The Madness Between

She wept because life was so full. Of joys. Of hurts. Of the madness that danced between the two.
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    • March 8th is a day to celebrate!

      Posted at 2:22 am by saramarieobrien, on March 9, 2016

      One year ago today, Mac and I woke up at 6am and did our routine morning call to the NICU to check on how Tommy did overnight.  I used to hold my breath during these phone calls because we quickly learned how fragile preemies are and how much can change in even just an hour in the NICU.  There were so many times we would make that morning call and hear “well he had a few episodes where he stopped breathing..” or “his oxygen level dipped a few times” or “he had a bradys episode”.  This may sound odd but the times we heard “he had a great night – had a bath, took all of his feedings, and slept well in between” were just as painful.  Whether Tommy had a scary night or spent the night acting like a healthy, newborn baby – it pained me knowing he was 45 minutes away and in the loving arms and care of a stranger.  So good news, bad news – it all felt the same.  All we ever wanted to hear was “today’s the day Tommy is going home!” and on March 8th we finally heard that beautiful, life-changing sentence.

      Life in the NICU is incredibly, incredibly difficult.  I used to receive compliments from the nurses / doctors that I seemed so calm, gracious, and patient during our adventure in the NICU and I used to joke that while having a newborn living in intensive care for 8 weeks would be a parents’ worst nightmare.. it seemed like a piece of cake for us.  That statement could not be more false but compared to what our months prior to Tommy’s birth had been like, this was physically – emotionally – mentally easier for me.  Waiting for two babies hearts to stop beating, holding two stillborns in our arms, sending two babies to the morgue was what I was comparing life in the NICU against – so it was an easy win.  But that’s how I survived – I needed to convince myself that something out there could be worse.

      On my morning drive to Lutheran General every morning – after saying goodbye to a very confused 3.5 year old as to why I had to leave everyday to go see her brother – I would treat myself to Starbucks, and then calm my emotions by repeating over and over ‘at least Tommy is alive and thriving’.  When I would finally get to the hospital, after an hour in traffic, fight for a spot in a parking lot that was constantly under construction, walk through the hospital (usually in pain following my c-section), take the elevator down, walk to the NICU unit, sign-in, and scrub my fingernails, hands, arms in order to prevent infecting my own child – I would force myself to focus on the fact that the next few hours would be spent with my precious son and this was all worth it.  But no matter what positive message my inner cheerleader chanted that morning – my heart always sank when I entered a bright, sterile room filled with busy nurses, 8 incubators containing teeny, tiny helpless and often times very sick babies, constant alarms and monitors blaring, and more tubes – wires – machines than you would ever want to see.  My stomach hurts even thinking about the anxious walk to Tommy’s incubator..  would he be crying all alone?  Would he be happily asleep, completely unaware that his mom was craving him all night?  Would he have new tubes attached – a sign that he’s regressing?  Would he open his eyes when I spoke his name?  Would he be assigned a nurse who wasn’t as comfortable with me changing his diaper, taking him out of his incubator at free will – would I have to earn someone’s trust in order to handle my own son.  It was always a flood of worries as I entered that room – but unless Tommy was in clear distress (which happened a few mornings), my concerns ceased the second I saw his beautiful face.  He was always so pink and rosy from the warm incubator – usually in a deep sleep with twitching eyes and a random smirk – and dressed in an enormous ‘preemie’ onesie, unbuttoned to allow for his feeding tube, IV, oxygen, heart monitors.  His station was decorated with signs that we had all made for him and there would often be new additions from the nurses – a growth chart, a picture from bath time, or a take-home craft that the child-life specialists dropped off for siblings at home.  I would find a chair to sit in – bring it as close to Tommy’s machines as possible, put up a room divider to give myself some privacy, sanitize one last time, and then begin the process of untangling Tommy’s wires and ever so cautiously laying him on my chest.  I cannot tell you the panic that you feel when handling a 3lb baby that is connected to a ton of wires and machines.. I was convinced that one wrong move would stop him from breathing.

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      Our days together varied based on how he was progressing – some days were calm and he would lay naked on my chest – and I would spend hours breathing calmly, and slowly and picturing his tiny little body healing.  Other days, my emotions would get the best of me and I would read a few chapters in Amy Poehler’s “Yes Please” to give myself a few laughs and pretend that my environment was something closer to what it would look like at home with him.  Some mornings I would just sit with Tommy and cry.  Other mornings were filled with doctor visits, assessments, updates, new feeding schedules, occupational therapists – and I would spend my short time with him, just watching, waiting, and longing to hold him.  The only common routine we had each day was trying our best to get to know one another in such an unnatural setting.  I would stare at Tommy and try to remember every inch of his face.. I would listen to his breathing and try to understand when his oxygen would dip… I memorized his monitors and became an expert in NICU lingo… I fought for him when I thought he needed to be pushed and spoke up when I thought they were pushing him too hard.  I was desperate for a motherly instinct and to be able to feel that I knew Tommy more than anyone else did – just like I felt when Riley was born.  The truth was – I didn’t know him best, and 50 days later when he was ready to come home – I still had a lot of learning to do but I was ready for the challenge.

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      The morning we found out about Tommy being discharged was filled with overwhelming emotions.  We had been hearing for a few days prior that Tommy was getting close to being discharged but everyday there would be a set-back that would delay the doctor from approving it.  So while Mac was over the moon about getting to the hospital and picking him up – I was terrified.  I was scared that we would get there, have his car seat in hand, and then be told we had to wait another day.  I didn’t want to get excited until Tommy was buckled in and we were on the road.  I also had the emotions of what I pictured this day to be and how different it was;  we entered this hospital as parents of triplets – and we left 8 weeks later with our one surviving son.  On top of it all – we were finally going to be introducing Riley to her baby brother… the mysterious baby who lived far away.  Lutheran General’s NICU is extremely strict with visitors so she never had the chance to meet him during his stay there.  Pictures, videos, and stories only do so much.. I had no clue what it would look like to bring this baby into our home and watch her understand that he wasn’t leaving.  It was a lot.   A lot heavier, a lot deeper, a lot more emotional that I ever imagined Tommy’s homecoming day to be.

