, so that we could afford the therapy. Our acupuncturist has donated all of our sessions, for as long as we need. My hairdresser is going into the salon on Sunday, when they are closed, so she can give me a (no charge) haircut (my first since July, yikes) in a place where I don't have to deal with the crowds and the busy-ness and superficial chit chat of a bustling hair salon. We had meals delivered three times a week in September and October, and then twice a week through December.

Our friends have rallied around us. Made donations in Otis's name to keep his memory alive. Written his name in the sand, in the snow, on sidewalks with chalk, on refrigerators with magnets. Taught their own children about my boy, shown them his photograph, told them his name. Given us such incredible financial support that we can do the things that help us to heal without finances being a barrier. Sent us flowers, warm cozy heating pads, yummy lotions, lavender oils, "grief relief" flower essence spray, vitamins, bath salts, cards, board games, tea, fudge, organic produce deliveries (we have a dear friend who works on an organic farm and every sunday she has brought us a huge box of produce, for 3 months now.) Brought us a christmas tree and set up the lights on it. Sat with us while we sobbed. Taken us out and let us laugh, cry, or just be - without commenting that we haven't showered or aren't dressed for public...

And of course there is the amazing support of the community here, of my blm mama friends and my old bloggy friends. The comments on my blog posts often show up in the middle of the night, thank god I have friends who live all over the planet - because there are times that I wake up, scared, sad, shaking - and I check email on my phone and there in the middle of the night, I am reminded I'm not alone.

We are so blessed to have this support. Because honestly, it's a very very very thin line that separates me from the woman in the parking lot, doing whatever she can to block out her pain, to forget, to disappear.

Thank you for helping me not to disappear. Thank you for reminding me of me. Thank you for holding me up when I can't hold myself up.

Yes, you. Every single one of you.

Friday, December 24, 2010

Silent Night

Hey people, thanks for all the love and feedback from yesterday's post.

E and I had a really good talk. He pulled me out of the darkest of the abyss. Today I was stronger. There was more room for me to breathe. I am ever blessed to be married to him.

Lots of good advice and thoughts about meds. For now, I think I'm going to be holding off. L, you had a really good point about wanting them not to be in the mix when I see the RE on the 4th.

To be clear - I am not in danger of hurting myself. I am just very, very, very sad.

Wishing you all peace through the holidays. We've almost made it. Much love.

Thursday, December 23, 2010

fuckitall part two, with a dash of SOS

Drowning.

In tears, snot, and blood.

I am now having my third or fourth spell of bleeding in 5 weeks (I can't even call them "periods" because well, a period implies a cycle, some sort of pattern, and there is NONE here). This last "cycle" was seven days of bleeding, five days of not, and now I'm bleeding again.

My doctor has been extraordinarily helpful, in as much as he can help - because there's very little he can offer other than the referral to the Reproductive Endocrinologist, which he already arranged (I go on January 4.) He doesn't want to put me on hormones now because while it would regulate my cycle it would prohibit the RE from gathering any good/true reliable testing information. So I just have to wait until then to see what the h-e-doublehockeysticks is going on with my body. The OB offered me another ultrasound to see if there is retained tissue, though I've already had two and it looks like a normal uterine lining to him...just that I build it up and break it down in a matter of minutes. He doesn't think an u/s is necessary, he just is trying to offer me some reassurance that things are not catastrophically bad. He does want me to go get a pregnancy test, not because he thinks I am pregnant but rather that I could still be producing HCG in some really effed up twist of cruelty or something like that. But of course labs are closed because it's christmas for crying out loud. I'll go next week I guess. (And yes, since you and everyone else seems to want to make sure of this: I am taking my iron supplements. Yes, the digestion-friendly liquid yummy version.)

This spell of bleeding, like the last ones, sent me into a tailspin. I can't handle these tailspins with the frequency and intensity that they seem to be coming right now. Every glimmer of hope that I might be someday able to have a regular cycle and someday try to conceive and someday get pregnant and someday have a living, take-home baby - every single glimmer of hope that that someday might happen for me get suddenly and completely shattered when I realize that my hormones are doing ANYTHING but getting themselves balanced. And it sends me into a really dark despair. Really. Dark. More Duck and Cover crouching in corners. More eyes crusted shut with tears. Less ability to eat, get dressed, speak, think, breathe.

My therapist and I talked a lot about meds today. My best friend (who is very much NOT a western med pill pusher) and I talked a lot about meds today. They both seem to be leaning towards my trying them. My husband seems to be leaning towards me not. (Which is interesting, because in my last foray onto them, four years ago, he was a staunch believer and supporter in their efficacy. I have to believe, somewhere, that he knows me best and I should maybe just trust his judgment on this one...)

I have no fucking idea. I am just so miserable, and I'm having trouble seeing any light at any end of any tunnel, or even believing that a light exists. Shit, I don't even believe that a tunnel exists. I just pretty much believe that I have forever been destined to live in a deep cavernous hole of muck and dirt and black tar and ooze and sludge and monsters and demons and sad sad sadness. No tunnel, no light.

Weighing possible pros and cons of meds....Pros: A little bit of breathing room. A little bit of space to function (eat, sleep, shower = things I've been getting a little "can't be bothered" with). Decreased anxiety while I slog through this bit of waiting to ttc. (It's gotten pretty bad.) Perhaps less physical pain, too (depressed posture = aching back.) Cons: I gained 20 pounds last time I was on ADs. I am still about 15 lbs higher than my pre-pregnancy weight, and one of the things that I find tricky right now is how I look at my postpartum heavier body and feel really sad about it. I don't want to ttc on ADs, so I'd have to taper off before that. Tapering off last time SUCKED - I had brain zaps and headaches like nobody's business. I don't know if I'm actually depressed, or if this is just grief. It's starting to feel more universally debilitating, which is why I suspect depression. Another con: last time, my cycles got really screwed up while on the meds. I've already got that base covered, but I don't want to mess it up more. Up in the air: I have no idea if they'll help. I will have no way of knowing if its the meds helping or time passing, since I suspect that things might feel better for me just with the passage of this next few weeks of time. Moving away from the holidays. Away from the darkest day of the year. I just don't know.

Not to mention that I don't have faith in anything working one way or another, either. I pretty much figure whichever path I choose, I will regret it and think that the other one was probably a better path. I thought I was making the best, wisest, most informed decisions when I chose to labor the way I labored with Otis. And he died. So how the fuck am I supposed to expect to make wise, informed decisions and believe they might have positive outcomes?

What I do know is that this is totally and completely unbearable. Everything hurts.

Tuesday, December 21, 2010

Odds and Ends

• Today's mail brought us another Otis ornament - this time a small stocking with his name on it, from our friends in Maui that will be hosting us in a mere five and a half weeks - very much looking forward to our trip.

