Making Slemonade

Fall 2013

Fall 2013
The Best Medicine

Tuesday, March 30, 2010

Next milestone within reach

Today I've reached 31 weeks, 5 days. 32 weeks will (hopefully) be a HUGE milestone, and we're excited to be within reach of it. At 32 weeks, the risk of many common preemie ailments goes down dramatically, including intestinal problems, brain bleeds, etc. Breathing could still be an issue, but everyone agrees that we're essentially in the clear after this milestone is reached. The girls would still be in the NICU for awhile, but they'd come home mostly healthy.

We had another ultrasound this morning, and everything looked good. We also found out some interesting information. If you'll recall, when this whole membrane rupture happened 9.5 weeks ago, no one would give us any concrete statistics or odds. We knew that most women went into labor within 24 hours of their water breaking, and we knew that the risk was greatest for us within the first week, but that's about all we knew. WELL. It turns out that it's probably a good thing we didn't know. The perinatologist I saw today gave me some real info: to have gotten this far is remarkable. We had a 1 in 100 chance of a successful pregnancy. WOW. I mean, I'm competitive, but this is ridiculous. Shawn and I were chatting about the odds this morning. He felt like the odds were pretty long just because everyone was so evasive and concerned, but we're a bit floored. For my part, I just don't think I ever stopped to REALLY consider what happened and what this situation could have meant -- I focused on the success stories -- and I'm glad.

Knowing the odds puts this all in perspective. I've been in this hospital a long time, but it will be more than worth it if we bring home 2 healthy girls.

It's also Passover now, a Jewish holiday celebrating and commemorating Hebrew slaves being freed from slavery in Egypt. If you've seen "The 10 Commandments," it's basically that story. It's my favorite holiday, and I was very bummed that I was going to be missing the ritual- and tradition-filled meal of Passover, called Seder. But God and fate threw me a (shank)bone, and I've made a new friend in the hospital (also on bed rest with twin girls, along with a 3-yr-old girl at home) who invited me to her family's Seder in one of the conference rooms. It was a very special and fun night, and I was so excited to celebrate Passover with a Seder, even in the hospital. Thank you to Lani and all the Roths and Preises for inviting and including me.

In other baby news, we want to send congratulations to our dear friends Jenn, Sean, and Anna Shaikun on their new addition Shepherd Alan Shaikun, born last night. And more congratulations go out to the Blakelys, whose daughter Savannah was in daycare with Brady almost their entire lives; they also have a new addition, Thomas Spencer Blakely. His mommy and I were on bed rest for a bit together. And I'm also waiting to hear the news about Lani, whose twin girls were supposed to be born this morning. Babies, babies, babies!

So we'll have another ultrasound Friday (only 4 more total before these babies are born), and I'll report back. More updates soon!

Friday, March 26, 2010

Large and Not-So-In-Charge

Today I'm 31 weeks, 1 day, and moving right along. At this point, if the babies were born they'd do great. I know several 30- and 31-week babies who are now adorable, healthy, active children, so I'm feeling pretty darn good about things.

We had another ultrasound this morning and decided to do measurements today. Baby A is measuring 30 weeks, 5 days, and 3 lbs., 13 oz. Baby B is measuring 29 weeks, 6 days, and 3 lbs, 11 oz. Of course, this is all plus or minus a healthy margin of error, so who knows really how much they weigh, but it's definitely more than 3 lbs. We're thrilled! It still tickles me that Baby B is smaller than Baby A, but the ultrasound tech reminded me that because they're fraternal, they're genetically different, so we shouldn't be that surprised. Good point. This reminder makes me even more curious about what they'll look like-- and if anyone is going to inherit my curly hair!

In other good news, I no longer have to have my finger pricked to check my blood sugar after every meal. They're alternating now, so I only have to have 2 pokes instead of 4.

Brady is getting more ready to meet his little sisters. He and Daddy read a special big brother book at night (thanks, Aunt Allison, Uncle Brian, and Topher!), and he's definitely understanding a few more things. He told me on the phone this morning that his sisters are going to grow up big and strong, and that he's going to hold their hands in the street so they don't get hurt by cars and trucks. It's so sweet, and it brought tears to my eyes. Although I'm not 100% convinced he understands that they'll cry and scream and live with us forever, I can't wait to see him as a big brother. He's so sweet with babies, and I can only hope that sweetness will continue with his own sisters, who will be getting most of the attention.

