Monday, July 23, 2012

Smiles



Marissa's grad school roommate, Amber, flew in for a long visit last week, all the way from Chicago.  The day she arrived, Brad came over for a family dinner, and during dinner prep began telling me about a hiking trip he and Thompson were planning for the next day.  Following the Black Mountain Crest north from Mt. Mitchell, it's a beautiful, rugged trail that I've only done once for my "bachelor party".  As I'd resigned myself to a life devoid of backpacking until at least the fall, and maybe next year, I listened with a "sounds great, have fun" attitude.

It was then that my wife, mother of a demanding two-month old baby, piped up and said "That sounds fun, Zach, you should go!"  Confused, my jaw hung lower and lower with each second that passed without a punch-line.  Granted, Amber would be a big help, but a friend is not a co-parent.  When I eventually accepted that she was serious, I quickly started planning the trip with Brad before she could change her mind.





What woman does that?  Marissa, that's who.  The same woman whose boundless energy and patience leaves me in the dust day after day.  "Transformation" is too strong a word for what motherhood has done to her, because you could always see a strong mother in her.  Back in college, after the first extended period of time I spent with her, I remember saying to a friend, "I'm not sure if I could ever date Marissa, but I'd want her to raise my kids."  (Turns out I could date her, too.)  Now, it's as if she's the same person, but with a new button, one that only Asher can push, and doing so injects her with the energy, drive, and focus she needs to be an amazing mom.



An example of her motherly predisposition:  As a young child, Marissa says that, in addition to being fiercely defensive of her baby dolls, she would "breastfeed" them.  Only when I think about this fact do I get truly disappointed that breastfeeding hasn't worked with Asher.  It's unfair that someone with such a strong drive to mother is denied that most mothering of acts.  Yet that's her lot, and on the whole, it feels normal now.  Life would be easier with breastfeeding, but we've managed to incorporate pumps and bottles into a routine that works.

The biggest factor making this and every other aspect of our lives easier is a generous gift from Asher, one that, I'll warn, might drive you parents to throw the nearest blunt object at your computer monitor.  Most nights lately, Asher sleeps from sundown to sunup.  I sleep all night, and Marissa gets up once to pump.  It's amazing.  He's also chilling out, having longer stretches of calmly absorbing the world, and mostly limiting his "happy hour" to right before dusk.  More and more smiles are appearing, and in the past few days, our favorite Woody Guthrie song has even gotten some quasi-laughs.








Clearly, all this helps daddy's sanity, but it's also great for his brain.  Sleep is the best time for his brain to repair any possible damage, while being calm mean he can learn, and maybe get in some homework from his physical therapist.

Most of what we work on for PT is just encouraging him to do normal baby stuff using both arms and legs.  The primary concern is still about cerebral palsy and whether or not he'll have full use of his right arm and leg.  We'll put him on a ball on his stomach and roll him around, encouraging him to lift up his head and use both his arms to stabilize.  Or, we'll try to get him to grab on to a toy and track it with his eyes.



His favorite, though, is his funhouse mirror with toys that dangle in his face when you hold it over him.  He's mesmerized by his own reflection, sometimes staring at it for half an hour while batting and grabbing at the toys.  It's baby catnip, but it's also good for his brain.





At first, his right hand would stay closed much of the time, letting his left do most exploring of toys, my face, or whatever was in front of him.  More and more, though, his right hand joins the party.  If you lay him on his stomach, you can tell his left arm is much better at holding up his body than his right.  He leans on his left elbow, while his right is often stubbornly sandwiched beneath him.  Still, we feel like he's made a lot of progress on this, and see no reason he can't keep it up.

*****

A couple weeks ago, we went back to the NICU.  A social worker there called us about a family whose baby, Zander, had gone through something similar to Asher, and she asked us to meet with them for peer support.  On our way there, I remember almost looking forward to seeing the unit again, like some kind of reunion.  Being there, though, I was reminded of how easy it is to let your mind slip back into negativity.  Asher started wailing and couldn't stay in the room with Zander, so I paced the halls in mostly unsuccessful attempts to calm him.  I noticed that, after being in the NICU and hearing Zander's story, Asher's cries made me worry like I did after our team meeting from hell.  Was he crying because of his brain injury?  Because he was in pain?  I wanted to go home.  The NICU saved my son's life, and maybe his brain, but there, he is sick.  At home, he's just my son.  

I wanted Zander and his family to go home, too.  Their mourning felt deep, and I wanted them to have a chance to move on with their lives, the way we have.  Later that week, they got that chance.  If you'd like to help Zander, Hope and Ray, his grandma is trying to raise funds for an expensive trip south from New York so that she can meet her grandson.  You can donate by clicking here.

Sunday, July 1, 2012

Nine Weeks Old

This is the hardest thing I've ever done. Asher's birthday was the hardest thing that's ever happened TO me, but I didn't have much to do. Now, it's all up to me and Riss. And it never stops.

Asher's started appointments with a physical therapist who comes to the house. I wasn't at the last one, but Marissa was told the most important thing we need to do is keep him calm. He was apparently too upset that day to do any therapy, and the time was spent unsuccessfully trying to console him. The therapist that day described him as a very tense baby.

