Sunday, April 12, 2015

The Recovery...reader discretion advised!

        Please note:  the recovery of having one baby or four in honest raw detail, may not be for those who are reserved or squeamish.  Also note that I was awake for 36 hours straight after delivery and the first four days following felt like one very long day.  I was in a pain, medication, and lack of sleep haze, so if my timeline goes astray or doesn't make sense, I apologize but the details recorded are done so to the best of strained memory.

          Being in the recovery room, I was finally able to see my husband!  Although, I was very thankful not to be alone for the delivery, I missed being able to share that experience with my love.  I could see in his face that he was thankful I was ok, but devastated he missed the birth.
          Matt does not handle c-sections well, or any surgery of a loved one, too much out of his control for his comfort.  With the birth of our older two boys, he stares at me in silence until the baby is born and then he holds the camera up over the blue curtain and takes as many pictures he can without ever looking up. So we have pictures of things I don't wish to look at again, and would scare small children!  Luckily with the quads, Dr. Browne's daughter was able to tastefully capture every sweet moment, that later, Matt and I were able to combine into a slide show and experience the birth...together...in a very special way!
           But before we ventured down memory lane, I went through BWII(body war 2), Body War I was carrying the quads, BWII was recovering from the birth.   I had had my tubes tied and apparently that gives you extreme gas pains.  I was warned of these pains and was not concerned...I could handle gas pains...oh no, no! these were not normal gas pains, I would never classify the pain I felt as a "gas" pain...it just does not do the amount of pain justice!  I was also on an IV of pitocin for the first 24 hours after surgery to help shrink my uterus down to a singleton pregnancy postpartum uterus.  The combo of the pitocin and the "gas" pains, I felt like my middle was being cinched in half!  I was in so much pain, it took my husband and a nurse 10minutes to help me to the bathroom, that was five feet from my bed, across the cold, hard hospital floor, legs shaking all the way.  Unfortunately, my shaking legs began to spread through my whole body and I had to hold onto the door knobs and gently lower myself onto the toilet. Sadly, I could not relax enough to go pee.  I sat on the toilet for 15minutes before I gave up.  I cried as I asked my nurse what I was supposed to do if I could not pee?  Would I have to have a catheter put back in? Would that delay me being able to see my babies? I was unable to control my emotions, I was having a major release of hormones, my waist was being cinched, and now my full bladder was adding pressure to an already tender area...shockingly I began to cry even more.  I laid back in my bed and tried to get some sleep, I was in misery.  Why didn't I just ask for more pain medicine?  Well I did, but a pain medication was added into my spinal and was supposed to still be affective for up to 24 hours post surgery.  If the pain I was in was lessened by the spinal medication... Oh DEAR LORD, I can't fathom the pain I would have been in without it.  Two failed pee attempts later, I asked my nurse what I was supposed to do.  She brought in a sitz bath(a plastic bowl filled with warm water that has a hose that connects to a bag of warm water that keeps a constant flow of...you got it...warm water, to your bottom). I was finally able to pee!  I felt like Tom Hanks in A League of Their Own, with how long I peed for. The release of pressure did help take the pain down a level.  I tried again to sleep while Matt and my parents went to visit the babies in the NICU.  My mind would not turn off, I had yet to bond with my babies and the most I had seen of them was from other people's pictures, and I felt no connection... the pictures could have been of anyone's babies. I desperately yearned to put the tip of my finger into their little palm and feel them wrap their little fingers tightly around my finger, and this was not possible through a photo.  I feared I was about to battle postpartum depression.
          With my previous two c-sections, having a bowl movement post surgery, is the toughest battle I faced. Knowing how painful my previous experiences were with trying to poop, the days leading up to the birth I was taking colace, gas pills, and milk of magnesia!  Praise the Lord, two days after the birth I was able to poop without crying! (I know that this is not a pleasant topic, and believe me,  I have to toss all pride out of the window to write about it, but pooping after a c-section, is often one of the hardest things a woman deals with!).
           The first time I was able to see my babies was at 5:30am Monday morning, first my nurses had
come in my room to do a routine blood draw, we got me in a wheel chair and Matt wheeled me to the NICU.  At this point, our babies were spread through out the nursery, I was able to put my hand through Walker's isolette and hold his little hand for a few moments, and it was heart warming.  Just as Matt was about to wheel me to the next baby, a nurse came and told me that we were needed back upstairs immediately! my blood results came back with an alarmingly low hemoglobin count.  As we rode the elevator back, Matt was loosing all the color in his face, and I could tell panic was setting in.  My nurses meet us as we got off the elevator and said with my results so low, I shouldn't even be able to sit up straight. They walked with us back to my room and a doctor came rushing in, he took one look at me and said the results couldn't be right with how I looked versus what the results showed.  I felt relieved, Matt sat, glazed eyed, staring at the floor in front of him. They repeated the blood draw, only this time took it from my other arm, and rushed the results.  As we waited I tried to comfort Matt, that I was fine! My cheeks were flushed, I felt warm, I was sitting and talking, none of which could happen if my results were truly as low as they showed.  I'm no doctor but at one point during my many L&D stays, a nurse told me she could not draw blood from the same arm that my IV was in, and that is exactly what happened that morning. I could see that no matter what I said, Matt would not feel relief until the results were back.  He had seen a the story, on Yahoo, of the mom who died after giving birth to her quads, and the dad was left to care for his four babies without a mommy. I just kept telling him I was ok, and he kept staring.  Finally the results were back and sure enough, the error was in the location the blood was drawn...my count was just fine!  I saw my husband return to normal.  I was ready to get back to the NICU to visit the rest of my babies, but thanks to all the blood work craziness it was time for shift change and one of the two hours a day that no one is allowed in.  So instead we ate some hospital breakfast and waited for the hour to pass!
           Surely now, headed back to the NICU, we would not encounter another problem... unfortunately that was not the case.  Thankfully, the problem was not with us!  As we waited on the elevator, we heard a grown man start screaming from inside the elevator.  I told Matt to wheel me away, just in case when the doors opened the man came running out to get help.  The screams grew more intense "oh my God!!! Oh my God, HELP ME! AAAAAAAAGGGGGHHHHHH!" then the elevator alarm sounded.  There was another man waiting with us that had a walkie-talkie.  He ran to the door and yelled to ask what was wrong.  Between agonizing screams the man yelled his hand was stuck in the elevator doors!  I cringed, and felt instantly nauseous. The man with the walkie-talkie, called for help and then started to try and manually open the door,  but with no luck.  The screams were like nothing I have heard before... the next elevator opened and Matt wheeled me in. We could here the man even more clearly and realized he was between floors!!! We opened back our door to let the now growing crowd know that he was between floors.  An hour or so later when we returned back from seeing the babies, we asked how the man who got his hand stuck was doing.  We were told by the time they were able to pry the doors open, his hand was swollen to three times it's original size and in a variety of colors! Know one, that we are aware of, ever heard how he got his hand stuck in the doors and between the floors, but it the screams still haunt me!
              Getting to be with the babies was the only thing that got my mind of the elevator man.
Seeing them so tiny in their little isolettes, and getting to hold their hand or rub their leg, was precious to me.  Not being able to hold your baby is hard, but having to ask permission to stick your hand in the isolette to be able to connect with your baby is something I never realized I would have to do.

