Friday, February 12, 2010

Letter to Samuel

Before we buried our darling little Samuel, we put a few things in his casket. Dan and I both hand wrote him a letter and Luke contributed the little stuffed lamb he brought for Samuel the day he met him at the hospital. Below is my letter. I know he will never be able to read it, but I believe some way, some how God can communicate our messages back to the people who now live with Him in heaven. My letter was also shared during the services at Samuel's funeral.

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My Beloved Samuel,

How your time with mommy and daddy was so short and sweet. We couldn't be more proud of you for staying so incredibly strong during the 9 months of our pregnancy and enduring the harshness of my quick and intense labor. Despite all the odds, I just have to say "you DID it!" You made it into this world alive! You fought off your condition that was not meant for the boundaries on this earth to sustain your little life. 1 in 10,000 were your chances to be conceived and sustain a live birth. And you defied these odds! Your daddy and I couldn't be more happy or proud. We are so incredibly grateful to have met you, to know you if only for such a short time, to have the ability to hug you, caress your soft cheeks, kiss your little hands and feet and tell you how much we love you.

You made such a huge impression on so many people and most of all me. You are our precious gift, God has blessed our family with in so many ways. He gave you to us to fulfill His glory, to fill our hearts with so much joy and love, and to teach us so many things.

You taught me what it means to fight when all the odds are stacked against you.

You taught me how to love beyond the depths of where my heart did not know it could reach.

You taught me that nothing of this world is more important than the moments we have with loved ones at this very day, hour and minute.

Thank you for these lessons and your courage and will to live for those 33 wonderful minutes. I couldn’t have asked for anything more in you. You were beautiful and perfect in every way. One day we will be together again, one day in heaven where you are now strong and flourishing in Jesus' arms. I look forward to that day where we can be together again.

I wanted to share some things I learned about you with loved ones they may or may not have known while you were living here with us inside my tummy:

1) In the late stages of our pregnancy which most likely would have been your newborn routine- you were a morning person (like me)… you went to sleep early but often woke up around 10-11pm for a little exercise.

2) You loved sweets (like your brother) and you let me know this often. Even with the diet restrictions placed on me, we managed to fit some in from time to time as long as we paired it with protein. I think you really appreciated that because that was when you were the most active.

3) You had the hiccups a lot! I think this meant that you were doing everything in your power to imitate the act of breathing in my tummy so that you would be strong enough to do this in front of mommy and daddy once you were born. Practice makes perfect right? Thanks for practicing this incredible feat and doing everything in your power to be strong and hold on to your life so that we had the incredible opportunity to meet you!

We love you so much little guy,

Mommy

Thursday, February 4, 2010

Samuel’s Funeral and Photography

It’s been almost a week since our son Samuel’s funeral. There isn’t a day that goes by that we are not re-living his memories when he was in my tummy or during the time we had with him in the hospital. We miss him so much and our hearts still break each day that he is not home with us. We know time will help and that it will get easier from the heartache perspective but we’ll be forever changed. Little Samuel has enriched our lives so much, more than we could have imagined. We are comforted knowing that Samuel is now strong and flourishing with Jesus and living in his heavenly body free from Trisomy 13 complications.

Samuel’s funeral was held on Friday, January 29, the same day we were intending to induce my labor. The services were so beautiful and intimate consisting of our immediate and some extended family. Our pastor at Seacoast Community Church, Rick Myatt, conducted Samuel’s eulogy. Rick’s words that day were so warm & comforting and greatly helped us with closure. After the services, Samuel was laid to rest in an infant cemetery located in Sorrento Valley, CA.






















