• I got back on my yoga mat today. (Tess, to answer your question, my "back to class" was simply to GO to a class, not to teach one. I don't know that I will ever teach again.) My body has completely changed since pregnancy and giving birth (obvious statement of the year, I know!) But, WOW. Prior to now, I have always been really flexible, and I would complain of tight hips but, wow, I had no idea what I was talking about. I have never felt what I felt today in my practice. Ouch. I do feel like, as a teacher, I learned a lot about what some of my students must feel - especially the beginners...The tightness in my hips actually made me wince, several times, in the simplest of poses. But even still, it felt good to get back on my mat. I can tell how much I've learned about being gentle and kind to myself. Even in my tightness, in my lack of ability to "do" the poses as I used to, the usual judgy self critical voice didn't show up. I felt sad to notice how much my body has changed, but I didn't beat myself up over it. This is a huge accomplishment, trust me. I moved slowly, gently, quietly. With candles lit for Otis and Lucia and the christmas tree lights lighting the space around me, I wiggled and stretched and breathed. Midway through, The Woo (my little dog) came and joined me and he managed to have me smiling and laughing hysterically. He wanted to be a part of it so badly - climbing on my back, licking my face, trying to get on my lap. Finally I just gave in, I lay down on my back and he crawled up on my belly and we lay there together as I connected to the rise and fall of my breath. Thank you, little dog.

• A friend from high school sent me a really pretty dandelion necklace today. I don't know that I've said a lot about dandelions and Otis here on this blog, but they've always been "his" symbol - even before he was conceived, in fact - and since he died, they've taken on a whole new significance for us, a symbol of hope and impermanence and fragility and beauty...

• I've taken up a new hobby: crewel! It's like embroidery but with a thicker yarn. It keeps my hands busy and is not so brain-intensive that I get frustrated, but at the same time, it keeps enough of my brain occupied to keep me out of dark holes sometimes.

• Our most recent local magazine just listed their "Top Doctors of 2010" and both my high-risk OB and the reproductive endocrinologist I see next month are listed as the top in their field. This makes me feel good (though I could've told you already that my OB is at the top of his game. I really, really, really like him.) Otis's doctor from the NICU is listed as a top neonatal pediatrician. I have to say that I've been blessed with really great doctors. (I have some questions about my prenatal care and my care while I was in labor. But once Otis was born, and from that point forward, everyone has been nothing short of exceptional and fantastic.)

• Tess and Leslie both asked me to mention any "tips" or gems/insights/comments that I've gotten from therapy sessions. I'm not ignoring your request, mamas, rather, I just haven't really come up with any other than the one I shared earlier. I'll keep thinking though and of course will share if I think of any. This week our session was basically "Yes, this really sucks. Yes, you're anxious. Yes, you're panicky. Yes, the holidays are the worst. Yes, this is understandable. Yes, this will pass, it will ebb, it will flow, it will wax and it will wane."

• I'm doing okay today. No curling into the fetal position and sobbing for two hours, at least not yet. I am grateful for the respite.

• I watched the eclipse last night, with my brother. We stood outside in the cold, shivering, and watched it through the cloud cover. Amazingly, we got a good break in the clouds for the event. I thought of Lani and Chris and their sweet Silas Orion as I saw Orion's belt. I thought of Lucia and Angie, knowing the solstice was again here, marking two years that Lucia has been gone. I thought of all the mamas and papas out there missing their children, watching the darkness envelop the moon on the darkest night of the year.

• For those of us in the Northern Hemisphere, we are now heading back into the light. If only grief were as predictable as the seasons and the planets. Even still, though, I feel a bit more light in my heart today, and I'll take it.

• Thank you all for being here. This may be the crappiest Christmas ever (and that may be the understatement of a lifetime), but without you it would be absolutely unbearable.

Monday, December 20, 2010

Duck and Cover

Do you all remember Duck and Cover Drills? Or am I dating myself? Do they still do them? Do they only do them when you grow up in earthquake regions?

Basically, they were these drills in school where we had to curl tight into a little fetal position ball, preferably under a table, and cover the back of our head/neck.

Today I realized that this is the position I assume when I am absolutely sidelined with grief. Yes, the other day, I was even under a table.

I am fairly confident this is why my back hurts so much, it's because even when I'm not in the duck and cover, I'm cowering, my heart protected, my shoulders up by my ears, my arms wrapped across my body or my knees pulled in tight.

As a yoga teacher, it is the antithesis of what I worked to cultivate in my body - an open heart, a lifted chest, a strong yet supple spine. Instead, my heart is constantly hidden, closed off from anyone around me. My chest is sunken. My spine is rounded, rigid, and tight.

I've survived some mighty earthquakes out here in CA. 1989 in Northern California, 1994 in LA. In neither case, though I found myself barely able to stand through the rumbling and tumbling of the earth, did I think to Duck and Cover. I stood in a doorway. I grabbed my roommates hands during the LA quake, as we screamed "We're going to die! We're going to die!" for what felt like at least a few minutes of shaking.

And now, my world has been shaking for fourteen weeks. And I've finally learned to Duck and Cover. Protect my vital organs from the walls that are sure to crumble more, close my eyes tight, and beg for the quake to stop.

(My therapist, my massage therapist, my chiropractor will all tell me this is not the best anatomical position for my health right now. I know. I think I am officially in survival mode, though, and I'm doing the only thing I can.)

Saturday, December 18, 2010

oh fuckitall

I am battered and bruised. Beaten down. Crying uncle and begging for mercy.

How is it possible that this is worse now than it was three months ago? How can grief have snuck up like this, tricked me into thinking I was doing better than I was, and then smacked me down on my ass and left me for dead?

I miss my boy. I miss him so much. I miss me, too.


Friday, December 17, 2010

Bits and Pieces

A very quick checking in since my last posting was so terribly sad...

I've been on the roller coaster ride and it's been moving at hyper speed these last few days. Yesterday I curled up into a little ball and screamed for about two hours, wedged on the floor between the coffee table and the sofa. Long story short - my doctor wants me to wait to try to get pregnant again until February. More on that later, it brought up a lot for me, but, I think I'm a bit more resolved with it right now than I was yesterday.

I got a massage tonight. My body is so incredibly tender that the slightest touch really physically HURT. My back has so many sensitive spots, especially along the spine. It was a deep massage, but even the gentle work was really pretty painful. But I think it helped to release some of the knots. The massage therapist is also an energy worker and asked if I was okay with him doing some hands-on-energy type work. (Remember, I live in hippy-dippy Northern California, this stuff is very run of the mill here.) I told him of course I was okay with it. He spent a lot of time with his hands hovering over my heart, and also over my womb. I'm usually pretty skeptical, but it did feel gentle, and healing, and nurturing, and powerful as he worked. After he was done, he asked if I was okay with him sharing his visualizations, again, I told him okay. He said that especially when he had his hands over my womb, he kept getting strong visualizations of rainbows, and that if I could meditate on rainbows and bringing "rainbow energy" into my body it might help in my healing. I have never really even thought about calling a future pregnancy "my rainbow" even though I know many BLMs do, but when he said, "Your body is just calling out for a rainbow" it was like his words pierced something and I just started bawling.

I am going back to yoga next week. I am writing it here so that I am at least somewhat accountable. I think it will be good for me. I think it will be terrifying. I want to do this. I am scared I won't go.

