Progress

Today was a LONG day...Micah decided to wake up screaming at 5:00 am. Quite unusual for him, but his sleep habits lately have been a bit erratic. It is either from teething or because he senses some changes, but I have no idea! We tried bringing him into bed with us for a while, but Micah wanted to get up and play. By 6:00 or so, Elliot bit the bullet and agreed to let me sleep and bring Micah downstairs. I slept until about 8 and then joined them.

We took Micah to daycare after breakfast (and Micah was definitely difficult about breakfast again). It was a crazy day for me - we had a conference call for work at 11, and then I needed to go to my condo to wait for a cleaning service to clean the carpet and the HVAC repair guy to come and fix the broken AC. Luckily, the issue with the AC was fairly minor - apparently, one of the wires on the contact circuit burned out and just needed to be replaced. So, the AC is working again, the carpet is clean, and my condo is ready for sale! While we were waiting on the carpet cleaning, we had our architect come and meet us so we could review the bid from our contractor. We had a few questions we need to nail down, but we are in a good place, and we've okayed our architect to move forward and finalize things and start applying for permits!

When Micah got home from daycare, he wanted to play out back for a while - he was busy playing "basketball" - and he was just so cute!! He loves to throw the ball through the hoop and clap each and every time. We dragged him inside after 20 minutes to feed him dinner (I think Micah would live outside if he could). Unfortunately, he started to melt down while we tried to feed him dinner. He threw the chicken on the floor, and the cheerios, and he did not want to eat much fruit. He was just grumpy, and we were shocked that he refused the food. After a screaming fit, I decided that he was probably exhausted since he woke up at 5:00 am. We decided we would plop him in front of the tv to watch an episode of Word World before bed. At 7:45, Elliot took Micah upstairs for an early bath and bed. For the second night in a row, he screamed his head off at bedtime before crashing. I wish I knew what was going on with him!! Anyway, he has been sleeping soundly so far - I hope he is just exhausted and sleeps through the night tonight.

Things went pretty well for my mom today at her appointments. The good news is the gastroenterologist thinks he knows what is wrong and believes the issue is her stomach. The bad news is she has to go through several more tests to figure out how he wants to proceed with treating her, and it could be a bit of time before she really bounces back. She is having some other bloodwork done to see if there are any other crazy things going on that could be causing her exhaustion. Tomorrow she will go see her cardiologist and do a quick follow-up to make sure everything is in order. She has bloodwork and follow-up tests scheduled later this week, so hopefully she'll get more answers and a plan of action by next week.

As for me...well, Twoey seems to be clawing her way out tonight. I'm having regular contractions and a lot of pain and pressure and tons of sharp stabbing pains. We'll see if this is just another rough night or for real.

Adjusting

I'm having a difficult time adjusting to life without my dog. It probably sounds crazy to you...especially those of you who do not have pets. I find myself looking for Nugget - unconsciously. I wake up in the night and notice she isn't on the bed, so I sit up and search the room for her...until I remember that she is gone. I find myself glancing around the room and searching for her throughout the day, or checking my path as I walk to the bathroom to be sure I avoid tripping over her. I pause to hold the gate open as I go up the stairs to make sure that she can get through and follow me...only to realize that she isn't there to follow me. I wake up at a noise in the early morning, and I peer over the edge of the bed, expecting Nugget to be there pawing at the side of the bed to tell me she is ready to get up and start the day. I miss her crazy "burrowing" that she does every morning when we all wake up, and her digging on the bed covers at night to make a comfortable spot for herself. I notice the odd silence (lack of jingling from her tags) and wonder what she has gotten into, and then remember why it is so quiet in the house. I find myself doing the defensive moves to rescue fallen food from the floor and grabbing stray dishes so that Nugget doesn't have a chance to get in there and steal it...and then realize the food is safe now. Out of habit, I gave Micah a cheese stick earlier today and immediately picked him up and put him on the couch and started to stand guard so Nugget didn't steal it from him - and then realized he could walk freely around the house (and even put the stick down on the coffee table) without any worries right now.

