Saying Good-bye…again

It has been five days since I had surgery – since I said good-bye to my second child. It was miserable. I don’t know how people go through this. I’m surviving. I guess that’s about all I can really expect to be doing.

March 6, 2018 – I cancelled my appointments for the day rather than going in after my doctor’s appointment. I knew I was in no place to help others. I knew I needed the time for myself. The wait for the appointment was long and felt drawn out. The wait was agonizing. I just wanted it all to be over. I had another ultrasound. I almost didn’t look. I did not know if I could bear to watch it all again. There was about two more days of growth from last week. There was still no further development. Even if it really had been too early, there should have been a heartbeat by this point in development. There wasn’t.

The doctor said we could wait after she reviewed everything. We could see what happens and come back in another two weeks. I told her I had reached my limit, and I could not keep waiting. We went over the risks. In the end, she told me that it was important to listen to where I was at emotionally, and it was her job to listen to what I wanted. We were able to schedule the d&c for the following day.

I was relieved. But I also felt so guilty. I wanted to be able to do this. I wanted to be able to wait if it was the best way to do it. But I couldn’t wait any longer. I felt weak for not being able to wait anymore. I cried a lot that night. I was scared. The last surgery was traumatic. I wasn’t sure if trauma could be avoided when the surgery meant officially losing my baby. But carrying the baby that was no longer alive was also torture. It was so traumatic to wait for a miscarriage that could occur at any point. It wasn’t my fault that my body didn’t get the memo that the baby wasn’t growing properly. My therapist later told me that it is a sign of emotional strength to know when I have reached my limit in what I could handle – not weakness. It’s still hard not to feel differently as I grieve.

That night I started to have some bleeding. I sat on the couch watching shows as I cried. I was in pain. I was scared. I was terrified of what would come next. Maybe I would miscarry tonight. Maybe I would have to go in for an exam in the morning before the surgery. Maybe they would tell me that I could no longer have the surgery. Maybe I would have to have another ultrasound (I wasn’t sure if I could do that again). Maybe I would not be able to have the surgery and this would take several more weeks. This could last for another month. I might still need surgery even after all that. Some friends came over to sit with me as we watched shows. I could not talk much. My mind felt fried. I could not think about what was happening. I finally went to bed, but I did not sleep much.

March 7, 2018 – I was awake early in the morning and moved back to the couch to watch more shows because I couldn’t lie there and think. I waited out the hours until the office opened. By then the bleeding had stopped. I think that made the decision easier. I knew I just needed this to be over still. I couldn’t keep waiting forever. The nurse was not concerned and told me that it would not affect the surgery. I was relieved. I continued watching shows as I watched out the hours until we could go to the hospital. I pretended that we were just going somewhere to watch shows. I knew what we were doing, but I couldn’t think about it. Bryan tried to help and told me that we were going to Disneyland. The minutes inched by until we could finally leave.

I go to the hospital. It hurt to be there. But I wouldn’t let myself think. I figured I would have enough time to process this later. Today, being here was all I could bear to do. I asked the nurse if Bryan could just come with me this time. She was unsure and told me that she could ask as soon as we got back there. She came back with Bryan. I was relieved to have him there. I remembered crying alone last time until they brought him back. The process went a little faster this time. As the nurse went over the paperwork, I signed the consents quickly. When she told to the consent about fetal remains, I cut her off and told her I knew and had done this before quickly signing and looking only enough to check the right box. She got the IV in and apologized. She was very nice.

Last time I was so worried about the process that I waited a lot of the time doing nothing. This time I figured they would have to work around me. I watched more shows and tried not to think pausing only after someone came in to talk to me. The wait was smoother. Anesthesiologist, nurse, another nurse, another anesthesiologist. About fifteen minutes before the surgery was scheduled, I got out the calm app to meditate. I figured it would be good for me. I finished it right as the doctor came in. Everything was on time this time.

I got down to the operating room this time and the nurses were talking about dogs. I think they asked me if I had a dog. I just smiled. I couldn’t comprehend what they were saying. Last time I started crying on the table, so they put me to sleep right away. This time I was awake for more of the prep work. They got my arms adjusted, put on the heart monitors, and buckled a strap over me to “remind you not to roll over.” I was asleep quickly.

