Category Archives: motherhood

The Great Return

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Tomorrow we go to Atlanta with Charlotte for follow up with the Cleft Palate Clinic.

I would be lying if I said I was not nervous.

This appointment was supposed to have taken place when she was nine months old.

She’ll be three years old next month.

Charlotte in the NICU

Charlotte in the NICU

It took me this long to get to the point where I could even think about facing the hospital where she spent her first 21 days of life without having an anxiety attack.

This is the same hospital in which I tucked myself into a corner of the sleep room in the NICU area, blasted Linkin Park over the MP3 player and checked out. No desire to come back. Just wanted to stay curled up under the blanket and pretend none of this was happening. Nope. Not to me. I didn’t have a baby in the NICU. She wasn’t downstairs having major jaw surgery at just nine days old. We weren’t doing this. I was stuck in the middle of a really bad dream and I’d wake up at home with a normal baby.

I can still see that hallway, that sleep room, my nostrils fill with the scent of the surgical soap that killed my hands as I washed them every time we went into the NICU, every time i pumped, every time I went to the restroom there.

I remember the pumping rooms in which I spent most of my time staring at the clock wishing I could nurse my daughter instead of shoving my breasts into hard cold flanges, flicking a switch on a massive antique pump, adjusting the suction to just below Holy Crap that Friggin Hurts.

But tomorrow is the day we finally go back.

Chris is going with me as a safety. I don’t know how I will handle this. I’m hoping for the best. Praying for the best. I keep thinking about how far we’ve come since then and how lucky we are that we don’t have a lot of the problems a lot of parents have with their Pierre Robin kids. She’s talking, using sentences nonetheless. She’s breathing on her own. She eats – oh lord, she eats – she’d eat herself sick (and has) if we let her. No oral aversions here.

But she does have a fistula – an opening in her palate repair. It’s at the back of the throat. And her enunciation is off – it’s nasal. She can’t say “s” without blowing air through her nose. Chris and I understand maybe 75 – 80% of what she says and it breaks our hearts that we can’t even understand our own child all the time. It’s led to frustration on both sides and is now turning into a discipline issue.

I’m afraid we’ll be told she needs surgery. I’m afraid of what that will mean for us and for her. I’ve talked with her about the possibility of surgery. She knows that they would give her some medicine to help her go to sleep and fix her mouth while she was asleep. That she might be owwwy when she wakes up and that they’d have medicine ready to help with the owwwy.

She seems cool with it.

I’m not.

I have forgotten how to let her go with the doctors – I got so good at it when she was in the NICU but she’s been all ours for almost three years now. I don’t want to hand her over to be taken to surgery. I want to go with her! That’s my baby you’re taking!

But now I’m thinking too much and need to stop and let God do all this worrying for me.

Please pray for us as we face tomorrow.

Pray for a peaceful heart and soul for me.

Pray for a pain-free and comfortable day for Chris as he goes with us.

Pray for a positive evaluation.

Pray that I am able to handle any news of surgery with strength and grace and truly give it to God.

A Little Slice of…. Normal?

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photo from flickr

photo from flickr

As my Postpartum OCD slammed against my shores, the skies darkened and angry bolts of lightning seared through the atmosphere. I hunkered down in a deep dark cave, curled up in the fetal position while wishing the skies would clear. Eventually they did and as puffy white clouds took the place of the dark angry ones, I began to realize the island I now found myself on wasn’t so bad. The laughter and comraderie filling the valleys no longer grated on my nerves. Not even the whining and crying could push me back to my cave. In fact, I slowly began to forget where my cave was – I think it’s been overgrown with dense vines or is hidden away behind a waterfall.

This afternoon with the kids was completely blissful. All three of them played together in the floor without arguing. They peacefully shared with their toys and burst with laughter. Allison wove a wonderful tale of marital bliss with Cameron’s toy cars. Charlotte giggled at Cameron’s newfound block playing skills. And Cameron just soaked up the attention from his big sisters as they surrounded him.

I immersed myself in the joy of watching my three children enjoy each other’s company. THIS is what motherhood is like without the angry and confusion of a mood disorder. Wow. I didn’t have a mood disorder after having Cameron but there were all the issues with Chris’ addiction that threw me for a loop. Moments like these- moments so tantalizingly perfect never fail to blow me away. They make all of this worth it – all the struggling, the fighting, the tears, the pain – all of it makes the joy I now feel so much brighter.

And it’s this joy that i wish for all the families I come in contact with because I remember all too well not knowing it.

Sharing the Journey with Michael Puline

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A couple of weeks ago, we shared the journey with Amber Koter-Puline. Today we’ll get her husband’s point of view. It’s important to include dad in the postpartum experience because his support is invaluable to recovery. I want to thank Michael from the depths of my heart for sharing his story so openly and for supporting Amber so wonderfully during such a difficult experience. I hope this provides invaluable insight for new or expecting fathers who may either find themselves in a similar situation or know someone who is already there.

What makes you tick? Tell us a little bit about who you are!