The illusions and unrealistic expectations I had about NICU life would continue the theme of "nothing goes according to my plan."  I would be brought to my knees more than once...
           
         

       

Wednesday, April 1, 2015

The Birth

    Here I am 5 days after the babies arrived, and I just now have the time, energy, and focus to write.  I am still on pain medication so if I ramble, spell things incorrectly, don't form a complete thought, please bear with me and hopefully you will get the gist of what I am saying!

      Typically Matt leaves work early on Friday and he and the boys head to Augusta a little after 4pm, that way we have Friday night, Saturday, and then they leave Sunday around 3pm.  The weekend of March 20th we had planned for Matt and the boys to come down early Sunday morning since Campbell had a baseball game Saturday, late afternoon.  We had scheduled the c-section for the following week on Friday 3/27.  The plan was for Matt to check the boys out of school at lunch time Thursday and come to Augusta so that I would have a chance to spend some time with them before our world would change early the next morning.  I don't know why I thought this particular plan would actually come to fruition when no other plan this pregnancy had!
     Saturday at 3:30pm Campbell started his baseball game, and I started contractions.;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;l(I have to apologize, I fell asleep! Of course, right after I say I finally have enough energy!)  Anyway, back to what I was saying.  Campbell at game, I'm in hospital with contractions.  My tech came in to check my vitals and asked if I was ok.  I had the tv turned off and I was sitting on the bed, holding my belly with my eyes closed. I told her I was fine...just having my contractions!  She asked if I wanted her to get my nurse and I told her it wasn't necessary, I have contractions all the time.  Looking back, I should have let them put the monitors on me at that time, I hadn't felt right all day.
      I woke up that morning and had a hard time waking up.  I told my nurse about it and she thought it was because, for the last few nights, I had been on Ambien and one of the side effects is a prolonged groggy feeling the next morning.  I felt it was more than that, the Ambien hadn't effected me any of the other mornings.  Hind sight I think it was the babies using up the last bit of energy my body had to prepare themselves for their journey into this world.
       Fifteen minutes to 5pm, my nurse came in and we decided it was best to get the monitors on me, my contractions no longer felt like my typical contractions.  As the nurses were trying to get the babies to stay on the monitors, Matt called.  He was on the way home from Campbell's game.  He told me they were still planning to come see me Sunday morning.  I responded shortly with him.  He then asked what was wrong.  I told him I was having contractions and I was in the middle of having monitors put on.  We decided to talk later...
        Within 30 minutes of monitoring, the doctor had been called and looking at the frequency and intensity of my contractions, he decided it was time to move me to labor and delivery.  The concern was uterin rupture. Having had two previous c-sections and having my uterus stretched to the max holding four babies, it was a real possibility and one no one wanted to see happen.  As I was being wheeled to L & D, my MFM Dr. Browne(aka BEST and KINDEST DOCTOR EVER) was being called.  Everyone was on their toes, it was crazy to watch all the "clogs of the clock" working together to get the job done.  The ob doctor came back in to tell me Dr. Browne was on his way in and we were going to be "doing this."  I asked if I needed to go ahead and call my husband, who was two hours away.  He said absolutely call, we will be delivering tonight.  I called Matt and told him that we would be having the babies tonight and to go ahead and come down.  His response was typically Matty "are you sure?"  I responded with a definite yes!  He got the boys packed, called my mom, and headed to her house to pick her up and bring her with him.
getting epidural
