Monday, September 30, 2019

Letters to Dannica: Social Smiles, Neck Lifts, and Rolls (Month 2)


Dear Dannica,

You are learning to distinguish daytime from nighttime and stay awake for longer stretches. You’ve been recognizing voices and faces and look toward us when we talk to or pay attention to you. You like to stare at the paintings and pictures on the walls.

We thought you were super serious without your big brother’s happy-go-lucky personality and sense of humor, but this month you’ve developed your social smile and often gift us with it.


You are still eating very well and gained the pounds to prove it, along with fat rolls that are quite the challenge to clean! At 2 months, you already fit in your brother's outfit when it was still a little baggy on him at 3 months.


 You like to coo “A-guh!” at us and are experimenting with your bodily controls by blowing spit bubbles, sticking out your tongue, and holding up your fist to look at.



Summer graces us with beautiful weather, so we enjoy the outdoors and you are quite the social butterfly, attending birthday parties.




We visit Spina Farms pumpkin patch, our annual tradition since Luc was born.

 

In October, Daddy was supposed to go to Washington, DC to attend a gala that honors his work at his company, but he did not want to leave you, so he stayed home. To show our appreciation of Daddy, we went to the grocery store and cooked a special meal of beef barbacoa tacos for him that Mommy had to work extra-hard for since you were fussy that day and had to be carried the entire time Mommy was cooking.



You are breezing through your developmental milestones and could hold an object in one hand and also pass it to the other.


You've also discovered your thumbs and like to suck on them. Sometimes when I put glovesies on you so that you would not scratch your face, you look at your hands with shock, not comprehending why you've suddenly lost all your fingers.


You did not like tummy time at first, but your neck is getting stronger and you could now lift it high.



You also surprised me this month by being able to roll over from tummy to back, a full month earlier than Luc! Keep being mighty, my little girl.

Wednesday, September 11, 2019

What Rainbows are Made Of


Dear Dannica,

We took you home from the hospital on a sunny Saturday summer afternoon, three days after you were born. There is an image etched deep in my memory: that of you still sleeping in your infant car seat on the nursery floor while Daddy was setting up the Pack-and-Play in our bedroom where you could be next to us. I rested on the rocking recliner in this nursery that was all clean, organized, and prepped for your arrival, staring at you wrapped in your pink blanket, my heart at peace for being able to bear a baby girl to full term and actually bring her home with me.


On a shelf to my left is a green memory box for my late baby girl, Thi. The last time I left the hospital, I clutched that same memory box while being wheeled to the parking lot to go home with empty arms, your sister still in the hospital morgue, waiting for us to get things in order and collect her remains. What a surreal experience, both that and this, to be in the same room, my soul so empty and then so full.

In the days to follow, backed by postpartum hormonal crashes, I found private pockets to myself and cried. I cried when I gazed at my naked reflection in the mirror after showering, my body still bearing the fullness of pregnancy, but my stomach starting to deflate. It wasn't that I was upset over pregnancy robbing me of my thin form; on the contrary, I missed the fullness of you inside me, flashing back to a traumatic time when my body was arrested partway through a pregnancy and then deflating again. I cried when I tried to sing you lullabies that your sister never got to hear while being rocked in my arms. I cried because I knew it wasn't fair of me to expect you to fill this massive void inside me that your sister had left, that at times I gazed at you with the indifference of an injured heart instead of with the expansive, ignorant, and blind love I have forever felt for your brother Luc, before the loss of a child darkened my innocence. In my mind, I sometimes accidentally refer to you as Thi.  You are such a good baby, quiet through the nights in a way your brother wasn't in the early days, often following me around the room with your eyes, sweet and not fussy. I was amazed to deserve this grace from you while working out my own emotions. All you are doing is asking to be loved. I didn't think I could both love someone and miss another all at once, both with such intensity.

You are not your sister and will never be. I know that you will teach me a different kind of love, one etched with gratitude of knowing that nothing is ever promised. One strengthened by vigilance to not take the days for granted, to not let the years slip by not celebrated and unobserved. When you have faced a loss, suddenly the preservation of memories becomes so important, that you are afraid the details will get fuzzy over the years, so you write things down and eagerly take lots of pictures to remember. We splurged and booked a photography shoot for you with local newborn photographer Gaby Clark (www.gabyclark.com). We took coveted photos of our family of four together.



We took photos to commemorate Luc becoming a big brother, that he is gentle and sweet with you in a way we could only dream of.


We took photos to celebrate you; you could not possibly know what you have done for us by choosing us to be your family.


