Friday, October 28, 2011

A Perfect Balance

As a woman, we are supposed to be good at everything, wife, mother, chef, maid, friend, etc. We should do all of those things, be all of those things, with a smile on our face and not a hair out of place :) Unfortunately, this is not the world that June Cleaver lived in and for most of us we feel that we fall short in one area or another.
I know that I have put so much energy and focus on Carson lately, especially with all of the health scares, that I maybe haven't been the best wife I could be. While I am still cooking, cleaning, and all the other wifely duties, I feel as though maybe I've checked out emotionally a little. I guess once everything happened with Dylan I wasn't there for anyone. I went through the motions for Carson but I barely had enough to give him. Then things started looking up and I started to heal from that. I finally felt like I was the mother Carson deserved again, she was back :) Now was time to start becoming the woman that Bert married again. Right as I started to work on that we got hit with the whole opsoclonus mess and 100% of my concentration was on Carson. Nothing else mattered when the thought of my child potentially having cancer and chemotherapy was going through my mind. Thank goodness, all is well with that.
There hasn't been a time where there wasn't some "crisis", I guess you could call it, in quite a while. In this stillness I got to thinking, that in the past 14 months since I've had Carson I've been so focused on him and not taken nearly enough time for our relationship. I can't even tell you our last date night and the last time we were out as adults was my high school reunion almost 3 months ago! I guess in all things, the first step is realizing you have a problem. I do. I am addicted to being Carson's mommy!! As much as I love it, I know I need a break sometimes and we need our couple time. As well as just needing some alone time. I'm hoping with this impending move we'll get some more of that. And with all of these scares behind us we can concentrate on just being a family and a husband and a wife.
I guess what I've learned is, while trying to be the best at everything you are going to fall short somewhere. It's all a balancing act and trying to figure out where to put your energy is difficult sometimes. I feel like as long as your loved ones are taken care of than the rest can wait. I don't have to have the perfect house or some extravagant meal when I have an amazing husband and the most perfect child :) Life is good and it's time to start enjoying it!
We'll call these "Pre-Carson" Pics - Me & Bert at Mangrove Mama's down in the Keys. July 2009

Bert & me in Knoxville. Going to see one of Bert's little brothers football games - one of our favorite things to do! Oct. 2009

We brought the Smurfs back into style way before some movie did!! Halloween 2009 :)

The Barnes family (once again pre-Carson :) in Maryville for one of Blake's games :) Nov. 2009

Thanksgiving '09 - my last Thanksgiving of not being a mommy :) Well besides to Sammy!

One of our last outings before finding out I was pregnant :) Cristina & Casey's wedding. Dec. 09

5 Year Anniversary!! And yes we brought our child to eat at a 5 star restaurant with us and he was great! SALT, Amelia Island April 2011

Our last adult night, 10 year high school reunion. August 2011

Monday, October 24, 2011

Life is Always Changing

So, I've been thinking a lot about change lately. It's a constant part of life. You know what they say (whoever "they" are, I'm not sure :), that they only thing you can be certain of, is that everything will change. While some changes are for the good, some are for the bad, and some are just different.
I've been thinking about change because I've also been questioning how I've changed, for the most part, since everything happened with Dylan. I know after Carson I of course changed, I became a parent!! My entire life changed in an instant, definitely for the better!! The way I look at life, the decisions I make, every single thing was different after he was born. It is really hard to remember what life was like before him, and I don't want to!! But, I have been trying to understand how the loss of Dylan has changed me. For instance, I have become a constant worrier. I know I've always worried about stuff but now it is incessant. I can't make it stop sometimes. I know I drive my husband crazy with constantly reminding him of things we need to do all the way to worrying about the way he's driving, it never ends. I've tried to stop it, but it's like it's ingrained in me now. I wish I could remember if I was this bad before, but I'm pretty certain I wasn't. I think the worrying is a way of having control over things. I feel like if I worry and anticipate the worst than I have more control over the situation. I became so used to things that, never in a million years expected to happen to me, happen. I didn't expect to have so many issues in my first pregnancy, I didn't expect Carson to have Hirschsprung's Disease and surgery by 6 weeks old, and most of all, I didn't expect to lose my second pregnancy. When all of these things you never think will happen to you do, it definitely leaves it's mark on you. My husband says that he doesn't know how I can sleep with all the worrying and thinking I'm constantly doing, but for the most part I sleep fine and it doesn't really stress me out. It's like if I'm thinking about it and figuring it out in my mind, I'm content. Very strange, I know, and I might possibly need to be on some sort of meds for it!! :)
Another thing that I'm certain is different about me since Dylan, is that I am very opposed to change now. It's like I want everything to stay the same. I've tried to psychoanalyze this one and it's a little more difficult. I'm pretty sure it's because I feel like the more things change from how they were when I was pregnant with Dylan, the farther away from him I become. It really felt like our world fell apart after Dylan. So many things came crumbling down after that, and it felt like if it could go wrong, it did. In my mind, I kept thinking if I was still pregnant with Dylan everything would be alright. I didn't want anything to change from how it was when I was pregnant with him.
Lately it has really hit me because we are about to make a big change and it has brought a lot of this stuff up. We are going to be moving from LaBelle over to the Stuart area. It's something we've been wanting to do for years to be closer to my family and our friends and the right time has just kind of presented itself. While it is very exciting to be closer to my family and not have to travel as far for doctor's appointments and therapy, it is extremely bittersweet. I have had numerous nights laying in bed crying, heartbroken to leave Carson's pediatrician, therapists, and my ob/gyn that delivered Carson and Dylan, not to mention Bert's family, our friends, and amazing neighbors. We have been through so much with all of them and love them like family. I have been extremely conflicted on what to do. I know for our emotional health and happiness moving will be great. It will be a fresh start after all we've been through. Plus, we are over at my mom's almost every weekend as it is, so now we will be this much closer to them. But it breaks my heart to leave such amazing people. In the 14 months that Carson has been here, we have become extremely close with all of these people and I know they love Carson as if he was their own. I just feel like this will be best for us and I promise to always stay in touch with these wonderful people and visit them whenever we are in town :) We are going to keep all of Carson's specialists in Fort Myers so we will be over every 6 months to a year and Bert's family still lives over there so it's not like we're gone forever. It will still be hard to leave what we have known for such a long time.
The emotional part of moving has been difficult to get through, we will be leaving our home that we have gone through so much at. We have had extremely high high's and crushingly low low's. I know I try to stay as upbeat and positive as I can on here and I do know that this will be good for us and change is good, it's just brought up so many emotions. I am a very sentimental person, even getting a new car is emotional for me, so you can only imagine what the thought of moving out of the house you've lived in for the last 5 years is doing to me!!
This will be the start of a new chapter in our life and while it is exciting and new, I never want to forget where we came from and what brought us here. Hopefully I can become a little more carefree as more time passes and not worry quite as much. I've already started to make a conscious effort to work on it :) It's amazing how a move, used to just be a move, but once you have kids so much more goes into it. All in all, I know this will be great for Carson and give him more opportunity than where we are at now. There is an amazing Down Syndrome Awareness group nearby and the community is really accepting and understanding of Down Syndrome. I am a ball of emotions with all of this and how I feel about it varies by the hour, but the overall feeling is excitement!! I'm trying to embrace change and know that no matter where we are Dylan will always be with us.
The day I became Mrs. Heather Barnes :) 4/15/06

