Monday, May 2, 2016

Chapter Five - A Time In-Between


After your first surgery, we returned home to our little apartment and watched you very carefully.  We had frequent visits to your pediatrician and to your cardiologist, as they wanted to make sure that your surgery had been effective, and that you were healing up in a good way.  We noticed almost right away that you had a MUCH easier time with eating and growing.  You could drink bottles more quickly, and didn’t tire out by the end of them, and that meant that you put on some good baby weight and you were able to start sleeping all the way through the night because you were not waking up hungry after a few hours!  (Before the surgery we would feed you even in the middle of the night, though it might mean waking you up, because honestly you drank a little more at night when you didn’t have as many distractions!  That meant that Daddy and I weren’t getting as much sleep because we felt that we needed to get up to feed you so that you would get extra calories and grow big and strong for the surgery.)


Every month for the first two winters of your life we brought you in to the clinic to get a Synagis shot.  It is a special medication that is only given to babies and toddlers who would get very sick if they got a certain sickness called RSV.  We knew that you needed to stay healthy as much as possible, so every four weeks you got a shot.  You didn’t like the shots, and because you were so smart you knew as soon as we were in the clinic what was going to happen and you would start getting fussy.  But at the same time, you were very brave.  We had to bring you and hold you during the shots, though it made us so sad to see you hurting.  We knew that this was another thing that was a little painful for you, but it would be much better for you to go through the shots than for you to get RSV and get very scary sick in the hospital. 


The shots were very expensive. After a nurse at your pediatrician’s office didn’t believe me, I had to go back and look at the information I got in the mail.  Each of the five shots that you got each winter were $15,000.  That is a very, very big number.  I don’t know why they were so expensive, and I think it is a little bit of a game between the people who make the important medicine and the people who sell it to the clinics and the insurance companies who help to pay for it.  But we are very very very thankful that we had insurance during that time, so we were paying very little for each shot, maybe only $50 or $100.  


In the spring of 2012, Daddy started to work at Starbucks part time as well as the painting business that he had done for many years.  He enjoyed that experience and the people he met and the yummy coffee he could drink, but what it meant was that he was a very busy guy.  He loves you so much and loves me so much that he did whatever he needed to do to make sure that we were cared for.  Insurance is a boring thing to talk about and write about, so I won’t explain it all now, but just know that Daddy has worked so very hard so that we could give you good medicine. 


Christmas of 2011, a month and a half after your surgery, we celebrated in Colorado.  You were still under lifting restrictions, and we didn’t think that we should travel with you in the carseat for a long journey to visit Minnesota.  That December, my friend Ninfa came over to our apartment with a couple gifts that had come to the school office.  It was the school where I had taught for many years, the school where Mimi Kim works.  Someone had dropped off some food and gifts for us and a cute little ornament – a round white ball with a picture of a bird painted on it.  The next day, we got another package with another little ornament with two birdies painted on it.  By the third day and the third ornament, I realized that something was happening.  We were getting gifts for the 12 days of Christmas!  Remember that song?  “On the first day of Christmas, my true love gave to me, a partridge in a pear tree!...”  What a special gift!  All in all, we received a lot of yummy food, gift cards, money, and sweet presents that Daddy and I and you would love.  Twelve days in a row, anonymous friends who loved us and were very generous dropped off gifts at our apartment.  Those past months of 2011 had been very hard and it was such a blessing to see and feel loved by so many people in our lives.


January 2012 we moved into a sweet two story house in Parker.  It was more space for our family, and it was a house that belonged to a friend of Daddy’s.  It was such a nice home.  You had your own room again upstairs and it is in that house that you first walked, said your first word, got your first tooth, and other exciting things.  In all, we lived in that house for a year and a half.  There was a big field in the back of the house and we would walk around and look at ants and bunnies and you would help me to water the plants on our patio. 


Once spring rolled around into summer, Daddy was working so very much.  Some days he would wake up at 4am, drive to Starbucks and work from 5-9, then head to the painting job until it started to get dark out.  Other times he worked in the evening at Starbucks after painting a long day.  On those days, I would try to either bring you to visit him at Starbucks to say hi, or bring by some lunch to him with you on the painting job, so that he would get to see you.  You would go to bed around 6pm every night, so that wouldn’t give Daddy a lot of time to see you and play with you. 