Tess wrote a great piece about grieving without hope, about grieving when TTC is put on hold, and it's been on my mind a lot today. I really wanted to get pregnant NOW. Erik and my perinatologist are the voices of reason and are really concerned that my body isn't ready to hold a pregnancy yet. So while I want to just throw caution to the wind and "let fate run its course" I also realized that if I were to do that, and I were to lose the pregnancy, I would blame myself for not following the doctor's recommendations and lord knows I don't need any more of the blame game with regard to pregnancies and babies. I know I could still lose a pregnancy a few months down the road but at least I won't blame myself the same way I could if I blatantly disregarded the doctor's advice in these next few months. So I am reluctantly throwing in the towel for a while. As Tess mentioned, the grieving game takes on a whole new tone when TTC is not in the cards. The hope for a future child is removed, albeit temporarily. And it leaves me so sad, so alone, so desperate...what do I do with that? how can I cope? how will I make it through these days without that little anchor of hope stringing me along?

I just will.

Delving into some craft projects, getting back to yoga, taking really, really, really good care of my body and my heart. It fucking sucks, sure. But it also feels a little bit hopeful in a very different way, a way that is still simmering in my brain right now, I can't quite put it to words, but it has something to do with taking really good care of myself and being gentle and allowing healing into my heart, my body, my soul. Feeling hopeful for me, just me. For the life I used to live, where I knew joy, and peace, and contentment, at least every so often; and for the life I someday hope to live again.

Monday, December 13, 2010

12.13.10

We made it through the weekend. Barely.

I started bleeding on Saturday morning, slashing all those "miracle pregnancy within the year of Otis" dreams. I didn't realize how much I'd invested in that dream.

So that, combined with all the monthiversaries and weekiversaries and anniversary of his conception pretty much led me into the darkest hole I've found myself in since he died.

My face is peeling from wiping snot and tears off of it. I soaked at least four washcloths with those tears and snot, and that was just in one of many crying jags. I couldn't open my eye on Sunday morning when I woke up, I thought I had pink eye because my eye was glued shut. No pink eye, just tears.

Lots of really, really dark thoughts showed up in that dark hole of grief. All the guilt, all the "this was my fault." (Please, I know, I know, rationally, that this wasn't my fault. Try telling that to a hysterical grieving mother - rational doesn't work with her. But I don't need you to tell me now. I know.) I am beaten down. Broken. Shattered. Grief is kicking my ass. And then some. I don't know how I'm going to make it through Christmas. Mercy.

Saturday, December 11, 2010

12.11.10

The numbers geek in me LOVES the date today, the way the numbers work their way down like a countdown.

Unfortunately, it feels like they are counting down to tomorrow. 13 weeks. Coinciding with Otis's three month birth-i-versary.

Three months. A quarter of a year. 91 days. Tomorrow, coincidentally, marks the one year anniversary of the day Otis was conceived.

Barely a scratch on the surface, and yet, also, a lifetime. How is it that it works like that?

I miss my boy so fucking much. Yesterday it felt like the world was crashing in on me again. I was bitchy. Agitated. Sad. Angry. I watched a recording of the Glee Christmas episode on Thursday night and I had a fucking rage-bitch-yell session at the TV and at the general entity of Christmas. How dare they try to sell this bullshit message of miracles and hope and 'just believe' and all that fucking feel-good nonsense!?!? IT DOESN'T WORK LIKE THAT. While at times it makes me feel better, right now I am just so fucking sick of the whole "Miracles sometimes come in the package you weren't expecting," form of rationalizing/trying to make me feel better line of thought. Bullshit. Otis is dead. There is no miracle in that. NONE. He is dead, my life is forever changed, my hope, my faith, my naivete and my innocence forever shattered, rattled, traumatized. Poor E, watching me as I threatened to lodge a shoe in our brand new television.

(Incidentally, I read on another BLM blog about them buying a new tv after their son's death. I wonder statistically if this a trend. Perhaps a new marketing strategy should be hatched out, products for the babylost community...Televisions, exercise equipment, alcoholic beverages and barware, black armbands, non-maternity clothes that work like invisibility cloaks to shroud the body that betrayed you, Merry Fucking Christmas cards and lawn ornaments...)

I carried him for 9 months, loved on him, felt him kick, talked to him, sang to him, wished for him, dreamt for him, labored for 72 hours with him, and what do I have to show for it? A box of ashes on his dresser. Try as I do, there is nothing, nothing, nothing consoling about holding a box of ashes, crying, cradling it, calling and screaming out to it, trying to find my boy.

I've been working on thank you notes to the multitudes of people who have helped us in these last 91 days. In the notes, I am including a wildflower seed packet like the ones we gave out at Otis's memorial and a photograph of him. I've been having to use the paper cutter to cut the photographs to the wallet size because the printer we used printed them 4 to a sheet. So I've been staring at his lush head of hair and his chubby little hands and his perfect, perfect nose and his soft skin as I cut the pictures and then put them into the envelopes with the cards.

Sometimes I can tune it out, and just work on cutting the photos. Other times I am completely drawn in, and I sit and stare at his little face for hours. I am back there, in the NICU, dressing him, preparing him for his journey to the other side. Preparing myself. Saying my goodbyes. Crying my tears of pain, of joy, of disbelief. Screaming. Breathing. Bleeding. Loving my little man, so ferociously.

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In other, better news, I received ornaments in the mail from both Brianna and Jenn this week. They are so lovely. Since we don't have a tree, we have them hung from our aloe vera plant that sits atop a bureau in our living room. They look perfect hanging there, not too Christmassy but just enough spirit to make me feel like we are honoring our boy through the month.

I also received word this week from the animal shelter where I volunteer that they have plans to redo a room at the shelter in Otis's memory. An adoption/visitation room, where families fall in love with puppies and dogs and decide to bring them home....It will be brightly painted with cheerful lights and a little white picket fence, with handpainted dandelions adorning the walls and a plaque of some sort remembering Otis. E and I were floored when we heard. The shelter is such a special place for me and animal rescue is a passion of mine, so this is such a wonderful way to honor my boy. I am touched by the thoughtfulness of the community of volunteers I work with there, and honored to be a part of that group.

And finally, my mom brought me the most beautiful bouquet of roses this morning. A pale lavender, almost silver, with long delicate stems and fragile little buds.

Tuesday, December 7, 2010

A good coupla days

Though of course I hesitate to say that because it seems everytime I pause to breathe and reflect that it's been fairly OK for me, the other shoe drops and I'm met by a streak of really crappy crappy crappy days.

But I'll say it anyway, because these can't be taken away from me, no matter how awful the future days might be: the last few days have been really nice.

I even went so far as to say the other night to E as we lay in bed, (following a 2:30 am panic attack in which I sobbed my lungs out, mind you), "I like the person that I have become since Otis came into our lives so much better than the person I was before him. I really like who he is changing me into..."

When I'm not crumpled on the floor of my closet, sobbing and screaming and pounding the walls, I can notice how this journey is making me more of who I've always wanted to be. I am more compassionate, with myself and with others who are suffering. (I've yet to find compassion for that neighbor B!#@* who yelled at me about not picking up after my dog, when, in fact, I had. And I still flip off a lot of undeserving mothers and fathers who so seemingly smugly hike "our" trail with their babies in their baby wraps. But they don't see me flipping them off, so it's not THAT bad, right? OK, yes, I'm working on the compassion for all beings. Haven't quite made it there yet.)

