Sunday, May 16, 2010

Out and About

This week we went on probably our last hike of the season as the weather out here in Phoenix is getting hotter and hotter!  I love summer and I love the heat, but I will miss being able to get outside and hike and run.  I think I still have a few more weeks of running before I have to turn to the treadmill until fall.  Owen stayed awake the whole way up to the top of North Mountain just enjoying the view so we got him out at the top to take a few pictures!  We saw a little squirrel family it was so cute.

On Saturday afternoon we packed up and headed to our friends The Gage's in north Scottsdale for our first outing with other children.  They have three girls, the oldest is four and a half, and the youngest is 7 months (born 6 days before Owen)  I think Owen liked seeing all of the young faces and the girls just loved him.  My favorite parts (besides getting to see and visit with Ang) was when the older girls wanted to help me wake Owen from his nap. . . . I think he was a little overwhelmed:-), and then Owen and Ava sitting for pictures (see below).  RSV season is over and we are looking forward to some travel and visits with all our friends and family soon.





















Last week when we saw our feeding specialist, she suggested that Owen is becoming very overwhelmed during his feeding and that may be what is leading to all of the frantic disorganization and inability to feet more than a couple of ounces at a time.  I do think that the zantac has helped, but I think the memory of the acid could also be a cause of his trouble . . . as if he is still expecting to be in pain. . . . so now we are swaddling him EXTRA tight and feeding him in a dark room as a form of sensory deprivation so that he doesn't have to focus on anything but eating.  I think that this has made a great difference as he is more consistently eating closer to 5 or even 6 ounces at each meal and sometimes he stays very calm throughout the whole feed.  However regardless of his troubles getting the food in, he continues to thrive, I took him to the doctor to be sure and he is now almost 15 pounds and still gaining at a rate of 1 ounce per day!  So the goal for right now is to get him consistently eating closer to a "full feeding" so that he can eat less times per day and to keep each experience a positive one so that soon we can advance onto some solid foods.


Sunday, May 9, 2010

Mother's Day

We had a wonderful Mother's Day.  First Owen slept in until 8AM!  My sister Remie spent the night, and we all went up to North Mountain for Owen's first hike.  It was a hard workout, but really fun.  I didn't realize how heavy the weight of Owen and the stroller would feel while pushing up hill, but it felt good.  I made Eric take the stroller down, because I was scared I would trip and let go of it. 

It was such a beautiful day here in Phoenix, we couldn't help but want to be outside.   My sister gave me a wonderful cupcake decorating book and I am really looking forward to experimenting with them in the next few weeks.  The big present was a B.O.B. revolution jogging stroller that I have had the pleasure of using for the past couple of weeks.  I am so glad to be out running again even if it is only for a few more weeks until the weather becomes a little less forgiving.

Happy Mother's Day everyone!

Here are some pictures of our day.

Friday, May 7, 2010

First Photo Shoot

About a month ago, we were so lucky to have a professional photographer come to our house to take some "newborn" photos of Owen.  Her name is Cherise Kiel and she is amazing.  The session was a gift from one of our nurses who went to high school with her. 

It was so much fun, Owen was wild and awake the whole time.  He managed to pee on EVERYTHING and poop on Mom!  But he was a trooper, and Cherise managed to make the whole thing look serene!

Here are a couple of the proofs.

What Owen is Doing and What We're Working On

Okay, since we've been home Owen has really struggled with eating.  Sucking for an infant is instinct only for the first few weeks of life, then eating becomes a learned behavior.  Owen suffers a little from GERD (we think) and also because of his prematurity eating is just hard work.  He eats still like a newborn only little meals 3 to 4 ounces at a time every 2 to 3 hours. . . . . .before you say "he's snacking" . . . . I assure you he is not!  He is now taking zantac twice a day to help cut back on excess stomach acid. . . . it has been almost a week and I don't know yet if I see a difference.    We now finally have an in home feeding specialist occupational therapist who is going to be coming weekly to help monitor and guide us!  Yea!!

He is however mostly sleeping through the night about 7-8 hours so that is awesome.

He is getting great head control and able to push up on his arms in tummy time and stay there for extended periods of time.  You can tell he wants to crawl, but his heavy belly keeps him down!

