Sunday, March 22, 2015

"A Tearful Goodbye - Part 2".....Continued

I woke up hoping that everything that has been happening was just a nightmare.  It wasn’t.  I was living in some sort of hell right now.  I saw my mom.  She was awake and was talking to Pam, who was now Nathan’s Nurse.  Apparently I slept through shift change.  I got up and went over to Nathan to check on him and he was still there and almost everything was the same.

I opened the sliding glass door as to not disturb Kevin and I sat by my mom.  I just gazed at his monitor for a few moments, buried my head in my hands and began to cry.  Nathan’s heart rate was going down.  It was around 102.  When I went to sleep it was in the 130’s/140’s.  It was going down slowly but it was still going down.  His body was starting to shut down and for the millionth time, I couldn’t believe this was happening.   His heart was getting tired.

With knowing that my time with Nathan was very short, I didn’t want to waste any time away from him pumping.  I knew there was no point in pumping anymore but I couldn’t just quit cold turkey.  So I ended up rolling the pump into his room and pumping right next to him so I could still watch him and touch him.  We ended up requesting a lactation consultant to come in to tell me how I can wean myself off of pumping.  A little bit later, a lady came in to his bedside and talked me through the best way to quit.  It looked like I would have to take my pump home with me.  That was very depressing for me.  Here I am, having to pump my milk and there will be no baby to reap the benefits of it.  There are so many mothers out there who want to breastfeed but can’t because their milk dried up or they never produced enough and then there is me, who can produce enough, but my babies aren’t able to have it. 

Hours and hours went by and I just continued to sit by Nathan.  I would play him the calm meditation music from Pandora like I always did while we were doing skin-to-skin.  That is our music.  That is Nathan and Mom’s special station.  It was relaxing and calming and I think we both needed that right now.  I also would sing to him and there was one song that was hard to get through because of the words.  The words never meant so much to me as they did in this moment.  I sat and sang:







       "You are my Sunshine
My only Sunshine.
You make me Happy
When Skies are grey!
You’ll never know dear
How much I love you.
So please don’t take
My Sunshine Away!"









Nathan was my Sunshine and he was going to be taken away from us.  I couldn’t get through that song without starting to cry.  Many tears would drip on to his incubator as I had my face planted up against it.  Other than my hands, that was as close as I could get to him.  I was glad that they decided the day before that Kevin and I didn’t have to gown and glove when around Nathan.  The nurses did but since we were in our last hours with him, there was no point for us to and we could be full skin-to-skin contact with him (with our hands at least).  I had to be touching him.  There was something inside me that made me feel like he needed someone to be touching him at all times so he knew that he wasn't alone.  I needed him to know that his mom and dad were right there beside him and were not going anywhere.  I can't explain it, but it was like I felt sick to my stomach if I wasn't touching him.  

I talked to Nathan constantly.  I kept telling him with tears streaming down my face, “I promise we’re not mad at you.  We know you want to go play with your brother.  You do what you need to do and we will love you no matter what.  It’s okay.  Your brother wants to be with you again.  Grandma and Colin are up there waiting for you.  When you get there, give them a big hug for me.”  I just kept reiterating that we weren’t mad at him.  I didn’t want him to think we were upset at him by any means.  I wanted him to know that it was okay to let go. His pain needed to end and we understood that.  I felt that it was important for both Nathan to hear those words coming from his Mom and for me to say them out loud.  I didn’t want Nathan to die thinking that his dad and I were mad at him for leaving.  He needed to know that we would love him unconditionally forever.

It was early afternoon.  I ran to the restroom real quick and when I got out, I ran into my Father-in-Law.  Kevin called him to come once he heard that Nathan was a matter of hours.  We walked back to Nathans room.  He said ‘Hi’ to my mom and gave Kevin a big hug, and then went over to see his grandson.  I am glad that Kevin had his Dad there for extra support.

As the clock decided to keep ticking on, Nathan’s heart was ticking slower and slower.  It was now under 100.  I think we were doing his 3 or 4 o’clock care with Pam when I came to the realization that I might never get to hold Nathan alive again.  Kevin was standing right next to me with his hand on my back and I asked Pam, “What would happen if I held him?”  She obviously couldn’t give me a definite answer but she said that it could definitely be something that I could do.  I continued to ask her, “Is there a possibility that I could hold him for an hour, he do fine, and then put him back in his incubator?”  She said that it was possible.  I went back and forth with the idea.  I wanted to hold him one last time, but I didn’t want to be selfish if it was going to be bad for him.  Kevin said to me that if I wanted to hold him than I should hold him.  I just couldn’t stand the thought that if I held him and he died that it would be because of me.  I knew it was a possibility that he would die in my arms just like his brother did, but that tiny bit of hope inside me was hoping that a miracle would still happen.  If I held him and he died, would I have ruined Nathan’s chance for a miracle to happen?

Pam ended up going to get Dr. Valentine.  I asked her what she though about the idea of holding him.  She thought it was a fantastic idea.  She thought that Nathan would really enjoy being with him mom right now and feeling my heartbeat.  She reassured me that it can only be good for him at this point to feel the warmth of his mothers arms and in the off chance he did pass, then he would of passed in the arms of the person who loved him most.  It still took me asking a few more times and feeling in my heart that it was a good idea.  Kevin kept telling me that I should do it and that Nathan would want me to hold him.