Many of my friendships have developed and grown in ways I didn't think were possible since Otis died. Old friends have emerged out of the woodwork and shown up for me in ways I never would have expected. I recognize, and appreciate, how loved I am. I love E more than I ever imagined possible. I appreciate him so much, and I have such an incredible sense of respect and adoration for him - it surprises me sometimes, even. I love what our marriage is now. I love the closeness we share. I love that Otis is in many ways like the most special little secret that no one else can ever know the way we do. E often says to me, "Otis is my superpower." I am pushing myself to face longheld fears and knock them down. As is E. Knowing Otis, losing Otis, loving Otis - all of these things challenge me to be a better woman, in ways I didn't know I could. It's pretty fucking phenomenal.

But, of course, there's that caveat in the first sentence of the paragraph two paragraphs above - because, well, yes, there are still a lot of moments that find me just absolutely and completely gutted. Moments where I am completely overcome with panic, with anxiety, with anger, with rage, and at the bottom of all those, sadness. Pretty much every "outburst" I have - whether it be a panic attack, an anxiety attack, a raging fit or yelling at a person on the freeway - when they are distilled - all the outbursts end in flurries of tears, and this deep longing for Otis to be back here, alive, in my arms. And make no mistake - I have outbursts pretty much every day still. So even when I title this post "A good coupla days" - I say that with the asterisk that will accompany everything in my life from now on - *all things considered.

But there were so many breathtaking glimpses of hope, of beauty, of Life, in my world in these last few days. My heart is full, except for that big gaping hole, of course.

Tuesday, November 30, 2010

11.30.10

Goodbye, November.

Another month passed without my Otis here in our arms. Without him being passed around at the Thanksgiving table, without him bundling into the mobywrap and coming on my birthday hike with me.

I'm doing fairly well* right now. (Obviously, with the asterisk. *Fairly well being totally relative. The asterisk will always be there, to differing degrees, but it will always be there.)

I made it through the holiday, and through a birthday. The rule for the day was that no one was allowed to say "Happy Birthday" - they were only allowed to say "Birthday" - an acknowledgment of the day, but, who are we fooling, the day was anything but happy.

I saw the perinatologist on my birthday. Lovely way to spend the birthday, right? He was actually really helpful, we talked about my cycle still being very messed up (he's not concerned, he wants to wait another 8 weeks before doing any type of intervention, since it would probably be a D&C and that would then run the risk of scar tissue and that would then run the risk of not being able to get pregnant yadda yadda). I still apparently have lots of stitches. I guess my episiotomy was way deeper than I knew originally. So my internal stitches are not dissolved yet. Again, he gives me another 8 weeks on those too. So basically we're looking at almost 20 weeks of physical recovery. He wants me to wait until I have had three normal cycles to even think about conceiving again, so that puts us out probably to March or later of next year. So in an ideal scenario, we could theoretically have a baby in December. But most likely, not. (And I just had a panic attack realizing that means another birthday would have passed. Fucking hell.)

He also wants me to see the RE to get hormone profiles and panels done. Not because I'm experiencing infertility yet (we have no idea, since I haven't tried to procreate for a year now, and I haven't had a normal period for a year, either. In fact, November 30 2009 was my LMP date that I gave every doctor at every prenatal appointment. Boo.) But, umm, yes, we had that talk about infertility and tests and numbers and "don't get your hopes up, but don't get depressed either..." And he thinks it would be good for me to have information from the RE, possible plans of action, information for the IF bridge if we need to cross it. He also said if I don't want to see her unless I go six months without getting pregnant, that's fine too. My decision. Right now, I am leaning towards wanting to see her. Information is power. That's been our mantra through all of this since Otis died, and I think it's true now too.

Yesterday in counseling I talked a lot about how I have at least half of me back in the hospital with Otis, birthing him, holding him, marveling at him, experiencing the ultimate horror of hearing he isn't going to live...and half of me is in the future, anxiously trying to plan a future pregnancy, a future baby, a future.

Neither part of me is here in today. I am stuck in this sort of purgatory, without Otis, yet full of hormones that tell me to attach to something, full of plans of being a mother, full of a year of preparing to be a mother...and no child. So I send myself into the future, neurotically, trying to figure out how I could possibly do it in the future.

"You want something to attach to," my therapist observed.

It makes perfect sense, I know. I can't fault myself for it. But this living half in the past and half in the future is not working for me. The grief, fine, it's inescapable. Otis is here and Otis is not here and I need to make sense of that and my body and my mind and my heart need to feel this pain, experience this loss, scream, cry, yell, smash things...and the hope for the future, totally natural too - of course I am trying to figure it out.

But I need more, I want more. And I can't get Otis back. And I can't get pregnant yet. So what does that leave me with, now, here, today, in this very moment?

I always envisioned myself as the type of mother who would not let her child be her EVERYTHING. I wanted to go on dates with my husband. Let my mom watch the baby for a night and drive up to wine country. Continue my volunteer work at the animal shelter. Keep working. Keep practicing and teaching yoga. Continue on my journey of figuring out who I am, independently of a child. Of course a child was going to enrich my life, of course a child was going to change me to my very core and things would no longer be the way they were before. But I didn't want motherhood to consume me.

And now, I'm stuck in this really odd predicament, of being consumed by motherhood and yet not being a mother to a living child.

"I understand that this grief and this loss and my missing Otis will, at times, be totally inescapable and totally unavoidable and it will be All. I. Can. Do/Think/Be. I really do understand that. But, I also understand that there will be other times. Times when it is more assimilated into my being. Times when I can still function, with the grief, with the missing and longing. Times when I am obviously still Otis's mother, but times when I still want to be more than that. And I want to figure out who I am, in those other times, and what I do, in those other times," I told my therapist.

I don't know. I've had this feeling lately that it's kind of like I lost a limb. And there are times that I am still in the "Holy shit, what the fuck happened to my leg?" state of being. And there are times that I cry and scream and yell about not being able to walk, or dance, or stand comfortably. Times when I wake up in the morning and forget, and try to step out of bed and then realize, oh, my leg is gone. And I rail and flail and curse and spit and cry at the unfairness of it all, that I am now living without my leg. Times when that is all I know, that my leg is missing. And then there are times that I realize I'm starting to assimilate this information, times when I am in the world not with the view of "My right leg is missing" but rather "I live with one leg." If that makes any sense. And assimilating my identity as an amputee into how I live. And realizing I could let that be my one defining characteristic or that I could let it be one defining characteristic.

I realize there are a lot of problems with this metaphor. It is far from perfect. Please don't argue it with me. And it is also just one bit of me trying to make sense of where I am with all of this. It's what kind of makes sense to me today. Probably won't be worth jackshit to me tomorrow.