Other things that we did in those days were to go to the Parker library storytime, or play at a park, or spend time with friends from our small group.  You were very social and enjoyed being with people.  We had to be pretty careful though about germs.  We knew that because of your heart we still really needed to try to keep you healthy if we could.  That meant that anytime we wanted to go to someone’s house, but found out that they were a little sick with a cold, we had to stay away.  Also, until you were 2, we really didn’t put you in the church nursery and I didn’t work outside of the home so that we wouldn’t need to put you in daycare.  Daddy and I often took turns going to church services, while the other was with you, so that we could be in church, but so that you wouldn’t have to come in contact with germs in the nursery.  It was lonely for us sometimes.  Again, I wanted to act normal and pretend that I didn’t care about germs.  Sometimes people say that when you are surrounded by germs and when kids eat things off the floor, it makes them healthier in the long run because their bodies get stronger.  Well, even if that may be true, I didn’t relax in those years, and we sheltered you from what we thought could be dangerous to your body and your heart.  And I will say this: from the time of your first surgery to the time of your second surgery, you weren’t hospitalized even once.  And there was only one time a few months before your second surgery that you needed to have oxygen at home when you had a cold.  Doctors told us that it was pretty amazing.  Thanks be to God, I say.  We worked really, really hard to keep you healthy, and said no to a lot of fun things with people so that you would be healthy and safe, and it worked!!


I said that I didn’t work outside the home, and that is mostly true.  I taught some piano and voice lessons in our home, and Mimi Kim came to babysit you on those days.  Both of you had so much fun together!  I also began teaching a voice class once a week for Christian Youth Theatre, which was a nice way to still be a teacher.  I missed teaching and planning lessons and having students in my life, but as soon as we knew about your heart, even before you were born, we knew that I would stay with you to take care of you.  This is a hard decision for mommies and daddies that some day you may need to face if you have a family and little ones of your own!  I am so thankful that I have been able to be with you to watch you grow and teach you about the world each and every day!  We have had almost no days away from each other, and I find that I miss you bundles on those rare moments when I am separated from you.  At times, it has been hard for me to not be a teacher anymore.  But when I try to write out the things that I miss that I have traded in for time with you, they seem like not a big deal.  And some day I think that I will teach again.  Also added in to the fun of the Parker house was that it was there that I started to take care of RJ a couple days a week, and he became your little buddy.


When the house we were renting was needing to be sold, we moved again, this time to a cute little house in downtown Littleton, only one block away from a lot of fun shops like the candy store, the chocolate store, the ice cream shop, the spice shop… What a fun neighborhood!  We went on many, many walks when we lived there.  Daddy started working for GPRS that year, and his schedule got a little less crazy than it had been during his time at both Starbucks and painting.  You were two years old when we lived in that house, and you were learning to talk and sing.  Nonstop fun with you!  We knew that you would tire out more quickly than other children because it was like you only had half of a heart that was doing all the work, but let me tell you: you could fool a lot of people!  Endless energy from morning wake-up to bedtime.  You gave up napping pretty early, and so it was in this house that we taught you about resting time.  You do so well with your afternoon quiet time, and it is the only way that I can keep up with you, by taking a rest then too!


James was born almost a year after we moved into that house, but for a couple big reasons, we decided that we needed to move again.  The house was so, so cute, but it was very old and we discovered during the winter that it didn’t have a heater that kept the house warm enough.  When the winter was very cold, there was nothing we could do to warm up the house enough so that we would be comfortable, and we didn’t want our little babies to have to sleep in a cold room.  So when the man who owned the house decided to sell it, we decided not to try to stay.  What a wonderful decision!