      But as I titled this blog post – March 8th is a day to celebrate.  We signed off our discharge papers, unhooked Tommy from his machines, held him freely for the first time, hugged the nurses, cried plenty of tears, took pictures on our way out, strapped Tommy safely into the car and drove home one last time from Lutheran General.  Mac walked Tommy into our house to meet Riley and it could have been a scene out of a movie because she was so sweet and almost nervous to meet him.  We walked around the house with him and I remember getting excited about all the different places I could hold him since my only experience holding him was in a chair next to his incubator.  That night was the first night in 8 weeks that our family of four was in one place and though neither Mac or I (nor Tommy) slept a single second that night… my heart felt fuller than it had in months and months.

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      Today we celebrate this sweet boy – surviving his 8 week journey, beating all the odds, and gaining his “Tough Tommy” nickname.  I will never take for granted getting to wake up to this boy, or be the only ones kissing him goodnight.

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      Posted in Uncategorized | 2 Comments
    • An ‘Angel’ of a Friend

      Posted at 1:52 am by saramarieobrien, on February 17, 2016

      Well we survived the first birthday.  I was hoping to spend a little time writing about some of the ways in which we celebrated, grieved and honored our three precious boys during their birthday week – but it seems everyday my mind is taken a million different directions.  Tomorrow I will be checking off one final ‘first birthday bucket list item’ and I think then I’ll be ready to detail the enormous milestone.  In the meantime, I couldn’t wait one more second without sharing the following…

      About two years ago, when I felt I had hit rock bottom with my fertility journey – I sought immediate support.  I have written many times about my therapist that I found right around this time – but I have yet to mention the other form of support I was introduced to that was equally life changing. Through the RESOLVE website (a national infertility organization) – I found a local support group that was being held in a nearby Panera, once a month.  I emailed the group’s host asking for more details, received a response that was full of compassion and empathy, and instantly I knew I had found the right group.   At the very first meeting, I found myself opening up to, crying with, and supporting a room filled with women who were all connected by the same exact heartache and longing.  We bounced ideas off each other, spoke the same ‘fertility’ language, and in between the tears – laughed about how crazy the hormones were making us.  The support group helped me in more ways than I expected – but most of all in that I met one of my very very closest friends.  Sara was the host (and actually the founder of the local group) of our meetings and we bonded instantly.  We both live in the same town, traveled similar paths on our journey to have children, and eventually shared the same doctor (who was successful in getting us BOTH pregnant).  When I found out I was pregnant with not one but three babies – Sara was one of the first to know.  After we found out we were losing the boys, Sara dropped off weekly meals for us.  She continually checked in and surprised me time and time again with her thoughtfulness and loyalty.  Our friendship is judgement-free, compassionate, understanding, honest, and incredibly special.

      So I guess technically it should not have come as a huge surprise that she delivered a thoughtful gift in honor of the boys’ first birthday – but the gesture still overwhelms me to the point of tears.  The day after Tommy’s birthday party – we sat down and finally worked our way through the generous amount of gifts he received.  Sara’s gift was one of the last to be opened – and inside the gift bag, along with the adorable dinosaur-themed present – were two cards.  One for Tommy, and the other addressed to Oliver & Greyson.  Cue the instant tears.

      I opened up the card to see this on the inside:

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      As Sara guessed – I was definitely confused for a second.  But after reading the letter she included, I was balling crying.

      In honor of our two boys, Sara has decided to donate her very own wedding dress to a company called “Angel Babies”.  “Angel Babies” is an incredible organization that takes donated wedding dresses and turns them into small ‘angel gowns’ for babies who are born sleeping and do not make it home.  Ironically, my two sweet boys worn gowns that were from this exact company.  During one of my hospital stays, our bereavement coordinator came into our room with a few different gowns and explained that we had the option to pick out a special outfit that the boys would wear once they were born, during their baptism, and possibly to be buried in (or kept as a keepsake which is what we chose to do). I didn’t know much about the company at the time but when we were sent home from the hospital, I looked at the tag on the inside of the gown and it had both the company info as well as the babies name in which the dress was created in honor of.  It took my breath away.  I was so overwhelmed that some unknown person was willing to donate something so sacred and special to an unknown family so that we could dress our babies in the most beautiful gown during their very short time on Earth.  We chose two matching white satin gowns, with blue ribbon – and while Oliver and Greyson wore them for just a few short minutes, I now have a lifetime with the very gowns that touched their precious bodies.  The fact that Sara is now willing to do the same for so many other families out there is incredible in itself.  But the emotional part for me comes from knowing that just from her one dress, there will be 15 – 30 gowns made that have Ollie and Grey’s name attached to them.  Other angels will be wearing my boys’ names and that is the part of this gift that makes my heart pause.

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      How do you thank a friend for a gift like this?  I can only thank her, thank God, thank the universe so many times for putting her in my life.. and it still doesn’t feel enough.  We took some pictures this weekend of her beautiful daughter, Morgan, wearing Sara’s dress – because I wanted Sara and her daughter to have a keepsake of this single item that has and will touch so many lives.

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      I have also decided that I’m going to try to make this an annual tradition and I hope to be able to donate a dress to Angel Babies each year on the boys’ birthday.  Next year, I will donate my own wedding dress.  The following year, my older sister offered her dress.  The year after that, Laurie offered to donate hers.  I have been longing for a way to honor my angels on a yearly basis and this may be the most special way.

      Thank you, Sara, again.  And again.  And again.

