Today is a special anniversary, it’s the anniversary of hope and grace. Yesterday was the anniversary of the worst day of my life. And Tuesday was Dierks 1st birthday and Simons 6th birthday. It was a blissful, beautiful day. Such a blessing! Thank you St Padre Pio, thank you Mary, thank you Jesus!
Dierks first year has been the best of my life. There has never been a more loved baby I’m convinced. He has seen the ocean and mountains this year, and in a way, I have for the first time as well. Senses are heightened, blessings are counted.
I mentioned in my last post that I have a baby journal for each of my kids, where I read to them their birth story on their birthday. I read Simons to him on Tuesday, and realized that not only do I not have a physical journal for Dierks, I have never documented his birth story to read to him someday. I’m sure he’ll hear ALL about it plenty, but still. It’s tradition!
This blog has in large part served as Dierks’ journal, so might as well document his birth story here as well.
I should also tell you, Chris created this website a year ago, a few days after we arrived at Childrens Mercy. We discussed doing a caring bridge site or something to communicate with everyone who cared about us and Dierks, people wanted to help and to know what was happening. I however, was reluctant. I told Chris it was risky, if we start a site, it means there is a future, there needed to be updates and developments to share. Would there be? Or was this all ending at any moment? I was so scared that we were going to lose this baby and I wasn’t ready to create a website in his name that may never be used.
But he did it anyways, and here we are, one year later. This blog was a great communicator, and therapeutic for me. Thank you for reading it and supporting us.
Dierks’ birth story
I was thirty-five weeks and four days pregnant with you. We were at Simon’s fifth birthday party at Nick and Joni’s pool. You were my sixth pregnancy, so I was experiencing Braxton Hicks contractions a lot, but they were starting to feel more intense. My blood pressure had also been somewhat high in recent weeks, enough I had been monitored after an appointment earlier that week after a standard visit. My doctor had also checked to see the position you were in just the day before, we were all disappointed to learn you were still head up, or breach. I was 35 weeks, so you still had time to flip, so we thought.
As the birthday party ended I started to feel strange and I had a headache, so I decided we should stop by Walgreens on the way home to get my blood pressure checked. It was high. Wish I could remember the number but it wasn’t too high to be an emergency, but the nurse said I should come in to be watched and make sure you were handling my contractions ok.
All your siblings were born a couple days late, so I never considered you arriving this early. But as your Dad and I got in the car to go to the hospital, bags in tow, I knew that another spike in blood pressure would mean they were probably going to want to deliver. “Simon may have to share his birthday”, I remember saying.
At this point, I started to get excited to meet you, and I never worried about a problem. In retrospect, there were other discrepancies between this pregnancy and others. I had extremely swollen feet, all the time. I also felt you kick a lot from 18-28 weeks and can pretty much pinpoint when I started to swell and not feel you kick as much. I even told my doctor, but we assumed it was the placenta cushioning your kicks and the swollen feet were blamed on summer weather and me being on my feet constantly. I never worried there was a problem.
Once at the hospital, I was hooked up to the monitors, the doctors could see that your heart rate was a steady line, without variance, which seemed a little concerning to them. When I contracted, your heart rate decelerated, which they really didn’t like. This had been the case with Mac, and I delivered him quickly with no issue, so I never worried there was a problem.
We had already planned on doing external cephalic version (EVC) the following week to force you head down, which I did with Ralphie at 36 weeks. I really thought you just hadn’t flipped yet like the other kids who were late flippers. The specialist came in and broke the news to me that the baby did not seem to be handling things well as it was, and she did not want to proceed with the risks of forcing the baby head down. She recommended a c-section. I was devastated. I don’t need to go into the pity party I had for myself for the next hour or so, but you can understand my disappointment after 5 natural births. Ultimately, I trusted my doctor. She even made a light hearted joke that now I can officially say I’ve done it all when it comes to child bearing. It surprised me though when she said she wanted to deliver right away. What’s the rush? Could we wait a few hours to give the baby its own birthday? She said she doesn’t like what she is seeing on the monitor. She used the analogy of us being in a canoe, and the waters are starting to move fast and we’re entering the rapids. She said the waterfall is up ahead and while we could try and paddle our way backwards, she wanted us out of the river safely. I trusted her. Even after this conversation, I never thought there was a problem.
They dressed your Dad up in scrubs and wheeled me into the OR. In the waiting room was all our family, including your siblings. Everything went smoothly with the c-section, they pulled you out, your Dad exclaimed “it’s a boy!” William Dierks Underwood. I was surprised! I really thought you were a girl and that’s why my pregnancy was so different. After you were born at 7:09pm—the nurse brought you over to me. You were beautiful, lots of blonde hair! You had unusual bruising, and the nursing staff asked if any of our other children had the same markings at birth. I said no. They said they had to take you to the NICU, it was standard for pre-term babies. I was disappointed to not have you in my arms doing skin to skin, but I never worried there was a problem.
