Thursday, May 10, 2012

Pouty Parker, Pouty Mommy






POUTY POUTY POUTY PARKER!

I absolutely die laughing when I look at this picture.  The consensus is that it was past donut time.

Today was my last visit to the perinatologist.  Well, it was supposed to be.  Everything is fine, no real changes, but in the last week I have accumulated 3.6 extra centimeters of amniotic fluid.  It puts me at 25.6-- normal range ends at 25.  Translation--- I have to go back in Tuesday for ONE MORE VISIT with the perinatologist.  It will also be the day of my pre-op OB appointment, and then it will be go time!

Apparently nobody is really concerned at all with the extra fluid.  With only seven days to go-- it will make me more uncomfortable and MIGHT send me into early labor.  At this stage of the game, it won't make one bit of difference to Parker.  Sigh.  $4 more to the parking deck of doom.

We also spoke to a neonatologist from Northside today.  She walked over from the hospital to speak with us, and I have to say it was not fun times.  She chatted for about 10 minutes, and I was completely flustered by the end of it.  Her tone of voice and her line of questioning rubbed me the wrong way.  The first thing out of her mouth was, "Sorry about your baby."  She then asked about other children, and seemed mildly surprised that Jeremiah was born healthy.  She walked us through what will happen in the delivery room, and then gave a completely conflicting account of Parker's first hours of life.  ALL of our doctors have said that the priority is to make sure Parker is stable before transport to Egleston and that ECMO will be determined on an as needed basis.  The neonatologist today told us to expect Parker to be gone to Egleston within an hour or two of his birth, and that any testing would be done at Egleston.  She made some weirdly toned comments discouraging Mike from riding in the ambulance with Parker, even though Mike had expressed zero interest in that.  She expressed her near certainty that Parker would be immediately placed on ECMO.  She informed us that if all Egleston's ECMO bays are full, we will have to go to Augusta (!!!!!).  She followed all that up with, "Of course, he might not make it long enough to be transported."  Sigh.

We know all of these things to be true, but it was frustrating.  We have never met her before, she didn't even look at our file before she started talking, and to top it all off, she won't even be working next Friday when Parker is born.  *secretly, I am happy to hear that news.*  I know she was doing her job, giving us the facts (none of what she said was untrue), but we have been so very spoiled by our doctors.  They have all been so very caring, we have spent so very much time together, and we truly feel like we are in the very best of hands.  I left all grouchy and pouty like Parker, Mike blew it off and said it is unlikely we will have to deal with her again.

She did tell me: a) our pediatrician **shout out to Laura Putnam!  Love her!** is one of the most highly respected in her field and she refers anyone in the area to her, b) she was pleased I had managed to breastfeed Jeremiah for 7 months, and c) I looked great.  Whatevs.

All of that to say-- back to the perinatologist Tuesday at 8 am, OB appointment Tuesday at 10:30 am, and then Delivery Day on Friday at 8 am!  Yowza!

Gotta end with a mind cleanse--

I CANNOT BELIEVE the amazing people we have in our lives.  Seriously, y'all.  Every single day we either have something dropped by our house or delivered in our mailbox.  We have gotten gift cards, puzzle books a-go-go, "sunshine bags", an artist's print of Krispy Kreme for Parker's room, monogrammed burp cloths, the sweetest cards, care packages, and so many offers to keep Jeremiah that I have him all squared away for 8 weeks.  It is truly astounding to us that so many people, some of whom are complete strangers, are so willing to love us and support us right now.  Please know how much it means to us.  How much all of you mean to us.  It is making this last week so much more bearable.

**We received a box this week from MJ's Memories, which is tied to Project Sweet Peas.  Megan sent us a huge box PACKED ABSOLUTELY FULL of NICU survival items (picture frames, brag books, toiletries, baby clothes, baby pillows and blankets, baby sleep masks, decorations for the room, etc. etc. etc. it just kept on going!), along with a very sweet letter.  She lost her little MJ to CDH, and she chose each and every item in that box with thoughtfulness and care.  Amazing, amazing, amazing.  Please visit their websites to see the work they do for NICU families. Thank you, Megan!!!!!**

Friday, April 27, 2012

Power of Prayer

First and foremost, it's Friday which means a visit to the perinatologist.  Uneventful, which is good, another 8/8 on our biophysical profile, and a growth scan today.

