Thursday, December 8, 2011

A Very Special Tree

I finally got around to decorating my main Christmas tree today.


It might not be much to look at, especially if you're into designer or theme trees.  I have a few themed trees as well.  But this Christmas tree is special.  It has taken thirty five years of love, friendship, creativity, and life to create.  I consider my Christmas tree to be one of the greatest gifts ever given to me.  I have ornaments made by my Mom.  I have ornaments made by a very dear family friend, Bonnie.  The ornaments on my tree tell the story of my life.



There are a few ornaments on the tree from my "blue" period which wasn't much of a blue period at all.  No, it was more of a lazy period.  I made this ornament in nursery school and it is blue simply because I was too lazy to find another color.  When I lived at home, I tried to give my blue ornaments a place of honor on the front of the tree, but somehow they always found their way to the back of the tree.  You can be sure the blue ornaments are front and center now!



There are ornaments that tell the story of my past.  This is the Evans Critter-the mascot from the first elementary school I attended. 



There are ornaments documenting my hobbies both old,


and new.






There are ornaments for some of the best days of my life,


and for Christmas' I don't want to forget.


There are ornaments made by Bonnie.  This is the ornament she created this year and it is quite possibly my favorite.


There are ornaments made with love by my Mom.


There are my husband's ornaments, mostly Star Wars.


And there is an ornament so special that I save it for last and cry when I put it on the tree. 


I started collections of ornaments for both the boys already and I hope that one day when they decorate their Christmas trees in their own homes they have the same feeling of love and nostalgia.  What an incredible gift.














Thursday, May 5, 2011

Everyday Miracles

Dear Sweet Jackson,

If you ever read this blog (at the rate you're going, it might be next week), I want you to know that with all this talk about miracles, you are just as much a miracle to me as your brother is.  You are the miracle who made me a mom.  You are the miracle who has made me grow as a person.  Every single day that I watch you grow, you make me believe in miracles.  You are brilliant, and I'm not just saying that because I'm your mom.  You are kind, loving, silly, curious and such an amazing little boy.  You make me so proud!  Today I watched you play race cars with your brother.  How is it that you know to play gently with him?  How is it that you know to use your softest, sweetest voice with him?  It must be a miracle.  Sure, your dad and I might have a little something to do with it, but truly you are a miracle!

And I love you.

Dear Peyton,

I can't believe you are four months old!  I feel like I can tell you now something I hate to even say out loud.  I did not think you were going to make it.  I spent my entire pregnancy terrified that something was wrong.  I had good reason.  If you put the words "high risk" in front of something, it can't mean anything good.  The only good thing about being high risk (besides becoming close personal friends with your ob-gyn and the entire staff of the doctor's office) is listening to the baby's heartbeat.  I lived for my appointments because I got to hear your heartbeat.  It felt like the only natural thing about my pregnancy.  Whoosh, whoosh, whoosh.  The best sound in the world.  But then there were those appointments towards the end.  You were so stubborn.  You didn't want to move.  You didn't want me to hear your heartbeat.  I used to hold my breath and lay very, very still praying that you were still okay. 

Maybe that was your way of preparing me for what was to come.

I know.  You're tired of hearing your birth story.  You are so over it.  If you were a teenager, you'd be rolling your eyes at me.  You have moved on.


You have decided to just forgot all about your dramatic entrance into this world.  You don't want to miss a developmental beat.  I am constantly amazed by your strength.  For the past two nights, you keep rolling over in your crib (and crying because you can't figure out how to roll back onto your back).  You played race cars with your brother twice today. 

You are clearly healthy, so why am I still having such a hard time processing everything? 

When I hold you, I know that I am holding a miracle in my arms.  I look at you and see the gift from God that you are. 

Thank you for being my miracle!

