Monday, February 9, 2015

Forever In Our Hearts Memorial Luncheon Talk, February 8, 2015



“Meine Sonne Scheint” (My Sun Still Shines)

Good afternoon. I’m humbled to be standing before you and sharing our story today. I found myself struggling with what to say and my dear friend Rose reminded me that, while all our stories and experiences are different, we share the common outcome of loss. Whether pregnancy, infant, or child loss, each of us has experienced something incredibly unique and unfathomably painful and here we are today. Still standing. Still living. 

Still grieving.

Rose also reminded me to speak from my heart. The best way I have to do that is through letters. I have written many to Sonne over the years at my blog “Meine Sonne Scheint” which means “My Sun Still Shines” in German. I’ve written to her to recognize moments of difficulty or beauty or to simply wonder aloud what life would be like were she still alive. I believe this is the first where I have chronicled her short life and our longer one without her.

Dearest Sonne –

I fell in love with you long before you and Morgen were born. I remember being overwhelmed by the smell of the carved pumpkin outside the house on Halloween. I knew at that moment that I was pregnant, but I didn’t say anything to your father although I’m pretty sure he was thinking the same thing given my reaction to something he couldn’t smell even when sticking his nose into the jack-o-lantern.

Two days later I got the call from Dr. Ghadir. The blood test came back positive. I started to cry. After a previously failed IVF attempt I was pregnant. We had transferred all four viable embryos and we knew that all were female. Two weeks later we went in for the first ultrasound and there you both were: two little round yolk sacs with the flickering heartbeats on the screen.

Twin girls.

Your daddy looked at the doctor and said, “I’m not one to say this very often but,” and shifting his gaze to me finished triumphantly with “I told you so.” We were both so overwhelmed and overjoyed.
Twin girls. We came to refer to you as Speck und Eire – German for Bacon and Egg. 

In January daddy and I were sitting in the mall. I was eating a Wetzel’s Pretzel and we were talking about names. He always loved the name Morgen spelled with an “e” – German for Morning or tomorrow. We started culling his memory for other German words which sounded nice and also meant something that went along with Morning.  When we found Sonne I knew it was a match. Morgen and Sonne.  Morning Sun.

I remember singing your names to the melody of “Good Day Sunshine” by The Beatles. “Morgen Sonne dun, dun, dun.”

I sang to you and danced with you every day. I spent hours painting the mural in your bedroom. I usually listened to The Beatles while painting so your ocean includes an octopus’s garden and a yellow submarine. And our dogs, Cole and Fraggle, are manning the helm of the boat which has your initials on the sail: M S 2011.

I hugged my ever expanding abdomen and smiled every time I felt one of you move – and you tended to move far more than your sister. Perhaps that was because you were sitting on top of her. Perhaps it was because you wanted to make sure your presence was known.

On April 23rd, 2011, seven years from our first date, we had a baby shower. It was originally set for May 14th, but daddy’s production schedule required our moving up the date. It was amazing and overwhelming. You would be surrounded by love. 

Shortly thereafter things changed. I remember feeling more tired and the edema was getting so bad that I started working from home in the afternoons. I started getting angry and over reacting a lot too. I tried to relax. I listened to more of The Beatles. I felt you moving around. I breathed.

By early May I just wasn’t feeling well anymore. I assumed the fatigue was just starting to win and was going to ask Tony to write me out of work at my next appointment. It was a little earlier than planned, but so be it. I was carrying twins.

On Monday, May 9th, I drove from the Valley to my doctor’s office in Beverly Hills. I peed in a cup and knew something wasn’t right. Urine is not supposed to look like tea.

Tony came into the exam room and said there was a little protein in my urine. As he was taking my blood pressure he calmly explained that he was going to have me admitted to Cedars for 48 hours of observation and to give me some meds for the babies. I had preeclampsia. I should go home and pack a bag and then get back to the hospital. I didn’t have to rush, but I also should get there as soon as possible.

I started to cry. I told him, “It’s too early. I’m only 31 weeks and Eric is in Toronto.” He assured me it was just for observation.

Now, honey, I consider myself to be smart and quite self-aware, but I was truly oblivious as to how sick I was at this point and honestly, it was probably a good thing.

I tried calling your father but couldn’t reach him. I called my mom and cried. I tried daddy again, but went straight to voice mail. I left him a teary message along the lines of: Hi babe. It’s me. So, Tony is having me admitted to Cedars. I have preeclampsia. Call my mom for more info because I’m pretty upset right now and need to concentrate on driving. I hope your first day of shooting went well. I love you.

