Tuesday, February 5, 2013

Grace Abigail



Grace was born on January 25, 2013 at 7:26 am.  She came out at a perfect 6lb 14oz, 19in long.  She was immediately adored by her mother, father, grandparents, aunts, uncles and cousins.  Her birth story is fairly uneventful and ordinary, thankfully, but still worth recording. 
My pregnancy was pretty difficult from the beginning.  I was nauseous throughout.  My energy level was so low that I hardly ever lasted later than 9 or 9:30.  I couldn’t brush my teeth and I had horrible heartburn so by the time I was at 38 weeks, I was ready to go.  They had done an US at 36 weeks and she appeared to be a little bit small so the doctor decided that he wanted to have her monitered twice a week.  We started going in for a NST and US on Monday and then an NST and doctor visit on Thursday.  Once we ended up in the hospital for monitoring but of course she was just fine.  At 36 weeks I was 60ish percent effaced and dialated to a 1 so at least I knew I was progressing.  When I hit 39 weeks, the doctor said that I could get induced if I wanted to and I really really wanted to.  The date was set for Thursday, January 24, 2013 at noon.  I spent my last night of being pregnant eating double stuff oreos and morning of induction eating donuts!  At 11:30 am Zach and I packed up the car and headed to the hospital.  We checked in and a nurse took us back to our room to get settled in.  The doctors started me on gel at around 2ish and that got me to 75% effaced and dilated to a 4.  I got a second gel around 5ish and contractions started getting a bit worse.  I was still at about 75% and a 4.  Zach and I sat around watching movies and playing on our phones until around 7 when they started the pitosin.  Once that started, the contractions got much stronger, especially in my back.  They thought that Grace was sunny side up because of my back contractions.  My wonderful nurse, Rachel, came in and started using the peanut ball and moving me around to get her to go face down.  I felt quite a bit better for a while.  Around 9:30 I started getting very uncomfortable and having really hard contractions.  By this time I had a new nurse, Michelle.  She came in and asked if I wanted an epidural.  I did.  I had one about 30 minutes later.  Once that set in I felt so much better.  For the epidural to work its best you need to be moving from side to side and again on your back about every hour.  Michelle came in to move me to my side at around 11:00 and stayed in the room looking at the monitor.  15 minutes later, all of the sudden there were 6 nurses in the room.  Grace’s heart rate had dropped.  They gave me a shot to stop the contractions, turned off the pit and started rolling me from side to side to get her heart rate to go back up.  It finally did but they kept me off the pit for the next few hours to make sure Grace was ok.  They put me back on pitosin around 1:00 am and that’s when the puking started.  Every time they would try to turn me from one side to another my heartburn would act up and I’d throw up.  It was horrible but in the end probably helped move little Grace move down quicker.  The second time I threw up it gave me a horrible cough that wouldn’t go away and I coughed the rest of the night.  Because of the cough, I was on my back for several hours which made the epidural start to wear off.  Not to worry, Michelle had the nurse anesthetist there in no time and I was numb again   My water broke sometime around 1:00 am as well.  I didn’t feel any of this mind you.  I was numb!  From 1:00 am to 5:00 am I tried to sleep, threw up, and got moved every hour.  At 6:00 am Michelle came in to introduce me to Carol, my new nurse.  Carol came back at about 6:30 am to check me and see how I was doing.  She checked me and said, very surprised “Oh, you’re at a 10.”  I could tell because I was starting to feel the contractions through the epidural.  They were hard enough that I was having to breathe through them.  Zach woke up; thankfully he had gotten good sleep.    Carol got everything ready and called the doctor.  She had me do a practice push but in the middle had me stop because Grace was coming out.  The doctor arrived and I started pushing.  3 pushes later and she was here!  My beautiful baby girl was here.  She had her cord wrapped around her neck which is why her heart rate kept dropping when they would put me in certain positions.  She was fine though.  They put her in my arms and I thought she was gorgeous and perfect. 
She’s been the perfect baby.  She doesn’t get really upset and hardly ever cries.  If she needs something, she whines.  She even sleeps through the night.  I put her to bed at around 11:00 pm and she sleeps until 6:30 am.  I feel very lucky.  Zach and I feel so blessed to have her.  

Tuesday, September 25, 2012

Grace


Yup, it's official, we're having a baby. And we are so excited!!  It wasn't necessarily our plan to wait 6 years but that's the way it worked out and I'm glad to be done with school so I can focus on this baby.

She will be a girl and her name will be Grace.  Zach didn't have any intuition about the gender but I was pretty sure from the beginning that she was a girl.  Her projected birth date is January 28, 2013.  For posterity's sake I thought I'd record a few thoughts on my experience thus far.

My pregnancy so far has been, I think, pretty typical.  I started getting pretty nauseous at about 6 weeks and stayed really, really nauseous until about 20 weeks.  I puked a lot and Zofran didn't help a lick.  All food was disgusting to me and I had to force myself to choke things down.  Somehow I made it through my last rotation of school, orthopedic surgery!  My preceptors were heaven sent.  They were very patient and always made sure that I ate when I needed to and sat when I needed to.  Despite being sick I never missed a day, never showed up late or left early.  That was another huge blessing.