My therapist said, "So, it sounds like you're asking the questions of 'what gives my life meaning?" And yes, that's just it. Where do I find meaning, purpose, passion, when that into which I had focused all my energy, all my attention, for the last year (probably more) is now gone? How can I define myself, outside of the scope of motherhood? Because there is no certainty that I will ever get to mother a living child. It is not in my control. And it is not something I want to lose myself into, either. As much as I want it, I do not want the next six months, or more, of making love to my husband to be dictated by peeing on a stick and checking fluids and timing things just.perfectly.so. I do not want to "lose" two weeks out of every month to wishing, waiting, hoping, planning, counting, praying, begging, pleading. I do not want to spend my days googling the latest in infertility treatments, in figuring out my chances, in planning, researching, trying to control it. I do not want that to become Who I Am. I want more. I need more.

(And, please, those of you who are actively TTC or who might take offense in anything else I've written here, please, know this is simply what is true for me (and for me, right now, because, as I mention, tomorrow may be entirely different! I make no claims to knowing or presuming or even guessing what might be true or best for you.))

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On a lighter note, E knew that I didn't want any birthday presents this year. He went out anyhow, and got me the perfect gift: stacks, and stacks, and stacks of dishes, bowls, cups, plates, vases, candlesticks, piggy banks, from a thrift store - all for me to smash. I have yet to decide if it's going to be one big smash fest where I break them all (and then perhaps create some art from the pieces remaining?) or where I keep a closet of "smashables" for when the urge to smash something arises. I'm kind of leaning towards the latter, because really, I don't know that I need to smash 100 things all at once, and it's not like that will clear me of my smashing urges, right? But getting to smash something everytime the urge arises, or smash three things one day and five the next - that sounds like more my style. We'll see.

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And lest there be any confusion from anything I've written here today:

Otis, I miss you every single moment of every single day. Every breath I take is a breath that is incomplete because you are not here with me. You are my first thought in the morning and my last thought before I go to sleep. I do nothing without imagining you here with me, without wanting you here with me. My body longs to hold you. I miss your smell, I miss your soft skin, I miss you wiggling in my belly and dare I say it I may even miss that pain in the upper left side of my back where you seemed to have lodged a rather large elbow for the last five months of my pregnancy. You are in every tear drop that falls and in every smile that emerges. You are the rhythm in every step as I hike, as I run, as I walk. You are every flower in bloom and every bird in the trees and every twinkle of every star. You are the rain that falls relentlessly and you are the beams of sun that burst forth at the end of the storm. I miss you more than words can express. I hurt more than words can express. You are always my beautiful baby boy, and I am always your mama.

Monday, November 22, 2010

Reposting from Glow comments - gratitude

So that I have it here as part of the "historical record" - a repost from a comment I left at Glow, on the topic of gratitude and "what are you thankful for..."

Gosh, I find myself writhing and wrangling and kicking and screaming about commenting here - like a two year old with a temper tantrum, "I DON'T WANT TO BE THANKFUL. I AM NOT THANKFUL FOR ANYTHING! MY BABY IS DEAD!" But, if I stop and connect to my breath, I can find that in fact, there are a few simple gratitudes...and honoring those does not dishonor the tremendous loss of my beautiful baby boy...thank you, eric, for bringing this question to a place where it doesn't feel "wrong" to be grateful, where it doesn't somehow erase my boy's presence, where I can hold the two - gratitude and grief - and it doesn't feel like "look at all the blessings from my son's death" because I simply refuse to look at it that way, if that makes any sense. Without further ado:

I am thankful for Glow, for connecting me to this world of other grieving parents, for helping me to see I am not alone, for helping me to find my voice.

I am thankful for my husband, that he is emotionally mature and verbally adept, that we are finding our way through this together.

I am thankful for my family, for my brother especially, that they have not abandoned us or forgotten Otis.

I am thankful for the care team at the NICU and for the way they handled Otis's birth, short life, and death; with dignity, with honor, with wisdom, with love.

I am thankful for my community, for my friends, for the many ways in which they have shown up and loved on us in this horrible time. For the many meals delivered, for the donations for Otis's funeral and our other financial burdens, for the ways in which they continue to show up for us.

I am thankful for my dogs, the way they cuddle in and remind me of all my mother-ness.

I am thankful for my body, despite my wanting to just hate on it for not being enough to carry my son out of it alive and healthy. I am thankful I have the physical strength to hike in nature, to breathe deeply, to dance again someday.

I am thankful for my beautiful, beautiful baby boy Otis. That he came into my life. That my pregnancy connected me to my body and its power in ways I never imagined possible. That I got to feel him kick and turn and wiggle and hiccup, that I got to hear his mighty heart beating, that I learned just how much I can love someone. I am thankful for his soft skin, his pudgy thighs, his full head of luscious locks, for his squishy little hands and his perfect nose. I am thankful for the ways he continues to make my heart bigger and my life more expansive, even in his absence.

Friday, November 19, 2010

sisterhood

I've been initiated into a sorority I never wanted to join. What makes this unique, I suppose, is that none of us ever dreamt of joining, and nobody joins by choice.

I wander through the world of the babylost moms and find myself awed, and devastated, by our sheer numbers. In my first few days navigating the countless blogs, I found them overwhelming. Now I've settled into a bit more of a familiarity with them. For the most part, I know whose child belongs to whom, and I recognize the mamas as we cross paths in comment sections around the blogosphere.

There are some of us that are so new to the game that our wounds are fresh, gaping open, raw and exposed. We walk through confused, anxious, struggling to complete sentences or thoughts.

Others are a few months down the road. Still struggling with the rawness of emotions from time to time, but living with the wound has become more familiar for them. Their steps are not far ahead of my own, and I find comfort in reading accounts of their "normal" days. Some of their days seem remarkably like my own, drowning in the grief; other days for them they seem more able to dance in the light. Or at least walk through the "normalness" of it all without falling apart - which, right now, is my daily challenge.

And then there are the wise sisters who are years down this road. Some of whom have gone on to have living children, some who have not. They grieve their children's deaths with the same fervor that a mama always will, but they have learned how to live with that grief in ways so that the grief is not the dominant emotion of every day, every moment. Their children continue to be important, be remembered, be honored, be celebrated. These women give me hope that someday I too will be where they are - where the pain is no longer so ferocious that I wake up every night in tears, where the simple words of another's pregnancy announcement don't sting and rip my wound open anew, where I can be with babies, children, mothers, without being knocked breathless by the injustice of it all.

I feel a little bit like a freshman in high school right now. Overwhelmed, stumbling through hallways and corridors and drowning in the workload. I see the seniors, hanging out across the quad, and they just seem so cool - they've got it all figured out, right? I want to be one of them. Now. I hang on their every word like they hold the keys to my sanity. Their reassurance and kindness is all I have to get me through each day.

(Now where the high school analogy goes awry is that in high school nobody really has any sort of anything figured out by their senior year, whereas I really do believe that some of you Senior Medusas (yes you know who you are) have true wisdom. Plus, when were senior girls ever really friendly to the freshmen? In my case, it only happened because I had an older brother who was a senior so if a girl liked him, then maybe, just maybe, she'd be nice to me. And, unfortunately, I also realize, even being the wee freshman that I am, that none of us ever really get to graduate from this high school, so again, it's an imperfect analogy. Bear with me.)

