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Thursday, November 17, 2016

Antonio's Birth Story


Antonio's first latch at the breast.

I didn’t know I needed a healing birth experience, but that is what I got.  Antonio was born three weeks early, weighing in at 6 pounds 4 ounces (born a week sooner than his sister, but already 10 ounces heavier, which proved to be great news for establishing our breastfeeding relationship.)




Around 36 weeks is when I realized my pregnancy may have been treating me so well that I got so used to being pregnant that I forgot it was a temporary condition!  At my baby shower, which Natalia’s godmother Courtney planned for me, I remember telling her all the things that still needed to get done:  baptism class, backup hospital tour, belly blessing henna, birth assistant home visit, an acupuncture appointment, several church events we wanted to squeeze in, the list went on… On one hand, I knew I was cleared for homebirth as of the day of my baby shower – 37 weeks.  On the other hand, I realized I waited too long to schedule several things that could’ve been done earlier.

Day before birth, weighing in at 178+
The week before, at my then weekly midwife visits, Antonio was already at -1 station and my cervix was soft.  Fundal height was 35 weeks, same as the week before.  I got the go-ahead to start drinking raspberry leaf tea to help tone my uterus.  I was holding off since some women claim that it triggered labor for them, and I needed to be past 37 weeks to deliver at home.  So Friday, I got a little ambitious and had two cups of tea, and another cup the following day.  Saturday evening, right in the middle of the vigil mass, I started to have some discomfort at the top of my uterus.  It felt like Antonio was stretching and pushing his extended legs up into my ribcage, something he’s done on occasion in the last couple of weeks as space started to run out.  Except that it kept coming back. 

An hour after mass ended, we were picking up the baby shower cake and ordering Natalia’s birthday cake.  (We had decided to celebrate her birthday early to make sure she had our undivided attention before Antonio’s birth. That was the plan, anyway.)  At the bakery, I started to think that I may be having Braxton Hicks contractions.  I didn’t experience them with Natalia, but I had read enough to think that may be what it is.  Another hour later, at home and after a quick online search, I felt confident that indeed I was having Braxton Hicks contractions, which ended up continuing for the rest of the evening, around 6 hours total.

I was starting to worry that labor had begun, so I texted my sister-in-law with a heads up to pack an overnight bag when she came up for the baby shower the next day.  She and her daughter Jade were on call to watch Natalia during the birth.  But luckily, some pain meds and laying down for the night made the BH go away.  In the morning, I figured I was in the clear, and indeed went on to have a great time at the baby shower.

Cutting tres leches cake at baby shower, 2.5 days before birth.
Oscar and I figured he wouldn’t wait until 40 weeks, but we had no idea his arrival was right around the corner.  Over the weekend, Oscar cooked up a storm, which I should’ve known to attribute to his nesting.  That man has more parental instinct than many women!

Monday after the baby shower, Oscar showed me his phone tree roster in case I needed to reach him while he was in class and away from his desk at work.  We also managed to cross one final item off our to-do list: attending the baptismal class at church Monday evening.

Tuesday morning, while still chilling in bed as was my custom, I was texting Jackie, a local friend, to see about her watching Natalia in case my sister-in-law got delayed.  Natalka was up and we were talking about the plans for the week when all of a sudden my water broke.  I knew almost right away, but I was in disbelief anyway.  It couldn’t have been pee, even though I certainly had my share of accidents this pregnancy, because there was no warning, no pressure on my bladder, and no attempt to stop the stream worked.  I rushed to the bathroom to try to catch as much of the liquid as possible into the toilet.  Once there, and after realizing the liquid kept gushing in spite of me having peed and stopped, I pushed aside thoughts of denial and remembered to check the smell of the liquid to confirm if it may indeed be amniotic fluid.  There was no smell on my pants and undies, indicating that it wasn’t urine.  I jumped in the shower to rinse off and watched more liquid come out, along with an ever tiny red clot.  I had been reading about the mucus plug, didn’t recall seeing it with my first delivery, and wondered if I might see it this time. 

Once I got somewhat cleaned up and prepared with a pad and new bottoms, I tried to talk Natalka through what I needed to do (as much for my own benefit as for hers) without making any rash assumptions.  I needed to speak to a midwife for official confirmation.  I was still holding out a tiny bit of hope that my to-do list could still get done, but by the time I had cleaned up and dialed, I pretty much knew it was go-time.

Within minutes I was speaking with Jennifer, the midwife who caught Natalia three years earlier, and she confirmed what I figured – my water had broken.  Which of course meant that baby was coming, and my to-do list was officially dismantled.  Now I had a new to-do list.  Notify all the relevant people.  Do some basic clean up to prepare for labor-mode.  Try to keep calm and limit excitement.  Keep Natalka in the loop.  Await contractions.

Helping daddy fix the vacuum cleaner as we await contractions.
My phone was already in need of a charge when my water broke, right at 9 o’clock in the morning.  So once I spoke with Jennifer, I had to plug in for a bit to be able to have complete conversations with my sister-in-law, the birth assistant, and Oscar, whom I’d have to track down via the phone tree he had just shown me the night before.  So as I waited for my phone to charge up a little, I tried to keep business as usual as much as possible, making and eating breakfast with Natalia while sitting on a folded up towel so as not to mess up the chair upholstery.  I threw in a load of laundry, did the dishes, vacuumed upstairs.  I spoke to Yoli to let her know that my water broke, but that there were no contractions yet.  I didn’t want her rushing, but I did want her to start making her way up here, as she had a two hour drive, and that’s if she were to leave immediately, which she couldn’t do because she was at work and needed to go get her daughter and, per Natalia’s request, their little dog Licho.  I didn’t want the added stress of worrying about her on the road, so I stressed that there were no contractions yet.

Then came the moment of truth.  I felt bad that Oscar wasn’t the first to know that it was go-time, but I had to keep to a certain order, and notifying people that would take the longest to arrive had to come first.  I got out his phone tree roster and called the first person.  No answer.  Second person, no answer.  Third person, call got picked up by the second person, which confused me for a split second, but luckily I was on top of it and went straight to an impromptu script: “Hello Steve, this is Karolina, Oscar’s wife.  He asked me to use the phone tree roster if I needed to reach him.  It appears that I am in labor.  Could you please track him down and let him know?”  As I was asking my question, I heard Steve already saying “oh, oh, ok…” I was calm, since there were no contractions yet, but of course Steve probably pictured the typical movie scene of a mad dash for the hospital.  From what Oscar tells me, it did look a little that way on his end.  He was at the front of an auditorium when Steve and Kerry, another coworker, bolted down the aisle to tell him the news.  Oscar jumped up and took off, then rushed back for his sweater, then rushed back out the auditorium, encountering yet another coworker who apparently had gotten the news and was also coming to make sure he knew. 