I ended up agreeing to do it, knowing what could happen but hoping that it wouldn’t.  It didn’t happen right away because they had to go get the respiratory therapist and get everything situated.  As we were waiting, I asked if we could take his IV out of his head.  Pam wasn’t so sure about that because what if we needed it?  I guess in my heart of hearts, I knew that we wouldn’t be needing that IV for much longer and I didn’t want Nathan to pass with all that hardware coming out of his head because once he passed, they wouldn’t be able to take it out.  So I pretty much insisted that they take it out before I hold him, and they did.

It was around 5:00 or a little after, and I started to get in position to hold Nathan.  I sat in the recliner and anticipated the coming moments.  Everyone gathered around to be there to support me.  They lifted him out of the only bed he had ever known, and set him on my chest.  They ended up turning his main monitor off but could still watch his numbers from the other room.  That way, I wouldn’t be so consumed with his numbers and just enjoy the moment with him.

I held him, I squeezed him, I kissed him, I loved him.  My baby was in my arms alive for one last time.  After a few minutes went by, Dr. Valentine came over and checked his heartbeat.  All she could hear was the pulse of the ventilator.  Nathan was gone.  He was now reunited with Colin and although that gave me little comfort, I started to cry hysterically. My heart literally shattered into a million pieces in that moment.   This was the second time my child has died in my arms and it doesn’t get easier the more times you do it, I can tell you that.  There is not anything in the world that can prepare you for that kind of hurt and I don’t think there is anything worse in the world than loosing your own child, and in my case, children.   It’s torture.  Pure torture.  How is my heart going to heal from something like this? 

This nightmare is never ending.  Where was I going to go from here?  How do I recover from something like this?  How do I go on living my life when my two babies can’t live theirs?  I couldn’t answer these questions.  I didn’t think my heart could handle this kind of pain.

Kim, the Fellow, came over while I was holding his lifeless body and took out his tube and started to take off any other wire that was attached to him.  I then continued to hold my baby in my arms and cry.  I was hoping that the first time I held him without any tubes or wires on him would be when he was grown and ready to go home to Columbus. 

I would whisper in his ear, “It’s okay that you left.  I love you more than you will ever know and I am not mad at you for leaving.  I will miss you so much.  I love you. *kiss*  I love you. *kiss*  I love you. *kiss*”

I could have stayed like that forever because I knew as soon as I got up, the sooner we would leave the hospital and not come back the next day.  Eventually, Kevin said something and I got up to start the goodbye process all over again.  Just like Colin, I wanted to give Nathan a sponge bath, get his hand and footprints and get a few last pictures.  Pam went and got a rolling crib so I could bathe him in that.  I tried to wash off all the goo that was protecting his blisters and any blood that may have resulted in taking out the tubes.  Because of Nathan’s edema, I decided to not get ‘professional’ pictures taken like we did for Colin, because you couldn’t even position him.  His arms just laid flat.  You couldn’t bend them at all.  And I was lucky enough to have many good days with him when he was wide awake and lively and I have a ton of great pictures of him when he was alive that I didn’t feel the need to take any pictures of him in this state.

After all that was completed, we all got one last picture holding Nathan.  My mom and father-in-law got to say their goodbyes and then it was Kevin’s turn.  Kevin was such a wonderful husband for letting me to skin-to-skin with Nathan as many times as I did, but I am glad he got to hold him that one time while he was alive.  He didn’t get that chance with Colin.  Kevin knew how much it meant to me to hold our babies and he gave me that gift of knowing that each of them were in my arms and alive at some point.   

Jonda, who was scheduled to be Nathan’s night nurse, was there.  It was already 7 pm.  I asked her to tell Meaghann (Nathan’s Favorite Nurse) how much we loved her and to thank her for all she did.  Jonda was actually texting Meaghan so she gave me her phone.  While Kevin was holding Nathan, I was texting Meaghan.  I told her how much she meant to us and that she would never be forgotten.  She really was Nathan and our favorite nurse and we couldn’t thank her enough for all she did for our family.

After Kevin was done holding him, I took him back and sat with Nathan cradled in my arms. I couldn’t fathom the thought of walking away.  The same thing happened with Colin.  It was the hardest thing to give his body up and walk away and to never see him again other than in pictures.  I stood up and just as I stood up, Molly, who was Nathan’s nurse many times, came walking back into isolation with tears streaming down her face.  “What a precious, sweet soul,” she said as she stroked his forehead.  She then gave me a huge hug.  His death affected many people and not just Kevin and myself.  Molly told me what a pleasure it was taking care of Nathan and to see such a loving couple be his parents.  They unfortunately don’t see the kind of family that we are in that NICU very much. 

I told the nurses that they could throw away all my breast milk that was being stored in the freezer for Nathan.  I knew that if I wanted to donate the milk so other babies could get it, then I would have to do all this blood work and testing first and I didn’t feel like sticking around Cincinnati any more. 

