Wednesday, August 27, 2014

Cautiously Optimistic

 We had a doctor appointment today and while we were driving there I told Ethan and my mom "I don't think I can take anymore bad news." I was just praying we weren't going to be hit with another blow.

 We got to the office and my Grandy (grandmother) met us there, they called us back to have the Ultrasound Tech do the first part before the doctor came in to give us a more in depth ultrasound, tell us what she saw, answer questions and hopefully tell us that we got good cells back from our Amnio. I asked the US tech if she knew anything about my DNA results and she said that she heard the baby was a girl for sure, meaning we got good cells! That was the first bit of good news.

 She started giving me the ultrasound and I said "Still no fluid..." knowing we wouldn't have any. The amnioinfusion I was given 2 weeks ago would absorb after 12 hours. She said to me "No, I see some fluid." As she went on she didn't say much, pointed out some features on little Avery and did a long ultrasound. We got a cute profile shot of her which we couldn't get without fluid. She told us how she remembered that last time I had literally no fluid and now she was seeing some. She went to measure the fluid (they measure it in centimeters) she told me I had 8 cm of fluid. That's the low side of normal. I was still low but we had an almost NORMAL fluid level! What could this mean?! She didn't know either... After she left Dr.Solomon came in and said "Well Olivia, your baby is throwing us another curve ball!" "There is fluid!" I said. She said that there was and started to explain that they are also seeing a bowel separate of her bladder now. She thinks that Avery has a urethra and she CAN pee. She still see's a blockage in her bowel so she thinks there is no anus but that can be built. She said that her heart has less fluid around it and is less enlarged and still looks good. Her left kidney is completely not working and never will but her right kidney looks to be normal and working perfectly. Her brain still looks great.

 The doctor said she is cautiously optimistic and that there is hope she may survive. It all really depends on her lungs. I'll most likely be having a scheduled C Section and 2 weeks prior to that I will be getting a shot to help her lungs along. It all really depends on her lungs. If she comes out with stronger lungs that is great. It's a long road ahead and she could still die but this is good news. She will need to have a lot of surgeries. They will need to build her an anus and clear her bowels, they may need to take out her one kidney that won't work (it could also just absorb in her body and not need taken out), She will need her one clubbed foot straightened out, she may need spinal surgery (It depends on how bad her spine is when she is born) and who knows what else... Her brain is perfect though and she has fluid so it's all dependent on me having amniotic fluid and her lung development.  They think there must have been some sort of blockage in her bladder and putting in fluid some how kick started something and made her pee. Thank God.

 Thank you for everyone who has been praying, PLEASE keep praying that Miss Avery's lungs continue to mature and that I keep getting more and more amniotic fluid. I am not expecting anything but I'm so much more hopeful. My baby girl is a fighter.

 I got to talk to a mother on the phone today who's son had Cloacal Exstrophy (which is similar to Cloacal Dysgenesis but not exactly alike) they didn't think he had a chance to live and he's 12 now. He's smart, his brain is perfect and he's darling. They gave me hope too. Lets hope Avery can do that too, that she can pull through.

 Here are the two profile shots we got of her today, she has her hand above her face in one and on her chest under her chin in the other. This little girl loves to have her hands in her face. Every ultrasound we've had where you can see her since the beginning of my pregnancy she has her little hands by her face.


Saturday, August 23, 2014

Complicated

 A lot of the details and thoughts of this whole situation are complicated. I would say my life is more complicated now than not. Complicated medical terms, complicated diagnosis, complicated feelings, everything is complicated.

 We always hear the term "I wouldn't wish this on anyone else" or  "I wouldn't wish this on my worst enemy" and now that this is happening to me that is extremely true. I wouldn't want anyone to go through this. Since I have to go through this I wouldn't want anyone else too.

