Monday, April 25, 2011

2 month checkup.

first shot
Did they coordinate his band-aid with his onesie on purpose?


Luka is growing like a weed! At two months,he's up to 7 lb 9oz. His head circumference is 14", and his height is now 19.5". Yeah, he is still small, but he's doing good. He also started his vaccines at this visit. If we were to go by the regular vax schedule, our tiny little kid would have had five different vaccines administered in one day. But since we are following a delayed schedule, he only had two, and one of them was oral rather than a shot. The pediatrician office we chose kept with their promise about following our wishes to follow an alternative schedule. In fact,they said that lots of their patients use the same schedule (we are doing the Dr. Sears schedule). Such a load off to have found a good pediatrician group that suits our needs. Lu did scream when he got his shot, though. And I cried. After all he's been through, this one shot should be nothing to Rough Start.

Easter happened yesterday, and so did his first holiday-themed onesie.

first Easter.

Isn't his hair just outta control hilarious? Hair-larious.

Saturday, April 23, 2011

part 2: thoughts on the birth and the NICU experience.

I started replaying Luka's NICU stay in my head recently because the hospital sent us a survey in the mail about our experience. The multiple choice questions didn't really do a good job explaining our story. First, let me say that the amazing staff at Northside's NICU saved our kid's life. That's the most important thing, no matter what happened in between the time Luka was admitted and when he was discharged. But the stuff sandwiched in the middle of that time was still interesting, frustrating, good, bad, and kinda weird.

For the first ten days, the kid was staying in the 2nd floor special care nursery. The 2nd floor is for the sicker babies, who need more than just typical preemie care. Most of the staff on the 2nd floor was drinking grumpy juice, I think. At each visit we would go to the reception desk to check in. They would check our wristbands (only immediate family is allowed), and I would tell them if I had pumped milk to deposit. They would buzz us in, and bring a key to unlock the milk fridge. Nine times out of ten, the person working this desk was unresponsive, lacked eye contact, and generally hated our existence. So annoying. Excuse us for wanting to visit our critically ill newborn! Once we dropped off milk, we would head to Luka's pod, wash our hands at the sink, and check in with the nurse. Each shift was a different nurse, so we met someone new just about every time we came. I wish that they wouldn't have rotated the staff so much, so we could get used to who was taking care of him, but I'm sure they have a reason for switching them out so often. They worked 12 hour shifts, so maybe that had something to do with it. Anyway, the nurse would fill us in on what had happened since we had been there last. Did they raise or lower his oxygen and by how much? What tests were run? Did he need another blood transfusion? When will they start to wean him off of the sedatives? From there, we would go standby his bed and look at him. As you probably remember, we weren't allowed to really touch him for the first week. This was because of his hypertension in the lungs. If he heard us or felt us, he might get too excited and then his blood pressure would go up. So we would just stand there and look at him.

Some of Luka's nurses were very kind, patient, explained things well, and seemed empathetic (big ups Debbie, Maggie, and the nice lady whose name I don't remember!). Others were curt, bossy, and had no time for us (we shant name names). The rude, bossy nurses sure had a way of ruining our visits. I know they're just people, but damn. They're working with the parents of sick kids. Cut us a little slack, eh? One shitty nurse in particular loved to boss us around. All of the nurses allowed us to help change Luka's diaper when we were there, so Ken and I were changing a diaper. Ken was on one side holding his legs, while I did the wiping and diaper switch. We got yelled at. "Only one person for a diaper change!" Why? This had to have been her personal preference, because other nurses allowed us to both do this. What the hell does it matter? Then she told us that we could wipe his mouth with this sterile water that comes in a bottle. (His mouth got foamy from the feeding tube and oxygen.) So I take a little cloth wipe, and dip the end into the bottle. She got all sideways with me for ruining the water bottle, as apparently I was supposed to pour the water on the wipe, not dip the wipe into the bottle. Then she made a big production about throwing the full bottle of water away in front of me because it was tainted. Jesus, man. Can you give the parents a little break, here? Our kid is sick, I'm hormonal from giving birth, and so on. My standard was to cry when we visited, so I cried. She said in a curt tone: "Mom, your tears are getting to me, so I'm going to let you hold him."

Leigh and Luka

So we held him. The only redeeming thing this lady did. Besides taking care of our son's medical needs for 12 hours, of course.

One of the 2nd floor nurses we simply call "Crazy Nurse". We show up one night to visit Luka, and meet the nurse on duty. We never got her name, but she proceeded to talk our ears off about herself and various other dumb things. "I like your tattoos! I have one!" Stuff like that. When we were politely trying to pull away to go visit the kid, she didn't get the hint. But we thought, hey, at least she's nice and not shitty. Well, Ken showed up the next morning at the end of her shift, and she was like a different person. She snubbed him, gave him full-on attitude. Luka's nasal cannula was coming loose, and Ken asked her if she could tighten it. She told him that she was about to be off work. Oh, sorry. It's only his OXYGEN.