      XOXO

      -Sara

       

      Posted in Infant Loss, Uncategorized | 1 Comment | Tagged Angel Babies
    • The Ultimate Balancing Act

      Posted at 3:49 am by saramarieobrien, on January 18, 2016

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      A few months ago, I went to dinner with a group of girls I had not seen in years.  We are a group of moms that met while living in the city and we all bonded over having a single child, within the age range of 0 – 1.   While I keep up with a few of the girls more than others – the last time the entire group of us had gotten together was shortly after Riley turned 2.  We were at a cute restaurant in the city and the topic of childbirth became the theme of our conversation.  We laughed our way through everyone’s stories – dropping our jaws at some of the crazy ways our children entered the world, cringing at the thought of painful contractions, laughing about husbands hitting the epidural button a few too many times.   It was a bonding moment, a memorable dinner – and I left the restaurant feeling so proud and lucky to be an active member of the ‘mom club’.

      Fast forward to a few months ago when we all reunited at a dinner – it was obvious that life had been busy for all of us.  We met at a restaurant in the suburbs, we shared updates on our work status, husbands, families, and most excitedly – our children.  All of us were now moms of at least 2 – some 3 kids.  While I was aware of this going into dinner and was excited to openly brag about how awesome Riley is and how well Tommy is doing – I wasn’t prepared for a very eye-opening ‘trigger’.  Half-way through dinner, one of the girls started to share their story of their second birth and how it was different from her first.  After her story finished, the girl to her right shared her experience.  As the storytelling role was getting closer and closer to my turn – I started to panic.  I excused myself from the table and headed to the bathroom where I had a full anxiety attack.  I was sweating, shaking, crying, could hardly catch my breath and was afraid I was going to pass out in the bathroom stall.  How could I participate in this conversation?  How could I share my story of Tommy’s birth?  I had only talked about it to few of my closest family or friends – and never in full detail.  I realized in that moment that I no longer fit in with this group of moms.  My life had changed too drastically and I couldn’t just talk about childbirth in a light, easy, silly manner in which I was able to with Riley.  And the heavier realization was ‘how will I EVER be able to speak of Tommy’s birth without wanting to run away, and fast”.   And that’s not fair to Tommy or myself, as his proud mom.

      The following day I had a therapy session with Dr. N and I was able to speak about my traumatic experience the night before.  She didn’t have a quick solution for me – or have a clever ‘elevator pitch’ for how I can share Tommy’s birth story.  She did however ask me to re-tell HER the story of Tommy’s birth… minute by minute.  It was the first time I had relived the events of January 19th, 2015 and it was just as painful, if not more.  Today will be the second time I relive the events – in desperate hope of further healing before I face my biggest trigger of all in two days from now.

      January 16th – I woke up in the early morning hours with pretty intense contractions.  We called my doctor and he said we should head in to labor and delivery to see what was going on. Since the boys passed in mid-December, I had a few short term stays at the hospital for various reasons – but fortunately, never early-labor.  We made it to the hospital, contractions were confirmed and I was given a tocolyctic to try and stop the labor.  I stayed in the hospital until Sunday afternoon (1/18) and by that time, the doctors felt the contractions had subsided enough to discharge me and allow me to rest in the comfort of my home.  We all knew from that point on – it wouldn’t be long before I was back in the hospital and the doctors were very clear that the next time contractions started – I was having these babies.

      We weren’t even home for 8 hours before the contractions came back full force – this time more painful than ever.  I woke up Mac at 1:00am and was in excruciating pain.  The contractions were 3 minutes apart from the get-go and I knew we were in trouble.  Mac had our doctor paged and within minutes I could hear him on speaker phone, in a very somber tone saying “Sara, I’m so sorry.. but it looks like we are having these babies today”.  His voice, those words – are forever engrained in my head.  Even my doctor was apologizing for what was ahead.

      My dad arrived at our house at 1:45am to stay with Riley,  we kissed our sleeping girl goodbye, and we headed to Lutheran General – a 35 minute drive from our house.  I pride myself with having a pretty decent pain tolerance.  I have gone through child birth, I have had emergency surgeries, I have had 5 abdominal surgeries.  I’m not necessarily scared of pain.  But, contractions 3 minutes apart, over the course of a 35 minute drive, all while trying to mentally prepare myself for delivering my two still babies, and a third that we didn’t know would survive – was too much to physically handle.  I yelled at Mac to drive faster and unbeknownst to him – I was silently praying for him to crash.  I did not want to keep fighting, I didn’t want to go through with what was ahead.  I didn’t want to say goodbye to my boys and I didn’t want to lose another.  In all honestly, crashing into a median on the road seemed like the easier option.

      Before I knew it however, I was back in triage – all the nurses and staff were rushing to get the operating room prepared as I was already dilated to a 7.  I sobbed hysterically the entire time – a combination of pain and fear and overwhelming sadness.  Before I entered the operating room, my nurse reassured me “It’s going to be okay.  We all have a copy of your birth plan and we will get you through this”.  She hugged me tight, Mac left to go get scrubs on, and I was wheeled into the operating room.  What I saw next I could have never been prepared for – as prepared as I was.

      Lutheran General has the most incredible bereavement team.  During my hospital stays, my bereavement coordinator Ms. D helped talk me through what to expect, what options I have, what the ‘day of’ will look like, etc.  She helped me pick out outfits Greyson and Oliver would wear and be baptized / cremated in.  She found matching cloth diapers to put them in, matching blankets to hold them with.  Mac and I created a very specific birth plan to give to all the staff so that the day of – they weren’t asking questions and we weren’t forced to answer under extreme emotion.  Our plan looked like this:

      In the operating room, we wanted the focus to be on Tommy.  We didn’t wish for the birth of Oliver and Greyson to be announced (as they typically would with a living baby), we didn’t wish to see them in the operating room.  We essentially wanted nothing said until it was about Tommy – and we wanted an instant assessment and update on his condition. We asked to see Tommy if able to – and then we understood that all three boys would be whisked away while they finished my surgery.   I was warned by Ms. D and my doctors to expect a ‘silent birth’ and to not be scared if Tommy didn’t cry because 31 weekers typically have very underdeveloped lungs.  We then made a plan to meet Greyson and Oliver once they were cleaned up and dressed, and once I was in my long-term recovery room.  We arranged for the on-call priest to be available once we were ready so that he could perform a short baptismal ceremony and bless our angels.  This plan was nearly impossible to envision, create, and settle on – but sara + a plan = some sense of sanity.

