
OK, I am getting a few moments here and there to hear myself think, so I thought I would take this opportunity to catch up on the blog. Like any story, I really should begin at the beginning, so everyone is caught up to speed. This will likely lead to several installments, so bare with me.
It is highly common in twins that one takes a bit more of the nutrients than the other. This can lead to one of the twins developing a condition known as Inter-Uterine Growth Restriction (IUGR), where basically one of the babies does not develop at a normal rate. They use to call it Inter-Uterine Growth Retardation, but changed the name for the obvious reason that mentioning the word retardation to anxious parents=to-be invariably led to super-freakouts. While it is clear in the title it is the growth that is retarded, not the child's brain, the multiple painful explanations finally led to a convention somewhere where beleaguered perinatalogists agreed to the name change.
Anyway, as most of you probably already knew, one of little ones was diagnosed in utero with IUGR. This led to Candy spending something close to 4 months on bed rest, as that is one of the treatments. Laying on your side all day is supposed to increase blood flow to the placentas and therefore the babies as well.
Along comes week 36. Candy has shown no signs of distress, except for the significant symptom of being as big as an hindoor game complex. At week 34 the signs of IUGR that had faded somewhat from early on appear to be back, so we know that if they persist into week 36 we may get our delivery moved up. We also know statistically that the median age of a twin is 36-37 weeks. So we thought we were somewhat prepared for news that the delivery would be soon.
At 11am we walked into our perinatalogist's office. He hooked us up to his fancy-schmancy ultrasound and took a few measurements. The little one was only 4 percentile in size for its abdomen, now two weeks in a row. Clear IUGR. At this late stage of the pregnancy it is his considered opinion that delivery is safer than waiting for some sort of critical development. I.e, tiny baby could become distressed and be in big (maybe fatal) trouble before the next check-up. He sends up to our OB.
At 1pm we see our OB-GYN, an old school Israeli (we think) doctor whose bedside manner definitely gives the impression he will suffer the questions of fools only to a point. He agrees with the first assessment and tells us we will indeed deliver.
Tonight.
We are to be at the hospital at 4:30pm. We should go home and pack for a 4 day hospital stay. The delivery is going to be a C-section, as inducing traditional labor would put too much strain on the little, possible weak baby. Inducing labor would take 12-14 hours. The C-section will be under an hour.
So you can imagine the chaos. Prepare to be parents in 2 hours. We had thought, at worst, they would schedule us for Thursday morning. Aye-yai-yai. We pack, we take out the trash, clear the sink, feed the pets, call the parents, I eat. (Candy can't, because of the surgery.) We pause to take some final pictures of Candy in the nursery, at her most splendiferous. Then it is throw the bags in the car, and off to have our lives turned permanently upside down.

Sitting in a Recovery/Prep room in Labor and Delivery, I read section's of King Lear to Candy, doing my best to do a different voice for each character. Occasionally I stop and summarize what I think happened in that scene, as it can take a bit of digestion to fully get all the nuances of Elizabethan English written in Iambic pentameter. I am doing this for two reasons. First and foremost I am trying to calm/distract Candy and myself from the fact she is about to undergo major surgery. Second, one of the top 3 names we are considering for the girls in Cordelia, who is the good daughter from King Lear. The room is shared, so I try to keep my absurd over-acting to a minimum.
Finally they come to wheel Candy away. While they are prepping her and starting her spinal block anesthesia I am not allowed in the operating room. They hand me scrubs and tell me to wait for approximately 15 minutes, at which point they will call me in to witness the event.
The waiting room is actually just a single chair sitting in a hallway out side a large set of double doors marked "Authorized Personnel Only". There is nothing else there, except a single still from Dumbo framed on the wall exactly opposite the chair. St. Joe's medical center is basically across the street from Disney Studios, so they have decorated all up and down Labor and Delivery with Dumbo themed paraphenalia. The picture exactly opposite me shows Dumbo flying joyously with Timothy the mouse dressed in his bandleader outfit atop his head. Clutched in Dumbo's trunk is the magic black feather that allows this little baby elephant to escape the bounds of gravity and do the impossible. Of course, the trick [spoiler alert for anyone who hasn't seen Dumbo. Seriously?!] is that the feather is nothing special and that Dumbo is doing it all himself.
It is hard to describe my feelings at this point. Adrenaline cranked to the max. Palms a little sweaty, clutching the video camera. This was clearly one of those BIG life moments and it was not dissappointing. I put it up there with asking my wife to marry me as one of the most intense experiences I have had. I think what heightened it was that at this moment of significant life transition I was forced to sit and wait. Staring at that little baby elephant and doing everything in my power to concentrate on getting from one breath to the next.
When they finally call me Candy is strapped down to an operating table, crucifiction style. A curtain has been placed at just about her armpits, blocking a view of her lower body. She was shivering, mostly from adrenaline I suspect, although I think there was also shock involved, as by the time I had arrived she was paralyzed over more than half of her body. I do my best to comfort her. I think I tell her how proud I am of her. Then I am told I should stand up and look behind the curtain and that is where I see my girls enter the world.
I had watched enough birthing shows to not be surprised by the tugging out by the head of two white, gooey babies. The white goo is vernix, something the babies produce to protect their skin from the amniotic fluid. I don't know how many people get to see a birth live and close up, but it is truly astounding. Something from nothing. Spontaneous Generation. One becomes Two. Or in our case Three.
After they clean the babies and I get to cut the cord, Candy is allowed two quick glances at the babies she carried in her womb for 36 weeks and then we are all whisked off to the Nursery. The whole process I witnessed could not have taken more than 15 minutes.
But as you might suspect, I was far from done.
