Invictus

Malena Lola had been recovering well from her PDA ligation surgery.

Life had begun to settle into our new normal – my mom had gone back to Argentina, and I spent my days at the NICU with baby girl.

I would go to the hospital first thing in the morning and leave late at night.

I needed to be with my baby girl as much as possible. I needed to feel that I was doing everything humanly possible and more to make sure she felt loved.

It’s funny but one of the things I remember missing the most during those NICU days was my dog Rio. I missed taking her for walks, which I used to do every day. I missed being outside, in the sunshine. I often wished I could take my baby girl to the park for a walk with Rio.

I didn’t seem to miss much else. I was so immersed in my baby girl’s world in the NICU that I had little room left inside me to think about my life outside the NICU.

I recall some people telling me several times that I needed to take care of myself.That meant nothing to me at the time. It made no sense.  I knew that they meant well and were saying it out of love, but for some reason it really annoyed me. At that time, I couldn’t think about caring for anything else but my baby girl.

Someone even had the nerve to suggest I should go on a little trip, because they felt it was important to take care of our myself and I  couldn’t stop our lives because we had a baby.

I can’t even describe the level of frustration I felt when I heard this.
I had to remove myself from the room because we were in the hospital and I didn’t want to make a scene.

A part of me tried to understand that the person saying this wasn’t being malicious, they were just volunteering their opinion and trying to help. They were saying it out of love and concern.

But another part of me just couldn’t believe that knowing our baby girl’s circumstances, anybody would even dare suggest a trip or not stopping our lives for our baby girl.

I resented the comment. I wasn’t stopping my life for my baby girl. I was living my life and embracing it with all my heart and soul. My life at that time was defined by my baby girl in the NICU fighting for her life.

That was my life. I wasn’t going to go about it any other way than how I felt I needed to. I didn’t care what anybody else thought.

I got that we are in modern times and there are many different way of parenting. I respected that choice. I knew that nowadays some parents chose to not let a baby change their lives, and they believed that the baby should adapt to the parents lifestyle. I got that.

But that wasn’t me.

I had always been a very independent career woman. I had always done everything I wanted to do. I had always followed my dreams.

Being a mother had been one of those dreams. A long awaited dream. Now it had finally come true.

How could I not let my baby girl change my life?
How could I not let being a mother transform me?
How could I resist my own nature?

I decided to ignore what other people thought I should or shouldn’t do.

I knew that as always, I had to be true to myself, I had to follow my instinct, my intuition. I had let my heart guide me.

I released myself from any preconceived notions I had about what a woman of my generation, a so called modern woman, would do. I allowed myself to not judge my inner needs of spending every moment with my baby girl.

I was totally ready to be a mom. I was totally ready to devote myself completely to my baby girl during this special time.

I realized that I really didn’t care about setting priorities and balancing my life during this time. I was perfectly content being a full time mom.

I had longed to be a mom for years, so I allowed myself to fall naturally into my own sense of motherhood. I let myself be me.

That gave me clarity and strength to be there for my baby girl. That gave me the joy of feeling that I was the most loving and nurturing mom I could be.

I was grateful to be able to spend that time with my baby girl in the hospital.

I knew some moms that weren’t so fortunate. Some moms couldn’t afford mat leave and had to go back to work. Some moms felt very guilty about only seeing their babies after work. Some moms had other children to care for, which made it harder to spend all the time at the hospital. Some families had other difficult circumstances and weren’t able to be as present on a daily basis.

I felt fortunate to have the option to take my mat leave and spend every waking moment with my baby girl.

Yet again, the tide changed and we were no longer lucky…

It all started the night of June 13 – the day before baby girl was going to be taken to the Alberta Children’s Hospital to see the ENT specialist. That night, during a cuddle with me, baby girl decided that she was going to push up and stare right into my face. Being the strong girl she was, she didn’t let the fact that her ET tube was taped to me stop her. At that moment it took my by surprise and I was actually incredibly happy to see her moving like that. She pushed her upper body up and lifter her head to look at me. It was an amazing moment that I will never forget.

For a brief moment she looked right into my eyes. I still get tears when I remember this moment.

I felt like baby girl was saying “I am here mommy and I am never giving up.”

That magical instant was immediately cut short by the fact that I noticed her ET tube was no longer in place and seemed to be pulling out of her mouth.

In the blink of an eye my emotions went from pure love to sheer panic. I couldn’t make any sudden moves as I had baby girl on my chest.