My dear Dannica, you are my double-rainbow baby, and I will continue to ask a lot of you as you grow. I ask for your patience since you are not my first child and will by default need to share my attention, sometimes crying or waiting longer for your turn to be taken care of. I ask for your indulgence when I am missing and thinking of my angel babies, now among the air and sky, even as I feel your earthy weight in my arms, pulling me back to the here-and-now, basking me in gratitude. I ask for your love to heal me after I have traveled through a time and experience that left me so broken. 


But I know you are capable of these things, my strong little girl, after you clung on to me and made it earthside whereas the two before you weren't able to do so. You are the stuff of miracles and of dreams coming true. 


You were sent to us already equipped to do all of these things. You have strength, empathy, and worldly knowledge that you may not even be aware that you possess. I know this even at times I had forgotten--because for your grandparents, I am a rainbow, too.


Sunday, August 18, 2019

Letters to Dannica: Welcome Home (Month 1)




Dannica Song Sen
Born on 07-18-19 at 6:54AM
7 pounds
19.5inches

Dear Dannica,

Your middle name, “Song” in English pays homage to your late sister Thi’s name meaning, “Poem.” In Vietnamese, it means “River,” to remind us of how life flows onward despite any obstacles in its path. Two n’s in Dannica since you are my double rainbow 🌈 🌈 , and the n’s look like rainbow arches. Your first name means “Morning Star,” a light of hope after a period of darkness.

Your milestone photo backdrop is very special to Mommy! It was given by a dear friend who knows the heartache of multiple pregnancy losses, and dream-come-true of a double-rainbow baby. She also used it as a milestone backdrop and now passed it on to you. Candii Bear next to you for scale is another gift that reminds us of how precious you are, our rainbow baby. Welcome home, my love.

For the most part, you are a chill baby as we settle in as a family of four, plus fur-brother Odin.

 


You like taking morning walks in the stroller, warm baths, and lying on Daddy’s chest.


 You sleep during car rides and hardly fuss at night. True to your piggy sign, you oink out a lot and also reflux a LOT. I joke that you take down 60mL and give me back 5-10. You make us laugh with your little grunting and cooing noises, and we look forward to you communicating more with us.

I marvel at your fatty rolls since Luc was such a small and skinny baby. Your skin erupts in what we Vietnamese call, "milk flowers," a blotchy-white telltale sign that the baby has taken to the mother's breast milk and is thriving off it.



You amaze me by how fast you are growing, one day still fitting in the crook of my arm, and the next with your long legs already jutting out past what I could hold in one arm.


You outgrow clothes faster, and already I am tucking away your tiny newborn onesies and sleepers. I love to caress your smooth skin and stroke your plentiful hair, hair that even your ultrasound tech complimented. It's so soft, like the downy fur on a baby chick, and hilariously sticks straight up after you are freshly bathed and dry.





Wednesday, July 17, 2019

The Five Stages of Gestational Diabetes


"What do we say to the God of Death?"
"Not today."

--Melisandre & Arya Stark, “Game of Thrones”

As I waddled around the office to close the loop on a few business projects on my last week of work before maternity leave, one of my coworkers remarked, "You're the fittest, happiest pregnant woman I've ever seen." I smiled and thanked her for the compliment, but truthfully told her that I was far from the fittest. I had nagged Facilities to put in an Expectant Mother's parking spot closer to the building (they didn't). I parked my car under trees oozing sap all over the windshield and carried my laptop-laden backpack to work those last few mornings since I couldn't bear to walk further. My pregnancy, though thankfully incubating a healthy baby, wasn't exactly easy, and I dealt with wacky things such as:
  • 14 weeks + 5 days of persistent nausea (yep, counted)
  • Recurring yeast infections and BV (a first for me, ever)

Probiotics for combating recurring yeast infections
  • Constant colds and coughs that I would catch every other week (got to intimately know natural remedies such as saline nasal flushes, salt gargles, elderberry syrup, and sleeping with a humidifier)
  •  A fractured tooth that I postponed getting fixed until the second trimester, and then had to undergo getting a crown without x-rays
  • Now surpassing "the most pregnant I have ever been" point at almost 39 weeks, the debilitating pain of a sciatic nerve in my left leg, spasms of lower-back pain, swollen feet, and the lovely sensation of a full-term baby simultaneously ramming me in the cervix with her head and squeezing my bladder

The topper on the cake, though, is getting the diagnosis at 28 weeks of pregnancy, after downing 75 grams of a disgustingly, sugary-sweet drink for my 2-hour Glucose Tolerance Test, that I have gestational diabetes for the first time in my life. Naturally, I passed through all 5 stages of grief:

1. Denial
Impossible. I passed that test with my first pregnancy. I only went 5 points over my 1-hour draw.

Failed the 1-hour draw by 5 points


Can't they just pass me? There's no way I can set an alarm for an hour after the first bite of every meal, prick my fingers 4 times a day, and keep a log of everything I eat and drink. Who has time to do that?