When James was three weeks old, we moved into our last Colorado house – though we didn’t know it would be our last house then!  We had wonderful friends who came to help move us and clean out the old house.  You have a lot of great memories from our house on Rowland Place.  Our next door neighbor girls turned into some great friends for you, and you had such great times playing in the cul de sac!  We went on walks by the Platte River when the weather was nice.  Cooper and Braden gave us their double stroller, so you were able to ride at the same time as James.  In that year, we started to notice more how tired you would become just by walking up a hill or running for a half a block.  I don’t know if you could sense how tired you were or how hard it was to keep up with others, because you had never known differently.  You have always worked extra hard, without knowing any alternative.


In January of 2015 you came down with a cold, and Daddy and I watched you very carefully.  We saw that it was tougher for you to breathe because of your cough and congestion, so we brought you in to the pediatrician to get checked out.  The nurse who checked your oxygen levels that day found that you were in the upper 70s, which is too low.  They put you on a tank of oxygen with a mask right there in their office, and we brought it home with us.  Later that day we received a big machine at our house for concentrating oxygen and putting it into tanks that we could keep filling up.  You also got a big bunch of plastic tubing that was very long – it could reach all the way from the machine down to your bed, and almost all the way into the kitchen or onto the back deck.  Good thing our house wasn’t any bigger!  You didn’t let the oxygen slow you down.  Daddy would wear it on his back and walk beside you on your tricycle when you were playing with the girls in the cul de sac.  The teachers at church would carry it around so that you could still go to Sunday school and Bible study and MOPS.  We also went out and bought that finger checker so that we could know how your blood oxygen numbers were at any point, day or night.  We found that it was hard to keep you much higher than the mid 80s while you were on oxygen.  But we realized that we had not been able to check your numbers for many months, so perhaps your normal was much lower than we thought it had been.  In any case, you were on the oxygen for about 3 weeks.  We went in to see Dr. Nydam in March or April, and she told us that it looked like it was time for the next surgery.  Originally we thought that you would have this next surgery, the Fontan, when you were around 3 years old, but honestly – when you turned 3, you still had been operating so well and your oxygen numbers were high enough that Dr. Nydam let you keep growing and waiting on the surgery. 


We decided that we would wait until the end of cold and flu season for your surgery but in the process, your auntie got engaged and we needed to think about when we would have a chunk of time when we wouldn’t need to go anywhere.  Since her wedding would be in June in another state, we decided then that it would be a better plan to wait until after the wedding, as we weren’t sure how long you would need to be in the hospital.  You were a chipper girl with plenty of energy, though your energy came in little bursts.  I wished that I could know more of how you felt on a regular basis.  I would sometimes feel pretty sad when I saw you struggling to keep up or breathing hard after running around and playing a game.

So now we knew we only had a little bit of time to wait for your surgery.


And this is when life got REALLY crazy.  Daddy’s work offered him a job in the state of Minnesota.  They wanted someone there quickly, and so for a week or two, he and I prayed and talked about it.  It was not my favorite timing.  I loved our home and our small group and our friends and family in Colorado.  But I also missed my home in Minnesota and my family here.  In the end, we decided that it was a good opportunity for Daddy and our family, and so he said he would start working for GPRS in Minnesota.  So, beginning in May, Daddy would fly out to Minnesota every Sunday night and work there for a week, and then fly back to Colorado on Friday night to spend the weekend with us. 


He did this for about 6 weeks, and it was very hard.  It was hard to explain to you why Daddy needed to keep going away.  He worked very hard, and we stayed busy in Colorado with our normal schedule.  Weekends were special to all be together.


In the beginning of June, we went to Montana for auntie Rachael’s wedding.  It was a very special weekend and I am glad that you were able to be a part of it too!  At the last minute, we didn’t know how it was going to work out.  James became very sick and got a double ear infection, so I stayed back with him and with cousin Britta who had flown out to be our helper on the trip to Montana.  In the end, I flew on the day of the wedding and met you and Daddy who had flown the day before, and then I was able to be back late that night to be with sick baby James again.  Even sending you on that trip and on an airplane was scary for us.  We know that the air on planes can sometimes be stuffy and germy, and we really really didn’t want you to get sick just before your surgery.  But we took the risk and prayed hard for your protection.  You had also been on antibiotics for an ear infection, but thankfully you never got as sick as James or Britta or I did.