Mr. Parker Edward Knoll is currently weighing in at 6 pounds, 6 ounces.  This is approximately the size of a baby two weeks older than him, but I will take it quite happily.  I am huge person, my husband is a huge person, and Jeremiah has been huge since he was conceived.  We like 'em big.

His practice breathing was great, which is always encouraging.  I am decidedly uncomfortable this week, with more frequent contractions and some accompanying pains.  All of that is normal for a 36 weeks pregnant lady, but when I stood up to walk back to the exam rooms, sweet Lorrie (the nurse who sees me every Friday) said, "Ohhhhhh.  That baby is ready to come out."  There is a noticeable difference since last week.  Whatevs, P-nut, do what you need to do but hang on for 21 more days!

Scratch that 21 days business.  That sounds like forever.  Let's go with 3 weeks.

We got some adorable pictures of his pouty mouth and his gigantic cheeks.  I am so excited about meeting this little one!

I am, of course, commensurately TERRIFIED about what's coming.  We've known about this for 20 weeks now, and I'd say probably 95% of that 20 weeks has been pretty darn peaceful.  We know we are covered in prayers and love, we are way more educated about CDH than any parents ever should be, and we have our battle plan lined up.  Still, as it gets closer to D-Day, all the hypotheticals and what-ifs and uncertainties that used to be way off in the hazy future are staring us straight in the face.  We agreed that (I mentioned this in our previous post), as the time gets closer, we needed to meet with Chuck, our preacher, to get some "spiritual reinforcements."

We went to visit him and Leisa (children's director) on Wednesday,  He is a wonderful, wonderful man.  We talked through Parker's situation, and he prayed over us. Leisa prayed over us. I spent the majority of the hour doing the ugly cry, never moreso than when Chuck said, "Mike, come pray for your wife and son."

My husband is many things to many people, but what he is NOT is a talker or an emotional guy.  He's a police officer, so his standard response to stress is to go straight to business mode. He loves and feels deeply, he just shows instead of tells. (being a dad is turning him into a big old softie, though.  It amuses me!)  Laying his soul out to God in front of other people is most definitely not something he's accustomed to.  Bless his soul, he stepped right up and did it and it was beautiful.  EVERYONE was doing the ugly cry by the end of that, but I will most definitely put it up there as one of the defining moments in our marriage.  I love that man with every fiber of my being.

**I should add, however, that due to the emotional nature of our afternoon, we had to go get an iced coffee afterwards.  Told you.**

Here's the part where I record the things we took with us on Wednesday, so that during my low times I can look back on this and remember:
1) The God of All Creation is holding Parker.  Has been this whole time, and will be forever.  He is now, and will be, right there with him saying, "I've got ya, buddy." *that's where the ugly cry started for me*
2) He hears our prayers.  His heart is swayed by them. We may or may not get answers in the form we'd like to see, but what kind of God would He be if He did what we told him to?
3)  We don't know the purpose for Parker's life just yet, except that his life will work for the glory of God.  It might be that Parker grows up and gives a testimony to thousands about how God healed him despite debilitating odds.  It might be that Parker stays with us a short time, but helps us draw closer to God during whatever time we have with him.
4)  We can't let this affect our marriage. We took vows to keep God in the center of our marriage through thick and thin, and this will be a test of that.  If we keep our eyes on Him, we can keep our eyes on each other.
5)  "50-50" are man-made odds.  God is in control 100% of the time.
6) "The church best becomes the church when you NEED the church."  This is so very true.  We are blessed to be in a church where we feel loved, supported, and know without a shadow of a doubt that we are being prayed for constantly. *this is a tremendous lesson in opening yourself up to admit your struggles and accept the hands that stretch out to help you.  I actually had to convince myself to write "my baby needs prayers" on the bulletin and drop it in the basket one offering.  I hemmed and hawed and fretted about it, which seems ridiculous now.  Within 24 hours of me doing so, and every week since, we have been loved on and comforted and prayed for.  There are many wonderful people at our church who will do, and have done, anything they can to help us.  Such a blessing!*

Thursday, April 26, 2012

Homework Completion

I gave myself a homework assignment over the weekend, which was to iron out some logistics as well as figure out how some things people can do to help us.

I might have gone mildly overboard with the first component.  The second is a work in progress.

