Thursday, January 31, 2008

Thank You Jesus!!!

MRI results are good! They found no problems with her brain at all. No bleeding, no lesions, no pressure! She still has a tiny bit of fluid but they don't think it's causing any problems for her especially since it's not creating any pressure. We will keep monitoring it with weekly head circumference checks. For the past 10 weeks her measurements have been right on track with her growth and we are believing that will continue.

It also showed no separation with her optic nerve and little to no vision loss. They will send the images to their other hospital just to get a second opinion but so far, we know that IF there is a problem, it's not acute.

The entire time I've been at the hospital today she's been sleeping and totally lethargic. She didn't even open her eyes for diaper changes or anything. Yet when the doctor came to talk to me, she opened her eyes as soon as he started speaking and smiled. She kept her eyes open and smiled the entire time we were talking! The minute he got up and left, she fell right asleep again. She must have enjoyed hearing the good news. :laugh:

She's also not back on the CPAP because she has been improving with her breathing on the cannula, even though she hasn't really been awake. The nurses say the dosage of sedative she got could have knocked out a horse (:eek:) so they're happy with her progress. Everyone is amazed that she needed that much to remain still. I wonder who she got that from?

Of course, we're giving her a break from bottle/breast feeding today but we will be back at it tomorrow. The docs want to get her back to where she was 3 days ago so that we can work on weaning her from oxygen support.

All in all...it's been a GREAT day. My God is an awesome God.

14 Weeks Old

Sydney had a loong night. She's really struggling to breathe after being so heavily sedated. When she's awake and stimulated, she's fine but once she falls asleep she struggles. This is no surprise to the doctors given the high dosage of sedatives she received. They're contemplating moving her back to the CPAP for the day while she recovers but haven't made the final decision yet. We're praying that she continues to improve throughout the day.

She weighs 6lbs 9oz today. Big girl!

Wednesday, January 30, 2008

MRI done

Now we wait...

We should have the results sometime tomorrow afternoon. They did a higher dose of the sedative today and she still woke up so they had to do another one. That thing is so loud! She's resting now but she's moving and squirming and she responds to being touched. She's just not awake but she is resting comfortably.

MRI - Round Two

Another MRI will be attempted at 3:30 today. She will be even more sedated than she was yesterday so we're hoping we can get it over with and stop stressing her. We so wish we could just do it for her.

Please keep her in your prayers.

How many days is this now?

It's been so long, I can't remember.

Sydney is doing fine. When we got back there last night, she was awake but still sleepy. She woke up for a diaper change and was looking around and then immediately fell asleep again as soon as I held her. My poor sweet baby. I'm gonna need for them to figure out a way to do the MRI without hurting her so that we can get on with the business of taking her home. I'm also planning to start The Society for the Abolition of RSV (:smile:) because it has set us back for almost 4 weeks. Did I already mention that I'm not a fan?

She weighs 6lbs 8oz today too. That's officially more than B weighed when he was born. Who knew she would be average baby sized before she would get home. I know that God had a purpose for all that's happened in the last weeks so we're holding on to that this week. This too shall pass.

Tuesday, January 29, 2008

Don't mess with my daughter!

They took her down for the MRI at noon but my girl was not having it. She received two doses of the sedative but as soon as they would get her positioned and turn on the machine, she was all bright eyed and bushy tailed. They waited a bit and tried three more times but she was not about to fall asleep. The whole test is so loud, even when your head is not covered, so it must have been quite alarming to be sleeping and then be awakened by a loud noise and something covering your head. I don't blame her one bit.

They will try again tomorrow or Thursday, depending on how long she stays groggy from the sedative she received today.

Of course, she's fast asleep now. :laugh:

She keeps herself busy...

Monday, January 28, 2008

MRI has been ordered

We should have it done first thing tomorrow but it does depend on how busy they are in the morning. For now, there's an 85% chance that it will be done tomorrow. They will have to sedate her so that she remains calm and doesn't move. Please pray that she handles it without being frightened and that they can get the views they need quickly so that it's over in the shortest time possible. Please pray that she has no reaction to the sedative they will use. Of course, we're also praying that the results from the exam will be favourable too.

They were planning to do a trial with her off oxygen today but have decided to keep her on it until the MRI has been done. She's still breathing fast occasionally and we do not want her having any difficulties breathing while they're doing the test.

Be still and know that I am God - Psalm 46:10

Day 95!

Sorry about the lack of an update yesterday! We were busybusybusy.

Sydney has been having some reflux issues, (pretty common to preemies and newborns in general) so we've been trying to get it under control. She looks so miserable right after she eats! We have been keeping her upright/elevated after each meal and it seems to help a bit. Despite the reflux she's doing great with taking her bottles - all 52 ccs of it.

