Gentle Calm

I wrote in my last blog entry that I wasn’t worried about the odd things that started happening near the end of my pregnancy. I was in good hands, being watched carefully. I was at the weekly check-up point. Everything was okay.

EERRRT, Hindsight yelled. Wrong answer.

Things change quickly in pregnancy. And it’s hard to see the bigger picture when you’re measuring day-to-day. Over and above that fact, my body doesn’t play by the rules.

So, at thirty-nine weeks pregnant, I drove myself thirty minutes down the highway for my prenatal appointment. I waddled into the office, a little out of breath and a lot exhausted. We discovered another five pounds in water weight when the nurse weighed me. My feet were white Shrek feet. My blood pressure was high.

My doctor was very calm. She didn’t tell me what the blood pressure numbers were, and I didn’t think to ask. She simply told me that I needed to go to the hospital straight away. Her voice was even and soothing when she explained that the nurses would check the baby with a non-stress test, and the on-duty OBGYN would check my cervix and decide whether or not to admit me and induce.

With a smile, she said I would more than likely be a mom in the next few days.

The receptionist offered to walk me to the hospital, but I didn’t want to leave my car in the wrong parking lot, so I drove. She told me later that she was really worried about me and the baby.

But when you’re that sick, people do everything possible to keep you from freaking out. Soft and gentle tones and facial expressions are a must for everyone with high blood pressure.

They were expecting me in the maternity ward. After they got me settled into a comfy green gown and onto an exam bed for the non-stress test, I called Tim. I was eerily calm myself, though only as a reflection of what I’d seen so far.

The baby was still doing great – no worries there. I was admitted into the only single room on the ward. In case you’re wondering, that is not a good sign, but I didn’t know it at the time. The single room happened to be right next to the nurse station.

They were monitoring my blood pressure every thirty minutes. Again, the nurses didn’t tell me how high it was, and I was too stunned to ask. The OBGYN decided to induce. He told me that it would be a long process, so it was okay for Tim to finish his day at work, pack our overnight bag (yes, I was unprepared), and then drive to the hospital.

When he got there, he saw the numbers on the blood pressure machine. 199 / 119 (with medication).

No wonder people were worried! Normal blood pressure is below 120 / 80, and hypertension is defined as blood pressure consistently higher than 140 / 90.

Preeclampsia is a serious complication that can result in the death of the mother and child. It can only be cured by giving birth. The good news: the baby was developed enough to make this a very attractive option. If I was diagnosed with preeclampsia before the baby was ready to survive outside of my uterus, we might have had to wait.

Also under the category of good news: I have no doubt that I would have died, maybe my baby too, if we weren’t in a hospital. As little as eight-five years ago, we also probably would have died.

What happened in the next few days is a blur, but I’ve pieced it together with some help.

The Downside of Health

I get a little nervous every time my heart skips a beat.

When I’m just sitting at my desk and my heart starts acting wonky like it did the other day, I start thinking about the worst case scenario.

What if my heart is messed up again? What if the fix was only temporary and not effective anymore?

If I knew that I was going to be sick again in a year or two I would live a bit differently.

I would go to Ireland this summer to see where my grandpa’s family came from. Then I would fly over to France, Spain, Italy, Switzerland, and other cool countries in the area.

I would push myself harder on the treadmill, get to a run faster.

I would get a tattoo of a heart somewhere on my body. Maybe I should do that one anyway.

If I thought my sickness would kill me, I would quit my job to spend every day with my daughter, and my husband would hear cheesy love proclamations twice a day. Why can’t I do that now?

Knowing how hard it was to think when my heart was sick, I would get off my ass and re-write my second novel. I shouldn’t need the fear of losing my wits to do that. But I would be less afraid of looking like an idiot, and more afraid of losing my chance.

Here’s the thing: I could get sick again. It might not even be my heart next time. In fact, I will get sick eventually and die. But I’m feeling a little complacent these days. I’ve lost the edge that came with finally being healthy. Health is expected now, just two years after maybe never being healthy again.

Face It, Kiddo

Can you give up on anything if you’re still alive?

That girl who sang in the shower couldn’t sleep at night unless the ideas that had filled her head all day were on paper. That woman who woke up in the hospital hadn’t written more than a grocery list in years.

