A Different Experience

While this visit to the hospital didn't exactly feel new… we're only 16 months removed from the last c-section… this visit was definitely different.

Unfortunately for Laura some of the differences were not so pleasant. For example, receiving the epidural was much less comfortable. Less comfortable isn't quite right. The epidural was beyond uncomfortable. Laur was quiet, but I saw a long chain of her mouthing "ow, ow, ow, ow" as the doctor jabbed a needle into her spine. And this epidural didn't block out as much of the feeling as the epidural for Maggie. Laura felt much more of the work done on her in her c-section. With Maggie, I had to tell Laur that people full-on yanked with their body weight on her stomach. This time, she was much more aware. This extra level of sensation wasn't so good for getting sewn back up.

Adding to the discomfort of the surgery, our new baby girl is a big one. Chloe was measured at 9lbs6oz and 21 inches, and there was some major pulling to drag her out. The doctor even took the salad spoons after her. I'm amazed at how durable a baby is; the way they are yanked out into the world. The doctors pulled pretty hard on Maggie's legs to drag her out, and they lifted Chloe by her head and neck and she's still in one piece.

I watched both c-sections, although the anesthesiologist this time started out trying to tell me to stand at the head of the operating table. I did eventually move down to the foot of the table to watch like I did for Maggie's birth. This time, I had the camera. We didn't even think about bringing the camera in last time. Last time I wasn't sure if I was going to watch the whole operation or not, or how much help Laura would want from me. I got a few pictures and a few video clips of Chloe's exit.

Laur's anesthesiologist didn't give her the running play by play like the last one did, but he did pull down the curtain so that she could watch Chloe's exit. Between that and the video, Laur has seen a lot more than last time.

I don’t think that there was as much fluid with Chloe, but there was still a lot. Chloe's exit was less stressful (from the point of view of the baby) than for Maggie. Maggie had her cord around her neck, and was zipped right out to the NICU doctors to make sure things were okay. Chloe came out and had plenty of time to start yelling in the OR. What a screamer. I didn't follow Chloe immediately out, so I had time to check up on Laur for a minute and to see the placenta get pulled out. The placenta was a huge, lumpy, uneven, red mass. Between our giant baby, the copious amounts of fluid and the mass of placenta, Laur is easily down 20 pounds. Yeesh.

Fortunately Laur's recovery seems to be easier this time. She seems less sluggish, and getting out of bed for the first time seemed earlier and easier.

Chloe, being big, gave the doctors a few concerns. There was a lot of fluid to expel from her lungs, in part because she was a c-section delivery, and she was breathing a little fast when we got to the nursery; nothing too serious, but just enough to make them watch. They tried an oxygen tent for 15 minutes but eventually we went up to the NICU for a CPAP. Again, nothing too serious, but they just wanted to get her lungs expanded fully so they wouldn't have to worry the whole day long.

Probably the worst difference with this delivery was the waiting. For me, it seemed like the c-section with Maggie was so quick after the arrival in the OR. This time, I felt like I had to keep getting out of the way to wait some more for the initial incision. Laura had much more waiting time than me. Chloe was born at 1:21pm, but by 2:30 or so we were in the NICU. The NICU was supposed to be a one to two hour visit. The CPAP was supposed to be on for an hour. I visited Laur in recovery for a few minutes at 3:30, but it was a while before I really got back to her. There were a ton of births at the hospital yesterday, including at least two sets of twins, so everything was delayed. I sat in a rocker with Chloe for close to an hour waiting for the nurse to come and do the final check out from the NICU. We left the NICU around 6:00pm, and had to go back to the well-baby nursery to get all the stuff done that they didn't do in our last visit. I got to wait there for the nurses too. Laur didn't get to hold Chloe until almost 7:00pm. Laur could have been happier.