We picked up our pictures this week from our 'Now I Lay Me Down to Sleep' photographer. Our photographer, Joseph Farmer, was incredible. Joseph remained on call for our family that entire week. Once he got the call Samuel was born, he arrived at the hospital within a half hour. His timing was perfect since it aligned so well when our family (including Luke) came to meet us at the hospital. Joseph captured precious moments of Samuel alone, with mommy and daddy and some shots with the rest of our family. In the images, you will notice Samuel’s bilateral cleft lip and palate. His palate and upper lip never had a chance to completely form. As a result, the cartilage between his little nostrils and part of his palate couldn’t attach to anything and were on the outside of his mouth. Other abnormalities seen on our baby boy and were also consistent with what we saw in prior ultrasounds were: meningomyelocele (neural tube defect at the sacrum), omphalocele (herniation of some of his intestines through the umbilical cord), polydactyly (extra pinky on both hands and feet). But even with all of these Trisomy 13 defects, Samuel was so beautiful. We loved seeing and holding our little boy. We were also able to see so many features resembling his older brother, when Luke was just a newborn himself. These similarities include his wavy hair (and lots of it!), the shape of his nose and eyes and little cleft chin. We are proud to share some of these sweet images of our time with him at the hospital.


























































Additionally, here are some photos taken with our own camera.



























































Saying good-bye to Samuel

Wednesday, January 27, 2010

Samuel is born

Samuel was born alive on Monday evening (Jan 25th) at 9:57pm weighing 4 lbs 12ozs @ 18 inches long. Samuel lived for 33 precious minutes before passing away in our arms.

My water broke at 5pm that evening which initiated nice, steady contractions fairly quickly.
I knew we didn’t have much time. Dan raced home and we got our stuff together and we arrived at the triage center @ the hospital at 6pm. There, they monitored my contractions and Samuel’s heart beat for about 2 hours while I lied in a bed the whole time. Things seemed to be moving at a nice slow pace for the most part. My contractions were still about 4-5 min apart (dilated to 3cm) and Samuel’s heart rate hovered around a consistent 150-160 bpm. As soon as our delivery room was ready, I chose to walk myself there without any assistance from the staff. I had all of about 10 minutes to walk/look around the room before the ‘real’ strong labor pains kicked in. I barely could walk myself to the bed. Once I made it, the nurse confirmed I was dilated to 7 cm and paged the perinatologist to come to our room because I was progressing so rapidly. Within 5 more minutes I was at 10 cm and ready to push. The doctor was still not there yet and I had to breathe short breaths through my agonizing contractions until the doctor arrived. It probably only took a few minutes, but for me and without pain medication, it seemed like an eternity. The doctor threw on his gown and mask so quickly and got into position for delivery. In 3 pushes, Samuel was born alive!

Samuel was not strong enough to cry, open his eyes, or completely gain a full pink color through his few intermittent breaths but his heart was beating and he was breathing.
The doctor placed him on my chest immediately after his birth and was then later wrapped up and handed to his dad’s arms. We loved the fact he was alive and that we got to meet him for the very first time! We took the opportunity to tell him how much we loved him and how proud we were of him because he was such a strong little fighter. He did everything he could, and fought the good fight so that he could meet his mommy and daddy if only for a very brief period. He showed no signs of discomfort and seemed completely at peace during the short beautiful minutes of his life. At 10:30 pm the nurses did a final check and confirmed that Samuel was gone. He lived for 33 very short minutes. After he passed we called for our family to join us in the delivery room as we said our good-byes and took our final pictures with our sweet little guy.

He remained with us for the next 15 ½ hours after being transferred to our post partum room.
We just couldn’t let him go. We knew his perfect soul was no longer in his frail little body, but somehow this was more comforting to us to have him with us. We didn’t want to go back to the room empty handed. Sleep was overrated at that point and neither of us could take our attention from him. We got to study his wonderful little features. We got the opportunity to note how he looked so much like our son Luke. We got the time we needed to pray together, weep together and pray over him. We really enjoyed and treasured the time we had with him. Our time with him was so sweet and short that we didn’t care about anything else. It was like the outside world wasn’t even there and time itself stopped and the only thing that existed was Samuel, his Momma, his Dada and God’s presence.