She weighs 6lbs 3.75oz today and it shows! It's amazing to see how far she's come.



Saturday, January 26, 2008

Day 93

So remember yesterday when I was saying Sydney's weight gain has slowed down? Ha! She weighs 6lbs 2oz today! They did bump her up to 49ccs on Thursday so that may have something to do with it.

I was starting to feel inadequate because I have such trouble burping her! Turns out ALL the nurses have trouble burping her. She just won't do it but when you look at her you can tell that she needs to. Poor baby. Besides that, everything else is good with her.

Have a great day everyone!

Friday, January 25, 2008

39 Weeks!

Sydney had a great night! She took all her feeds by bottle and took them in a very short amount of time. She still breathes fast occasionally but is improving everyday. We're also at 6lbs today! She's gaining about .5 oz per day now instead of 1 oz, which is normal since she's using so many calories to drink from the bottle. I wish we could all burn calories while we eat. :laugh:

She's such a happy child too and loves to be talked to. We have some long conversations and she just grins and grins. The nurses all say she doesn't ever fuss unless she's hungry. She gets that from her Daddy.

The MRI will be done sometime next week and we're just praying and believing all is well.

Then your light will break forth like the dawn, and your healing will quickly appear; then your righteousness will go before you, and the glory of the LORD will be your rear guard. - Isaiah 58:8

Thursday, January 24, 2008

The Whole Eye Thing

So the nurse and I cornered the doctor and made him tell me what's going on without any a meeting. Did he really think I was just going to sit around and wait for up to week to find out what's going on? Nuh Uh. He says the eye doctor saw some separation on her right eye that could suggest vision loss but not total blindess. He says it could have been something that was present at her birth or it could have developed over time. It's all interesting to me since B is almost blind in his right eye. The lens in his glasses for that eye are soo thick! I asked him what we would do if the MRI showed some kind problem. He said we would think about laser treatment or glasses. Can you beliiiiiiiiieve we lost sleep over this??? The doctor said it's not related to the ROP and that's still at stage 1. This is something else. If glasses are the worst thing she ends up with from being born all of 14 weeks early, well so be it. She comes from a long line of visually impaired people. :laugh:

It's funny because I've learned to trust my instincts now. For the last several weeks I have noticed when looking back at pictures that she tends to keep her right eye closed. People told me I was crazy but something kept gnawing at me to ask them to check it. Just as I was about to request that they do it, she started opening both eyes more. If you're bored, you can look at the pics I took posted in December and you will see what I'm talking about. It's only been in the past two weeks that she's started keeping that eye open more.

With that being said...please pray for baby girl. Those of you who have done MRI's know they are very umcomfortable and most babies have to be sedated to get them done. Please pray about her eyes and the fluid that still on her brain. Thankfully, that has not worsened and we don't have any bleeding.

13 weeks later and people are still praying for our girl. Thank you.

Thirteen Weeks

Little Miss is doing ok today. We're still having issues with her breathing fast especially when she's eating. The respiratory therapist said it's just a matter of waiting for her to re-grow lung tissue after the whole RSV thing. Did I mention I'm not a fan of RSV? Not a fan at all.

Yesterday one of the doctors also told me that they want to set up a meeting for us with the medical team. Apparently the opthalmologist say "something" during the last eye exam and she wants to get an MRI to get a closer look. Maybe he confused me with another mom since the first thing he said to me is that he hears that I'm a school teacher - which I am not. Anyway, please keep the whole matter in your prayers and I'll update as soon as we have a meeting date and time.

Wednesday, January 23, 2008

Day 90!!

90 days!!! I know in the beginning we said that we were going to focus on the fact that in the grand scheme of things, 3 months is a very short time. I know that someday we will look back and it will seem so far away but for now, this has been the longest 90 days of our lives. It's almost been the most fulfilling, amazing, spiritual, miraculous journey we have ever been on. Ninety days ago, our daughter weighed 1lbs 10 oz. Today she weighs 5lbs 15.5 oz and within the last day she has had almost no dependence on oxygen support. How amazing is that?

She's doing great with her feedings too. They have been giving her the morning feeds (3 a.m. and 6 a.m.) through tube but this morning she woke up smacking her lips and sucking on air. Of course they gave her a bottle and she gulped that thing down in record time. I am thrilled!

God is good!

