Zac Unger is a firefighter in Oakland, Calif. His daughter was born three months premature and is in the neonatal ICU.
More photos from Zac Unger.

If there is one thing that neonatalogists can't agree on, it's "kangaroo care." A few studies show that premature babies who are held skin-to-skin by their parents tend to gain weight and get discharged earlier than babies who aren't held. We've been getting dramatically conflicting advice from all of the nurses and doctors, though. Some tell us that we should hold Percy as much as possible, and some say that we should just leave her alone and let her grow. I want definitive answers; I want to be told that holding her for four-and-a-half hours per day will make her 33 percent healthier. But babies are as unique as adults, and we're learning to read her own cues to find out what she wants. At one point Percy went through a wild stage and the nurses wanted to give her more morphine. But as soon as Shona held her she fell immediately to sleep and we spared her the drugs. On the other hand, when her infection was at its peak she stopped breathing every time I touched her.
I can't say for sure what good kangaroo care does for Percy, but as far as our mental health is concerned, it's absolutely amazing. Shona's a crier, but I've never seen her more emotional than that first time she laid Percy on her chest. With all of the tubes and wires it's easy to think of Percy as a medical obstacle to overcome rather than a tiny little human being that we love. Holding her cements the bond, makes it clear that our lives are interwoven. My skin keeps her warm, the rise of my chest reminds her to breathe and the sound of my voice stimulates her to interact. They have lots of children's books around, but I can't imagine that it's the content that matters. So, yesterday I read her an article about Hezbollah, and when that was over the only thing within reach was a book about preemies, so she got to learn about necrotizing enterocolitis and bronchopulmonary dysplasia.
Sometimes it's hard not to feel like the most unfortunate people in the NICU. Percy's so small and helpless, our story's been so long and tragic. When new parents come in looking frantic and dazed, wondering how their babies will do after only 35 weeks gestation, I think to myself: 35 weeks … any kid could grow up to win the Nobel Prize if he got to gestate for a whole 35 weeks. But yesterday I spoke with a friend of a friend whose baby was born at 25 weeks compared to Percy's 27.5, 1 pound, 5 ounces to Percy's 1 and 15. They also had a bunch of miscarriages and had a rougher go of it in the NICU than I hope we're going to have. The 25-weeker parents are jealous of the 27s. We 27s are jealous of the 32-week kids. And everybody is jealous of all those homeless 16-year-old girls who seem to have no trouble whatsoever popping out beautiful healthy babies.
We missed out on so many of the normal aspects of pregnancy. There was no miracle of life here, just a grinding march of technology and money from beginning to end. But now we've got something most people don't have: an extra three months to spend with our baby. We're able to watch the last trimester of pregnancy unfold in front of us, watch as Percy lays on fat, learns to use her muscles, and discovers the joys of sucking her thumb. And even though our surrogate was a fantastic woman, she wasn't us. Now Percy gets to spend one third of her womb time with us, people who are going to be next to her for the rest of our lives.
I'm getting to the point where being in the hospital doesn't seem strange anymore. This is just my life; she's just my baby. With each day that passes, with each little bit of strength that she gains I start to feel more and more like a real parent instead of a medical combatant. Her infection is gone now and she's back to her feisty self. Of course I'm still worried about all of the complications of prematurity, the potential for blindness, cerebral palsy, and a host of other nasties. But I need to make sure that I'm not constantly watching Percy for signs of deficit. I can't spend her whole life wondering—is what's happening today because she was premature? Being a parent of even the healthiest child has got to be terrifying. By letting yourself love somebody, you set yourself up for sadness. But I know that the everyday highs are so much higher than the imagined lows are low.
For so long I've felt like if I could just get a baby, everything would be fine, that life would be perfect. But really we're just getting started on all of the worries that normal parents face. When we take Percy home she'll only be a newborn, and a small one at that. But it feels like such liberation to worry about normal things, like whether my daughter will grow up to do ghastly things like date rock musicians or manage an insurance company. In fact, there's a giant 4-pound boy in the next incubator over who's been giving Percy the old sly wink. I think I'd better have a talk with him about respecting my baby girl.
Remark From The Fray (Day 4):
Zac, you need insurance counseling. Your post contains some misinformation that could be costing you a bundle of money. The most glaring is that the insurance company has a rule on whose insurance company has to cover a baby when each parent has different insurance. There is no such rule. Your wife should have been able to pick up coverage of your infant from day one (this is a little complicated, since it depends on a couple of additional facts, but most of the time you can add a dependent upon the birth of one). The so-called birthday rule has to do with the coordination of benefits when someone is covered by more than one insurer, not on whether the insurer owes you coverage to begin with.
Under federal law you have the right to add a new dependent so long as you act within 30 days to add her -- the surrogate thing is a little odd -- but the right applies to adoptive children, so whichever way, if you are the legal guardian of a new dependent there should be no issue with coverage if you act promptly. Finally, ignore those hospital charges. Your insurer, and certainly your wife's HMO should be able to negotiate serious discounts, and I mean in the 30-50% range. Moreover, and here's where you need to keep on top of things: Your maximum -- as well as your copayments and co-insurance -- should be calculated in line with what your insurer is PAYING and not what your hospital is CHARGING. Charges are a hospital's wish list. No one really pays full charges. Unless your insurer is seriously out of step with the California norm. You don't want your $2million maximum being determined by an amount that is being charged if your insurer has only paid half that much. Good luck.
-- Barbara
(To reply, click here.)
Remark From The Fray (Day 3):
Try Hazel's -- very good, will be a nice break for you from the bad strip mall food. Also, take a drive out into the country side sometime. Very pretty and may get your mind off the vagabond. The central valley does have its virtues, and I hope it helps your baby girl to grow strong so you can take her home.
