Monday, January 31, 2011

Day 118: Home, Sweet Home.

Our NICU journey finally came to an end this afternoon with both boys being discharged together around 3pm.  It is hard to believe that we spent the last 4 months going to and from the hospital everyday - sometimes more than once.  It was a mixed bag of emotions saying goodbye to what we came to know as our extended family of nurses and medical staff at the hospital.  As much of a relief it was to walk out the doors never to return under the same circumstances, it was a bitterseet departure.

Here's a quick re-cap of each boy's status:

Aiden - Eating roughly 3 oz.  Only med he is on is enalapril to regulate his blood pressure.
Head - 14.25"
Length - 20"
Weight - 7lbs 15 3/4 oz.

Jackson - Eating roughly 3 oz.  Only med he is on is enalaprill to regulate his blood pressure.
Head - 13.5"
Length - 20"
Weight - 8lbs 8 1/2 oz.

Now, let's go back 118 days and re-cap these measurements on 10/5/10"

Aiden - Baby "A" Born 10:25pm naturally.
Head - 9"
Length - 13"
Weight - 1lb. 11oz.

Jackson - Baby "B" Born 10:34pm  via cesarean
Head - 9"
Length - 13"
Weight - 1lb. 10oz.

I will let you do the math.

Welcome home photos below!












Wednesday, January 19, 2011

Day 106: Almost Home

That's right folks, we're almost home, you read that correctly.  So, these infrequent updates are proving to bring positive news.  Anyway, here's the scoop:

Aiden is 7lbs 6oz, 19.5 inches.  He is on .5L O2 flow and is able to attempt a bottle at every feed.  The only med he is on is for blood pressure and I forgot the name of it.  Next eye exam is end of January.

Jackson is 8lbs, 19 inches.  He is on .5L O2 flow and has been attempting a bottle at every feed.  The only med he is on is to regulate his high blood pressure.  Jackson's blood pressure still is not under control and remains high.  The only thing that can be done is to adjust the meds until the right dose brings it to where it should be.  He had an echo yesterday and it showed very, very slight enlargement in the left ventricle, something they were trying to prevent with the meds.  His next eye exam was suppose to be yesterday, but doc was under the weather, so hopefully tomorrow.

The .5L O2 is a level that they can come home on.  Part of me wants them home on O2 and part of me does not.  The positive about it, aside from the fact that they would need it, is that we also get apnea montiors that montior heart rate and respirations, so we don't have to keep waking up in the middle of the night to see if they are still breathing.

Now for some pictures:

Both boys together for the first time today!












Above 5 are Aiden





Above 4 are Jackson


Tuesday, January 11, 2011

Day 98: FULL TERM

If you would have asked me back in October what we'd be doing come 1/11/11, I would have answered, "Driving my kids home from the hospital."  When we entered the NICU, they originally told us to aim for our original due date as our go-home date.  Obviously that is not the case.  As I keep saying in the updates, we are in the homestretch, but it can last a while.  Talking to the nurses, this is the second toughest part of the NICU journey aside from the very beginning.

Jackson is 7lbs 6oz and is 18.25" long.  He has gained 5lbs and 12oz since he was born.  Aiden is 6lbs 13oz and is 19" long.  He has gained 5lbs 3oz and grown 6" since he was born.

The boys have been challenged this week.  They were weaned down further on their O2 from 1.5 liters of flow to 1 liter, and are now at low flow.  The are doing well keeping their saturations in the high 90s where they should be, with the occasional drop into the high 80s, and even a 70 here or there when they are catching their breath after eating.  They were weaned off of Prevacid for reflux, and theophyllin, which is a bronchio-dialtor.  They were on a minimal dose, so it should not affect them all that much.  They continue to receive 2 albuterol and 1 pulmacort treatments per day.  They will most likely start being weaned from these next week.

They continue to make slow progress with their feeds.  Jackson is able to attempt the bottle 4 times per day, and Aiden 3 times per day.  They are up to around 60mls or 2oz every 3 hours, and during a bottle feed, they may take anywhere from 50mls to 10mls.  It's really up to them how much they want to take, and it largely depends on how much energy they have.  As frustrating as it is, we have to keep remembering we are in the homestretch and they will eventually one day pick it up.  We also have to remember that both boys have been through an extensive 3 months of needles, procedures, and surgeries.  They also still have chronic lung disease that continues to heal itself by re-building new tissue.

Both boys also are being treated for high blood pressure.  The condition is benign since the docs cannot figure out what is causing it.  Aiden has responded well to the med, but Jackson's bp trend over 24 hrs is still high, so his dose went up today.  Turns out high blood pressure is not very common in preemies.  The fact that it is benign is kind of disconcerning, but we think that since both boys have it, that it would have to be triggered by something that they both had in common.  Aside from all of the meds, needles, etc., both of them had a 3 day course of dexamethasone (sterroid) after their eye sugeries.  The blood pressure was never an issue until after the surgery either.  I don't like the word "benign."

Jackson had his 2 week follow up eye exam today.  Both eyes are regressing well however, the right eye had some vessels that are growing straight instead of angular.  He also had some blood in his eye.  The doc has some concern about this, and will follow up in a week.  Aiden's next follow up is end of January.

PS - I will post pictures within the next couple of days - just have to get them sorted and off the camera.

Tuesday, January 4, 2011

Day 91: Really, it's been that long??

You are all going to hate this, but there really is not any monumental progress to report.  As I mentioned last week, the boys are primarily focusing on eating on their own from bottle and breast.  They are still very intermittent with this, and really depends on how tired they are and what mood they are in.  On New Year's Eve Jackson took his entire bottle (53mls) at one feed, and hasn't done it since.  Aiden has not yet taken a full bottle on his own - not even close.  So, yes this is going to take some time.  It is ultimately up to the boys on how much and when they will take their bottles.

The boys are still hanging tight at 2 liters of oxygen flow, at about 25-30% concentration.  They should start to wean down again very soon.  The boys will not have any further head ultrasounds before they are discharged.  Neither boy had PVL (brain damage) and Aiden's bi-lateral grade 2 periventricular hemmorhage (brain bleed) was the same in the 30 day scan as it was on the day 3 scan.

Jackson hit the 7 lb mark tonight!  Aiden was not weighed when we called, but he was 6 lbs 6 oz.  Both boys are roughly 18 inches long now.  Today, they are also 39 weeks gestation or 13 weeks actual age.  If you can believe it, they will not be full term until next Tuesday.