Thursday, February 17, 2005
Wow, what a continual process of handing him over to God! We are getting some early lessons in parenting, knowing if we make it through this crisis, it won't stop here. But it was a comfort to leave the hospital, get some coffee, and look up at the moon and stars, realizing that the God who created all of that is holding our little son. We are so thankful for these doctors and all that they can do, but ultimately his life is in God's hands. Oh, that we may learn to completely trust His ways. They sure are beyond our understanding.
We have a wonderful nurse tonight. She has a personal interest in our little guy because her son is also Andrew Clark. She has been very comforting and reassuring...even coming over to hug and hold me when I was losing it. She really seems to know what she is doing which is a comfort to us.
Thank you again for all the notes and prayers. We feel upheld.
His bilirubin was way down yesterday, so they took him off of the phototherapy. But he had some spitting up episodes that have caused slowed heart rate and breathing (both of which are common for preemies). Yesterday as we held him, we could tell he wasn't feeling well. He was crying a lot (we've never heard him cry so much!) and flailing his arms and legs, obviously uncomfortable. We've gotten used to all the monitors going off, but it was stressful because it was obvious something wasn't right. He was pale, his temperature was higher than normal and his iron level was down.
Last night when we visited, he was pale and listless. A "work-up" had been done on his urine and blood, testing for possible causes of his illness. The white blood cell count came back fine, but the cultures will take a couple of days. They started him on antibiotics to stay ahead of possible infection.
Then around midnight last night, we got a phone call asking for consent to do a blood transfusion. I couldn't believe he was that bad off. We woke up again around 3am and called the hospital to see how he was doing. He had received the blood transfusion, his temp was down and he had pinked up some.
This morning we are at the hospital awaiting the doctors' rounds. We want some more info (if they have it) as to what they think is going on. It is stressful to be at his bedside and see him so uncomfortable. I wish there was something more that I could do. Holding him yesterday, I started realizing what it's like to be a mom. He is not in my hands, he is in God's. And this is just the very first of many more years of mothering moments like these!
We appreciate your prayers so much and will keep you updated as we find out more.
Tuesday, February 15, 2005
Then today when I (Gracie) went in to see him, he was completely breathing on his own! It was pretty short lived...only about 3 hours before they decided to put him back on low levels of oxygen. But it is a start at least. It was pretty exciting to see his whole face without a tube running across it. Hopefully soon he'll be able to be off of it completely!
Dave was able to attend a coffee brewing lab today. He was pretty excited about learning more of the trade he loves. After all, it's what brought us to Chapel Hill a couple of weeks ago. I guess it's only appropriate that he continue his education during our stay. :)
I located a local Creative Memories consultant so I could get some supplies to start on Drew's baby album. I've been struggling with the fact that he still doesn't seem like he's ours yet. It feels like he belongs to the hospital and we just get to visit. So I think starting an album will help in all of the processing I have left to do.
In some ways the past 2 weeks have flown, and in others, it seems like we'll be here forever before we can take our little son home with us. I know it will be over before we know it...and looking forward to that day!
Saturday, February 12, 2005
Friday, February 11, 2005
Gracie's Mom flew back this morning. It was wonderful having her here to help, counsel and comfort these past couple of weeks.
We are moving to the Ronald McDonald house this afternoon. We have been looking forward to getting settled down, and especially someplace that is so close to the hospital. See you all tomorrow.
Wednesday, February 9, 2005
There is a new issue to report today. One doctor said he heard a heart murmur when he listened to Drew today. They said it is not anything to be concerned about yet. It is common for babies this age, so they will just monitor it for now.
Drew is still gaining weight, though he's still having some residuals. Pray he continues to digest well as they increase his feeds.
Dave is on his way back tonight and is anxious to see his tiny son after two days away. I'm ready to have him back as well.
Tuesday, February 8, 2005
Well, the good news continues to come. Drew is tolerating his feeds, so they will be increasing them 2cc's every 12 hours. He is up to 7cc's every 3 hours and will be up to 9 tonight. He is also gaining weight! This was great news and we are rejoicing. He looks great with the bilirubin light off, as well as the little shades he had to wear. Sorry for the lack of photos. I haven't taken any while Dave has been away. But my mom says he looks bigger to her. :) Opening his eyes and smiling at me makes me feel so happy. What an incredible thing to be a mommy!
Tuesday Morning -Drew had a good day yesterday. He had had more residuals (undigested milk in his tummy) night before last so they tried a different approach to his feedings and it seemed to work. He digested all of his feeding at 5:00 pm and most of it at 8:00 pm. That was good news!
The bilirubin light will come off today and they won't recheck his levels for a couple of days. They said he is getting past the danger zone with that.
Also, his picline isn't cooperating yet. They tried repositioning it and it is still having a little difficulty getting in the correct position for them to use it. To us, it looks a lot more uncomfortable than an IV, but they say it isn't.
Dave and I both got to hold him for a long time, and his Marmee (my mom) got to hold him for the first time. He seems to like being held, but he is so tiny and fragile it is a little nerve-racking at times.
Dave flew back home yesterday with our landlord who is a pilot. He is going to try and get some things in order with work as well as bring back some of our clothes and things we will need over the next few weeks. He will drive back tonight or early tomorrow. Pray for him on the 5.5 hour drive back.