I remember the receptionist at Tony’s office telling me everything would be okay.
Daddy called me back as I crested Coldwater Canyon. He asked if he should come home, but I assured him it was just a temporary hospitalization. As I pulled into the driveway your Aunt Jenna called and assured me everything would be okay. I cried a lot to her. I was really scared. After everything we had gone through to even get pregnant…
I was admitted to the Maternal Fetal Care Unit around 7:30pm, given a gown to change into and shortly thereafter found myself hooked up to various monitors. Dr. Esakoff came in and thoroughly examined you both via ultrasound. I remember her saying “Baby B,” that was you, “is growth restricted.” She also said that you were both moving well. They gave me steroid injections to help protect your lungs and brains, and also started a magnesium sulfate drip along with my IV. It was a terrible medication. It made me hot and a bit disoriented.
Around 2pm the next day daddy called to say he was on the way to the airport. He spoke to Tony. I wasn’t going to be leaving the hospital until I was a mom. I was genuinely surprised and he said plainly, “Babe. You’re really sick. No one is telling you that, but you are and I’m not about to let you sit alone in a hospital room whether it be for two days or two months.” He arrived at the hospital at 11:30pm.
We spent the next few days trying to keep me as calm as possible. My BP continued to rise, but my labs were okay. On the evening of Friday the thirteenth my BP peaked at 190 over 95. I pleaded with the doctors to let me go home. I missed our dogs. I wanted to sleep in my own bed. I was desperate to be out of that hospital. I promised to come back if anything happened. They promised me a visit with a therapy dog on Saturday, offered me Ambien and suggested I rest because if my BP didn’t come down, they would deliver you that night. 
I took the Ambien and fell asleep listening to The Beatles.
The next morning your father went to make some phone calls and get some coffee. He wasn’t gone long before Dr. Lau came in to let me know my labs came back. Tony had been called and you were going to be delivered. My liver was shutting down.
A whirlwind of activity began around me. I was signing consent forms and magnesium sulfate was being pumped into my bloodstream at a ridiculous rate. I was sweating and dizzy from the meds. I didn’t know where my phone was so I couldn’t reach your dad. Thankfully Dr. Kilpatrick saw him in the plaza lobby and let him know what was happening. He actually hung up on his mother after telling her “Get here mom. The girls are coming…now.”
It was pure controlled chaos. The OR was full of people. There was a surgical team for me and a NICU team for each of you. Daddy was by my side. 
It was Saturday, May 14th. At 9:53am Morgen was delivered weighing in at 3lbs 11 oz. and one minute later, at 9:54am you, my sweet Sonne, were delivered weighing in at only 2lbs 10 oz. You were both so tiny, so beautiful. I was crying as I briefly met each of you before you were whisked away in your isolets to the NICU. Daddy was with you and suddenly it was so quite in the OR.
Daddy came down after you were “settled” in the NICU. He brought more pictures and then Oma came back to be with me while he headed back up to be with you. I still remember my mother-in-law sitting with me and quietly holding my hand while I tried to rest. 
I wasn’t allowed to go to the NICU until the next evening – 35 hours after your birth. They couldn’t get my BP under control and I was desperate to see you. Once again I was bargaining with the doctors and nurses to be let out of the MFCU. I promised I wouldn’t have a stroke. I promised I wouldn’t get out of the wheelchair. I would have promised the moon if I thought it would get me what I wanted most in the world at that moment.
I saw Morgen first. She was so little.
Then I saw you. You were so teeny tiny – you made Morgen look big. I remember sitting in that wheelchair, my fingers touching your little foot through the opening in the isolet and hearing the fellow say, “This one has tetralogy of Fallot and a complete A/V canal defect.” I looked at your dad and it was if he was hit in the gut with a baseball bat. You see, he produced a film about the first open heart surgery to correct tetralogy of Fallot. We met with a cardiologist the next day who talked to us more about your heart defects. I believe he even said something to the effect of “if you had to have a heart defect, these are the ones you would want” insinuating that the repairs were easier, more well known, routine even.
The next few weeks took on a life of their own: the routine hand washing, the smell of the soap, walking down the NICU to Bay 6 where the two of you lay in your isolets, sitting between you while pumping. You were born eight weeks and two days early. And yet, by NICU standards, you were both big.
Morgen was the typical feeder/grower. She came home on June 28th