Natalka loving the attention from Tia Yoli and Jade.
Back on my end, I had originally planned on taking Natalia to Jackie’s that day for a play date, but since she had been under the weather and they already saw each other the night before while Oscar and I were at the baptism class, I had texted her to move it to the following day.  In the process, I had texted my mom to try to move up our regular Wednesday Skype call to Tuesday.  Well, once I knew I was in labor, I cancelled all Skyping with my mom, but later decided to try to Skype with her anyway since I was still not having contractions three hours after my water broke.  I contemplated telling my mom what was going on.  I had a long phone conversation with her during labor with Natalia, without spilling the beans, and I wondered if it might be better to tell her this time, but then I thought I didn’t want unnecessary excitement, nor did I want her to worry, since homebirth wasn’t something she really rooted for.  We Skyped for a bit, nothing got told, and we agreed to Skype again the following week, as usual.  I almost said something about Antonio wanting to run for president, since it was Election Day, but I played it safe and said nothing.

Natalka staying busy with cousin Jade, next door to where the action was!
Before Oscar got home, I also spoke with the birth assistant that we had assumed would be attending the birth, because she lived closest.  She had already been notified to be on alert.  Interestingly enough, that morning, she had emailed me to reschedule her home visit, which was scheduled for that day, because she was working on the election campaign and had forgotten about attending a watch-the-results party that evening.  I joked about ruining her party, but she ended up not being the one to come anyway, so all worked out.  The same birth assistant who attended Natalia’s birth would be the one attending Antonio’s birth.  Mary Beth had texted to let us know she was coming, and Jennifer had asked if she could bring one of the newer midwives at the practice as well, who apparently was still a student at the beginning of my pregnancy.  I mentioned briefly to Oscar that we were looking at having three more people at this birth than the last – four if counting Natalia! On the surface, it sounded excessive, but it turned out to be just what was needed for a great birth experience.

Natalka hanging out with birth team, who were letting me labor uninterrupted.
Oscar hit the ground running when he got home. He made the bed, took out the birth supplies, cooked something, did several other things I don’t even know what, and after the Skype call with my mom, we were sort of looking at each other with a bit of relief.  While our big to-do list wasn’t going to happen, the nitty gritty stuff was all done.  We were ready.  And still waiting on contractions.
I called Jennifer as we had agreed upon, so that she could give me some ideas about how to kick-start labor.  I had forgotten that I should be trying to nurse Natalia in order to help bring on contractions, which Jennifer reminded me of.  But even so, this didn’t end up helping.  Yoli was already in the area when Jennifer suggested I take castor oil to induce contractions, and since Oscar was on the phone with her while I was speaking to Jennifer, I took the opportunity to ask for Yoli to pick some up so that Oscar wouldn’t have to leave.  It still took an hour before Yoli arrived with the castor oil.  I called Jennifer to let her know the castor oil was here, and she instructed me to take the first dose. 

cuddling during contractions

Since Yoli and Jade were here, and Natalka quickly turned her attention to them, Oscar and I were free to help me focus on getting into birth mode.  We sat in the playroom, HypnoBabies relaxation music in the background, and Oscar read to me the Visualizing Your Birth script.  It was mostly to give me the rhythm and tone of his voice to focus on as a way of winding down, putting aside the concerns of everyday life, and getting mentally focused on what was most important right now.  
Midway through this pregnancy, I had realized that I wasn’t really prone to being hypnotized.  After all, I resisted being mentally stripped down in Basic Training in order to be indoctrinated with an Army identity.  So we had stopped doing hypnosis scripts and I had no expectation of using hypnosis to try to mentally take me away from the contractions or pushing sensations. 

What I knew was that I needed to relax and stay relaxed and keep being reminded to relax, as much as possible, from now on.  And hearing Oscar’s soothing voice and positive description of what was upon us was just the ticket.  During the thirty-minute session, I was able to count Antonio’s 10 kicks, which reassured me, since I hadn’t really felt him move much since my water broke.  In addition, I started to feel the tiniest hint of very mild abdominal cramps.  Grumbling, really.  Which makes sense, since the castor oil was to bring on diarrhea before labor contractions were to be expected.
Natalka helping Mary Beth listen for Antonio's heartbeat.
I had started keeping track of what I was doing in a little notebook, starting with time of my water breaking, whom I called when, when I ate and drank.  I started keeping Jennifer in the loop by text with less than glamourous updates of bowel movements and possible/potential contractions.  4:30 ish is when I started to notice some regularity of cramps, which varied between 4-8 minutes in frequency, but they were still so mild I wasn’t sure I wanted to call them contractions.  By 6:30, I wasn’t uncertain anymore, and that is when Jennifer noted in my chart the official start of contractions.  I’d keep track for about a half hour, sitting on the throne, since the castor oil was doing its job.  I found it a bit comical that Jennifer instructed me to let her know when the pooping had stopped, and Oscar and I joked that she wanted that to be over with by the time she arrived.  Perhaps that was the point, but I’m sure there was also a legit reason for it.  At my postpartum home visit, she noted that I had labored well on my own with my first pregnancy, so she didn’t want to step in too soon.

Note Natalka's hand on my belly as she's giving me my relaxation cues.
I was breathing through the contractions with low vocalizations, and while they were uncomfortable and required my full concentration, as soon as each was over, I was lucid and perfectly fine.  Jennifer, Chloe (the second midwife), and Mary Beth arrived around 8pm.  They finished setting up shop, since Oscar had started to prep the birth supplies earlier, and checked baby’s heartbeat. About an hour or hour and a half later, they recommended that we go for a walk to try to regulate the contractions some more, as they had gotten a bit closer together, ranging from 2-4 minutes apart, but only lasting under a minute.  Natalia was having such a good time with Tia Yoli and Jade, playing a dinosaur puzzle on her Tia’s phone that she didn’t want to go for a walk with us.  Oscar and I ended up going for a 20 minute walk, just the two of us.  Talking in the moonlight, pausing to embrace during contractions: who knew there could be a romantic aspect to labor?