When the kid was moved up the 7th floor, the staff was way better overall. Except for that one receptionist that made a comment about the amount of breast milk I was dropping off. "You need to make more than that." Oh, really? Yes, let's make me feel worse about my small milk production. That's a good idea. Like I was trying to hold out on the kid or something. Then she told me to drink more water. Everyone at Northside is convinced that the key to milk production is simply drinking more water. I'm sure it does help, but I'm drinking water, damnit. Anyway. The 7th floor nurses were mostly much better. One night we showed up and Luka was propped up in his Boppy pillow, with a little faux hawk. It was hilarious. Then we see who's sitting there doing his charts. Crazy Nurse! Aaaahhhh! Oh no!

luka and ken
Ken feeding a little faux hawked Luka.

She was babbling on about whatever, asked me if I was "still weepy" (poking fun at me for crying about my sick child on the 2nd floor. Nice.), then she took off to tend to another crying baby. She came back a little later with that other baby in one hand, completely taken off of her wires and such. She as waving the baby around like it was a puppet or something. I shudder to think what kind of wild ride Luka was on with her when we weren't there. I do know we showed up the next morning, and Luka's shirt was covered in dried spit up because Crazy hadn't bothered to clean him or tend to him after a certain point in her night. Ken and I picture her talking on a telephone that's actually a banana. Bat Shit Crazy.

With that one exception, the nurses on the 7th floor were good about educating us on various baby things. That was nice. It was like having a two week training class for taking care of a baby. We learned different ways to burp him and swaddle him. Man, NICU nurses do the best swaddling. Nice and tight, like a baby cocoon. We were required to take an infant CPR class before we cold take him home, so that was helpful, too.

This is getting too long. Maybe I should do another "to be continued". I dunno if this is too boring for y'all. I just kind of wanted it for myself later, so I don't forget the experience.

Sunday, April 17, 2011

thoughts on the birth and the NICU experience.

luka day one
The first time I saw my little Lu, in the NICU.

Two months later, I am just starting to get my thoughts straight on just what the hell happened with Luka's birth. I mean, wow. What a whirlwind of crazy that was. So many emotions went with having an emergency birth and a new baby in critical condition, not to mention being hormonal. The biggest thing I dealt with personally was guilt. I kept blaming myself for his condition, as if I could have done something to prevent it. At the hospital, it was never really adequately explained why there was distress in utero. I was told that my placenta was calcified, but not why or how. After talking to my OB, I found out I have no risk factors for such a thing. I'm not a smoker, a drug user, no high blood pressure, my diabetes was well controlled. I was sure the diabetes had something to do with it, though my doctor insists it does not. He said that sometimes placentas start out not so great, then get worse as the pregnancy progresses. Still, all of Lu's paperwork has "gestational diabetes" listed as a maternal complication. I have had to work through the guilt though, as it is unfounded and doesn't do anyone any good. I had the best pregnancy I could have, and we have a beautiful kid to show for it. A quarter of a million dollar kid, to boot. Yes, his hospital bill, before insurance, is more than a quarter of a million dollars. We don't know exactly how much we owe yet. Not that it matters, because we aren't giving him back!

I've heard lots of people say that their birth plan went out the window when the birth actually happened. And it's true that you can't always plan things to a tee. And damn, did my plan ever go out the window! I planned for a natural birth, with lots of guided imagery and breathing, showers and back massages from my husband. I planned to breast feed immediately, and have our son stay in the hospital room with us for lots of immediate bonding. What I got instead was an unexpected emergency c-section, completely knocked out with general anesthesia. Followed by 24 hours of heavy sedation, unable to stand up to be carted to see my son in NICU, or even focus on what his doctor was telling me about his condition. The whole thing was so confusing and terrifying. I had to keep reminding myself that I wasn't still pregnant, since I had no recollection of the birth. I found myself patting my belly and talking to him, not ready to accept that he was fighting for his life two floors beneath me.When my catheter was out and the morphine was wearing off, I finally was able to go see the little guy. I stood there by his tiny little hospital bed, looking a mess in my thrift store pajamas. I cried, and cried, and cried, while the nurse kept urging me to sit back down in the wheelchair. I asked questions about when Luka could come home, and how long it would be before I could hold him. All questions about his future were met with a brick wall. It hurt, and I know now that they weren't being mean, they just didn't want us to get our hopes up because they didn't know if Luka was going to be okay or not.


next entry, Lu's month in the NICU. Or, how not to take a nurse's shitty attitude personally.

Friday, April 8, 2011

onward.

luka sleep
silly little monkey

Luka is still doing good, I think. He's such a wee little guy, with flailing arms and wailing lungs. I toted him to the doctor today because he sounds congested and wheezy, and found out he has a either cold or allergies. Luckily, it's only in his sinuses, and his lungs are perfectly clear. He's been out of the hospital three weeks, and has been to the pediatrician three times so far! Geez. After his beginning, I don't want to take any chances and not take him if something seems up, though. I don't want to break him.

I've been taking Rough Start with me to work every day this week, and I manage to get about 9% of my work done. But he does like the Moby wrap for a little while at a time, so I can do some things hands-free. He's so dang cute in the wrap!

luka in a wrap
wrap it up, I'll take it

luka inside wrap
mom's-eye view in the wrap

His hair is hilarious and outta control. After we shampoo it and give it a towel dry, he looks like Christopher Walken.

luka's hair

I find myself staring at him all the time. Luka that is, not Christopher Walken. Haven't gotten tired of it, yet.