
"The future is, most of all, in the hands of those people who recognize the other as a 'you' and themselves as part of an 'us.' We all need each other."- Pope Francis
Saturday, February 13, 2021
You feel this too, right?

Thursday, October 15, 2020
Would be but
Dot would be 4 but I still remember driving to my midwives' office. That awful combination of dread, and stupid hope, and incredulous intuition. Was I stupid to have doubts, or stupid to hope? Stats were on my side that the baby was fine. 11+6. Healthy ultrasound at 8. "Perfect heartbeat," my midwife said only a week before.
But I knew what the back cramps meant. I had the same ones 5 months earlier. I remember making that last turn into the parking lot and thought, "this is the last time I can pretend my baby is alive."
Dot would be 4 but I remember the nurse making small talk as she took my vitals, commenting on how she felt like she just saw me. I told her that I just wanted to hear the baby's heartbeat before the weekend-- that I had a bad feeling. She joked that I should buy a doppler to use at home so I wouldn't need to come back every week.
God, she must have felt awful when I passed her with red eyes on my way out. She's taken my blood pressure and weighed me, and handed me cups to pee in for two full term pregnancies since then. I always wonder if she remembers that day.. and her words.. and my face.
Dot would be 4 but I remember when my midwife's chipper, "hop on up here and let's listen to your baby" turned into the deafening sound of the doppler. It was so loud. But maybe it wasn't? Maybe it just *felt* like a fog horn blaring that my swollen belly was nothing more than a tomb.
I remember the viability ultrasound. Why do they have to call it such an awful name? Dot was so still. The ultrasound tech didn't need to say anything. She hastily took the measurements she needed, sensitive to the fact that I was staring at a baby that I would never get to hold. Like it was too painful for both of us. But I didn't want it to end. I wanted my midwife to sew my cervix shut so I could keep my dead baby forever.
Dot would be 4, but I still have this recurring dream from time to time, that I died before I miscarried, which, as macabre as that sounds, the dream is a comfort-- to keep her tucked away with me. I wish the tech asked if I wanted to take the last grainy pictures of my baby, but instead she asked if I wanted to take the box of Kleenex's across the hall to my midwife's room.
Even still, I ended up soaking my midwife's shoulder in tears and snot. She told me how sorry she was and I remember saying, "it's ok." And she said, "it's ok not to be ok."
Dot would be 4, but the cramps gave way to contractions that evening. I remember sprinting to the bathroom unable to keep the baby inside any longer. I pushed. There was so much tissue. So much blood. It was the middle of the night and I could hardly see. I turned on the light, realizing what I had just done. In a moment of insanity I almost stuck my hand in the toilet to try and pull out my baby. I flushed the toilet instead and closed the bathroom door.
Dot would be 4 and it's still raw. I hold on to the details because it's what I have to hold, like the blood-stained skirt that hung in my closet for years after my first miscarriage. The screen shot of my NFP chart with it's perfect triphasic thermal shift, the ultrasound picture where her heart was beating, the picture I snapped of Mary Allison the next day at the library when, as fate would have it, the first book she pulled off the shelf was called, "What's inside your tummy, Mommy?"
Nothing, I remember thinking. A twice-empty tomb.
Dot is not 4 today and I even though I have more kids than I can possibly wrangle at the moment, I still feel Dot's absence. But just like the macabre dream, I'm grateful to feel her absence-- a reminder that she lived, and she lived within me.
Art by Samantha J. Hahn |
Sunday, October 4, 2020
what I did and what I couldn't
No one is impressed with what I did or remembered before 8am. I'm the only one who even knows how long my list was, or that it begins the moment the last kid falls asleep each night, and even I can only see the things I didn't do.
The daycare teacher called to remind me to please put the blue tape on the baby's bottle caps. I remembered to write his full name and date on the blue tape that sticks to all three of his bottles, and the red band to note that it's human breast milk. And all that milk? I pumped all 15oz in the middle of my work day while catching up on emails and, at the same time, falling behind on the work that used to be easy for me.