Talking and smiling between contractions.
When we got back, I felt tired and decided to lay down for a bit.  Oscar and I cuddled on the bed, but not for long.  Maybe two or three painful contractions later, and I was ready to rush to the toilet once again.  This time, things got real, and I noticed my legs started to shake with each contraction.  I lost my inhibition and didn’t mind having the bathroom door open and my birth team checking in on me while sitting with my pants around my ankles.  In between, I was tired but lucid, and aware that things were picking up and we were getting closer to the main event.  It was around 11pm.  When I asked for his feedback, Oscar alerted me to the fact that I was transitioning.  Remember, I said he is quite intuitive! 

We make a great team.

Once I felt that the toilet trip was done, since apparently I was passing mainly the castor oil now, I moved to the bed.  The contractions were very painful now, and while I wasn’t sure how close we were to delivery, I didn’t want to know and be disappointed.  I kept hearing Jennifer encourage me to “bring the baby down”, which I wasn’t sure what that meant.  At one point I heard a brief exchange between the midwives that I thought meant I was only 2cm dilated (I heard something like “she’s two”), but I didn’t really worry too much about it. (I wasn’t getting any vaginal exams, so there was no way to guess how dilated I may have been at the time.) I probably endured these contractions on the bed for about an hour.  I was not only vocalizing loudly at this point, but my whole body was involved in trying to capture the sensation and ground it away from me.  The birth video confirms the raw and wild jungle-like sounds and movements that I figured I was making.  But I didn’t feel in the least bit concerned about it.  I felt confident that my body was doing what it needed to be doing to bring Antonio into the world.

Natalka staying close by so as not to miss her brother being born.
Initially, I tried to be in a squatting position during the contractions, as that felt most grounding to me, but the contractions were so exhausting that I was laying down in between each one.  So that meant I was exerting a lot of energy every minute or two getting up and into the squat position.  I was not happy to hear Jennifer point this out and suggest I stay laying down during the contractions.  After all, one of the main reasons I wanted to deliver outside of a hospital was to avoid being in an “unnatural” (ie. against gravity) position.  But the truth was that the contractions weren’t any less painful in the squat, and I wasn’t sure how much longer I’d need to endure since I hadn’t heard anyone say anything about baby’s head crowning yet.

Bearing down with the contractions while laying down, both on my side and back with one leg supported, felt a bit like being in a black hole.  The intensity of the contractions seemed to swirl around me, like a tornado starting and returning to somewhere in my yoni core.  It wasn’t quite like being weightless, but rather like gravity was all around me, not just below me.  And then I felt the urge to push.  No one told me it was time to push.  No one had to.  I knew it was time.

I started to push.  I don’t know if it was with contractions or not, it was somewhat rhythmic though.  And it hurt.  I thought it couldn’t get worse, but it did.  I maybe pushed a couple of times before realizing I needed to be more grounded again, and I flipped onto all fours.  At this point I felt the infamous “ring of fire”, but I didn’t equate it with crowning.  I just knew it was normal and meant progress.  And I tried to use some sort of visualization to change the image of a bright-red ring of fire to some sort of softer, cotton-candy circle, but I couldn’t focus on that image very long.  Probably soon after that, I felt myself reach down between my legs and quickly realized that I felt Antonio already partly out!  It was more than just crowning, I didn’t have to reach very far to feel what I’m assuming was his face!  (With Natalia, Jennifer suggested I reach down to confirm crowning, while I was still laboring on the toilet, and I felt her wet hair still just inside me.)

My little alien, covered in vernix, or as Natalka initially call it, "queso" (cheese)!
What happened next is the most impressive part of the whole ordeal.  I knew I had to push him out, but I also knew that if I didn’t try to control his exit, I would tear again.  Even though it felt counter intuitive, I changed my breathing.  My initial go-to was the classic “Lamaze breathing” – short shallow breaths.  I’m not sure what was wrong with that, as I heard Jennifer suggest some other form of shorter breaths, but I think I just stuck with what I felt would slow down Antonio’s exit.  Of course this meant keeping his head in the ring of fire longer than I’d normally want, since my natural inclination was to get him out as soon as possible.  But I was able to control my breathing right in the most difficult moments.  It didn’t take very long before I felt the glorious release of his head leaving the ring of fire and the rest of his body slipping right out. 

Immediately I think I said “Oh my God, he’s out!”  I didn’t wait for instructions; I slowly started to flip to lay back and get ready to receive my baby.  (With Natalia, I was completely oblivious to what needed to happen next.  I didn’t even understand the instructions that were being given to me.)  As soon as I was laying back, my little Antonio was being handed to me, from Chloe to Oscar to me.  I quickly lifted my tank top to allow for maximum skin-to-skin contact.  His cord was short, so I couldn’t lift him beyond my navel, and he kept kicking me in the crotch.  He looked like he got dipped in vernix on purpose!  His face was swollen and it looked a bit purplish and shiny.  In retrospect, I think he looked like a little alien!  I immediately wanted to change my guess at his birth weight.  (We had taken guesses from everyone present at the birth, minus Natalka, and I was at the top of the range with 7#3oz.)  I now wanted to drop it by a full pound.  I was told that as the mom, I was the only one allowed to do so.  Turns out I wasn’t very far off, but it was Jennifer who guessed his correct birth weight of 6#4oz.

We're all meeting Antonio together.
Natalka was immediately at my side, meeting her baby brother.  She had apparently been able to watch him be born, and was quick to touch him and say hello.  She didn’t leave my side for the longest time.  Oscar, of course, never left my side. (I feel so bad for women who don’t have a supportive spouse in such an intimate and life-changing moment.) We began bonding as a family right away.  There were instructions now coming in between our family conversation regarding the placenta, but it was all in the background.  I pushed several times – my chart shows it took 12 minutes of pushing to get Antonio out, and another 19 minutes before the placenta was delivered, but I did not spend that entire time pushing.  Delivering the placenta felt funky, especially after having just passed a human being through my nether region.  It felt slimy and slippery; I think I would say that it even tickled on its way out.  And again, Natalka watched the placenta be delivered as well.  She had been very well prepared to attend her brother’s birth, if I do say so myself.  She took it all in with great interest, not a single indication of anxiety or discomfort.  She knew what everything was – why mommy was being loud, why it was so dirty under mommy, how Antonio would come out head first (at least that’s how we had coached him together), and how the placenta would need to come out last.