He loves playing with his rings and his crinkly peacock those are his favorite toys.  He is passing things back and forth, using both hands and sucking and chewing on everything . . . I think he is getting ready to put some teeth through.

He can sit up very well supported and enjoys the view.

His favorite thing still is face time he chuckles when he gets you to smile or stick your lower lip out at him and wants to pull on your nose and lips.

He is very very close to rolling over, another couple of weeks I think.

He has really started to explore with his voice and loves "talking" which sounds very much like a baby gorilla.  He enjoys a good screech.

He rarely rarely cries.  I have to keep the monitor turned up loud because when he wakes up he just grunts and wiggles and tries to eat his hands or just hangs out and will do that until someone comes to get him.  Usually if he cries it is something to do with feeding!  But even that is not very common.  I would say I'm lucky. . . . but to be honest, I think I've earned at least this.

We continue to work back, side, and belly time with lots of flexing into a curled or fetal position.  We are teaching him about his feet and that he can grab them and roll from side to side.  We work on bringing our hands to center or midline instead of flailing about like a person falling backward off a bridge!  He is a hard worker and you can tell he wants to advance. . . . he amazes me with how far he has come.

Its easy to get frustrated with feeding and because I just want to help him "catch up", but babies are amazing.  I look back on the things we have accomplished and I know that what seemed impossible a week ago, is mastered today.  They just keep going, and going, and going and growing!

Bringing Owen Home

Finally after 109 days in the hospital and only one false start we brought Owen home!  A last minute echocardiogram showed signs of pulmonary hypertension so he was sent home on supplemental oxygen and a pulse-oximeter.  After the anxiety over having the O2 in the house diminished I was so excited.  And terrified.  I had gotten used to seeing a doctor at anytime 24 hours a day and having expert nurses to care for not only my baby but for me, and I was leaving all of that behind.  We got him all strapped into his carseat and walked out the door to the NICU only to have him desat steps away from the door, so we rushed back in . . . . . turns out we didn't have his oxygen open all the way!  Okay, take two we made it home.

For the first few days we basically played hospital keeping him on the same schedule, purell flying everywhere. . . .then things relaxed a little and I let him pick his schedule. 

Even though we were on house arrest we were driving all over town for his various follow up and therapy appointments. . . . I think we averaged 3 a week for the first few weeks and then 2 a week and now it is about 2 or 3 a month . . .hopefully with DDD which is Division of Developmental Delays (Owen qualifies for this federal program because of his gestational age at birth and his low birthweight . . . he is "at risk") we will have in home occupational and physical therapy set up soon.

You can see a little smile on Owie's face!

I know this is a nutshell but I'd rather get to more exciting topics and start posting more current stuff!

Lessons I have Learned

God never fails to give you an opportunity to take ownership and learn from a situation. 

He has a way of making you want what you are given. 

Everything is a blessing. 

Prayer works. 

Be thankful. 

Love everyone. 

Have Faith. 

Trust. 

Be as generous as you can.

Be compassionate, but also have empathy.

Saying Goodbye

Well it has been a long time since I've been to this page.  A lot has happened since then.  The worst has happened since then.  Little Liam died on January 22nd.  I don't know how else to word that.  He was chugging along and we had finally started to really prepare to bring both our boys home, and then it became only one.  We had purchased two swings and his crib was ready to go, all the clothes washed and put away, carseats unpacked and we were in a little bit of a panic because all of this was done when we thought we had only a couple days until Owen came home.  Both boys had their surgeries scheduled for the 18th of January, we were nervous but excited.  Finally after months Liam was going to have an intact intestinal system and a belly button and look whole.  But surgery was postponed because of some results on a test. . . . I remember how bummed out both Eric and I were, we just wanted it over with.  It was going to be a tough long surgery and we just wanted to get it behind us.  Looking back it seemed like everything was getting a little bit worse, but at the time I chalked it up to him just being done with his insides being on the outside . . . who knows.  Anyway he had his surgery the next day I think.  It was a super long surgery but miraculously he came back extubated which was huge.  He was so mad though, and as a side note. . . I challenge anyone who thinks bowel surgery is essentially painless to have their intestines pulled inside out through their belly button and left there for 2 months before shoving it all back in and poking around to make sure everything looks good. . . .okay, back to the task at hand.  It quickly became an intense balancing act between controlling his pain and supporting his oxygen needs.  But he was "stable" just recovering from a difficult surgery.

