As the year has gone by, the NICU experience has started to feel farther and farther away. At the same time, though, the entire 7 weeks is etched in my memory. I feel like I have almost total recall of every moment of every day we were there. It's like super-reality.
There is one day in particular, though, that remains incredibly fresh.
About two weeks after the boys were born, I
wrote:
There have been some crazy moments. One that was absolutely insane and that I'm not ready to talk about, yet.
I fully intended to write about it, eventually. But, then, the whole "
we had to give our son CPR" event happened and it just kind of fell out of my mind.
But, over time, it doesn't feel as overwhelming and I'm ready to share.
Ladies (and gentlemen?), I present to you
You think I did WHAT when I was pregnant?
When the boys had been in the NICU for about 1 1/2 weeks, my husband went home for a few nights to make a vain attempt to work on the nursery. (We live 90 miles from the city the boys were in and had been staying in the Ronald McDonald House.) I'd been home Sunday night for the first time since the boys were born to go to a follow-up OB appointment Monday morning. I was back at the hospital by Monday afternoon. My husband was planning on heading back down to be with us Tuesday afternoon.
On Tuesday morning, I was in the NICU alone. I was sitting in between the boys' isolettes grading (grades were due that Friday and I had a giant stack of exams and lab reports) when the social worker came by and asked to speak to me privately. The only connection we'd had with her was that she was the one who referred us to the Ronald McDonald House and helped us get the order for the rental breast pump set up. I thought she was going to fuss at me because we'd left the RMH for one night -- you're not allowed to be gone for more than 24 hours without checking out and back in again. We'd confirmed with one worker that it was OK to be gone overnight so I could go to my doctor's appointment. He said it was fine as long as we were back less than 24 hours later and that is why they changed the rule from "can't leave overnight" to "can't leave for more than 24 hours." But, the other worker there seemed to be very short with me when I got back (about 20 hours later). So, I was ready for the social worker to say something about the RMH.
She pulled me into the lactation room and said "I have to tell you that we performed drug tests on your sons and D tested positive for marijuana. S tested negative but only barely so."
WHAT?! EXCUSE ME? I was so floored and beyond flabbergasted that I could barely speak. This may have been the very last thing of which I could possibly imagine someone accusing me. I kept saying "how on earth is that possible? I've NEVER used marijuana in my entire life. Not even when I was in college. I can't even remember the last time I walked by college kids smoking pot. I haven't even smelled pot in 10 years." (I am, it must be noted, a goody-goody rule follower. When I told my mother about this incident she laughed and said "SERIOUSLY? My goody-two-shoes daughter? Are you kidding me?")
I kept trying to figure out how to look her in the eye so she wouldn't think I was lying. I was afraid I was making it worse by babbling. I kept saying it must be a false positive. There must be some combination of drugs that my MFM put me on that triggered the test. I started naming every drug I had taken. I was beyond shocked. I kept saying "test me, do anything you want. Do you want hair? Urine? Blood?" She kept looking at me without saying a word while I blathered on.
She said "well, we have to contact the state Department of Family Services and they will be contacting you to conduct a home visit. We can order a re-test if you want us to."
I still just kept going on about how this wasn't possible. I don't know what she was thinking.
I fled the room in tears, grabbed my stuff while hiding my face and barely saying goodbye to the boys and called my husband from the parking lot. He didn't answer the phone and I think I left a message that said something like "They think I smoked pot while I was pregnant. They're putting us on a list of unfit parents. What if they take the boys?"
(Now, mind you, it's only pot and they really wouldn't have "taken" the boys. I, truly, am not against marijuana and believe in controlled legalization. I just, personally, have never used it. And, even if I did, I can't BEGIN to imagine doing so while pregnant. But, I was more than a little worried that we would utterly FAIL a home visit from the state regardless of the obvious lack of drugs -- we were in no way prepared for babies in our house at that time. I'd been on limited activity and then bed rest for most of my pregnancy and our house was a disaster area. The babies' room wasn't even vaguely ready for children. I was feeling very vulnerable and paranoid.)
Luckily he got the message quickly and, after I explained it to him, he was furious. I told him I couldn't go back upstairs so I drove back to the RMH, which required me to go about a mile on the highway mind you, in the midst of a major "ugly cry." Here I was, about 10 days postpartum, living in a musty dorm room far away from home, completely on my own some days, barely holding on emotionally, finally feeling slightly less unstable and weepy while dealing with having my babies in the NICU when someone accuses me of this and tells me we're going to be put on a state list of drug abusing parents. I fell apart.
I snuck into the RMH and hid in our room crying and Googling every possible thing I could think of that might have triggered the test and looking up analytical methods for the determination of THC in chemistry journals. I was so paranoid and anxious that I was using the "Incognito window" on my iPad afraid that someone might collect it for evidence and think I was trying to figure out how to hide what I'd "really" been doing.
Meanwhile, as he drove down the highway, my husband called our MFM (the high risk pregnancy specialist who'd spent the past 7 months trying everything he had to keep me pregnant for as long as possible) who was about as furious as we were. Unfortunately, because we hadn't been able to get in touch with him the day the boys were born, they'd ended up in a hospital where he doesn't have privileges, so he couldn't do anything about it. He told my husband to demand to speak to the head of pathology.
I continued to hide upstairs at the RMH. I was utterly humiliated. I kept thinking "these wonderful nurses and doctors I've been working with have known about this since last week. They think I smoked pot when I was pregnant. What must they think of me?!" I couldn't even go back to the hospital. I didn't want to show my face.
