Friday, July 30, 2010

Day 13 - July 30th

33 weeks 3 days

OH, WHAT A  BLESSED DAY!  Lenwood was moved full time to nasal cannula today.  That means that for a short time each day (about 30 minutes or so) we can HOLD HIM!

What a wonderful feeling!  I wept and soaked in every second.  It was AMAZING!

His weight is up a little...3 pounds 8.8 ounces.  He's still breathing well and remaining on room air settings for his cannula.  He was moved up to 5cc every 3 hours with his feedings.  He's doing ok with this.  he had a little residual (milk remaining in his tummy from the previous feeding) at his noon feeding.  When I visited tonight he had 4cc residual at feeding time.  The nurse removed it and went ahead with his feeding.  When the practitioner stopped by and asked how he was doing I mentioned the residual to her and she said to skip the next feeding to give his tummy a break and see how it goes.  She also reminded me that feedings are the biggest roller coaster with most preemies.  Please keep praying for his tummy to learn how to digest food properly so he can grow, thrive, and come home!

Thursday, July 29, 2010

Day Twelve- July 29th

33 weeks 2 days
Lenwood's weight is still the same:  3lb 6.8 oz.  At his 6 am feeding he had 3cc of residual.  That means that he was given 3cc of milk at his last feeding and 3 cc came back up the tube.  They skipped his 6 am feeding to see how he does and give his tummy a break.  They will try again at 9am.  Shortly after his feeding he had two large bowel movements.  Hopefully that's what the problem with his earlier feeding was.  He's done well with his feeding ever since and had another big bowel movement when I was there.  I got to change his poopy diaper.  The combination of a tiny body and the sticky poops they have at first proved pretty difficult.  He was very upset with me by the time I finished. 

Lenwood eating - see the syringe with milk in it?

Lenwood is moving to 3 hours on the cannula and one on the c-pap!  Yeah - another step in the right direction.  Maybe in the next day or two he'll be on cannula all the time which I think means I will FINALLY get to hold this beautiful, sweet boy.
Evening update - When Daddy and mommy visited Lenwood had just gotten a bath.  He looked so cute with his hair slicked down and combed.  His weight is up 55 grams to 3 lb 8.8 oz.  Still doing well with his feeding and great on his cannula!  Yeah, Lenwood!  So proud of you!

Day Eleven - July 28th

33 weeks 1 day
Up 5 grams today to 3 lb 6.8 oz.   Lenwood had a big day today.  His billirubin is down even more so they are taking off his light.  No light = No mask covering his sweet face.  They are continuing to rotate between c-pap and cannula for breathing, but are increasing the cannula time.  This is good news.  he's working his way to being full time on the cannula.  His nurse says that he's rested and slept most of the day with minimal crying.  I guess he's exhausted from being so upset yesterday.  I'm glad he's resting today especially since I haven't been there much.
Today was my first "Conrad and Teague Day."  I've decided once a week to spend the whole day (at least until nap time) with Conrad and Teague.  They have me for little spurts each day, but I feel it's important for them to do something normal and fun with Mommy at least once a week.  It was bittersweet.  I had a really fun day of playing and ice cream with the boys.  It was so nice to do something normal for a change, but I missed Lenwood so much.  It was so wonderful to see him during the late afternoon visitation time. 
His neonatologist came by this evening and wants to go to 2 hours cannula and 2 hours c-pap for his breathing rotation.  He's also getting his first feeding tonight.  He'll get 3cc of milk every 3 hours.  He has a tube running to his belly that they'll feed him through so he won't actually taste it yet.  Please pray for successful feedings.  I'm very nervous about this step.  Teague had a lot of tummy issues when he began eating.  I know they are different children, but I am scared that Lenwood will have the same difficulties.  Praying hard that he doesn't.
Sleepy little boy

We did have some bad (but not terrible) news.  He had a head ultrasound that revealed a small brain hemorrhage on the right side.  It was a very small bleed and the doctor isn't concerned at all.  Brain hemorrhages are very common in preemies.  Conrad and Teague never had one so it's new to us.  The grade them on a scale of 1 to 4 with one being the smallest.  Lenwood's is a one.  These typical resolve themselves and show no problems afterward.  They'll recheck it with another ultrasound in a few weeks.
Thank you all for your prayers!  Please keep them coming.  This little miracle is working so hard to get better.  I know God is listening to every prayer sent up!  Thank you!

Day Ten - July 27th

33 weeks
He gained 15 grams and his weight is 3lb 6.6oz. His billirubin (jaundice) is better so he only has one light on.  They are going to try rotating him from c-pap to cannula.  He'll wear the c-pap for 3 hours and the cannula for one.  He's doing well with this so far.  The cardiologist's report on his chest x-ray came back.  Everything looks normal.  He had a tiny hole in his heart at birth that all babies have at that age.  It's now closed up.  Good news!  I saw his neonatologist today.  She said that he's doing really well.  She might try to feed him some of Mommy's milk tomorrow.  The fluids from his tummy are clear which is agood sign.