And to my family and friends, thank you for everything.  Your genorosity has been humbling.  You are making it possible for the March of Dimes to continue to work towards their goal of one day every baby being born healthy.  As we walk tomorrow and celebrate our superhero, I will be praying for the parents who's journey is just beginning.  I will be praying for the mothers and fathers sitting helplessly at their baby's bedside in the hospital.  I will be praying for all the people in my life who want nothing more than to become parents.  And I will pray that Peyton continues to thrive.

Tuesday, April 5, 2011

The Joke's On Me

Ah, April Fool's Day.

I've never been big on pulling pranks, mostly because I hate when someone pulls a prank on me.  I don't think what happened to me on April Fool's Day was an actual prank.  It was one of those moments when you think to yourself, "surely I'm on Candid Camera."  Okay, so it's 2011.  Much more likely I'd end up on YouTube, but you get the idea.

I was feeling adventerous, and decided to take both boys to the store with me, all by myself, for the first time.  But first, we had to stop for gas. 

When I got out of the car at the pump, there was an adorable old couple at the same pump on the other side.  They couldn't figure out how to start the pump.  I totally knew where they were coming from.  For some reason, this gas station has the wrong message pop up.  It tells you to lift the handle to start the pump, but there is no handle to lift.  I decided to do the right thing and went over to help them and started the pump for them.

I was feeling pretty good.  It was early in the day and I already had a good deed under my belt.  They must have only been topping off their tank because in just a few minutes they were having a hard time getting a receipt.  I went over to help them again.  They were all set with their receipt and I stopped my pump.  I was putting the nozzle away when out of nowhere the gas started again and sprayed everywhere and then suddenly stopped.

And where was the sweet, adorable old man who I had just helped?  Oh, he was still there.  He walked over to my pump and said, "It goes in the car sweetheart.  You better hope no one lights a match." 

Seriously.

That is what he said.

He did not offer to help.  At all. 

I gave him the stink eye and drove the boys to the car wash.

Sometimes it just doesn't pay to be nice.

And for the record, this wouldn't have ever happened if I still lived in New Jersey.

Wednesday, March 23, 2011

Battle Scars


Peyton has a battle scar.  It's tiny.  So small that I often forget it's even there.  I notice it most when I'm giving him a bath, a small dot on his chest that's a little too pink and and feels funny.  It is so small that I had a hard time making it show up in this picture.  You might think it's just a speck of dust on your screen, but it's there.  Trust me. 
All of this will be a story we tell Peyton. 
I hope that scar reminds him how hard his little body had to fight to survive.  I hope that he battles through every obstacle he is yet to face.  He is so strong.  He is a fighter.  He fought hard to live.  The rest should be easy.  When nothing is going right, I want him to look at that scar and remember that the worst moment of his life is behind him.  I want that to be true.
My battle scar isn't so easy to see.  This little boy broke my heart into tiny little pieces.  I felt like I failed him.  I still feel like I failed him.  My job was to bring him into this world healthy and whole and I couldn't do that.  He is almost three months old and I still put my hand on his chest to be sure he's breathing.  I cry when he cries.  I hold him at night longer than I need to and whisper I'm sorry into his ear. 
I'm smart enough to logically understand that in a few years this will all be behind us.  Peyton will be big and strong and crazy like his big brother.  He'll say silly things.  He'll be a daredevil.  With time, my heart will heal.
And all that remains will be his tiny little scar.

Monday, March 21, 2011

Million Dollar $mile


Okay, so million dollar smile is an exaggeration, but it is a quarter million dollar smile.  And worth every single penny. 

Thursday, March 17, 2011

Why I'm Walking

Our Superhero - Peyton James


I've been trying to write this blog for days.

It seems simple enough, tell the people why you are raising money for the March of Dimes this year.  But it's harder than you might think to share Peyton's story.  I can share the details of his birth and our stay in the NICU, but I can't ever let you know what it felt like, what it still feels like, to live through our experience. 