Much of the time, Asher just looks uncomfortable in his own skin. He writhes and claws around like a demon is trying to get out. It's usually possible to console him, so I don't think we could call it colic, but it often takes a lot of work and a long time. Before something works, we have to try every trick we have: walking, feeding, pacifiers, going outside, going inside, diaper check, another diaper check.

These are all things most parents have to deal with. Any good parent asks themselves, "Is this normal? Is this a problem?" For us, added to that has been worries about his condition. He's a tense baby. Would he have been that way regardless? Is it because the antibiotics messed with his stomach? Or, is that because he has brain damage? Every worrisome thing he does is colored, even if slightly, by these thoughts.

Before being discharged from NICU, we had to watch a video about shaken baby syndrome. Arrogantly, I dismissed it, saying "Yeah yeah yeah, don't shake your baby, I got it." After all, who would do such a thing? I really don't think I'd ever let myself get to the point of doing something so terrible. I'd set him down and walk away first. But, like I've heard from other parents recently, I know now how it happens.

Part of that arrogance came from having never heard him cry. Now, he's cried so much that he lost his voice for a few weeks. It's just starting to come back. Instead of desperately hoping he'll cry, I can barely remember what it was like to have him lay quietly all day, patiently waiting for feedings that were precisely three hours apart and between 100 and 120ml each time.

I don't know what I'd do if I didn't have Marissa. Single parents have rocketed to the top of my respect list - it seems impossible to do it well.

*****

I wrote what's above a couple weeks ago, on Father's Day. As you can see, it was a rough one, maybe the worst. Things have gotten much better since then. Last night, Asher slept essentially the entire night through. Nights have been one thing that's been relatively easy this whole time. He doesn't stay up screaming, and goes back to sleep pretty quickly after eating.

Little signs of smiling are starting to appear, as well as noises other than crying. Routines are being established, like Asher's nightly "happy hour", so named because it's when we could most use a drink. Mornings have been the most peaceful, and he's spending more time then and at other points in the day simply awake and taking in the world.



Last week was a busy one for doctor's appointments. First was the neurologist, who was concerned about Asher's right side being more tense than the left. The right hand tends to ball into a fist a lot more, and that leg kicks more than the left. It's possible this could be early signs of cerebral palsy.

The next day, he had an encouraging physical therapy appointment. They were happy to see Asher could calm himself more easily than in his last appointment, which needs to happen before any real PT starts. His right side was responsive that day, and really has been since then as well. We practice opening up his right fist more, hoping to teach his brain learns to do this on its own.

Last, we went to see a neurosurgeon on Friday. Back in NICU, one of the doctors was concerned about a Chiari malformation in Asher, where the brain stem actually protrudes out the bottom of the skull. If severe, it can require brain surgery. Luckily, it seems we won't have to worry about this, said the neurosurgeon. If Asher has such a malformation, it's so minor that it barely shows up on an MRI and likely won't cause any symptoms. With better MRI technology, doctors are finding these minor malformations are more common than previously known, but they're not usually a problem.

I've been wanting to blog for weeks now. When I started this, blogging was my therapy. Writing is easy when it's fueled by emotion. As that has fuel has thankfully run lower, so too has the desire to write, to say nothing of my new time constraints. But, I know how important Asher has become to his fan club, many of whom I've never met. I'm hoping it gets easier to keep you all updated as I settle into this new parenting gig.

Speaking of Asher's fan club, we've had a lot of really creative support through his ordeal, none more so than this little gem sent to us several weeks back:



Yours is the first face that I saw
I think I was blind before I met you
Now I don’t know where I am 
I don’t know where I’ve been
But I know where I want to go


That's our friend Chandra singing "First Day of My Life" for Asher.  [Wild applause!]

She's not the only person who's been inspired into song.  One thing I've learned about the Kent family is  what a good lyricist Asher has in his Grandma Gerry.  I think she's written songs for all her grandchildren, though Asher's is a bit different than her other works:


Oh, little Asher you can hear me!
Oh, little Asher you can see!
Oh little Asher how we love you!
Oh little Asher you cried for me.

Words by Grandma, vocals by Mom.

Other happenings, which have to be posted in bullet form, otherwise I'll never finish this post:

  • Both my and Marissa's parents came and stayed for a week at a time.  Her parents cleaned our house top to bottom, while my parents finished off the patio I'd started with a fence and landscaping.  
  • Asher had his bris at the house, with Brad and Kate as godparents, and Rabbi Rob, Asher's doctor, and Grandma and Grandpa Kent attending.  Obviously, a traditional bris wasn't an option, so a little pin prick did the trick.
  • Asher's had a lot of visitors, which helps keep daddy and especially mommy sane.  Also helping in the sanity department has been his increasing ability to get out of the house without causing too much chaos.  He's had his first visit to the Bywater, a couple of restaurants, and, hopefully in a few minutes, his first soccer match in public.  Viva Espana!
Time to get working on that.  Until next time, world...