This evening was difficult.  Lenwood cried  lot and seemed very uncomfortable.  It's so difficult to watch and not be able to do much.  We can lay our hands on him, , but we can't pick him up or hold him.

Day Nine - July 26th

32 weeks 6 days
His weight is down a little today:  3 lb. 6.2 oz, but that's what happens when you aren't eating.  He does get everything he needs.  He receives special IV fluids that are designed specifically for his body.  They check the amounts of different vitamins and minerals in his body and based on his weight, etc, determine how much he needs of what.  He also receives lipids which is like fat. They removed the pressure from the c-pap completely and he has done well with that.  Seems like we are getting closer to the nasal cannula.  The cannula is what you see people with an oxygen tank wearing.  It's a clear, flexible plastic tube that sits in the nostrils.
He had a chest x-ray and a head ultrasound done this morning.  We've gotten results from the abdominal ultrasound and everything looks normal.  The ascietes appears to have resolved.  He's had a reploggle in his belly.  A tube going down his throat suctioning gunk out of his belly.  It's been kind of green and sludgy., but is looking some better.

Day Eight - July 25th

32 weeks 5 days
Lenwood is ONE WEEK OLD today! I can't believe it's been a week since all of this happened.  It seems like forever and just yesterday all the same time.  His belly and scrotum look MUCH better today.  His belly is down to 26 cm!  YEAH!  He's doing well on his c-pap and they've been able to keep it at 21% oxygen (the lowest setting).  His lung x-ray looked better today.

Day Seven - July 24th

32 weeks 4 days
Grandparents Day!!!!Gran, Poppy, Gee, and Papa met Lenwood for the first time today.  They all, of course, thought he was beautiful just like us!  He's doing well on his c-pap, but his chest x-ray was a little hazy this morning so they increased his pressure a little.  The doctors like clear x-rays.  Haziness isn't good.  His belly is a little bigger today (28cm).  His scrotum is also very swollen and has been since birth.  It seems to get a little better each day.  He also has two lights on him for jaundice so he wears a mask to protect his eyes.  This evening the nurses turned his lights off for a few minutes so we could take his mask off and see his face.  She took of the c-pap and laid a mask blowing a high concentration of oxygen at his face.  It was so wonderful to see his beautiful face.  I was able to change his diaper and take his temperature for the first time tonight!

Seeing his beautiful face when they took off the mask and c-pap for a bit

Holding Gran's pinkie

Day Six - July 23rd

32 weeks 3 days
His weight is up a little today:  3 lb 8.2 oz.  Lenwood is breathing much better.  They continued to reduced his vent setting today.  He continued to do well so they extubated (removed) the vent this evening and put him on a c-pap.  It sits in his nose and sends in oxygen with pressure to help inflate his lungs.  It's a definite step in the right direction, but it's not a pleasant one.  The c-pap sits in the nose, but as it puts the pressurized air in, it pushes on the nose.  He looks like I little piggy with his nose smooshed up.  He's not very happy about it.

I  made a video of Conrad and Teague singing "Jesus Loves Me" and let Lenwood listen to it.  Conrad would sing that to him at bedtime every night when he was in Mommy's tummy. He seemed to enjoy it and settle down when he heard it.  Don't turn your volume up too loud. :) The boys are singing loudly so that it would be load enough for Lenwood to hear from the camera.

Day Five - July 22nd

32 weeks 2 days
After a very scary start to the week, things seem to be turning around for Mr. Lenwood.He got his first bath and new weight last night. He was 4 lb. 10 oz when born and they drew 10 oz. fluid off his tummy. His new weight at 5 days old is 3 pounds 6 ounces. He's still on the ventilator, but they have been able to continually reduce the settings each day. His tummy is measuring 27 1/2 cm. It was 33 cm at birth before they removed the fluid.

Conrad and Teague keep asking to see Lenwood. Only parents are allowed to visit and grandparents on Saturday. His grandparents haven't even seen him yet. So, today I made a video of Lenwood. I played it for Conrad and Teague when I got home. They were so excited!

I was discharged from the hospital today. There really aren't words to describe what it's like to go home without your baby. But I know that I will eventually get to bring him home and that's such a blessing. Coming home to Conrad and Teague made it easier. I've missed them so much and it was so good to sit, snuggle, and read with them. How wonderful it will be when I can do that with all three of them together.