My pregnancy with Peyton definitely wasn't easy and with time, it wasn't getting easier.  I spent most of December on moderate bedrest trying to keep my blood pressure down and my blood sugar in line.  I started going to the doctor twice a week when I was around 30 weeks pregnant.  At one visit I would have an ultrasound as part of a biophysical profile and at the other I would have a non-stress test.  Peyton was growing fast.  At 35 weeks, his weight was estimated to be over 8 pounds.  My health was starting to deteriorate.  My doctor discussed my health with a specialist and together we decided that starting at 36 weeks, we would do an amnio to determine Peyton's lung maturity.  If his lungs weren't mature, we would test again the following week until we reached 39 weeks at which point he would be delivered no matter what the amnio showed.  Typcially the mother can receive a corticosteroid shot to help the baby's lungs mature.  However, this treatment has been shown to increase blood sugar and because my gestational diabetes was already very difficult to control with insulin it wasn't an option for me. 

On Monday, January 3, I went into the hospital for an amnio and then went home to wait for the results.  I got the call from my doctor around midnight.  Peyton's lungs were mature and we would go forward with the c-section on Tuesday afternoon.  She reminded me that even though his lungs were mature, he would probably spend some time in the nursery being monitored.  I went to sleep that night excited to think that soon I'd be holding my sweet boy in my arms.

Peyton came into this world with a cry at 1:12 p.m. on Tuesday, January 4.  His cry was music to my ears.  I began crying as soon as I heard him and I remember thanking God that my sweet boy was born healthy.  I naively believed that as long as he was crying, he was okay.  But something wasn't right.  The mood shifted in the room and I remember thinking it was too quiet.  The nurses bundled Peyton up, let me see his face and then quickly rushed out of the room.  I didn't know what to think.  Later, the midwife who assisted my ob-gyn told me that she had never seen a baby score so high on the APGAR (an 8 at 1 minute and 9 at 5 minutes) and then become so critically ill so quickly.  The pediatrician and nurses noticed right away that Peyton was breathing too hard and immediately began treating him for respiratory distress syndrome.

When I was finally back in my room recovering from my surgery, things started to get confusing.  I sent Brian to go get Jackson because I assumed Peyton would only be in the nursery for a short time and I wanted Jackson to be able to meet his brother.  I had no idea how serious Peyton's condition was because for the first few hours no one discussed it with us.  My mom and my sister stood outside the nursery trying to figure out what was happening, but no one was telling us anything.  At one point the nurse actually shut the blinds so they couldn't see Peyton anymore.  When they came back to my room and told me as much as they knew about what was wrong, I became terrified. 

Peyton was born at 1:12, no one came to talk to me about him until dinnertime.  I was told that his lungs were not mature when he was born and that he was working too hard to breathe.  (The neonatolgist later told me that Peyton's lungs were so underdeveloped that even if I had delivered at 40 weeks he would have been sick.  I'm still not sure how the test showed mature lungs.)  They had started him on a treatment called continuous positive airway pressure (CPAP) that delivers slightly pressurized air through the nose and can help keep the airways open and may prevent the need for a breathing machine, but it wasn't enough.  The pediatrician felt that Peyton needed to be intubated and while they were capable of doing that, the nursery was not equipped to treat him.  The hospital where I delivered has a Level II nursery which is only capable of treating mildly ill babies.

Peyton was very ill.

The decision was made to transfer Peyton to Northside Hospital in Atlanta. He needed to be moved quickly, so he was transported by helicopter. While we waited for the helicopter, I was able to sit with him in the nursery and touch his foot. I could not see his face. When the transport team arrived, they intubated Peyton and then packed him into a portable incubator that looks a lot like the bag used when you get a pizza delivered.  They brought him into my room so I could see him one more time.  It was hard to look at him and to wrap my head around what was happening, but one of the EMT's promised me that they would take care of him like he was their own.  And then he was gone.

Peyton's CPAP Mask

Brian and my mom drove to Northside to be with him.  They kept me updated through texts and phone calls.  My mom said they gave them a packet when they got there that explained Peyton's condition and how the NICU worked.  I sat alone, feeling helpless and praying that my baby was okay. 