This entire CDH journey has been one gigantic lesson in giving up control to God.  With every doctor's visit that ends in "Things look great but we'll have to wait until he's born...", I have had to dial back my type-A control freakiness and trust in God's timing and plans.  That's a struggle, I can't lie.  What's more of a struggle is that I am quickly realizing that no matter what preparations I make, no matter how many machine guns I tote to the hospital, no matter how much camo warpaint I put on, this isn't my fight. It's Parker's.  My entire job will be to sit in an uncomfortable chair by his bedside, staring at a monitor.

Unacceptable.  I must have things to do.  I must have a checklist.  I must have control over SOMETHING.

In the process of sorting out logistics (we NEED:  Jeremiah care, food.), I came up with the Crazy Mommy Scary NICU Times Binder.  If I could only get 8 weeks of our basic needs squared away, I would be able to relax a little for these last three weeks. 

I printed off 8 pages.  Each page has a weekly calendar with the dates outlined on which we will need care for Jeremiah (this is all contingent upon Mike's TENTATIVE plan to return to work after 2 weeks, thus saving some leave time for when we bring Parker home).  Each page also has details as to which frozen meals we will eat that week.  Accompanying each meal plan is a Postit note, on which resides the grocery list of "fresh" items needed each week to supplement our premade dinners.

In the front is the master list of who is keeping Jeremiah on which days (still plugging and chugging on that one).  In the back is a page with the reheating instructions for all meals.  All Mike has to do is pull out the appropriate dinner, follow 2 or 3 steps to reheat it, and make the side dish.

**I should mention here that I am NOT a CrockPot cooker, or a premade dinner buyer.  I love to cook, and cook from scratch 5 nights out of the week.  I had no idea where to start on this odyssey of premade food... ENTER ONCE A MONTH MOM.  It is a miracle website.  If you haven't been there, go immediately.**

I browsed the recipes and picked some to test.  We ate them all (most were really good, some were *meh*), and narrowed down our faves.  I supplemented with some of my standbys that I knew were freezeable, and came up with 12 meals.  We will eat each of them twice, and they are in portions large enough to feed the three of us dinner and still have some leftovers for the week.

I spent 2 evenings (I'd say about 8 hours total) making a disaster area out of my kitchen, and the grand total grocery bill was $160.  I completely chopped through the end of my left pointer finger, which has bled non-stop for 2 days, but here is the result:

24 meals, all ready to go, in my extra freezer.  Now to say lots of prayers that it doesn't stop working on me!!

"Jeremiah Care" slots are being filled quickly. I am so very grateful for the offers of help that have poured in, and after getting over the initial hurdle of feeling like a burden to people, I'm able to realize how dumb it is not to take people up on offers of assistance in whatever forms they may arise.

We had a meeting with Chuck, our minister, yesterday. Leisa, the childrens' director at our church, knew of our situation and asked if we would like to meet with Chuck and have him pray over us.  That will have to be a whole other entry in and of itself, but it was another reminder that turning off the Ice Princess mode and accepting love and help from others is OKAY, FOR THE LOVE OF PETE.

Our dear friends the Johnsons have signed up to care for Maggie, our boxer, for the days following Parker's birth, and then to take Jeremiah to VBS for a week so we can be at the hospital together.  My grandmother has offered to let all of us move in for the week after Parker gets here (she lives about 5 minutes from the hospital). I fretted at first that it was too much, but again I told myself, it is OKAY, FOR THE LOVE OF PETE.

You know what else is okay, for the pete?  Admitting that there are certain creature comforts that might make our NICU time more bearable.  And that allowing people to provide them just makes good sense for everybody involved.  Some things we have talked about:

1) gas cards.The hospital is 33 miles from our house. One, or both, of us will be making a 66 mile round trip every day.
2) gift cards to local restaurants.  From the exit off the interstate to the hospital, there is a Chik-fil-A, Chipotle, McDonald's, Burger King, Wendy's, and Subway (among others that I can't remember).  I get to eat for free in the hospital cafeteria (hooray breastfeeding), but I know there will be days when grabbing something from the drivethru will make more sense.
3) Starbucks cards.  It's ridiculous and silly, but my husband and I share some sort of unhealthy emotional attachment to iced coffees.  Whether it be a stressful day, a happy day, or a sad day,  we will look at each other and say, "I need a beverage."  It's code for, "We have fallen prey to the lure of the Starbucks siren, and we will willingly trade $2.50 for a very large cup of happiness."
4)  snacky foods for the hospital.
5)  puzzle books (crosswords and the like).  We are nerds.


