A birthday

Yesterday was my birthday.

I turned 32 with one child in my arms and one in heaven. That’s hard.

The sun came out. It warmed my kitchen and my heart. It shone brightness into dark spaces. We went outside. Simon rode his bike. Is this the long awaited spring for my heart?? After the darkness of this winter…both the season and my soul.

We went to church. A missionary shared her experiences of serving God in Africa…in spite of LOSING HER SON there. And how God works in loss. And how God is still good and still faithful. Even…especially…in loss.

And I got so many hugs! And happy birthdays! And it felt like family.

I am so thankful for all of the birthday calls and texts and messages. Thank you for recognizing my day…and my pain. This has not been the happiest year. In fact, it’s been the saddest one I have experienced in my life. But God is good, and there are years left to live. This is not the end of my story…nor Kohen’s.

I went for a skate ski…to the biathlon range! Just so you’re informed, it’s far. And fun. My kind of birthday!

And hubby took me out for dinner. And we cried and shared and grieved and celebrated.

And it was a beautiful day. Even without my Kohen. I felt his happy birthday wishes from heaven.

I did the hard work of grieving the day before. My special Kohen moment was to get a tattoo. (Let’s be honest, it wasn’t that hard. I was pretty excited. And once it was done I was even more excited! It’s so so beautiful and makes me smile every time I see it.)

It’s on my left arm, where I first held his body. Its his name in beautiful handwritten script, underneath a mountain range. The mountains I can see out my kitchen window. So yes, it’s a tattoo in remembrance of Kohen. But it’s also a reminder for me. That when I look down, in despair, at where Kohen isn’t…it reminds me to look up.

“I lift my eyes up, to the mountains above

Where does my help come from, it comes from the one I love

I am lost without you, when I breathe I admit, I need you”

-United Pursuit, Looking for a Savior

“I lift up my eyes to the mountains-where does my help come from? My help comes from the Lord, the Maker of heaven and earth.” Psalm 121:1-2

Post-partum thryoiditis.

It’s a thing. I have it.

It occurs in about 5% of pregnancies. So reasonably common. With a babe in your arms, it would be annoying. This week it’s been ONE.MORE.THING.

I’ve known about it since December. The pathology is an autoimmune reaction where my body is attacking the thyroid gland. This usually results in an excess of thyroid hormone while the gland is under attack and inflamed, then it swings quickly at some arbitrary point into a hypothyroid function as the immune response settles down.

It affects everything! Body temperature, mood, weight, sleep, memory, concentration.

A couple weeks ago was the swing. I went from being somewhat adjusted to having a hyperactive thyroid gland to a very under-producing one. I can look back in time and sort of pinpoint when it happened. I started to sleep better…and then needed naps…and then needed them every day!

So here we are. In a state of hypo-thyroid function. Navigating life without Kohen.

I’m taking thyroxine supplements to try help normalize my hormone levels. And hopefully get all those things…temp, mood, sleep, weight, memory, concentration…back on track.

Hypothyroid also had big implications for pregnancy. Untreated it is a significant factor in infertility and miscarriage. So for anyone (most people) wondering if or when we might consider trying to get pregnant again. We’re not considering. That thyroid needs to sort itself out before thinking about pregnancy is even on the table.

Tired.

Some weeks are just brutal.

Some weeks there are more tears than I ever thought possible. There is sadness and anger and frustration and hatred.

There is searching and searching for something, anything positive. Hope joy peace…whatever it is…it is elusive.  There is exhaustion from the searching and not finding.

There are expectations…that I have of myself or I feel others placing on me. Expectations I can’t find the energy or strength to meet.

There is loathing of the process. This grief journey that I did not choose and would give anything to be given relief from. For the solution is so obvious…all I need is Kohen!

It’s pouring rain outside…and pouring tears down my face…and my heart aches with love for a baby I cannot hold again. Not even once.

Big days.

It’s birthday week around here.

Last year I had two living children on my birthday. We celebrated my day and also the day that was to come, the little babe we would get to meet in October. So much love and anticipation last year!

Contrast.

This year. One living child. The most precious beautiful child who fills my arms and heart with so much love and happiness. BUT. There should be two.

There is always a but.

Everything is so so so so bittersweet. The sweetness of the happy moments always has a BUT. A shadow. A remembrance. A pain. Big deep pain.

The big days are devastating. Monthiversaries. Christmas. New Years. Birthday. Mother’s Day. Father’s Day. A first birthday for a child who is not here.

This is the year of firsts. The firsts of all these big days without Kohen. Do they get easier as the years go by? I have no idea. All the big days come with longing and aching and missing. Large family gatherings or celebrations serve to point out the hole in my little family, the little person who is not there to celebrate with us.

I usually make a plan. Have a way to remember Kohen and acknowledge the pain and grief. I cry. A lot.

I don’t know exactly what this birthday will look like yet. But the tears will flow and I will miss my precious second son.

Comfort.

Have been struck by more despair and hopelessness this week.

Sometimes in loss we try to find the good in a horrible situation. “He lived a good life.” “He was in pain.” “She’s in a better place.”