As much as it hurt to walk away from him, it was time to say our final Goodbye to Nathan.  I couldn’t stay there forever holding him even though I seriously could have.  I gave my son one last final kiss and a big squeeze and handed him off to Jonda.  She held him just as if he was a real live baby.  She told me, “Nathan and I are just going to sit here and do some paperwork for a little while.”  That made me feel good that she was going to ‘hang out’ with him and not just toss him to the side.  I know his soul was gone but I really needed to know that they were going to treat his body with respect.  The Social worker had already come while I was holding Nathan and Kevin took care of everything.  He already knew we were getting him cremated, just like his brother, so there wasn’t anything to discuss with me.  He let me have my time with our son.

With each step out of the isolation rooms my heart got heavier and heavier.  I was never going to see my son, or hold him, or kiss him ever again.  But I would still continue to love him forever. Walking out into the main area of the NICU, I saw many people whose lives Nathan had touched.  Holly, one of his nurses, came over and gave me a big hug.  I thanked her for taking care of him and she responded, “It was my absolute pleasure.”  She than told me that she wants to see me again someday and bring our other children in to say hello.  That is something we could definitely do.

Another hug came from Alicia.  She was the Labor and Delivery nurse who tripped over the cords to my contraction monitor my first night in the hospital.  Since she had lost one of her twins, she knew what I was going through.  Then I looked over at the desk and there was Kim.  We walked towards each other and gave a big hug.  I said, “You have been there from the beginning.  Thank you for doing all you could for my boys.”  Kim was the Fellow that came into our hospital room the day of the ablation and told us what to expect if Colin and Nathan were born at that gestational age.  And then she was there for Nathan’s passing and everything in between.  I guess you could say she was our constant through our whole journey.  She told us that we were a lovely family and that she wished only the best for us.  

We walked out, one last time.  We weren’t going to return the next morning to see Nathan in his incubator.  We weren’t going to scrub our hands before entering and then sign in at the counter.  We were done.  Our story in the NICU was over.  The NICU can bring some awful moments, which we have just experienced again, but it also brought us so much joy.  If it weren’t for the NICU, I would never have gotten to spend time with my sons and gotten to know their personalities.  It was the only home they ever knew.  They never got to feel the warmth of the sun on their face, or the wind blowing through their peach fuzz, but they did get to experience wonderful care from all the Doctors and Nurses who took care of them and for that, we are eternally grateful.

The walk out of the hospital was silent.  Going down the elevator, one last time, through the hospital lobby and out the hospital doors, one last time.  I was defeated.  My face said it all.  A blank stare was all the emotion I could muster up at that point.  I was completely numb and not just because it was 5 degrees outside.

We gave my Father-in-law a hug in the parking garage and said our Goodbyes.  He was going to drive back to Canfield that night and my mom was going to drive back to Westerville.  But she had to get her stuff back at the RMH so we both drove back to the RMH.

Once we got to our room, I had texted my friends Sarah, Brittany and Nikki that wrote, “Nathan just passed away.”  Sarah called me right away and she was sobbing on the other end.  She said she was so sorry and that she thought she was really going to meet him someday.  I gave her a brief version of what happened and then we hung up.  She probably could barely understand me because I was crying.  To have my friend who had never even met him be crying that hard over his death really touched me.  She is such a wonderful friend.

By the time I got off the phone, my mom was all packed.  She looked at me from across the room and started crying. “Can I give you a hug?” she asked.   She just couldn’t believe she witnessed her daughter saying goodbye to her child for a second time.  Other than Kevin, my mom had been my second rock through this whole thing.  She gave up her life to be down in Cincinnati when I needed her.  I am not shocked because I now know the power of a mothers love and I would have done anything for my children so she was right there when I needed her, no questions asked.

We had a tearful goodbye with her and she was on her way back to Columbus.  Kevin wanted to leave that night as well but I just couldn’t.  All I wanted to do was sleep and since I knew there was a whole checkout process that included cleaning the room and taking out the trash, I just didn’t want to deal with that and have to pack all our stuff that night.

While Kevin took a shower, I ended up packing up all my clothes.  I know I said I didn’t want to but I needed to do something.  Then I took a hot shower and cried the entire time.  I just kept re-living the moment over and over again in my head as the water beat down on my face.  I couldn’t think about anything else.

It was time to sleep.  I curled up next to Kevin, his arms around me, and I cried hysterically.  We lost them: both of them.  That was my fear from the very beginning and so many people said it wouldn’t happen to us, but it did.  In the past 27 days, I delivered 2 beautiful babies into this world and then they were both ripped from my arms before I knew it.  I cried myself to sleep that night and dreamt of my beautiful babies up in Heaven.  Brothers were now together again and I missed them more than words can describe.  Nathan touched so many lives in his 27 days here on earth, and just like his brother, he had my heart. 

Both my boys were now Angel Babies and they are the most loved Angel Babies up in Heaven.



                                                            Nathan Daniel Kane
                                                    December 12, 2013 - 3:13pm
                                                                         -
                                                       January 7, 2014 - 5:15pm
                                                    1 lb 2.5 oz - 12.6 inches long

                                               Beloved Son, Grandson and Brother

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