I have been reflecting on the generosity of women and especially the amazing mothering qualities that we all bring to this awful world of grieving a child's death over the last week or so. The ways in which we reach out and support one another, as if we all know that our very lives depend on this sisterhood. I have infinite gratitude for each and every one of you, for every comment that has been left here already - for the "Yes, I've been there" comments, for the "You're in it" comments, for the "Hang on, sweet sister" comments and every. single. gesture. of love, of support, of solidarity.

I know I am so new to this game. And I don't have much to offer in terms of "been there, done that" wisdom. I have no idea how this game is going to play out for me. I can only hope that one day I am able to repay the favor, and support a woman wandering into this world in her first few months, lost, grieving, feeling as if she is losing her mind. I hope that my reaching my hand out to her holds as much hope and as much love as the hands that have reached out to me in the last two months.

Thank you, sisters. Thank you.

Thursday, November 18, 2010

empty nesting

it's like all my nesting instincts have gone haywire. I sweep at least twice a day. I scrub pots, and then leave them on the stove with the suds still in them, to dry that way...only to find them again later and start the scrubbing all over again. nothing is ever clean enough, tidy enough, organized enough...

last night I awoke in a terror around 3 am. e had not yet come to bed (this is normal on nights he works, as he doesn't usually get home until midnight or 1 a.m. and then stays up late as he unwinds.) but last night it bothered me. really, really bothered me. I called to him, asked him to come to bed. he said he was on his way. within five minutes, I was screaming. the terror was in every cell in my body, I couldn't lie there in bed one second longer. I got up, and started scrubbing my bathroom. when that was finished I moved into the kitchen. e came in and got me as I stood washing dishes and sobbing. he held me, and brought me back to bed. even with him there in bed with me, breathing with me, crying with me, reassuring me and loving me, it took me probably thirty minutes or so to resume a regular breathing pattern and to fall asleep. it was awful.

this morning, I woke up early.

and started cleaning.

I feel a lot like Lady MacBeth, or at least her words came to mind this morning as I scrubbed out pots and pans and scoured countertops: "Out damn spot." I don't remember enough from high school english class to remember the story of Lady MacBeth, I am ashamed to admit. but I recall an image of her hysterically washing her hands of blood and uttering those words. (I think it's because she killed someone. Note to self: drinking during lunch in high school and then being out of it for afternoon classes makes one sound like a dolt in trying to recall great works of literature.) So I don't know that the analogy is entirely perfect, since I really don't feel like I *killed* Otis, I really don't.

at the same time, it's like his blood is everywhere, and I can't scrub hard enough to remove it. there will never be enough organization in the house to bring him back to me. it's like I'm still nesting, still trying to make my home perfect enough so that maybe, just maybe, he'd want to come back and live here with us.

Wednesday, November 17, 2010

Spots around the house

A friend was supposed to come over today, and then she couldn't, as her daughter was napping, and she asked me to come to her. I couldn't leave the house. Not in that so-depressed-I-can't-leave-the-house sort of way, but rather just that I've been really feeling safest here. I think it's because it's where I connect to Otis, and have that sense of mama love the most. I took some photos today to remind me of the spots I feel him the most sweetly around me.

This table set up is what I see when I lie in bed. I stare at the shadows that the trees outside cast upon our shades. I stare at that big fish tail. The wood piece is off the beach from our honeymoon in Tulum. I spend a lot of time staring at this table in the morning, as I lie in bed and think about Otis. After Otis died, there were always fresh flowers on the table, and I learned to love seeing them there, so now I try to keep that table stocked with fresh blooms.



This is the top of Otis's dresser, also in our bedroom, but around a cornerish type thing, so not easily viewed from bed. Right next to this dresser is where we put the elliptical, now that we took the crib out from that space. The dresser is pretty much exactly as we had it before Otis was born, except his clothes and cloth diapers have been removed from the insides, and they sit empty, and now his ashes sit there in a tiny little box. This is where I stop every night to kiss my boy goodnight, and to tell him how much I love him.
Finally, our bed, and Otis's baby blanket. In some cruel and awful twist of fate, the blanket we fell in love with for him before he was born has a Day of the Dead motif with skulls across it. I loved the fabric. My mom gave us the blanket at one of our showers. I sleep with it every night. Even though Otis's little body never got to touch it, it's one of the ways I feel closest to him. Note the various sleep aids on our bedside tables. E and I always ask each other when we're making the bed who wants to have the Crab pillow and who wants to have the Octopus pillow. ("Are you a crab or an octopus today?" I am usually the crab...) I always slept on the crab side until I got pregnant, and then slept on the Octopus side because it was easier to get to the bathroom from. And there's the Woo, source of constant cuteness and a lot of comfort for me these days.
The bedroom is as close as I can get to him these days. I spend a lot of time in there, it's my sanctuary. When Otis first died, we put the TV down there with the idea that the distraction might somehow help me. Four days later, I was going nuts, sobbing at the idea that I destroyed my sanctuary. It felt like the distraction was pushing Otis out of the room. I woke up the next morning and practically threw my back out dragging that old piece of crap TV out of there.

Before Otis, I never cared much about making the bed, or keeping the room neat down there (though I always liked it when it was made.) In the days after his death, our friends made it a point to go in every day and make the bed, change out the flowers, and straighten up. Now it's become a bit of a "thing" for me - I have to have the room cared for. It's where I feel his presence the strongest.

And for the record, I do see the inherent wrongness that I am posting pictures of furniture and spots around my house where I "see" my baby instead of posting his 9 week old photographs of him in his new outfit or doing whatever it is that 9 week old babies do that make moms want to take photos. Shit like this has been occurring to me all day, pretty much every day. Yesterday I was holding the Woo (my 15 pound dog) on my lap and he was restless and I couldn't figure it out, but I picked him up and held him and he let out this big burp. "For fuck's sake, I'm burping my dog instead of my baby," I thought, "it really doesn't get any more pathetic than that."

ps - to those of you who get this as a feed, sorry for all the edits post-publishing. and to all of you, I apologize for the fact that I can't think or write for shit these days.

Monday, November 15, 2010

SOS

I'm sinking. Or, rather, I'm realizing how far I've already sunk?

I feel so hopeless right now, so full of "what's the point" type questions and other existential angst.

After realizing how I'm running from everything to get to some mythical Other Place where the ghosts can't find me, I've been thinking about how my whole life has felt like a series of "When....then..." statements. "When I get married, then I will be happy..." "When I lose ten pounds, then I will feel happy with my body..." "When I get that job that I love, then I will know career fulfillment..." and on and on and on. "When I have this baby...."

And now it all seems so futile. So stupid. And endless treadmill or hamster wheel. "Now" has never been good enough for me. And now, especially, "Now" is absolutely empty and hollow and depressing and miserable.

And of course, I'm still playing the "when-then" game...Most of it centers around having another child.