Me, that's who. Gotta do what you gotta do.


2. Anger
Screw all these people posting pictures of bread, pasta, and pastries on Facebook. We're all drowning in sugar and eating ourselves to death with super-sized portions in America. Why did my team members just bring in a box of Krispy Kreme donuts AND followed lunch with a boba tea run? Do they have no sympathy?

3. Bargaining
Let's see if my blood sugars will spike if I sneak in 3/4 cup rice instead of 1/2 cup. What if I eat a sweet snack right after a good test number, and not test again until after the next meal? What if I sneak in my cravings of ramen or a four-cheese Hot Pocket for breakfast, and then walk for 40 minutes instead of 20? After I deliver this child, I want a Cream ice cream sandwich with strawberry ice cream and warm, freshly baked Snickerdoodles.

One of my many baked goods on the weekends with Luc

I want a Cinnabon roll with caramel and pecans. I want a cheesecake with strawberries on top. I wonder if the hospital serves Belgian waffles. Smothered in syrup. No need for real maple syrup, that fake, generic stuff is just fine.

4. Depression
I am hungry all the time. I can't cave to my cravings. There is no way I can control my carb intake and still be full. No way I can remain on this diet and still gain some weight per the dietician's instructions. Does this mean my baby is also losing weight? Am I hurting her? I am so far from the end; how can I make it? Statistically, women who develop gestational diabetes have a higher chance of developing postpartum depression, and also a higher chance of developing Type 2 diabetes later in life. Not great odds to mull over.

Striving for that ideal reading: over 100 and less than 130 mg/dL after meals

Weekly non-stressed tests to check on Baby


5. Acceptance
A healthy baby trumps all. I'll do it. Eat the quinoa and soak chia seeds and cook oatmeal with flax.

Snacking healthy: cheese assortment with stone-ground wheat crackers

I'll cut down my rice portions for dinner. Eat salad for weeks. Switch to nasty pasta made from lentils. Drink no-sugar-added almond, soy, and macadamia nut milk. Stop eating cold cereal in cow's milk for breakfast. Give up pizza, my craving for Vietnamese banh cuon, stop baking treats loaded with refined sugar.

Baking my own healthier oat bars for snacking

 Reduce my boba tea consumption, having an occasional treat at 30% sugar, no toppings, every-other-week, and drink only half a day. Commit to light yoga every morning. Walk twice a day after breakfast and lunch, with a waddling pregnant belly, in 80-100-degree summer heat. Log my food, snacks, and drinks religiously, and never miss a blood test.

A typical food + glucose reading log

It has been 11 weeks since my diagnosis, and I have successfully managed my gestational diabetes through diet and exercise, avoiding insulin injections. What a feat for someone who loves food, has never had to diet thanks to a high metabolism, and has low resistance to saying no to treats.


11 weeks' worth of sharps

I didn't have the most affable or sympathetic dietician to guide me through my GD journey. She nitpicked on all my little red numbers that went over the max allowable threshold, told me to cut down on everything but still somehow gain some weight since I had plateau'ed, and rarely gave any positive reinforcement of the things I did right so far. She even threatened that she had recently put a woman in her 37th week of pregnancy on insulin, as if I must not slip up or face the consequences. It wasn't until I switched dieticians at the very end that I was praised for the amount of walking I fit in, given liberty to indulge in reduced portions of any cravings, and was told I was doing a great job keeping down my numbers.

Maybe that discouragement from my first dietician was part of the reason why I was determined to conquer this transient disease, to not let it rule me or my baby. I asked myself, after all that I had already been through to carry this baby to a healthy full term, if I would let it defeat me.

Not today, gestational diabetes. Not today.