Your Dad went to the waiting room to share the news with our waiting family. Everyone cheered and the kids were so happy, even Betsy. 😉
This time though, it was different, awkward feeling. Everyone came back to see me and give hugs, but you weren’t there to cry tears of joy over. I remember many times asking the nurses when can you bring him back? What is the standard protocol for the obligatory NICU visit?
I don’t really remember the time in the hospital after all our family left, it’s very blurry.
I do know the medical team took you to the NICU to investigate the bruising, where initial bloodwork revealed that your blood platelets were low. They mentioned to us when we visited you in the NICU later that night that they were going to do a CT scan. They were calm, so I was calm.
On the afternoon of August 14th, your dad and I were in my Saint Luke’s hospital room, still waiting for you. Instead, the NICU doctor knocked on the door and said she had the results of the scan. Unfortunately, it showed that our son had a very serious brain bleed. He would need to be transferred to Children’s Mercy, where he would have access to a number of specialists. Your dad and I looked at each other, in shock. It was one of those moments that felt like a nightmare and I was hoping I’d wake up soon. There was no question now, there was a problem with our precious newborn.
We asked to see you. She said yes but they were already getting you ready to go so we could go now before you leave via ambulance. No, we could not ride with you.
Your dad wheeled me down the hall in a wheelchair to the NICU, I don’t think we spoke. He called my mom (Mimi) and just said, “Come now.”
We held you, we talked to you, we cried over you. Mimi was there hugging me from behind, my good friend and your pediatrician Kelsey showed up at this time as well.
I was upset we couldn’t ride in the ambulance but didn’t even consider not going to Children’s Mercy with you. My doctor knew me well enough to know I was going where my baby was. She and my nurse essentially let me sneak out of the hospital. I learned later all the risks and complications this caused, and that often times doctors do not let the mom leave to accompany their sick baby to CMH. This is something you’ll hear more about from me someday. There is no reason that should happen to any mother when CMH is full of amazing doctors and nurses who can also monitor a post delivery mother.
So, me and your dad drove our car to the hospital. I learned my dad (Baba) had already beat us there and was waiting. It was warm and raining that day. I didn’t know at the time but this would be the last time I was outside for 10+ days.
We were checked in and watched a video for orientation. We immediately felt a sense of relief upon arrival. We knew we were surrounded by experts and at the best possible place for you. There was a lot of waiting that first night, the rest of the family was trickling in to see you and give us support. My cousin Caitlin, a NICU nurse there, wasn’t working, but called in to make sure we got the best nurse on the floor that night, our special Irma.
Doctors wanted to do a detailed MRI, so we all waited. Friends were outside saying the rosary. But the test results were grim. The MRI showed the entire right side of your brain had shifted over to make room for the blood. Instead of seeing a symmetrical brain with two sides, it was smushed together on one side. It was a Grade 4 Bleed (scale is 1-4) with blood in multiple parts of the brain, something the doctors remarked they’d never seen. Plus, you were sick. Labored breathing, low blood sugars, high bilirubin, and platelets were extremely low. We wanted there to be surgery, a solution, let’s fix this, let’s save you. The doctors said no, he’s too sick, we need to watch him and wait. They started anti-seizure meds to be safe. They started a number of tests to try and figure out what had caused this to happen. Father Greg came to the hospital and you were baptized with Medjugorje holy water I happened to have in my purse.
This was the worst day ever. We slept a couple hours in an unused patient room, me on a chair due to the c-section surgery. I didn’t care about myself, I didn’t feel pain in my abdomen, it was all in my heart.
The next day is when I will take you to my blog entry on 12.13.18 called Our Miracle Baby, the worst night ever and the day after. It was August 15th, the day when we woke up crying and mourning, but ended the day with rosaries, a rainbow, hope for a miracle, and an overall peaceful feeling. This is what people’s prayers for you did. This, was grace.
To summarize, (for longer details you can always re-read the blog) they did an MRI every few days to watch for hydrocephalus and ensure the bleeding had stopped. They did testing for blood disorders, viruses, genetics, anything and everything to try and treat you and learn what may have caused this. No answers, but you did start to get better. You hated when they took your temperature. Your eyes dilated, you responded to touch and sound and light. After you had multiple blood transfusions, no sign of seizures, no new bleeding, and vitals were better, they decided we could/should do surgery. So on August 29, the neurosurgeon and his team did a washout, or a dime size incision to remove the blood. What a relief that day was.
The surgeon remarked that the blood in your brain had clotted and he could tell it had been there for awhile, indicating the bleed happened sometime in utero, not during childbirth which is more common. If we had tried to flip you as planned, or perhaps a natural childbirth at all, you likely wouldn’t have survived. You were breach, delivered via c-section, and an early arrival, so you’d live. All of this was part of Gods plan. The blood pressure was just the signal to me and my doctor, to get you out safely. I’m so grateful it happened exactly the way it did.
Your birth story is a big part of the miracle that transpired your first year of life. Thank you for teaching me so much in such a short time. Thank you for strengthening my faith and our family. I am so honored God chose me to be your mom. I love you so much my wonder child, everybody’s baby, my Dierksy boy.