"When my body is healed enough for us to have sex again...
"When I know I am ovulating..."
"When I take a pregnancy test..."
"When I make it through the first trimester"
"When I make it past 24 weeks"
"When I make it to the c-section"
"When the baby is born, alive"

And the worst part is, these aren't When Statements, they are all Big, Fat, If Statements. Replace "when" with "if" in every single one of those statements. There are no guarantees. At this point, it feels so far off to even be getting to the TTC game in the first place, not to mention actually being successful at that game.

And I'm sick of living in the world of Whens, Ifs and Waiting Until.

I want to live, now. I'm sick and tired of chasing dreams, only to have my heart broken, my dreams shattered, my prayers ignored. I'm sick of the game of constantly replacing one "if-then" statement with another as I realize I am never satisfied with what I have.

This smacks of depression and the past few times I've had serious bouts of it. I know. So, what? I need a lifeline, some method of surviving these darkest days. What I'm doing barely seems to be working, and I'm getting tired of it, fast. And I can't find any good suggestions. E thinks I need a different therapist. My mom thinks I need meds. I don't agree with either of those options, but then again, I can't figure out any better ones, and feeling optionless also feels really hopeless right now.

There are all sorts of reasons why I don't want to go on meds right now. The two biggest hurdles in that thought process are that we are totally F#$Ked right now with regard to health insurance, and we are already applying to have to pay out of pocket and looking at exorbitant bills. Add a big old mental health piece on top of all my other stuff and it's just not very pretty. The second part about going on ADs is that I can't handle the weight gain right now. It may seem vain or superficial, I agree. But it's already taking every bit of compassion and self-love I have to not totally despise the state of my body right now and losing pregnancy weight right now is a tangible thing that is theoretically helping me in some coping sort of way. Stalling that by adding meds into the mix just won't work. Please don't try to tell me it wouldn't happen this time, because I know my body and I know how it responds to the meds and I fell for it last time and I gained 15 pounds on them.

Not to mention that this isn't necessarily "depression" - it's grief. I don't feel right about going on meds for it.

But E told me today he's really concerned about me. And I'm getting concerned about me too. I'm isolating. I find myself pretty awful to be around, so I can't imagine that others would want to be around me either. And I have no patience for any of their bs, either. I don't want to be around people. I don't even want to be around my dogs right now. I don't know what to do.

Sunday, November 14, 2010

A Haunting We Shall Go

I understand the concept of haunting in a whole new way these days.

My life feels haunted.

And I feel like I am running from his ghost. Running from the total and complete overwhelm of grief. Racing up the shore so that the wave doesn't crash on me, and take me under her grips, and drown me.

I do everything I can to avoid slowing down, both in my head and in my activity. I lie in bed in the mornings, frantically calculating when I could get pregnant again. I spend my days scheduling "self care" (acupuncture, chiropractic, therapy) to such an obsessive amount that perhaps it's no longer self care, but just distraction. Wishing on stars. Writing lists and lists upon lists of to-dos. Racing around. Anything to keep me from stopping, breathing in, and feeling the emptiness in my heart. It creeps up on me, and I feel my heart start to race. I feel my chest tighten. And I feel that sense, that urgency, that fear. Run. Run for your life. It really does remind me of a good old horror flick, being chased, sheer terror in my eyes, barely able to breathe.

And yet, every time, it catches up with me. Today it was at the sink, doing dishes. I had felt it creeping up since my eyes opened this morning, but had made it a good couple of hours before it finally caught up with me. I started screaming for Otis. I wanted to smash every dish in the sink. I wanted to slam things against the wall. My body heaved, and my heart felt like it was breaking anew all over again. I wanted to throw things, smash things, anything to get the haunting out of my head space. Instead, I just sobbed into the soap suds. I felt my legs buckling under me. I wailed and sobbed and howled.

It passed, as it always does.

I can't help but fear that all this running is going to come back and make it worse somehow. I worry that somehow I'm trying to bypass grief and what I'm doing in fact is going to make it a thousand times worse. I feel guilty for having days where I barely cry at all, days when it feels like it's all going to be okay somehow. I then worry that by having days like that it somehow means it's going to be worse later on down the road. And at the same time, I am terrified of the monsters that hide behind every corner, just waiting to attack me. I am terrified of the ghosts. I am living a haunted life.

Saturday, November 13, 2010

Perfect Little Big Boy

"First off, let me offer my most sincere condolences for your loss. I am so sorry," the fetal pathologist began. "And let me tell you that Otis was a perfect baby. Everything in his development happened the way it was supposed to, genetically, chromosomally, with his organs, his body, everything. He was perfect."

With that, my tears began to fall. Just as I had known from the moment I saw him - he was a perfect little boy. From the tip of his squishy little nose to his pudgy little fingers to his squishy thighs and soft soles of his feet - perfect.

The findings discussed yesterday at the meeting with the NICU team and the fetal pathologist were not new, necessarily, but they did help us to piece together some of Otis' story. Their belief is that he was doing great up until the last few days of my pregnancy. Then, somewhere in there, he either got stressed or pooped just because he was full term (there was meconium in his lungs, only minor amounts, but enough to show that at some point he had pooped, but because my water was clear mostly, they figured it had happened probably a few days before he was born.) So he may have been slightly stressed at some point, or maybe just ready to start pooping. Meconium in a preterm birth they said is a sign of distress, but in a full term, not necessarily. I hadn't known that.

So, perhaps he was already stressed.

Then he had a two vessel cord. Not necessarily cause for concern, but, a little easier to bend. ("Folding a ribbon instead of folding a rope," the pathologist explained.) So it's possible his cord could have bent at some point, also taxing his oxygen levels.

My blood pressure skyrocketed on day two of my labor - for unknown reasons. High blood pressure = less blood flow through placenta. So again, taxing his oxygen levels. It wasn't Pre-E, so I hadn't realized the risk level. But it was still there. Less blood, less oxygen, more work for baby to try to keep everything alive in his body.

Long labor = lots of work for baby also. Start to finish, I was in labor for 71 hours. And there were times that my contractions were relentless in there, back to back, stacking on top of each other lasting 5 minutes each. Not easy for baby to stay strong through those, they told me.

My placenta was small(ish) - 40th percentile. Not small for a normal sized baby, but small for an almost 11 pounder. So again, the cards were stacked against him - poor little guy had to work to get what he needed, and he had done an amazing job of it, throughout pregnancy. But labor is hard work, they explained, and a long labor with a small placenta means even more chances he's not getting the full oxygen that he needs.

And then, in delivery, his shoulder gets stuck on my pubic bone. And he's stuck there for 90 seconds. Again, not long enough to do big damage, on its own. But for a baby who's been in labor for 3 days at that point, with a possible cord compression somewhere in there, fighting to get his blood for a while when my blood pressure was screwy, for an extended period of time - well, it's kind of like asking someone who has just finished a marathon (their first) to jump under water and hold their breath for 90 seconds. It was just too much for his body to figure out how to do.

If each of these things was an isolated incident, it's likely that the baby could survive. But all of them combined, it was just too much.

So his brain shut down. Hypoxic ischemic encephalopathy. Fancy words, basically low/no oxygen, low/no blood, brain damage.