Daddy went back to Minnesota for one more week of work, then he was back for the week leading up to your surgery, which included both your second heart catheterization and your fourth birthday party!  These days were quite a blur.  Monday, June 13th was your heart cath.  We knew what to expect from your first one when you were only 5 months old, so we weren’t as scared.  Daddy and I brought you into the cardiac pre/post unit and got you into a little hospital gown.  You got to choose a movie to start watching, and I think that it was one with Faun and Tinkerbell.  Nurses came in to check your vitals and answer any questions we might have.  Dr. Miller was going to do this heart catheterization as well, so we chatted with him again.  The nurses were amazed that we hadn’t been in the hospital with you since your last surgery.  I think it is pretty common that kids with special hearts get sick more often, and sometimes need to be in the hospital while they get better.  So as a result, when we checked you in, they had all of your information, but the most updated picture that they had for you in their computer was for a 5 month old baby! 


The nurse gave us the option to come back with you into the operating room while you got the medicine through your mask that would make you fall asleep.  So Daddy and I put on the special bunny suits and carried you back into the operating room.  The room was very bright and a little bit cold and there were a lot of doctors and nurses working on setting everything up.  Some of them we had met, and some we hadn’t, and most of them had their masks on, so I think you got pretty scared.  You had been happy and chipper all morning, and then all of a sudden you started crying and clinging to me and wouldn’t let me put you down.  Poor Ada, it was a scary moment for you, as I am sure the room looked scary, and you weren’t able to see all the faces of people.  We needed to put an oxygen mask on you that would give you medicine, but you started screaming and pushing away the hands of anyone who came close to you.  In the end, Daddy and I held you while the doctors and nurses put the mask on your face.  You fell asleep in less than a minute and you stopped struggling.  It was so very sad for us because we love you so much and didn’t want you to be scared.  But also, we couldn’t explain everything in a way that you would understand – that the nurses and doctors needed you to fall asleep so they could give you medicine that would make all the owies go away, and so they could again look in your heart to make sure that everything was looking good for surgery.


I started crying as the nurse led us out of the operating room, to wait for you outside.  He told us that you wouldn’t remember any of it, as the drugs would make you forget things.  But you did remember.  Many hours later, as we were driving home in the dark and you were close to falling asleep, you asked me about the man with the mask.  You had remembered, and we were sad that you had.  But Ada, dear girl, you are a fighter.  You fought against the strange people with all your might, and only after the fact were we able to explain it all to you.  Thankfully you didn’t seem to be too sad or upset about it.  You fell asleep and the next day you seemed to be just fine – mostly excited for your birthday party the next day!


Your fourth birthday party was so, so fun!  You had so many friends there, old and young.  We ate a lot of good food and played games outside.  There was even a piñata to break open at the end!  We all needed a good celebration of you and of your life and of the friends and family who had been there for us through thick and thin.


Your post op visit was on Friday of that week, and you sailed through it like a champ.  You brought along your little stuffed buddy, George the alligator, and the Child Life Therapist named Sarah also gave you a stuffed animal moose that you named Chocolate.  What a great name!  You practiced putting the mask on your stuffed animals and we were in and out of the hospital in a few hours.

All set to go.  A weekend together as a family.  I think we went up to Boulder that Saturday for the farmer’s market one last time.  It is such a fun place to go during the summer, and we knew that we might not get the chance again as a family!  Sunday morning I called your pediatrician about James, who had a high fever and seemed so sick, even though he was already being treated for an ear infection.  I cried when the doctor told me that he needed to see James the next morning in the clinic.  I told him where I was going to be the next morning, with you in surgery.  It was a very, very hard time again for me as a mommy and for Daddy as well.  James was so sick and sad and uncomfortable, and we really didn’t want you to get sick, but what were we to do?  We were all living together, and you had had a lot of contact with James.  We prayed for the dear little guy and arranged that his aunties would meet us at the hospital in the morning and take little James to the pediatrician while the rest of us stayed at the hospital during your surgery.

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