You my little-little needed more time and more tests. When you were finally discharged on July 15th, you came equipped with an apnea monitor. Your cardiologist felt confident that you would be home and growing for quite some time before needing corrective surgery sometime around February 2012. He was also confident that when the time came Dr. Starnes at Children’s Hospital LA would easily repair your heart and you would be “a perfectly normal kid just one with a cardiologist.”
Daddy and I talked about how we expected that you would be fearless and how you wouldn’t hesitate to correct people when they called you Sunny instead of Sonne. How you would likely run circles around your sister just to show her that heart surgery wouldn’t slow you down.
And then on August 18th, while your daddy was in Massachusetts for Dan and Teri’s wedding, you went back into the hospital. We had a rough night and I knew something was wrong so I packed up you and Morgen and we were at your pediatrician’s door when they opened it that morning. They put a pulse-OX monitor on you and moments later were calling an ambulance. They could see the blue tinge to your skin that I missed.
I left the car and Morgen with Dr. Jeremy and climbed into the ambulance with you cradled in the strong arms of the fire-fighter EMT. Daddy arranged to have Morgen picked up by a close friend so I could focus on you. He was ready to miss the wedding if needed, but your cardiologist felt confident that you had a respiratory infection. You were more prone to things like that and your heart condition was exacerbated by such things.
Six hours later I was following another ambulance to Children’s Hospital. They were better equipped to handle your unique needs in their Cardio-Thoracic ICU.
By the time I finally picked up your sister at 9pm that night, I collapsed into Darren’s arms sobbing, “I can’t lose my baby.”
Daddy was back with us by midday on Sunday. He stayed with you every night at the hospital. More tests ruled out infections and reflux issues. We finally met with Dr. Starnes. He explained the procedure thoroughly. Daddy asked if there would be any surprises. He said “No” without hesitation and something like he would make you perfect. I told him you already were and told him how to properly say your name.
God…he was an arrogant prick, but I suppose you have to be to cut open the chests of babies.
Surgery was scheduled for August 29th
On August 28th, I nursed you for the last time. I was told bottle feeding was easier and they didn’t want you to over exert yourself, but you kept pushing the bottle away and nuzzling my chest. Screw the rules I thought and let you latch. I can still see you looking up at me, blue eyes sparkling in the harsh florescent lights. I can still feel your little hand holding the finger of my right hand as my left caressed the back of your head.
Nana arrived that night and spent time with you in the hospital. That last picture of you two together is one of my favorites. She would stay home with Morgen during your procedure.
Your surgery was supposed to last approximately three hours. Five hours after it began a social worker I had previously met walked into the waiting area with a man I didn’t know. They made their way over to me. I clutched your daddy’s hand. Things were not going as anticipated. Oma burst out into tears. I looked at Opa and said, “Go get my mom and Morgen” and then at Oma and said, “Stop. We are not going to grieve her unless we have to” because, for whatever reason, I wouldn’t let myself cry and needed others to be just as strong.
We were ushered into a small room so we could have some privacy. A member of the surgical team came up and explained what was happening. They were having trouble repairing your mitral valve. Your heart tissue was “primitive” and the sutures weren’t holding. Starnes was attempting to put a mechanical valve in next. The goal now was to get you out of the OR and onto the EKMO bypass in the CTICU and just wait.
Dan and Teri arrived. Opa, Nana and Morgen arrived. I had been without my breast pump all day and was desperate to relieve the pressure. I accidentally sprayed breast milk on the wall opposite me while trying to get Morgen to latch. I made some joke about shooting their eyes out. Folks laughed.
Sometimes you have to laugh.
Two days later an ultrasound showed that your heart had no muscle contractions. Without the aid of a pacemaker there was no electrical current. 
On August 31st, 2011, at 3:23pm you died in our arms. I held you as daddy held us both. Your Uncle Rod said a blessing. Your Aunt Susie stood at his side. Nana held Morgen. We cried. We wailed. We listened to One Eskimo sing “Amazing” just as we did when each of you were discharged from Cedars.
Since that shitty day (yes…that’s how I described it then and still now) we have struggled. We have cried rivers of tears. We held a memorial service for you and we scattered your ashes at sea. We placed a bench in a beautiful meadow at the South Coast Botanic Gardens with a plaque that read “Sonne Koerper Hetzel. Daughter, Sister, Friend. Your Light Always Shines.” We visit often.
To this day I can still hear your Aunt Jenna heartbroken asking, “What happened?” when I called to tell her we were taking you off life support. Your great-grandmother saying, “It should be me. What good is an old lady like me when that baby has her entire life ahead of her.” Your Papa telling me and Nana that he would be here the next day by 11am.