We appreciate you all...keep the notes coming. We love to hear from you!
Sunday, February 6, 2005
Last night they put a "picline" in, which is a replacement for the regular IV needle. It goes in at his knee, and they slide it up a vein until it gets close to his heart. It apparently is more comfortable than an IV and more stable.We had a little scare yesterday. Gracie was doing kangaroo care (which is skin to skin cuddling) and some condensed moisture came up his vapotherm into his nose. This happens a lot, and usually he just swallows it, and is fine. But this time he started choking. His vital signs went down rapidly, his heart rate dropping from his normal rate of about 140bpm down to 70bpm. The nurse got him back into the NICU baby bed, and suctioned out his throat, and he was fine. Parenting can be an adrenaline rush.
Gracie and I are trying to figure out a daily routine that will let us do everything that we need to in a day, which is not very similar to our normal day just one week ago. Gracie is pumping milk about every 3 hours, so we have to be near a pump, either at our hotel or at the hospital every 3 hours. We are trying to be at the hospital at least a couple of hours in the morning, and a couple of hours in the evening. The doctors make their rounds on Drew sometime between 10-12am, so we like to be there so that we can talk to them. And we have the normal things like groceries, cleaning or room, laundry, eating, working(I am going to be working as much as I can to keep up with the office stuff that I would normally be doing at the office on the construction project)...and all without having our normal things around us. So it is taking us awhile to get settled. Please pray mostly for Drew, and his continued improvement, and a little for us that we would figure out what our life is supposed to be looking like during this phase.
Thanks again for the prayers and notes.
Saturday, February 5, 2005
Surprisingly enough, Drew spoke his first couple of words this morning, and they were "Do I have any sweet skills?" We told him he did. He asked what they were and we told him breathing skills, eating skills and pooping skills. Yesssssss. So I guess you could say things are getting pretty serious. I am just getting kind of T.O.ed because he is not digesting his milk. He got a faraway look in his half opened eyes, and said that he thought he could poop right over that mountain. He asked if he could have some tots, but we told him to stick with milk for a while.
Friday, February 4, 2005
Thursday, February 3, 2005
It is 6:21 in the morning on Thursday. We got our unrequested daily wakeup call. Can anyone out there who works in a hospital explain why doctors wake people up around 5:30-6 every morning to ask random questions? Anyway. I would have felt rude saying "I wish you would shut up and get out of my life!!"-"Napoleon Dynamite"
Well, things continue to go well, preemie style. Two steps forward and one step back. The team of doctors making their round each day assess how he is responding to what they are doing for him, and decide whether to tentatively step forward or backward with the treatment. Of course, it is always encouraging when they step forward, like taking him off of the ventilator, or starting to feed him with breast milk, but even when they do decide to step back, they are always reassuring, explaining that they are trying to keep pace with Drew's development, and he is telling them that he is not quite ready for what they are doing.
As we are trying to decide what to do for the future, there are more variables than we had anticipated. I am talking here about relocating him. Our intial plan was relocating to Asheville. But then we found out that they wouldn't be able to take a transport baby before 34-36 weeks. And by that time, he may or may not be ready to just come home with us...so Asheville didn't seem like the best plan. Then we thought that we might go to Huntsville, but we are starting to hear that the insurance company is reticent to send him across state lines, without medical reason, especially when it is still so far from our home. And we had thought about Atlanta, because it is closer to home, but we would still be in a city relatively far away, and additionally, Gracie is going to have to stay very close to the hospital all the time, so it isn't like she can just go home every day from Atlanta, and I am planning on staying with her, except for short, tactical trips to manage the construction project that I am building. Also, we absolutely love the care that this hospital is providing to Drew and Gracie. We do believe that God providentially brought us to Chapel Hill, 10 minutes from this facility for the birth, and possibly for the extended care as well. The thought of transporting to an unknown hospital in Atlanta, where the care may not be as good, the doctors not be as helpful, friendly and flexible is not very appealing. So we started considering last night simply staying put. We are going to look into renting an apartment for a month at a time, close to the hospital. There is also a Ronald McDonald house available only minutes away. Please be praying for us as we try to make the best decision for Drew.
Wednesday, February 2, 2005
Probably the biggest news is that mommy got to hold him for the very first time today! And twice at that! I was able to hold him "kangaroo" style, as they call it, skin to skin, for about 30-45 minutes this afternoon. Then tonight, they wrapped him in a blanket and I held him for about an hour. He even opened his eyes and looked at me!! So we've had some good bonding time today. :)
We are encouraged that he is doing so well. Thank you all for your prayers. I should be discharged tomorrow and it will still be a few days before we find out Drew's transport status. We are seriously thinking about staying here because of the excellent care he is receiving. We will keep you updated.
Tuesday, February 1, 2005
This morning, we had a meeting with the team of doctors and other medical personnel that are involved with Drew as they were making their rounds. And everything that they said was wonderful. They are taking out his breathing tube, because he has responded well to it. They are taking him off antibiotics. They are going to start feeding him, and they are not going to go to the next level of treatment to deal with the jaundice, because he is responding well to the light treatment they are giving him.