I called the nurse and I explained what happened. She confirmed right away that baby girl’s ET tube was out of place, that she had accidentally extubated. This was dangerous because it could cause her breathing distress as well as damage her airway.

The nurses observed baby girl’s stats and they were good. Her pulse, heart rate and oxygen levels were good.

She said they would have to put her back in the incubator and remove the ET tube completely in order to be able to reintubate her.

I remember feeling bad because I felt I should have prevented baby girl from moving like that. The nurses reassured me that it wasn’t my fault. They told me that sometimes babies self extubate by accident or on purpose.

They told me not to worry, that she would be fine.

Once in her incubator the doctor removed her ET tube and all the tape from her face. Her stats remained stable so the doctor decided to see how she did breathing on her own, without the ET tube. I was a bit scared but I trusted the doctors.

I was so happy to see my baby girl’s face again, free of the ET tube and the tape. Just her lovely face.

Brad came to the NICU after work and we stayed with baby girl late that night. We were so excited to see her breathing on her own again.

But once again, our joy was short lived…

When I arrived at the NICU early next morning, the doctors approached me and let me know that baby girl had started struggling to breathe again. They needed to reintubate her.

My heart sank. I felt horrible for baby girl having to go through another intubation. And this time it was even worst.

The doctors struggled with the intubation. Baby girl was crying hard. She wanted nothing to do with the ET tube. I stayed by her side. It was torture to watch her go through this again…but we did our best to stay calm and comfort baby girl by caressing her forehead.

Her airway seemed to have swollen, probably as a consequence of the accidental extubation the night before. The doctors were not able to insert the ET tube size 3.0 mm. They had to go down in size and insert a 2.5 mm ET tube instead.

This was not good news because it meant that her windpipe had suffered some trauma from previous ET tube and was now swollen. There was also the likely risk of scar tissue forming eventually.

But there was nothing we could do at this point to avoid this. Baby girl’s breathing was the number one priority.

At this point, she was considered to have a critical airway. They put her on hand restraints so that she wouldn’t be able to pull her ET tube out.

It was so sad to see her not able to move her tiny hands freely. Not only was she unable to experience life outside the incubator, but on top of that she was now restrained.

I struggled with that. But I told myself it was for her own good. It was to protect her critical airway and she would only be restrained for a couple of days, that’s all.

I remember wanting to cuddle her but at the same time I felt scared because of what had happened last time I had cuddled her – accidental extubation.

I told Brad about my fear of holding baby girl again and he reassured me that I had nothing to worry about, that baby girl needed mommy to hold her no matter what.

I felt better. I was looking forward to cuddling my baby girl.

But there were no more cuddles for a while.

On June 16 our precious baby girl developed a severe lung infection – a type of pneumonia.

Her tiny body was fighting hard against it but it was a very strong infection. The doctors showed us chest X rays and we could barely see her lungs, they were all white from the infection.

The doctors told us that on a scale of 1 to 10 – 1 being the lowest chance of survival, she was a 1 at that point.

Brad and I were devastated. I told both Brad and the doctors that I didn’t want to hear any more about her chances of survival.

I refused to give into any lack of hope or negativity.
I needed to believe that my baby girl would fight the infection and survive it.

The doctors bombarded her fragile little body with antibiotics. They had practically shaved all of her hair for IVs on her head. Her oxygen needs on the regular ventilator were at 100 %. The doctors decided to put her on an oscillator ventilator – also known as a high frequency ventilator, which is less damaging for a preemie’s sick lungs.

The oscillator vent causes an oscillating movement which can be very disturbing for babies, therefore in order for baby girl to be on the oscillating vent, she would have to be paralyzed. And in order to be able to handle being paralyzed without suffering mental or emotional stress, she would also have to be sedated.

The doctors wanted her her body to be completely still and focused on healing the infection.

If she didn’t respond to the antibiotics and the oscillating vent, there was little else they could do. It was now up to baby girl.

I stayed with her day and night.

I asked all my friends and family around the world to start a chain of prayers for my baby girl. I asked my cousin who is a Reiki Master to send her Reiki. I prayed.

I will always remember how the poem “Invictus” became one of my biggest sources or inner strength. It was a poem that had touched me deeply the first time I heard it in the movie of the same name, “Invictus”. It was the poem poem chosen by Nelson Mandela to inspire him through his years in solitary confinement. It was a poem about hope and strength. It was a poem about the power of the human spirit. I felt that the words spoke to my heart and to my baby girl’s soul.