We are so thankful to God letting us be Samuel’s parents and allowing us the time we did have with Samuel. We prayed so hard to have ‘some’ time with our little boy and God responded! He knew our hearts and desires. We take comfort knowing he is now in the arms of Jesus. He has blessed us with so much in life already and though this experience was very hard to endure we both would not change it for the world. God is now giving us the strength and comfort to get through this rough period and we know our lives will forever be enriched by this whole experience; in our relationship to each other, to Luke and to our friends and family around us. That knowledge and the future life experiences we are to live on and have, is gift enough.

We'll be posting pictures from Now I Lay Me Down To Sleep photography soon.

Note to friends and family: In lieu of sending flowers or gifts of which we are grateful, we’ve decided that your gifts would be best served by making a donation to one of 3 organizations:

1) San Diego Hospice (the SD Hospice folks have been so great to us in the past weeks)

2) Another personal site that we found a great help and resource (with personal stories of survivors of Trisomy 13) that is very near and dear to our heart and is funded by a family with a surviving Trisomy 13 child where you can make a donation if you wish can be found here:

http://www.livingwithtrisomy13.org

3) A final site where Trisomy 13 and 18 that funds Research/Education/Awareness accepts donations is here:

http://www.hopefortrisomy13and18.org

Tuesday, January 19, 2010

Thoughts and Preparation in Week 37

I am now full term in the pregnancy. 37 weeks! What a milestone for our little guy!! Only 10 days to go until our induction. We are feeling apprehensive for what the future holds for our son, but our feelings are met with a lot of hope that Samuel is going to be strong enough to survive his birth and have some time with us. We know his heart is relatively strong with only a minor defect on the right side (see former blog post for this summary). His kidneys, bladder and stomach all appear to be the correct size for his gestational age in the last ultrasound (34 weeks). There were abnormalities found with each of these organs in prior weeks. Has God corrected these things as Samuel grew inside my tummy!? We so desperately want to believe the answer is yes! We are also hopeful Samuel’s lungs are strong too. Samuel gets the hiccups almost every night. I personally think this means he is preparing to breathe air (aiding lung development), but during this practice he is ingesting in too much amniotic fluid and hence the reason for his constant hiccups. I could be wrong but this is my current belief anyway. We have a good solid OB/Perinatologist to deliver Samuel and a hospital that is geared up with surgeons and other medical professionals if we need them.

I am picking up our visitor badges for our immediate family tomorrow. The hospital’s lead social worker has been incredible with ‘bending the rules’ for our situation to ensure all of our immediate family can be with us right after the birth and all at the same time. We found out last week there is a new H1N1 outbreak hospital policy that greatly limits visitation to patients who have just delivered babies. The policy also excludes ALL children under the age of 18 from any visitation whatsoever. The social worker is getting this policy overturned too for Luke, but his visitation time has to be greatly limited. Regardless, I am so very grateful to her for this! I just cannot imagine meeting and getting to know Samuel after the delivery and they tell me Luke could not be a part of that experience. I would be crushed.

This week, we are packing the hospital bags, finalizing the birth plan and plan on doing some doing some of our own amateur pregnancy photography (I’ll post a pic on the blog if something turns out good). It is also my last week at work so there are quite a few loose ends still to tie up.

Finally, we went to the store yesterday and had Luke pick out a gift (a little plush stuffed lamb) to give Samuel. I think this will be pretty special as Luke is just now starting to understand how to give and share with others. We have been telling him that his little brother is coming for some time now since my belly grew. He seems to somewhat understand because he has pointed to my belly and say’s “baby” and gives it a big hug. It’s so sweet. I really should capture that on video before it is too late!