I woke up in pain. They gave me as much pain medicine as was allowed. I told them I was dizzy. They explained that one of the medications was given as the very end of the surgery and was probably just hitting me now. “Close your eyes and relax.” I stayed there for much longer than last time. They finally moved me, and I carefully moved to the chair. I stayed in this second stage for longer too. I felt so dizzy every time I moved my head. The nurse told me that I would sleep it off when I got home. The nurses gave me a card this time, “Thinking of you.” I was finally able to leave. This was finally over.

But really, it had only just begun.

Recovery is the worst part. It looks like pain. It looks like weakness. And in my case, it looks like grief. Grief is a lot of heartache. It does not get “better,” but it does become less intense. I was also a little relieved that it was over, and I did not have to wait any longer.

Pain medicines don’t actually make me sleepy like they do most people. I was awake for most of the day and did not sleep well again that night. I stayed in for the next few days working on recovering. I tried to pay attention to my grief process. It looked a lot different this time. It was sad. I ended up not feeling well enough Friday to go out like we had planned for a short time.

Bryan was amazing through everything. He took off the day of the surgery to take care of me. He was able to work from home the next two days to make sure I was okay. I am really lucky to have him.

Saturday was the worst day. I woke up with a heavy heart. The weight of the day was too much to bear. My wedding shower was also five years ago on that date. I cried. I know that children are not a measure of a relationship, but all I could feel was that it had been five years and all I had to show for it was two dead babies. That was a hard smack of reality. I never wanted this for us. I never want this for anyone. The day did not get any better. My mom came to sit with me when Bryan left. I didn’t want to leave the house. I felt guilty for not going to my friend’s baby shower. I was supposed to have a shower by now. Now I had lost out on two baby showers. I had lost two babies. As the day progressed, I got more and more depressed. It is such a weird feeling to be so aware of my symptoms and my depression but be unable to do anything about it. I could not make decisions. I felt miserable. I felt like the pain would never end. I had rebuilt myself last time, but this time it felt like too much. This time I would not be able to get back up again. This time might break me.

Bryan tried to help. He figured maybe I just needed to get out of the house. I tried too. I couldn’t do it. I cried several times in the restaurant before leaving. I couldn’t stop. The pain hurt so badly. I couldn’t see anything. Bryan sat with me later that night, and I tried to piece through the pain. I thought about what it was like the last time. I figured out the timelines matched. The day I felt the worst last time was about the same amount of days after the surgery as this time. I figured my hormones dropping had a lot to do with it. No one really talks about postpartum depression after a miscarriage. I would argue that it’s a lot worse. You don’t have a baby to look to in order to make it all feel worthwhile. I wondered again if all this was worth it. Nothing could have prepared me for the miserable feelings that day. And as it turns out – not even going through it once before. I would never wish those feelings on my worst enemy.

After that, the emotional pain weakened a little bit. I slept more the next day. But the physical pain got worse. Apparently my body finally got the memo. I was in a lot of pain, but I tried to get out of the house for a bit. I felt okay. I don’t really know what the word “okay” really means anymore, but I wasn’t miserable. I made it through the next day.

I still think a lot about it all of this is worth it. I am afraid to go through this again. I am afraid for how this could affect our marriage down the line. I am afraid that if I go through this again that it really will break me. I think about if I do have to go through this again that I will probably be completely done. I can only take so much. I think about what it would look like if we never have kids. I feel like I need to come to terms with that a little better. I feel like that is a reality that I might have to face. I talk out what my limits are – with testing, with medical interventions, with loss. People throw around adoption and foster care. They act like it is an easy replacement. I have to mourn the loss of this first. That is a hard pill to swallow. I am not ready to give up yet. Not today. But foster care and adoption are also an extremely difficult option. It is not an option I want at this point in the process. I am still grieving my children. So I just keep thinking. I just keep wondering. The future is full of uncertainty.

Now today, I am preparing to go back to work tomorrow. I am equipped with a beautiful framed picture with my two babies names on it – Andrew Philip and Ellie Grace. I have suffered an unimaginable loss. I am changed again – and I can’t really say it’s for the better. But today, I am surviving.