I've also learned that Nugget might have been the best housekeeper in this family - in the 3 days since her passing, this house has become a complete and utter mess! There are trails of crumbs and food all over the place - my carpet has never looked so disgusting! After 12 years, I have apparently developed horrible habits as well - I noticed today as I was eating a graham cracker and leaving a trail behind me that I had grown to rely on my furry little hoover who always stood right beneath me to catch my crumb trail. We are going to have to re-learn new habits, and quickly!

I have to say, I thought Micah would show more visible signs of missing Nugget. He doesn't really seem to look for her or call her at all. I think he has already moved on, but perhaps that is for the best. In the next few months, we will be turning his world upside down - first, his dog is gone, next, we will be bringing a baby home, and then we will be moving from the only house he has ever known. I hope he is able to easily adjust.

In slightly better news, my mom was released from the hospital on Friday afternoon. I'm being a bit cautious about writing this out because we still never seemed to get a firm diagnosis and she is still not feeling great. Since Friday, she has been extremely tired. I understand sickness can wipe you out, but I'm still a bit worried - I would like to see her regain her energy again. She has a bunch of doctors appointments to go to this week, so perhaps we will get some more definitive answers. All we know is that she has been dealing with nausea and stomach issues, that she can eat and function while she is on a ton of anti-nausea meds, and they found fluid in her lungs so they told her it was pneumonia and put her on two antibiotics. They have not yet confirmed by xray that the fluid in her lungs has cleared up (in fact, it had gotten worse on Thursday). I'm hoping at least we can get that cleared up this week.

Micah was a bear to put to bed tonight - he fought and cried for about 45 minutes. We had to go back in a few times, but he just did not want us to leave him alone tonight. I guess I can understand that - some nights, I hate to leave him, too. Micah has been talking more and more every day. He has been stringing two words together (sit down, get out) at times, and he is repeating a lot of words. He has been loving tennis, and he dutifully cheered with me for Rafael Nadal as he won his 5th French Open title today. Every time Rafa hit the ball, Micah would raise his arms and yell "Go!" He saw an apple on my shirt today (I got it at the grand opening of an Apple Store years ago) and he spent the night pointing at it and saying "apple." He seems to be repeating letters of the alphabet when we show them in a book or on some of the TV shows like Sesame Street and Between the Lions. He also seems to be recognizing some numbers. We have been counting backwards from 20 or 10 every time we change his diaper (he seems to enjoy it and it keeps him still until we get to 1 - not sure why, but it works). The last few days, he tries to count with us - he repeats some of the numbers, and a few times I even *think* he might have said a number or two with me!

As for me - well, I'm shocked this baby hasn't arrived yet, but a little relieved because I'm not sure how I could handle it. I've been contracting every 4-5 minutes for most of the past few days. I've had periods when the contractions are stronger, but they do not seem to be converting into full-blown labor yet. I am having a lot of pain/discomfort from the baby when I stand, so I keep thinking we are close. I just hope after all this pre-term labor nonsense I don't end up going PAST my due date! I really thought she would arrive today. My next guess is June 15, since that is the date for everything else...my parents' anniversary, my brother's birthday, and every few years it is Father's Day, too. I really hope I have the baby this week, though - I have a conference I am supposed to present at on June 26!

So...I'm hanging in there. I'm feeling pretty down a lot - still having some random crying fits here and there. I really hope all of this pre-baby stress doesn't turn into post-partum depression for me. I'm just worn down right now, and definitely feeling a little blue from everything. I am trying my best to pick myself up by my boot straps, though, but right now it is feeling like a challenge.

Goodbye, Nugget

My dog died tonight. I'm not even sure where to begin, or exactly what to say. I'm still pretty shocked and devastated. As you all know, we found out in early April that she was suffering from congestive heart failure. I knew her time was limited...but somehow I thought we had more time. They stabilized her on medication, and all seemed to be going well. On May 24, I noticed that Nugget's breathing was a bit more labored and she was coughing a tad. I took her in to the vet, and he confirmed that fluid was backing up in her lungs again. At that point, I knew that if we could not maintain her for even 6 weeks on medication, her time was likely limited.

The vet increased her Lasix and sent her home. Over the next days, she seemed much better. She was coughing less frequently, and her breathing seemed to ease up a bit. I brought her in for a re-check the following Wednesday, and the vet decided to keep her on the higher dose of Lasix until this week. She was due for a re-check again this week, but I had noticed her breathing was a bit more labored again and she was waking up in the morning with a cough. I was fairly certain that they would not be reducing her medication as hoped, and I wondered if she would need an even higher dose of medication or a trip back to the cardiologist.

