Wednesday, March 26, 2014

34 weeks


                This past weekend I began casually packing my hospital bag. I was excited to do this because I never got to for my first pregnancy. I pulled out the list that I had eagerly grabbed from the doctor’s office- “What to Bring to the Hospital.” I first put into my bag a bottle of wine (okay, not on the list) that my husband and I chose together on a weekend getaway to Vermont not long after finding out about this pregnancy. I vow to have a fully functioning liver, as well as fully recovered insulin levels. What better way is there to celebrate the birth of a new baby than by sharing a long-anticipated bottle of wine with your husband and whoever else happens to be in the delivery room?

                Next I added a newborn outfit for our little man. He will arrive home sporting a “Little Brother” onesie, along with some teeny tiny pants and socks. Underwear, two nursing bras, chap-stick, slippers, flip-flops, some warm fuzzy socks, deodorant, and a mental note to myself to swing by Lululemon Athletica to finally (years of desire, but an unwillingness to commit to the price) purchase a pair of exercise pants as a going-home present to myself. Toothpaste. A toothbrush.

                Memories came flooding back. Just under nineteen months ago, after my husband and I spent a lazy Friday with dear friends, enjoying the end-of-summer sun and swimming in a beautiful New Hampshire lake, during the long car ride home I developed a strange, intense illness. Severe pain in my upper right abdomen, waves of nausea and desperation, uterine cramping, and eventually vomiting from the pain and general feeling of misery. What I thought was labor pain (I’d never experienced it before—all I knew was that labor was supposed to be awful!), my incompetent but well-meaning small-town doctors and nurses thought was food poisoning. A we’re-going-to-send-you-home-but-while-you’re-here-let’s-do-a BLOOD TEST revealed that I had suddenly developed Class I HELLP Syndrome, a pregnancy complication completely foreign to those same doctors and nurses. They had all at least heard of preeclampsia, but that was not the case for this more serious variant characterized by Hemolysis, Elevated Liver function, and Low Platelets (HELLP). So after six hours in the local hospital and twenty-four hours after my last shower, teeth-brushing, and getting dressed, I was rushed by ambulance to Tufts Medical Center in Boston.

                That Saturday morning I was told that if my condition hadn’t been discovered, I with the baby would have been dead in a matter of hours. My husband, however, was told that even in my current state, while the baby was expected to turn out just fine, my chances were not so great. He was told to prepare for the worst in regards to his wife. And so emergency inducement began. More than twelve hours after my last meal, despite my sickness, I was starving. I begged for a meal, a snack, a drink, a sip of water… anything. “Please…” I cried to each doctor and nurse as the shifts changed, always answered with the same regrettable “no.” Up until that point in my life, if I could have done anything differently, I would have bought and eaten that vending-machine Snickers bar at the rest stop the night before. In case of emergency C-section, I was not permitted to put anything into my stomach. I was put on an IV drip of fluids so that I wouldn’t become dehydrated, but my mouth was where I needed to taste something.

                That evening I was allowed to have my lips moistened by way of a tiny wet sponge on a stick. I licked my lips and cherished the half-drops of water that entered my dry, sticky, sour, putrid-tasting mouth. After about twenty hours of ineffective inducement, I was long past the point of starvation, and even my thirst began to dwindle a little. But my mouth, my throat, and my lips were dry, cracked, in agonizing want of something cold, something fresh. The taste of my own dying breath permeated my being.

And then, sometime around 4 AM—forty-six hours after my last shower and teeth-brushing, twenty-eight hours after first entering the local hospital, and sixteen hours after beginning vaginal induction—I came out with a new question. “Can I brush my teeth?”

“Let me check.” My nurse told me. She left to go ask the doctor. Several minutes later she returned with a hospital-issued toothbrush and tube of toothpaste, as well as one of those kidney-shaped buckets used for catching urine, vomit, or in this case, used toothpaste. I almost cried with joy.

My larger memories of that weekend are mostly blank: It is more the specifics like this that occasionally come back to me. This grand event of brushing my teeth was a group effort. Someone had to help me lean up and over a little, someone had to hold my hair, someone had to hold the spit bucket, and someone had to brush my teeth. My husband brushed my teeth for me—of that I am sure. The other roles are filled in with a fog in my memory.

The wet, cold toothpaste hit my teeth and began scrubbing away two days of grime, saliva, hospital air, and tears, all dried and crusted, caked inside my mouth. I closed my eyes and internally grinned as my mouth hung open. I spit. I rinsed. I cherished every moment. For the first time in what felt like a lifetime, I felt clean. Sure, I was still covered in sand and dried lake water, my armpits were stubbly, I was drenched in sweat from head to toe, my hair was greasy, and I had been urinating into a bucket in my hospital bed for over 24 hours, but despite all this… I was clean. I could open my mouth and speak without shame at my terrible breath. I could rest my head and get a little sleep knowing that something in my little collapsing world right now was right.

The drugs keeping me alive, the exhaustion, and the starvation probably all added together to create my hyper-emotional response. My husband doesn’t remember any of this happening when I ask him about it. For him, this was just a bump along the road amid a weekend of nearly losing his wife, and also witnessing the birth of his first child. In those moments, for me, having my teeth brushed was a life-changing and spiritual turning point. I could make it through this. Eight hours later, Margaret Grace Means entered the world.

Four days later, I took a shower.

And with that thought, I placed a nice, new, clean toothbrush into my hospital bag. This baby is due in five-and-a-half weeks. My eyes widened as another idea occurred to me and I leapt to my bureau. I located and added to the bag my Preeclampsia Survivor t-shirt. I am ready.