Tuesday, January 12, 2010

Latest Tours

Last Friday we had the opportunity to take a tour of an In-patient Care Facility at San Diego Hospice. This facility was spectacular to say the least. It was similar to a nice hotel but with hospital beds. I never knew such a thing was made available to patients who were terminally ill. Our Hospice social worker led Dan and I on this tour. The building was beautifully designed and perched high on a hill overlooking all of Mission and Fashion Valley (you can actually see all the way to the ocean!). It was probably one of the best views I have ever seen of San Diego. The mood within this place was so calming and serene. Beautiful local art on the walls, comfy lounge areas for families, manicured gardens and statues in the courtyard, and nice walkways out to the look-out points. There were activities going on for patients who chose to come out of their rooms. They offer every type of therapy imaginable - pet, aroma, massage, etc. But even after seeing this facility and contemplating the idea we may be there with our little Samuel just did not seem real to me. It was hard to envision our family residing there even though Samuel has been given a grim prognosis to live. And I am not sure why.

I think the reality and gravity of our situation hit both Dan and I when we took a private tour of Mary Birch Hospital yesterday. Of course, I was so happy it was a private tour because we could ask the hospital’s social worker very specific questions applicable to our needs- our need for a private postpartum room, our need to know the neonatologist working the day of our induction (1/29), our need for specialized equipment for Samuel (such as a breast pump and specialized bottles for his cleft palate), and of course our need to know the locations of the NICU and Rady Children’s Hospital in the chance he is transferred. We had the opportunity to walk through the Mary Birch level-3 NICU. I remember feeling faint as all of the memories of being in there when we had Luke came flooding back. Of course, Luke was in a level-2 NICU at Scripps and his condition was so very minor compared to Samuel’s. I couldn’t help but feel completely overwhelmed…. looking at these beautiful babies all around just trying to live and get stronger for their mommies and daddies. I could see the emotion on people’s faces who were spending time with these little ones. They had expressions of concern and hope, and probably accompanied with a lot of exhaustion. All this was so very real to me. I felt like I was already in their shoes even though little Sammy is still safe and sound tucked away inside my tummy.

Friday, January 1, 2010

Induction is Scheduled

Happy New Years! We are happily welcoming this New Year ahead of us as we know it will be the year of our precious baby boy's birth.

We had another OB visit and ultrasound yesterday and it was probably the most 'routine' feeling I've ever felt, if that is even possible. No new discoveries found in the ultrasound this time and, in fact, things were really hard to see because little Samuel is getting so big now and is pretty well pressed up against my uterine walls. Even with his larger size, the sonographer reported that he is still very small. He is in the 3%-tile for his gestational age and weighs approximately 3 lbs / 5 oz. Regardless of this aspect, he appears to be thriving and well inside my tummy and that makes me so happy!

We are ~5 weeks away from our due date. The burning question came up during our visit whether or not we wanted to induce. We told the doctor we made the decision we did want to induce so that we could ensure we had a prepared setting for when our little Samuel made his entrance into this world. We want our own OB to deliver him since she already has strong familiarity with his condition. Also, we want to have the opportunity to speak to the neonatologist on staff beforehand so we can prepare him/her about our Samuel. We haven't decided exactly when the evaluation will happen after his birth, but we know the neonatologist's expert opinion will greatly help us with some of our on-the-spot decisions.

Our induction is scheduled for Friday, January 29th (~1 week before our due date). This is only 4 weeks away. The reality of Samuel's birth is now completely starting to set in for us. We are overrun with many emotions again.... feelings of excitement, a longing to finally meet him but at the same time having a very real fear of losing him. This is something we may never be completely ready for with any amount of planning or doctor's suggested prognosis.

We have purchased 2 newborn outfits for our sweet Samuel. One is for pictures after he is born and the other is his take-home outfit. I will remain optimistic of this possibility for as long as God allows us to. We know God performs miracles and it is all in His hands at this point. I feel way more comfortable and at peace knowing this.

