Tuesday, December 1, 2015

May 8, 2015

The night our sweet Vivian was born was one of the most special and amazing nights of our lives.  The day had been a whirlwind and the urgency of the delivery brought a lot of anxiety to both Derek and me.  We got set up in the operating room, and the anesthesiologist, Dr. Silver, came in to give me my epidural.  I was SO nervous.  Derek said he could see my heartbeat in the artery in my neck! Dr. Silver was amazing and so nice, kind of like a sweet grandpa type to have close by during the C-section.  Speaking of which, having a C-section is the strangest thing I've ever experienced, to be completely numb but still feel pressure and my body moving around as Dr. Kammeyer performed the surgery.  Derek started up by my head but kept looking over the drape to see all the action.  When Dr. Kammeyer invited him to watch he couldn't pass up the offer.  He said it was much more invasive than he was expecting but that it was amazing to see the process.

It seemed to go pretty quickly, even though my nerves never lessened.  Having had an ultrasound that morning, knowing our babe weighed less than 3 pounds was terrifying.  I had been warned that we might not hear her cry out when she was born, and that they would whisk her away to be cared for by the neonatal team.  I'm convinced it was a blessing from heaven that our feisty little Vivian let out a cry when she was born--so her crazy mom would have a little bit of comfort.

Once she was out, they took her into a small room within the operating room to clean her up and assess what kind of care she needed right away.  Derek went in with her, which I was so thankful for, while Dr. Kammeyer stitched me up.  I was told that I probably wouldn't get to see or hold her for a while, depending on her condition.  I was so surreal, thinking that just 12 hours prior I had no idea we would have a baby that day, even though we knew it would be soon.  I definitely hadn't wrapped my head around the idea of our babe being in the NICU.  I don't think you can ever prepare for that, nor really know what it's like until you experience it.  I was a little loopy from all the meds and expected to have to wait to see our tiny angel.

As they wheeled me out of the operating room and into recovery, they stopped at the doorway where they had been working on little Vivian.  Then, all bundled up and still so tiny, they handed me this little miracle that was our babe.  She was so light it barely felt like anything was resting on my chest. She was perfect.  Derek bent down close to get a good look at her also.  The tiniest little hand reached up and rested on my chest, and my heart changed forever!  As cheesy as it sounds, I literally was overwhelmed with so much love for this little human that came straight from heaven.  The moment I held her and we had a moment together as a family was another blessing, since I didn't think I would get to hold her just yet.  We were told it doesn't happen very often, but she was stable enough for us to hold her for a quick minute before they took her to the NICU.  I think that was a sign of how strong she would be throughout her stay in the NICU and thereafter.

May 8, 2015 will always be one of the most special days for us, when we became parents.








Friday, November 6, 2015

Our Tiny Miracle

Sometimes things go just the way you imagined that they would in your mind. We usually think about big life events ahead of time, trying to prepare for changes and we create an idea of how the changes will affect us.  Sometimes life goes just the way you plan for and expect things to happen.  Sometimes it doesn’t. 

For us, things definitely didn’t go according to our plan. 

However, even though the path we’ve had to take has been the hardest thing I’ve ever experienced, it is SO worth it. 

I’m a horrible journal keeper.  I used to be really great at it when I was younger, but I broke the habit.  I attempted to pick back up on it (hence the two posts from two years ago).  Life is busy and I forget to make journal writing a priority.  The past year has been amazing, busy, exciting, scary, discouraging, painful, and overwhelming—all wrapped up into one big mix of events.  We’ve had trials.  And we’ve been blessed. 

Because of my lack of journal keeping, this post will be extremely long because there is SO MUCH to catch up on.  And these are things I want to remember.   

Last summer, I graduated from college with a degree in Public Relations and Advertising.  I walked across that stage at Weber State with a huge sigh of relief.  I love learning, but I have never been so happy for something to end. 

In June, Derek started the grueling application process for the Physician Assistant program.  I had no idea the amount of time and detail required when applying for this graduate degree.  But like most things, Derek spent endless hours preparing and going above and beyond the necessary steps to get his application in—and did it so well.  He applied to 17 different schools across the country.  The summer was a waiting game as he anxiously waited to hear from the schools about interviews.  In September, he got his first invitation to interview at A.T. Still University in Arizona.  We were so thrilled!! We bought Derek a new suit and he again thoroughly prepared for the interview. He went on to interview at Pacific University in Oregon, and at Quinnipiac University in Connecticut.  He performed amazingly, as usual, and was offered spots at all three schools. This is no easy task—I have to brag about this accomplishment.  Derek is seriously the hardest working student I know, and he deserves every opportunity that is presented to him. 