Close friends convened at our home and did their best to comfort us. Food was dropped off, cards received. People tried to say the right thing and more often than not failed.
I broke down hysterical one afternoon in your father’s arms. I didn’t hold you enough. I couldn’t bear to be at the hospital again when you were at Children’s. I felt so guilty but they would hardly let me hold you or nurse you. I was a helpless observer and at least at home Morgen needed me and I could do things for her. 
Once Morgen weaned I looked at your daddy and said, “I want another baby.” We agreed to go back to see Ghadir just after your second birthday. 
Everything was harder this time around. I was 40 and I was only giving us one chance. Thankfully we had two normal embryos. We implanted one. It took. Our 20 week ultrasound was with Dr. Esakoff. She remembered us and you. We were referred for a fetal echocardiogram, but she believed that your sister’s heart looked normal.
That’s right: another girl. I looked at daddy and we both started to cry.
Three weeks later the echo confirmed Esakoff’s beliefs. Her heart was perfect. I could finally breathe and start to enjoy this pregnancy and with every developmental milestone I felt lighter and happier. The baby liked to dance around just like you.
Your baby sister Aurora – Latin for Light – was born on June 12th at 10:50am. She weighed 7lbs 12 oz. It was another C-Section and it was such a contrasting experience. The delivery OR felt so calm. Once delivered, she was held up for us to see. I said to your dad, “She’s so big! We can see her from across the room.” This time our family left the OR and went to the recovery room together.
Oma, Opa, Nana and Morgen arrived at Cedars that afternoon. Morgen beamed the biggest smile I have ever seen upon meeting Aurora. And she is a great big sister. I know you already know that, but I wanted to tell you all the same. You’re a great big sister too.
Aurora is eight months old now. At times she looks just like you – especially when she nurses. When she was a newborn and nursing it was almost as if I was holding you again. It was magical.
You should be 3 years and 9 months old now. You should be playing Star Wars with Morgen and arguing over who gets to be Luke Skywalker and who has to be Princess Leia. You should be going to preschool and running and jumping and singing and dancing and playing. You should be testing my patience as much as Mo, if not more so.
You should be, but you’re not.
So we talk about you all the time. We tell Mo stories about “Morgen-landia” and in them Princesses Morgen, Aurora and Sonne are all together. Morgen insisted upon that. Morgen knows about your surgery and often asks me to tell her about it. This past Christmas she even suggested that Santa gave you yellow cookies which you must have eaten because the sun was shining so bright. She has also said on many occasions that she’s going to have a baby in her belly and that baby is going to be another Sonne…but her Sonne won’t die. 
I talk about you with friends, family, and coworkers. I said something about when I was pregnant with twins and a new coworker excitedly asked, “Oh! How old are your twins?” and I told him about you.
There was a random encounter in CVS when I was trying to figure out which cold medicine to get for Mo and another mom offered her advice and as we got to talking about our kids she mentioned her angel baby – they too had lost a daughter after a failed heart surgery. 
And there was my conversation with Rose one morning after dropping Morgen off at preschool when I learned about her two angels. 
Yes…the universe has an uncanny way of connecting us to others when needed.
And of course, because you are our sunshine, you shine down upon us nearly every day. We say Guten Morgen Sonne to you as we head off for the day’s adventure and at night we always say, “Schlaf gut. Susse Traume. Wir lieben dich.” Sleep well. Sweet dreams. We love you.
Here’s the thing, honey. Not a day goes by that I don’t miss you and wish you were here. You are my little-little then, now and forever. But I have learned to laugh again. I have found joy and happiness again. I have gained an incredible perspective through your loss and, as a result, the little things, the bullshit which so many people get wrapped up in daily tends not to bother me. I can finally listen to “Good Day Sunshine” again.
I am endlessly thankful for the time we had together. 109 days is terribly, terribly short, but I cherish them. I would relive each of them again just to hold you once more. And sometimes I dream that your surgery was a success, or even that you were born early but without any heart defects. And dreams are wonderful things because in them you are happy, vibrant, radiant.
Thank you for being my little-little. You still give me so much every day. You, your sisters and your father complete me in a way I never imagined possible. And for that I shall always be grateful.
To quote One Eskimo’s “Amazing”: It’s in the stars, it’s in the sun. It’s everywhere and everyone and it will be every day. From now on, from now on we are one. And it’s amazing.
Wir lieben dich, Sonne. Ich liebe dich.
Mommy.