Tuesday, January 22, 2008

Day 89

No news is great news... :)

Nothing much new to report here. Sydney is doing great and her oxygen is turned waaay down now. She's basically breathing on her own and we're just waiting on the doctors to give the word to remove her from the cannula. They're not quite ready to do that yet since she still has moments where she breathes really fast. It's still a side effect of her having RSV and recovering from it. She's doing well with learning to suck swallow and breathe and is still taking 6 bottles per day for now. Tomorrow, a lactation consultant and I will work with her all day too.

We also had CPR class last night since we didn't attend the other one because that she was night she was intubated again. Here's the biggest thing I learned: adult CPR and baby CPR are two very different things. Oh, don't do the Heimlich on a baby either. See how much I know? I think they should let us take her home now. :laugh:

Monday, January 21, 2008

Day 88

A certain big girl had 6.75 of her 8 meals by bottle yesterday! By the time we got to the 7th bottle she was exhausted and would barely stay awake. She even lost a few grams of weight because her poor little body was working so hard!

She had a peaceful night and everything else is just fine with her.

Sunday, January 20, 2008

Day 87!!!

Little Miss had a great night and is back in her open crib. She's still at 4 feedings per day because she gets so pooped after taking a bottle. She breathes really fast and goes right to sleep when she's done. She still taking them faster than she did before she got sick so that's an improvement.

Her weight is 5lbs 13.75oz today!!! I can hardly believe it.

Another preemie Mommy told me that sometimes getting to the end of the NICU journey can be the hardest part. You know you're close but you don't know when it will be either. You know that certain things have to be just right for the doctors to give the ok and you wait anxiously for it to happen. Every bottle she takes brings us one step closer. Every time she tolerates being weaned from oxygen, we get even closer. It gets harder to live in the moment when you're LOOKING at the finish line. We're getting there.

Saturday, January 19, 2008

Does anybody need an isolette?

Cuz my baby is done with hers! Woot! Second round of tests came back negative so we're totally off quarantine now. No more impersonal mask and gloves! They're moving her back to her open bed tonight and I know she will be very happy with that.

She's also moved from Preemie Large diapers to actual newborn diapers now. :cry: It's the little things people, the little things.

Bless her heart for enduring the singing of her parents.

Day 86!

All's well in our world. Sydney is doing great on her feedings and breathing great through them all. They also bumped her up from 40ccs to 46ccs per meal and she's not having any problems tolerating the increased amount.

Shout for joy, O heavens; rejoice, O earth; burst into song, O mountains! For the LORD comforts his people and will have compassion on his afflicted ones. - Isaiah 49:13

Friday, January 18, 2008

Goodbye RSV!!

Cultures sent to the lab yesterday came back negative so it's official! Sydney no longer has any traces of RSV!! Woot! They are doing another culture today (just to be safe) and if that comes back negative tomorrow, she will be free from her isolette. She definitely misses her open crib. When I spoke to the nurse I could hear that she was laughing as she picked up to the phone. She said, "Oh, we're just here laughing at your baby. She's doing her best to get out of that thing. Everytime we adjust her, she squirms all the way over and sticks her face up against the port hole and screams." :laugh: Poor thing.

She still has some secretions but nothing more than the average baby has. She's still breathing and eating well too.

38 Weeks!

I'm very happy to report that Sydney is at her lowest oxygen setting...evah! She's at about 18ccs of flow now and when she hits 12.5 ccs and tolerates it well, she will be off oxygen. Please pray that she handles the transition well. Another great thing is she's doing a great job keeping her saturation up when she's eating. Her numbers are consistently high and this was something she struggled with in the beginning. She's also eating much faster and no longer stop repeatedly to catch her breath or looks like she's choking. We're so, so happy to see her progress.

Her weight is 5lbs 10oz today (:eek:) and it shows! :laugh: Last night, she was wearing a hospital gown because none of the preemie clothes that were left there for her fit anymore. She had 12 preemie outfits and now, only one of them barely fit. She's at this funny stage where preemie clothes are too tight and newborn clothes are a bit big. Still, we're not complaining at all!!!

Her latest thing is holding her head up. It was all she wanted to do last night. She was holding her head up and looking around like it was no problem at all. She must have missed the memo that she's not even 40 weeks yet. :laugh:


Holding on for dear life

Thursday, January 17, 2008

Twelve Weeks Old!

Wow!

Sydney is having another good day. Her new thing is to wake up and cry when she's hungry. She's hasn't done that before now but everybody loves that she can better express when she needs something.

They have also weaned her a little more on her oxygen support and she's doing great with that. No other changes have been made to her schedule and she's still at 4 bottles per day until her secretions are less than they are now.

All in all, she's progressing nicely.

Wednesday, January 16, 2008

We're getting there...

