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Mother writes children's book to highlight premature children and help her son feel special

A reader reached out to me and shared this moving story about her son Sammie who was born extremely early and struggles with a variety of health issues.

Zoey Fields

24 Nov 2021

Hi learners! With Thanksgiving being tomorrow, I wanted to share with you a story that made its way to my inbox earlier this month. It is one of trials and tribulations but also of strength and gratitude. One that I feel is a true testament to finding the silver lining in a difficult situation.

Debra Cassell lives in Salem, Massachusetts, and wrote into The Learning Curve with a mission—to help others who may be struggling with infertility, miscarriages, IVF, infant loss or adoption. While, normally, I would be the one regurgitating to you what she wrote to me; I feel the story is best told through her own words.

Enjoy, and happy Thanksgiving:

Growing up as a child, I had always wanted children when I grew up. When the children’s dad, Trip, and I got married we immediately started trying to get pregnant. I never believed it would be difficult, but after having miscarriage after miscarriage, our minds became numb. It seemed like all our friends were getting pregnant, but we couldn’t. I felt overwhelming sadness, like my body was failing me. So many days, I would sit at home and cry. I remember missing a lot of baby showers because I couldn’t make myself go. It wasn’t because I didn’t love them or because I wasn’t happy for their joy. It was because I couldn’t face the thought of me not being able to have that same joy.

Thankfully, after five years of trying, we finally got pregnant. After all the miscarriages, infertility treatments, and lots of heartbreak, we finally got pregnant through IVF. I will never forget the phone call from the doctor. When he called to tell us we were finally pregnant, I thought I would pass out. I really couldn’t believe it was true. We were so happy. But, at the same time, we waited a long time to share our wonderful news with others. I felt like at any time it could all go away like it had so many times before. To not be able to share our news was very hard. Being extra careful with everything I did and put into my body was a constant. I was determined that this would work. That I would finally be a mommy.

I had always wanted a little girl. Being pregnant with twins, a boy and a girl, was the happiest time of my life.I felt like we had won the lottery. That god was rewarding us for all our difficult times trying to conceive. After we got past the fear of miscarrying again, I showed pictures of every sonogram to anyone and everyone at my school. The pride and excitement were wonderful, and all my fellow teachers and friends were so happy for us. They knew the rough journey we had been going through just trying to conceive.

We decorated the nursery green and pink. One side was for her and the other was for Sam. I remember how much fun it was shopping and picking out everything for our babies. I found special joy in buying pink things for Allison. I guess that’s the girl in me. After she passed, I couldn’t even go into the room. My family took all the girl things away and redecorated before I got home from the hospital. So many days, I would sit in the middle of the nursery and cry. Cry for the loss of our beautiful daughter, and cry for our wonderful son who was still in the hospital fighting for his life.

I remember all the shots my husband had to give me for the infertility treatments and how painful they were. One day I wanted to go Christmas shopping, so I drove to the local mall. When I got out of my car, I was so sore, I couldn’t walk so I got back into my car and went home. I couldn’t do anything but lay on the sofa. My body was too tired and sore to move.

I had a perfect pregnancy up until the night I got a severe pain in my right side. The pain was extreme. As my husband sped down the road to the hospital, I was curled up in the passenger seat sobbing. Sobbing because of the pain, and because of the fear of what was happening. I was seeing a high-risk doctor and my regular doctor. My husband rushed me to the hospital. I was diagnosed with HEELP syndrome. They said it was odd because I skipped pre-eclampsia and eclampsia and developed HEELP. They were able to give me one steroid shot for the babies’ lungs. Then they rushed me away for an emergency c-section because they were afraid I would not survive.

The doctors stripped me down so I was wearing nothing. They put me on the table while I was crying uncontrollably. I remember them talking about where they were going to do the incision and marking it on my skin. The next time I woke up, I was without my babies. It all happened so fast. I felt like my body wasn’t my own.

The NICU journey was tough. Trip and I were there every day, all day. They were so tiny when they were born. Sam weighed 1 lb. 13 oz. Allison weighed a little more. It all happened so fast, it felt like a nightmare. But once they were born, all we could do was keep the faith and pray. When Allison started developing necrotizing enterocolitis (NEC) a serious gastrointestinal problem that affects a lot of premature babies, they operated on her. I remember sitting in the waiting room with my family all night just crying and praying. The doctor came in drenched with sweat and said he thought he had cut out enough of her intestines to get rid of the infection. The relief that washed over all of us was clear in our faces.