I took Nugget to the vet around 1:30 today. He noted that she had a slight fever, and suggested that he keep her overnight (at his house) and monitor her. He felt that she likely had an infection and he wanted to keep track of her and put her on antibiotics and monitor her breathing and coughing. I gave him a whole list of information about my dog...how she steals food, that she is deaf, and I warned him about all the trouble she was likely to cause him. After giving him my laundry list, I reluctantly agreed to leave her and headed back home without my dog. I called up around 3:30 to confirm that she still had a fever. The doctor spoke to me and said he really thought she had a mild infection and he thought from her breathing and lack of coughing that she was stable and fine. Elliot went to pick her up right around 5:00 pm.

I was thrilled to have Nugget home again, but as she sat here, I became convinced she was not doing well. Her breathing seemed very labored, and I definitely thought it almost sounded like a rattle. She sounded as awful as she did that night I brought her to the emergency hospital. Around 6:30 or so, I told Elliot that I thought I should bring Nugget to the hospital. He thought I should give the antibiotics more time to work. We debated a bit, and then I decided that I'd feed her dinner early and give her pills a bit early and see if that improved her breathing.

I went to give her the chewable pill...and she refused it. I immediately knew she was quite sick. I got the rest of her pills and put them in her mouth - she refused to swallow them, and then she threw up. At this point, Elliot confessed to giving her some fatty meat from his lamb ribs, and I was so angry. I managed to get the meds in her, but she still refused to eat. Micah was being really cranky and making a ton of noise and agitating the dog, so I asked Elliot to take him out for a bit so that I could try and calm Nugget back down again.

Nugget just seemed lethargic and restless at the same time. She wouldn't sit still, but I kept thinking she was unsteady and seemed off. I called Elliot and told him I was going to the hospital, and he asked me to wait until he and Micah returned. They came back around 7:15 or so. Elliot was convinced that Nugget was doing better and I should wait a bit and see if she was feeling better after vomiting. I noticed that Nugget was not running from Micah, and she just sort of stayed in one place. I agreed to wait until Elliot put Micah to bed before I left for the hospital.

Elliot took Micah upstairs a few minutes after 8. Nugget had moved to the foot of the steps and sort of sprawled out, and Micah had been rolling around and kissing and hugging her just before bed. I kept thinking Nugget was giving me these "help me mommy" looks all night, and I was worried that she was not eating dinner and not trying to run from Micah. I planned on leaving immediately, but Elliot asked that I wait so he could send us off. I think I waited because I knew that it might be his only chance to say goodbye.

He came down around 8:15 or 8:20, and I had Nugget on a leash. She wouldn't walk herself outside, and I knew it was not a good sign. I picked her up, and she vomited again...but this time, there was some watered down blood. I just knew that the night wasn't going to end well. Elliot quickly grabbed a cloth diaper for me to take with us, and I carried Nugget to the car. I placed her on the seat next to me, and she didn't even try to move into a more comfortable position - she just stayed exactly as I placed her. I started the drive to the vet, and about 2 blocks into the drive, she vomited again - she didn't even try to move out of the vomit. I was watching the dog when I suddenly realized I'd veered across 3 lanes of traffic and nearly killed us both. I then stayed focused on the road and kept one hand on Nugget. She was very still and breathing very shallow and heavily. She was making choking sounds and she spit up a few more times. I just knew she would never make it to the hospital.

The hospital is about 3-4 miles away. We were about 1 mile or so into the drive when Nugget started to get quieter. The rattling sound stopped, and her breathing remained shallow but slowed. I started to cry because I knew she was dying. I kept telling her to hang in there and begged her not to die. I told her that I loved her. Her breathing continued to slow and there were long pauses between her breaths. She stopped blinking her eyes, and she twitched a few times. I then realized that the pauses between her breaths were just too long. And then I didn't feel any more breaths at all. At this point, I was a little more than halfway to the hospital. I stopped at a light, and I just knew she had died. I started to wail and sob uncontrollably. I could barely see in front of me. I took my hand off of Nugget and grabbed my cell phone to call Elliot. I couldn't even speak, I was just sobbing.