Waiting for umbilical cord to stop pulsating.
Natalka and Daddy cutting the cord.
I had wanted to deliver the placenta while it was still attached to Antonio, but because the cord was short and I wanted to be able to bring Antonio up to me already, I agreed to have the cord cut since it had turned white and stopped pulsating.  Natalia helped Oscar cut the cord – something she had indicated an interest in doing; I don’t remember suggesting it to her.  She must have made this connection in her play, since she had been assisting her giant stuffed giraffe in her births, which of course included cutting the cord.

Immediate family bonding while working on delivering placenta.
We attempted the newborn breast crawl.  Perhaps I should’ve done a bit more research on this, like how long it might reasonably take.  But while we did see Antonio wriggle himself up my torso bit by bit, I got anxious about making him wait to breastfeed, so I finally decided to bring him to the breast myself.  I kind of wish I had been able to watch him latch on all by himself, but in the end, I just wanted to give him what I knew he wanted and not make him have to work for it so hard! 
Nursing also went well.  The 10 ounces difference in weight between Antonio and his sister, and the fact that he has a high palate while Natalia had a low palate, must have made sufficient difference to make nursing go swimmingly.  My milk came in on day three, and at his pediatric appointment the following Monday, he was just an ounce shy of being back to his birth weight. (At his initial pediatrician visit on day two, he had lost 2.5 ounces.)
Daddy signing "boy" :)

Antonio getting weighed.
I am absolutely overjoyed at how this birth turned out.  Part of it was experience, having figured out what worked and what didn’t work last time, I was able to make necessary adjustments.  This included not staking my comfort measures on hypnosis and a birth tub, but rather on teamwork with Oscar, who consistently reminded me to relax specific parts of my face and body that would tense up during contractions, as well as giving me touch therapy along with my relaxation cues.  Hearing his voice and feeling his hand on my shoulder or face or neck or knee gave me something to focus on other than the pain of the contractions, and his calm demeanor and specific relaxation suggestions gave me something specific to work towards other than succumbing to the pain.

I was also able to get into the zone much earlier (before the first contraction started!) and had the support I needed throughout. If I didn’t know something, Oscar was right there to reassure me. I never felt disconnected or uncertain about anything.

   

Part of the success of this birth must also have been physiological, though.  Natalia was born with her cord wrapped around her neck and torso, flew out within one push which led to tearing, had a velamentous cord insertion, which may have contributed to my postpartum bleeding, and had a very difficult time establishing a good nursing relationship.  After Natalia’s birth, I lost a lot of blood and needed a shot of Pitocin.  The blood loss apparently caused me to go into shock.  And of course I needed stiches. 

With Antonio, I didn’t have any of these problems.  Granted, labor had a slow start due to his nuchal hand presentation (he was propping up his face with his right hand on his way out), but amazingly that did not interfere with delivery.  (I should note that the midwives used some inversion techniques to pull Antonio out of my birth canal and have him reset in a better position in order to get a move on the contractions.)

My wonderful birth team; Jennifer, Mary Beth, Chloe.
I can’t imagine getting the kind of holistic level of care I received with a gynecologist or at a hospital.  My birth was normal, healthy, and went according to “plan”.  The plan belonged to Antonio, my body, and God Almighty, not hospital policies or a fear-based medicalized model of care.  Once again, I feel connected to the countless women who have gone before me, all around the world, who have brought their babies into the world in this raw, grounded, tuned-in manner.  My body was made to give birth, and did give birth successfully - twice.  Antonio’s birth solidified for me what Natalia’s birth first established; God made me a woman, and He made me a woman for a reason.  No, the reason is not to pop out babies.  But for me, for my family, giving birth to my children was indeed part of the plan, and what a perfect plan it has been.  For the rest of my life I can look at my two children and say, I did that – I brought them into this world.  I was a part of God’s forming them in my womb.  I am a part of something eternal, something supernatural, something divine.  I am so blessed to have been made a woman, and so blessed to have had this wonderful, healing birth experience to help me realize it.  

Waiting for contractions to start.
One week later. 

 Welcome Earthside, my little Antonio!  Love, Mamusia


NOTE: To read Natalia's birth story, go here

Sunday, October 30, 2016

First Anniversary of Abuelo Henry's Passing

One year ago today, my father-in-law crossed over to meet his Maker.  Below are the thoughts I wrote down in the days surrounding his death.

Henry’s Crossing Over
(Originally published in two installments, October 27 and 30 of 2015)

I've grieved several times in my life.  It's generally been after a loss.  This time, it's different.  This time it feels like I'm mourning in advance.  Maybe it's better this way?

My father-in-law is dying.  I don't mean in the sense that we are all dying from the moment of birth. I don't even mean in the sense of having been diagnosed with a terminal illness.  Though both of these are true.  I mean he is actively in the process of dying.  His organs have started to shut down.  He is no longer lucid.  Essentially, we are waiting for him to breathe his last.

I'm not very close with him.  Then again, I'm not very close with many people period - relatives or otherwise.  But I was always fond of him.  When I met him 16 years ago, I immediately liked him.  I didn't worry about being judged by him.  I was new in my relationship with Oscar, and very self-conscious about how I came across to his mom and sister in particular.  Latinas, let's just say, intimidated me.

But when I met Henry, he was this short little Central American Indian man with long, black, wavy hair down half his back. Always smiling.  He had a bit of a goofy demeanor about him.  He moved a bit like a little kid that couldn't sit still.  He always seemed happy and excited.

The first conversation I had with him, he explained to me that in spite of having never formally adopted Oscar and his sister, he always thought of them as his own.  He came into the picture before Oscar and Yoli reunited with their mother in the United States.  He and Oscar's mom had a son together, Elliott.  They were still seemingly in love and happily married when I met my in-laws.  Sadly, by the time Oscar and I got married four years later, his parents had split up.