Sydney was switched to a low flow cannula again this morning. This is the last stage in oxygen support before babies are taken off oxygen entirely. So far, she's doing great and having no saturation problems at all. We are alternating her bottle feedings with her tube feedings today instead of doing 3 or 4 in a row. She gets so wiped out after a bottle feeding so they want to give her more time to rest and recover. It will still amount to 4 bottles today.

We're up to 40 ccs now and she's handling it just fine.

Day 83

Sydney is having a good week. She took FOUR full bottles yesterday even while still breathing a little fast and having tons of secretions. I've never been more proud or happy in my life. Before we realized she had RSV she would take a long time to finish a bottle because she was so congested. Now, she finishes it all in a few minutes. She's fed 8 times per day and we chose to give her a break on those simply because the bottle feedings are tiring and she had done enough for one day.

Her crying is getting louder and louder too. Lord help us. :laugh: When she was being suctioned last night, poor B was all the way in the corner almost rocking himself. :rofl: He couldn't stand to see her so uncomfortable. None of you tell him this is only the beginning, ok? The funny thing is that when she was having the apnea/brady episodes, he was the one who didn't take his eyes off her and I'm the one who can't even look.

Weight is the same this morning. :)



Hi Daddy!


What's going on?


Tuesday, January 15, 2008

Another prayer request

Please pray for my friend Ana, her husband Joe and their baby Jayan. Jayan was born at 25 weeks and is 5.5 weeks old today. Their most immediate need is for successful extubation so that he can move to the CPAP. He also has his first eye exam very soon and they will be checking for ROP.

Please pray that Jay continues to grow and thrive with no major complications.

Ana's blog is here: http://schmetzers.blogspot.com/

So amazing!

I know I keep saying this but I can't help it! One week ago Your Royal Cuteness was on the ventilator and now she's breathing so much better and has taken two FULL bottles so far today! She still has some secretions but she still took the bottles. I am amazed.

She's also VERY active and shifting all over her bed. They keep having to go there and reposition her. She's alert and looking around and smiling merrily too. I just love her itty bitty self!

She also had some major weight gain and is now 5lbs 7.25 ounces!

We are so, so blessed.

Monday, January 14, 2008

If you're going through a difficult time...

Be encouraged:

Hold Fast Lyrics
Artist(Band):MercyMe

To everyone who's hurting
To those who've had enough
To all the undeserving
That should cover all of us
Please do not let go
I promise there is hope

Hold fast
Help is on the way
Hold fast
He's come to save the day
What I've learned in my life
One thing greater than my strife
Is His grasp
So hold fast

Will this season ever pass?
Can we stop this ride?
Will we see the sun at last?
Or could this be our lot in life?
Please do not let go
I promise you there's hope

You may think you're all alone
And there's no way that anyone could know
What you're going through
But if you only hear one thing
Just understand that we are all the same
Searching for the truth
The truth of what we're soon to face
Unless someone comes to take our place
Is there anyone?
All we want is to be free
Free from our captivity, Lord

Here it comes fast
Help is on the way
Hold fast
He's come to save the day
What I've learned in my life
One thing stronger than my strife
Is Your grasp
So hold fast
Help is on the way
So hold fast
He's come to safe the day
What I've learned in my life
One thing greater than my strife
Is Your grasp
To hold fast

Off topic

I've been immersed in the world of preemie blogging for the past weeks and have learnt so much about so many miracle babies. I recently came across a blog written by a fabulous woman named Bree, who gave birth to her own 24 weeker just over a year ago. Bree and I share very similar thoughts with regard to our faith and seeing so much of the grace of God in our children.

Today she posted about a blog that I saw over the weekend that is written by a man named Nate who is married to a woman with Cystic Fibrosis. Tricia found out she was pregnant while she was on the transplant list and her options were to terminate her pregnancy and receive the transplant or continue with the pregnancy. She chose to keep her baby. With time, she had more and more complications and gave birth at 24 weeks. Tricia and their baby girl Gwyneth are both on the ventilator and are in need of prayers. If you could, please pray for their family. Nate also keeps a blog and writes with such grace and faith. I am blessed to see him so unwavering in his devotion to God every day. Nate's blog is here: http://cfhusband.blogspot.com/

Bree mentioned a post he did recently and when I read it, it touched me in such a deep way. We know exactly what he means. Our God is so amazing. Here's the post: cfhusband.blogspot.com/2008/01/not-sad.html