Tuesday, December 15, 2009

Dad's perspective

Up until now Josi has made all the Jacobs blog posts with some of my interjection and minor edits, but truly the words and feelings were for the most part hers. I'd like to try and convey some of my thoughts and feelings through this pregnancy and the heartfelt and truly emotional rollercoaster I've faced too. Josi's words are a true joy to read and I so look forward to reading her posts as her sweet personality and heartfelt feelings offer encouragement and warmth to me. It is a tribute to her love and strength as a wife and mother.
I've thought of writing my own post in the past but each time I actually thought about what to write, my mind raced in different directions and emotions welled up to the point of frustration and I gave up. I'm trying to overcome that and share what is on my heart though words cannot convey it seems what I'm truly experiencing and feeling.

Earlier in the pregnancy before we knew anything about Samuel's problems I fed off Josi's happy emotions as I got daily updates on what was happening with her and the baby. I looked forward to her daily reports of how she felt and how she thought the baby was progressing.

Once news from the tests started revealing "potential" issues (week 12's tests), I kept reassuring her (and myself) that everything was going to be fine and I truly thought so. I deal with things differently than Josi does - until I have the information, I don't deal with the whatifs until it's time to do so. Once receiving the news that our son has Trisomy 13 I was simply in shock. This lasted for a while and I have to admit it was hard to be strong for my family; all I wanted to do was crawl into a small hole and stay there and not have to deal with this! How could this have happened to us and our family? Why could this have happened to us and our family? I quickly found out that this occurrence is totally "random" from a medical perspective but I couldn't help but think of "everything happens for a reason". Which means I and my family have to endure this series of experiences. Earlier the medical professionals recommended terminating the pregnancy but our beliefs and our conscious simply would not allow that to happen. I have to admit this isn't easy (but I hate to think of the alternative guilt and repercussions that aborting Samuel would bring) when I take a few moments in my mind to fast forward the next few months it seems that I deal with the grief and likelihood that our son is going to die - just the fact is horrifying and this continues again the next time I play things out in my mind and the grief sets in. In the fast pace of life this catches me a bit by surprise and when it does, it cuts like a knife straight through to my heart and it makes me stop in my tracks. Inside it seems I die a little bit and it happens over and over again. At times I wish the grief could come once already and then be done with, but I realize that is not going to happen and that is not my plight right now and I will stay the course until it's time to do so.

I would consider it a privilege and honor to be able to meet my son Samuel for a first time (as it is and was for my so beloved son Luke) and experience the love and bond only parents can know. To share the event with Josi and Luke would truly be a blessing even if short lived and with sorrow. If this could happen it would be such a blessing if even for a very short while.

If Samuel's time is destined to be short and I cannot meet my son, I will take my refuge in God's reply to Paul in 2 Corinthians 12:9 '... "My grace is sufficient for you, for my power is made perfect in weakness." Therefore I will boast all the more gladly about my weaknesses, so that Christ's power may rest on me.' and the assurance I know Samuel is in a much better place (Matthew 19:1 'v14Jesus said, "Let the little children come to me, and do not hinder them, for the kingdom of heaven belongs to such as these."')

Finally, when I slow down from every day life and reflect upon what matters in this world and consider God's great gift to us: Ultimate Love through his son Jesus and is echoed in many ways (e.g. loved ones, family, spouses). Understanding that love is not a feeling we get to experience that makes us feel good inside but in truth is actually dedication to serve others. To "love someone" means to truly commit to serve them. The joy of serving them generates the wonderful feelings but are "byproducts" we get to experience. This is hard work, but the results are tremendous and incredible and only a glimpse of God's love for us. The world tie us up in the hustle and bustle of getting ahead and personal gain but this promise of self gain is actually self defeating and leaves us empty. I am thankful for the love of my family and extended family and friends. I am so very thankful for my beautiful, compassionate wife. Her strength is a true blessing and inspiration and I'm so very thankful for her and her committment to me and my family. I'm so very thankful for Luke. If we did not have Luke already this experience would seem unbearable. He is a joy and a light to us during these times. I'm also thankful for Samuel. Even though it seems a tragedy for his condition, this is an experience that God has for me to endure. I will be thankful and try to glean what it is I'm supposed to glean from all of this. Most of all I'm thankful for God's promise in that He does not forget his children and takes care of them all.