When Heather called to tell me that she and Maddie had been taken from Dr. Looove’s office to the hospital in an ambulance, I should have known…

But then she told me that she had also been given the option of driving Maddie to the emergency room herself, so I took that as a sign that Maddie was not in any immediate danger.

When I arrived at the hospital and saw Maddie in her hospital bed, receiving oxygen, I should have known…

But then I remembered how Maddie had been hospitalized twice before and both times she had come home to us smiling that amazing Maddie smile.

When the doctor decided to admit Maddie to the Pediatric Intensive Care Unit (PICU) for the first time in her life, I should have known…

But then he assured us that Maddie would only be in the PICU overnight, and that she would be moved to the regular pediatric section first thing in the morning.

When daylight arrived to find Maddie thrashing around in her bed, and the doctor no longer planning to move her to the regular pediatric section, I should have known…

But then the doctor told me it was a good sign that Maddie was angry and kicking her feet, as it meant that she was getting stronger.

When Heather called me at work to say that they were going to intubate Maddie, I should have known…

But I wasn’t totally sure what intubation meant exactly, or just how serious a procedure it was.

When I tried to enter the PICU and was stopped by a pair of men who asked me to wait in the hall, I should have known…

But all I could think about just then was how much I wanted to see my baby and make sure she was okay.

When the doors to the PICU were finally opened, and I saw that Maddie’s bed was surrounded by dozens of the hospital’s medical staff, I should have known…

And I did.  Then I knew.

I often wake up in the middle of the night, sick to my stomach over how stupid I was. How could I have not known? Was I really so hoodwinked by how good things had gone of late that I forgot her tough birth and extended NICU stay? Could I really have been that stupid?

I don’t know what I could have done differently if I had realized just how much her life was hanging in the balance.

Would I have spent more time at the hospital the night before? Not gone to work that last day?

Yes.

Would that have changed the outcome of things?

No.

Still, it doesn’t change the fact that I wake in the middle of the night more and more often, sick to my stomach, and chastise myself while thinking  that I should have known.