Category Archives: prayer
Results of the Great Return
I survived the day.
There were only tears as I made THE turn. They hit me out of the blue and after blubbering for a few minutes, I was fine. The rush of emotions was really quite unexpected. I had no idea how I would react once we got there. I worried the tears wouldn’t stop and I wouldn’t be able to go in with Charlotte but they subsided rather quickly as I forced myself to breathe and Chris reminded me we weren’t going to see her in the NICU.
Overall the appointment itself went well. Her plastic surgeon was very pleased with how well her jaw was growing on it’s own and didn’t seem to think surgery was going to be a necessity unless deemed so by Speech.
Guess what?
Speech said she needs surgery. Her palate is split in the back and he also wants a naso-pharyngeal flap done as well to help her not push air through her nose when it should be going through her mouth.
We go back next week for a session in their speech lab so they can teach me some things to do with her at home to help train her vocal track to do the right things.
We knew surgery was a very real possibility and as I said earlier, we’ve discussed it with her. The doctor’s office will be phoning us to talk scheduling once they get it cleared with insurance so we wait.
I’ll update here once we know more.
In the meantime, continue to pray for strength, guidance, and patience.
The Great Return
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
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.
Sharing the Journey with Michael Puline
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.
Sharing the Journey with Amber Koter-Puline
Tell us about yourself. Who is Amber when she’s not being a mom? I am a friend, a wife, a sister, a daughter, and also a career-oriented woman. I enjoy my work in service as Director of Intergenerational Ministries at my church. I also provide one-on-one and group volunteer peer support to women with Postpartum mood disorders. I do this through email, meeting moms in person, the telephone, and also a support group in Midtown Atlanta that I facilitate twice a month. I also host a playgroup and mom’s discussion group at the church, each once a month. I serve as Secretary of GPSN and I hope that this role will allow me to help bring awareness and education to Georgians and all Americans someday.
I was commited to a natural birth, but after 36 hours of labor I had to get an epidural and then after ten more hours I had an emergency c-section. My birth was completely different than I had planned or hoped for, and I was devastated. I began my postpartum experience filled with regret, shame, and completely sleep-deprived in addition to being physically unwell. I utilized the Hynobirthing method in preparation for and during labor. I did feel completely prepared for a natural, vaginal birth. Unfortunately, in my desire to be commited to natural methods I didn’t even consider the possibility of it not unfolding the way I wanted. This left me disappointed and shocked.
After 5 weeks of exclusively pumping breastmilk because my son would not latch on and not getting more than 2 hours sleep at night I felt completely a wreck. I was scared, unhappy, exhausted, and I had so many unsettled feelings leftover from the birth. On top of that, I was still recovering from major surgery. My head was filled with obsessions and anxiety. I knew that I needed help. I was thankful that I had the business card of a psychiatrist my OB-GYN had given me early in my pregnancy (it was a surprise and I was not sure how I felt about it when I first learned I was pregnant). What helped most was the medication. After two weeks on anti-depressants I knew I was still very unwell and we added a couple of other meds to my regimen. This helped SO much. I really needed something to help me sleep and quell my anxiety. Talking with my doctor who is an expert in this field made me feel normal and less alone. The biggest thing I did to help myself was to admit to everyone how sick I was. I told my parents and husband the truth about my obsessions, my depression, my lack of sleep, and how helpless and hopeless I felt. Because of my truthfulness, they were able to be fully aware of my situation and to act appropriately to care for me and my son. During the 4th week postpartum we had begun utilizing the nanny who had planned to be with my son once I returned to work. After I was diagnosed and through my early weeks of treatment she continued helping several days a week. Knowing my baby was well cared for was reassuring. During the most difficult time (weeks 6-12 postpartum) my husband was my rock. I am not sure how he was able to keep a positive outlook while living with someone who was so depressed, but he did. Returning to work at 13 weeks postpartum was healing for me. I found the me that had something to offer other than diaper changing and rocking. Lastly, I have a best friend that was there for me in every way on an almost daily basis. That support rounded out my treatment and allowed me to recover much faster.