Graduation from FGCU, 12/08

25 weeks pregnant, 5/10

Leaving to go to the hospital, the best change we could ever encounter was about to happen!!! 8/19/10

Our first home as husband and wife and the only home Carson has ever known!

First picture of us in our new roles in life, mommy & daddy :)

Robert Carson Barnes - my world :)

Dylan Anthony Barnes


Tuesday, October 18, 2011

Little Delays = Cherished Moments

When I found out Carson had Down Syndrome I wasn't really sure what to expect. I read up on everything and found that it really varies from mild to severe. I wondered what that would mean for us. Luckily, this was my first child so I didn't have anything to compare him to. Once I found out, I decided I wasn't going to stress on what is "normal" and not to put pressure on Carson or myself if he isn't doing everything right on track. I decided I was going to raise him as I would any child, just give him the extra care and attention where needed.
Since he's been born I've gotten the chance to experience all of his milestones thus far, and let me tell you they are so amazing!! He is so determined and works so hard to accomplish each goal, and yes it does take him longer due to his low muscle tone. Also, each night he spent in the hospital or going to and from doctor's offices took away from him getting to work. Those setbacks aside, he is doing great! It took us a lot longer to reach those milestones, but it meant I got to cherish each of those stages in his life for even longer. He got to be my cuddly little baby longer than most and for that I am eternally grateful.
Holding his head was the first big task and it felt like he would never accomplish that! Even around the beginning of April Carson was still a little bobble head (it was SO cute!). The next big accomplishment was sitting on his own. He was doing pretty good around 10-11 months old and finally around his first birthday he finally got it. And once he was, he had the most perfect posture to go along with it! He makes me want to sit up straighter.
Now, at almost 14 months we are working on crawling. He has almost mastered getting into the sitting position from laying down. He also is starting to do a little pulling up.
Carson has therapy twice a week. We take him to speech and occupational therapy once a week and then the physical therapist comes here to the house once a week, as well. He doesn't just get to play, all of our play has a goal motivated behind it. Of course I do let him have some time where he can do whatever he wants when he's playing, but most of the time we are doing "playapy" :) That's what I like to call therapy so he doesn't think it's work. He is so determined and so motivated. He does protest but I would too if I was doing core exercises for an hour!
It's hard sometimes to not notice what other babies Carson's age or younger are doing, but he'll get there, it will just be at his own pace. He isn't not accomplishing his goals for lack of hardwork. And some days I feel like I'm not doing enough. Have we worked on enough today? I should be doing this or that with him. But then I realize, there are only so many hours in a day and as long as I'm giving him love and doing as much as I can, that's all I can do :) I'm sure all moms, not just those with a child with special needs, feel that way sometimes. And yes, sometimes people think Carson is much younger than he is, but that just means he's still my baby :) We also get asked often is he walking yet, we simply answer no, not yet ;) We live in a world where everyone is trying to keep up with everyone else. There's a competition for who's the best at everything. I just exclude myself and Carson from all of that.
While most babies are on the freeway whizzing past each phase on their way to growing up, Carson is taking the scenic route. He'll get there eventually, but he's going to have a much slower ride, with a prettier view too :) I'm glad I'm along for that ride with him and I wouldn't change it for the world.


Brand new Carson!!
1 Month Old and in his favorite spot, his newborn lounger :) Miss these times!
2 Months old and cute as a button :)
Carson and his daddy on his 3 Month Birthday!!
4 Months old & the cutest Santa around :)
5 Months old :)
Spending his 6 month birthday in the hospital :(
7 months old & happy as can be :)
First Easter and just over 8 Months old. Also wearing his first of many Caton's Closet creations :)
9 months old and so adorable :)
A few days shy of 10 months old and wishing Daddy a Happy Father's Day!
Mommy & Carson at 11 months old!
Carson's First Birthday and sitting up like a big boy :)
13 Months old, perfect posture, and at his favorite place...The Beach :)

Friday, October 14, 2011

Nystagmus, a beauitful word!

Who would've ever thought the word "nystagmus" could sound so sweet to my ears??? Yesterday was the much anticipated appointment with the pediatric neuro-opthamologist down in Miami. We were getting a second opinion from her on the opsoclonus diagnosis. Our neurologist had set us up with the appointment before we subjected Carson to any more intense testing and possibly chemo. I feel like my life has been on hold for the past few months just waiting to figure out what is going on and how we are going to treat it. I wouldn't plan anything for fear that we'd be in the middle of some intensive treatment for this. Well, praise the lord, because the neuro-opthamlogist (Dr. Capo) said right away after checking out his eyes that it was NOT opsoclonus and it was just a nystagmus!! I couldn't believe my ears! I had gotten so used to just expecting the worst outcome that I could not let myself think that it was not opsoclonus. Bert kept saying he thought it was just a nystagmus but we had been through so much lately where things did not turn out the way we expected that why would this be any different. Thank the good lord, it was!!!
It appears a nystagmus is common in children with Down Syndrome so that seems to be the cause of it. There is no treatment for it at this time, but it is so slight it's not of a huge concern. There is a test you can perform that requires him to be put under anesthesia but she did not think that was necessary, at least not at this time. Especially since there is no treatment for it and it is related to Down Syndrome, why put Carson through more testing that is unnecessary. We have to see her for a follow-up appointment down in Miami in 6 months and then after that he can be seen at any of the Bascom Palmer locations. He also has a slight astigmatism which may require glasses in the future (how cute would he be in little, tiny glasses!!), but it is nothing to worry about right now.
I really can't even begin to explain the massive weight that began to lift off of my shoulders the more the news sank in on our drive home. There was so much riding on her diagnosis and it was the best possible outcome we could have ever asked for! Now maybe Carson can get back to just being a little boy and not a professional patient. All of these appointments and worrying had us all so consumed that I felt like we were barely getting in time to work on all of his therapy at home, much less get time to just play! I can't begin to thank everyone for all of their thoughts and prayers throughout this ordeal. They have obviously worked and we appreciate them more than you will ever know!! I'm not sure what made the first pediatric ophthalmologist we saw diagnose Carson with opsoclonus. I'm so thankful that all the doctor's we saw after that felt like something wasn't right and wanted that second opinion. If not for that, Carson might be in the middle of chemotherapy right now for no reason!! We have been so blessed to have doctors that care about Carson so much and go the extra mile and I will not let our one negative experience with the first ophthalmologist tarnish that.
Now hopefully my blog posts can just be about our daily life and not medical scares!! Thanks again and God Bless :)