       While he was getting everyone together and hitting the road...Dr. Browne arrived with a big smile!  He asked if I wanted to do this tonight or try to stop it with Magnesium.  I knew the babies were going to come that night, no matter what we tried to do to stop it and I was ready.  I had made it 31 weeks and 1 day, my body had been through war, I was having severe pain around my c-section scar,  and I was not about to volunteer to be put back on magnesium!!!!  He said ok and he would go get his team ready. He asked if my photographer was going to be here and I said "unfortunately she is in Savannah!"  He said his daughter, who is a photographer is in town and he could see if he could get her here in time(again kindest doctor ever).  I responded with a thrilled yes and thank you so much!  He headed out the door and another ob doc walked in.  He said the OR was being prepped and the NICU team was getting into place.  My heart started pounding...I asked how long, he said 20 minutes....I said, "I need to call my husband!"  At 6:32pm, I called Matt as everyone was running in and out of my room getting everything into place, and right as he picked up the phone, the anesthesiologist walked in.  I quickly asked Matt how far away he was and he said he  was an hour and a half away...my heart melted!  I told him I would be taken back to the OR in 20 minutes.  We said our I love you's and hung up.  Moments after finishing up with the anesthesiologist's questions, I was swiftly wheeled into the ice cold OR, as I passed all the NICU nurses standing in the hallway I smiled, asked everyone to be on their A game and said thank you.  I was sitting up on the operating table surround by 20 some odd people all talking and working and my heart started racing.  Thankfully Dr. Browne came over and helped me get into position to receive my epidural and spinal.  He held my elbows and shoulders to try and keep me as relaxed as possible.  As I am having a very large needle shoved into my spine, a nurse walks up to me and says "you sister Katelyn is here."  I found that odd, as my sister's name is Karen and was in Savannah at that moment.  I then said " I have a cousin named Katelyn."  The nursed asked if I wanted her to come in and be with me until Matt could get here.  I replied, "if she's up for it!"
just hanging out waiting for babies
Ashton
      I laid down on the table and the blue screen was put up.  Katelyn came in and sat beside my head.  I asked her to keep talking to me during the first part and when the babies are about to come, stand up and take pictures.  7:58pm Ashton Blake Kirkland was born weighing 3lbs 6oz, 7:59pm Bradlee Ann Kirkland was born weighing 2lbs 11oz, 8pm Walker Hayes Kirkland was born weighing 3lbs 2oz, and at 8:02pm Meyers Wayne Kirkland was born weighing 3lbs 9oz. (I am aware that the day after they were born I posted on FB that Meyers weighed 3lbs 11oz; however, I was on petocin and heavy pain meds and I got his ounces confused with Bradlee's.  Of course all the news stories took the weights off FB, and by the time I realized my error, I figured I would correct it here!).  I never heard the lengths on the babies and have yet to investigate what they are.  No worries...I will find their foot print papers that have all the birth info on it and report back.  But for now, I can hold their head in my hand and their feet fall in the crease of my elbow.
Bradlee Ann
Walker
     The moment Dr. Browne called out "here comes baby A" and I heard Ashton's sweet cry, I began to cry. Then I see his little bitty, goo covered body being held at the top of the curtain and I cry a bit more, and so on and so forth for the other three. Bradlee made herself known as the girl with her hi pitched, squealy cry...precious.  Once all the babies were out, I got to see them being wheeled out of the OR, but that was it.  I told Katelyn she could go show pictures to anyone(other family) that had arrived.  I remained in the OR for a little while longer as I got a tubal ligation, aka tubes tied, and Dr. Browne was kind enough to stitch my abs back together!!! Lying behind the blue curtain while everyone else was on the other side I was hoping Matt and the boys arrived in time to see the babies being wheeled to the NICU; however, that was not the case.  They arrived as I was being wheeled into recovery.
Meyers
     The birth of our quads went much like the pregnancy...not at all as I had planned!  One of the most frustrating things for me during pregnancy was having so many contractions and not ever dialating. It was a good thing...but I couldn't ignore the emotion of feeling like my body wasn't working properly. Looking back to Feb 2009 when I was induced with Campbell, I was on petocin for 13 hours and couldn't dialate past 5cm, resulting in an urgent c-section.  I had the same emotions of my body failing at the birthing process then as I did with the quads.  Now it is clear to me that 6 years ago, God knew I would be having quads down the line and giving me a Fort Knox cervix was all a apart of His game plan!  I just didn't know that!
 
watching my babies go by
       The Recovery...and I thought magnesium was bad...