      I  knew there may be curveballs added to my ‘plan’ and some unexpected moments throughout the day – I just wasn’t prepared to be knocked down so quickly, and even before the surgery began.  When the doors opened to the operating room, I was looking down and breathing through a contraction.  They asked me to scoot over onto the operating table and when I looked up – right in front of me were three matching baby warmers.  The same kind you see in your labor and delivery room when you’re about to welcome a perfect little bundle of joy.  The same one we took pictures of Riley in as she was getting weighed, measured, and her footprints taken.  The visual of three baby warmers sitting in front of me, waiting to be occupied by all three of my sons, two of whom would not even be announced, welcomed, acknowledged in that room – was the biggest heartbreak I had and have felt to date.  I laid back on the table and screamed in pain.

      Mac entered the room once the doctors were in and the screen was up.. he sat by my side and held my hand and I asked him to talk to me about anything other than what was actually happening.  I can’t remember our conversation, but it was a lot of random small talk to keep me from jumping off the table.  I know from the boys positioning and a later conversation with the doctors that Oliver was delivered first, then Greyson, and finally Tommy.  The room was silent other than the doctor asking for medical equipment throughout the surgery.  He updated us as he was getting Tommy out – and to what I truly believe was a gift from my other two sons – Tommy came out screaming crying.  It felt as if someone had finally given me lungs to breathe with – and I exhaled in relief.  No matter what obstacles we had ahead – he was alive, breathing, and letting us know he had fight in him.  The nurses held his tiny bundled body over us – Mac and I kissed him in between our heavy tears and he was taken straight to the NICU.  I was taken to post-op and was quickly being asked questions about next steps  “when do you want to meet Greyson and Oliver?”, “It’s only 4am – the priest isn’t here until 8am and the longer we wait, the more their physical condition will change – do you want us to try to keep them warm in a warm bath?”….  No joke, it was at that question that I asked for stronger pain medicine.   I had just been through one hell of a surgery – a much more physically demanding operation when they are quickly trying to deliver two babies in order to get the third the most medical attention possible – and I was having to decide whether I wanted to hold my sons warm or cold.

      Mac headed to the NICU to meet Tommy and check on his status, I headed up to my recovery room to get settled in.  Within the span of the next 16 hours – we were introduced to our triplets.  We held all three of them, we kissed all three of them, we cried over them, and we cried even harder when we left them.  Two were now under the care of a funeral home and crematory and one under the bright lights, loud beeping alarms, and amazing nurses of the NICU.  The details of this day are so vivid, and painful.. and heartbreaking and heartwarming.  I will dedicate another post to the remainder of our triplets ‘birthday’.  But for now, I need to figure out how to survive their first birthday..  in two days.

      XO,

      Sara

       

       

       

      Posted in Infant Loss, Uncategorized | 0 Comments | Tagged Triplets
    • The Countdown

      Posted at 9:37 pm by saramarieobrien, on December 31, 2015

      New Years Eve.  A day that brings about the ultimate roller coaster of emotions.   Holding onto the good.  Wishing away the bad.  Hopeful for what’s to come.

      Growing up, my family would dress up in fancy clothes (usually my mom’s old prom dresses we would find in her hope chest) and cook a fancy meal – write in our time capsules and read the memories from years past.  Once I reached high school, I was often bitter and annoyed on New Years Eve because I was still carrying on this tradition with my parents (and younger sister, Katie) but only because I had (by far) the strictest curfew of all my friends and I didn’t dare risk starting off the new year in trouble for being a minute late.  In college, I had a mix of celebrations but I never truly loved the holiday until New Years Eve 2004 when I met Mac.  I was invited by my cousin Shannon to a New Years Eve party at SpyBar (romantic) that year and did not know a single soul except for my cousin and her boyfriend John.  I will spare the cheesy details – but I saw Mac within seconds of walking into the bar and it was love it at first sight (the cheesiness stops there because Mac was actually too intoxicated to form a complete sentence so the sparks fizzled quickly).  The next day I told stories of the cute guy I met who had zero personality (little did I know..) while at the same time Mac was out a bar watching college football and floating my pic  (that he secretly snapped on his camera) around his group of friends to see if anyone knew who I was.  He landed upon my name and number and wah-la… history is made.  For the next few years to come, New Years Eve had a new energy to it because it was the anniversary of when we met and even though we broke up a few times over the years – we never spent that holiday apart.   Instead of wishing away the previous years like I had in the past, I looked forward to the countless possibilities of what the new year could bring – travel, adventures, engagement, marriage, babies.

      New Years Eve has been different for the past 3 years however.  I’ve found myself trying very, very hard to focus on the positives that the prior year brought but desperate for that clock to strike midnight.  In 2012, we rang in the new year with some of our very favorite people at my best friend Laura’s wedding.  When Mac and I kissed at midnight – we cheers’ed to 2013 being THE year.  We had already been trying for baby #2 for almost a full year at that point and I was recovering from a terrifying emergency surgery that rocked our worlds.  In 2013, Mac and Riley were both sick so we stayed home and watched the countdown in our comfy pajamas.  I had tears in my eyes when Mac and I wished each other a “Happy 2014” because I had just found out 5 days prior that my 3rd IVF cycle failed.  That year was filled with 2 surgeries, 2 miscarriages, and 3 IVF cycles.  2014 HAD to be easier, right?