I enjoy business – specifically the retail real estate business.  I enjoy all aspects of my business.  I spend a good portion of my time dedicated to being successful in my work so that I can provide for my family.  I also enjoy spending time training Gracie jiu jitsu; its something that I have always wanted to get into before but didn’t have the opportunity.  When we moved to Atlanta and I found a place to train and I immediately began.  I am a morning person!  I like to get up very early before others to accomplish things.  I am generally waiting for the gym to open at 4:45am when I arrive.   Sometimes they let us in early.  On nights that I am not at jiu jitsu, I play the guitar and enjoy spending time with my family.

You’ve walked the dark path of Postpartum Depression with your wife. Share with us what it was like to watch the woman you loved seemingly slip away into a dark shell.

It was awful.  I saw a highly motivated and capable person become so helpless and undergo such a radical change.  It is almost as if you no longer know the person.  They are someone else.  It was very difficult for me because I didn’t really believe it was happening.  I thought that it would go away on its own.  But, when Amber came to me and recognized that she was in need of professional help I knew that it was serious.  It was  very difficult to deal with.  I had to change my work schedule and Amber had to even come with me to work some days.  It was almost as if she had regressed mentally to a 4 year old.  She had to be at my side almost 24-7.  You can’t believe it until you experience it.

How did your faith support you through Amber’s recovery?

It helped in many ways.  One of the biggest was seeing the outpouring of help from our church community.  Even people who we did not expect to come through for us came and truly tried to make a difference in our lives and help us with this difficult situation.  As a result of having gone through this, my faith has grown stronger and I can now see why God chose this to happen to my wife.

What has it been like to see your wife take something so painful and turn it into such a point of strength and grace?

It has been really nice. I know she enjoys it. Anytime you go through a challenge and are able to transform it into a positive aspect of others lives I believe it is the ultimate blessing you can receive.  Amber has done this.  She has put her heart and soul into a blog, website, communicating with others, and constantly trying to reach out and help others. It is very commendable. I love her for it. It feels really good to know that she wants to help others. She took the situation, transformed it, and is giving it back to God by helping others. It’s the only way to live.

Did PPD affect your marriage? If so, how?

Yes, in many ways. It has changed our plans for future children (we had previously wanted a larger family.) We had to change our schedules and had to change the dynamics of our child-rearing than we had previously planned. You see, Amber and I had initially thought about having several children, however when she went through such a severe PPMD it really changed her desire and made her feel as if she could never handle more than one child, as she could barely physically and emotionally handle this one. As she had continued to get better, I believe her opinion continues to change slightly. For the first 3 or 4 months I had to do the lion’s share of the night-time wakings, because she needed to rest. At first I think I resented her for it, but now I think it helped me to build an irreplaceable bond with my son. While it was difficult at the time, I am very much thankful for the opportunity to do that because the benefits clearly outweigh the sacrifice I made. Hey, whats a few hours sleep for a guy who gets up at 4:30am anyways? I think as a result we take specific time in our day to better ourselves- praying together, reading and discussing books together, etc. We truly want each other to grow and develop everyday as individuals and parents. We are much more committed to each other. Not just to having our marriage be ok or something we endure, but to flourish. It also changed how we now interact. We have a different relationship. It’s much stronger.
Fathers need to remember not to lose themselves in the process of parenting. What is it that you do to just hang out and be a “guy”?

Jiu Jitsu.  I train.  For me, jiu jitsu offers me the opportunity to escape.  Going to the gym is similar, but jiu jitsu provides me the one on one competition that drives me to do better every day.  I think one of the reasons I like it so much is that I wrestled as a child.  I always enjoyed wrestling and jiu jitsu is similar, but you wear a gi instead and the object is to submit an opponent vs. pin them.  Outside of that, I really like to watch football.  College, NFL, it doesn’t matter!  My wife will watch “our teams,” but can’t understand at all why I would watch other games.  For me, this is how I relax…sitting on the couch or in my chair, with a cold beer Sweetwater 420 (shameless local beer plug!) in my hand.  That’s my release.

3 things that made me laugh…

Telling others a story about how a rock hit my windshield.
My son saying “mango” as one of his first words.
Remembering when my wife saw a coyote walking down the middle of our street when she had PPD.  I asked her if it was real.  She replied, “I am crazy, but not THAT crazy!”  The next day we got a notice about a neighborhood coyote spotting.  :)

What do you find the most and least challenging about fatherhood?

Having patience with my son has been challenging.  I sell things…I am a salesman.  I have absolutely NO patience for anything and I don’t care to.  For me, patience was not important at all.  But now, with my son, I start to realize that there are times where it is needed.  I think that because my love for him is so strong I am able to be more patient and give him the attention that he needs.

I think just having fun with my son comes easily and naturally to me.  Ball, guitar, piano, wrestling, etc.  If there is one thing that I know how to do, it’s how to have fun!  I have spent my whole life enjoying every moment.  Get the fullest out of life.  I want to look back and say I wouldn’t have done anything differently.  It’s the only way to live.