During this time in our lives Brian and I have felt a rollercoaster of emotion but we have not felt despair. God gives us joy everyday. He's the reason we get up everyday and put one foot in front of the other and trust him to take care of our angel. We see the fingerprints of God everyday when we look at her. Everyday I am humbled by the events that lead to her being conceived and her life thus far. I remember when the doctor told me I would never get pregnant without having major surgery. That was a hard day. B and I went for a drive and we were just praying about what to do. Then said, outloud, "Lord, I need a rainbow." Within minutes the skies literally opened and the rain came and there was the most beautiful rainbow I have EVER seen. He told us to wait on him and that he would do what he promised. Waiting was hard but it was worth it. I remember in June of 2006 when I was praying and I heard Him say that I would conceive within a year - I found out I was pregnant on May 28, 2007. I remember in April of 2007 when he told me to take an act of faith with regard to believing for our children. I bought a newborn outfit and I was pregnant within a month. I remember being told that I was in labour 14 weeks early and feeling the grace of God. I remember giving birth and hearing my child cry. She was so small she could fit in the palm of my hand and still she cried. That's God. We see his hand everyday. So like Nate, there's no sadness here. He never promised that life wouldn't have it's trials but he did promise that he would carry is through them all. His strength is made perfect in our weakness and I cannot imagine going through this season without Him to carry us.

His love is so amazing.

Day 81!

Lil Mama is doing great! Don't just take my word for it...that's all her lead doctor kept saying last night. They are really pleased to see how well she's doing despite being on the vent only one week ago. They have been gradually weaning her and she's handling it like a champ. When I was holding her last night, we could hear that she needed some major suctioning. The nurse came and got out the fancy dandy suction thing while I held her. As soon as she saw it, she grabbed the tip and started screaming! She was holding on to it so tight, her knuckles were white and it took quite a fight to loosen her grip. It was just so funny to see such a strong reaction before the thing even touched her.

She had another eye exam today and her ROP has not worsened at all. Praise God! We're more concerned about it getting worse at this point. ROP usually begins to resolve somewhere around 38 weeks and can continue to improve throughout the first year of life. It is great news that it hasn't been worsening all this time and we're about to hit 38 weeks in a few days.

She's now at 39ccs for feedings and her weight is up to 5lbs 5.25oz today!

Sunday, January 13, 2008

Day 80!

Sydney had a really good night and continues to heal from the RSV. She's still quarantined so she's not totally over it yet but we're getting there. She was a happy little girl when we were there last night but she did have one moment where she got really cranky and then started to look like she was choking. It turns out that she had reflux. I also think her feeding tube may have been too centered in her mouth (it's usually put to the side) and she may have choked on it too. As she was about to choke she pulled the tube out completely. When she finally spit up, I put her on my chest and she was happy as a clam and fell asleep almost immediately. I'm hoping we won't have to spend much more time using the feeding tube.

She weighs 5lbs 4.5oz today so I think the doctors will increase her feedings this morning when they do rounds. They want to get her back to gaining close to an ounce per day.





Immediately following the reflux incident:


Squirming and Smiling! :love:

Saturday, January 12, 2008

One week later...

and Miss Thang is like a whole new person! Last night, she was the strongest and most active I have EVER seen her! The doctors say there is one major way they can tell when babies are getting and when they are getting. They get cranky. When they are really sick, they're limp and lethargic and just lay there but as soon as they start feeling better they get super annoyed by being bothered all the time or by restraints of any kind. My daughter is no exception. She managed to squirm herself into a corner of her bed last night and she was fighting to get the CPAP off her face.

We got her out and she kept reaching for the tube and was pulling on it hard. I had to really restrain her but she did manage to pull it off once when I looked away for a second. As soon as we put it back on, she threw an enormous fit! Crying, back arching, foot flexing and red faced! She was mad! We don't like seeing her upset but hearing her use her lungs was awesome! :laugh:

She continued to improve throughout the night and they decided to put her out of her misery and get her back on the cannula shortly after midnight. She's much happier with that and she had a fantastic night. No breathing problems at all. God is gooooood!

Friday, January 11, 2008

37 weeks!

After one week on the vent, Miss Priss is now off! Woot! I seriously have a love/hate relationship with that thing! She's back on the CPAP machine and doing ok so far but she still has moments where she gets very tired from breathing. She still has a lot of secretions but they are suctioning frequently.

Feedings have also been increased to 37ccs and that's where we were a week ago. She's doing great on that so far. They also put it on the schedule to try her again with a another bottle by Sunday as long as she continues to improve on the CPAP. Her weight is now 5lbs 4oz! Our baby girl is getting so big!

I didn't get a pic today but I will try to get some tonight. Stay tuned.

