I have never really written about the night Noah died. I feel like I am starting to forget things. I know they are painful memories, but I don't
want to forget. Noah's death begins about a week before he actually passed. He began having apnea spells. Noah was on a sat monitor all of the time due to
tracheomalacia (positional airway) and low muscle tone. The beep of his
desats were a normal sound. This happened hundreds of times a day. Usually, he could be repositioned and he would be fine. The Friday before he died, he
desatted and was not responding to repositioning. We began rubbing his chest and feet and blowing in his face. This stimulated him enough to get him to breath. He had done this before while at Children' Mercy. They wrote it off as prematurity, but he is not truly a preemie and it was often associated with seizure like activity.
The following week, the apnea spells and seizures continued. We were scheduled to have a Mic-Key button placed, but the surgery was cancelled due to the apnea. In hindsight, the surgery would have killed Noah. I don't know what we were thinking except he hated the
NG tube down his nose. On Wednesday, he stopped breathing. I had been holding Monkey and Noah
desatted. I held him and tried all I could to get him to breath. I silently prayed he would not die while I was by myself with Monkey. I finally began breathing for him in his mouth. He finally took a breath and seemed
ok. I, on the other hand, was not. I had a cold and had no real choice but to start breathing for him or to watch him die. I got him sick. I ultimately killed my baby trying to save him. How do I live with that? I couldn't get him here safely and I couldn't protect him while he was here. I am a failure as a mother. I am so sorry Noah.
The following day Noah began showing signs of a cold. We had been warned that if he got even a cold, that it could be detrimental. His muscle tone was so weak that he could not fight off the infection and the cold quickly turned to pneumonia. I feel so guilty because we put him through another EEG and MRI that day. We were trying to diagnose the seizures so we could treat them. Why did I do that? The techs administering the MRI were terrible with him. They taped him to the table, flat on his back even after I told them he could not breath that way. It took them several minutes to finally move him to his side. How could I torture my baby that way?
We made it through Friday and Saturday and he seemed to be stable. He had not had any
really apnea spells and I truly thought he would be fine. On Saturday, I ran an errand with my husband and I remember standing in line at the store, telling him that I was scared for Noah. Later that evening, I had that terrible feeling that something was not right. We took Noah to the ER. I packed a bag, knowing that we would be there for a week or so. I was not prepared to lose him. The thought had actually not
occurred to me at the time. Once we were there, they all acted like they pitied us, but no one seemed to be hurrying around to make him better. They couldn't get an IV in, he was so dehydrated. He had 3 apnea spells in the ER. They finally moved us up to pediatrics where the nurses all knew us. We were there only an hour when Noah stopped breathing. They began bagging him while we waited for our pediatrician to arrive. We had already decided against a
DNR. Once our Dr. arrived he told us it was time. I remember standing there pleading with him to do something else. There was nothing else to do. If we put him on vent, he would never come off. I told them to stop and they wrapped him in his favorite blanket and placed him in my arms. I rocked and held him while our family arrived to say goodbye. My husband took turns hugging and kissing him. We told him how much we loved him. It took almost two hours for his heart to stop. During that time, I don't remember anything but people's feet. I never looked up. I only looked at his face, knowing that it would the last time. I remember how hard his belly was from the oxygen being forced into him. His lips, once a perfect pink bow, were now purplish. He was gone. Noah left us at 3:22 A.M. Sunday morning.
All of our family had a chance to hold him and kiss him goodbye. We bathed him, dressed him in his pajamas, and wrapped him in his blanket. The nurses took
hand prints and footprints. They cut a lock of hair. I remember the Dr. having us sign a consent for the autopsy. I didn't really know at the time what I was signing. He said they would do genetic testing. I wanted that for me and Monkey's future children. When the man from the funeral home arrived, he asked me lay him on the bed. They led me out of the room and closed the door. I remember resisting the urge to throw myself on the floor and refusing to leave. I had to leave my baby. It was like an out of body experience or a dream as I left. I was sure that didn't happen to me. Noah wasn't dead.
Once we arrived home, there was a lot of commotion. Our families trying to take care of arrangements, but I couldn't think of that. I just went to the
twin's room and sat in the floor between their cribs. I looked at Monkey asleep in his crib and at Noah's empty bed. Did Monkey know he just lost his brother and best friend? Do babies know such things when their twin dies? I spent many nights sitting between their beds, struggling with wanting to die to be with Noah and wanting to live for Monkey. All of this time later, I still struggle with that. Who needs me more?
I am so sorry that I couldn't keep Noah safe. My body failed him and I failed him. Maybe he would have started breathing on his own if I had just waited longer. I was scared and didn't want him to die. I couldn't lose him, but in the end that cost me his life. Looking back, I think Noah was telling me it was time and I wasn't listening. I am sorry I put him through the testing and the doctor's appointments. I tried to not think of him dying, but living. I fought for him everyday. They thought he would die in the hospital and we fought to bring him home. We wanted to show him life and for him to be with his twin brother. I hope we did somethings right. I pray Noah did not suffer. I pray he knows he is always in my heart and always present in Monkey's laugh.
Everyday that I look at Monkey, I see Noah. He is forever with me.