Sunday, September 14, 2014

A letter to my Preemies.


Dearest Delaney & Alexander,

As we approach your first birthday in the coming weeks, it doesn’t seem possible that you could already be almost a year old. Of course, you will not have been home with Daddy and me for a whole year at the time of your birthday. You spent the first 76 days of your life in the hospital, and I spent the first 76 nights of your life without you.

Leaving you there each night, so small and helpless, so fragile, in someone else’s care, was the most difficult thing I’ve ever had to do. I prayed for you all of the time, before going to bed, on the way to see you at the hospital, while holding your tiny bodies against my bare chest, each night I left your side. I prayed that I could be vulnerable instead of you, to take away the pain you felt during every injection, every procedure -- and every minute alone in a warm plastic box.

I know that you will forget, that you’ve probably already forgotten about those early days, but I never will, and there are a few things that you must always remember about them.

1. You are strong.
I have watched you fight for breath. This is not a dramatized way of saying that you went through a lot. What I mean is that I watched your chest cave in as you struggled to fill your tiny lungs with oxygen. I watched you put your whole body into drawing in air, so much so that it exhausted you and sometimes you needed a machine to help you breathe. But you never quit. You continued to fight for your breaths, over and over, until your body learned its own life-sustaining rhythm.

There may come a time in your life when you feel weak or inadequate. Please remember what you were able to accomplish entirely of your own will and your own determination. You are strong.

2. You were ready.

In the days, weeks, and months after you were born, I kept beating myself up with “if onlys” that could have kept you growing inside of me for just a bit longer. If only there hadn’t been a mix up at the pharmacy with my medicine, if only I had stayed off of my feet a little more, if only I had gone straight to the hospital the moment I felt a contraction. But you had your timeline set and most likely you had to come out right then. Those first weeks were difficult. I watched as you had multiple blood transfusions, IV lines placed in your arms, legs, feet, hands and scalp, daily blood draws, a spinal tap, multiple exams, and other procedures. With every procedure and needle prick I wished you could have remained safe and snug in utero with your twin until closer to your due date. We went through agony together to get to where we are today, but here we are, and you are perfect. You are strong and healthy and exactly where you are supposed to be. Only God can know what would have happened if you were not born on November 23, 2013.

There may come a time in your life when you feel like you are not ready for what is being asked of you. You may feel scared, overwhelmed or otherwise ill prepared. Please know that your instincts about timing have always been correct. You are ready.

3. You are privileged.

You missed an entire trimester of pregnancy. There are many reasons for which I am grateful that you are alive today. The Ophthalmologist who performed your eye exams in the hospital told me of his yearly travels to Guatemala to treat underprivileged youth. When I asked him about the premature children there, he paused before telling me that in Guatemala, preemies like you do not survive. It reminded me, in my moment of naiveté, how lucky we all are that you are still with us. You are all right because you were born in a country with the resources and the technology to sustain your fragile bodies. You are all right because we have excellent heath insurance coverage. You are all right because of the education of the skilled doctors, nurses, and specialists who took care of you. You are all right because of the generosity of a network of professional colleagues who donated their hard earned days of leave to me so that I could be by your side every step of the way while you grew and healed.

There may come a time in your life when you encounter those who do not share your many advantages in life. Never feel guilty about those advantages, but always feel grateful for them. You are privileged.

4. You are never alone.

It must be a beautiful experience to come into being alongside another person. Along with your own heartbeat, your twin’s was one of the first sounds you heard. Your twin was the first person you reached out to touch, the first person to reach out to touch you. You fought your way into this world together. I don’t know what it is like to have a twin; I never will. But I do know that you were in sync despite being separated for the first weeks of your life. In separate rooms you would get hiccups at the same time. Your hearts beat at the same rate and you often matched each other breath for breath. The moment you moved from two separate rooms in the NICU to sharing a room, you were aware of your twin’s presence. I watched as you, Delaney, looked toward Alex’s isolette; knowing that your brother was finally close by, you seemed more at rest. Holding the two of you together on my chest, you studied one another with such great wonder and tranquility. I saw you both reach out to one another and smile. I know that whatever it means to be a twin, it means that even as you fight through the most difficult days of your lives, someone fights beside you.

There may come a time in your life when you feel adrift or unsure of where to turn for help. Turn to each other. You are never alone.

5. You are loved.

Because you were so fragile in those first 76 days of life, we restricted visitors in the NICU to immediate family. I came to see you every day but three, when I was too sick and could have caused you more harm by infecting you. Being away from you for those three days tore me apart. Daddy came to see you after work and all day on the weekends. All of your grandparents came multiple times a week, and probably would have liked to see you even more, but wanted to give us our space with you, as every moment together was so precious, especially since we couldn’t be with you over night. Friends, families, and complete strangers offered prayers for you.

There may come a time in your life when you feel that you are not enough. Please know that you have been wrapped in love from the moment you first drew breath. You were loved before you said anything, before you did anything, before you knew anything, before you were anything.
For the lonely days, for the difficult days, my darling Alexander and Delaney: You are loved.



Disclaimer: Some of these lines were lifted from another mother, whose letter to her preemies inspired me to write one of my own. I just couldn't have said those lines any better.