I remembered her Chromebook and its charger. Two spirals, both math workbooks, a pencil pouch with all the things, pink head phones and matching pink mouse, a dollar bill for the snack she wants to buy, the Expo markers, the play-doh, the ADHD medication and her activity schedule and motivational system that I made her myself, the lunch I packed the night before, the mask, the extra mask. I filled out her covid-screener, my covid screener, took everyone's temperature, and made sure she had plenty of time to tie her shoes by herself. I even sent off that email to her neurodevelopmental ped about her 504 renewal meeting this month. But she wanted to chew gum on the way to "school" but the pack was empty. She wanted a different Taylor Swift song that wouldn't load, and wanted her dad to drop her off. And despite my very best efforts for a seamless morning, I had already yelled and she had already cried. It's only 7:40am.
Maternity leave is so far gone, but my hair still comes out in clumps e v e r y d a y, my hormones still feel wildly out of my control, my breasts still soak my shirt from time to time, and the baby blues I had with my others feel nothing like the ugly postpartum anxiety and depression that took over this time. I wish I was the weepy kind of depressed mom. Maybe it would feel good to cry? Instead I'm the rage-y kind which only makes the guilt worse. Will this postpartum ever end?
There is so much for parents to carry, especially this year. An enormous invisible load on top of the number of children people can see spilling out of our arms. But nobody seems to care.
That's not actually true, I know; I'm so lucky to have the friends, family, and colleagues that I do. Heck, even the stranger at Target who heard me scream the darkest scream to stop my three-year-old from being hit by a car, offered her empathy as she passed us: "I almost had a heart attack," she said to me as I grabbed my kids' hands, pulling one who is stomping her feet, still holding a grudge about the toy I wouldn't buy her, and another who was scared shitless because he had no idea his mom could scream that kind of scream reserved for parents who think they can't stop their child from being killed. Even if I could have reached him to pull him back, I was wearing his baby brother, and in that instant I chose the baby. (I wonder how long I'll hold onto that guilt?) But even the woman who saw us drowning didn't offer to help-- how could she during this pandemic? We passed each other, our faces covered in masks. Mine wet with stinging tears.
But I remember when strangers would tell me how amazing I was to be out grabbing coffee with my newborn, back when I gave his age in days. Like it was a true feat that I'd showered and stood there holding my perfect sleeping babe while someone else made my latte and my kids were safely at school.
This shouldn't need to be said, but 8 months later the baby is still here, and rather than impressing people that I put on pants and left my house, the world has moved on. All expectations of what it is to be a good mother and a good working mother are just as high as before... even during a pandemic.
My midwife reminds me that I need to pace myself after she asks which pharmacy to send my anti-depressant prescription to. But the world doesn't see the dogged pace that mothers run. Or maybe they do see it, as they say, "I almost had a heart attack," and pass by our full arms.
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day 4 |
Wednesday, July 15, 2020
homesick
Six days later Porter came. I remember the casual sign taped at the receptionist's desk in the ER-- just a regular piece of computer paper with the default font, asking patients to alert the person behind the counter if you'd recently traveled to Wuhan, Italy, or Iran. The images of empty subway stations, masked citizens, and scrolling obituaries felt like exotic, foreign problems then. Kobe Bryant's death seemed to be the only one that mattered the day that Porter was born.
The day I had my six-week postpartum check-up with my midwife was an unusually mild day for March in New Jersey. I remember walking out afterwards with my perfect trophy baby, and a healthy body that I recognized as my own and was grateful for. My stitches were gone and my uterus had tucked itself back where it belongs, and even greater healing had taken place within our home. Our family had survived two incredibly draining years (see here, ICYMI), and my shoulders, alleviated and untroubled for the first time in so long, finally let go. It felt like Porter and I were free, a new beginning. Maybe we'd even have an early spring.
Wednesday, April 15, 2020
Porter's story, part 2
As a behavior analyst, I've become a really good observer. Identifying patterns of behavior and manipulating environmental variables is my actual livelihood. But this skill set went into hyperdrive about the time I hit 37 weeks when I began having prodromal labor off and on (just as I had with Declan). I became a psycho for the next month trying to analyze every possible labor symptom in hopes of catching the right wave and hanging on so we didn't end up at 42 weeks again. This exhausting mental exercise is quite useless, by the way. 10/10 would not recommend.
Cerebrally, I knew that I couldn't control when labor would begin, but what kind of perfectionist would I be if I didn't try and control everything else around it? For weeks I attempted the fruitless tasks of keeping the laundry folded, the dishwasher emptied, the toys organized, the fridge stocked, and the beds made. Bless my mother's heart for helping me execute said rituals when she joined us in Jersey just before my due date.