So that's all the news-- less than 3 weeks to go! More updates soon.

Tuesday, March 23, 2010

Still here!

I'm just about 31 weeks! The bleeding problem we had last Thursday appears to have been a fluke, thank God, and we haven't had any recurrences. Everything has been totally normal since then.

We had another ultrasound today, and they didn't do measurements because everything has been going so well. We will do them next Tuesday, assuming I'm still pregnant. But today's ultrasound looked great, with both girls active and healthy. In fact, Baby A's amniotic fluid levels were higher than they have been since her water broke-- they categorized it as "low/normal" today. Break out the sparkling cider! I fully expect the level to go down again as part of the ebb and flow of a ruptured membrane, but it's reassuring to know that she's at least getting some protection and normalcy in there. Baby A remains head down, which is good because Baby B, while also head down, is in some sort of contorted position across my abdomen with her feet above Baby A. She is quite literally kicking her sister's ass.

The biggest news this week is that we have a date for a scheduled C-section: April 15. Those of you who know that my brother-in-law works for the Dept of the Treasury/IRS (and that my father-in-law retired from the IRS,) and that my brother owns a tax service, will chuckle. This is significant because it means that the doctors agree we COULD actually go this long. Having the babies born at 34 weeks would be a dream come true, and the answer to many, many prayers. At this point, they'd be out of danger for almost every preemie condition (breathing could still be a problem). And they'd probably be able to suck, swallow, and breathe at the same time, meaning they could breastfeed or take a bottle. This still feels a long way off, but we are very, very hopeful. There's an end in sight, and that's putting me in a good mood. We're all ready to have me back home.

So, anyway, we'll have another ultrasound on Friday, and I'll report back then. More updates soon!

Friday, March 19, 2010

Waiting for the other shoe to drop

Today I'm 30 weeks, 1 day! My regular OB had rounds yesterday, and when he came in he said, "I honestly didn't think you'd make it this long." As I've told a couple people, I'm not sure I realized just HOW scared I should have been 8 weeks ago when Baby A's water broke. I just think we couldn't imagine something going so wrong. Thank goodness we never had to deal with that, and we're in a much better place now.

Still, it's been 8 weeks of anxiety, and that's hard to take. Days go by where everything seems to be (the new) normal, then something will take us by surprise and remind us what's going on.

One of those somethings happened late last night, when I began to bleed. It didn't last long, and it didn't seem to affect the babies, but it was very scary. It was as scared as I've been this entire time in the hospital. I thought for sure that the other shoe was finally dropping, that I was going to have an emergency C-section at 1 a.m. before Shawn was able to get here. But for now, everything is stable. The ultrasound today revealed nothing amiss-- both babies look great and are doing well. They're both head down, and I do appear to be carrying lower so the babies may have dropped. The bleeding could be because my cervix is starting to open, meaning things are getting going, or I could have some irritation that would mean I might not make it the next 4 weeks. Or -- and this is what is difficult about medicine -- it could mean nothing at all. I'm told these things occasionally happen. I don't want them to be born so soon, but like everything else about this pregnancy, it's all completely out of my control. And so we wait some more.

If I make it til Tuesday, we'll have another ultrasound and get new measurements. Otherwise, our next update may contain names, birth weights, and other fun facts about Brady's new sisters. We'll see!

Either way, more updates soon!

Tuesday, March 16, 2010

Staring down 30 weeks

I've now been in the hospital for 50 days. FIFTY days. As far as I know, only one person on this floor has been here longer. There were 2 women who'd been here longer than I, but one had her baby yesterday. I'm an old timer!

This 50 days has seen a large amount of anxiety and a small amount of showering, and it's been quite a ride. And since everyone's saying how stable I appear to be, I could have another 30 days of this before I deliver.