Thursday, May 16, 2019

Life with a PAL: Pregnancy After Loss

'Cause the sky is finally open, the rain and wind stopped blowin'
But you're stuck out in the same old storm again
Let go of your umbrella, darlin' I'm just tryin' to tell ya
That there's always been a rainbow hangin' over your head
Yeah there's always been a rainbow hangin' over your head


--"Rainbow," Kacey Musgraves 

I sit in my OB/GYN's office after the nurse hands me a pre-registration package for the hospital in which I am to deliver, the same one in which I said both hellos and goodbyes to three children so far. It feels surreal as I stare down at the envelope bulging with informational packets, brochures, and forms. It has been nearly forty doctor's/specialist visits and diagnostic/maintenance blood tests + ultrasounds to get to this day. Yet, I am luckier than those other women who have tried for countless years to welcome their first, whose stomachs are bruised black and blue from hormone injections, those would-be mothers whose adoption cases fell through and who are still left childless. It is three days before Mother's Day 2019, a holiday that in the past few years has become so loaded with emotions.

In 2015, I struggled with the idea of never being a mommy after nearly two years of silently battling infertility and doing everything I could to get pregnant.

In 2016, I learned how to be a mother to a little boy who captured my heart since I knew of his existence on my very first positive pregnancy test.

In 2017, I was elated to quickly and effortlessly welcome a baby girl into our family, only to be faced with the most traumatic heartbreak of my life when I found out during a routine ultrasound that her heart had stopped beating, and that she had died some four weeks ago.

In 2018, I came to understand the constant rift and pull of being a mom to a present earth baby who constantly demands my attention, and angel babies whom I never had the chance to know.

I think about my first daughter. It has been 16 months after I delivered her and held her lifeless body in my palm. I had never seen a baby so small and partially formed, with translucent skin and limbs as frail as a baby bird's wings. And yet her features were forming, and the way she lay arrested in development reminded me of my husband's demeanor. This tiny baby, half of each of us, capturing our whole hearts, leaving us with empty arms.

How I miss and think of her daily, how I long for her still, both guilt and gratitude shrinking and swelling my heart, that I am able to surpass the intense grief of her passing and welcome the thought of another baby in our family.



After Thi passed, I looked for signs that she is peaceful and happy in another realm, but also still around me and watching over us. Maybe through butterflies, or birds, symbolic of transformation and flight. She ended up coming to me in the form of fog, as many fog-covered days enveloped me during the winter in which she was born. I wept over her nearness and beauty. I could see her, whole and formed, but I could not embrace her ethereal presence. She is telling me, "It's okay, Mama; I am fine, and so are you," and I marvel at her wisdom to comfort me when I feel most alone. 

However, when those earth-clouds lifted and spring arrived, I noticed another sign: I started seeing rainbows everywhere I went, their abundant presence gracing me from the year's prolific rains.











I think about my second son. It has been 9 months since I had the D&C surgery to remove what was left of him. I never saw him form, and his passing was early and brief, but he holds a special place in my heart. As unfair as it was to lose him in succession to Thi, his death was in a way a small mercy, a selective decision of nature; with a double trisomy disorder, he would have struggled if he had lived. I think of the pain of parents having to watch their babies go through endless punctures, tests, and surgeries, hearing them cry, watching them struggling and gaping for life-sustaining breath. These frail babies living in limbo, who never know the chance at a normal life beyond the walls of a plastic bassinet, with their grief-stricken parents keeping vigil, finding it hard to hold on, but unable to let go. I am spared those endless days and nights in a hospital, or that gut-wrenching decision of having to terminate for medical reasons, or that unsettling unknown of having to wait it out, wondering even as I carried him when my baby will die.

I am not sure how I was fueled with the strength and heart to try again after two consecutive losses. Since they were unrelated demises, my medical team, including geneticists, assure me that both incidents are not likely to happen again, and I was medically cleared to proceed. Coupled with our desire to add to our family and provide Luc with a sibling with whom to grow up, and goaded by the window of our childbearing years coming to a close, we did the only thing we've known how to do in the last years of heartache: we forged onward, charting cycles, taking supplements, and hoping, always hoping. I lived between the miles of solitary jogging I did to get my body back into prime shape; I bought ovulation strips by the max pack and brought them to test surreptitiously at work in order to catch that magical surge that is the precursor to the release of a ripe egg.

Two months after I lost my second pregnancy, 12 days after ovulation tracked daily with a Basal Body Thermometer, I was staring at another positive pregnancy test.



The ten seconds of elation were followed by countless days, weeks, and months of living in fear and anxiety, treading on eggshells with the possibility of something once again going wrong. We didn't talk about "the baby," didn't tell Luc about the arrival of a sibling, and didn't make our usual fanfare of announcements beyond when and to whom it was necessary. I survived from day to day and aimed for that next milestone: the beta blood tests indicating a growing life; the first scan and seeing a yolk sac and fetal pole; hearing that heartbeat; seeing a baby form and the wiggles on ultrasound; getting news after genetic testing that all is checking out well; feeling those first kicks and rolls, so missed and so welcomed.

