Thursday, March 19, 2015

A Mother Says Goodbye



It had been three years since their wedding and a year since her hospital stay and she felt as though the sun was shining on her again, finally. Everything she felt confident about had been shattered when she was struck ill and it was still a blur how time had passed. She remembered the day like it was yesterday; her weakness, the pounding in her chest, the fear that quickly set in and latched on with a vengeance; the ambulance ride, the murmuring and then the total darkness. But the craziness was resolved and she was grateful to have heeded her mother's advice to "wear clean underwear because you never know when you'll end up in an accident."  But it wasn't an accident. It was just her and her co-worker, sitting at their desks when she was stricken. And it wasn't a vehicle that hit her but a blood clot,  of unknown origin. And even though they hadn't actually seen a blood clot as evidence, the best physicians felt pretty confident that this was a one-time incident and once cleared, would not return.

                She believed them because she trusted confidence. She trusted it when she was a cheerleader being tossed high into the air. She trusted it when she decided on colleges and she was thankful when it lead her to the school where she met her beloved soul mate who would become her husband. Except for being tired today, she was a picture of health and now a new mother-to-be and looking forward to holding her little one in her arms.

                Her early months were uneventful and all her markers were hit right on time and as her mother was out every day, shopping for the new baby,  she was content to be home decorating the nursery. She worked during the day and spent her nights with her husband studying the mix-match of colorful gifts she had received from her baby shower and figuring what to put where and when she'd need this, or that. She refolded the tiny baby clothes over and over, smelling their freshness and rubbing their soft material against her cheeks. She felt she knew how her parents must have felt as they prepared for her, their first born. All was right with the world.

                Even though being tired is normal throughout pregnancy, every mother has this nagging worry in the back of her head that something's not right. They voice their concerns at the doctor's office and are assured, after being examined that everything is progressing normally. She was no exception. Yet all her friends seemed able to keep up with work and caring for other children while with child and no matter what her Doctor said, she had the unnerving feeling that she was sinking. That's the only way she could explain it.
                Every day, she sank deeper and deeper until it felt like she could no longer crawl up and away from whatever it was that was pulling her down. It sounded silly and her fears were unfounded, but the feeling never left her. Desperate to make sense of why she couldn't shake this feeling, one by one she confronted and questioned her friends about their pregnancy. She begged her mom to tell her everything she remembered about the time she carried her three children; where she worked, what her schedule was like, what she ate. It seemed that no one had lived with anything even close to what she was feeling and she began to panic. She felt the same feeling of helplessness she had felt as she drifted off into the darkness from the blood clot and her thoughts felt like a thunderstorm in her mind, thrashing about loudly, terrifying her. She just couldn't go on without making sure her baby would be fine.

                No longer able to face the crazy fatigue that left her missing numerous days at work and feeling frustrated and unsettled, she confided in her husband and he lovingly held her and vowed to help her find a way to calm her. Everything had been perfect with the baby at the last wellness visit but he thought they should explore further and he figured what they found would put them both at ease by a process of elimination, being certain every test she could take and every exam they could give would come out normal. She loved him for being patient and understanding with the insanity she was facing and for believing her when she told him something  just wasn't right.

                They decided to go back to her original doctors who had medicated her blood to eliminate the unseen blood clot and had coaxed her back to health. The primary physician listened carefully to the apologies and self-doubt as she tried to make light of what she was feeling and tie it into the pregnancy but he agreed that the only way to settle her mind enough to complete her term without undue stress was to perform follow up tests. He told her that motherhood gave her a new, unique ability to hear her own body speaking and praised her for her persistence. He assured her that in his heart he felt she would be perfectly fine, but would proceed with testing right away. She felt relieved and visited the blood lab that day.

                Still too tired to return to work, she was home when her doctor called early the next afternoon. She had been baking and was taking the opportunity to lie down until the timer went off and assumed it was her husband calling from work to check up on her. She wanted to tell him how much better she felt today and how silly she felt making all the fuss earlier and how bruised her arms were from the needles used on her yesterday. But it was her doctor's voice she heard, a cheerful greeting and an awkward two second hesitation. All of the details after that pause did not matter to her. She just knew. It was a sickening, dreadful, out of place pause and maybe she had prepared herself for it or maybe she gained insight right then and there, but it was real and she listened to him speak as she stood there, calmly and patiently. Her blood work was showing signs of Leukemia and she had to come back in for further testing as soon as possible. Her baby, however intertwined, was healthy and strong.

                It wasn't exactly shocking news because she knew something was very wrong and surprisingly, she felt relieved and thankful that the illness was about her and not the baby. She placed her hand on her stomach and assured her baby that everything would be fine. How she knew, she couldn't understand, but she knew the baby, now in its last term and kicking like a soccer player would always be fine. She closed her eyes and asked for reassurance from God that this would be true. The hope for her baby overpowered everything and dispersed the fear and anxiety she felt for herself. She talked to the baby for a long time as she sat, calmly and finally in control. All was not right with the world, but her baby would be fine.

                I cannot even begin to imagine what Amanda was thinking on that last day, as she held her baby to her chest. In cases like these, where an illness as grave as leukemia is found during pregnancy, the Doctors always offer hope of a cure but the arsenal of drugs they use would damage the baby severely. The mother is faced with the heartless decision of whether to try to save herself or give her baby life. No middle ground. At her funeral, the priest told us that in the end, Amanda had come to him and told him that instead of constantly asking God why this was happening to her and not getting an answer, perhaps she should wait until she was with him to ask.

                It was the hardest funeral hour I have ever attended. Knowing a young mother was forced to deliver her child two months early due to illness and unable to save herself after that was unbearable. The child was born early, but healthy and the mother was able to hold her and love her before she passed.

                I see the sadness in the eyes of Grandma and Grandpa as we hold and love the baby and see I the young mother in the baby's smile. We often look up at God and ask if she got her answer, looking for a sign. Time does not heal this kind of wound but the poem written on the remembrance card at the wake of this courageous young mother read:

"To laugh often and much;

to win the respect of intelligent people and the affection of children;

to earn the appreciation of honest critics and endure the betrayal of false friends;

to appreciate beauty;

to find the best in others;

to leave the world a bit better whether by a healthy child, a garden patch, or a redeemed social condition;

to know even one life has breathed easier because you lived.

This is to have succeeded."

-Ralph Waldo Emerson

And despite God calling her home, in the end, as a mother, she was successful.

Amanda Brini 10/3/1982-2/25/2009

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