We try to rationalize and explain death in order to try make sense of it, to bring ourselves some comfort that it really was better that they died.

I can’t find any comfort in Kohen’s story.

A beautiful perfect baby boy, hours away from making his entrance into this world. Hours away from beginning a life on the outside, hours away from living in my arms and in our home.

There is no comfort or sense to be found. My labour was not managed well, his distress was not detected, he suffered significantly enough for it to cause his death shortly after birth.

And this can easily lead me down the path of despair and hopelessness, that I, as Kohen’s momma, have to live my earthly life without him in my arms because of someone’s overconfidence and error. My truth is horrible. It feels impossible sometimes!

But I do experience comfort. I do find peace. It isn’t in Kohen’s story, there is none to be found. Any comfort or peace I experience comes from God himself. There is nothing in this story or on this earth that can provide any sense to Kohen’s story.

2 Cor 3. “Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves receive from God. For just as we share abundantly in the sufferings of Christ, so also our comfort abounds through Christ.”

And so, with heaven at the forefront, there is comfort. That Kohen is living out his eternal purpose, even though I don’t understand why this happened or why his story has to be so incredibly difficult. The apostle Paul has this crazy perspective where he seems to embrace suffering and also death, in Phil 1:21 “For to me, to live is Christ and to die is gain.” And this is our struggle, our tension. To live in this world, the only world we know and are familiar with…knowing that we were made for more and created for closeness with God…yearning for the day we might finally enter that perfection. And Kohen is already there. He knew nothing of the trials and struggles of this world, but moved straight into heavenly perfection.

But oh. I miss him. And no matter how deeply I believe he is in heaven, I yearn with my whole heart for him to be here.

Babyloss and PTSD

I am hesitant to post this one. But I will. As part of speaking out against mental illness, of opening the conversation around grief as well as understanding mental illness.

I didn’t know losing a child could result in PTSD.

I first encountered this term at my family doctor’s office about one month after losing Kohen. I was describing some weird reactions I was having to things that were really not that distressing…like jumping a mile high when I heard a loud noise, a small slide while driving in the snow (normal!) would have my fight or flight response cranked and I’d have to pull over and wait until I stopped shaking and my heart rate slowed down to normal.  His response “yes, a bit of mild PTSD, understandable in this case.”  Our counsellor also used that phrase “mild PTSD” so I went researching (reliable sites of course!).

The definitions I came across didn’t seem to really fit for me, they talked about exposure to violence, rape, horrific car accidents, war…none of which I’ve experienced.  Further reading stated “something is traumatic when it is very frightening, overwhelming and causes a lot of distress. Trauma is often unexpected…associated with powerlessness. It could be an event or situation you yourself experience or one that happens to loved ones.”

I haven’t shared much of Kohen’s birth story. Part of his story is that while labour was very, very intense and difficult, I was reassured every step of the way that his heart rate was strong and he was doing fine. To the point where the team caring for us sometimes sounded surprised that he was doing so well with such a difficult labour.

Well. They were horribly wrong.

Until the minute Kohen made his entrance into the world, we had no idea.

He was born alive, heart beating…but was in serious trouble. He had aspirated large amounts of meconium during labour, and was unable to breathe at birth because it was completely blocking his airways. The docs were on it and cleared his airways quickly, but he did not begin to breathe on his own. They continued to attempt to resuscitate him…until his heart beat it’s last. The medical team working on Kohen felt if it was only meconium blocking his airway, they should have been able to revive him.  Questions were raised and further investigations (autopsy) were carried out. We know more now, but may never know all the answers or fully understand what happened to our precious boy.

Kohen’s labour and birth were not traumatic in and of themselves. I was not worried for his safety beyond a few things I expressed, I was reassured by the team throughout and had complete faith and trust in their ability to bring my child safely into the world.

But then.

He entered the world without a sound, without a movement, without a breath. Heart beating…but barely. The shock and unexpectedness of delivering a baby who was in so much distress, the sounds of the medical team working furiously to save my precious baby’s life. This is my trauma.

In that room, during that hour…I was unable to watch. Maybe knowing those images would be scored into my brain if I allowed them in at all. I begged and pleaded with God, the one who created me and who created Kohen…to please please let his little heart continue to beat. To please breathe life giving breath into his lungs. But no. The most horrific phrase any mother could ever hear…”no spontaneous heart rhythm.”

And in that moment my heart shattered. I clung to hubby, unable to fully grasp…unable to fully understand..but knowing this precious boy would not be coming home with me. Knowing I would not get to see him move or open his eyes or hear his cry.

“PTSD causes intrusive symptoms such as re-experiencing the traumatic event. Many people have vivid nightmares, flashbacks or thoughts of the event that seem to come from nowhere. They often avoid things that remind them of the event – for example, someone who was hurt in a car crash might avoid driving.

PTSD can make people feel very nervous or ‘on edge’ all the time. Many feel startled very easily, have a hard time concentrating, feel irritable, or have problems sleeping well. They may often feel like something terrible is about to happen, even when they are safe.”