I've started feeling much better over the past few weeks but I've found that I can't push myself nearly as much as I'm use to.  I have to sit down a lot more often and if I don't eat about every 2 hours, my blood sugar plummets and I'm out for the afternoon.  Food still isn't my friend at all but I'm grateful that I'm to a point where everything doesn't make me sick.  My bedtime has moved way up.  If I'm not in bed by 10:00 PM, I'll throw up.  That has taken some getting used to.

On a positive note, I am feeling much better and starting to recognize my limitations so things are looking up.   For the past week or so I've started to feel her kick and move and I LOVE it.  Mindi gave me some little shoes the other day and I can't wait for her to wear them.  I've been pretty good at not buying everything but I am so excited for this little one to come.  She'll have an amazing dad, who can't wait to meet her as well.  Zach has been amazing!  He had a hard time not being able to help while I was living with my parents so I think he's trying to make up for it.  I can't dote on him enough.    

I still have a hard time believing that I'm going to be a mom.  Despite being so sick, I didn't really believe I was pregnant for a long time.  I would still doubt it but I've seen the pictures.  She's in there and I can't wait to meet her.

Wednesday, September 19, 2012

PA-C


(The past two years I've put up a fake family picture.  This time it's a real one!  The sign says and baby!)

Well the past year has flown by.  I'm finally a PA-C.  That means that I completed my 2 year masters degree.  15 months of sitting in class all day and studying all night with a little time left over for my wonderfully supportive husband.  That was followed by 12 months of working all sorts of hours in different medical specialties for free.  I liked some specialties more than others but feel very blessed to have had the experiences I had.  My surgery rotation was with a cardiothoracic surgeon.  I don't like surgery but it was such a privilege to see and touch a beating human heart.  I discovered that my passion lay in family practice and that is where the majority of my rotations were.  I got to watch several c-sections and see those beautiful babies take their first breath.  I don't think there is anything quite like that.  I appreciate so much my wonderful preceptors who helped me realize that it was ok not to like certain parts of medicine (surgery, ER!) and I will forever be grateful to my last preceptors who worked with me during my first months of pregnancy and being horribly sick and never made me feel uncomfortable or bad about having to sit down! (That might not sound like much but it meant a whole lot to me)  I'll never forget some of the patients I was able to work with.  I know it's hard to have a student come and see you but they were so kind and patient with me and helped me learn what I needed to learn.  I could not have done it without them!  So thank you!

PA-C also means that I passed the PA National Certification Exam.  Getting to graduation is only part of the process.  It all comes down to whether or not you can pass this one test.  I studied for a good month after graduation and sat through a 5 hour test!  When I found out that I passed all of the emotions and stress and hard times of the past two years kind of disappeared and it all became worth it.  I don't want to do it again mind you but I did it and it feels good to accomplish something hard.

A very special thank you to my family for all of your support!  You guys are the best!  And to Zach who got me through it all.  I could not have done it without you!    Now on to bigger and better things!!

Thursday, September 1, 2011

Koen Evan Smith

Everyone, meet Koen Evan Smith. He was born on August 30th at about 4:40 am. He was 3 weeks early and he is perfect! Welcome to the world Koen! You were born into a strange family but we're fun and we sure do love you!
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Wednesday, August 3, 2011

5 Years

Today was our anniversary. We've been married for 5 years and while sometimes it's been hard and life hasn't turned out how we planned, it's been a great 5 years. So at the risk of sounding cheesy, thanks Zach. You're the best and I love you.

Tuesday, July 26, 2011

One Year

Our fake family photo. We took a similar one last year with Jude.

I recently had my white coat pinning ceremony. The actual pinning doesn't mean very much except that I've made it through my first year of PA school. Probably the hardest year of my life and hopefully one day I will be able to say it was worth it. Now if I can just make it through one more!

Sunday, June 19, 2011

Happy Father's Day


This is my dad.  He's a superhero.  Now, not everyone is lucky enough to have a superhero for a dad.  I am.  Since today is Father's Day, I thought I'd take the time to tell everyone a little bit about him.

Squareknot has many super powers:

Life Saving.  Squareknot worked very hard and sacrificed much to develop this power.  As a child I remember Squareknot ripping the ears off my stuffed bunny so he could practice sewing them back on.  This is the level of commitment he has shown to his super power of life saving.  I hope one day to be as good at saving lives as he is.  

Teaching.  This may seem like a strange super power but that is because it is so rare these days.  Being a teacher is one of SK's greatest powers.  He is always teaching.  Growing up I sometimes didn't appreciate being woken up at 6:00 am on a Saturday etc. but I now know that Squareknot was using his superpower to help me learn important lessons.  

Defying Death. Squareknot has defied death many times.  Just ask him.  He's been in snowstorms on the top of a mountain and almost died...but didn't.  He's gone on an 18 mile hike with a  98% blocked artery in his heart and almost died...but didn't.  I highly encourage anyone to ask Squareknot about his superpower of defying death; just make sure you have lots of time to listen.  I'm glad I've had the chance to witness some of these events because it has given me a love of adventure!

These are just 3 of Squareknot's superpowers.  A few others are cooking, knot tying, working, knowledge, wisdom, story telling, encouraging and the list goes on and on.  If you want to learn more, check out his super hero tutorial.

 Happy Father's Day Squareknot!  You sure are my hero!