When Pregnancy Doesn’t Lead to a Baby

I am pregnant. Again. But there is no baby. I won’t get to hold one in nine months. I don’t get to be happy. I don’t get to see a tiny heartbeat. I don’t get to excitedly tell everyone about our expected arrival. I don’t get to watch my baby grow inside me. I don’t get to experience kicks from the inside. I don’t get to plan my registry. I don’t get to prepare a place for a baby. I don’t get to be celebrated with a shower as everyone is excited with me. But it’s more than that. I lose out on every step of my baby’s life. Coming home, sleepless nights, pure love, eyes full of wonder, first words, first steps, going to school. The list goes on forever. And so does my grief.

And now I’ve lost out on all those moments for two babies.

I was scared to death with this pregnancy. I had little hope for this baby. Most of the people in my life told me that they would carry the hope for me. I let them. Maybe that would help.

It didn’t.

February 20, 2018 – We went to the doctor early mainly because I was worried and they were able to get me in early. There was nothing on the screen. I felt numb. The ultrasound tech described everything she saw. The pregnancy measured 5 weeks and 4 days with a gestational sac and a yolk sac. Normal development for that stage. But I should have been 6 weeks and 4 days at minimum.

I agrued with the doctor a lot. Last time she was able to give me confirmation when I explained all the information to her. There was no way they could deny my dates because they had checked my levels through my blood right when I got pregnant. But she wouldn’t give me confirmation. She said sometimes development just happens slower than we anticipate and doesn’t follow a textbook pattern.

Okay… I didn’t believe her.

A few hours later, my blood work cane back. My hcg was half of what it should have been at minimum and my progesterone levels had dropped. I knew there was no more hope. But the doctor thought that it would be better to try supplementing with progesterone until next week.

What a mind fuck. So I pretended to not have lost my baby with supplements, but I knew I already had. I cried that night a lot. But I stayed in this limbo with no more hope for almost a week.

February 26, 2018 – I took the day off and so did Bryan. We waited in a different waiting room. There were so many pregnant ladies. I counted the minutes by already dying inside. The ultrasound tech was a different person. This room was bright with happy pictures of babies everywhere. The tech asked me about my last ultrasound.

“It was just too early, right? But your blood levels were normal?”

No…

She looked around a lot. It’s a unique kind of torture to watch your dead baby on the screen. The loss of your happiness, your dreams. The sac had grown two days in nearly a week and there was no further development. The tech said she was sorry and gave us the report.

The doctor explained that the ultrasound confirmed the loss. That I should stop taking the progesterone supplements. That I should miscarry possibly even by the end of the week. (I didn’t.)

When my blood results finally came back this time, my hcg levels were still rising but obviously much slower than was “appropriate for pregnancy.” I wasn’t surprised. They were still rising last time too. My body never let’s go of the baby. It feels like a betrayal. I can never trust my body. Before this, yoga was helping me learn to love my body again. But it keeps betraying me. So the doctor asked that my appointment be moved up to come again the following week.

The week was torture. My feelings are harder to understand, but luckily I’m more aware of them. I’m not really sure if that’s easier. I feel sad, and angry, and bitter. I clung to the hope that I might find out some answers through some testing. I might not. But I did way too much research, and I hope I get some answers.

I started spotting a lot at one point. I felt the physical pain. I prepared myself for the worst. I continued to prepare myself everyday for the loss that never came.

I am waiting for my appointment in the morning. The doctor wants to do another ultrasound just to confirm again. I think that will be more torture. I wonder a lot about if all this is really worth it. I will probably have to schedule another d&c. I think I was hoping to avoid that this time. But I can’t do this anymore. I’ve reached my limit.

This is the hardest experience I’ve ever had to go through …again. It’s not any easier the second time. It’s a hell of a lot harder. I’m terrified of surgery again. I think about what that was like, and it is a lot of trauma. But I can’t bear the thought of continuing this process and not being done. I can’t be pregnant anymore with my dead baby.

Sometimes I feel stronger this time. That I don’t require as much support as I did before, which I suppose is a good thing. It feels like everyone’s concern for me has dried up this time. But other days, I feel so miserable that I don’t know what to do with myself.

Bereavement literally means to be torn apart. It was less than six months ago that I was torn apart. Now I feel ripped to shreds. There is a quote in miscarriage support that give validity to the experience.

The moment that you died, my heart was torn in two, one side filled with heartache, the other died with you.

With two pregnancy losses back to back, I don’t know where that leaves me. I’m not sure if I have any heart left.

So I’m not done with this experience. I haven’t even come face to face with this loss yet. But it’s the hardest thing I’ve ever had to do. And I thought I would only have to say that once.