Basically, I needed homeostasis. I wanted to be continuously well-rested, well-fed, well-hydrated, well-adjusted, and showered. Clean hair and shaved legs, bonuses. I barked orders from the couch to my kids as a hilarious attempt to keep them in this perfect state of readiness too. Even more hilariously, I checked the forecast multiple times a day as if I could will my baby to be born into the sunshine.
As I cynically predicted, my contractions petered out that morning, further reinforcing my self-fulfilling prophecy that I would do this song and dance for many more days and nights until my pelvic floor just fell out from under me. So when the same pattern of contractions began wrapping around my back and belly again that afternoon, I pushed all thoughts of labor aside. After convincing Chris (and myself) that there was nothing to see here, I sent him to Philadelphia in the driving rain to pick my dad up from the airport. Meanwhile I stared into my closet trying to dig up anything that could possibly cover my enormous belly for an ABA conference scheduled the next day. Pure denial.
By dinnertime, I was bleeding, contracting, and nearly dry-heaving as I hid in my bedroom away from the salmon in the oven. I texted my beloved doula, Kristy, (who moved out of state after Declan was born) to give her the TMI play-by-play that she's probably grown to expect from me now three labors deep. (Side note, everyone should have at least one friend that thinks conversations about mucus plugs and the like are completely ordinary.) Her sage advice, “you’re in labor; go to bed!”
Somehow Kristy’s encouragement and my own exhaustion weren’t enough to convince me to sleep, or that this was *real* labor. So with the leftover salmon safely in the fridge, and the kids tucked in bed, I rejoined Chris and my parents in our living room to do figure eights on my birthing ball in hopes of rocking the baby lower and lower. Eventually I went to bed, and closed my eyes for a contraction or two before it became obvious that I had missed my chance for any sleep. It was close to midnight and I knew I’d be holding my baby by the next morning. So instead of being well-fed and well-rested, I was starving and nauseous (a la first trimester vibes), and was heading into active labor with about 20 minutes of sleep since Thursday night. Perfect.
Looking back, I wish I had taken a Benadryl and fought for even a little sleep, or at least drowsy labor in bed. But strangely, all I wanted to do was get out of my house, away from my sleeping children, where I could labor selfishly. (I’m pretty sure birth is the antithesis of self-centeredness. What I mean is, I only wanted to think about myself— ergo, selfish—and wanted to be close to my midwife and far from my light sleepers.) So I called my midwife, Jennifer, grabbed a box of Cheerios to eat on the highway, and awkwardly moved my 20-pound bump out of the way to tie my sneakers one last time. Chris and I were off to the hospital and, embarrassingly, it almost felt like a date.
We met Jennifer in the ER and rode the elevator together to the sixth floor where we met our nurse, Katie. There are three midwives at my practice (all of whom have labored with me now!), and it always feels funny to see who’s on-call for your birth, like “hey, we’re about to do this really awesome thing together, but also, I’m probably about to get completely naked and shit all over you.” (But really, Yelena, sorry I almost pooped on your shoe last time..)
By the time we settled in, checked on the baby and my cervix, and went through my medical history with Katie, it was 2am. My labor had (predictably) slowed from my transition from home to hospital and I felt mostly fine. With no birth photographer this time around (why did you both have you move outta state, Esther and Kristy??), I took a “boomerang” of my hospital tube socks with the non-slip grippies for posterity, swallowed a few spoonfuls of applesauce in a failed attempt to curb the nausea/starvation combo, and then tried (and failed) again to sleep.
Soon enough the “leg shakes” came which had been my cue during my other labors that the real fun was about to begin. I asked Katie to fill up the Jacuzzi tub that I’ve come to count on, and I climbed in. Everything felt pretty familiar and pretty manageable… until it didn’t. In addition to the back labor that has come along for every second of each of my labors, an excruciating, invisible line appeared next to my spine that shot electric pain all the way up to my neck and down my left leg. And unlike the contractions that helped me out with little breaks in between, this ungodly line grabbed on to the contractions so the unbearable throb felt continuous. In that dark haze in the middle of the night, labor no longer felt like painful, hard work. It felt like suffering.
