Over the past couple of months I have been checking the boxes in preparation for our upcoming transfer. I saw the hematologist, she was very informative and shared that Lovenox does in deed cross the placenta. That information was both a blessing and a curse. A curse because it could mean that Emmett’s demise was due to Lovenox. We will of course never know for sure why Emmett died, everything is in theory.
On Tuesday I met with a new perinatologist and the first question she asked me was “why were you on 80 units a day?” I honestly didn’t know. I did what the previous doctor told me to do. Although I did question the 80 units, again I was told because of my history 80 was the dose I needed. Turns out AJ doesn’t need 80 units…….she only needs 40. 40 fucking units is all I need. 80 units was to high for someone with my history and my weight. An 80 unit dose is for someone who has a clotting disorder or a BMI of 50.
Two weeks before Emmett’s heart stopped I increased the dose to 80 units. Emmett most likely bled to death, his little body couldn’t handle the Lovenox. Only Emmett knows how he died. I only know that he was genetically perfect and there is no reason for his leaving. In this moment I wish I had fought harder to change the dose. Then again I went along with what the doctor said to do and in the end it didn’t save Emmett nor did it help me.
Am I angry!? Of course I am angry. I am angry that no one would listen to me. That the doctor didn’t take a moment to really look into my history to see what and why my blood clot happened. I am angry that she shoved me into a box and pounded me until I fit the mold. In my gut I knew 80 units was to high. I should have just nodded my head and continued on with 40 instead of 80 units. If I did, maybe Emmett would still be here and I’d be seven months pregnant. I cannot go backwards, I cannot weigh the what if’s, I can only go forward, forward with a broken heart.
My heart she is broken. Yet she is relieved that someone with MD behind their name finally listened to her. We have a plan, a very good plan and with a little luck we will bring a baby home. The new Lovenox dose is 40 units a day with no increase along with a side of prednisone, baby aspirin, and anti-biotics. With a little luck this protocol will be our ticket to a take home baby.
Emmett taught me to continue to advocate for myself and to fight for what my gut knows. Just because a doctor is a doctor doesn’t mean they know everything. I am a walking talking example of “fuck, we messed up her care!” I of all people know what it’s like to be discounted and unheard. I know what it’s like to hear the words “um Im sorry but your pulmonary embolism and stroke didn’t need to happen.” I know what it’s like to be misdiagnosed and have forged a path in the aftermath. And I will not be silent, I will walk boldly with answers and I am not going to dwell on what might have been, I can only carry hope for what could be.