The word invictus is a latin word that means unconquered, unconquerable, undefeated.

I needed to believe that my baby girl was invictus.
I needed her to believe that she was invictus.
I needed to believe that the infection would not conquer or defeat her.

I wrote the poem in baby girl’s journal and read it to her.

Invictus – by Wiliam Ernest Henley

Out of the night that covers me,
Black as the Pit from pole to pole,
I thank whatever gods may be
For my unconquerable soul.

In the fell clutch of circumstance
I have not winced nor cried aloud.
Under the bludgeonings of chance
My head is bloody, but unbowed.

Beyond this place of wrath and tears
Looms but the Horror of the shade,
And yet the menace of the years
Finds, and shall find, me unafraid.

It matters not how strait the gate,
How charged with punishments the scroll.
I am the master of my fate:
I am the captain of my soul.

I read this poem many times each day. Each time it filled me with strength and faith.

It was tough seeing our little warrior princess so still. But we never lost sight of her mighty spirit in that tiny body. We never lost sight of how hard she was fighting to live.

My baby girl was fighting to survive and she was winning the fight. She was able responding well to the antibiotics and her oxygen needs were improving.

Finally, on June 21, after 5 agonizing days, the doctors were able to take her off the oscillating ventilator and put her back on the regular ventilator. Her lungs were improving and she was healing.

She was off the paralyzing drug and the sedatives. We were grateful beyond words.

She soon started moving a bit again and opening her eyes.

Our prayers had been answered.

Our tiny but mighty warrior was once again invictus.

PDA stands for Patent Ductus Arteriosus

Malena Lola continued to be stable after her recent intubation.

It had been hard seeing her go through that. I missed seeing her face free of tape and tubes, but I was past that now.

I was grateful that she was alive and breathing.

I was trying to get used to seeing her hair shaved off for IVs… I remember thinking that they should just shave it all off instead of leaving these bald patches. But I didn’t have the heart to shave it all off.

It seems funny to me now that I care about her hair at that time. But I did. There was something very special to me about her newborn hair.

I kept all the hair that was shaved off my baby girl. I still have it.

After the intubation we had to wait till the next day to hold baby girl again. In the meantime, I was encouraging her to suction by using a preemie soother and putting drops of my breastmilk on it. She loved it!

I was so happy to be able to nurture her in this way.

This was so important for baby girl because if she could suck and swallow well, maybe she would be able to take a bottle or breastfeed in the future. I wasn’t going to give up on the idea of breastfeeding yet.

I felt useful again. The anxiety was relieved. I couldn’t wait to cuddle her. I missed her tiny warmth cuddling on my chest. Patience.Tomorrow I would be able to hold her again.

Or so I thought…

The tiny preemie soother was still too big for our tiny but mighty princess. But it helped teach her how to suction.

The tiny preemie soother was still too big for our tiny but mighty princess. But it helped teach her how to suction.

The next day I woke up with the worst pink eye (conjunctivitis) I have ever had. I couldn’t even open my left eye and I could barely see from my right eye. The pain was horrible. And to make things even more “fun”, I had eczema all over my body.

I felt like I was falling apart.

I had to go to the emergency and get treated with an ointment and heavy antibiotics.

It was a nightmare. I couldn’t go see my baby girl. I had to stay away for 5 days to make sure both the eye infection and the skin irritation had cleared.

I can only describe those 5 days as the longest 5 days of my entire life. Staying away felt like torture.

I knew this wasn’t my fault but I still felt guilty not being there for my baby girl. And again I felt completely helpless. I had no control over my body, yet again.

I felt angry and powerless. There were moments where I felt I hated my body for doing all this.

I didn’t want to be sick!

Why was this happening? Why? Why? Why?

Of course at that time, I didn’t have an answer. I couldn’t find a reason. Now, in retrospect, I know that it was my body’s way expressing the pain and sadness I felt.

I cried a lots during those 5 days. It was healing in a way.

One of the worst moments was that Sunday because it was Mother’s Day.

It was so bittersweet because I was spending Mother’s Day with my mom, who was visiting still from Argentina. We hadn’t been together on a Mother’s Day in years. But I wasn’t able to spend my first Mother’s Day as a mom with my baby girl.

That broke my heart.

I was grateful that my mom was able to be there for me and help me get through those 5 horrible days away from my tiny but mighty warrior.