      New Years Eve 2014… I was pregnant with our triplet boys – but only 1 still alive and thriving.  I was on strict, full-time bed rest (no activity unless I had to walk to the bathroom)… but luckily at home.  Mac, Riley and I sat on the couch and watched the Netflix Kid’s Countdown at 8:00pm and we were all in bed before 9:00pm.  I turned off my phone because I didn’t want to receive any “Happy New Years!” texts and I didn’t want to be tempted to scroll through social media feeds and feel even sorrier for myself.  What used to be a day spent focused on how glitzy my outfit was and bets made on if Mac would remember it was our ‘anniversary’ was now such a somber day.  2014 was filled with the incredible high of finally achieving pregnancy, finding out I received the miracle of all miracles and was pregnant with triplets, watching and learning my three sons every moves within my body, and then watching two of those boy slowly die.  That night when I laid in bed next to my “New Years Eve crush”, I sobbed. Why were our years getting so much harder and trumping themselves?  I’ve never been naive to think that life is easy or perfect – but how much more was ahead?   And the scariest part was I wasn’t convinced the hard days were behind us and I could just wish it away.  We did not have any reassurance that our third son would survive and if he did, I knew I still had to go through the delivery of his brothers and our final goodbye.  For the first time in 3 years, I felt torn between wishing the year away and terrified of moving into the next.

      But here we are – one year later.  We survived 2015.  We are different people than we were in 2004, 2008, 20013, even 2014.  But we’re here.

      I’m overwhelmed today thinking about all that has happened in this past year and I have more words than I have time to write – so I will let pictures speak for this years’ lowest of lows and highest of highs.

      January 9th, 2015 – We said goodbye to my Uncle Terry after a 8 month battle with glioblastoma.  I’ve watched my cousins grieve an enormous loss and yet have never been more proud of the incredible legacy they carry in honor of their father.

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      January 19th, 2015 – We gave birth to Oliver, Greyson & Tommy.  A day that I will never forget and one that makes my heart ache every time I think of it.  We held all three of our precious boys – said goodbye to two, and goodnight to the other.  In the course of one week we signed birth certificates and death certificate – and left the hospital with Tommy in the NICU and a bag of memories.

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      In March, 2015 – after 8 weeks in the NICU we brought home our little 3lb miracle boy Tommy.   8 weeks of traveling 40 minutes away to a NICU, watching your fragile son come close to losing his battle, tucking him away every night for the nurses to feed, rock, soothe, and pumping around the clock – alone, for a baby who is miles and miles away – is absolutely, 100% gut-wrenching and life changing.  I wouldn’t wish this experience on my worst enemy but I am thankful for the lesson in taught me in true miracles.

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      In May 2015, we celebrated Riley as big as we could for a 4th birthday.  Riley was an absolute rockstar through all of our ups and downs and she deserved one hell of a celebration.  I could not love this girl more.

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      In June 2015, we had a memorial service for Greyson and Oliver and buried them together in their final resting spot.  I can still remember the smell of the air on this day – the sound of the silence – and the pounding of my heart.  It was the most devastating, yet perfect way to honor the most perfect angels.

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      July 2015 – We baptized our precious Tommy – another day that sent my emotions on a tailspin.  It was a magical day full of love for the most precious gift of all.

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      In September, Riley started 4 year old preschool and has impressed us daily with how much she’s grown (socially and academically)

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      We were blessed to watch the the most beautiful sibling relationship develop…

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      This year has been filled to the brim… so much that my heart still hasn’t quite figured out how to digest it.  Maybe that’s what 2016 will be for.  To sink further into the reality of what has happened, where life has taken us, and who it’s shaped us to be.  In one year, I’ve learned what it’s like to deliver triplets, bury two infants, be a NICU mom, a loss mom, and mother of two, how to enjoy life’s smallest pleasures and appreciate every microfiber of my children’s lives, and how to feel deep, love deep and ache deep.  I learned what a toll infertility, health, and loss can take on a marriage – and how it may take a lot of therapy, blood, sweat and tears to work through it.

      I’ve learned that life is complex, complicated, joyful, scary, and exciting. And I’ve learned that it’s so much bigger than just one holiday can define. So tonight, when I kiss my husband, my daughter, and my son (who just learned how to give the best sloppy kisses) – I will cheers to us surviving.  Not just the past 12 months… but for surviving this life.

      XO – Sara

      Posted in Uncategorized | 0 Comments
    • Oliver’s Angelversary

      Posted at 1:15 am by saramarieobrien, on December 12, 2015

      One year ago today, December 11th 2014 – our sweet baby Oliver McCarthy, triplet baby A, became an angel.  Today is his ‘angel day’.  This is how I explained it to Riley this morning as we left Party City with white balloons in hand.  I fought back tears and pretended, for the hundredth time, that we had a celebration to look forward to at the cemetery tonight.  While, deep down, I’ve wanted to cry in bed all day.

      When the doctor’s told us our boys’ condition was grave and they would not survive, I believed all but 1% of it.  I left that 1% to an absolute miracle. It was a miracle that we created triplets in the first place… so why couldn’t a miracle happen again?   We had picked out two of the very best and strongest embryos during our IVF transfer… we ran every single test, ultrasound, scan possible during our first 20 weeks of pregnancy to ensure these three boys were healthy.  And they were.  The nurse said she had never seen such incredible results in a triplet pregnancy.  Not one single abnormality or area of concern.   Three weeks later they were diagnosed with the most severe stage of twin-to-twin transfusion and the doctors believed they would not live more than a day or two.  I had an ultrasound done every 3 hours around the clock, everyday for a week straight to see if their hearts had finally given out.  Then the next week, ultrasounds were done every other day.  By the third week, after begging for mercy, they agreed to only scan our three boys every 3 days – to give my own heart a break from the helpless rollercoaster I was stuck on.  For three weeks we were told that Oliver and Greyson were in heart failure – yet their tiny hearts kept beating, strong.  Oliver’s the strongest.  Every single ultrasound over those weeks – I held my breath, frantically searching the screen for that flickering white light, not knowing whether to feel relieved or tortured.  I prayed that the doctors were wrong and that a miracle would take place right before their eyes.  And at the end of each appointment, when Dr. I would schedule our next follow-up appointment 3 days later – I cried hysterically wondering when this madness would end.  How much longer could I watch my boys slowly die?