A few minutes later I arrived at the hospital. I was sobbing so loudly and I felt like I couldn't breathe. I walked around to the passenger side of the car and scooped Nugget up into my arms. I walked inside, wailing and sobbing. When they asked me what was wrong, I simply said "I think my dog just died." They took her from me and they took her in the back...and confirmed that Nugget died.

The rest is sort of a blur...talking about cremation or asking me if I wanted to bring her body back home. I asked if I could see her again and say goodbye. They brought her in to me, and she lay on the table, wrapped in a blanket. She was still warm and her fur was so soft. If I didn't know better, I could almost believe she was just sleeping. I kissed her goodbye and I stroked her fur for a few minutes. Someone came in to talk to me some more about my choices, and I'm not really sure what I said. Cremation is something I do not believe in (religious reasons), yet...I couldn't see how I would take her body home with me. I don't know where I would bury her (in our small backyard that we will be tearing apart soon for renovations, not to mention that I kind of hate the house and hope to sell it one day? At my parents' house? At my cousins' farm?) I kept imagining her rotting in the heat in the car overnight because I didn't know what to do with her. I couldn't exactly put her on the couch until morning, or carry her up to our bed, or keep her in the fridge until I figured out what to do either. And then I imagined Elliot with a shovel in the dark trying to dig out a grave. All of the options just seemed so awful to me - it was almost laughable. Part of me wanted to look into a pet cemetery...but I think the cost for maintaining a grave is a little crazy, too. I was just in such shock. I could have told them to hold on to her body until I decide, too, but I just didn't think it would get easier to decide later.

All I've been able to think about is that I really didn't take advantage of the time I had left with Nugget. I should have cuddled with her more, and paid more attention to her. I was content to just let her be - rest and sleep and not interact with her sometimes. Even tonight, when she kept looking at me with those sad eyes, I spent a lot of the night just watching her, letting her be by herself. I checked my computer, I made some phone calls, and I read books to Micah. I should have picked her up and held her, or curled up next to her on the floor to pet her. I hope she knew I was concerned and that she didn't feel alone.

The hardest part was walking away with her sitting there on that table, wrapped in the blanket. I just left my baby alone there. I felt horrible that, even though she died, her body was alone. It started to feel really morbid to stay with her and touch her, but I hated to just leave her like that. And yet, I did. My Nugget is gone, and right now, she is sitting alone at that animal hospital. And I'm sending her to be cremated, and that just seems horrible to me, too.

I have never really believed in a "heaven" - I like the thought, but it just isn't part of my belief system. Tonight, I hope I'm really wrong about that, and I hope that Nugget has found my Grammy up in a heaven somewhere - I know how much my Grammy loved her, and they would take great care of each other. So, I hope Nugget is happily snuggled in Grammy's lap, maybe stealing food from the snack bowl. But...I just miss her, and wish I had more time with her. I always thought she'd live to a ripe old age. I wanted Micah to spend more time with her, and I wanted her to continue to be our family hoover. I wanted Nugget to meet Twoey, and I wanted Twoey to develop a love for dogs because of Nugget's presence in the house. But, most of all, I wanted to keep my first baby with me as long as I could. Nugget has been with me for 12 years...from law school graduation, through my first legal job, through unemployment and starting my business, through bad relationships, through a good relationship, through marriage and through a baby. For many years, she was THE reason I got up in the morning and got myself out of bed. She is the first thing I think about when I wake up in the middle of the night, and she has been my focus for so long. I just feel like there is this big, gaping hole in my heart...and my life.

Another Reason I Loving Having Midwives

My midwives just called me today. When I tested posted for Group B Strep, I asked Angel (the midwife I was seeing) whether I could do oral antibiotics prior to labor instead of IV antibiotics. I told her I knew it was against conventional medical advice, but that I was fairly certain I would be turning down IV antibiotics at labor due to my phobia, and taking the oral antibiotics couldn't hurt and might be a good compromise. Last time, with Micah, I was on the oral antibiotics (due to the chronic Group B Strep UTIs) and turned down the IV antibiotics. Everything turned out fine. I even had a negative Group B Strep swab just prior to labor, which helped me feel that I was making a safe choice. The risk of transmission is actually fairly low in the absence of a fever, active infection, and labor shorter than 18 hours, so I feel comfortable with my choice. I was in labor with Micah for 6 hours, and we expect this labor will go quickly this time, too. Honestly, with a short labor, they may not even be able to get in an IV and deliver the antibiotics to me at the hospital before the baby is born. They also recommend 2-3 doses prior to the birth of the baby for full effectiveness, and that requires at least 8-10 hours.