Thursday, January 10, 2008

Reason No. 319800 I love the nurses

When we got back there last night, the first thing the nurse asked me was if I held Sydney since she had been sick. I told her no and she asked me if they had given me a specific reason for it. I told her I just figured it was because she was sick and they wanted to keep her stable and also because she was contagious. She said, "Well that's why we have her under quarantine! We have to take her out and change her linen anyway so I think she needs to be held by her Mommy. It will do you both good." :love: She also said that if she was home and sick I wouldn't just lock her in a room and not hold her for 6 days. :double love:

We got her out, she looked around for a while, smiled a lot and the went right to sleep. They suctioned her before they gave her to me but within a few minutes I could hear the rattling in her chest and feel the congestion through her back. That gunk builds up quickly!

She had a pretty good night and they were able to turn down her oxygen and she tolerated it beautifully. The problem is that they did a blood gas this morning and her CO2 levels are not where they want them to be so they turned it back up. Her monitors were not showing that she needed more oxygen so we hope that a few more hours at the higher setting will even out her blood gases. Feedings have been digested perfectly too.



Wednesday, January 9, 2008

Slowly but surely...

Sydney is doing better and breathing more and more on her own. Based on this, the doctors decided to start feeding her again! Woot! She's getting 10ccs every 3 hours for the next 24 hours and depending on how she tolerates it, they will increase it again. Her secretions are also a bit less than they were yesterday so we're getting somewhere.

We'll take any improvement and positive changes we can get!

Day 76

Sydney is stable this morning and doing well. She's at about the same rate on the vent but having longer periods of breathing on her own. As the hours go by, she gets more alert and active and she doesn't look miserable anymore.

We're just so anxious for her to be better and we're trying to not focus too much on the fact that she would have been home by Friday if this had not happened. When she was on the vent in the early days, I was at least able to hold her but because she's contagious we definitely can't take her out of the isolette. I would think she needs a snuggle now more than ever. It's a long week but this is what she needs to recover.

Her weight is the same and she's peeing a lot so we don't have a concern about her retaining fluid. They are still holding her feeds for now since even feeding by tube causes her to have to work hard to breathe. Hopefully, we will get there by the weekend.

Tuesday, January 8, 2008

Quarantine!

Sydney has been quarantined they are taking every precaution to make sure that no other babies get sick and that she doesn't get sicker.

This is what anyone person has to do before they go near her room now:



Yes, my husband is a silly billy 90% of the time. That's his "Austin Powers pose." :laugh:

There are also these signs:


She looked great last night too. Not pale, much more active and breathing a whole lot better. She loves having her head rubbed and smiled the entire time I did it last night. She gets that from her Daddy.

This morning, the nurse says she had the best night she's had since last Thursday and she's pretty happy for being on the vent. She gained another half ounce so that takes us to 5lbs 2.5oz. She still has a lot of thick secretions but they are colourless now. That's a good sign that she's on the road to recovery. Her most recent blood gases came back great too and they were able to turn down her vent settings even more and she's handling it well.

Have a great day everybody!

Monday, January 7, 2008

RSV it is

While we don't want her to be sick, I have to say that having an answer is much better than not having a clue. Sydney does indeed have RSV but we are so grateful that we caught it before we took her home. The only treatment available to her at this point is being on the vent. It allows her to take a break from working to breathe and all she really needs is time. She looks so much happier today and she was alert and active all morning. As the day progressed she did more and more breathing on her own and used the vent less. The doctor told me that most babies get over it within 5-7 days and today is day 4 of her being on the vent. I'm so grateful for those monitors and their ability to track apnea and bradycardia episodes.

The trachial culture they took yesterday also came back positive for some kind of bacterial infection. The good news is that her blood work and other tests are not positive for an infection so they are thinking that it's something that was beginning to grow on her vent tube. Even better news is that the antiobiotics that she's already on will prevent her from getting the infection and we don't have to start any new drugs on her today. We know that the risk of infections are soo much greater for patients on the vent so it is a blessing that they caught this or they would have stopped the antiobiotics since they don't work to treat RSV.

Her weight is unchanged but the doctors are happy with that since she hasn't received any nutrition but IV fluid and calories in 4 days. We are also so happy that they decided to give her a few days on just being on the vent without doing the invasive tests (MRI, spinal tap etc) that they were contemplating doing. They would have just served to make her more uncomfortable. She was also due for another eye exam today but we're going to wait and do it at the end of this week or early next week.

RSV is a pretty severe illness but in the grand scheme of things, there are so many other horrible things that could have apnea episodes as symptoms that we're choosing to look on the (somewhat) bright side.