      The night of December 10th, I was sitting on the couch next to Riley.  While all three boys continued to kick and squirm and move around in my belly – the movements from Oliver and Greyson had changed.  They didn’t move as often or as strong.  But on this night, Oliver was taking charge and kicking non-stop.  Mac was in the kitchen and I yelled for him, panic in my voice.  He walked into the living room quickly and I grabbed his hand and placed it on the lower portion of my belly where Oliver was.  We both looked at each other with excitement as we felt him kick beneath our hands.  This little boy was a fighter and he was trying to tell us something.  I didn’t know at the time that he was saying goodbye.

      I had a sick feeling in my stomach the whole way to the doctor’s the next morning.  My stomach felt more still than usual and my mother’s intuition was setting in, heavy.  Mac was out of town on a business trip, so my dad joined me in the ultrasound room.  Our ultrasound tech pulled up the screen, and as I’ve watched with previously losses – she scanned our baby’s body over and over and over.  I noticed right away that Ollie was still – and my eyes zeroed in on the darkness that surrounded his heart.  No more flickering light.  No more beautiful rhythmic sound waves.  Just my sweet, sweet baby – gone, but still there.

      My dad hugged me tightly and I fought back tears.  For some reason I felt silly breaking down crying when the doctor’s had prepared us for this outcome weeks prior.  In hindsight, I recognize this as entering survival mode.   And in hindsight, I want to rush into that room and hug my former self and tell her that it’s okay to hurt so f’n badly.

      I called Mac on our way home to tell him the news, walked in my house and laid down right away with Riley.  I could not process what had just happened or what was ahead of me.  The doctors were sure that once one of the boys passed away, the other would go shortly after.  But they weren’t sure when I would actually deliver them – and for the sake of Tommy, they hoped it was at least a month away.  The waves of this disturbing reality started to set in.  I was carrying one still baby, one very sick baby, and one healthy baby.  I closed my eyes and prayed to be put out of my misery – in any form God felt appropriate.

      It’s been a year since that day, and I still have a hard time believing that this is my own life story.  Tonight we went to the cemetery, decorated Oliver’s side of the grave with balloons, a puppy dog and card from Daddy, and I cried my tired eyes out while holding the very blanket I held my sweet angel in.  I will go to sleep tonight staring at the picture of his beautiful lips, cute button nose, and dream of the day that I get to hold him again.

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      Rest in peace, Oliver McCarthy.  I miss you and love you forever.

       

       

      Posted in Uncategorized | 3 Comments
    • Oh, Christmas Tree.

      Posted at 2:22 am by saramarieobrien, on December 8, 2015

      Dr. N (my therapist) once made me create a timeline of events  – starting from when Mac and I decided we wanted to grow our family beyond Riley and ending with taking Tommy home from the NICU.  She asked that I just write down a date and a fact.  Surgeries, consultations, fertility treatments, decisions.  No emotions.  No title to the timeline.  When I brought my homework to our following session, I had four pages of paper in my hand.  I sat down in her office and she said to title the assignment “My Journey to Tommy”.   The wind was instantly knocked out of me.

      While I have the chronological order of these events forever engrained in my head and clearly written on paper – it is a very overwhelming exercise to relieve it all in that same order.  The purpose of this blog to give my head and my heart a place to go when a trigger hits.  And often the triggers come out of no where, and in a completely unorganized fashion.  I had every intention to sit down tonight and continue working through my first week in the hospital – detailing our boys’ diagnosis, the incredibly scary conversations and decisions that followed, the outpour of support from our family and friends.  But I ended up in a completely different area of my grief tonight.

      We decorated our Christmas tree tonight which is hands down one of my favorite traditions of the holiday season.  When my parents divorced, my dad always put me in charge of hanging the lights on the tree because I used to watch my mom do it and I had it down to a science.  My dad would buy the tree, set it up, and wait until we were home from college break to hang up our personalized ornaments.  While majority of my childhood stuff is missing in the aftermath of divorce, I still have all of these personalized ornaments.   It brings a good dose of nostalgia each year when we take them out of storage and I love watching the same joy now on Riley’s face as she unwraps her footprint from her first Christmas and last years’ preschool ornament.

      As Mac and I made our way through the box tonight and handed Riley each one of hers, it started becoming very obvious that there was not a single one for Tommy (he was asleep so it didn’t bother him much ;)) and there are several for his brothers.  I looked at each one tonight as if it was the first time seeing them.  I pride myself on having a good memory, and I can’t remember who they came from or if they actually hung on our tree last year.   Did I cry when I received an ornament for Greyson or Oliver last year?   Did I feel thankful?   Did I hurry to hang it up on the tree like I do all others?  I honestly cannot remember and it is a scary reminder of the numb fog I lived in for so long.  Deny.  Survive.

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      One ornament did not make it’s way to the tree tonight.  It’s one of my most treasured gifts – and another that I don’t remember my response to at the time.   On January 19th, when our three boys were born – our bereavement nurse came into the room, moments before we met Greyson & Oliver, rambling about a little project she was doing a ‘trial run’ on.  Knowing that I would soon be holding my twin stillborns, I was far from focused on her project.  Almost a year later – I ache a deep, deep ache over her amazing ‘project’.  An ornament with the real footprints from our precious boys.