Angel said she needed to discuss things with Chris and Sharon, the other midwives who treated me last time. Well, she called back this morning, and they are calling in the antibiotics! I have to sign a form indicating that I have been advised to take IV antibiotics and I am declining, but they are "working with me" in my refusal to take the recommended course of action. This was a wink, wink, nod, nod situation - they have to recommend what the AMA standard is, but they are doing their best to support my decision without endorsing it. I cannot tell you how much I appreciate that!

Naturally, I've done my research. There are a number of studies indicating that oral antibiotics, when taken prior to labor and maintained until delivery, are just as effective (and perhaps more so) than IV antibiotics. There are also studies indicating that if the antibiotics are stopped, they are not effective at all. They key is no lapse in the antibiotics allowing time for the Group B Strep to re-grow. There are also studies that indicate IV antibiotics for women with short labors fail to reduce the risk of transmission of the Group B strep because there is insufficient time to for the medicine to work before the baby passes through the birth canal. So, in my opinion, this really is the smartest option for me. That is a HUGE relief for me!! Can I get some credit for being rational in my crazy phobia?

Too much going on

I haven't been up for posting much lately - I have so much swirling around in my head, and I don't exactly know where to begin. I think I'm just a bit overwhelmed with all that is going on right now. I think I'm feeling a bit out of control...as my mom says, when man plans, G-d laughs. I think G-d is having quite a good chuckle at my expense this week.

Ironically, I spent most of this pregnancy expecting (and worrying about) pre-term labor. I'm officially 37 weeks pregnant right now, and we are "out of the woods" so to speak. Now, I think my biggest fear is that this baby will stay put forever and I'll be overdue! I've been doing everything I can to clean the house and be prepared. We finally dug all the junk out of our bedroom and the house is about as in-order as it will be. I arranged for child care for Micah when I go into labor, we've got our birth plan in place and I've got our schedule all written out.

Unfortunately, yesterday a wrench was thrown into my plans...and a whole new worry fell on my plate. My mom was rushed to the hospital in an ambulance yesterday afternoon, and they still do not know what is wrong. She was nauseated and sick and it just wouldn't stop. It came on suddenly - I was on the phone with her only an hour or two before making plans with her to come join us for dinner. I was extremely worried because it is not like my mom to call an ambulance - I knew she must have been horribly sick to go in an ambulance.

When she arrived at the hospital, they were concerned about a virus or an infection initially, so I've been unable to go visit her (she was actually placed in isolation). Since yesterday, they seem to have ruled out any infections, but they do not know exactly what is wrong. One theory is a drug interaction...she started a new medication a few weeks ago, and it might be causing all of this sickness. The only other theory on the table right now seems to be a problem called gastroparesis. I've looked into this online (and called a few doctor friends) and this does NOT appear to be good news. It is incurable, and the long-term prognosis is pretty scary. Most of the medications and options are only "temporary" fixes. I'm worried and scared because I *need* my mom to be around a very long time, and I want her to continue to enjoy a full and quality life.

So, on top of all the worries about my mom and her long-term well-being, I am having an immediate selfish reaction, too. I want my mom to be there with me when I give birth. She was such a huge help during labor last time, and I want her to be there right away to meet her newest granddaughter - and right now, she can't be there. I just know that I will go into labor when she is out of commission, and I'm a bit worried about doing all of this without her (and I also don't want her to miss out, either, because I know she wants to be a part of it all). I know that I will have Elliot there, but it really was a 2-person effort (okay, 3 counting the midwife) to get me through the last time. I also feel better knowing that after I deliver, my mom will be there with my Dad in the evenings to feed Micah and put him to bed.