My sweet boy when we got to the hotel in Miami. 10/12/11

Breakfast before we left the hotel for the appointment. 10/13/11

Carson says "What the heck is going on? I have ANOTHER doctor's appointment??"

Ok, I'm happy anyways :)

Waiting to go back to see Dr. Capo Carson decided to take a little catnap :) He had no idea the amazing news we were about to receive!!

Wednesday, October 12, 2011

Latest Health Scare - Opsoclonus

Now that we are pretty much in the clear with Hirschsprung's Disease, we now have a new health scare with Carson. We took Carson to see a pediatric ophthalmologist as a routine checkup. Because Carson has Down Syndrome it was recommended to get his vision and hearing checked out. The eye appointment was on August 12, 2011. We didn't really have any concerns going into the appointment. I knew that the appointment would take a little while because they were going to dilate his eyes. Once the ophthalmologist came back to see us, he thoroughly checked out Carson. He then dilated his eyes and we had to come back in an hour. Everything seemed to be going fine.
When we arrived back and saw the doctor he checked Carson's eyes out for a while longer. He asked us if we had noticed Carson's eyes shake. We said we had when he was younger, we thought it was him trying to focus. We also thought it had decreased as he had gotten older. After checking out his eyes even more, he told us that Carson had opsoclonus and that it can be associated with a tumor, something neurological, or we just don't know why he has it. He said he would follow up with our pediatrician and to schedule an appointment to see him again in 3 months. I barely could understand what he called it and he was so nonchalant about it that I told Bert we would talk to our pediatrician because we had an appointment with him that next week. 
At Carson's one-year checkup with our pediatrician I brought up the eye doctor appointment. He asked what Carson got diagnosed with and I thought he had told us something with -plasia on the end of it. He said he had noticed a horizontal nystagmus and that was probably what it was. He had not received a call from him yet. We left it at that for the time being. Not even a week later we were back at Dr. Bartlett's (pediatrician) because Carson had a cough, runny nose, and a rash and we wanted to get it checked out. Dr. B came in and said that the pediatric ophthalmologist had called him and told him that it was opsoclonus.  He said that while he had only noticed a horizontal nystagmus himself, something obviously made the ophthalmologist diagnose him with this. He didn't want to alarm us but he had referrals for us to an oncologist and neurologist and told us if we looked up opscolonus we would see it is commonly associated with neuroblastoma. Neuroblastoma is a form of nerve cell tissue cancer and it occurs in 50% of the cases of opsclonus myoclonus. We didn't know if Carson had that yet or not. Opsoclonus is an involuntary eye movement in all directions, while myoclonus is a muscle spasm/twitch. It's commonly called "dancing eyes, dancing feet" and occurs in 1 in 10,000,000 people. Obviously pretty rare.
We left the doctor's office in shock. We had to take our child to an oncologist! I couldn't let my mind wander because it kept wanting to go to a place I couldn't bear. Of course, as soon as I got in the car I began to google opsoclonus and saw how it is associated with neuroblastoma. I called my mom and told her what was going on and that she might not want to google it because it would probably freak her out.
We got in with the oncologist about a week and a half after all of this. He was a very nice and knowledgeable doctor. He wanted to do an ultrasound, chest x-ray, blood work, and urinalysis. If any of those tests raised any concerns we would go from there with further testing. Neuroblastoma commonly begins in the adrenal glands so the ultrasound would be of that area and the urine screen was looking for catecholmines which is a byproduct of adrenaline. That would be important as well. A few days later we got the results for everything but the urinalysis and everything had come back normal. We didn't want to get too excited, but so far so good :)
Getting an appointment with the neurologist was a difficult task. They wanted something else from our pediatrician and would not allow us to get an appointment until they received that. Finally, after calling Carson's surgeon from his Hirschsprung's Disease just to discuss what all was going on, we got an appointment. The surgeon personally called the oncologist to see what was going on and tell him we were having issues getting an appointment with the neurologist. The oncologist called our pediatrician to inform him and he then called the neurologist. The neurologist talked to the receptionist and not only did we get an appointment finally, it got moved up to the next week! In the meantime, the oncologist had ordered an MRI of Carson's brain to check for tumors there. It took two tries going to the hospital, but finally we got it done and got the results a day or so later. Everything looked normal. Everything was still looking good :)
The neurologist appointment had finally arrived. We were very impressed with the neurologist as well. He took his time with us and asked a lot of questions and explained a lot to us. He took some video of Carson's eye movement as well. He said that Carson's eye movement was not as aggressive as what you typically see with opsoclonus. Usually, even if a tumor is not found, they treat opsoclonus myoclonus with chemotherapy, among other drugs. We weren't sure if Carson had the myoclonus part and he wanted a second opinion on the opsoclonus as well. He didn't want to step on anyone's toes, but if it was in fact opsoclonus there was another full body scan with contrast that we would do, MIBG scan, and then discuss treatment options.