It is still unclear as to the severity of the thyroid issue or whether it has had any role in my postpartum struggles. I have had fairly moderate gastic pain and also sleep difficulties and fatigue since I first gave birth. In my efforts to explore what was wrong physically and emotionally in the 2nd month postpartum we learned that my thyroid was functioning in the hyper spectrum, if only slightly. One year later, the results are the same. I will be having a thyroid scan on Monday to determine how my thyroid is functioning on the whole. I do know for sure that thyroid issues can have an extreme impact postpartum, though, and recommend that thyroid tests be done on anyone experiencing a PPMD.
I knew from the moment that I began coming out of the darkness (around 11 or 12 weeks postpartum, after 6 or so weeks on medication and with therapy) that I felt called to serve other women and to educate all people about PPMDs. In my darkest hours I never felt alone and always knew that God would make good out of a truly horrific experience. He has opened so many doors for me. I am still amazed at how women find me…it feels very spiritual at times. Being able to help others makes me feel purpose in my pain. It allows me to relate to others and provide true empathy. It is a precious gift. As I often share; it took me 31 years to find my calling and spiritual gift. I never was good at sports or music, and though I did well academically, I believe that this work is my true passion and area of giftedness.
My son trying to “swiffer” my hardwood floors at 16 months old.
Realizing that I endured 36 hours of labor naturally…and that really, I shouldn’t feel guilty or embarrassed…that’s not a bad track record! (It only took me 16 months to get to this point!)
The thought of sitting on the beach reading a book in complete peace and quiet.
For me the loss of identity initially was devastating. I had a very difficult transition into motherhood that I believe they now call Postpartum Adjustment Disorder. I simply could not accept that my life entailed changing diapers and trying to entertain a completely helpless being. Finding a way to find myself again and then balance the “new normal” with fulfilling my own personal needs was a challenge. I believe that it is only in the past 3 months that I have found my way again. I typed the sentence, “the least challenging for me…” three times before I finally erased it and decided to share that I don’t think there are any aspects of being a good parent that are easy. That’s the deal…you reap what you sow. I know that each time I face a choice when it comes to my son that the “harder” option in the short term will be the better one for the long term. That which takes effort is rewarding.
As you can tell from my previous answers, my faith was everything to me. I am not a fundamentalist and I don’t feel like an extremely “religious” person, but I do believe that God can be seen so many times in my day, each day. His hand touches my life with great blessing. I am not rich, powerful, or even close to perfect, but overall I have a good life. There was a time that I didn’t, so I think I appreciate my life now even more. I believe that being in conversation with God through prayer during the difficult childhood I endured and the horrible PPMDs I overcame made the difference in who and how I am on the other side of all that. Faith defines who I am.
My blog began as a way to talk about what I was doing with the mom’s groups and what I hoped mothers would get out of those groups. I also wanted to document my experiences in an organized way and once I read another blog I realized that was a free and easy way to do so. That was almost a year ago. Since then, I have developed it into a much more comprehensive site. I post news and research, personal stories, support group info and more at www.atlantappdmom.blogspot.com. Had I realized that I would be writing in the long term there and that the readership would grow, I would have chosen a different web address. In order to have a more educational site with a name that will appeal to everyone I created a website, additionally. www.postpartumhealing.com has specific information for those who are just discovering postpartum health topics. I hope that readers of my blog will find honesty and integrity in what I share about being a mother. I try to tell it like it is, even if I am only feeling that way for a short period of time. I know a few things I have shared have made people cringe, but I never was good at hiding the truth. Maybe there are women who LOVE every moment of it. But, I think that most of us dislike a lot of aspects of being a mom. It doesn’t mean we love our children any less, though.
And last but not least, if you had a chance to give one piece of advice about Postpartum Depression to an expectant mother, (new or experienced), what would it be and why would it be important for her to know?
My advice to everyone, postpartum or not, is to have and to offer REALISTIC expectations of motherhood, especially the first 3 months. It is normal not to fall in love with your newborn. It is ok to feel inept and scared. It is not really easy or fun to care for such a little person when they can’t even provide a smile to thank you for your exhaustingly hard work to keep them alive and well. Being a new mother is a journey with challenges that match each joy.
Thank you for inviting me to share my experience with your readers.