Above all, Chloe is a different baby. She looks like our baby, but she's not Maggie's clone. Chloe might have a chin dimple, but if she does it will be like Laura's: mostly hidden, but there if you look for it. Chloe does have big cheeks and a tiny chin, but she has more of a double chin than Maggie did. Chloe has a small mouth, with thinner lips – AND she closes it. Chloe has hair; maybe not as much as Maggie did, and not as much of a curl on top, but some wave to it. Chloe's hands and fingers seem different, and Laur thinks that Chloe is going to have Grandma Phyllis's nose. Chloe's nose does seem pretty distinct.

It's hard not to compare a little here at the beginning, but I think I've always had in mind that our two girls were going to be different; different looking, and different experiences. It will be fun to see how Chloe's temperament will develop. I'm excited to see her personality. It's good to have our baby here. Chloe has had lots of cuddle time with her mama, as they've caught up on some rest after their hard work yesterday. Laur is happy for this baby to be here.

"I can't believe it's all over… there was a lot of baby in there." -- Laura Dee Betts, 1:31am Jul 28, 2009

Final Results

Laura's been home for a few days now. After five nights in the hospital, Laura came home. Both Laura and i were nervous for her to leave the hospital with how hard it was for Laura to get around on her own. Surgery Thursday morning, on our way home on Tuesday at 1:00pm.

The doctor said that the cyst was easily the size of a football, but the biopsy came up with the expected benign result. There was some pancreatic tissue on the cyst, but i don't really know if that means the cyst originated from her pancreas or if it was just so close to the pancreas that the cyst started taking up some of that material too. i don't think the doctors know either. She'll get another CT scan later this summer to see if they caught everything.

Laur has done so well with the recovery. Bumps in the road (even the little ones) aren't fun, so she hasn't been away from the house much. We did take Maggie for her two-month check-up on Friday. For the first couple of days Laura couldn't get up off of the couch without some help. Yesterday and today, Laura has been getting off of the couch by herself while still holding Maggie. Laura doesn't look comfortable while she does it, but she's a little more self-sufficient each day.

Dr. Garry said that Laura might not feel like she's up to full speed until six weeks after the surgery. Laura says that she'd prefer 20 c-sections to having to go through this surgery again. It's just so crazy that Laura had that cyst and Maggie inside her all at once. Laura's really doing quite well, and Maggie and i both happy to have her home again.

Tales of Future Past

Laura said that watching a TV medical drama from a hospital bed was a little surreal. The program seemed much more three dimensional with Laura's own IV stand and other hospital equipment on the boarders of the television screen.

There is something to be said about what the environment adds to an experience. Even with the convenience of DVDs, i still prefer to see a movie in a theatre where you can see the film where it is presented in it's intended format. In addition, the experience is different because you're seeing the film with a group.

The connection between Laura's program choice and Laura's environment reminds me of a time when i watched a movie just for nature of the environment. i didn't really like the movie when it first came out and i'm not sure if i liked it this time through either, but the opportunity provided by the presentation format was hard to pass up. The environment for the experience was provided by several people's visions of the future of entertainment.

i saw the movie Tron (one of the first major movies to use computer animation) that was recorded on a Betamax tape that had been recorded from a Laserdisc. (they even kept the message to turn the disc over in the middle of the video recording.)

my roommate had a whole bookshelf full of Betamax tapes and two working players. i needed to watch at least one movie for the early 80s throwback. how could i pass up on seeing Tron?

like i said earlier, i'm still not sure if i liked the movie, but the experience was worth it.

(the image in this post came from http://www.benzilla.com/ and you can find ben's professional portfolio at http://www.trainedchimp.com/)

Getting Better

yesterday was not laura's best. laura had a rough night as they tried to decrease her pain meds. with such a long incision, it was hard for her to breath deep enough and i don't think that she rested well all night. for most of the day yesterday laura felt nauseated, and achy. she said it was like she had a bad flu most of the day.

by lunch time they had approved laura to start eating more than juice and broth, but laura only had a little apple sauce and some jello. some of that apple sauce came back up.

laura did get out of bed three times yesterday and made at least one loop around the floor each time. in the late evening laura started to feel a lot better, even with the second review of apple sauce.