Now, we are here, the night before the appointment with the pediatric neuro-opthamologist. She will hopefully be able to give us some answers, maybe not to all of our questions, but at least tell us if it is in fact opsoclonus, or hopefully nystagmus :) The neurologist also wants us to get her opinion on a treatment plan if it is opsoclonus, opsoclonus myoclonus, or nystagmus. We are hoping and praying for the best. We have been blessed to have such amazing doctors on Carson's side. I have personally received numerous calls from the oncologist himself, not a nurse, most recently just to check on Carson. We also have the neurologist's cell phone number to call with any questions and have stayed in constant contact with him. I know whatever path this takes us down, we will get through it and Carson will prove his strength to us again :)
Carson going to the pediatric ophthalmologist. 8/12/2011

My big boy is happy on his way to the oncologist :) 9/6/2011

MRI try one 9/13/2011 Bert's birthday also!

My sweet boy with his new little friend on the way home from the MRI. It took a few tries for the IV, which was no fun for him. 9/14/11

Monday, October 10, 2011

**Dylan Anthony Barnes**

It has been a few days since I last posted and I think it is because this will be one of my most difficult posts to write. Ever.
The morning of March 31 I took a pregnancy test, apparently my behavior had my husband questioning if I was pregnant again. To my shock and surprise the test immediately came back positive. A few more tests later I was pretty certain I was pregnant again, only 7 months after having Carson!! I went through an array of emotions. We had been so consumed dealing with Carson's health issues, although everything had been going well for a while, that there was no way I could be pregnant again! Then I started to feel bad for Carson, he wasn't going to be the baby anymore. After I went through all of those emotions, I finally landed on one that lasted, excited!! Carson was going to have a little brother or sister.  All I could think of was how good it would be for Carson to have a sibling, especially one so close in age to him!
I was a little nervous telling people, they were going to think we were insane! I told Bert we had to go ahead and tell our families because the very next day was April Fool's Day and I was pretty sure no one would believe us if we told them then! Everyone was really excited for us. Even though we already had one child, the thought of doubling that was a lot to take in. I decided to wait on the Facebook announcement until after our first doctor's appointment. It was also pretty exciting because three of my best friends were pregnant with their second child as well!! What a fun experience to all have our babies so close together :)
The first appointment went great and because of my Anti-Kell antibody and Carson having Down Syndrome they wanted us to go see Maternal Fetal again. My projected due date was December 7. That would make Carson and the new baby 15 1/2 months apart! Yikes, I was going to be one tired momma!!
Eventually it came time for my first appointment with Maternal Fetal. Me and Bert had already decided that if we were blessed enough again to have a baby with something extra we would be thrilled! Carson had brought so much love and joy into our lives that we would not change one single thing about him or my pregnancy with him. I would be lying if I was hoping for a less eventful pregnancy though. It would be nice if I didn't have to have an amnio or all the ups and downs we went through before we found out Carson had Down. Just a nice "normal" pregnancy would be a nice, little break :) The doctor at Maternal Fetal said everything was measuring perfectly. The nuchal translucency was about half of what Carson's was at that same point in my pregnancy with him. We did the first set of blood work for the screening test for Down Syndrome and we would go from there to see if we needed any further tests. They also thought it might be a girl, I was only 12 weeks so it was a little early to tell! Oh my goodness, what would I do with a little girl, besides dress her up all the time!!!
It is definitely true what they say about you showing sooner in your second pregnancy. I didn't have a  huge belly out there, but a bump was starting to show and my clothes were getting very snug. I basically lived in dresses. By this time, I was already almost 15 weeks along and it was time for my third appointment with Dr. Digiorgi, my ob/gyn.
Unfortunately, this appointment would not be just a regular check-up. June 14, 2011, a date I won't soon forget. The appointment started out normal enough, we weren't getting an ultrasound this time so I wasn't too excited. Dr. Digiorgi got out her little doppler thing to hear the heartbeat. We were just chatting away, Bert and Carson were with me so there was lots to chat about. I started noticing that she was having trouble finding the heartbeat. She made a comment that they always give her trouble when they are 14 weeks (I was 14 weeks 6 days). She said let's just go do an ultrasound so I don't have to fight with this thing. She did not seem worried in the least bit. As we were walking to the ultrasound room I remember trying to think back if we ever had trouble finding Carson's heartbeat. I couldn't remember that happening. Oh well, I figured everything was fine.
As soon as she started the ultrasound it became instantly clear that something was not right. Whereas at the last ultrasound the baby was bouncing all around, there was no sign of movement. After what seemed like forever, she finally said "I can't find it. I'm so sorry, I can't find it." You can't find what, I kept thinking!! The baby??? I could see it in there but what was going on. Finally it hit me, my baby was in there but she didn't have a heartbeat anymore. Bert was standing next to me with Carson, in as much shock as I was. Carson meanwhile would not stop babbling away, my poor little boy had no clue what his mommy and daddy were going through at that very instant.
Dr. Digiorgi was just as shocked as we were, this was late for something like this to happen. And the fact that we had seen the specialists and everything looked perfect there was baffling. She just kept saying I'm so sorry and she didn't know how or why something like this happened to us. I had no clue what the next step with something like this was. This was only my second pregnancy ever, and my first one resulted in Carson. She said that we could either wait for the baby to deliver itself or she could perform a DNC at the hospital. She said that sometimes when you deliver the baby you still have to have the DNC performed because the placenta stays attached and you can have excessive bleeding. We asked her what she recommended and I could tell she really told us what she would do if, heaven forbid, she were ever in this situation. We decided on the DNC. She asked us if we wanted to schedule it now or call back in a few days. I wanted to get it scheduled as soon as possible, I was ready to go in the hospital right now and do it. The thought of my little baby inside of me and not moving around was too much to bear.  The DNC was scheduled for June 24, 2011. My doctor said it was better to wait a little while before doing it because the less they have to manually open the cervix the better for future pregnancies. She was also going to send me a prescription for a pill to take the night before that helps soften the cervix.
I tried to stay as put together as I possible could until I got out to the car. Bert called Mark as we were walking out and he told him to go into my mom's office, that I was going to call her to tell her something. They instantly knew that something was wrong. I think my mom was crying when she answered the phone. All I could say was that the baby didn't have a heartbeat, I couldn't call it anything other than that. My mom and Mark were already on there way over, as was Bert's family.
At the ultrasound the baby had measured 2 days before my appointment. I kept trying to think if anything had felt different that day and I couldn't think of anything. None of this made any sense. I am a freak during pregnancy, I don't drink caffiene, take Tylenol, stuff that your allowed to do in moderation I don't do!