After much thought and contemplation, Derek decided he wanted to attend Quinnipiac University back east.  We made the decision to make the move come spring.  This is one of those instances where life happens the way you hope it will.

Back in the spring, we decided that we were ready to start our family.  I stopped taking my birth control in March. Fall arrived and Derek was starting school again, and I still wasn’t pregnant.  I was discouraged and frustrated with my body, and confused about why it wasn’t happening.  This was one of those instances where life did not go according to plan. This was one of those times where I assumed that I’d get pregnant within a few months.  It was more like six months. 

On October 24, 2014, Derek and I had gone to see a matinee movie on a Friday afternoon.  That night we planned to go out with our friends Austin and Christee, so we stopped at home after the movie to change.  I was late, but that was a regular occurrence that didn’t result in pregnancy, and I had learned to not think twice about it.  Derek suggested I take a test just to see.  I had done this many times before, so I was quick to assume that it would read negative like always.  I peed on the stick and took a quick glance at it before leaving the bathroom, seeing the negative sign already appearing on the strip.  I sulked into the bedroom and threw myself on the bed, dramatically declaring that I would never get pregnant. 

A few minutes later Derek went in to look at the test strip.  He came back with a blank face and said, “Dude, you’re pregnant”.  First of all, I could never take him serious referring to me as Dude.  Second of all, Derek likes to joke with me and I quickly assumed he was kidding.  He wasn’t.

I took another test just to be sure.  It was positive too. 

We were beaming and slightly terrified the rest of the night.  Derek drove me straight to the hospital in Brigham City so he could draw my blood and do some testing just to be sure that I really was pregnant.  He is such a lab nerd.  I love it. 

We broke the news to our families on Christmas day when we gifted our parents a glass bulb ornament with the ultrasound inside.  Everyone was surprised and as thrilled as us, and it was such a great time to celebrate our little peanut on the way. 

Also in October, I started a new job at Physician Group of Utah doing marketing and public relations.  I was so excited to find a job that would use my degree, but I was terrified as well.  The job came with a daily three hour commute to South Jordan, and the long days seemed even harder while pregnancy made me constantly exhausted.  However, this was another time when we were blessed to be making double what I was at the hospital so that we could save some money for future events.  One day while I was out visiting clinics I got a call from Dr. Kammeyer’s office, letting me know that one of my labs had come back elevated.  This was the lab that showed chromosomal and genetic abnormalities, and it was a little higher than they’d like to see.  They made me an appointment with a Perinatologist to take a closer look.

In January, when I was 17 weeks along, we had our appointment at the perinatology office and a detailed ultrasound showed that our babe didn’t have any chromosomal or genetic problems—and we were so thankful.  We also found out we’d be having a baby girl, and that she was really tiny.  This presented a mix of emotions.  We were elated about the news that we’d be having a girl, and I already felt a sweet connection with her.  But the concern about her size made me terrified. 
We went on to have appointments at the Perinatiology office every two weeks to monitor baby girl’s growth.  By the time she was measuring consistently small for about 3 appointments in a row, they gave this condition a name—IUGR, or intra-uterine growth restriction.  The doctors assured us that our baby was healthy, just small for her age.  While we were happy to see our baby girl on that screen every other Friday, it was disheartening to hear each time that she was still smaller than she should be.  We tried our best to stay positive and remember how blessed we were to even have a baby on the way. 

In April, Derek and I both quit our jobs to prepare for the big move back east.  My Mom and I visited Hamden in March to find a place for us to live.  We rented the Penske truck and packed up our things.  We also anticipated Derek’s graduation from Weber State.  My parents also planned to make the trek east with us to help us with the move, and we were scheduled to hit the road on May 2, the day after Derek’s graduation.  Before we left, Dr. Kammeyer thought it would be best I have a non-stress test at the perinatology office to make sure everything looked good before the move. 

On April 30 we went in for the non-stress test.  Baby looked great, but my blood pressure was high.  They kept the monitors on my belly for another 15 minutes and told me to try and relax.  I didn’t relax.  The doctors sent me up to labor and delivery to be monitored some more, and this was the first time we felt the terror of things not going according to plan. 