On one of our visits back to Florida, home base for my in-law clan, Henry insisted on introducing Oscar and Yoli to some buddies of his.  I remember staying in the car and waiting - we were en route somewhere, and I generally get traumatized by meeting strangers.  Henry was practically bursting with energy and jumping rather than walking as he corralled his two grown kids into the friends' house.

Over the years, Yoli moved up closer to us, followed by their mom, and finally Elliott.  It seemed strange that the issue of Henry's homelessness just sort of crept into my consciousness as one of those things that is a sad reality but not really something I could do anything about.  A few years ago, Oscar and Yoli split the cost of sending Henry back to their native country of El Salvador, where he got to visit his mom.  He had a falling out with his brother since I met him, and apparently he wasn't close to his sister either.

Last year, Henry finally agreed to leave Florida.  Oscar made the road trip to get him, and Henry moved in with Yoli.  I remember seeing him for the first time in many years - and having Natalia meet him for the first time ever - at a cousin's baby shower.  He was like I remembered him, for the most part, though clearly much less enthused than before.  Perhaps he was ashamed of having spent a decade living on the streets?  Perhaps he was just nervous about trying to fit back into the family again?

Then Natalia turned one, and Henry was there.  In fact, Natalia has a cute photo of herself on Oscar's lap, with both her grandfathers - my dad and Henry.  Soon after that, Oscar's brother got married - this January, actually.  I insisted on getting a photo of Natalia with both her paternal grandparents, even though they weren't on speaking terms.  Thankfully, both agreed.  The photo shows Oscar holding Natalia, and his mom decked out on one side, while Henry - in the usual style I remember, stepped up behind Oscar and leaned onto his shoulder in a sort of peak-a-boo pose.

At the wedding reception, Natalia and I sat with Henry for a bit and had one of our awkward yet friendly conversations.  I - trying to speak Spanish yet ever self-conscious about it, Henry responding in English to ease my stress.  At one point, he told me that he was very sick.  He put his index finger to his lips and shushed as he asked me not to tell his kids.  I didn't really make much out of it.  After living on the streets for a decade, struggling with alcoholism and isolation from family, and the resulting lack of regular medical care, it was no secret that he needed some medical attention.  Oscar had already told me as much.  But it seemed that he was talking about something much more dire. He seemed to have a keen awareness of where he was on his life's journey.

Soon, Henry was working again, his son-in-law bought him a car.  He got a taste of normalcy again, it seemed.  But none of this lasted very long.  A few months ago, on Yoli's birthday no less, Henry was diagnosed with throat cancer.  Apparently, it had been weeks since he was able to comfortably eat anything.

At first, the conversations Oscar and I had centered on trying to stay positive.  "Let's not jump to conclusions" we would take turns saying.  Nonetheless, Oscar wanted to "prepare for the worst but hope for the best", as he researched funeral arrangements.

It didn't take long - maybe a week, maybe two - to find out that Henry's cancer had spread.  First to his back, then to his brain.  He had his first chemo therapy by then, so we kept thinking that as long as there's treatment, there's hope.  But once the cancer spread to his brain, we had to face the reality of Henry's situation being terminal.

We didn't know how much time he had.  It could be six months, maybe more, maybe less.  I remember asking Oscar to remind me when Henry's birthday was.  When he said it was April, my thoughts rushed around trying to figure out if he might live to his next birthday or not.  Part of me hoped so, yet part of me was doubtful.

Yoli took on full responsibility for caring for him.  He of course quit working and driving. The first time we visited after his diagnosis, when we came in and he approached the door to greet us, I was struck with how much he had changed.  He had lost a lot of weight, and it showed very drastically in his face.  He wasn't oblivious to it either.  Seeing Natalia's resistance in greeting him, he noted that it must be because he's so skinny in the face, that she doesn't recognize him.

I knew Oscar would be back and forth between our state and where his dad was living, taking his turn escorting him to doctor visits.  But I didn't anticipate many more visits for myself and Natalia.  I saw that visit as a goodbye visit, although we would actually see him several more times.

I managed to get a photo of Henry with just his two granddaughters.  There was a kickboxing bag on the patio, so I hid behind it and held Natalia sitting on top.  Then her cousin and Henry stood next to it.  He wore a hat hiding a big bump on the top of his head.  It wasn't clear to me if this was a visible sign of the brain cancer, or something else entirely.

Shortly before we left, I reheated Natalia's mac-n-cheese to feed her on the way back.  Henry followed me into the kitchen, asking what I was making.  Having forgotten that he hasn't eaten over a month by this time, I just brushed it off as nothing much.  But he persisted, looking around my shoulder to see for himself.  I told him macaroni, and then realized what Oscar later told me - that he was living vicariously through us by his interest in what we ate.

I knew that every time I asked Oscar where he learned to be so kind, so laid-back, so flexible, so generous, he would always say "my dad".  Now that it became increasingly clear that Henry's time on earth was limited, I thought this was something he should know.  I was terrified of broaching the subject myself.  It was already an emotional topic, the circumstances of it were dire, and I wanted to relay the information in Spanish.  As Henry walked me and Natalia out that day, when we were getting ready to go home, I got a burst of courage and I started.

I stopped once or twice to collect myself, as Henry patiently waited for me to get to my point.  He may have teared up a little, but it was clear that he had made peace with the fact that his time was coming to an end.  He smiled, pointing and looking up to heaven, referencing God, and said that he's ready.  I said that I didn't know if Oscar had every shared this with him or not, but that I wanted to make sure he knew what a role model he had been for him.  His facial expression when I said this told me that I had done the right thing in braving through.

I quickly commented on his earring, which I hadn't noticed before.  He had just gotten his long hair cut, in anticipation of going bald from chemo, and gave it to his son Elliott.  So I also tried to show Natalia his short hair, trying to point out how Abuelo may look different than she remembers him but he's still the same Abuelo.

I suggested that on his next visit to see his dad, Oscar would tell Henry himself what I had told him.  He did, and he later texted me that his dad just lit up upon hearing it.  I'm sure hearing it from his own son was much more meaningful than hearing it second-hand from his daughter-in-law.  Now he had heard it twice, so I was confident that he knew he had made a positive impact on the world.  Not that he doubted that.  I don't know, I don't think so.  After all, he seemed at peace.  But when I put myself in his shoes, I thought that this was exactly the kind of reassurance I would have liked and needed to hear.