That night at our house surrounded by family, I seemed alright, telling everyone what was going to happen, setting up who was going to watch Carson. I was supposed to be going out to Dallas for my niece Abby's first birthday that day and I obviously had to cancel that. I remember telling my doctor that when she was trying to schedule it and I know she realized then that it had not hit me. I had no clue what all I was about to go through. She was right, it hadn't. It took a long time for it to hit me. Some days it still does hit me harder than others. Especially when I get email reminders of what week I am, I would be almost 32 weeks now. When I think of things like that, how big I would be right now, it's tough.
The days leading up to the DNC I didn't want to be out in public for fear that someone would notice my tiny baby bump and ask when are you due or do you know what you're having? Any mention of baby or pregnancy and I was afraid I would burst into tears.
When I first found out I remember wanting to have the DNC performed right away, but as it came to a few days before I started to get sad because pretty soon it really was going to be over. I was going to have to face reality and realize that I was no longer pregnant and my baby inside of me was not alive anymore. The DNC was scheduled for 2:00 PM on June 24. I didn't have to get to the hospital until 12. The surgery center at the hospital had called a few days before to go over some questions about anesthesia. I had received and filled my prescription already. I had done some googling about the prescription I had received and started to get a little nervous about it. I read that with some people it made them go into labor. I remembered how quickly the pitocin worked with Carson and was hoping this wouldn't be the same way. The thought of delivering the baby at home was too much to deal with. I was supposed to take it the before I went to bed the night before. Bert's mom was going to come over that morning to watch Carson and me, Bert, my mom, and Mark were going to head to the hospital.
At about 5:00 the morning of June 24 I woke up having really bad cramps. I laid in bed tossing and turning until finally at about 5:45 I went to the bathroom. I remember thinking and praying that these were not contractions and that I was not going into labor. I kept thinking I'm just so stressed and nervous about what was going to happen that this was all that was going on. While I was in the bathroom there was a big burst and water went everywhere. I was in complete shock, all that was going through my head was Lord please don't let this be the baby!! Bert could hear me saying Oh God No, Oh God No and was at the bathroom door asking what was going on. Finally I came to my senses and realized my water had just broken. My water hadn't broken on it's own with Carson, my doctor broke it, so I had never experienced this. I got the bathroom cleaned up, came out and told Bert that my water had just broken. He was in shock, what did he need to do?? I told him I was going to call the doctor's office and tell the nurse on call. I was pretty sure they would want me to go ahead and come to the hospital, especially since we live an hour away. I called the on-call nurse and left a message. A few minutes later she called back and said it would be a good idea to go ahead and head over. More than likely they would keep the DNC scheduled at the same time, but that way I would already be there if anything needed to happen sooner. The contractions had stopped after my water had broken so she said that was a good thing. My mom came upstairs frantically asking what's going on and how was I doing. I was making the bed and totally calm. Bert called his mom to have her come right over. Unfortunately, I did not have time to take a shower before we left and didn't get to use the antibacterial body wash I was supposed to before the surgery. I was very concerned about this for some reason. I kissed Carson goodbye and out the door we went.
I'm pretty sure Bert flew to the hospital, but it felt like it took forever. I was so worried that the baby would come out while we were in the car on our way. I definitely was not ready to deal with that! I have never been so relieved as I was when we pulled into that hospital parking lot. Bert led me into the ER while my mom & Mark parked the car. I told the lady at the front desk what was going on and I could see the sadness in her face for me. They took me right back and got all my vitals and got me into a little room in the triage area.
By this time it was around 8:00, I was relieved that we were here, but my next worry was that Dr. Digiriogi would not be the one to perform my DNC. I just wanted to know that she would still be doing it and then I would feel so much better. I have been through so much with her and completely trust her and would feel so much more comfortable with her performing it, rather than someone else having to do an emergency one. The nurse went ahead and got my IV started, it took a few tries of course (very bad veins, that roll! Yay for me!!). When the ER doctor finally came in about an hour later and said that he had talked to Dr. Digiorgi and I was going to hang out there until they got a room upstairs. Then I would stay there until it was time to come down for the DNC when it was scheduled for at 2.
A little while later they came to transfer me up to probably one of the only areas of the hospital we hadn't been in all of our stays. This was the Special Delivery area. Once I got settled into the room it was almost 11. The nurse got me all checked in and then said that if I was having pain there was some medicine called in for me. I told her I was in some pain but it wasn't too bad yet. After a little while the pain started to increase and she came back in to check on me. I told her I would take some of it now, she said that she would give me just half of the dose because it can be pretty strong. She said to be careful whenever I got up because it could make me a little wobbly too. I was feeling better after getting the pain medicine and a little while after I realized that I was bleeding pretty heavily. I'm really not trying to gross anyone out here and I'm sorry if I am, I just want to tell this as I experienced it. This the part where it gets particularly difficult to tell.
My mom helped me to the bathroom and as I sat down I felt something coming out. I could not even comprehend what was going on. I yelled out to Bert to call the nurse right away!! I was pretty sure the baby had just come out. I looked down and there was my little, tiny baby, just hanging there. It was too much to bear. The nurses rushed in and put some of those panties they give you after you birth to hold the baby there and asked me if I could make it to the bed. All I vaguely remember is I kept asking for water, I don't think I had mentioned this but I wasn't able to eat or drink anything after midnight the night before. I remember being very thirsty and I felt very weak. I stood up and the next thing I remember was hearing all kinds of people asking if I'm alright, can I get up. Apparently I had passed out on the way to the bed. Once I came to, I got right up and into the bed, climbing over the rails I'm told. I don't remember much of that because I was very weak. I had lost quite a bit of blood. My mom was hysterically crying at this point and the nurses wanted everyone out but my husband, Bert. They had called Dr. Digiorgi and were waiting on her to come up from surgery. Finally she got in there and was pretty concerned with how I looked, and I was already feeling much better by the time she got in there!
She cut the umbilical cord and asked if I wanted to see my baby. I did so she had the nurse clean him up and wrap him up in a baby blanket for us. It was a he, not a her as we had previously thought. He was so tiny and so blue. I just remember looking at his little ribs sticking out and his legs that were so bony. He had deteriorated some since he had been in there for a while not alive. Even though, the experience of delivering him was so traumatic, I am so glad I did get to see him.