 I'm going to be honest here though, I still have very human feelings. This may make me sound like a horrible person but if I could wish this off my child and onto someone else, I would. I wouldn't let this happen to me and my baby. I would willingly give it over to someone else, and yes I would feel guilty but I don't think that guilt could compare to the sadness I feel over the upcoming death of my daughter. Since I have to go through it and can't change that I wouldn't wish it on anyone but if I could push it on to someone else, I would. Sometimes I see women with a ton of healthy kids and think "Why couldn't this be you? You have so many healthy perfect kids..." After a lot of these thoughts I start to feel like a horrible person but I think anyone would feel that way deep down. Or maybe not and I actually am a horrible person but I swore to be honest on this blog and to get out all of my honest feelings even the mean, scary, complicated ones.

 Another complicated feeling is watching my sweet boyfriend touch my stomach and feel our daughter move and watch his face. We smile because she is moving and we love her but behind every smile are a hundred tears to go with it. Even if we aren't outright crying, we are on the inside.

 Avery loves Ethan's voice, anytime he talks she will kick, more so than for me or anyone else. She loves him. I love that she loves him and moves happily when she hears his voice but it breaks my heart at the same time that they won't have that father daughter bond much longer. He shouldn't only have two wishes for her lifetime, he should have hundreds. He told me the other day that all he wants is for her to see his face before she dies and to hold his finger. Of course he wants to kiss her and hold her and everything else but his biggest wish for her lifetime shouldn't be her holding his finger.

I mentioned in my last post that I make lists of everything in my head now. I have lists of complicated feelings too or things that trigger complicated feelings, such as....

  • Looking at or buying a cute outfit to dress her in
  • Feeling her kick
  • Knowing that her brain and heart among other things in her tiny body are perfect
  • Looking at her ultrasounds 
  • Showing other people her heartbeat on our doppler or letting them feel her kick
  • Choosing who we will welcome to the hospital to hold her.
  • Having people tell me that they love my blog
  • My ever-growing tummy

That's just a few of my very long, never ending list of complicated feelings. 

I'm feeling very numb lately. I'm still sad, dont get me wrong but I feel less inclined to cry than I have been. I still cry and am heartbroken but it's just so hard and its hard not to feel this empty numb feeling towards everything and everyone. 

I love her so much, I just want to know why this is happening... Why her? Why me? Why anyone? 


Tuesday, August 19, 2014

My Current Thoughts

 I have an overwhelming amount of thoughts about my child's future every minute of everyday. I go through lists in my head constantly. Sometimes I forget that anything is wrong and she kicks me and I get really excited and happy until I remember and it makes it worse. I adore her kicks still, but forgetting and then having to remember my child's upcoming fate is heart wrenching.

 I thought I'd write out some of the lists that I have going through my head at all times. 

List of the horrible and unfair things:
  • My child is dying
  • I cannot save her
  • All my family is grieving 
  • The thought of holding her little body at the crematorium and having to hand her over to them forever, knowing I'll never hold her again. 
  • Having to pick out my child's urn before I've ever met her. 
  • Forgetting that she's going to die and having to remember
  • Watching Ethan cry
  • Crying everyday
  • The nightmares I have
  • The nightmares Ethan has
  • Faking smiles
  • The stupid things people say
  • Fear
  • Death
  • Not knowing what's going to happen next
  • That other peoples lives can go on happily when the most important person in my life is dying and it feels like the world should be ending but it's not.
  • Knowing I only have a few months to spend with my baby
  • Preparing for everything I want her to have in the hour(s) I will have with her alive
  • Life
  • Seeing healthy babies and pregnant women
  • Having to chose which family and friends I want to be able to meet my daughter. 
A list of some things I'm grateful for:
  • Her kicks
  • My doppler so I can hear her heartbeat whenever I want
  • My family
  • Ethan's family
  • Ethan
  • My baby
  • The months I've had with her thus far
  • The next few months
  • Knowing that I'll get to hold her
  • Knowing that she will see my face before she dies 
  • My friends
  • Everyone who has reached out in anyway

We've decided to name her Avery Faith. We will need a lot of faith in this time so I find it fitting. 