Amber’s PPD Support means…

Alot to me because it means a lot to her.  I think it is important to her.  It helps her grow as a person and move past this terrible part of her life that occurred.

Advice…

This is REAL.  It can happen to anyone.  Don’t feel badly.  Don’t try to hide it.  Don’t ignore it.  Seek professional help right away.  Be more proactive in finding out how your spouse is feeling postpartum.  Ask her- Are you feeling overwhelmed?  Are you feeling depressed?  Can we go for a walk and talk?  Observe her.  Is she getting enough rest?  She is human, too.  She needs more than 2 hours of sleep a day.  Is she getting it?  You are much better off taking the necessary time off in the beginning to try to avoid a PPMD getting worse than to let it evolve untreated.  It will get worse before better.  In closing you’ll note that in the beginning it may be harder to detect, but easier to cure.  While left untreated, it will become VERY apparent and much more difficult to cure.  My suggestion is to be proactive.  It really can happen to your family.

More irresponsibility from ABC regarding PMD’s

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Wow.

ABC has really outdone themselves on the stigma and ignorance angle. Before we go any further, yes, I realize this is a fictional show. BUT keep in mind that ABC approached PSI to attempt to be responsible but didn’t follow through and instead jumped straight through the flaming media sensationalization hoop. Why? Because that’s what brings in the almighty dollar. Shame on ABC for selling out on responsibility.

A quick visit to Katherine Stone’s blog this morning got my juices revving again. And Susan Dowd Stone was not happy about the display either.

Bad enough that Private Practice chose not to air the carefully crafted PSA but they didn’t provide proper direction for the PSA to even address the right thing.

Then, ABC now has a poll up at the Private Practice website asking if a mother who is being treated after attempting to drown her baby should have access to her baby. The answers available? Yes, it would motivate her to get better and then No. Totally insensitive and irresponsible.

And let’s not forget the attempt at being “professional” by Private Practice with their Researcher’s Blog which is supposed to explain the weekly episode with facts, etc. This week’s entry blows. The researcher explains mania and manic behavior yet offers no insight into how the dad missed mom’s behavior. (Hello! Unless Dad knows what to look for and has been educated by professionals around him AND mom is communicating because she too has been educated, it’s very easy for dad to miss the signs and symptoms – I know I hid my symptoms pretty well for awhile the first time around because I knew how I was supposed to be acting.)

Katherine is calling for a boycott of the show and I have to wholeheartedly agree. Pull the Plug on Private Practice and their sham of attempting to represent the medical world. How dare they drop the ball on such a sensitive topic! No voice will have a louder effect than a sudden drop in viewership because that means decrease in advertising and then well, if a show isn’t profitable anymore……. Spread the word – and stop watching.

ABC’s Private Practice misses the mark

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Like many other members of the PPD advocacy community, I watched Private Practice tonight. It’s a show I don’t usually watch but tuned in because the storyline had to do with Postpartum Depression. It said so right in the description: Cooper, Violet and Pete treat a woman with postpartum depression. But she didn’t have postpartum depression which affects up to 20% of new moms.

A jump was quickly made to postpartum psychosis and mom was sedated and put on meds that were not compatible with breastfeeding (even though she WAS indeed nursing). There was also no clear cut consent shown to this course of treatment.

Then Violet didn’t want to give the baby back to the mother for fear that THEY would be the ones thought of as “what were you thinking!?” We work SO hard to fight against the myth that a mother’s baby will be taken from her if she seeks help. I can’t help but think about how many new moms saw this show and may possibly avoid seeking help because of this portrayal.

There were a few things they did get right. Cooper pointed out how rare psychosis is and stated that it’s NOT normal. And he’s right – postpartum psychosis affects 1 to 2 moms per 1000 births so no, it’s NOT normal.

And the portrayal of the mom with psychosis? Her behaviors and irrational beliefs? The fast talking and incoherent babbling? Totally on point. In fact, the one scene where she admits to how she’s really feeling got me right there. All of the sudden I was back in bed, curled in the fetal position waiting for my husband to get home. My breath caught and my eyes watered up. I’m nearly three years past that point but man it came rushing back in a heartbeat. It’s SO hard to forget that fall yet at the same time it has become a very empowering memory for me because I know how far I have journeyed since then.

The PSA was missing from the end of the show as well. If you go to ABC’s website and click on Private Practice then go the The Ex-Life (I think that was the title of tonight’s episode), the PSA is the first of the scenes you can select to watch. Hopefully your computer works their site better than mine does – I had two video audios running at once which made it really hard to hear what Amy Brennan (Violet) had to say (and thanks to Katherine Stone over @ Postpartum Progress for working with ABC on the PSA! Good job!)

Overall I have to give them credit for trying. They got a few things right. It could have been better but hey, it is a fictional drama, right? And just as here, not everything is perfect there. I suppose we’ll just have to be happy that they even bothered to broach the topic and consulted PSI in the process, right? Right?