Although I had delivered the baby, the placenta was still attached. Dr. Digiorgi said that we could still do the DNC to remove it, or we could try this medicine that helps to get it out while we were waiting. Unfortunately, the medicine can cause more intense cramping. Although I had not an ounce of energy left in me from what all I had just been through, I completely trust my doctor and went with what she suggested. We were going to try one round of the medicine and keep the DNC scheduled as planned. Of course, we could not stay in the room we were in and had to be moved to the rooms you go to after you have a baby. They wheeled me out with my baby wrapped up in a blanket laying beside my legs. When we got wheeled past my mom and Mark and Bert's dad and Rhonda they all looked so concerned. My mom said that she thought she had lost me when I hit the floor.  I just remember as we were being wheeled past people, wondering if they could see the dead baby laying beside me or if they had any idea of what all I had just been through. Finally we got up to our room, it was the same exact room I stayed in after I had Carson. What a crazy way for things to come full circle.
It was after lunch sometime by this point, the nurse came in started the medicine. The baby was just laying in one of those pink buckets they always have when you're in the hospital. It was heart-wrenching to look over and know he was in there. Dr. Digiorgi had asked if we wanted testing done to see if we could figure out what happened, we absolutely did. The nurse came in and asked us if we wanted to do anything with his remains. We had not even thought of this because we didn't think we would have remains. She was very sweet and gave us the information of a funeral home that will do it, because before 20 weeks you don't have to have a death certificate so that makes it difficult to have anything done with the remains sometimes. The medicine started working and I was in quite a bit of pain. They gave me some more pain medicine and I started feeling like maybe the placenta was ready to come out. I went to the bathroom, with the nurses help, and all that was coming out were just huge blood clots. I was so exhausted, delirious, totally unable to process what was going on. I think I got a little bit of rest and then Dr. Digiorgi came back in from surgery to check on me. The placenta still hadn't come and it was coming time for my scheduled DNC.  Unfortunately, the OR was not ready yet and things were running behind, so she suggested I try one more round of the medicine to see if it will make any more progress and then as soon as the OR opens up we'll head down. Alright, I agreed. After an hour or so later nothing more had happened and the nurses finally came to take me down to the pre-op area. The anesthesologist came in to talk to me and see if I had any questions, I had my cap on, everything was pretty much ready to go, just waiting on Dr. Digiorgi to get down from another surgery. I felt like I had to go pee again and decided I should go before they put me under. The nurse helped me to the bathroom and as I'm using it I feel something come out, in what had become a pattern that day, I was pretty sure the placenta had come out. I tell the nurse and she comes in and checks and says, no I think that's just a blood clot and flushes the toilet. I felt a little uneasy about that, but hey, she's the nurse not me. When Dr. Digiorgi comes in I tell her I thought I delivered the placenta but the nurse said it wasn't. She started feeling around and said she was pretty sure there wasn't anything left. She got an ultrasound machine brought down to double check and it was gone. Unfortunately, the placenta had gotten flushed down the toilet. That was very disheartening to me because the placenta is what can show if something happened between me and the baby to cause it to pass on.
It was almost 5 in the afternoon as I was leaving the hospital. I was in a daze at what all had just happened. Bert stopped to get me something to eat, I think I took a few bites and then just zoned out on the way home. It was pouring rain the entire way home. I was exhausted. I got home, kissed Carson, and went upstairs to lay down. I laid there not really awake, but definitely not asleep, when finally I came back downstairs an hour or so later. Ralph and Nichole had brought so much good, home cooked food for me to have when I got home. It was such an amazingly thoughtful thing for them to do and much appreciated. I ate a little food and then finally took a shower.
In the days that followed it still didn't seem real. I think the hardest day was that following Monday morning, after everyone had left. It was in those moments when no one was here when it would hit me the hardest, when the tears would stream down my face uncontrollably. I could tell Bert was really concerned for me and had no clue what to do with me. Poor thing, I would only get this way when it was only him here.
We received a call that Monday from the grief counselor at the hospital seeing how we were doing. Bert also called the funeral home. We could come meet with them that afternoon, they also wanted to know if we had a name. That was another thing we hadn't thought of, a name. It was beyond to difficult to think of a name for your dead baby. When we thought it was a girl, we really liked the name Dylan. We decided that since that was the name we wanted for our baby girl, it was the name we would use for our baby boy instead. We decided on Anthony for the middle name in honor of Pop-pop (Mark). His middle name is Anthony. I called my mom to tell her and broke down in tears. She said she was coming back over and she would watch Carson while we went.
Never in a million years did I see myself walking into a funeral home with Bert for this reason. We got brought back to a room and it all seemed so surreal. We looked around and saw these really neat glass memorial globes they had. They are on a lighted stand and have colors blown into the glass along with the ashes. They were a really beautiful memorial we thought. The girl we met with showed us some different urns they have for babies or children, none of them seem to fit what we wanted. We decided to go with the memorial globe. The funeral home waves all their fees in a situation like this one, so all we had to pay for was the globe. We thought that was very nice of them.
In the weeks following the death of Dylan, I would be fine around people and a broken-down mess in private. Bert kept trying to think of anything that would lift my spirits. He suggested I go out to Dallas to visit my sister Tara, since I had missed Abby's first birthday due to all of this. I was hesitant, I didn't want to leave. I felt like anything I did made it more real. Finally I decided to go. Me and Carson flew out with my mom & Mark and stayed out there almost a week. It was such a nice break from everything and helped me more than anyone will ever know.
Still there are difficult days, as I said some days it just hits me how far along I would be now. What would it be like to be big pregnant and taking care of Carson? I know that everything happens for a reason and that If God will bring you to it, he will get you through it, but it is difficult some days to find a reason why. My doctor called me about a month after the "delivery" and told me that unfortunately, they couldn't grow anything from the tissue they took so there were no answers as to why I miscarried. She mentioned the ears were low-set which could possibly mean something genetic, but it was so early and the body had deteriorated some so she was pretty sure that it didn't mean anything at all. It is scary to think that maybe there is something going on with me. My first pregnancy I have a child with Down Syndrome (which I wouldn't trade for the world and I would take a million more babies with Down!!) and my second pregnancy I lose. I try to push that thought back and whenever we get to a place when we are ready to try again we'll cross that bridge.
I know many of you out there have been through much worse and people lose babies much later in pregnancies. This is just my experience and loss of my baby at 15 weeks. Some may think oh you're only 15 weeks, that's not enough time to be attached, but I strongly disagree. From the second you find out your pregnant you form a bond with your baby and you have hopes and dreams for that baby. You envision your life with that baby in it, you plan your future with that baby in it, so when that goes away, it is a very significant loss.
Just the other day I received an invitation in the mail from HealthPark to a memorial service at the Children's Memory Garden. It is for families who have lost a child. The quote on the invitation was especially moving to me, so I thought it would be fitting that I end this emotional post with that quote:

"A butterfly lights beside us like a sunbeam
And for a brief moment its glory and beauty belong to our world,
But then it flies on again.
And though we wish it could have stayed,
We feel so lucky to have seen it."

3 days after I found out I was pregnant. Only 4 weeks, 4 days and already planning our life with two babies :)

Tiny baby bump poking out, 11 weeks, 4 days.

Me & Bert before Courtney & Martin's Engagement Party. 11 weeks, 3 days. The life as the DD :)

Dylan Anthony Barnes, 5/25/11, 12 weeks

Last ultrasound of my baby
Dylan's Memorial Globe



It is a beautiful piece of Dylan we will always have with us

Dylan Anthony Barnes, June 24, 2011


Friday, October 7, 2011

Hirschsprung's Disease and Surgery

After finally getting out of NICU, we started to get into a routine at home. It was nice. Me and Carson's day mostly consisted of eating, pooping, sleeping, pumping, and then the cycle started over. I was just starting to forget what hospital life was like when all of a sudden we ended up back in there!
Carson was just over three weeks old and I already had learned his feeding habits, how much he would take, etc. The morning after my husband's 30th birthday, Carson would not take his bottle, and he started spitting up everywhere. I was a little concerned and I had Bert call the pediatrician because I felt like something was wrong. Our awesome pediatrician got us in that afternoon. Here I was, the crazy first-time mom that rushes her kid to the doctor because he spit up! I felt slightly crazy but had this nagging feeling that something wasn't right.
When we got the doctor, he felt around on Carson and laid him on his belly and asked us if we thought Carson looked distended. I hadn't noticed until that very moment and boy, did he! What we thought was just his little "frog" belly was really him being distended. He sent us right away to HealthPark (what would become our second home) to get an x-ray done. He told us to go see the pediatric radiologist there. He had already called him and they would be expecting us.
By this time I'm getting a little concerned but in the rush of things I really didn't have time to freak out. By the time we got to the hospital and up to radiology it was almost 4:00 in the afternoon. They took us back pretty quickly and did a few x-rays of his stomach. The radiology tech was super nice and wanted to show them to Dr. Weiss and see if he wants us to do anything else. When he came back he said Dr. Weiss wanted to do a barium enema on Carson. I didn't know what the heck that was but, it didn't sound like it was going to be too much fun, especially for a tiny baby like Carson. Carson screamed his head off when the barium enema went in and during the entire scan. They couldn't use any lubrication to help get the enema in because it can mess up the picture, just to make things worse. After this we were starting to get even more concerned. What was wrong with our precious baby??
We got Carson cleaned up and went to this little waiting room in the radiology department. We were sitting there slightly frantic when a doctor came up to us. This was Dr. Mon, who would become a very close doctor to us and somewhat of an advocate for Carson. He had just happened to be walking by when Dr. Weiss was looking at Carson's barium enema results so Dr. Weiss consulted with him. The results were leading them to believe Carson had Hirschsprung's Disease, which is where nerve cells don't form in part of the intestine. This could be affecting a small part of his intestine all the way to the entire intestine. He did not believe that it was affecting his entire intestine, in part, because he had gone to the bathroom. It just appeared that he was not able to get everything out and was getting backed up. He said that he wanted to admit us to the hospital and do a biopsy to confirm the Hirschsprung's diagnosis.
Wow, that was a lot to take in. Here we were completely unprepared to be spending the night(s) in the hospital. I was scanning my brain for any recollection I had of Hirschsprung's Disease. There it was, I remembered reading about it when Carson as in the NICU. There was a small part about it in the book I had "Babies With Down Syndrome". It is more common in babies with Down Syndrome and a big sign of it is not having your first bowel movement within 48 hours. It took Carson 72. I just felt like we were in the clear with HD because once he started going, he was going! We called our families and they were in just as much shock as us. Everyone rushed over to the hospital as quickly as they could and brought us stuff from home so we didn't have to worry about that.
Two days later on Sept. 16, 2010 Carson's biopsy was performed. I wasn't too apprehensive about it until that morning when they wheeled us down and we had to pick out a little scrub cap for him. Could this be real, was I really picking out a scrub cap for my almost 4 week old baby?? Something was not right with this picture. The night leading up to the enema had been difficult because Carson could not eat anything so he was up nearly all night long. We just took turns trying to keep the pacifier in his mouth and keep him soothed as much as we could. All the while, I was still a pumping machine because I did not want to switch Carson to formula yet! The biopsy went fine and two days after that we were discharged from the hospital. Dr. Mon told us he would call us with the results and we would go from there.
A few days after we were discharged was my follow-up appointment with my ob/gyn. There I was telling her about this whole Hirschsprung's Disease mess we were going through. She asked who our surgeon was and told me if he couldn't do it to go to Tampa! Did I need to go ahead and go to Tampa? She reassured me that Dr. Mon was great but the next best option after him would be in Tampa. That made me feel better that we had a great surgeon on our side. The next day Dr. Mon called and Carson did have Hirshcsprung's Disease. He would need to have surgery to remove the part of the intestine that did not work. Once he got inside he would have to keep biopsying to see where the nerve cells started. If it was really bad and he got too far he would have to close him up and we would have to make a decision on what to do, most likely he would have a colostomy if that happened. The surgery was scheduled for October 13.
Unfortunately, Carson would not wait until his surgery date. Not even a week later he was not eating, spitting up, distended again! We called Dr. Mon and he wanted to go ahead and admit us to the hospital and we would move his surgery up. His surgery date would now be Sept. 30, 2010. Carson had to have yet another IV, it took the nurses 4 tries this time. Poor little guy having to go through so much at such a young age. He wasn't able to eat but Dr. Mon did allow us to give him some Pedialyte so at least it would give him the feeling that he was eating even though he wasn't getting full. There were more sleepless nights leading up to the surgery. The night before I could barely sleep a wink. Dr. Mon said it was difficult to say how long it would last because of the biopsying and not knowing how much he would have to remove. He felt like Carson's did not go too far because he was able to get some out but, obviously not all.
Once again, we were wheeled down to the surgery prep area. There the nurses and anesthesiologist went over everything with us. We picked out another scrub cap (the same print we picked out last time). As I sat back there waiting, I noticed that all the other children back there were, first off, much older than Carson, and all seemed fine until it was time for them to drink this medicine that relaxes them some before they get put under. I joked that they need to give that medicine to the parents because it's pretty tough on us too!
They took Carson back and Dr. Mon said he would call the waiting area to update us on his progress. Having to hand over my baby and watch them take him away was one of the hardest things I've ever had to do. When we got out to the waiting room our families were waiting for us. They were all so upset they didn't get to see Carson back. Thank goodness I completely trusted Dr. Mon and knew he was in great hands :)
The waiting was excruciating. I didn't even want to leave to go to the bathroom, much less eat lunch! Finally the phone rang and the lady at the front desk said it was for me, I answered and Dr. Mon said it was what he had suspected. He was going to need to remove about 6 inches of his intestine. That was a good thing that it wasn't more than that. It had already been a few hours and he was just about to start the surgery part, now he was done with biopsying.
After a little while longer we are still sitting in the waiting room eagerly anticipating hearing something else, when my sister Valorie walks in! She wanted to be there for me so much that she drove all the way from Stuart just for the afternoon. It was such a great surprise and a nice relief from all of this waiting we were doing :)
Six excruciating hours later we got a call to the front desk for me, Dr. Mon said that Carson was out of surgery and heading to recovery. He said that when he took him off the ventilator he immediately started breathing on his own! That meant when he came to he could come back up to the room with us and not have to stay the night in PICU!! That was the most amazing news! I was not looking forward to having to spend the night without him. About thirty minutes later a nurse came and got me to come back and see Carson. There was my tiny, little baby boy laying in a huge hospital bed. He was so swollen from them pumping him with air because surgery was performed laparoscopically. But he was absolutely perfect as always :)
They were ready to take us up to the room so I called everyone in the waiting room and told them to meet us up there. It's hard to look at pictures of him after the surgery now because he barely looks like himself and he was pretty pitiful after. He would just make grunts when he moved or wince in pain. Changing his diaper became very difficult and I wouldn't do it until the nurse brought him his pain medicine.
The night of the surgery me & Bert both got probably the best sleep of our life. Carson was still out from the anesthesia and we had been through so many sleepless nights leading up to this that one little break was graciously welcomed!
The next few days he became more and more aware, and more and more hungry! Unfortunately, because Carson's surgery had to get moved up and was not performed when it was scheduled, Dr. Mon had to go out of town following his surgery and a colleague of his had to watch over Carson's progress. We became very close with some of Carson's nurses and aides, some we had our last stay even. We had a life now at the hospital, eating downstairs, sleeping on our air mattress. Occasionally we would get Carrabbas and have a little date in the waiting area. We tried not to eat around Carson while he wasn't able to eat because we didn't want the aromas to make him hungrier than he already was. Eight days after we had been in the hospital the doctor told us that we could go home as long as Carson was taking his bottles good. We were SO ready to get home! I forgot what it was like to sleep in my bed and cook dinner! Carson was doing good eating but he had one bottle that he left an ounce or so. The nurse came in and told us that we would not be able to go home because he hadn't finished that bottle. Here we were again, all ready to go, car loaded up and we couldn't go because of Carson's feeding! Once again, I know you guys are probably getting tired of reading this, but I was crying, heartbroken about not getting to take my boy home. Bert's poor dad was in there and he felt so terrible for us. The next day Dr. Mon would be back and I was hoping that meant we could go home.
Dr. Mon came in the next morning and quickly discharged us. We had to see him in a few weeks and he drilled into us signs of a bad infection that Carson was susceptible due to HD. Constipation was a big no-no and could lead to enterocolitis.
Following his surgery, it's hard to remember all the times we were in and out of the hospital. My birthday dinner we came home from the Melting Pot and the ambulance ended up picking us up and taking us to HealthPark where we stayed a few days. We were back again after Valentine's Day as well. We had our same room we usually got and all of our nurses we love. Just when we would think things were going well, we'd be back in.
Luckily our last hospital stay was in mid February. We started to get things under control and with a little help from Miralax we have him going pretty good now. It's a constant battle, not only due to HD, but also low muscle tone due to Down can cause constipation issues. Dr. Mon also told us that due to HD and the surgery it might be harder to potty train Carson bc the connections are not as good as they once were. All in all, once we got a year out from the surgery we should be in the clear for the risk of enterocolitis.