Sunday, July 25, 2010

The First Four Days


I've been trying to start this blog for days now, but kept putting it off. Knowing how hard it would be to put this story into words and share it is overwhelming. But Lenwood has fought so hard and come so far that his story needs to be shared. This entry was written on 7/21 - Wednesday. So here it goes:

I went in to see my OB a few days (Friday) before Lenwood was born on Sunday. I had been feeling bad and was having lots of what we thought were side effects from the terbutaline pump. The dr. ran a few tests and lowered my dose and sent me home. The next day she called. The two tests she ran on my liver were significantly elevated. She wanted me to be in the hospital while they figured out if it was pregnancy related or something else. While in the hospital my blood pressure elevated and Sunday evening Lenwood started having drops in his heart rate. The drs. decided he was under too much stress and an emergency c-section needed to be done. I didn't know for a few days just how concerned they were at his birth. The neonatologist was actually at the birth waiting to intubate him with a breathing tube as soon as he was born Typically it's a NICU nurse and nurse practitioner and they usually intubate (or take another action)after seeing how the baby breathes on their own. He was in respiratory distress when he was born and was intubated one minute after birth and rushed to the NICU.

I was able to seem him for a rushed moment inside the incubator:


After they got him stable and we were able to talk to the NICU doctor, we found out just how bad he'd had it in the womb. On top of the abdominal ascietes (swollen abdomen) my womb had become a very unhealthy place. While Lenwood was very swollen in his face, stomach, and scrotum when he was born due to te ascietes, his arms and legs were extremely thin. The neonatologist believes that he was surviving in the womb on the stored fat in his arms and legs. I still cry every time I look at his tiny little arms and legs. I just can't seem to get over how horrific that is or how my body could have become such a terrible place for him to be.
Here is a photo of Lenwood right after birth.  This picture really doesn't show the swelling well at all.  It looks much worse in the full body shots, but we he diaper-less so we can't post those.


As for the swelling...after he was born they drew 10 oz of fluid from his tummy. He weighed 4 lb 10 oz at birth.


There was so much fluid in his abdomen that it was pushing his diaphragm up which was smooshing his lungs and heart. His heart was an odd shape when he was born and his lungs appeared extremely premature. They were very unsure what would happen at first. Luckily, for the most part his heart and lungs were able to 'un-smoosh' themselves after the fluid was removed. So his heart is fine and his lungs seem to be recovering. Tuesday morning he was struggling so hard on the breathing tube that they were telling us that they might have to give him a drug to temporarily paralyze him while his lungs grew if he wasn't able to stabilize his breathing on the ventilator. The vent has different settings they adjust to help meet the baby's breathing needs. The main ones are rate (# of breaths going in per minute), % oxygen (the air we breath is 21%, but babies need a higher percent for a while) and the pressure (force of the breaths going in). They had to have the pressure so high that they were afraid it was going to start tearing small holes in his lungs. They also look at their blood gases to check on their breathing. This looks at what his body does with the different components of the air. For example, one of his struggles was that he was not able to get rid of the carbon dioxide from breathing. We just exhale it, but his body was retaining it which is bad.
Holding Daddy's finger his first day in the NICU

So I had just seen him for the first time Monday and come in Tuesday morning to all of this news. It was very overwhelming and scary. We spent the whole day on pins and needles waiting to see how he did. I sat by his side and talked and sang to him. At some point around mid-day Tuesday his blood gas tests started looking better and they began weaning his rate down. He maintained and throughout the rest of the day and night he continued to improve so they continued to wean the rate, % oxygen and pressure down throughout yesterday. The doctor was even excited about how good his lung x-ray looked yesterday. I'm still too nervous to relax, but it seems like he may be getting over this hump. He is in a much better place yesterday and today than on Tuesday as far a breathing. They might even get to remove the vent today and try him on a c-pap. Thank you for your prayers. They are working. It's amazing what a roller coaster this can be hour by hour especially the first few days.

Another thing they are watching closely is his ascietes. He still has fluid on his tummy and scrotum even after removing 10 oz. They are watching closely to make sure it doesn't all come back. So far, he has tee-teed enough to keep it close tot eh same size. They measure his tummy twice a day. So far he's doing ok with this, but is still pretty swollen.

Although he is still very sick, he looks SO MUCH better in just a few days:

Sweet feet

Eyes open looking around
Long legs and feet

Conrad and Teague visit Mommy in the hospital/  They brought ice cream and we had an ice cream party on my bed.  Should have seen the blanket after that.  :)

He has been through so much already and still has a long way to go, but I am so proud of him for being such a fighter. I am so grateful they found out what was going on in the womb and were able to get him out before he got even sicker. I wish so badly that I could take all this pain away and go through it for him. Please keep praying because I know God hears your prayers and is right beside him helping him through this struggle. He's such a strong, brave little boy and I can't express how grateful we are for your thoughts and prayers.