Now I'm torn - I'm physically ready to have this baby, but I kind of want her to hang in a bit longer in the hope that my mom can recover and be there. Today was my 37 week appointment. I am over 70% effaced and 1-2 cm dilated. The baby has dropped (she did not say what station, but the baby is much lower and engaged). My belly is now measuring at 34 weeks (down 1 cm from last week). I've been spotting like crazy all day and having contractions. It kind of hurts for me to stand because of all the pressure. I also received some bad news at the appointment - I tested positive for Group B Strep :(. That means they would like to recommend that I take IV antibiotics during labor. I'm very torn - the studies about the benefits of IV antibiotics are mixed. It is the standard recommendation, and part of me knows that it would be better for the baby to take the antibiotics. But...I just don't know that I can do the IV because of my phobia. We are talking to the midwives to see if they will prescribe a course of oral antibiotics for me to start taking now. It is not the recommended course, but I would feel like it was a fair compromise. I tend to have short labors - the greatest risk for spreading infection is longer labor, and I barely had 6 hours from when my water broke to when Micah was born the last time around. Something else for me to worry about, right?

I'm still worried about how to deal with 2 children, and our child care situation for next year, and how we can balance all that is going on with our home renovations. We are supposed to be putting my condo on the market this week - I sure hope it sells quickly and that we are able to break ground quickly, move without incident, and get a 3 bedroom place before Twoey outgrows our bedroom. I'm having a hard time seeing how everything is going to fall into place.

I also have to take the dog back to the vet tomorrow. Her heart condition has been deteriorating. We increased her dosage of lasix in the hope that the congestion in her lungs would improve. While I've noticed some improvement, she has been waking in the mornings with a cough and she has been breathing heavily. I do not think the vet is going to be able to reduce her medication as we had hoped, and I see another visit to the cardiologist in our future. I wish I knew when we could fit all of this into our crazy life.

I guess on a more upbeat note, I thought I'd share a few stories about Micah. His new favorite pasttime is to put cereal (or fruit) on his eyes. He just takes the food and mushes it in there, and then he laughs! I've been working on teaching him some new "phrases." I've been teaching him to respond "me" (and point to himself) when I ask him "Who is cute?" He seems to get the concept...but our exchange goes more like this...."Micah, who is cute?" "Neee." Yes, Micah says "nee" instead of "me." I've noticed some other signs of growth - he actually lets me wipe his nose without any complaints anymore! In fact, he'll show me he needs his nose wiped, or I can say "Micah, come here and let mommy wipe your nose" and he'll walk right over and let me do what I need to do. I've also been amazed by the way he handles a sippy cup - he'll spin it around until he finds the right angle (right side up). I love watching him twirl the cup around in a circle until he find the perfect position! Another funny story...Elliot was dressing Micah the other morning. I had given him the clothes and walked into the kitchen to clean up after breakfast. I glanced over at the two of them...and had to point out to Elliot that I usually prefer to take the pajamas OFF before dressing him! We had a good laugh over that. Finally, our latest challenge has been tempertantrums. Micah is definitely entering the terrible twos. We are finding meal time particularly difficult. He will throw a fit and chuck his food on the floor. I cannot decide if he throws a fit because we let him get too hungry, or if it is because he has very specific wants and we just keep guessing wrong. Either way, it has made meal time a bit of a challenge. Sometimes, it is as simple as giving him the WHOLE pancake instead of cutting it up. Other times, we have to just give up and give him fruit. I hope things get easier.

We have had a few incidents with "aggressive behavior" from Micah. Apparently, he bit another child at daycare on Friday. I think some of his behavior has a lot to do with his lack of language - he gets frustrated and does not know how to express it. I am working on his language and trying to teach him appropriate behaviors. I hope that we can get through this phase soon. If anyone has any suggestions, I'm happy to listen! I'm also a bit concerned about some of these behaviors because of our family history with ADD. I think later this summer I am going to take Micah to get evaluated. I do not think we'll get any type of diagnosis at such a young age, but I'm hoping maybe the doctor can give me some good techniques for managing his behavior and pointing him in a better direction.

Okay - I guess that is all I've got right now. Keep your fingers crossed that everything falls into place and works out better than I have planned. Also, a little good news about my mom tomorrow would be great, too.