This week is shaping up to be less dramatic than last week. Brady's 3rd birthday was yesterday, and I've been thinking all week how we were here in this same hospital exactly 3 years ago. We celebrated here in my room with a special dinner for Shawn and I from the hospital (it was surprisingly good!), and a hot dog and cupcake for the birthday boy. They had cupcakes at school too, and he insisted on bringing me one. What a great kid. Did I eat it? Hell yes, I ate it, and I ate it with relish. My blood sugar didn't go up that much. :)

We had another ultrasound this morning. The girls look great. Both babies are dancing on major internal organs. Incredibly, being 7.5 months pregnant with twins isn't that comfortable. ;)

Brady also had his 3-yr check up today. He's skinny (shocker!), with his BMI in the 5th percentile, but his weight is in the 10th percentile, and his height is in the 50-75th percentile. He's trending as he has been his entire life. Shawn said he wasn't too keen on the finger prick (I understand), and when the doctor was checking his reflexes, he yelled "My knee! My knee!" but otherwise he did great.

I've been reflecting on how fast the past 3 years have gone, and how much I love that kid of mine. I've been thinking about how much I love being a parent, and how grateful I am to have a wonderful husband who has been an equal parent to Brady his entire life (or, at least when I let him! Lesson learned for me!), and an equal partner to me. I could not be happier with how things are turning out, and I just hope they continue. We are always thankful for our families, friends (many of whom are like family), and neighbors for all they're doing to help us get through this brief blip in our otherwise amazing life together.

More updates soon!

Friday, March 12, 2010

29 weeks, 1 day!

We've made it another week! And what a week it's been. In addition to Tuesday's drama, we had another scare yesterday. During my morning monitoring, the babies' heart rates were pretty flat. They were strong and within normal limits (in the 150's for both babies), but there wasn't a lot of fluctuation as there should be with 29-wk fetuses. My medical team is being overcautious these days-- the farther we get into this pregnancy and the bigger the babies, the more they're paying attention.

So I went down for an ultrasound to check this out. By the time I got down there, Baby B was being her usual kicky, twisty self, but Baby A was being much more quiet. She did eventually do everything she was supposed to do, including practicing breathing and moving around, but it took a while to get there. The doctor said that everything looked okay and he wasn't prepared to do anything, but he did put me back on the monitors for much of the afternoon, then for 2 hrs last night. The babies looked great on the monitors.

So I went back this morning for my usual ultrasound (appointment kept out of caution), and both babies were active. Baby B is in some kind of contorted position with her head in the middle of my ribcage, and her tush kind of down in my side. Can't be comfy. Baby A remains the same. We watched her hiccup during the ultrasound. Then I came back up and went on the monitor, and both babies did what they were supposed to do.

I discussed all this with my regular perinatologist, and he said that it's possible the babies were sleeping yesterday while being monitored. Who knows? I told him that I'm really getting anxious again, that I'm waiting for the other shoe to drop. And this week feels like the shoe is starting to drop. He told me to take things day by day, that every day I'm pregnant means 3 less days for the babies in the NICU. I said I wanted to make it to 32 weeks. He said to not get too wrapped up in how many weeks I am. Then he said, and I quote, "You are far beyond what I would have considered a tremendously successful pregnancy." While I'm proud of my immune system and uterus, I'm also kinda wondering just HOW bad this whole thing was. They would never give us stats or chances because everyone is so different, and after hearing my doc say that sentence, I'm glad we didn't know. I mean, gheesh!

Some days I think, "I'm making it to 34 weeks no problem." And some days I think, "There's no way I'm making it to 30 weeks." Every day I think, "It sucks that I have no control over this." And so we wait to see what happens, wondering when these girls are going to enter the world, and thinking that we have lots of fodder for guilt when they're obnoxious, dramatic teenagers. :)

More updates soon!

Tuesday, March 9, 2010

A little bit of drama

I'm 28 weeks, 5 days! Today started out at 7:20 with a finger poke and slightly high blood sugar readings. After a quick and unsatisfying breakfast, I was whisked downstairs for my Tuesday ultrasound. Everything looked great. Both girls were active and healthy. Baby A now measures 28 weeks, 3 days, and Baby B is measuring 28 weeks even. Both weigh about 2 lbs, 13 oz. This means that in 2 weeks time, Baby A has gained about 8 oz, and Baby B might have gained 12 oz., or her measurements were slightly off last time. Bottom line is that their weight is good, and once they get over 3 lbs, they have an ever greater chance of good health. We're very close,and this is all great news.

