Red Vine Spirituality

Taylor K. Arthur balances Bipolar 1 Disorder, marriage, and motherhood with a nitty-gritty faith inspiring a twisted, blissful life.

Tag: Open heart surgery

Dear Mama: So you’re carrying a heart warrior?

. . . the Lord does not see as mortals see; they look on the outward appearance, but the Lord looks on the heart.”
1 Samuel 16:7

Dear scared-out-of-your-mind Mama,

Hi. I first want you to know I am not some over zealous pro-lifer trying to perform Jedi mind tricks on you. I also want you to know that I’m not talking down to you from any moral high ground. I am a mama, and that is it. I am a scarred and broken person who has buried one child the doctors told me was perfectly healthy and now raise the child they deemed terminal at 21 weeks in utero.

I’m hoping you will read this and gain a new perspective other than what the doctors can give you on your “unviable” child. I hope you can believe that this child is more beautiful than the fear you’re filled with, and more concrete than your many impossible-to-answer questions you lay awake at night asking the ceiling and God and Google.

Do you know I would get really desperate in those midnight hours, as Sam kicked in my belly and my head swarmed? Do you know I used to slip out of our bed and tiptoe down the stairs, open up the laptop and type in the search bar, “Is my baby going to live or die?”

Google never gave me anything good. But I can give you my story. And maybe there is some good in it (better than google, anyways.)

I will never forget the moment the cardiologist sat down across from us after Sam’s first echocardiogram. He drew a diagram of a human heart as we sat there listening to his big brother–not quite two–toddle around the room, bump into the exam table, open and close the drawers beneath it.

I will never forget the way he asked me questions about the medications I had taken when Samuel was conceived. I will never forget the blank, ghastly horror that climbed up my throat as I realized we were possibly the 1 in 2,000: me and Sam, the mama who takes Lithium, and the baby who has a heart defect because of it.

He wouldn’t hear an explanation that would satisfy him. He didn’t seem to care if we had tried to do the right thing, that we had researched for years the effects of lithium on an unborn baby, nursing on lithium, the effects of a bipolar mother going off medication while pregnant. He didn’t care that when I was fighting for my life at 25–before pregnancy was even an option for me–that I refused to try another mood stabilizer because if I somehow got pregnant nothing was as safe as lithium for a baby. And he didn’t care that all those years ago, my psychiatrist sternly, desperately tried to break through my depression to reach the part of me that still wanted to live: Taylor, if you are dead, there will be no babies.

“Which doctors were those? Were any of them cardiologists?” This heart doctor’s questions slammed against my heart like a storm against a tossed and sinking sailboat. I could see in his eyes he had decided what kind of mother I was–what kind of person I was–and there would be no changing his opinion. I cradled my face in my hands and started bawling.

Samuel was diagnosed with a very complicated, severe form of Ebstein’s Anomaly along with a pulmonary artery that was not allowing blood to flow through to his lungs and a VSD. He would require a series of surgeries at the beginning of his life, and would be followed by a cardiologist indefinitely.

The next day, at my perinatologist’s office, we were given even more daunting news. My doctor’s voice cracked with the weight of her words, “Your cardiologist asked me to tell you, because time is a factor. He shared the baby’s echo with a panel of cardiologists, and they decided that your baby is, indeed, terminal. We do not expect him to be born alive, and there is a chance that when he goes into heart failure, Taylor, that you will, too.”

The room dissolved around me. Only Jack’s hand interlacing with mine tethered me to this world I could not believe was our family’s reality. My mind filled with images of another tiny, white casket, and could we bury him next to Caleb? And how will we survive this again? And how will Abraham ever be normal, with two brothers in heaven, two graves to visit, two extra birthday cakes, but no brothers to blow out the candles? I could barely see through this hurricane overtaking us.

You see, my friend, Jack and I have already lived the nightmare of leaving a child at the hospital. We have already planned a funeral, designed a gravestone, ordered an autopsy, read the results. I already live with a wound that I pray every day God will fill and heal. After almost 7 years, I have learned to bandage it well so it doesn’t ooze. But it is far from the faded scar I had hoped it would be by now.

My doctor continued, “So, we need to discuss your options.”