Peyton's neonatoligist called me every day to update me on his progress.  Our first few conversations were terrifying.  Peyton's left lung has collapsed.  Peyton's condition has gotten worse.  Peyton is on a ventilator.  We've inserted a chest tube.  We need to insert a larger chest tube.  Peyton is heavily sedated.  Imagine hearing these things over the phone.  I was recovering from surgery in another hosptial.  He was miles away.  I never held him.  I had not whispered in his ear how much I loved him.  I hadn't kissed his sweet face.  My poor baby was so sick and there was nothing I could do. 
It's common with respiratory distress for the baby's condition to worsen in the first 2-4 days.  Peyton was no exception.  When I saw him hooked up to so many machines with wires everywhere, my heart broke.  How was I supposed to believe the doctor when he told me that Peyton would recover totally from this?  But that is what he told me over and over again.  And then on the 5th day, we started to see improvement. 

When Peyton was a week old, I held him for the first time.  I will be forever grateful to my dad for getting me to the hospital that day following a snowstorm that literally shut the state down.  It is a moment that I will cherish forever.  No longer was our interaction limited to changing his diaper every 3 hours!  I could finally hold him in my arms.  But our journey was far from over. 

Peyton continued to need oxygen until just a few days before he was discharged.  He would do really well for hours, but then he would desat (when the O2 concentration in the blood drops below a certain level, usually below 90%) and have to go back on oxygen again.  He did much better with feedings.  He was on an IV for the first week and then started tube feeding.  By the end of the second week he was taking almost all his feedings by the bottle instead of the feeding tube. 

On Peyton's 11th day in the hospital he was moved from the NICU into the Level III special care/transition nursery.  In this nursery, the focus is on your baby getting stronger and getting ready to come home.  Peyton started seeing a physical therapist.  He was lacking strength in his wrists and he wasn't grasping correctly, so she worked with him every day and gave us a list of exercises to do each time we changed Peyton's diaper. 

On Peyton's 15th day in the hospital I got a call that from the neonatologist that seemed to come out of nowhere.  Both the doctor and the physical therapist felt that Peyton had low tone and wanted him to be evaluated by a neurologist.  I was completely overwhelmed.  After all we had already been through, what more could we really handle?  But the neurologist didn't feel the problem was severe.  As he so brilliantly put it, "This baby was very sick.  He needs time to heal.  Give him a break."  He doesn't know how much I wanted to hug him when he said that. 

Peyton continued to improve and on the 21st day, he passed his car seat tolerance test and we were able to bring him home.  He didn't require any medicine.  No special instructions.  We simply needed to follow up with the audiologist and neurologist in a few weeks and see our pediatrician by the end of the week.

It was amazing to bring our baby home-FINALLY!  Since he's been home we've survived a trip to the ER for a fever, his first cold and his first round of shots.

We recently followed up with the audiologist and has his hearing tested again.  Peyton has minimal permanent hearing loss at high frequencies in his right ear likely caused by the ventilator.  He will need to have his hearing tested every 6 months until he is 3 to see if the condition worsens and to determine if he will need some form of speech therapy.

This week we followed up with the neurologist.  He sees a mild case of low truncal tone and head lag.  He still feels that Peyton will grow out of this.  We will follow up again when Peyton is 7 months old.  I pray that it's nothing and that he really will outgrow it.  This poor boy has been through so much already!

And that is why I'm walking in the March of Dimes March for Babies this year.  In celebration of what our superhero Peyton has overcome.  He is truly a miracle.

Please consider joining our team and walk with us in celebration of Peyton on May 6 in Canton.  You can register here:  http://www.marchforbabies.org/team/t1524711.  If you aren't able to join us for the walk, please consider donating to our team.  You can donate here:  http://www.marchforbabies.org/nmbalejcsik or here http://www.marchforbabies.org/team/t1524711