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      Tonight my heart aches.  My head aches.  And my belly aches the most.  Ironically the place these two boys last lived.

       

      Posted in Uncategorized | 3 Comments
    • Reeling for Riley

      Posted at 9:10 pm by saramarieobrien, on December 3, 2015

      I have been purposefully avoiding this blog for the past week.  My therapist once told me that there is no pattern or path to grief.  She has instructed me to sink in deep when the waves crash hard, and to hold on tight to moments of joy.  The Thanksgiving holiday brought a surprising amount of calm, blissful gratitude and I’ve been allowing my mind to savor in it.

      Unfortunately, this morning I had to return to the place where my last post left off.  Since Tommy was born 9 weeks premature and spent 9 weeks in the NICU – he is followed by the Advocate Lutheran General NICU team until he is 3 years old.   We had his first NICU follow-up appointment in July and this morning was his second follow-up.  I could hardly sleep last night knowing that I would be getting in the car bright and early – and heading to my version of hell on earth.  The familiar drive that is still stuck on autopilot in my head, the parking lot, the smell and sounds of the hospital lobby, the elevator, the machines, nurses, doctors, even the Au Bon Pain restaurant I passed – send my heart racing, my breathing frantic, and my head dizzy.    While I owe Tommy’s survival to the many, many brilliant staff members at Lutheran General – I don’t think I will ever be able to even glance at the building without feeling a tremendous amount of pain.

      The day after we were admitted (last November), we were moved into a weird ‘unknown’ wing of the hospital.  I was showing no signs of immediate labor and the nurses decided it wasn’t fair for me to spend my days and nights listening to healthy babies being born in the rooms right next door.  But because my doctors did not think it would be long before my body went into labor, they told me to plan on living in the hospital until the boys were delivered.  So Mac and I moved into a ‘long stay, high-risk mother’s unit’ room – two hospital beds, a small shower-less bathroom, and plenty of 1970’s decor.  Mac’s first question to the nurse was “can I bring in our own TV to hook up so we can watch movies?” and mine was “can my daughter sleep here with us?”.  Mac received a ‘yes’, I received a ‘no’.. and my second biggest meltdown followed.

      It’s so interesting (and scary) to look at life in hindsight.  When we first found out we were pregnant with triplets, we met with three separate MFM (maternal fetal medicine) specialists in order to make sure our pregnancy received the best care possible.  The first doctor was close to home but was inexperienced with triplets.  The second doctor was an absolutely monster and recommended I abort 1 – 3 of the babies in order to give myself the highest chance of delivery a SINGLE healthy baby (I filed a complaint within 5 seconds of leaving his office), and the third doctor was a complete dream come true.  He outlined the risks, explained the solutions, and most memorably – congratulated me on the miracle of multiples.  All three doctors could not have been more different in terms of professionalism, personality, demeanor, and medical approach.  But all three doctors provided me the same risks associated with triplets and the two that I heard the loudest at all three appointments were:  twin-to-twin transfusion and bed rest (aka: life away from Riley).   In those early days of pregnancy, I can honestly say those two risks scared me to equal degree.  Through all of our losses and infertility battles – Riley was my ray of light.  She kept me distracted, kept me laughing, and kept me focused on why I was in this battle to begin with: to be a mom.  The thought of being on bed rest, in a hospital 45 minutes away from her, missing out on even a second of our life together was almost unbearable to imagine (my therapist blames this on my own mother abandoning me but we’ll save that for another lengthy post.. ; )).  Months later, here I am on bed rest for an indefinite period of time, preparing for the death of 1 – 3 of my babies due to TTTS, and away from the one child I CAN mother.

      Our team of doctors were planning on spending the day running ultrasounds, labs, and determining next steps.  We were making endless phone calls to set up childcare for the coming days, weeks.  We had a meeting with the hospital chaplain to do a blessing over my belly.  And all I wanted was Riley.  We arranged for my sister-in-law to bring her to the hospital and let her spend some time with me.  I panicked in the minutes before she arrived at what she would think, say, feel.  Would she wonder why I was hooked up to a bunch of machines?  Would she ask to feel her three brothers kick like she always did?  Would she be confused when she would have to leave to go home, and I wasn’t coming with?  It was all soul-crushing.  But the second she walked in the hospital room – I realized she was still that innocent, goofy little 3 year old.  Her world had not crashed.  Mine had.  And I was going to do my best to put a big smile on my face amidst the pain and enjoy our new imperfect world together.

       

       

      Posted in Uncategorized | 1 Comment
    • “In all my years, I haven’t seen this happen”

      Posted at 3:57 am by saramarieobrien, on November 25, 2015

      It’s a sentence I have heard twice in my life – from two different doctors – and for near polar opposite reasons.  The first time was in July 2014.  We were at our first ultrasound appointment after receiving a positive pregnancy test.  Just a few weeks prior, we had completed our 4th IVF cycle and had transferred two embryos with the hopes of becoming pregnant with one healthy baby.   Now I was laying in an examination room awaiting my fate.  Our reproductive endocrinologist, Dr. S., moved the ultrasound machine around and paused for a second.  Took another look and then paused again.. this time for a few seconds longer.

      “In all my years, I haven’t seen this happen” he said.

      My mind raced as to what my crazy body could have done this time.  I feared the worst, but never expected him to say:

      “Both of the embryos implanted.  And one split.  You are pregnant with three babies.  You are pregnant with triplets”.

      He ran through the odds of triplets occurring (.0001% chance), the risks involved, follow-up instructions, and I could hardly hear a word he was saying.  I was out of body and in complete shock.   I could not wrap my head around the news and I immediately felt my identity shift.  I was no longer Riley’s mom.  I was a mother of four.