The next time we visited, Henry not only looked weaker but seemed to be weaker.  Henry only got up to go use the restroom.  To do so, he needed to turn off and unhook his feeding tube.  Oscar helped him so that it would stop leaking. He spent most of the time of our visit on the sofa, watching Univision.  He and his ex-wife (my mother-in-law) had recently made some sort of peace.  He agreed to let her care for him, which was a big step.  Earlier, he only consented to speaking to her on the phone.  He must have not wanted her to see him in his frail condition.  Yet here they were, in the same room, exchanging normal friendly conversation.  She looked at the show he was watching and asked if he preferred it to the other Spanish-language channel, Telemundo.  He said yes, that there were only telenovelas (soap operas) on the other channel.  Perhaps something got lost in translation, as the show he was watching on Univision seemed like a telenovela to me!

Natalia didn't want to give her Abuelo a hug or a kiss, not even a high-five.  It broke my heart, though I understood that she wasn't trying to be rude.  She was genuinely shy of the strange-looking guy who didn't resemble the Abuelo she had met the year before.  She wasn't even two years old yet, after all.  It was a lot to ask her to be extra nice to her Abuelo.  She did go get some ice for him when I tried to convince her to show some sort of interest in him because he was sad.  She took that to mean that he had a boo-boo.  She led me to the fridge, had me open the freezer and take out the ice stick, and she brought it ever so tentatively and pointed it in the direction of Henry.  I suppose I should count that as a success.

It was during this visit that Oscar started to formulate a plan to show Henry the ocean one more time. He had loved the ocean, and Oscar saw an opportunity to bring the family together again, the way they were before their parents split up, before the kids each went their separate ways.

In spite of sensing the urgency of the situation, it still took two weeks for the weekend trip to take place.  Henry was getting his second chemo treatment the morning before his daughter drove him to meet the rest of us at Virginia Beach.  It had been delayed because of various problems in the interim - an infection and the need to replace his feeding tube, a fall that resulted in stitches on his eyebrow, a fever that had to be controlled before he'd be cleared for chemo.

Oscar, Natalia, and I were the first to arrive Friday evening.  Oscar booked four rooms on the beach, with ocean-views.  Thank God he did.  Henry was very frail and weak post-chemo and due to the meds he was on to control his nausea.  He no longer walked on his own; his daughter rented a wheelchair from the Walgreens across the street.

It was no surprise that Oscar's brother had another falling-out with his bride. The point of this weekend trip seemed to have been completely lost on her.  She wanted Elliott to go to work instead of coming on the trip.  I remember saying to Oscar, "doesn't she understand the gravity of the situation?  The point of this trip?"  I was very upset, assuming that Elliott would do what his wife wanted instead of being there for his dad, but I was pleasantly surprised.  Yoli picked him up straight from work and he came as he was.  He watched his dad both nights and during the days as well, giving Yoli a little break.  Considering that he was facing losing his dad and possibly his marriage all at once, he held up pretty well.

Friday evening was the last time I exchanged a greeting with Henry. We had adjoining rooms, so when he and his two other kids were sitting on the balcony with him, I came out with Natalia and we waved and said "hola Abuelo".  He looked at us and I'm pretty sure I saw a faint smile across his face. During Natalia's two hour nap, Henry was taken for a nice walk with the family.  Oscar texted me a photo of them on the boardwalk.  But later when we brought him a strawberry slurpie to the room, he was asleep, and his ex-wife was caring for him.  She had brought her boyfriend, who was relaxing on the other bed, watching TV.  I was struck by the strangeness of the situation.  I don't know if I was projecting my apprehensions onto Henry, or if he actually felt the way I imagined he did, having his ex-wife there with her boyfriend.  Maybe it's a cultural thing.

At any rate, Natalia and I sat down for a quick second upon Abuela's insistence.  I was worried that Natalia had sucked all the flavor from the slurpie on our way back to the hotel.  She wouldn't let up until we let her hold it, and in the elevator we noticed the ice was more pink than the original red.  I looked over at Henry, sleeping with his knit hat on, under the covers, mouth slightly ajar and the spaces between his teeth reminiscent of tiny caverns.  He looked familiar in an eerie way. He didn't look like himself.  He looked like what I imagine everyone looks like when approaching death.  He had aged tremendously in the past few months.  No one would guess he was only 55.

I left the room keenly aware that something had changed on this weekend.  I wasn't sure how much it was discernible to the rest of the family, but I knew that Henry was dying.  I thought about the timing of this trip, and how it came not a moment too soon.  I thought about how this was probably his last week on earth.

That evening, after Oscar, Natalia, and I went to mass, the family - minus Henry and Elliott - went out to eat.  It was my birthday.  I got gifts, I was sang to, I got dessert. What a strange juxtaposition, I thought.  On one hand, I was sad that Henry wasn't with us.  On the other hand, I was relieved he didn't have to be tempted by all the food he couldn't eat.  He hadn't been able to eat not because of some dietary restrictions.  He physically couldn't eat.  Food would inadvertently go down his esophagus and into his lungs instead of his stomach.  The cancer was blocking the correct tube - hence the need for his feeding tube.

The next morning, we took family photos.  I'm pretty sure everyone knew this was the last time we would be taking a family photo of everyone together like this.  All three siblings, both parents.  I tried again to convince Natalia to say hello to Abuelo.  Give him a kiss.  Give him a hug.  Give him a high five.  Sit on his lap on the wheelchair.  Nothing.  She recoiled and buried her face into my shoulder. Under normal circumstances, I wouldn't have even tried to push her past her comfort level.  Since birth, Oscar and I agreed that we would respect her boundaries regarding whom she wanted to greet and how.  At least while she was a baby.  But these weren't normal circumstances, and I couldn't help but feel badly on account of Henry.  It must have felt like a rejection for his little granddaughter not to want to sit on his lap.

Technically, in Natalia's defense, she did do her little "dinosaurio growl" that she started doing that week as a way to break the ice.  She didn't feel too shy to say "dinosaurio" and put up her hands like a little T-rex while growling and laughing at perfect strangers.  Generally, the adults responded in kind, and everyone got a good laugh out of it.  But this time, she said it so softly, that only I heard her, by virtue of holding her up and having just suggested it to her and therefore watching to see if she'd comply.  It didn't seem that Abuelo heard her.  Or maybe he did but not having the benefit of the context, didn't get what she was doing.  She wouldn't do it a second time.

