So this post is not about some wacky and wild travel adventure. It was wacky, wild, and had a fair share of ups and downs but nothing can compare to having a child in a foreign country. Let’s set the table for this story.
When we found out we were pregnant back in October of 2023 our first question was where do we have the baby? The US? India? We had already had some experience with Indian medical care which to be honest is fairly good. There is no shortage of medical staff available (more on that later) and there are plenty of hospitals. It is not the same experience but as a previous post discusses, it gets the job done and in many cases is done faster and certainly less expensive than in the US. Also since getting a passport, social security card, and Indian VISA can take an extended period of time we would potentially be looking at 6 months where I would be living in India and Tami and Tenley would be in the US. Once Tami’s eldest sister, Taisia Heyerman who is a delivery nurse in Ashland, OR, agreed to be there for the birth we decided India would be the best option for the family.
Fast forward to 10pm on the night of June 30th. Taisia was only going to be in town until July 7th and we were certain we wanted her medical skills and support with us when baby came. July 1st was 40 weeks exactly and at that point they almost always induce in India (whether you want to or not). Since Taisia was with us for a limited time we decided to induce. In full disclosure, I stayed home with Tenley that night and Tami and Taisia went to Cloud Nine Hospital on SB Road here in Pune. If you are curious google JW Marriott Pune and the hospital is almost “bang opposite” as they say in India to it.
Suffice it to say Tami’s first 10 hours or so was hell. She got the “we do this a million times a year” treatment from the staff. They were very rude, disrespectful, and didn’t care that they were being rough and insensitive. They nipped Tami while shaving her and didn’t care. They threw her legs open to examine her. They didn’t even introduce themselves. They kept telling Taisia to leave or get out of the way. It was not a fun experience. In some ways I am glad I was not there because I may have spent the birth in hospital jail. I woke up around 6am and wrote Tami how she was doing and one of the first texts read “We shouldn’t have done this in India”. My heart sank. Obviously if it wasn’t for me we would not be here and the rush of guilt and anger began to set in. I woke our driver up, ate a quick breakfast, and left Tenley with her cousin Kiana (Taisia’s daughter) for the day.
I arrived to see my wife having contractions every 5-10 minutes and in tears because of how horrible the care had been to that point. To compound it I asked Taisia how the experience and medical care had been and her response was “they are practicing medicine like they did back in the early 1980s here”. Now I don’t know what the full extent of that meant but alot of it was how they did not use modern and cutting edge technology, medical devices, and treatment monitoring. The good news is that I arrived just as the day shift was coming on. They were a night and day difference from the night shift (no pun intended). They were nice, introduced themselves, explained what they were doing and were trying to help Tami with her pain. This was all around 8am or so. At this point Tami was barely 2cm dialated.
A medicine called petosin was set up on a drip for her. My understanding is that this medicine was supposed to escalate her dilation. There was no monitor plugged in just a drip. Throughout the day the nurse, or someone who looked like one, would come in and just up the dosage. Taisia was monitoring and at one point they had put Tami at levels that were way beyond normal and dare I say safe. In fact at one time she was almost at twice the max level allowed. Taisia changed the dosage and couldn’t believe she wasn’t monitored. Tami was in so much pain. The contractions got worse and worse and at one point were a minute apart. They checked her after another hour or so and no further dilation. Oh and did I mention the ONE time they checked her vitals was in the middle of a contraction??
They would not administer the epidural unless she was at 4cm. She spent most of the morning in pain but once Dr. Kulkarni (Tami’s OBGYN) showed up we told her we needed the epidural now. She pushed back because Tami wasn’t at 4cms but we explained to her that Tami had the same issue with Tenley’s birth and it wasn’t until the epidural was administered that the dilation proceeded. Taisia got in to super bossy nurse mode and just kept saying “give her the epidural, yeah we want it now, she is in pain and having contractions every minute with no progress, help her take the pain away”. So they finally gave it to Tami and luckily the pain subsided. She was a true champ.

Me being me I kept asking the question, “when is this baby coming”. “oh by 2pm, or by 3pm no later”. Well the hours kept ticking. The good news is that Tami wasn’t in near as much pain and her contractions were becoming more regular. The anesthesiologist was a very nice man and very professional. He did his job right and checked on Tami throughout the day. On a side note — the food at the hospital was actually very good. Of course it was Indian food or just food as they call it here but it was very nutritious and was not spicy. Tami needed her energy so was luckily able to eat.
After another check around noon they came back and said “oh you are at 4 cms”. Things were happening but of course much to slow for my German efficient brain. So like any nervous and pacing husband (i probably did a 5k in the hallway) I asked for a lunch break. Tami agreed and said to go get a drink so I could calm down. So I went across the street to America’s Favorite Restaurant – TGI Friday’s. I kept my phone on full loud ring and sat down. In honor of my dad I had a “martini lunch” of gin martini combined with french fries. It hit the spot. Yes, while my wife was trying to rest up for one of the biggest events of our lives, I was across the street getting buzzed and eating heavily salted fries.

At about 3pm I decided it was time to head back. I took a nice easy stroll back to the hospital and came up to the room. About 2 minutes after I returned they announced “she is at 8cms, baby time”. I was like what? All the sudden a mass of people entered the room and equipment, lights, cameras, whatever the hell it was all started moving quickly.