      On November 24th, 2014 – we had a routine appointment with our maternal fetal medicine specialist (high-risk doctor), Dr. I.   Mac dropped me off at the entrance and went to go park the car.  I was looking at my phone when I walked into the elevator and it wasn’t until the doors closed that I was aware of my surrounding.  Standing in the elevator was a petite, mid-30’s woman with three boys next to her, all the same height, all the same dark hair, all dressed in the same black winter hat and black Northface coat.   I immediately asked if they were triplets and she answered ‘yes’ enthusiastically.  I told her that I was pregnant with triplet boys myself and we quickly compared notes before they reached their floor and were on their way.  I had tears in my eyes and goosebumps covering my body as I walked into my doctor’s office.   Not once in my life had I come face to face with real life triplets.  I had spent the past 5 months googling everything triplet related but I had yet to cross paths with any.  Watching this mom and her little army of men lit a fire in me and I approached my appointment with confidence and an excitement I now long for.

      Our weekly appointments consisted of the same ‘risk checks’… weight, blood pressure, babies’ heart rates, measurement of amniotic fluid surround each of them.   The ultrasound tech scanned all three babies and I held my breath, then exhaled in relief as I watched my three boys kick around and their hearts beat loudly.   She left the room to grab Dr. I – and Mac and I laughed at a funny video that had popped up on his Facebook newsfeed.

      Dr. I walked into the room and his casual, warm, friendly aura was boldly missing.  He pulled up a stool, kept his files closed and tucked under his arm, and when we finally made eye contact I noticed that his were filled with tears.

      “Sara, in all my years here.. I have never seen this happen”

      The familiar words rang loudly in my head as I flashbacked to our first ultrasound with the boys.  I ignored the concern I heard in Dr. I’s voice and forced myself to believe the next words out of his mouth would be positive ones.

      “Your twin boys are very very sick and we need to admit you into labor and delivery immediately.  We are at risk of losing all three of these babies”

      He went off into a full explanation of how within just one short week, our twin boys had developed Stage IV TTTS (Twin-to-twin transfusion – I will post more about this in a separate blog entry).  Dr. I was always so good at explaining any and all risks – and he always finished our appointments on a reassuring note.  So while he explained the medical condition of our twin boys – I shut down and stopped listening.  All of the information seemed irrelevant – I just wanted to hear his final reassurance that ‘everything is great and we will follow up again next week’.  I waited.  And waited.  Until he said:

      “Sara, do you have any questions?”

      I casually responded “wait, so will our boys be okay or are you saying they are dying?”

      “Your twin boys are in heart failure and will not survive.  They are dying.  We need to admit you and do our best to save your third son”.

      I looked at Mac and then back at Dr. I…. and I let out a howl.  A loud, painful, gut-wretching cry that I can still hear to this day.  I immediately grabbed my phone and called my sister Katie.  I screamed into the phone in hysterics as she asked over and over and over what was wrong.  It took me the longest time to formulate an answer “Katie, my boys are dying”.

      Within ten minutes, I was in a wheelchair being admitted to the hospital for fear that I was going to go into labor at a mere 23 weeks.  The next few hours were filled with blood draws, exams, ultrasounds, consultations with labor & delivery, NICU and the bereavement team.  I sat in my hospital bed, waivering between complete hysteria and utter confusion. Our evening nurse gave me a heavy dose of anti-anxiety meds in hopes that I would be able to doze off but instead I stayed up all night holding onto my belly for dear life.  My three boys were alive, kicking and I was too afraid to believe they would be taken from me any second.

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      Posted in Uncategorized | 0 Comments
    • Ready or Not, Here I Go…

      Posted at 7:57 pm by saramarieobrien, on November 23, 2015

      I started seeing a therapist in January 2014 when I felt I had hit an all-time low during our fertility struggles.  I am probably the biggest fan of therapists.  I met with a therapist after our first miscarriage..  I met with a different one to work through some issues from my parents divorce.. and I’ve been meeting with one on a weekly basis for almost 2 years now.  I had no clue when I met Dr. N (I’m going to attempt to keep the professionals anonymous) that talking about my past losses, the failed IVF cycles, the anxiety / depression / worry I constantly felt would be the EASIEST conversations we would have.   She has been my rock through the hardest two years of my life and her advice has literally saved me.

      A few months ago, she diagnosed me as having PTSD (Post Traumatic Stress Disorder).   If you look at the definition, symptoms, diagnosis.. I was a clear case.   Because I had to carry all three of my babies until Tommy was strong enough to be born – I just had to survive.  Day by day, minute by minute – I was forced to focus on a goal of holding A SINGLE baby.   I had to do my best to ignore the fact that my two sons were dying inside of me.  I had to rub only the top left portion of my belly to feel Tommy kick and ignore the stillness of my dead sons that I carried for weeks.   I had to listen for Tommy’s cry during the delivery, and try my best not to hear the deafening silence of his brothers being born.  Survive.  Ignore.  Find the positive.  Just.Keep.Going.  It was a constant dialogue in my head.

      Dr. N warned me that the numbness would subside and it would all hit me.  Hard.  And it did.  And it hasn’t stopped.   The nightmares, flashbacks, questioning, regrets.. it’s all here now and there are many days I would like to go back to survival mode.  Dr. N tells me I need to dig in deep and feel – even though ‘feeling it’ scares the hell out of me.  By really, truly feeling it – it becomes real.  And if it’s real, I have to accept it – which is even scarier.

      So, here I go.  My long-overdue homework assignment from Dr. N is to write down my feelings, recount the memories, work through the trauma.  I figured there is no better time to start than on an enormously, heavy anniversary.  Tomorrow (11.24) will be the one year anniversary from when our lives changed forever and I’m daring myself to write about it – and remember every detail.

      XO – Sara

      Posted in Uncategorized | 3 Comments
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