All I could think about was the hours of conversations I have had with my friends who have also lost babies. Through the outreach of the TEARS foundation, I have been blessed with these friendships that are unlike any other. We can talk to each other about things we just can’t share with our “normal” friends.

I remembered when Caleb died, I grew so angry at the many instances where people tried to console me by saying, “Well, at least he wasn’t born alive. It’s better this way; you didn’t get to know him.”

When I mustered up the courage, I asked each of my TEARS friends to weigh in on this idea. Each one of them had a baby who lived minutes, days, or months. Each of them responded with the exact same sentiment, almost verbatim. This is what they said to me,

Taylor, I think what you went through was the worst, because after carrying Caleb (we always make certain we use our children’s names) for nine months and delivering him, you never got to look into his eyes, or feel his little hand close around your finger. You never knew him ALIVE this side of heaven. I did, and every moment was precious, no matter how much pain or stress I felt. Nothing can ever take that precious time away from us. We are so grateful we had it, no matter how small a window it was.

I looked up at this kind doctor who shared our tears, and forcefully told her that we didn’t need to hear about “options,” that we were keeping this baby as long as God would allow us to. Through breaking sobs I explained, “We’ve already done one funeral. We know that, I guess. We can do another one if we have to. But this baby has a purpose, and we’re going to let him and God figure out what that is exactly.”

Her face melted in relief, “I am so glad. I believe that every baby has a purpose, too. I just have to, legally, ya know? inform you–”

We left the doctor’s office that day without any idea of what was going to happen. I was supposed to call the office if I started to get sick; that would mean Sam and I were going into heart failure.

Our family gathered at our house. I asked my sister-in-law, Semmelle, in a whisper, “So will we ever have a life again? Will we ever go on another vacation? How are we going to afford this, even if he lives? Especially if he lives? How are we going to manage to care for both children? How are we going to do this? How?”

She stared back at me with tears in her eyes. There was nothing to say; we both knew it.

I am not going to lie, my friend. The next sixteen weeks were excruciating. I have never clung to God and my faith in a more real and desperate way. I was scared to be alone, which was incredibly inconvenient considering Jack’s job required extensive travel. I felt a desperate need to cling to my husband. I would go in and sit on his lap, big belly and all, or lay on his office floor while he worked. If I was driving somewhere by myself I would call my cousin Sammie just to hear someone’s voice in the car with me. I became addicted to the violent show, “Criminal Minds,” and watched rerun after rerun until I passed out in bed at night. I threw three parties that summer to find a positive way to channel my nervous energy. Abraham (2)and I spent our days gardening and playing in the back yard. I focused on the beauty of his little face, his little hand reaching for mine. I knelt by his bed and watched him sleep in his bedroom through the midnights. I prayed incessantly, cried, and begged God to give my sweet little boy this brother.

Still, I cherished every minute that Sam kicked in my belly. Every morning and every night I awoke and felt him moving, I praised the Lord. As he grew, his prognosis brightened, and we learned that doctors must give an opinion on the viability of your unborn baby before the state’s limit for a medical abortion. In Samuel’s case, his heart looked significantly different by the 25th week when we underwent his next echocardiogram. 25 weeks is 1 week past the legal limit for medical abortions in Washington state.

We didn’t know if Sam would be born alive, even while I was delivering him. I will never forget being wheeled into a new room with a full view of Mt. Rainier. Samuel was born on a bright-blue-sky day in Seattle, the kind of day we hold our breath in anticipation for during the 10 months of clouds and misty rain. The mountain shone against the cloudless sky, and I felt God come close beside me through my hours of waiting in labor. Every time I didn’t know how I would possibly handle one more minute of suspense, my heart was tended to. I felt God’s presence all around me, in every step. He never left my side.

There was a moment during delivery when I couldn’t hear his heart beat on the monitor. A doctor I didn’t know rushed into the room, “Okay, Taylor, your baby’s not tolerating the contractions well. We need to get him out now.” I pushed harder than I thought was humanly possible. The monitor went silent, and I thought he had died. My mind flooded with details of another funeral as I pushed, pushed. But, then, moments later, he was born pink and meowing like a kitten. They laid him at my feet as the NICU team rushed in. They weighed him, wrapped him, and handed him to me for a kiss. And then, they carried my brand new beautiful baby boy to the NICU, followed closely by his daddy. I remained behind, hooked up to a magnesium drip that had nearly poisoned me the week before.