Thanks for this Sher: So do not throw away your confidence; it will be richly rewarded. 36You need to persevere so that when you have done the will of God, you will receive what he has promised. - Hebrews 10:35-36

Day 74

I am very happy to report that Baby Girl is doing much better this morning. When we left her last night, she was all the way up to 41% on the vent but with frequent suctioning, she is now at 25%. 21% is where she would be breathing room air and won't need the vent anymore. However, if she does have RSV she will need to keep the vent in for a while because they need for her to have a tube in to get the secretions out. She can't cough up the gunk on her own and nose suctioning will have little use. I'm not thrilled with the idea of her being on the vent when she doesn't need it to breathe but it's necessary at this point.

Her nurse (Mary, one of my favourites) said that if she does have RSV, we should prepare for a long week since she will be on the vent but know that they're taking good care of her. We're grateful that we didn't take her home without monitors and therefore wouldn't know that she was having spells. It would have been so much worse. Of course, we don't want her to be sick at all but she's in good hands.

We will have test results by this afternoon.

Sunday, January 6, 2008

Some good news...sort of

Sydney is still on the vent and not really tolerating being weaned BUT it does look like we may have an answer tomorrow. The respiratory therapist was working with her today suctioned her and removed copious amounts of mucus from her. When suctioned frequently, she breathes soo much better! The mucus was not clear and this suggests that there is definitely some kind of infection. Most (if any) viral infections will not show in blood tests or urine but will be seen if you test the cultures or secretions. They are actually wondering if she has RSV. It would explain why she deteriorated so fast and why she would need to go back on the ventilator. They sent some cultures to be tested today and we will have the results tomorrow afternoon. If she does have RSV, the antibiotic and IV fluids that she is on will not help her. Antibiotics treat bacterial infections and RSV is a virus so she will need other medicine.

Her cranial ultrasounds shows that her ventricles are no worse than they were during the last test so it should have no impact on her breathing. It also would not explain the mucus. The other good thing is that she is now fighting the vent and doing much more breathing on her own. Between Friday night and this morning the vent was doing most of the work. Throughout today, she has gradually been able to breathe more and more on her own and this makes us all very happy.

Thank you, thank you, thank you for your prayers. They are making a difference!

Day 73

Sydney is just about the same as she was yesterday. She's resting comfortably, when not fighting with her tubes. Her vent settings are basically the same and she's not tolerating them being turned down anymore just yet. We're so very eager to get her off the vent but if she needs, she needs it. She really is determined to teach us patience.

She also managed to gain some weight even with her feedings cut off. :laugh: She's on a high fat/high calorie IV that supplies her with nutrients for now and her weight is 5lbs 2oz this morning. At this stage, every little ounce counts so this is wonderful.

He gives strength to the weary and increases the power of the weak. Even youths grow tired and weary, and young men stumble and fall; but those who hope in the LORD will renew their strength. They will soar on wings like eagles; they will run and not grow weary, they will walk and not be faint - Isaiah 40:29-31

An open letter to our daughter

Sydney Sweetheart,

If you don't like having the vent in, then we need you to breathe, ok? Totally extubating yourself and freaking out your doctors and nurses is NOT the way to go. Please leave the tube alone and get some rest so that we can get you back to being happy and ready to come home.

Love,
Mommy and Daddy

Saturday, January 5, 2008

"It's hard to be brave,

said piglet, sniffing slightly, "when you're only a Very Small Animal." Rabbit, who had begun to write very busily, looked up and said: "it is because you are a very small animal that you will be Useful in the adventure before us." - From Winnie the Pooh

Our little itty bitty has already impacted so many people based on the circumstances surrounding her birth to now. She's little but her purpose is great.

She's stable today and doing well on the vent. They were having some trouble weaning her during the night but now that she has rested for a bit, they managed to turn her settings down. That's a good thing. They have also restarted ALL her IV fluids that she was on in the early weeks and are still holding off on feedings for now. They are only doing a cranial ultrasound today to determine if there has been increase in the fluid that may have caused some pressure that affected her ability to breathe. The plan for the rest of the weekend is to not disturb her until absolutely necessary and give her some time to recuperate if rest is all she needs. The radiologist and neurologists will review the ultrasound on Monday and make decisions from there.

Thank you for all your prayers, phone calls and emails today. :love:

Friday, January 4, 2008

Oh What A Night.

It's not a good sign when you meet the nurse who was taking care of your baby during the day shift and she looks at you with a sad face and without saying a word, hugs you. Not a good sign. It's also not a good sign when you ask her a question and she responds, "Umm...the doctor is waiting upstairs to talk to you." In a way, it gave us a moment to prepare for bad news. We walked into Sydney's room and saw quite a bit of activity over her bed. Apparently we arrived just minutes after they decided to intubate her again. When they were about to put her on the CPAP they did a blood gas and the results were just awful. That's when they made the decision that they needed to get her back on the ventilator immediately.