We really are lucky that this is all Carson ended up with. I couldn't imagine going through heart surgery with him, this was difficult enough. Once again, Carson proved his strength to us all. We are also so fortunate that it brought Dr. Mon into our lives. He has been such an awesome doctor and friend to us all. He has even helped us recently get quicker appointments with our newest health scare with Carson.  We went through a phase of not wanting to leave the area for fear that Carson would end up back in the hospital. I am glad those days are over, but so thankful for the amazing staff at HealthPark and Dr. Mon for making things so easy on us :)


Carson hospitalized for his biopsy

Carson before his biopsy, 9/16/10


Heading home from the hospital!!

My sweet boy in his first scrub cap

We're back in the hospital and fist pumping!!

My boys taking a rest :)

Carson before his surgery

Nana holding her sweet boy before his surgery

Carson right before they took him back to surgery.  9/30/10

Carson after his surgery, barely looks like him he was swollen :(

My poor baby's lips were so chapped from the surgery and not being able to take anything in

This picture brings tears to my eyes to see him so swollen

Finally getting to hold my boy a few days after surgery

Carson with his grandma

Carson had two different IV sites, just in case one blew

Heading home 9 days later

Mom, why are we back in the hospital?? 2/5/11

Heading home again, 2/8/11

Last hospital stay, my poor boy was very distended, 2/17/11

This hospital stay was one of the worst, they put an NG tube down Carson's nose to pump his stomach

My poor baby :(

Scout has been Carson's buddy through a lot! He's helped with a lot of IV's :)

Pop-pop and Carson

Guys, I don't want to be back in the hospital!

Please take me home!

One tear :(

Home for the last time, 2/22/11