My husband got to the hospital, finally, and confronted the social worker. He told her "I want you to know that I may yell but I'm not angry at you I'm just furious about the situation." She told him "we're not trying to take your kids away" and "it's not a big deal" but she didn't seem to understand that this was an enormous deal to us. We were not going to be put on a state list and sent to the DFS for something we didn't do. He said to her "let me explain how we got here. We've been trying to get pregnant for 3 years. We spent the equivalent of my salary last year to get pregnant. My wife has been driving back and forth to doctors' offices 90 miles each way two or three times a week for two years. She's had multiple invasive procedures. We spent the last 7 months working with a specialist. She was on bed rest for four weeks. She hasn't even had caffeine for 2 years. This accusation is BEYOND absurd. We will not be falsely accused of this."
She said "well, we'll test again, but know that we already tested twice. We were waiting to inform you before we contacted the state, but we need to do so soon."
He called me and I told him I just couldn't come to the hospital I was so upset and embarrassed. So, he went back to her and told her that I wouldn't even come into the hospital to see my children and that was not OK. She needed to expedite the test. And, if it came back positive again, we'd be demanding to talk to the head of pathology and discussing the test results with him. We'd be contacting a lawyer.
(It would be helpful to mention here that my husband has a Ph.D. in statistics and is a certified quality control engineer. I have a Ph.D. in analytical chemistry and specialize in the analysis of trace organic contaminants. We were already armed with questions about the methods they'd used in their analysis and how recently they'd calibrated their instrumentation.)
The social worker left and my husband went to find the nurse. I'd been sitting chatting with her all day long about the boys and life and random things. When he told her how upset I was and how ridiculous this was she said "yeah, I saw that in the file and thought it was bizarre" and they were both getting teary-eyed by the end of the conversation because she was so upset that I was so upset. He talked to the doctor on call who said "Oh, it's no big deal. You wouldn't believe the things people test positive for in here for real." He once again explained to her how ridiculous this was.
Meanwhile, the social worker came back upstairs and said that the third test was "barely negative" just like S's was. She said that the pathologist was willing to call it negative and not contact the state -- despite the fact that he was pretty sure that it was positive. I think the social worker went to bat for us with him and I think they realized that we were going to sue the hospital and that they were going to lose.
So, my husband called me and I came back over. My anxiety levels were through the roof but I did it. I still felt horrible knowing that half the nurses probably saw, at one point, D's positive test. (The nurses work on 12 hour shifts 3 days a week so we'd seen about a dozen of them at that point.) I was afraid that they then didn't see the note that it was negative. And, even so, which would they believe?
It was a four hour ordeal. It went from "what the hell are we going to do?" to "eh, whatever" in four hours.
So, yeah, in the end, they didn't report us to the state. I don't know what triggered the test. Google searches showed about three things the MFM had me on to stop labor and deal with reflux that some people claim give positive tests for THC. (I still want to know what kind of test they were doing -- some screening tests could lead to false positives which lead to more specific tests that should really only detect actual THC. We never got a chance to ask which they were doing -- I wouldn't think they'd make the accusation without the specific test, but I'm not sure.) Part of my search found a research publication about a hospital that had suddenly had a huge increase in positive screening tests for marijuana that turned out to be triggered by a soap they were using on newborns (a month or two later,
this article led to a Yahoo! news announcement that
everyone who knew about the test sent to us -- maybe 10 or 12 times?!) Was this what happened in our case? Wouldn't they have had lots of reports if that was the case? Did the hospital where the boys were born use the soap and then this other hospital did the test and it was just bad luck? I have no idea.
Our MFM (who also had been searching everything he could and found the soap article and called me about it a few minutes after everything was "cleared up") was very angry about the whole thing. He had a very good point -- it's great that this worked out OK for us. But, people listen to us. We have "status." Why were they even testing for this? Marijuana doesn't cause premature birth. (They claimed they test every baby born before 34 weeks for a multitude of drugs -- I think I may have signed something saying they could test while I was in labor. Because, you know, I had nothing to hide and they kept sticking things in front of me to sign and I was on magnesium sulfate and could barely hold a pen.) What about the 18 year old who barely makes ends meet who gets a false positive? Everyone just assumes she's lying and she wouldn't be able to fight it. And, suddenly her ability to parent her child is being questioned and she's on a state list.
As minor as this whole thing was in the end and as quickly as it was resolved, it changed me. It changed how I looked at the other parents in the NICU. I feel horrible to admit that I sometimes felt superior to those parents. The average parental age in the NICU seemed to be about 20. We were closer in age to some of the grandparents than the parents. About 80 % of the parents were smokers (they were always outside smoking and the elevator to the NICU always reeked -- one time I stepped outside to warm up and get some air and one of the dads asked me for a cigarette and looked shocked when I said I didn't smoke). I admit that I judged them. I stopped. They were going through just as much as we were and just wanted to take their children home.
My husband and friends find the whole thing funny at this point. They regularly make jokes about it. "Oh, you would think that, we know what you did when you were pregnant!" or "Oh, I know you really were trying to hide that joint, weren't you?" "Heh heh" I say as I cringe inside. It makes me anxious. The accusation makes me feel like I really do have something to hide. I can't bring myself to really laugh at it.
So, there you go. A story I meant to tell.