So there you have it.  Mommy Homework, completed.  Needs identified and met, "creature comforts" identified for those who are kind enough to offer.  Crazy Mommy NICU Scary Times Binder set up and ready to go.  Meals frozen.  Three week countdown engaged. YIKES!!!

Friday, April 20, 2012

Bossypants

BPP #3 (part one) today = 8/8. Part two (non-stress test) on Tuesday.

Parker did great today. He didn't want to show his face too much and kept kicking the tar out of the transducer (is that a word?), but in general he did perfectly. His practice breathing was highly complimented, as were his movement and muscle flexion. Next week we get to shake things up with a grown scan instead of a biophysical profile. Woot woot!

I had to have my blood pressure checked twice today. When I first arrived, it was high and my pulse was fast. This is most likely due in no small part to the fact that Mike and I were sucked in by the Hot Donuts Now sign at Krispy Kreme on the way down. Parker got his donut BEFORE the appointment on the understanding that he better behave (which he did. But I got some ferocious nudges after the appointment as if to say, "Hey woman, where's my follow up donut?" Booger.), and I no doubt was on some sort of sugar high when they took my vital signs. They took them again before I left, and all was well. Another Friday, another $4 parking deck fee, and another report of "everything is stable for now."

We'll take it!

It occurred to me today that I am now less than a month from delivery (!!!!!!!!!!!!!!!!). I have to start lining some things up logistically, so it is time to start taking people up on the ten thousand offers we have gotten.

I am NOT good at asking for or accepting help. One of the first sentences I was able to string together as a child was, "I do it myself." I like to think of myself as "independent minded." Almost everyone else, most especially my husband, would call it "stubborn as a mule." Whatever the terminology, it is becoming abundantly clear that I am about to receive a big fat lesson in Accepting Help When It Is Offered 101.

The most common question we get these days is, "What do y'all need?"

The short answer to this is "Prayers and volunteers to keep Jeremiah."

Apart from that, we don't NEED anything. There are plenty of people in the world who NEED things more than we do. I have all of Jeremiah's baby items ready to come out of storage. I have the most fantastic house cleaning people. I am cooking up a storm and will, by the end of next week, have 8 weeks' worth of food in the freezer. Those needs are met.

Every time someone asks The Question and is given The Short Answer, they usually raise an eyebrow and just say, "Abby. *stare* Don't be ridiculous." I usually start sweating in my armpits and/or break into hives at this point, recite the preceding paragraph, and change the subject. It's honestly not because I will think myself weak for accepting help. I hope and pray it doesn't appear that I am ungrateful to those people. I just don't feel like I qualify as a person who NEEDS anything-- I live a comfortable, and by most standards, privileged life.

Still, it doesn't make one bit of sense to ignore the people who are offering to make our lives easier. Their offers of help come out of their love for us, and I know that down deep into my soul. The day of our NICU tour, Eileen the Angelic Tour Guide gave us some advice. We are about to be thrown into a crisis which very few of our family members or friends can understand. We won't even understand it while it's happening. People will want to help, but they won't know how. It's our job to very clearly outline what we need and apologize for any hurt feelings later.

That last sentence absolutely kills me, even to type. "Clearly outlining what we need" sounds downright bossy. (I prefer to say "what we would like to have happen" because it sounds better. And because I don't have to say 'need'.) Who the heck am I to "clearly outline what we need" to people who are loving and supporting me at the worst time in my life? Won't I seem like some sort of wretched and ungrateful person by saying, "Thanks so much for offering to help. We love you, too. NOW GO *fill in the blank* RIGHT NOW! HUSTLE HUSTLE! I'LL APOLOGIZE LATER!"

It's already happened and I've hated it. I've turned down offers of parties/showers and felt like dirt. We've gotten some raised eyebrows for our "no one comes to the hospital until otherwise informed" policy, which was agonizing to settle on but is truly what we feel will be best. I had a long conversation with my friend Ali about it... she has had some mighty struggles in her time and has always maintained a graceful and grateful heart. Her advice had two parts: a) protect yourself and your family first and b) let people do things, even if you don't NEED them.

That's my homework this weekend.
1) Figure out what we NEED ("Prayers and volunteers to keep Jeremiah!" The response is second nature by now)
2) Put on my Bossypants.
3) Tell people how they can help.
4) Invest in armpit sweat catchers and hive cream.