I'm typically a pretty happy person and someone who finds the good in people and situations but I'm having a ton of trouble doing that now. I find myself hating life and having horrible thoughts. This is so unfair. I would give anything to trade places with my sweet baby and for her to be given a long healthy life and me to die but I can't do that. There is literally nothing I can do to save my child. I keep being told to hope for a miracle, and I do... Trust me, I do. The doctors tell me though that the only miracle I could get is being blessed with more than 2 hours with my child alive. My miracle would be having 5 hours with a living child rather than one. That is not fair, none of this is okay in anyway. 

 No one's whole purpose in life should be to be born to die an hour later. What kind of life is that? What kind of life can I give my daughter in an hour? 

I'm sorry that this blog post is all jumbled and probably makes little to no sense. That's how my mind has been the last few days. It's something. 

Friday, August 15, 2014

Starter Post

 Everyone says I need to start a journal or blog to get out my feelings, I've always been someone who likes to write out their feelings so maybe this will be nice. Even if no one reads it, I might take comfort in having an outlet. Just a warning (assuming people are reading this) I don't intend to walk on egg shells or be "PC" in this blog; I plan to tell it like it is. So if you're offended by honesty, anger, death of babies, depression and probably occasional cussing this may not be the place for you.

 I found out that I was pregnant on April 21st 2014, my birthday. To say it was a surprise would be an understatement but my boyfriend and I took this with stride and happiness. I believe life is a gift no matter when it comes or if it was planned so I was happy to welcome my miracle into my life. I've had a miscarriage previously at 16 weeks, two years ago so I knew that could very well happen again. I was scared but decided to love my child with every ounce of my body for everyday because I didn't know how long I would have this baby. I will probably go through my pregnancy story in depth and even my miscarriage story in another post but not too much now.

 Just to sum it up quickly my pregnancy went fly fairly smoothly, a lot of morning sickness but what seemed to be a very healthy baby. We had rather frequent ultrasounds and those showed a thriving healthy baby with a strong heartbeat. At 14 weeks we excitedly went and got an ultrasound for a gender determination and were told we were expecting a bouncing baby boy. We were thrilled...


the weeks went on and we were just as excited. We got to 16 weeks and had a doctor appointment and they said my little boy was great, he had a strong heartbeat. My doctor told me all the worrying I'd done about a miscarriage or a loss was silly and how I should see that now. I started to believe her, nothing was going to happen now. I was past the point where my child had died in my previous miscarriage, nothing was going to go wrong, my little boy was healthy. 

 Come August 13th 2014, two days ago, 21 weeks exactly we had a routine prenatal appointment and Ultrasound. I woke up thrilled I texted friends and told family "We get to see the baby today!" I was so excited. We got to the appointment, my boyfriend and mother right along with me excited to see the baby who we hadn't seen on an ultrasound in 7 weeks. "Olivia" the ultrasound tech who'd seen me many a time called and I bounced up excited to see this boy. I lay down on the table to get the warm gel spread across my bump that I'd become quite proud of and the promise of seeing my little boy bouncing on the screen. As soon as she pulled up the screen I saw my baby and his heart beating away. I felt a warmth of joy and love pour over my body as I looked at the black and white image of a baby on a screen. She moved the wand around and asked if I'd had the 12 week screen for Down Syndrome. I told her yes and asked why she would ask that... She told me that the back of my baby's neck looked thick, she said it could be nothing but kept looking she looked scared. The more she looked the more worried she looked, she told us that things weren't right and told us she saw some enlarged kidneys and that my amniotic fluid was very low and she couldn't get a clear picture. She told us something was for sure wrong and would talk to our doctor. Over the next minutes we were hurried into another room and all the doctors and nurses in the office were staring at us, the OB walked in and said we needed to see a Perinatologist immediately and she just looked shocked. We were under the impression that my child had Down Syndrome or something similar. After a lot of work we got an appointment to be in 3 hours. 