Sam and I stayed in different rooms on different floors of the hospital. I had a complete nervous breakdown the night he was born, when we were forced to leave Sam in the NICU because they needed to intubate him. I was wheeled into a tiny recovery room–too small for any mother with a baby in the room with her. A baby cried in the room next to mine as I sat there, alone, wondering if my baby was breathing in the NICU two floors above me. Sam’s birth wasn’t pretty, or easy, or anything I would wish on my worst enemy. But my baby was alive, and I had held him in my arms and felt his breath on my face, the warmth of his little body against mine. And it was worth all of the pain, every moment of pain and uncertainty, just to know my child alive for that moment.

The next two years were filled with agonizing, heart-wrenching periods of waiting, a part-time job’s worth of doctor’s appointments, months of quarantine, five and a half weeks in the hospital, catheterizations, one open heart surgery. I ate too much chocolate and drank chardonnay every night just to stay sane. I sanitized my house constantly, but it was always cluttered.

Giving Sam up for surgery has been the most painful, horrifying part of this entire journey. Friend, please do not underestimate the impact these days of surgery and procedures will have on you. Please do not underestimate the level of stress you will endure, and the long-term impacts of that stress. There is nothing shameful about going to a doctor and asking for help. You may need an anti-depressant or an anti-anxiety medication. You may need something for the day of surgery just to help you make it through. Please: ask. The one time I forgot to ask my doctor for something to help me get through Sam’s surgery was the day of his open-heart. I smoked half a pack of cigarettes instead. The anti-anxiety medication would have been much less stinky! But if you need to smoke on surgery day, I understand. I did.

There were whole months that I cried every day. I never thought I could do this, never thought I was strong enough. I didn’t have a lot of time to pray or read my Bible. All I could do was cry out for help all day long, month in and month out. Many days I woke up and didn’t know how I would manage. Many days, I was so depressed I just wanted to go to sleep and not wake up. I screamed at my husband because there was no one else to scream at. I didn’t manage this as gracefully as some, I’m sure of that.

But we have capitalized on every moment we’ve had with Sam. WE have made a lot of NOW choices for our family. We have taken trips instead of paying down debt, we have camped instead of doing yard work, we have snuggled on the couch instead of doing housework. We have filled the boys’ childhoods with ferry boat trips, days out with Thomas, and cousin camps.

We have lived TODAY, trusting God to worry about tomorrow. And you know what? We have lived a beautiful life, in spite of–but maybe because of–Samuel’s special heart.

Sam is now three. We are in a holding pattern, and I’m recovering my old self. I am working out again, finding time to write, and sometimes cleaning the house (hee, hee.) I am not the same person I was before Samuel entered our lives; I am much, much stronger. I’ve found brave. I choose every day what matters most, what I want my legacy to be, with a deep understanding that my time on this earth and with my kids is limited. And, I know now that there is no end to God’s love and faithfulness, that when I cannot go on for one more minute, He will carry me. And, my friend, He Will Carry You.

Keep this baby for your heart, Mama. Keep this baby because you will never regret the pain and heartache you pour into fighting for your child. You will treasure the minutes or hours or months or years God gives you to carry, love, and fight for this gift. Nothing will cost you more, and nothing will heap more blessings upon you. You will live a deeper life, a richer life, because of this child. You will learn to let go of so much that doesn’t matter and live in wonder at the good and real things of this life that you will carry with you into eternity.

God becomes real to the mother living in her child’s hospital room. He holds her hand; He comforts her. He dries her tears, and brings angels to minister to her breaking heart. He upholds her.

You can do this. YOU CAN DO THIS.

Be strong and courageous; do not be frightened or dismayed, for the Lord your God is with you wherever you go.
Joshua 1:9

Here is a peak into our journey with Sam. I hope it prepares, encourages, and emboldens you for your own journey.

God bless you and your beautiful, perfect child.