We all left the hotel in our separate cars at roughly the same time, with the intention of stopping on the way home to have lunch together.  So it didn't even cross my mind to say goodbye to anyone.  In the car, Oscar told me that his dad had said he's waiting for Natalia to come around and give him a hug.  I didn't know if this meant he had hope of being around until she did, or if he had just said that for Oscar's benefit.  To be honest, the very first thing that came to mind was an image of Natalia wrapping her little arms around an urn with Henry's ashes in it.  After all, once on the other side, Henry won't be bothered by her toddler slights.  He won't remember any of the suffering or sadness from his earthly life.  He'll be in the presence of his Maker, and no joy or peace that we know could compare to that. But for now, I worried about how he felt.

A few hours into our journey, my mother-in-law notified us that they'd wait until they were home to eat, in order to have Salvadoran food.  It was completely out of the way for us, as we had an additional hour and a half traffic-free and on the highway once we passed their exit.  And so no goodbye joint lunch took place.

Oscar was planning on taking his dad to a doctor's appointment on Tuesday, but Monday he got a frantic call from his sister.  Somehow, it came to her awareness that the doctor's office "tried to contact" Henry with the results of his pre-chemo bloodwork.  His calcium levels were very high, and he was urged to go to the emergency room.  This was apparently a voice mail left on Henry's cell phone Friday.  At first, I joined in the grumbling about how idiotic it was for them to leave a message with such urgent information and not bother looking in his chart to see that they were supposed to be contacting Yoli directly.  But then it occurred to me - had they done that, this beach trip wouldn't have happened. Not this past weekend, and not ever.

As it turns out, excess calcium in the bloodstream is related to one's bodily organs beginning to shut down.  And upon Monday's examination, that is precisely what started to happen.  Yoli was overwhelmed with grief and shock and exhaustion from trying to care for her dad while also working and parenting her daughter.  Henry started to separate himself from reality.  He stripped down to his birthday suit at home, and again later at the hospital, that time also pulling out his IV.  When Oscar arrived there close to midnight, he confirmed that Henry was no longer lucid.

Over the weekend, Henry was already showing confusion as to where they were going and the like.  I had assumed it was the brain tumor affecting his memory.  And maybe it was.  But just two days later, he was simply not Henry anymore.

As it stands now, Henry is expected to be moved to a hospice tomorrow, to spend his last days there. His doctor doesn't expect him to live past Friday.  And while I normally try to take doctors' life expectancy guesses as that - guesses, under the dire circumstances, I don't doubt it.  And considering Henry's poor quality of life right now, I don't think it's a bad thing either.

Essentially, Henry's mind has already checked out.  He's been ready to cross over for a while, and he was at peace about it.  Really, these last few days of waiting for Henry's body to completely shut down are a strange transition period for his family, time for us to slowly come to terms with the immediate inevitability of Henry's death.

Last night, before Oscar left to go be with his family, I texted a bunch of people requesting prayers.  I was vague except with the few people who responded asking for specifics.  Within an hour or so, over a dozen people had confirmed that they were praying.  Some didn't know what they were praying for, a few did.  It gave me a strange sense of spiritual awareness as I envisioned their prayers being lifted up, united with each other, traveling to surround Henry, Oscar, and his siblings and mom.

I don't know how intercessory prayer works, but I do know that it is helping me - a mere bystander really, as the non-native Spanish speaking distant daughter-in-law - to make MY peace with the coming death of my father-in-law.  What I also hope it will do is turn Henry's death into something positive in terms of Oscar's family.  I hope it will bring them closer together again.  But I also hope it will bring each of them closer to God.  Perhaps once Henry crosses over, he can start working on that himself :)

…………………………………….





Meeting His Maker

This week has been spent in a slow burn.  My father-in-law Henry has not been with us in any real sense of the word since Monday, when he was taken to the hospital and Oscar received a distraught call from his sister, after which he made his way over there.  We assumed Henry would cross over by the next day, but it didn't happen that way.  He was switched over to comfort care and sedation on Tuesday, and on Wednesday got moved to a nursing home near Yoli's house.

Oscar had said his goodbyes before leaving on Tuesday.  He had spent the day carrying his dad on a couple of occasions - like a baby, he said - since Henry would get disoriented and want to move around, his frailty however not allowing him to do so.  Oscar prayed over his dad, said whatever else he needed to say to him, thanked him once again for raising him.  There was no sense - Oscar said - to stick around and watch his dad essentially sleeping, yet really just waiting for his body to die.

I've noticed that I've been quite particular about my choice of euphemism regarding Henry's passing. It's not so much on purpose as it is based on what feels natural.  The phrase "crossing over" has stuck with me very strongly.  I really see it that way - that upon death, our soul (that which in essence is what we call "I") merely leaves this body behind and continues on in the spiritual realm.  The details may not be clear, but the fact is unquestionable in my mind.

Henry's youngest son, Elliott, was able to spend the day with his non-responsive father before he passed.  I was glad to hear it, though I'm not sure how big of a consolation it was for Elliott, unable to get a response from his dad anymore.  Still, Henry knew he was there, and Elliott can feel reassured by that.

Elliott's wife came by as Oscar was leaving.  Oscar's mom didn't want to see her - and who could blame her - but Yoli agreed to let her see Henry.  Apparently she had played a part in convincing Henry to let Oscar bring him up to Virginia, where he would spend the last year of his life among his children.  That had to count for something.

Last night - Thursday - Elliott called to tell Oscar that the medical personnel were saying the time is soon upon us.  Of course, that is a vague and relative term, for we had been waiting in one sense since Monday, and in another sense for a couple of months.  Still, Oscar and I decided to make plans to spend the weekend near family, anticipating Henry's imminent passing.

I thought about how strange it was that a nursing home would have visiting hours.  After all, this automatically took the choice away from the family and the person preparing to cross over, regarding whether or not he would want to be surrounded by loved ones.  So often I hear people regret not being able to make it to the hospital where their loved one passes on before they get there. Here though, the family is left to anticipate a call each morning, should their loved one pass during the night.