So far, there's still no sign of infection in any of the tests they have done but they are talking about doing a MRI and spinal tap tomorrow just to check her thoroughly. They did another blood gas just about an hour after she was intubated the results were perfect. She is at 28% on the vent now and they are already working on weaning her. The doctor said they reviewed her charts and they notice that she started having more and more desats when they stopped her caffeine. Prior to the last 10 days, they were just considered normal behaviour but now they think she may need the stimulation for a while longer. She got a dose of caffeine earlier and they will go back to daily doses as of tomorrow.

Here's what we know for sure: God will be glorified in her life. There's really nothing else that we're sure of besides that. He is in control and prayer changes things.

Deja Vu All Over Again

Little Miss has been having more and more episodes throughout the day. The doctor said they are switching her back to the CPAP machine because she is just not comfortable and they are going to give her some caffeine to stimulate her. So far it doesn't look like she has an infection but they will keep testing her until she is over this. She will also remain on antibiotics for at least two more days.

We have CPR class at the hospital tonight and then we're going to hang with her and give her a stern talking to. :laugh:

Doing a little better...

Not only did the nurse put the tube back through her mouth, she also used a smaller tube. Apparently they had used a bigger tube when they put it in through the nose so that she would adjust to getting more volume since we were trying bottle feedings. She seems to be doing better but she did have one more episode since I last spoke to the nurse. It didn't last as long as the ones she had yesterday so that's a good thing. She may need a few more feedings to determine whether it's making a difference, since she's been so tired from all the episodes she's been having.

The doctors are consulting with each other to see if there is anything else they want to try at this point.

Thank you for your prayers. They are appreciated.

Update

Just spoke to the nurse and I requested that she feed her through her mouth for the rest of her feedings today. We're praying hard that this makes a huge difference. There's pretty much nothing harder to watch than an apnea/bradycardia episode so we're eager to figure out what's going on and fix it.

Her weight is 4lbs 15.5 oz today.

36 Weeks

Sydney is still having apnea and brady episodes and they are really starting to concern us. This has not been a problem for her until the last 4 or 5 days. We're waiting on the results of her blood work to see if she has an infection and the doctors have started her on some antibiotics in the meantime. If she doesn't have an infection then we will stop the antibiotics. She had a very bad episode shortly after we walked in last night and they actually had to switch her from the low flow cannula to a higher flow. She's still on the high flow this morning.

The nurse said she had 4 more episodes during the night and she notices that they happen right around feeding time. She believes she may have reflux because she says when she suctions her she gets milk coming back up. It then occurred to me that these episodes started on Monday, the day they started feeding her through her nose. They put the tube in her nose so that they wouldn't have to remove it when we do bottle feedings but I don't think she's a fan. Last night she completely pulled the tube out of her nose and also pushed the oxygen tube in her mouth. Everytime we would fix it, she would attempt to remove it again. I will speak to her doctor this morning and ask them to try putting the tube back in her mouth this morning and see if that makes a difference.

Please keep her in your prayers.

Thursday, January 3, 2008

TEN WEEKS OLD!!

Little Miss is growing up fast and she had much more energy last night. Her nurse says that she ran a blood gas on her this morning and it wasn't good, so she did it again with another machine and it was perfect. She says it happens sometimes but she ordered blood work just to double check everything. We want to be sure she's isn't fighting an infection or having any other difficulties. Hopefully, she will be back to her old self by this weekend and we can focus on getting her feedings in without using the tube.

Her weight is the same as yesterday's, so I suspect her doc will increase her ccs to keep her gaining.

Wednesday, January 2, 2008

Day 69!

Sydney is doing even better today. Her doctor ordered an EKG this morning just to make sure her heart was ok since she had the bradys yesterday and the day before. We figured it was due to her getting her shots but they just wanted to double check. The EKG was done while I was there and the cardiologist says her heart looks perfect. Yay!

Our next goal will be to get her completely off oxygen support and on to full feedings. She continues to improve everyday.

Her weight was 4lbs 14oz this morning. I feel like we were just counting up to 3lbs a few days ago. She's a weight gaining machine!

Tuesday, January 1, 2008

Happy New Year!

Sydney is doing much better today but she's still very tired. She did manage to take a bottle earlier today but we're not going to have her do any more.

She weighs 4lbs 12.5 oz today!

:love:


Getting ready for a diaper change


Hiccups! Poor baby.