Wednesday, April 18, 2012

Stage Mom

BPP #2 is also a 10/10 after our non-stress test yesterday. Appointment was quick and easy-- set up of the fetal monitor went much more smoothly :-), and we were in and out pretty quick.

It did take a little longer to get Parker's necessary movements/heart rate spikes. At our appointment last week, his heart rate was consistently in the 140s and spiking up to 160s when he moved. Yesterday, his heart rate was down in the low 130s and spiked above 150 only a few times.

They left me in the room by myself for a few minutes while the monitor ran. I sat there with my little Jeopardy buzzer, waiting for kicks, with my eyes glued to the monitor printout. The nurses and doctor came in to check on me at various intervals, and in between I actually found myself making some strange attempt to coach Parker into a better performance.

"Come on, P-nut, you aren't doing as well as last week!"

Seriously, Abby? All that resulted from this was a steadily increasing stress level on my part. Parker steadfastly refused to participate in my shenanigans. He was happy and comfortable and not one bit interested in moving and exhibiting cardiac acrobatics. I kept talking to him and poking my belly.

"Hello? What are you doing? I need you to move so we can get our two points! I'll get you two donuts on the way home!"

I suddenly felt VERY MUCH like the moms on Toddlers and Tiaras who give their children Pixy Stix and shout at them in the hotel hallway.

Dr. Sermons came back in to look at the printout. He scanned it and said, "You look fine! See ya next week."

"BUT WAIT!" I shouted and outlined my concerns that his heart rate was lower, coupled with the more-stomach-up news from Friday. He stood there, impassive, and waited for me to finish my tirade.

"There's nothing to worry about. I had your results from Friday before you even left that office. They're not worried. I'm not worried. He's tired today. We all take naps from time to time. He's moved enough, and his readout is reactive. His heart rate is well within the normal range. You're fine."

The curse of so many doctors appointments is that I am now convinced that I have somehow graduated from mini-medical school. I know what "normal" is supposed to look like, and I apparently can raise the red flags FOR the doctors and tell them when to worry. One of the biggest blessings I have are lots and lots of unflappable doctors who give the facts but tolerate little in the way of foolishness. I never one time have felt like any of them are not taking us seriously or are being negligent in any way. I have felt, time and time again, that they are trying their darndest to keep us calm, thus keeping Parker calm.

Parker has been a pre-natal superstar. He has flown over each and every hurdle thus far, and we have been nothing but encouraged throughout this pregnancy. I suppose I have hit the point now where anything even REMOTELY "sub-par" (in my opinion, not the experts') is a cause for worry. What on earth am I hoping to accomplish with that train of thought? Am I trying to justify the increasing worries that I have as the time gets closer?

All it took to snap me out of it QUICK was a vision of me, standing by Parker's bed in the NICU, doing some modified version of this to coax him into stardom during his doctors' examinations:



**feeling particularly convicted around the 30 second mark with the "10"s, due to our BPP scores. I shudder.**

If I EVER yell "Sparkle, baby!" at my sweet little boy, I give you leave to beat me mercilessly with whatever objects are nearby.

Friday, April 13, 2012

Reality Check

Back to the perinatologist today. Parker did great-- 8/8 on biophysical #2 (non-stress test Tuesday for the additional 2 points). Pretty quick and easy, but he didn't cooperate much for pictures. Poor booger is probably tired of posing for the camera!

They re-examined his abdomen after last week's unidentified shadowing. There still doesn't appear to be any liver in the chest cavity, and the mysterious area from last week might actually be lung tissue. We will happily take lung tissue over misplaced liver any day!!

There was more stomach up today than there has been at any past appointment. It's a fluid organ and can shift up and down pretty easily, but I still felt disheartened. This has been a rough month for some mommy friends (real life and Internet style), and it's weighing heavily on my mind.

Two mommy friends lost babies, one to CDH related complications and one not.

Two CDH babies (Jude and Killian) have been in the NICU for four months. They have both had tremendous highs and disheartening lows. Their little bodies are tired, and their families are exhausted. They have been told their fights will continue for weeks to come.

The first of my co-expectant mommies, Rhonda, had baby Esther yesterday. They were told the night before induction not to expect Esther to make it more than a few hours. She has defied all odds, is here and gorgeous and fighting so hard. She's on ECMO and has a tremendous battle in front of her.