We went home late that night and celebrated.  We opened champagne and toasted to the fact that both boys surgeries were a success and that they would be coming home soon.  Liam had a belly button finally!  A few hours later in the middle of the night, my cell phone rang.  It was the hospital calling to let us know that for some unknown reason they couldn't get a blood pressure reading on Liam.  But we shouldn't be too alarmed.  The next morning we called and he was stable.  Then a few hours later, they called again, Liam's condition had become quite critical and we should get to the hospital as quickly as we could.

Panic sets in, it was already raining, I just remember speeding as fast as I could as I called Eric and let him know to get there too.  He beat me there, and the feeling in the room was grim.  We were told that this had literally become minute to minute and that they thought that Liam had become "septic" when and infection gets into the blood and contaminates all of your major organs.  The worst case scenario.  I can't go into too much of the details of that day except to say that he continued to "code" throughout the morning.  They were doing everything humanly possible in hopes that by the most aggresive treatment we could help him turn the corner and fight off the infection.  He would be stable for a half hour or so and then crash again, and again, and again.  At one point they did emergency surgery to relieve the pressure in his abdomen that may or may not be causing the pressure on his lungs.  We just sat there, I couldn't talk or even look at Eric because I knew I would break.  Meanwhile Owen was right next to him just being so patient and good.  I think after the surgery people were starting to know that this wasn't going to be a happy ending, but I was still clueless and blissfully unaware that this could end so tragically.  It wasn't until after shift change that I became painfully aware of outcome.  I remember I went to the pumping room, and took out my Preemie book and read the chapter on difficult decisions and loss and I just cried. . . . only a little. . . but I knew.  I texted Eric and asked him if we were just torturing him.  I pulled myself together and returned to the battlefield.  It was just getting worse, you could tell as a lay person that organs were shutting down and that the effect of the lack of oxygen was taking an unforgiving and lasting toll on this tiny little baby.  The next two times he crashed I stopped praying for God to get him through it, and started begging God to take him. . . . that I was ready to let go, and to please release him from this pain. 

Liam's doctor came to us to let us know that she and the team would keep doing this and trying to save him, but that we would need to make a decision to continue or not to continue, I already knew, but how do you say stop . . . . Eric and I both knew it was time, but we talked and I asked Eric to tell her that next time he crashed that we just wanted to make him comfortable and let him go . . . . give him back to God.  The pain is still just as sharp, just as fresh as it was that night.  I have no idea if it will ever be just a little duller.

We had him baptized by the Chaplin very quickly and he crashed, they swaddled him up and let me hold him.  He was such an Angel . . . . I just remember thinking,  My God did I make the right choice, please don't wake up because I don't want to have killed you . . . and he didn't . . . . he was gone before that moment, his little body was so much heavier than the 6 pounds 10 ounces that he weighed, its like when your soul leaves your body you get heavier.  I was torn, I didn't want to let him go, but I wanted to run away. 

His nurses, took out all his I.V.'s and bundled him up just like a newborn and let me hold him, and I did, until his little face felt cool, and then I gave him back, it was the most painful thing that I have ever done.  It felt like someone reached in and clawed out every piece of my insides and just left me there to keep living. 

Eric and I went to the parent room and just cried for what seems like an eternity, the nurses would come to check on us and they had the unfortunate task of having us sign things like body release papers and autopsy papers. . . . God bless NICU nurses, I can't imagine a harder task.  Eric called our parents to let them know that Liam was gone.  We woke up a few hours later and wanted to go home, but I wanted to see Owen first, so we went back to the same room where we had just said goodbye hours ago to our baby to hold our other son.  I just wanted to feel him breathe a little before going home.

I know that it is God's will, and I believe that this is how it was always meant to be, but that doesn't take away the searing hot pain I feel at our loss.  Liam has gained eternal life, and all of the things that go along with being in heaven, but I have just lost a son.  So its true he is in a better place, but selfishly I want that place to be here with me.

This is how I say goodbye, by telling his story.  I love you Liam, I will see you someday.