All of these things were true for me. As the shock of losing Kohen began to wear off, PTSD symptoms started to set in. I want to be very clear and indicate I suffer from MILD PTSD…it can be way way more disturbing and life altering than what I experienced.

I relived that hour of my life over and over and over. Whether I wanted to or not, I couldn’t stop thinking about it if I tried. Everywhere I went there were reminders of my loss or things that triggered my memory and put me right back in that hospital room. I started to stay home. And avoid visitors. Because everything I did or allowed in made me feel worse.

I took a course on coaching cross country skiing for five year olds (super fun!). We talked about emergency action plans. Turned out the words “emergency” “ambulance” and “doctor” were all triggers for unwanted flashbacks (even though an ambulance was in no way involved?!). A friend who is a nurse joined me on a walk, and her casually talking about work had me back in that hospital room again. A television show where someone needed a “dose of epi.”

I was startling all the time in ways not appropriate for the situation. I was so so so irritable and unable to reign my temper or reactions back. If Simon had a crash or fall I would feel quite panicky and completely over react…where I used to pride myself on not reacting at all when he fell and waiting to see what his response was. I couldn’t read anything because I couldn’t stay focussed and struggled severely with falling and staying asleep. I avoided all people with new babies (still do but not for reasons of avoiding trauma…some things are just too hard!), avoided situations or people that triggered flashbacks.

Grief is already hard. Losing a child is already impossibly hard. PTSD is hard. The combo is ridiculously hard.

Counselling and meeting with my family doctor were both very valuable resources in understanding and working through this illness.  Getting outside to skate ski, run, hike, trying to practice good sleep habits…all the “taking care of yourself” stuff…so so valuable.  The army of people praying for us…thank you!!  My symptoms were mild on the continuum of PTSD and with support I was able to work through most of it and experience healing. I’m able to say now I feel most of those symptoms have disappeared.

Until the other night. This is a crazy one, one I did NOT expect. I have been struggling with prayer. From what I’ve heard from other baby loss parents, this is fairly normal following the loss of a child. Our pastor came to pray with us, and encouraged me to keep praying and to bring my requests before God…even if it’s a struggle. And as I sat and thought…just thought about asking God for healing of some of my post-partum issues…I was right back in that hospital bed again, pleading for Kohen’s life.

I had no idea…that prayer could be a trauma trigger?!? Kind of explains why I’ve been avoiding it.

So back to the work of grieving I guess. I have found that each time I’m exposed to a trigger it is a little less potent than the previous time, and eventually I am able to avoid the flashbacks and focus on staying present. I will continue to pray and work on bringing my requests before God…and find a way to work through this crazy weird trigger that hasn’t been dealt with yet.

PTSD info from: http://www.cmha.ca/mental_health/post-traumatic-stress-disorder/#.WLpFsYo77CQ

Five months with a hole.

There is a hole. In my heart, in our family, in our home.

Every month-iversary I am forced to stop and look at this hole again. From all sides. From all aspects. And grieve again.

For all those things I will never have, all those things I will never know. The version of this life that I wanted with my entire being, but will never ever experience.

That sweet little five month old Kohen who is not in my arms. The joys and trials I am not experiencing with him next to me. It is pain. Forever pain.

Nothing in this lifetime can fill that hole. I will carry that hole with me to the day I leave this world for the next.

I think part of right now is figuring out how to carry it. What does it look like, how does it change me? What now?

Five months of missing you precious boy.

Back to work.

It’s been a crazy busy week!  We’ve made major decisions, had multiple appointments, hosted lots of visitors, went skiing A LOT…and in the middle of it all I went back to work!  Maybe it was good to be so busy, I didn’t have much time to think about anything beyond reviewing a few things and getting ready to go back.

Because never would I ever have thought I’d be going back to work less than five months post-partum.  The plan was always always a year off with my babies.  So this is part of moving forward, part of walking the path I would never choose, part of my journey.

And you know what?

I loved it!  It feels so so good to use my brain and think…even if it’s a little slower and less able to remember things.  I really really like my job…and I kind of forgot about that.

I still cried.  I needed to grieve again over the life I don’t have.  Over the fact that I am returning to work five months post-partum because there is no infant in my arms or home to care for.  But God in all his love and mercy carried me through.  He gave me the strength and courage to make it through the day.  And provided the most understanding amazing co-workers who made my return so much easier!

It still is terrifying.  That someone I treated last summer will return and will ask “How is the baby?”  Or that someone will ask “How many kids do you have?”  and then “How old are they?”  Such innocent questions that have the potential to reduce me to a sobbing mess in a matter of minutes.

But God is holding me, he is holding my heart and filling it with so much strength and courage.  I could not be doing any of these things without his provision.  As humans we are resilient, but having God on my side makes me feel super human.   He gives me the courage and strength to survive what seems un-survivable.  To live through my greatest fear and most horrible nightmare…to actually live through it, not just survive it.

Phillipians 4:13 “I can do all this through him who gives me strength.”

So so thankful for supernatural strength.  Today and everyday.