It only took a minute or two but I realized this was go time. Any buzz I had from my two martini’s was gone and the carbo load of fries were about ready to be tapped for action.
Not too long after it was announced that Tami was at 10cms and it was time to start pushing. Originally Dr. Kulkarni had told us that only one person could be in the room with Tami but Taisia and I being the stubborn oldest children that we were just stood there and walked past the doors when we needed. They never said a word once we were there. I got in to dad support position on Tami’s left and Taisia stood by the medical monitors to Tami’s right. It was then that my stint as a fake Orange Theory Fitness Coach took over. Tami was pushing for a solid 20-30 minutes. It seemed like only a minute. She had so much strength and endurance I couldn’t believe it. It was at that point that a sound in the room caught my attention. Have you ever seen the movie finding Nemo where the seagulls are saying “mine, mine, mine mine” in a high pitched annoying as hell voice? Well that was the same sound all of the people in the room were making except it was to the words “push, push, push, push!!”. It then occurred to me that there were 12, yes 12, people in the room from the hospital. Only Dr. Kulkarni and the Pediatrician seemed to actually be working. 12 people, no clue what there role was. You know how long that table is in the painting of the last supper (after Judas left)? That is how many people were crouched around Tami’s legs as she was giving birth. Unbelievable! We still to this day have no idea what they were doing since it was Taisia who was monitoring Tami and baby’s vitals.
There are very few moments in life when you feel that heaven is opening towards you and in those minutes before and after birth you certainly feel like you are at heaven’s front door. I could feel immense love. And I leaned over and told Tami that everyone was here. Not just her and my family abroad in Spirit but my dad and her dad. Gracing us with a house call. I told Tami in her ear “Everyone is here for you. We all love you. You are not alone.” This peace and joy soon pivoted to a negative place.
Then became one of the scariest moments in my life. We were told a month or so prior that the baby appeared to have the umbilical cord wrapped around her neck twice. We sent the pictures back to the US and the doctors there disagreed because it was too hard to tell. In the last few minutes of labor Taisia looked at me with a very stern and concerned face and mouthed silently “WE NEED TO GET HER OUT NOW”. Tami was doing about three pushes per contraction. The babies vitals started to sink noticeably. I leaned in and said “baby, you have to give this next one as many as you can, she is almost here but we really need her out now, do as many as you can”. Tami gave 6 incredibly strong and exhausting pushes and our little girl was born. They pulled her out and she was not making a sound. They held her upside down like a caught fish and she was barely moving. Her entire skin was purple and blue and I have to admit I didn’t think she was with us (yes I am crying as I write this). They unwrapped the cord from around her neck and cut it. And after what seemed like ages, she made a few very slow and labored cries. She was breathing. She would be fine. I can’t tell you the relief.


Alexandria Ann Kemmling was born at 4:46pm on Monday July 1st in Pune India. She was named after Tami’s mom’s middle name and my mom and Tami’s middle name. Her mother was exhausted, her aunt was relieved, and her dad was so thankful to God. She was loved immediately. Although she was still recovering from almost choking to death her first few minutes in to this world were quiet and calm.


After I was sure Tami was ok I went with Alexandria, or Lexi as we have nicknamed her, over to the Pediatrician. She was 7lbs 10oz and 21 inches long, much bigger than her older sister (a pound heavier and several inches longer). The pediatrician assured me she was ok and we spent the next few minutes bonding with our little princess. We went immediately to skin to skin and trying to get Lexi to nurse.
At this point the gang of 12 had dispersed but one came up to me with this document. It was Lexi’s admittance paper to the hospital.

Really formal huh? By the way B/O means “born of”. In India most couples do not name their child until after 40 days. They thought it was unusual we had a name but it did help us expedite the birth certificate.


I have always told people that the best moments of my life have been the first few minutes of my children’s lives. Seeing Peter hoisted above the curtain and escorting him in the baby cart in to his mothers room. Knowing my life was going to change forever and that I would never let him down. Or Nate being born and crying wildly but calming down when I started talking to him as they took his vitals and me thinking how beautiful he was. Or the first time I held Tenley and felt the experience of love at first sight. It is just magical and I am blessed beyond measure that I got to do it a 4th time. This time was different giving the breathing scare but I was with my little Lexi during her first exam and kept my hand on her the whole time whispering to her how loved she was.

After a couple of hours they moved us downstairs. Now everywhere we go in India people want to take pictures with us. Most of the time we oblige to be nice but it does get annoying. Sure enough, leaving the delivery ward we did about 15 photos with the staff.
Tami healed up immensely quickly and though very tired we felt that Kiana and Tenley could come and visit. Tenley was a tad curious at first at what this baby sister was but she was excited to finally get to meet her.

And yes for those of you that know Tenley, Lexi and her look very much alike. Like I told Tami, “I guess we only build one make and model”.
We were so happy and for the first time got to be together as a family (although we missed our boys).

Once again the hospital care was not very impressive. They never checked Tami or the baby’s vitals again. They seemed more interested in mopping the floors of our room (which I am not kidding was done almost hourly) than checking in on our girl’s health. The good news is that with Taisia’s help and advice and Tami’s strength and endurance not much was needed. They spent the night (again with little to no monitoring) and convinced both Dr. Kulkarni and the pediatrician that we were good to go. They were shocked because I guess most people want to stay several days. But we all wanted to get home. So they discharged us. They had a little cake cutting for us and of course took a bunch more pictures.
We made it home safe and sound and the new adventure begins. Although I still believe medical care in India is good, it is behind the time and just given the volume I can almost understand the behavior of treating everyone like a number. But the bedside manner and humanity of it all should be a priority in training. We made it but not without some emotional scars.
Lexi turns a month old this coming week. We are having to relearn how life works with a newborn but we are thankful for every moment. Glory be to God!




















