Then I went to see my babies the next day, and she was so bloated. The NEC was back. Her incubator was beside Sam’s. They did everything they could do keep her alive while Trip and I watched, just praying and crying.

Sam stayed in the NICU for three months. Allison passed after 11 days.

After she passed, I didn’t want to get out of bed. Trip was very strong and told me we had another baby still fighting for his life, so we needed to go. The NICU moved Sam to another room so we wouldn’t have to go back into the room where Allison drew her last breath. I felt numb walking back in the next day. Every day, I would close my eyes and walk past that room to go love Sam. He didn’t know he had a twin until a couple months ago. We finally thought he was old enough to understand. He had a lot of questions, but he took it well.

Debra with Sam who is now 13-years-old. He enjoys swimming, reading and anything related to history, she said.

Sam had an individualized family service plan (IFSP) since birth. He had occupational and physical therapy services. He needed to wear a helmet to reshape his skull. One day we were in a local store while he was wearing his helmet. Lots of people stared at us. One lady actually came up and asked if he had some type of brain damage. It floored me that strangers could act that way about a small baby.

He was diagnosed with developmental delay and speech at a young age. During his preschool years, it was especially tough figuring out what he needed. The teachers often said he would hit other children, scream, and act out. It was not until he was in my preschool classroom that I saw what was going on. We had often taken him out to restaurants, friends’ houses, and family gatherings. He always had sensory needs, but not like what I saw when he was in my classroom. The small room with so many children and noises were overwhelming to Sam. He had so much difficulty regulating his behavior because of the overload to his system. It was both terrifying and hurtful to see my sweet Sam so distraught at school. I wanted to help him so badly. That’s when I researched sensory integration disorder, and had him privately tested. He began to get services that better suited his needs.

Then as he aged out, he was diagnosed with ADHD, sensory integration disorder, speech and fine motor delays, and a learning disability in math. When he was in fifth grade, he started telling me his feet hurt. We took him to a doctor to do a full body x-ray and blood tests to try to determine what was going on. The x-ray showed that his upper spine wasn’t fused together properly. This was because of his preterm birth.

After many months and many tests, they diagnosed him with juvenile arthritis. He was prescribed a shot of methotrexate once a week. I couldn’t give him the shot, so his dad and I would drive him to my brother’s once a week. My brother is a nurse. Poor Sam would throw up before even getting the shot. He has always been hyper-sensitive to pain. We have since switched his medicine to a pill that we crush up and put in applesauce. He has accommodations in his IEP. When he was going to school, he was allowed use of the elevator, have 10 minutes extra in between classes so he wouldn’t be in the hall with a lot of kids, and adaptive P.E.

I have kept him home since the coronavirus started because of his weakened immune system. When he started sixth grade, he was being bullied on his school bus. He said they were making fun of him because of the way he walked and talked. This broke my heart for many reasons. I stayed home with him for two years after his birth to keep him well and safe. To see him cry because kids were picking on him was terrible. It brought back all the memories of my brother being picked on too. I took him off the bus and drove him to and from school. I would wait until my kids went to bed, and cry.

Immediately after bringing Sam home from the hospital, I began to look into adoption. After losing Allison, I refused to give up on having a daughter. After two years, we brought our beautiful daughter home from South Korea. She was nine months old. The joy I felt in finally holding my baby girl was enormous.

I have always tried to be a positive person and be thankful for what we have. Always believe in miracles is my belief. We said we lost Allison, but we were lucky enough to bring Sam home. Some families aren’t that lucky. My heart felt for those that were there that lost their only child or both.

After staying home with Sam for two years, I needed to go back to teaching to help pay our bills. We were very scared to put him in the hands of strangers. He had a lot of sensory challenges. The first daycare we put him in told me to call every day at lunch to check in. Each day they said he cried all day. He had severe separation anxiety. I had to stop calling because it upset me too much and It was very difficult to teach. We switched daycares, but that didn’t work either. They said he was too much to handle because of his sensory and behavioral needs. We finally got him in the preschool class in the school system where I taught.

One stressful day, I was so scared to leave him and the words for the book just flowed out of me. They stayed on a legal pad for 10 years. I think I made it into a book when I did because this was when Sam was having another tough time with his arthritis and kids picking on him. I wanted him to be proud of his book and see how wonderful he truly is.

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