I had given up on my dream; my way of understanding the universe. Partly because writing had become really hard for me and mostly because I lost confidence.

There comes a point, at least I thought so for a few years, when you have to face reality. I finished a novel when I was sick, dressed it up and sent it out into the world. Not surprisingly, it was rejected. The feedback I got was disheartening.

“I just don’t love it enough.”

Vague and brutal. Obviously I missed the mark. Unfortunately, I was too stupid to figure out what the mark was, and after a few more rejections, I gave up. I knew the novel had to be re-written, but I didn’t think I could do it. I said to myself:

It’s gone.

You’re not that person anymore.

You might never be well enough to get it again.

And I started to believe those things. Really, I could barely think straight most days, so it made sense. I thought I had reached ‘face time’. As in, time to face the facts, kiddo. Grow up, start a career, get serious. Time to stop dreaming.

But life isn’t linear like many novels. Life is marvelous and unexpected and beautiful.

My life zig-zags and loops back, and at one point it was a series of random dashes. Writing was a myth when I didn’t have the brain power to create a clear sentence.

I’m slowly gathering the courage that I need to face the myth, because I won’t truly give up until I’m dead.

Are you there sorrow? It's me, Jenn

When I was diagnosed with cardiomyopathy, Dr. Heart told me I had a thirty-three per cent chance of getting better, a thirty-three per cent chance of staying the same, and a thirty-three per cent chance of getting worse.

That left me with a good chance I wouldn’t have a strong enough heart to ever get pregnant. Hearts in pregnant bodies have to work harder than other hearts.

I stared at the glow-in-the-dark hands of my biological clock for about four months before writing this diary entry:

1:50 am – I am struggling with the possibility that my heart will never be able to handle pregnancy.

The waiting list for adoption is long. Baby = forever; five-year-old = five year wait.

Adopting a child from another country costs at least $25,000 - more than the down payment of our house. We’ll never have that kind of money.

1:54 am – I have to brace myself for the possibility that my heart cannot handle pregnancy. Otherwise, I might break down.

I am rigid. I wonder if this is related to my heart condition. I wonder if everything is somehow connected to my heart.

Tim’s right… this is ridiculous. I can’t use the limited information that I have about my body to hold myself hostage. There is still life to live. It’s not about waiting for test results. But it’s hard to ignore that flashing red light.

I’ve been cautious ever since the episode of ‘vertigo’ in the shower. This has possibly saved my life countless times. My body was systematically shutting down to stay safe. Survival instinct kicked in, stopped me from feeling too much and realising too much stress, because my heart is bogged down by stress.

In the end, my fail-safe will be total shut down.

Can death possibly be a survival mechanism?

One Lifetime

I could have died.

Would have died if I was born only eighty-one years earlier. Maybe even fifty years sooner. The technology to diagnose my problem was invented in 1924. One of the medications that saved me was released to the public in 1958.

It would have been a slow and painful death. I would have spent my last months feeling terrified and alone and depressed.

And if I had died from the sickness that had eluded doctors for so long, I would have missed my chance at coming close to death again.

Knock knock.

Who’s there?

You know who it is.

It’s weird. All the time I was sick, I never once thought about dying until I was properly diagnosed. It didn’t feel like that kind of illness. Plus, I was stuck on the MS possibility for a while.

So, I could have died. It’s something I think about before I fall asleep some nights. Sometimes, on those nights, I have nightmares - not necessarily about death, but about situations that fill me with anxiety. Fear dreams. Big fears.

The truth is, given the technology that exists today, and the level of care available, the only danger of death would have been going for a few more years without diagnosis. I was much more likely to have died shortly after I was welcomed back to Healthy Town. (I’ll get to that later.)

But if I was born eighty-one years earlier, I would have died for sure.

It sounds like a long time ago, if you don’t consider how long the earth has been around, or how long we live these days. One lifetime makes a huge difference.

Makes me wonder what my children will see in their lifetime.

Cure for all cancers? At least breast cancer. Cure for AIDS? A vaccine for HIV is in the works. Cure for MS? Possibly. Gene manipulation to avoid progressive disease completely, before symptoms can even appear? I think so.