My trusty Jacuzzi tub let me down, and I needed out. And needed to puke. I remember catching a glimpse of my sallow face in the bathroom mirror as I threw away the barf bag and swished some water around my mouth, thinking, “what the heck has happened to me?” When Katie offered to start an IV with some anti-nausea meds, I was ALL in, and in the same breath I asked for an epidural.
I think I was almost as surprised to say the words as my midwife was to hear them. “That doesn’t sound like you,” she said. She was right— it didn’t sound like any conversation we had ever had in the years I have known her, but I also really didn’t feel like myself either. The pain from my other labors must be imprinted in my mind because I knew right where I was in my labor trajectory without a cervical exam-- just beginning transition, but still miles away from delivery. Even greater pain was on its way— unhelpful, intrusive third-birth baggage—and I was not ready to take on another layer of pain.
I’m not sure how they teach midwives what to say or do when their patient asks for something they’ve repeatedly said they didn’t want, but Jennifer knew. She massaged my back, offered more support and reasonable alternatives (if I had been up for listening to reason), and validated my pain. She walked the delicate line between encouraging me to stay the course (out of my own preferences, not hers), and helping me get the pharmaceutical pain-relief I was asking for. Most impressively, she did it all without letting me feel like a birthing failure, even if I wouldn't be getting the Ina-May-birthing-goddess experience this time. I suspect this kind of compassionate intuition is earned from her years of supporting women during the most painful and intimate hours of their lives. I remember leaning over the birthing ball, locking eyes with her, and shaking my head, “no.”
You'd think for all of my pregnancies that I would have read up on epidurals at some point (especially considering I'd persevered through two unmedicated births to avoid it), but I didn't have a clue. I don’t remember much from the procedure. Just the blinding lights and the way Jennifer and Katie held me like I was their own sister.
A few minutes later my contractions were erased. It was like magic, and I finally understood why most women pick the giant spine needle over the ring of fire. Although some of my back labor persisted, and that devil line on my left side hung on tight, I finally fell asleep for the first time in two days.
When I finally recognized the telltale first trimester queasiness last year, I couldn't imagine why I was given this gift-- a gift that initially felt so misplaced, if I'm honest. Motherhood had lost a lot of its joy, and was riddled with anxiety, guilt, and shortcomings. A baby due at the end of January-- the month with some of the grayest days and the longest nights, when the tulips and daffodils of spring might decide to stay buried in the cold dirt forever-- it felt like another layer of control was pulled away from me.
On January 20, Porter's ill-fated due date, the first patient in the United States was diagnosed with COVID-19. Who could have guessed that the entire world was about to embark on some of its grayest days, and weeks, and months? Death and suffering stifle life across the globe while fear sits stagnant in the air. And yet the tulips and daffodils poked out of the dirt and decided to bloom, Jesus still rose on the third day, and in our little home, Porter Theodore sparkles as our brightest spot-- our perfect, undeserved Sunday sunrise.
Friday, March 27, 2020
Porter's story, part 1
The months leading up to that very surprising, very positive pregnancy test were some of the hardest for our family. Just nine days before I flippantly took that test, I described our fifth year of parenting like this:
But the weeks of 105-degree fevers and color-coded iCal schedules were just the background noise. With the transition to our new family rhythm, came increasingly intense tantrums, not from our toddler, but from our almost five-year-old. You'd think that I'd be uniquely prepared to help Mary Allison given my graduate degree in behavior analysis, and almost a decade of training by some of the most brilliant clinicians in the field. Instead I found myself woefully incapable and helpless to help her.
Our bright, enthusiastic daughter was still months away from her diagnosis with ADHD-HI (the hyperactive/impulsive subtype of the disorder that is characterized by intense disruptive behavior and deficits in self-regulation skills). Her diagnosis, exactly seven days before kindergarten, was finally an explanation for a long list of maladaptive behaviors that made Mary Allison-- my own daughter-- almost unrecognizable to me. If you haven't had a similar thought before about someone you love, it's impossible to understand how deeply that thought can cut. Many nights after surviving hours of suffocating tantrums, afraid of the next time I would step on a land-mine, I would hide in the bathtub, sobbing, re-watching her baby videos trying to remind myself that it was still her. She was still my daughter, and I would re-learn how to be a good mom to her.