Since we learned about Parker's diagnosis, I pretty much made it a policy to focus on survivor stories. Here and there I've come across some non-survivor stories, and as heartbreaking as they are, it's good for me. I've gotten support from mommies who watched their little ones beat this thing, and support from mommies who had to let their little ones go.

Both paths used to seem a lifetime away. Parker has been happily cooking for 33 weeks, and so long as he is with me he is warm, safe, and healthy. Unfortunately, warm-safe-happy time is going to run out in a month, and we will be in for the fight of our lives. For some reason, this all piled up this particular week and hearing, "There is significantly more stomach up than usual" today has put me in a funk.

Time to readjust our focus-
Positives. The liver is still down. He's continuing to perform well on his biophysicals. He still has 5 weeks to get ready to fight for his life. I have every confidence in our medical team (all 40 of them). We continue to be amazed by the love and support of our family and friends and complete strangers. We have been offered every type of help imaginable.

Time to go before God with our prayers-
Peace and comfort for mommies who said goodbye to their little ones. Continued strength and perseverance for the babies currently fighting in NICUs. Guidance for our medical team. Praises for Parker's "favorable outcome" predictions thus far. Prayers for Parker's stomach to get out of the way already. Courage for Mike and I.

Boo to Debbie Downer days. They are pretty few and far between, and for that I am grateful. I have to allow them to happen occasionally, or else I'll go bonkers. I expect more of them to come in the month leading to Parker's birth- I am tired, I am grouchy, I am anxious. Time to go re-read my Between the Hedges post and to count my blessings.
"Name them one by one, and it will surprise you what the Lord hath done."

Tuesday, April 10, 2012

NST+BPP= 10/10

That's the text message I sent to my husband (who was trapped in policeman training) this morning after I left my OB appointment.
His response was, "Sounds good? You can explain it later."

It occurred to me, looking back, that it probably looked like an algebra problem.

In plain English, it means that we added 2 more points to Parker's biophysical profile score (click HERE if you missed the post explaining that) today, thus putting him at a perfect 10 out of 10 for the week.

Amniotic fluid level = 2/2
Fetal muscle tone = 2/2
Fetal movement count = 2/2
"Practice breathing"= 2/2
Non-stress test (fetal heart rate spikes in relation to fetal movement) = 2/2

Week 1 of 5= perfection!

My non-stress test today was like watching a comedy show. It was the best example I have seen in a while of a doctor realizing he relies on his nurses for a whole heck of a lot.

I go to a tiny tiny tiny OB-GYN practice. It is only one doctor and approximately 5 nurses (this is essentially unheard of in Atlanta. I, however, would never have it any other way! They are like family there). Dr. Sermons worked with my mom at Shallowford Hospital when she was a NICU nurse. He's been my doctor since I was 18. He is the kindest, dearest, most wonderful man. He might weigh 87 pounds and he wears black loafer dress shoes with his blue scrubs. He is also a doctor of pharmacy. He ALWAYS smells good. When other doctors find out I am a patient of his, they say, "You are a lucky lady." ER and L&D nurses squeal "WE LOVE HIM!" when they read my charts. There's nobody in this whole world I would trust more to care for me and my babies.

He is a brilliant doctor.

Today, I learned that he hasn't had to set up a fetal monitor in... ummm.. quite a while.

Because his office is so tiny, the need to administer non-stress tests is pretty small. He had a nurse, Maggie, who was in charge of getting the whole thing set up before he came in to read the results. Maggie recently left his office (DEVASTATED), and today he decided he could get me all hooked up for NST #1 with no problem.

There was much cursing under his breath. "Where am I supposed to plug this thing in?" At one point he was crawling around on the floor, but he was bound and determined to get that thing set up himself. I laughed until I cried.

He did, however, use it as a teachable moment. I had all the new nurses crammed in my room while he got the manual and some textbooks and held a little seminar on hooking up the monitor and reading the results. At least I will be giving them 4 more practice runs at it in the coming month.

Parker performed beautifully-- Dr. Sermons had told me to have a Coke on my way down to the office so he'd be awake. Within 10 minutes we had more than enough heart rate spikes due to fetal movement, and I went on my merry way. Donut for the P-nut and a happy mama!

Back to the perinatologist Friday. Jiminy crickets.