So I got back from the ultrasound and was put on the contraction monitor and baby monitors as I am twice a day everyday. Except today, Baby A's heart rate kept dropping then coming back up. It happened enough for them to be concerned, so the doctor was called. Then Baby B started doing some funky stuff, then they both stabilized. THEN, I started contracting. I wasn't feeling anything, but there were some definite contractions showing up. Then the team kicked into action. Blood was drawn, and IV was inserted, and I was started on some fluids. Things smoothed out pretty quickly, but I was kept on the contraction monitors for several more hours and the IV fluids until this evening. I still have the IV in just in case, but let's hope I won't need it. It's not very comfortable.

This was all very scary. Sometimes, the universe sends you signals. This signal was, "Hey, Becky! Quit complaining about being in there and deal with it. The girls are still too small to come." The past few days have been very difficult for me. I missed my niece's birthday party on Saturday, and I missed Brady's birthday party on Sunday. I cried pretty much all day Sunday because I was missing that very special day, although from all the photos and video, I don't think Brady missed me very much. :)

But I'm tired of being in here, and I'm tired of being poked all the time (I'm now up to 4 shots of insulin a day, plus 4 blood sugar checks. But you'll be happy to know that as soon as I deliver, all of that will stop. I will then ask for a Cherry Coke immediately.). Although I want 2 healthy baby girls, I also want to be home with my husband and child and dog, and I want my privacy and life back. Until this little bit of drama, I was very ready for them to come whenever, but this shocked me back into reality. Still, 32 weeks is sounding REALLY good. That's 84 more shots and 84 more finger pricks, by the way. But we shall see. This really isn't up to me.

Anyway, I'll keep you apprised of the situation. Assuming nothing happens before then, we'll have another ultrasound Friday. More updates soon!

Friday, March 5, 2010

28 weeks, 1 day!

We made it! 28 weeks is a huge milestone because the babies are no longer at risk of being severely premature. This means that their odds of living are like that of a full-term baby, and their odds of serious complications are much lower. Another great thing about making it to 28 weeks is that they most likely won't have to get their nutrition from an IV or a stomach tube. They would have a tube running from their noses directly to their stomachs and could receive breast milk.

The next milestone will be 32 weeks. If we hold out that long, their risks for major preemie problems like brain bleeds and necrotizing enterocolitis are extremely low. They still may have breathing problems, and if they're born before 34-35 weeks they won't be able to breathe, suck, and swallow all at the same time (meaning they can't take a bottle or be directly breastfed), but both of those problems can be overcome.

We had another ultrasound this morning, and everything looks great. Both girls are now head down, so on the ultrasound, you can see two itty bitty heads right next to each other. Pretty neat. Fluid is still low and will be until we deliver, but Baby A is not showing any signs of distress.

This weekend we'll be celebrating Brady's 3rd birthday a little early with lots of family, friends, cake, and jumping around. (I hope to be Skyped in for some of the festivities.) Hope your weekend is as fun.

We'll have another ultrasound Tuesday and get new measurements, so I'll report back after that ultrasound. More updates soon.

Tuesday, March 2, 2010

27 weeks, 5 days, with SNOW (again)

We're almost to a major milestone! All remains stable. Had another ultrasound this morning, and the girls both have good blood flow, are practicing their breathing, and are overall looking pretty good. Baby B is now stretched out with her head in my ribcage and her toes waaaaay down near my pelvis. This means she's occasionally kicking Baby A in the head. Poor Baby A. But I guess she better get used to it!

I asked today about how long they'd let us go until they deliver the babies. We'd been told before that they wouldn't let us go past 34 weeks, but today I was told that they *might* let us go to 35 weeks, but not past that point because the risk would be as great as the benefit. So I could have another 7 weeks in the hospital, plus recovery. Of course, that would mean the girls would have less time in the hospital, so that's good. I guess we'll see how it all goes! They'll make the call during the 33rd week, assuming I make it til then.

It's snowing again, and I wish I could get out in it. Can't believe the one winter it snows 3 times, I'm in the hospital! But when I get out of here, it'll be beautiful springtime, my favorite time of year. I told Shawn it's like I hibernated for the winter!

So, anyway, that's all that's going on today. More updates soon!