So right there. That's where Porter's story began. With texts to a couple friends at 6:30am on a Monday morning right before work, with a picture of two very pink lines and uncharacteristic expletives. If the indescribable stress and exhaustion of watching my child suffer every day, sitting on waiting lists to be evaluated by developmental pediatricians while I failed time and time again to help her, as a mother and as a behavior analyst, a shit-ton of progesterone wasn't going to make anything easier.
And it didn't.
This pregnancy proved to be the most physically draining and mentally exhausting of my five. My postpartum mind has tried to dump and bury the 20 weeks of nausea and lightheadedness, the ten months of insomnia and exaggerated anxiety, the heart palpitations and the heartburn, the back pain that sent me to the chiropractor twice a week, and the damn lightening crotch that regularly made me do awkward squats and yoga poses in public places. (If you haven’t had the pleasure of experiencing lightening crotch, the bolts feel exactly like you think.)
My experience is decidedly not unique. It feels silly to mention and inconsiderate to describe, especially since I know the hollow feeling of (secondary) infertility when all you want is to be doubled over by morning sickness. And unlike other pain and illness, these discomforts were signs of health! How could I complain? (oh, but I did..)
Everyone kept telling me that the third birth is the “wild card.” Your first is long and brutal, the second one usually much faster, and just when you think you know what birth will be like, you do it a third time and it’s nothing like the rest. Nonetheless, birth had been good to me before and you would think that I’d feel confident in my birthing powers after two unmedicated births that both left me eager to do it again. (Really, who wants that!?) But unlike my other births, I didn’t trust my body to do it’s thing.
Although Declan’s birth was all things empowering and all things healing, I still look back and wonder why it didn’t begin on its own. That nine and a half pound baby head-butted my dilated cervix for WEEKS and my body still didn’t get the memo. I’m still haunted by his dry amniotic sac, with barely a teaspoon of fluid left by the time my midwife broke my "water,” and I will always wonder what might have happened if I hadn’t had some maternal alarm bells that told me to move my induction up by one day.
By the time we made it to Porter’s due date, we had climbed to the top of the waiting list for Mary Allison and had landed on the right medication to regulate her dopamine levels, which made her more receptive to the behavioral strategies we'd been using for years. Our home no longer felt like a war zone, and our daughter felt far more familiar-- still spunky but more calm. But my mental endurance was depleted; my body couldn't keep up with my white-haired mom at the grocery store (in my defense, my mom is a member of the "Silver Sneakers" club), and I carried new motherhood scars of inadequacy and self-doubt.
All that to say, when I finally did go into labor, in many ways it felt like I had been laboring since the moment I took that pregnancy test last May.
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Desiree Hoelzle Photography |
Friday, May 10, 2019
but year five
The abbreviated background: The company Chris worked for from home unexpectedly closed their doors last April leading to several months of underemployment (re: MAJOR stress). I was twelve hours away from accepting a job offer back in Dallas when Chris got a job offer here that was too good to be true. And although his job is truly that good, it brings us to full-time preschool and daycare, which brings us to complicated drop-off schedules (all four of us spending our days in four different townships), packing (what feels like) suitcases every night, full of clothes and food and bedding and favorite nap-time stuffies, all the while trying to remember who needs to be dressed up for Dr. Seuss Day, who can't bring nuts in their lunch box, and which class needs St. Patrick's day napkins. It brought us vomit that splashed all over the walls, strep x2, the flu x3, adenovirus, four double ear infections, and Children's Motrin by the jug. And if that paragraph reads like a run-on sentence, just take it as a metaphor for our life.
But that's just the background noise. And although I'm an AWFUL mom-nurse, and just the thought of getting the kids out the door by 7:10am (with said suitcases in tow) sends me over the edge, that's not why year five is so hard. It's hard because we've been sprinting this parenting marathon day and night, and night and day for half a decade, and if I could pick my biggest parenting flaw (besides sleep-training), it's that I'm really, really bad at asking for help, or even accepting help when it's offered.
But year five.
Year five is the year that I am asking for help, because my daughter needs help, and I don't know how to help her. Although she couldn't wait to stay at school for lunch bunch and thought nap time (which she hasn't done since she was 20-months old) sounded cool, the reality of her new full-time school schedule uncovered yet another similarity between mother and daughter-- anxiety. There is so much to say, and so much to learn, but to protect her privacy, I'll just leave it at that.