Maggie was on good behaviour by then too, so we got to stay until 12:30am, keeping laura company. at one point, all three of us had drifted off to sleep.

today appears to be a much different story. laura got up and did two loops on the floor, had her bandages changed (laura got to look at the her suture and the incision is LONG), and even sat in the chair for a while. laura ate some of her mostly liquid breakfast, she's not as achy, and she's started into her lunch for today. best of all laura was feeling well enough to hold maggie for a little while, once maggie and i came back to the hospital for the day.

One Long Day: back at the hospital

it's 3:25 AM and Maggie and i just got home from the hospital. this has been a very long day.

last night Maggie didn't let Laura get much sleep (only between 1:00 and 3:00am) and Laura was scheduled to be at the hospital by 5:30am.

once we checked in and were in the pre-op waiting room the nurse told Laura that she didn't know why the hospital didn't a call last night, because Laura's surgery had been bumped to the second time slot. Laura had been scheduled for the 7:30 surgery time, but now we had to wait for one surgery before us.

close to 8:45 (just past the three hour mark for us at the hospital) Laura was taken to the room where she'd get started with the anesthesiologist and i was sent down to the surgery waiting room where I'd have to guess on Laura's status for the next few hours.

i spent my time watching the hands move on the clock and waiting for the waiting-room nurse to give me updates on Laura's condition. this was interspersed with phone calls to Laura's parents and my mom. the first calls consisted of me telling them that Laura's surgery hadn't even started even though it was close to the time that we had expected that Laura would be out of her surgery.

i saw Laura's surgeon talking to the family of the previous operation just after 9:30am, but i was a little surprised when the nurse told me at close to 10:00am that Laura probably wouldn't begin until 10:20, because of the time it was taking to prep the OR.

two more hours of watching the clock hands and the nurse finally told me that Laura would be on her way out and going to the recovery room soon. now i was just waiting for the surgeon to come and talk to me to let me know how things went.

just after 12:15 i got to speak to Dr. Garry. Laura's surgery went well and they have no reason to suspect that the cyst was anything but benign. Dr. Garry ended up making a midline incision to open Laura up. the cyst was larger than a nalgene bottle and probably closer in size to a regular loaf of bread. the cyst wasn't really attached to anything, so they think that it had just formed as a bubble in the layers of membranes around the mesentaries. the top part of the cyst was close to Laura's pancreas so they had to be careful with that part of the excision, but they don't think that it was actually attached to the pancreas or anything else for that matter.

i was up in Laura's room before 1:00 and my mom and then Laura all arrived within the next half an hour. Maggie was good for me during the whole operation. being up all night may have been the reason she slept so much for me. Maggie was also very good for my mom. she fed well from her bottle and kept quiet or slept well in my mother's arms. my mom stayed until nearly 10:00pm, which gave me a little time to take care of Laura and i even went home for a nap of almost a two-hours.

this surgery is a lot harder on Laura than the c-section. not only did Laura have to go through her dreaded IV, but she's got the pressure cuffs on her legs again (to prevent blot clots, but unfortunately anchoring her to the bed and making her feel that much more helpless and claustrophobic.) the pain medication is taking more out of Laura, and the incision and surgery were much more invasive. Laura's even been hooked up to oxygen because of the way the pain medication makes her breathing so shallow. i don't know how long the incision is, but the dressing runs essentially the full length of Laura's abdomen, from sternum to waistline.

Laura has been tired, itchy and sore, and feels rather helpless when it comes to taking care of Maggie. after my mom left, Maggie was less pleasant. we walked the halls, and then walked the halls some more. Maggie wouldn't cry until we'd get back to the room. Maggie threw a couple of fits that were stressing us all out. i was tying to change diapers, take care of Laura a little and get Maggie to calm down and i wasn't doing well at any of them. Laura was completely spent. Maggie's crying and being tied down to the bed with a big sore spot where Maggie would usually lay is hard on Laura.

Maggie gave Laura a few moments to hold her, but finally i just had to pack Maggie up and take her home. mom and baby both needed some sleep and Laura wasn't going to get any with Maggie there.