I thought about my great-grandmother, the first whose death I somewhat witnessed.  I technically missed the actual moment of her crossing over, but I was with her just minutes before and again just minutes later.  She crossed over in her own home, with her daughter by her side.  There was comfort in that - not just for us, but I imagine for her as well.  It seems that everyone should be allowed the privilege of crossing over in their own home, surrounded by loved ones, if at all possible.

We weren't sure if we'd still see Henry alive or not.  Either way, Oscar had made his peace and said his goodbyes.  As for me, I still regretted that Natalia hadn't been able to show more affection for her Abuelo, but at this point, it didn't really matter much anyway, except maybe to me.

This morning, before the sun was up, I awoke to Natalia sleep nursing on my left, and Oscar kneeling by the bed on my right, whispering that "it's time".  I slowly remembered the gravity of the day and fought hard with my sleep idol in order to get out of bed.  I assumed Oscar just wanted to get an early start on the day, but after I got up, I realized that Henry was gone.  "He's gone.  My dad is gone."  We hugged quietly, and I remembered the other times we hugged this way.  When my dad had his accident and was in an induced coma.  When we learned of our severe infertility.  When my best friend took her own life.

Oscar pointed out in that moment, that this is why married people live longer, because they have someone to comfort them in times of need.  I felt strangely closer to him, closer than I have since Natalia became my primary occupation.  And over these past few months and especially the last week, I didn't feel so much as a stranger in my in-law family.  I was grieving right along with them.  I knew Henry, I liked Henry, and I had so wished for Natalia to grow up knowing him.  This last point was probably the loss I'm grieving the most. After my dad’s accident, his brain injury resulted in aphasia, an inability to express himself properly with words.  As Natalia began to say her first words, I became self-conscious about how this may make my dad feel.  And I thought of her other grandfather, how she would be able to have regular conversations with him.  And now, that possibility is gone.

We packed our two dogs, booked a hotel for the weekend, and headed out - earlier than Natalia and I usually wake up for the day.  We drove straight to the funeral home, where they were holding Henry's body.  Apparently, they were just waiting for us to come by and see him one last time and say goodbye.

He didn't look much different from the last time I saw him, five days earlier.  He was on a stretcher, covered to his neck with a dark green blanket, wearing a navy blue knit hat.  His eyes and his mouth were closed.  In that regard, he actually looked more peaceful and less scary than the last time I saw him sleeping in his hotel room in Virginia Beach.  That day, his mouth had been ajar, and it looked like he had exactly every other of his teeth.

I brought Natalia in on my arm, trying to make sense of the situation for a child too young to even remember what's happening.  Oscar and Yoli had a few moments of saying goodbye.  Natalia and I gave Yoli a hug, then I caught myself saying that Abuelo was asleep and quickly searching for a way to qualify that so that she didn't associate regular sleep with such finality.  Luckily at her age, she isn't going to make that leap.  But I added that Abuelo went to be with Jesus.  Yoli and Oscar exchanged a few words, to which Natalia shushed them, putting her index finger to her lips.  "Abuelo sleep" she said.  They smiled and Oscar repeated what I had just told her - that Abuelo is now with Jesus.

Strange as it may sound, I swear it appeared that Natalia teared up and started wiping her eyes.  It was a quiet kind of crying that a sad adult would do, not the tantrum-style wailing I was used to hearing from her.  I did notice an eyelash coming out of her right eye, so perhaps that was the culprit.  But the timing was nonetheless ominous.

Natalia and I circled around the large room where Henry lay on his stretcher.  She knocked on the door we came in, trying to leave.  We went back one final time to see him, and as I held her up, she repeated after me, "bye Abuelo" (waving her left hand).  Then, putting both hands to her chest per the ASL sign for love she whispered after me, "I love" (dropping the "you" as is her habit).

A little later, in the car, she recalled the events of the morning.  "Abuelo nie placze. Abuelo cama sleep" (Grandpa not crying.  Grandpa bed sleep).  And she added, "Jesus" (pronounced the Spanish way, with an initial "h" sound and the accent on the "u".)

It's strange to be here.  There will be no funeral.  Henry requested that he be cremated, and his ashes will be available to the family in about a week.  We are planning on taking a trip down to Florida around February/March, so that we can spread his ashes at the park where he and his kids hung out growing up, per his request.

I'm used to there being some official ceremony surrounding death, and perhaps the spreading of his ashes will feel that way to me.  But for now, it's as if his death has been a sad but natural part of life. It's strangely comforting, actually, since the last funeral I went to - one of two in my life - was of my best friend, who had taken her own life.  Rachel's death was unexpected and tragic and it angered me. I was upset with her for leaving me on purpose, and all the religious speak that I not only bought into but perpetrated by way of my eulogy ignored the fact that if she truly trusted God's plan for her life, she wouldn't have taken matters into her own hands the way she did.

But Henry's death... has been different.  We all knew it was coming.  He was at peace about it, but he didn't seek it out.  He was simply content with the life that was given him, and was happy to be going home to his Maker.  I guess it makes no sense to call one death tragic and not another death.  All death is tragic.  But Henry's death hasn't angered me.  Saddened, of course, but not angered.  Perhaps others are angry not so much with Henry as with God, but this is a normal human reaction to any death, any event period, that doesn't live up to our expectations.  We acknowledge that death is inevitable, but we have an idea of when that inevitability is the most tolerable (at a very old age, in one's sleep) and are quick to blame God for not letting everyone die this kind of death.

Going forward, I hope to see us all, especially Henry's family, rally around God the way they rallied around Henry in these last days and weeks and months of his life.  Priorities were rearranged.  Pennies were not counted.  Grudges were laid aside.  Time was spent on what matters most.  What a beautiful reminder for every day of our lives!  What a privilege it has been, albeit a sad and difficult one to bare, to receive advanced notice of Henry's passing.  I've often thought that anticipation is the worst, but really, it just means you can start the grieving process earlier, when you still have a chance to make amends, so that when your loved one crosses over, you don't have regrets and shock piled on top of your grief.


Perhaps this is what it means to be a witness to God's love even in death.  Not through some heroic action or profound words of wisdom, but simply by being present, and allowing the will of God to create the circumstances that have the best chance of bringing our loved ones closer to the One we will all meet one day.