And the damage was extensive. Throughout all the thinking, feeling, processing, "personality" parts of his brain. As they suspected when they recommended we take him off life support. Really, the only part that wasn't damaged with such extensive necrosis was the brain stem. The cells in his brain (and lack of another type of cell they see when damage has occurred farther out, timewise) revealed that the damage had occurred within 6 days of his death. So we have it timed at least to that point. And everyone feels that it was just a sort of perfect storm, a 1-2-3-4 punch that he just couldn't fight his way out of.

The good news in this is that they think the genetic marker that they found in Otis' array is really of no importance. It doesn't show up as a marker for anything they know of, birth defect or disorder or anything. E and I both will still be tested to see if one of us has the same marker/deletion. If we do, then we know for sure it's a Red Herring and there is nothing to be concerned about. If we don't have the same deletion, then it will be something to look out for in a future pregnancy. But it's of unknown relevance. It sounds like it's more of interest from a research standpoint to the geneticists than anything, but that it's not really of concern to us in terms of future prognoses. We will meet with the genetics team when the result of our Array Testing comes back in 4 weeks.

As a whole, they feel quite hopeful about future pregnancies for us. My age is of concern, of course. For that reason, and not because I had a child who died, they recommend a full battery of genetic testing. (We've already decided that if we are blessed to get pregnant again we will do a CVS at 11 weeks and also get a chromosomal array done too then.) They recommend that I don't go into labor ever again. Otis was fine, until I went into labor. Labor killed him, essentially. So, c-section at 38 or 39 weeks, provided the baby's lungs are fully developed and ready to go. This is also fine with me. I am very sad that I won't get to "do" labor again, that I won't get to push a baby out, feel contractions, ride the waves of childbirth. At the same time, of course, I am willing and ready to do whatever it takes for us to have a healthy living child at the end of a pregnancy. As I've heard so many BLMs state: Take this child however you need to. Just give him (or her, I suppose, though i am stuck thinking fetuses are boys because I am still so much with Otis) to me alive, breathing, crying, kicking.

They are concerned about a future baby's size because I grew such a big one the first time out. Subsequent pregnancies are shown to produce bigger babies. They can't find a cause for why Otis was so big - he was all in proportion, just big. (Beyond the 90th percentile in length and weight.) They recommend that I follow a gestational diabetes diet even though I showed no signs of GD during my pregnancy. They would like me to monitor my weight gain a little more closely. But not in a way that causes me to stress out, they were very clear about that as well. There was a moment in there where we talked about maternal weight gain as a risk factor, and I got very nervous and scared that all of a sudden, here was the moment I had dreaded - this was where the big finger of blame would come out of the sky and point to me...And yet, it didn't. They were very clear about this. "This would be more of a concern if maternal obesity was a factor, Sarah. That is CLEARLY not the case with you." They said it as if they were stating the obvious. E had to stop them and ask them to repeat it, to make sure I heard them. They laughed at his request, as if it were a joke E was making. E grabbed my hand, and looked me in the eyes, and said it again, and made sure I heard it. "This is not the case with you, Sarah. Your weight had nothing to do with this. The way you ate during your pregnancy had nothing to do with this. You are healthy. Your body is healthy. Please hear that."

"Take your folic acid. Cry for the loss of Otis. Stay in therapy. Eat green vegetables and lean protein. Laugh and dance with your husband. Walk your dogs. Ask questions. Get angry. Do what you need to do. And then come back, stop by and see us in the NICU after you have your healthy beautiful baby next year." The fetal pathologist added, "Please send me a postcard from Maui. And then send me a postcard of your second child."

And I know, it may not be as easy as that. But they left us feeling hopeful. There's still the overwhelming sadness, of course. I want my baby boy back. I want to turn back the clock to that 40 week appointment before labor had begun and demand a c-section right then and there. I know, they couldn't do it. It wouldn't have been ethical at that time. And with what I knew then, I would have refused it. And if I had requested to be induced at that point, who is to say that the labor wouldn't have also been as stressful on his body then. And then I would blame myself for getting induced and stressing his body in that way. I cried hard this morning, apologized to my sweet Otis that he had to work so hard and for so long in my labor. It kills me to think of him struggling, fighting to live, fighting to be born. It kills me to think it was a prolonged fight. A 1-2-3-4-5 punch. Or more.

But nobody made any mistakes. Nobody did anything wrong. It just was too much. The perfect storm. And it took my perfect baby boy.

Monday, November 8, 2010

Can I get some prayers, thoughts, intentions and juju?

We have a meeting at the hospital on Friday to go over (again) pathology and autopsy reports with our care team and the social worker.

I am an anxious mess, already. I am barely sleeping and I am flipping out at every turn of the road.

If you're so inclined, I'd appreciate prayers, thoughts, love, candles, whatever you think might help.

The last time we got the reports it was like Otis died in my arms all over again. I am terrified this will be another one of those days.

I can't fathom it getting any harder. Well, actually, I can...but I can't fathom being able to muster any sort of strength to make it through life if it gets any harder. It's already taking every bit of reserve I have. And it's already unbearable. And it's only Monday. Mondays are usually the easiest day of my week.

Bah.

Friday, November 5, 2010

Landmines

Everywhere. They are everywhere. My daily life is now like walking through a war-torn country.

Today we were out running an errand and E wanted to get lunch. We went through my usual "I have no appetite, you need to decide where..." discussion, and he finally pulled up in front of one of our favorite spots. We haven't eaten there in a while, it seemed innocuous enough. I went in, put our name in, and stood waiting for our table.

All of a sudden. Explosion. I flashed back to the last time we were there. It was E's birthday. We had just gone to our first ultrasound. Saw the baby's heartbeat. My little gummy bear. We ate lunch, smiling with our joy and expectation. Afterwards we drove over to my mom's house to show her the first photographs of her grandson.

And just like that, I was brought to my knees. The tears started to fall, slowly at first. E asked what was happening, I tried to tell him. I couldn't breathe, I could barely speak...I got out enough of a description for him to realize what I was remembering, and he grabbed me and walked me out of the restaurant. I grabbed him outside, and started sobbing. (Right outside a baby store, it's like some cruel trick that they seem to pop up whenever I'm having an incredibly hard time.) We decided to walk somewhere else for lunch. Of course at this point there was no way I was going to be able to put anything in my mouth - eating has become so difficult even when I'm doing okay...in those hard moments I can't even swallow, much less actually eat anything.

The second place we ended up was a place I went with two old high school friends for a minireunion last spring. Again, a place I totally associated with being full of hope and excitement and anticipation about my pregnancy. I sobbed while E ordered his lunch to go, and we silently walked back to the car to drive home, to our home, where at least I can more or less anticipate where the landmines will be and choose to visit them only at times when I feel particularly strong....

I've managed to handle being at my "regular" haunts pretty well lately. It's the less-frequently traveled-to spots that seem to hold the bigger bombs, the ones that rip me to shreds so instantly. And I've talked about this with other BLMs, or seen it written on others' blogs, that it's so often the shocks that we don't anticipate that hit us the hardest. I never would have thought that going to this area in town for lunch today would have hit me so hard. I couldn't anticipate it. And just like that, I am blown to pieces, all over again.