Looking back, I can see the lessons I’ve learned from each moment. I know it sounds very cliche, but I do believe that everything happens for a reason and to teach us something, whether we realize it or not. Or at least that is how I like to look at my life experiences. I try to find the lesson to be had.

I truly believe that those five days that I was forced to stay away from my baby girl allowed me to purge a lot of the pain I had inside. I was putting a lot of effort into keeping it together and staying positive. But there were negative emotions that I needed to acknowledge and let go off, whether I like it or not. Whether I wanted to or not.

Once again  I realized I had to allow myself to be vulnerable. I had to surrender all control and embrace the present, no matter what. Even if that present meant having bad pink eye and nasty eczema.

This would be my hardest lesson to learn.
It would take a few tries until I got it…

Finally after 5 long days, I was able to go see my baby girl.

I was beyond excited. I remember noticing she had gotten a bit bigger. She looked more beautiful than ever.

It was time for cuddles with my baby girl. It was also time to get used to kangaroo care cuddles with the tube. That would require moving in very slow motion and using lots of tape.

The nurses would place baby girl on my chest and then tape her tube below my shoulder area in the right angle. I was not to make any sudden moves as this could cause her to extubate. Meaning her tube could come out or it could pull too hard and either of those things could damage her airway. Not to mention extubation could cause her to desat – which is desaturation or low blood oxygen concentration.

I still remember that first cuddle with her being intubated.

I loved having my baby girl on my chest again. I had missed her so much. I was so grateful to hold her again. But I was also hyper aware of the tube that was coming from her tiny airway and was taped to me.

I tried to relax and concentrate on baby girl. But I never fully relaxed. I was still too scared of pulling her tube.

I didn’t want this fear to take away from my cuddles with baby girl so I tried hard to focus on her and on breathing. This helped me relax a bit more and not be so paranoid.

I realized afterwards how tense I had been when I felt how sore my neck and chest muscles were… I would get better at it as time went by.

For now all that mattered was that my baby girl was well and I was holding her.

Cuddles at last.

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My little bliss moment would last just that, a brief moment.

The doctors would approach us to discuss her PDA ligation surgery.

I had completely forgotten about that. About her open valve. About the fact that if it still hadn’t closed she would require surgery. Minor surgery, but that didn’t make it less scary.

Yet there was the hope that the PDA ligation surgery would help her lungs breathe on their own again, without having to be intubated and on  vent.

I remember the nurses telling us that having a preemie baby is a roller coaster ride, because of all the ups and downs. Funny I had always loved roller coasters. I always thought they were exciting and fun.

I didn’t like this roller coaster at all.

But once again we stayed positive and hoped the ibuprofen and caffeine treatments would work.

We hoped. We waited.

The treatments did not work. They would have to do the surgery.

On May 25 we celebrated baby girl’s first month with us. She was now 980 grams – 2.17 pounds. We felt so lucky to have her in our lives. So grateful to be her mom and dad.

On May 27 at 10 am was baby girl’s PDA ligation surgery.

I was at the NICU with baby girl very early that morning.

A few minutes before 10 am we met with the surgeon and the anesthesiologist. They explained to us step by step what would happen. They were relaxed and confident. Two lovely ladies that reassured us and gave us a feeling of trust.

We were with baby girl while they were setting up the room for surgery, right up until the very last minute when we had to leave the so that the anesthesiologist could start.

But still, the thought of my baby girl going under general anesthesia – which I learned then is actually a medically induced coma – was extremely frightening.

Her surgery lasted 20 terrifying minutes. 

But as soon as we saw the surgeon come into the waiting room with a smile we knew our baby girl was alright.

Everything had gone as planned. This roller coaster ride was over. For now.

We went see our baby girl.

She was still groggy from the anesthesia. She was a bit puffy which made her look chubbier. She had a bandage covering the incision.

There would be a scar below her left shoulder.

I put my hands in the incubator and hovered them over her. I held her hand. I wanted to make sure she felt all our love during this healing time.

I remember thinking how much she had gone through in just a month of life – extremely premature birth, intubation and now surgery.

She had already spent a month and 2 days hospitalized in the NICU.

I hadn’t gone through half as much in my entire life…

What a tiny, mighty warrior my baby girl was. I was so proud of her.

Her will to live was powerful. I though about how much she must love life.

She fought hard to be here.

She was so resilient.

She was such an inspiration.

Tiny but mighty. No doubt.