 Those hours crept by... I told Ethan (my boyfriend) that if our son had Downs that we would deal with it. It was better than the alternative that babies with Downs were a blessing and it wasn't what we expected but it would be okay. He agreed. When we got to the Perinatologists office we were sat in a large ultrasound room with a woman who said she'd point basic things out but not tell us of anything she saw or didn't see medically. She took pictures for over an hour and then told us that she would get the doctor in. The doctor came in and introduced herself, sat down at the machine and started talking to us as she looked at my baby who now had the hiccups that I could not only feel but see on the screen. She told us that I had little to no amniotic fluid and that my child was very sick. I asked straight out "Is he going to die?" she gave me a sad look and said "If you're asking me if I think your child will be stillborn, my answer is no. If you're asking me if I think your child will survive long after birth I would still have to say no." "So yes? He's dying." I said "Yes" she said. I burst into tears as did my mom and Ethan looked just shocked. This was not happening, just hours ago we'd all been thrilled that we were seeing our baby and now he was dying. She explained what she saw and pointed things out telling us that our child had a rare form of a rare disease called Cloacal Dysgenesis. We were heartbroken, brought to a geneticist, stuffed full of overwhelming information and told about a procedure that we could opt to have done the next day. 

 What my child has is an extremely rare disorder with an even more rare strain of it. A pregnant mother will produce amniotic fluid for the first few months in pregnancy while the baby is developing the ability to swallow and pee. Once that happens mom stops making it and baby takes over by drinking the fluid, filtering it through their kidneys, and peeing it out. It's a big cycle. My baby did all that perfectly except my child has no openings too pee from, actually my child has no genital openings at all. No anus, no urethra, nothing. Meaning my child drank all of the fluid and it has no where to go. The bladder is overly full, forcing fluid into the bowels and enlarging the kidneys from working so hard. There is also a curvature in the spine because of this and there is some fluid surrounding the heart because of all the strain it has. She said she could see no genitalia on my child because of the lack of amniotic fluid and the position baby was on and that tomorrow we would see more. My baby has no chance of survival because not only are all those problems there but babies practice breathing with their amniotic fluid and it matures their lungs. The most critical developmental weeks for lungs are 16-22 weeks. My child had missed almost all of those weeks with no fluid meaning that they will not develop at all and that when my baby is born there won't be much air that can get through. Baby will likely live for an hour and a half and then die, that there is nothing they can do. 

 We decided that the next day we would come in for an Amnioinfusion and and Amniocentesis. Most people have heard of an Amniocentesis, where they stick a long needle through your belly into your uterus and pull out some amniotic fluid with DNA in it to test on. Those are very common. What is not very common is an Amnioinfusion. That is where the stick the big needle in and put in fluid so they can get a better picture on the ultrasound machine. So were would have a lot of liquid put in and a little taken out and then a long ultrasound to get a better look at everything going on with my baby. 

 We went in yesterday... I was nervous as hell. I'd been through hell learning my child had certain death the day prior. They put in the fluid and as we watched on the screen my baby got more room in there and a lot more visible. They pulled out about two tablespoons of liquid for the amniocentesis and then took out the needle and began scanning. What they had seen was right, my child was dying. The doctor told us that the person probably told us the wrong gender and in fact we're having a girl. That the woman probably messed up because of swelling. She said she isn't 100% sure that we will be that sure when DNA comes back but that she sees nothing boy about my baby and multiple girl things. 

 Have you ever seen a plastic bag with something in it and then all the air gets sucked out and you basically vacuum sealed the item in the bag? That's what my uterus is like with no fluid, the baby is squished and has no room.  So she had a lot more room to squirm and wiggle with the water in there and she loved it. She was kicking and moving like crazy. They told us the liquid they put in there would absorb in about 12 hours so we would probably never get another great ultrasound of her face. Our doctor lovingly spent almost an hour getting us cute pictures of our baby since we would not get this clear of a picture on ultrasound probably ever again. 



 So that was a lot more catch up than I planned on doing but that is where we are now. With the same opinion from an OB, two Perinatologist's and a neonatologist. This will continue to be about my choice to carry my daughter to term even though I know she will die and my struggles with all of this as it comes. I'm left here now numb, furious and heartbroken. 

 Sorry if there were a lot of grammatical errors in this, I did not feel like proof reading.