My love and prayers go with you,

Taylor

A Valentine for Heart Parents

Greater love has no one than this: to lay down one’s life . . .
John 15:13

Dear Heart Moms and Dads,

Yes, you know who are. No one else might, though. At least, not by looking at you. I’ll bet your heart kid looks a lot like mine: pretty normal with all of his clothes on. It’s only at the birthday party when they smear butter cream all over their clothes, and you take their shirt off because they’re little . . . and whether you want to be talking about the zipper down his front or not, you are.

You’re the one taking the very important phone call from the compound pharmacy, balancing little one on hip, losing signal as you try to beckon to preschooler to follow you down the hallway at the end of class. You’re the one begging the pharmacist to process this new prescription TODAY while the four year old screams at you because he doesn’t understand why you won’t listen and you left his art project behind and all you need is two more minutes on the phone with the pharmacy that’s closing for lunch . . . and you’re the one heaving in your car because mother after mother walked past you with judgement in their eyes. Like you’re on the phone chatting it up with your best friend about next weekend’s really crazy girls’ night out? Right.

You’re the one that has a hard time remembering a day you didn’t feel heavy, a day where breathing didn’t involve some actual thought. You’re the one who pushes through night after night of waking at every whimper squeaking out of your warrior. You’re the one standing over the crib or bed at 3 am, just watching, just praying for one more good appointment day month year.

You’re the one, despite just being discharged from the hospital, despite a chronic lack of sleep, drug reactions, a full-time job’s worth of lab tests, follow-up appointments, echos, and x-rays, finding sitters for the other kids who you just want to stay home with and do the ordinary naptime homework “5 more bites” dinners, throws the huge, crazy, birthday party . . . because you know like I know, TODAY IS OUR DAY, and tomorrow may never come.

You are the parents who said yes to a baby who changed your way of life forever. Your time, your finances, your freedom will never be free the way it was before. Your heart has felt too much to ever go back to innocent unawareness, to small dramas and big plans. You’ll never plan the same way because you know now that the future is impossible to know. You’ll never look at life the same way because you have held and kissed your life away and prayed it would come back to you. You have sat and waited for strangers to bring your life back to you. There was no other choice.

You fight instinct: bear instinct. You give your child up to be sawed in half to save their lives, let strangers treat your child when you are powerless to help. You admit your inability and accept another’s ability, because that’s what’s best for this life. You listen to their instructions, jump through their hoops, answer their questions, and listen to them tell you what’s wrong with this perfect child you made. What’s wrong? This child is my child, and this child is perfect just the way she is.

You do all these things and more. You wonder whether a million decisions you have made have hurt or helped, from the exercise you did while you were pregnant to that anti-nausea drug they prescribed when you couldn’t stand up you were so all-day-sick. You wonder how it is all your fault, and whether leaving the heart kid in the car alone is more dangerous than bringing him in with you when you pick the other kids up from school. You persist in having a life, visiting family and loving on cousins, but wonder where the balance is between boosting morale and winding up back in the hospital if your heart kid catches a bug?

In all things, you fight with all your heart. No matter how tired, how alone, how misunderstood, you never stop. Even when you’re so brittly bone-tired, even when you think no one even remembers that every day is a battle for you and your family, even when you can’t decide whether to spend your family’s dwindling funds on organic food or better vitamins or just a fun day out? Even when you feel like all you’ve been doing for a hundred years is carrying this child in a barren desert . . . You wake up. You carry those children down the stairs. You make breakfast. You get the meds ready. You keep going.

You are brave.
You push past breaking and keep going.
You are smart; you know your child’s anomaly as well or better than their docs do.
You balance, stretch, adapt, sacrifice.
You give up your life to fight for your child’s.
Your heart beats for two, and always will.

God bless you. Never stop being courageous, beautiful love. You are a light to the world.

Taylor

This is dedicated to the Heart moms I look to for courage: Aunt Mary fighting for Matt, Mandy who fought so valiantly for baby Wyatt, Kasha fighting for Mitchell, Andrea fighting for C right now at Children’s, and McCayla who fought for baby Noah. You are my inspiration! I tell myself: Taylor, you can do this. SHE did this . . .

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