Friday, February 21, 2014

"The Ablation" (12/4/13)

It was the morning of Wednesday December 4th and Kevin and I were getting ready to head back to the hospital for my surgery.  We had to be there by 7:30 am to get prepped for a 9 am surgery.  Upon arrival, they had me change into a hospital gown and compression stockings.  The nurses were hooking me up to everything and putting an IV in me.  Kevin and I just sat there in silence as the commotion was happening around us.  The ‘unknown’ of what the outcome was going to be like was hovering over us.  I am sure Kevin was not only worried about his sons, but he was worried about me as well.  My babies were my ONLY concern that morning.

They wheeled me into the room where I would recover and I started to meet all of the nurses and surgical techs that would be in the O.R. with me.  They tried to distract me by asking questions unrelated to children but that didn’t really help.  They told me that the sedation that they were going to give me would allow me to possibly hear what the Doctors are saying as they were ‘Mapping’ out my placenta.  They said that the Doctors use funny words to name each vessel so I shouldn’t be confused when I hear all the jibber jabber from them.

 After a while, we were ready to be wheeled in to the O.R.  Kevin would sit out in the waiting room and a nurse would come out occasionally to update him on the surgery.  I was holding Kevin’s hand as they started wheeling me away and I started to cry.  I was nervous about what was about to transpire in the next few hours.  Once in the O.R., the anesthesiologist gave me the medicine and I was out.  I didn’t hear or feel anything during the whole surgery.  When I started to come to, I asked for more medicine since I was waking up.  They said they were finishing up so I wasn’t to have any more.  After I heard they were done I hesitated in fear of what the answer could be, but I asked, “How are my boys?”  The Doctor hesitated as well and said that they would go talk to Kevin about it but that my boys are ‘still in there’.  What did that mean?  What happened during this surgery?

They wheeled me back in to the recovery room.  I had the chills so I was shaking like crazy.  After a couple minutes, Kevin and Dr. Lim came in and stood on either side of me.  Kevin had tears in his eyes as he grabbed my hand.  I was so confused.  If my babies were still alive then why was he crying? Dr. Lim began to tell me that the surgery was unsuccessful.  Some of the arterial venus connections in the placenta were too big for the equipment they had.  The doctors had never seen vessels that big before and because of their size, the utensil they would normally use to wrap around the vessels to cauterize them could not fit around these large vessels.  And for this type of surgery, they would have to get all of the vessels and not just some.  So all in all, the surgery did not work, my babies still had Twin to Twin, and now my uterus was irritated from the surgery and preterm labor was still a major risk. 
           
Since Colin had so much fluid in his sac, when the doctors punctured my uterus with the scope during the surgery, a lot of his amniotic fluid leaked in to my body and my body was just going to absorb it.  They told me that I might have shoulder pain in the next day or so due to that amniotic fluid in my system.  And because a lot of his fluid was no longer in his sac, I was still pregnant but I was significantly smaller in the belly.  The weekend before we got diagnosed, Kevin said that it seemed I had gotten pregnant over night because I grew significantly.  My belly also became very hard and it hurt to push on it.  We obviously didn’t know it at the time but that was because of the overwhelming amount of fluid surrounding Colin.
           

After my one-hour recovery was done, the transport team came to put me in an ambulance to take me down the road to University Hospital of Cincinnati.  There, I would be monitored for preterm labor in their Labor and Delivery unit.  As I was leaving, the nurses told me “Two more weeks! You just need to be pregnant for at least two more weeks.”  If I could make it to 27 weeks gestational age, that would give my boys a much better chance at life.  Once again the Unknown was staring us in the face.

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