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Old 07-29-2011, 03:29 AM  
'Hamas' Jenkins 'Hamas' Jenkins is offline
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The great news is that I am a dad of two beautiful little girls.

The terrible news is that those girls are in extreme medical duress.
Yesterday, my wife gave birth, via emergency c-section, at 29 weeks, two days. At sixteen weeks, what looked like a normal, but rare, identical twin pregnancy became far more complicated. Our babies were diagnosed with a disorder that happens about 15% of the time with identical twin pregnancies called Twin-to-Twin Transfusion Syndrome. A detailed medical description isn’t necessary, but a brief one may help to understand.

The placenta provides blood flow and nutrition to a developing fetus. Most of the time, identical twins draw from the placenta with little issue, but in Twin-to-Twin, there is an imbalance. One twin, called the recipient, pulls too much blood from the placenta, and also the other baby. This makes the recipient polycythemic, basically the exact opposite of anemic. With too much blood, especially red blood cells, the blood becomes sludgy, and all the extra fluid which the baby receives from the extra blood puts a great deal of strain on their system, and can lead to congestive heart failure and other problems.

The other twin, the donor, experiences problems due to a lack of blood volume.

As a result of this circulatory imbalance, there is a massive discrepancy in amniotic fluid. The recipient swims in a pool of it, while the donor is, in essence, shrink-wrapped by the lack of fluid as the amniotic sac pulls in around it.

The condition is gravely serious, and without treatment, will usually carry a mortality risk of 100%.

After finding out that what we thought was going to be a normal pregnancy was anything but at 16 weeks, we had a procedure done in St. Louis called fetoscopic laser ablation. Developed a little over a decade ago, surgeons make a small incision in the mother’s abdomen, and with a small endoscope and laser, cauterize shared vessels between the two twins. This helps to establish a normal blood flow between the two babies.
We had this procedure done on May 6.

Initially, everything looked great, as the fluid levels between the two babies balanced out, and blood flow patterns appeared within normal range. About three weeks after the procedure, our specialists noticed that the condition had actually reversed itself. About 10% of the time, the condition will spontaneously reverse itself.

It was apparent to doctors at this appointment that this had happened near the end of May. Fluid levels were imbalanced, but still at the very end of normal. As such, the doctors felt it was the best interests in prolonging the pregnancy, which was not yet at viability, to avoid another event that would require making a hole in the amniotic sac. Thus, we embarked on a pattern of extreme vigilance. At multiple appointments per week, doctors performed an ultrasound wherein they would measure amniotic fluid levels, blood flow across the umbilical cords, and within the cerebral arteries in the brain.

After this second scare, it appeared that things began to normalize. Most of our subsequent appointments looked improved, and everything appeared to be on a healthy, normal trajectory.

Until Wednesday night.

Late Wednesday, my wife began to feel a series of small contractions. While normal in the third trimester, she had enough in a short period of time that it was necessary to call the doctor. He had us come into the hospital for closer monitoring, and after doing so, noticed that one of our babies was in distress. We had three ultrasounds last night and early into Wednesday morning, and after doing so, the doctors felt that it was in the best interests of the babies to deliver them at an extremely early, 29 weeks, but still viable age.

At 5:09 and 5:10 pm yesterday, we welcomed our little girls into the world.

Continued in post #2

Last edited by 'Hamas' Jenkins; 07-29-2011 at 04:51 AM.. Reason: Got my days mixed up
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Old 07-29-2011, 07:46 AM   #46
1ChiefsDan 1ChiefsDan is offline
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Good luck hamas

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Old 07-29-2011, 07:48 AM   #47
Sandyskc Sandyskc is offline
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You and your family are in my thoughts and prayers
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Old 07-29-2011, 07:54 AM   #48
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I'm nowhere near eloquent enough to say how much things like this really put perspective into life. Prayers and good thoughts to you and your family. May God Bless you and may you be able to take them home soon.
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Old 07-29-2011, 07:56 AM   #49
kepp kepp is offline
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Wow, your family has my prayers. I have two little girls of my own and my wife used to work in a NICU, so I feel some connection to your situation. Rest assured though...those folks are HIGHLY trained.
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Old 07-29-2011, 07:59 AM   #50
Ebolapox Ebolapox is offline
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damn, man. can't even imagine what you and your wife are going through right now. positive thoughts are headed your way, hang in there man!
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Old 07-29-2011, 08:00 AM   #51
CanadianChief CanadianChief is offline
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Prayers sent.

My wife and I also had twins delivered prematurely (29 weeks, 5 days). You gotta take things one day at a time as the next 2-3 months are going to be a roller coaster of emotions.
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Old 07-29-2011, 08:01 AM   #52
doomy3 doomy3 is offline
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Oh wow, man. Prayers headed your way for a quick recovery and health of the girls and for strength for you and the Mrs. Hang in there.
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Old 07-29-2011, 08:01 AM   #53
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Sending as much positive energy as I can, brother! Strength to you, your wife and your little girls!
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Old 07-29-2011, 08:06 AM   #54
DeezNutz DeezNutz is offline
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Lots of good thoughts and prayers headed your way. This is a trying ordeal, but you can handle it.
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Old 07-29-2011, 08:07 AM   #55
mikey23545 mikey23545 is offline
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I hope everything turns around for your family, Hamas...No family deserves that kind of hardship and worry.

Stay strong for your loved ones. All possible best wishes are headed your way.
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Old 07-29-2011, 08:08 AM   #56
Chief Henry Chief Henry is offline
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Prayers already said for your family. Prayers for the doctors and nurses taking care of your two precious girls.
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Old 07-29-2011, 08:17 AM   #57
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It seems that we too easily forget just how fragile life really is. Whatever you put your faith in, I pray that it helps. Stay strong, but just remember that tears don't show weakness. I hope that things continue to improve. Thoughts and prayers to you and yours.
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Old 07-29-2011, 08:18 AM   #58
Radar Chief Radar Chief is offline
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Surprised this isn’t stickied.
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Old 07-29-2011, 08:18 AM   #59
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Thoughts and prayers, man. Stay strong for your wife.
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Old 07-29-2011, 08:19 AM   #60
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Prayers for your family. There is nothing like a father's love for his little girls. Can't imagine the emotions you and your wife must be going through but you are not alone... Keep us up to date.
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