The scariest part was getting checked in to my room.  I changed into a gown, gave a urine and blood sample, and was told to get comfy, as the nurses tried to prepare me for the possibility of having our baby early.  Even with the continuous warning that our babe would be small, I just imagined that we would just have a full-term 5-pound baby.  I knew how important it was for her to keep cookin’ as long as possible. 

I stayed on the monitor for about four hours, and after lots of love and support from parents visiting and Derek being by my side, my blood pressure lowered enough that they could send me home.  The nurses spoke with Dr. Kammeyer and they warned me that my lab work wasn’t great and I needed to take it easy at home. 

The next day, May 1, we packed up the Penske truck, and attended Derek’s graduation.  We went to dinner after to celebrate and said our goodbyes to our family and friends since we planned to leave early the next morning.  Derek and my parents left—I stayed behind. 

Dr. Kammeyer suggested I fly to Connecticut, since a 5-day car ride wouldn’t help my water-retaining body and increasing blood pressure.  So I stayed, and we booked my flight for later in the week.  I was also told to do basically nothing, and check my blood pressure every few hours. 

On Sunday, May 2, as I lie on the couch the entire day, my blood pressure continued to increase.  Once the cuff read 170/120 I called Derek, who told me to call the doctor immediately.  Once again, I was told to go to labor and delivery for monitoring.  I went through the motions of getting checked in, and it was just as scary as the first time.  Again, my blood pressure decreased enough and my labs were still not critical, so they sent me home—this time with instructions to return again the next morning. 

Monday, May 3, after being monitored and having labs done again, Dr. Ball from the perinatology office came into my room to talk to me.  He told me I was developing preeclampsia and that it wasn’t a question of IF I would deliver early, but WHEN.  He predicted that it would happen sometime in the few weeks to follow and strongly advised me to stay in Utah to have the baby.  At this point, Derek and my parents were somewhere in Nebraska and contemplated getting Derek on a plane that day, but we decided it would be best for him to continue on, get our things moved into the apartment in CT, and then head home since he had a week before he would need to start school. 

In the days to follow, I continued to lie on the couch and worry constantly about what was to come.  I tried to accept that my baby would be weeks or even months early.  I worried about the timing and if Derek and I would be together when the baby came.  I worried about insurance and hurried to apply for Medicaid, since we had both quit our jobs mid-April.  I worried about becoming a mom much sooner that I had expected.  I wondered how I’d get through all of it if I was in Utah and Derek was in Connecticut—which was my biggest fear when everything started to change.  It’s easy to say that those days were not easy, and I was starting to see that things would definitely unfold in a way I never planned.  

On Friday, May 8, I had appointments at both Dr. Kammeyer’s and the perinatology office.  After the ultrasound they predicted that baby weighed 2 lbs. 13 oz.  They took more labs and a urine sample to see how things had changed.  I had gained about 6 pounds since being at the hospital 4 days prior—all in water.  (And I looked it!)  And my blood pressure was still high.  Dr. Kammeyer’s nurse promised to call me later that day with my lab results.  I left the appointment and headed to the airport to pick up Derek. 

Being reunited that day brought so much comfort, just to have Derek with me.  I was in good spirits and was excited to spend the next week with him, knowing I’d be more at ease with him by my side.  We made it home, and just as we were walking in the house Dr. Kammeyer’s nurse called.  My heart sank when her first words were, “Where are you right now?  Dr. Kammeyer needs you to come to the hospital as soon as you can.”  She explained that my labs were not good and Dr. Kammeyer and Dr. Ball agreed that our baby needed to be delivered.  Once again, we were hit with the reality that things would not go according to plan. 

We were scheduled for a 9:30 pm C-section.  Derek and I nervously left Dr. Kammeyer's office and walked down the hall to labor and delivery to get checked in.  Later that night, we were given the biggest blessing and miracle of our lives thus far, our baby girl Vivian.  

Waiting in our room for our turn.  Dr. Kammeyer had multiple C-sections to do that night. 

Getting ready to begin.  I was TERRIFIED.

Derek couldn't wait to get in on the action.  He watched the whole thing and said it was amazing. 

Our first moment as a family.  We were told it was pretty special we got to hold her so soon.

One of the greatest moments of my life so far. The love I immediately felt for this sweet babe was absolutely overwhelming.  

Our tiny miracle, Vivian Michelle Smith.  
5.8.15 
2 lbs. 11 oz.
15 inches