-- Emily de Ayora
(To reply, click here.)
Remarks From The Fray (Day 2)
Am I alone in my confusion? I don't understand why a person would pour thousands of dollars and gallons of tears into the effort of bearing their own child when there are so many children already out there who need a good home and loving parents.
I feel for the author. My prayers are with him, his wife, and their tiny, fragile daughter. But in the back of my mind, I wonder why these people were so desperate to have "their own" child that they endured six miscarriages, paid for in vitro fertilization and a surrogate mother when they could more easily have saved a child from our overcrowded foster care system, or from starvation and poverty in a 3rd world country.
What motivates this difficult, and, to my mind, somewhat selfish choice? Even though I am not a parent myself, I do understand that there are no easy answers, no simple solutions.
-- Miss mae
(To reply, click here.)
You try because it would be YOUR flesh and blood. Surrogate or not, Percy will be their flesh and blood. My wife and I had a difficult time having a successful conception. And while the thought of adopting, possibly from the 3rd world, was discussed at various times, until someone comes out and says "You can't have your own...period", you keep trying. And for better of worse, medical science has given people a lot of things to try.
-- Scott
(To reply, click here.)
I guess some people have a special need to pass on their genetic material, but I can't imagine loving our daughter any more if we had gone through the pregnancy ourselves.
However, I hesitate to suggest adoption too strongly. After all, if someone can't view an adopted child as "their own" or somehow inferior to a birth child, then they really shouldn't adopt.
-- Ferante
(To reply, click here.)
Everyone knows that there are risks involved in the costly process of assisted pregnancies, but there are just as many in the difficult and sometimes process of adoption. People sometimes wait years for a child, or are deemed, for one reason or another, unsuitable to adopt. People who have done all the paperwork to adopt children in foreign countries have suddenly been told that they can not bring their children home due to kinks in the red tape. Young mothers who give up their children for adoption have come back later and taken the child back. Foster care can be equally heart-breaking. Families take in a child and become attached to that child, only to have the child removed at a later date. Surrogacy is a choice. It is one that medicine has made available to us, and no one should be criticized for the decision to take advantage of that advance.
-- Christe
(To reply, click here.)
Remarks From The Fray (Day 1)
This one brought back a lot of memories. As another "graduate of NICU" and as an alumnus of the Life on a Lillypad club (what our mothers-on-bedrest group was called), I watched others go through this and thought "but for the grace of God there go I".
I was pregnant with the twins, and started spotting in class (I was in college at the time). I went to the doctor, and he sent me directly to the hospital where I spent four months on drugs (magnesium sulfate and tributiline) to stop premature labor. Luckily for me, it worked, and instead of being born at 24 weeks and at just over a pound a piece, my daughters were born at 35 1/2 weeks, at over 5 pounds a piece. We spent 16 days in NICU due to hardcore jaundice and a suspected heart murmur in one of them.
I was incredibly lucky, in many respects. My daughters were over seven pounds before they came home - they made up for lost time in a big way. The heart murmur never materialized into anything real and a few days under the lights dealt with the jaundice. The only side effect we had was spending six months on caffeine and periodic monitoring to prevent and monitor sleep apnea (worked - mostly because they didn't sleep!). We took them off it in due time, it took three days for their systems to get to normal, and they have never looked back. That was almost 12 years ago.
I can remember the fear of looking at your child in incubator, afraid every second of loosing her, starting at every beep and red light on the countless machines hanging off her. I only had to do it for a couple of weeks - they have months of this heartbreak in store even if all goes well. I watched other parents looking through the glass at extremely tiny ones, with hope and terror and anguish warring for space on their faces. I can empathise about the pain of not being able to hold the child - that was the hardest part for many of the mothers. I can assure you that the only thing you can do at this point is talk about the baby and pray, and wash your hands all the time (I would swear I still have Betadine stains under my nails).
He has a tough row to hoe, both as a father and as a husband. You are so helpless. If he finds any sort of help and comfort from writing this stuff down, then let him. I'll read, and commiserate.
-- MsZilla
(To reply, click here.)
(11/1)
feedback | about us | help | advertise | newsletters | mobile
User Agreement and Privacy Policy | All rights reserved
- Today's Headlines
- Poll: 85 Of Americans Would Like To See Candidates Compete In Funny Obstacle Course
Wed, 15 Oct 2008 14:00:01 -0400 - 'I Am Under 18' Button Clicked For First Time In History Of Internet
Wed, 15 Oct 2008 07:30:31 -0400 - British Corpses Piling Up
Wed, 15 Oct 2008 07:00:36 -0400 - » More from the Onion
Fiscal Drunkards, Dry OutRuth Marcus | Which candidate could lead us to economic sobriety?
Meyerson: Gods That FailedMilbank: Confidence Isn't Cheap
- Telnaes: McCain's Foray Into Pandora's Box
- Gerson: How He Was Ambushed by History
- Parker: Palin Can Save the Mainstream Media
- Topic A: A Game-Changing Debate?
- Today's Headlines
- White House Fails to Fill Key Anti-Terror Job
Wed, 15 Oct 2008 17:27:11 GMT - Suicide Spurs Web Regulation in South Korea
Wed, 15 Oct 2008 15:24:47 GMT - Are You a 'Digital Native?'
Tue, 14 Oct 2008 20:55:29 GMT - » More from Newsweek
- Today's Headlines
- Over Before it Began?
Tue, 14 October 2008 17:58:14 GMT - A Bucket of Chicken and No Clue
Tue, 14 October 2008 16:57:24 GMT - The Hitler Comparison
Tue, 14 October 2008 19:01:10 GMT - » More from The Root

diary