24 weeks, and the baby reaches its first viability milestone with a survival rate of 20-35%.

26-27 weeks, and the chance of survival reaches up to 85%.

28 weeks, 90%.

That's what the studies say, and yet, even fullterm babies at 40 weeks are sometimes stillborn. Nothing is ever guaranteed. I frequently scanned the baby with a home Dopper that I was not keen on using during Luc's pregnancy, just to quell my mounting panic that the heart did not just suddenly stop beating.

The tears don't end with a new expectation; we mothers who have experienced losses still feel the emptiness keenly in our hearts. Having hope for the future does not erase the pain of the past. We still love and think of our departed angels. We still ache to hold them, even as our arms prepare to receive another. There is no sorrow like that of losing a child.

Mother's Day, 2019. My first baby girl would have turned one year old. I spend the weekend watching my second baby girl squirming on an elective 3D ultrasound, feeling her life inside me, marveling at my luck and my miracle. In the past 7 months since she has been with me, I am torn with trepidation, not daring to believe that this could be true. I hid her from the world as if I could protect her and not jinx her existence. Yet, guilt weighs down on me that I am not fully acknowledging her, accepting her, and opening myself to an unconditional love for her. With pregnancies in close succession, and with the knowledge that it is a girl, I'd often forget and think that I am still carrying Thi. The early onset of morning sickness that lasted into the second trimester, the way in which I would constantly catch colds and coughs, the same cravings I had with girl pregnancies---they all remind me of the baby I carried and lost, and I'd have to snap myself out of a downward spiral of thinking, forcing a reminder that is is a new baby with a different identity and fate, who may not be here, had her older sister lived. I continue to log my basal body temperature. Today is Day 193 of this cycle, and it is a moot point to track temperature this far into a pregnancy, but it serves as a daily reminder not to give up on her. She is the first thing I think about every morning.

There is never a total solace for those who have experienced multiple losses. . . but sometimes there is a glimmer of light at the end of a storm, and as the clouds part and the rains abate, one is rewarded with the breathtaking sight of a double rainbow.







Saturday, December 29, 2018

How Could an Angel Break My Heart

How could an angel break my heart
Why didn't she catch my falling star
I wish I didn't wish so hard
Maybe I wished our love apart
How could an angel break my heart
--"How Could an Angel Break My Heart," Declan Galbraith

Dear Thi,

Exactly one year ago, on one of the coldest nights of the year a little past the winter solstice, I was in the hospital to deliver you, numb from mental and emotional shock after hearing that you had passed. Sometimes I wonder how I survived the last year; so many of those days were spent in a perpetual state of grief and darkness. So many of those days keeping up a front at work, in front of family, to the world. After a while, people think you must be okay. They think you've surpassed the trauma and are easily yourself again. They forget.

This month brought on the holidays that passed by last year in a blur. On this night of all nights, I think of you, dear Thi. Just a week ago, you had come to visit me, cloaked in fog as you always do. The stark, barren trees stand against a backdrop of a cloud veil, and I know that you are near.



You've come to join us for the holidays. I know you are often by our side, even if you don't always make your presence known. Every room in the house contains tributes to you.



You grace our tree this year, too, your commemorative ornament hung next to your brother's hand-decorated ones from daycare.




On Christmas Eve, Daddy had to go to work. When he left in the morning, Luc cried, not wanting him to go off. Daddy cut the day short to visit you, sweet girl. As he left, rain dotted the windshield of the car, as if you were crying as well, watching him drive away from you.




We went together to visit you today. We decorated your grave with fresh flowers for your birthday.



My dear girl, not a day goes by in the last year where I hadn't thought about you and wondered what you would have been. You've left an etching so permanently on my heart, and I miss you dearly. It was a hard year to trudge through, but you taught me so much courage and a fair amount of patience and grace. You remind me to be grateful for all the positive things in life, for in an instant all your hopes and dreams could be taken away without a whim or reason.



Winter comes upon us once again, dear Thi, as reminded by the monument in the seasonal garden where we buried you. Winter, with all its trials and bitter winds that we must endure before we can once again see the hopeful buds of spring. Tonight, I imagine rocking you to sleep in my arms as I sing the last lullaby I sang to you on the night you were born. Sleep tight, my angel baby, and happy birthday.