Wednesday, December 31, 2008

A Pound

So, tomorrow Nicholas will be one month old. I can't believe the milestones he has reached in this past month. Last night he reached another. Nick's new weight is 2 lbs 9 1/2 ounces. He has gained a pound in his first month. That is so great, and incredible. I really wanted him o reach that pound mark when he turned a month old. It is such an incredible weight gain since last time, I think a lot of the weight is fluid.. especially since he just had the blood transfusion. I am sure that helped him make the mark. He still made it though. Way to go Nick, mommy is so proud of you.

The cultures came back from the staph as well. Nick does have a staph infection. They are going to continue with the course of antibiotics that he is on. They think that the caught it early. The spot that he had, that turned out to be staph isn't even there anymore, so I am hoping they just have to do a short course of antibiotics. The antibiotics have risks to him, so the shorter the course, the better.

All in all, he is doing well. He is a strong little man. Nick is definitely my angel, and I know how incredibly lucky I am to have him.

Tuesday, December 30, 2008

Day by Day

Nick is still doing well. Not showing any signs of infection. He had a little bit of a rough night two nights ago. He had quite a few de-sats. They did some tests yesterday and decided he needed a blood transfusion. They have been drawing blood for the past few days to do more testing and he just wasn't able to make up the difference. Once they gave him the transfusion, he did much better. No de-sats at all yesterday, and only two last night. The results of the blood culture should be in tomorrow, so we will know what we are dealing with as far as the staph infection.

He got weighed again, he is now 2lbs 5 ounces. Three more ounces and he will have gained a whole pound from his birth weight. I am so proud of him.

I can't believe he will be a month old in a few days. Time has gone by so slow, and so fast at the same time. I know it won't be long until I get to bring my little man home and be with him all the time. I can't wait for those days.

Sunday, December 28, 2008

Waiting for Results

Sorry I haven't written in a few days. Things have been a little crazy around here. There have been some new developments with Nick. Last night I got a phone call from the docs, that they noticed a spot on Nick's chest that looked a little suspicious. They thought it might possibly be a staph infection. They did a culture and cbc. His blood count looked a little suspicious as well, like he might possibly have an infection. So, they started him on a dose of two broad spectrum antibiotics. The cultures for the spot on his chest won't be done until Wednesday, so we will know what we are dealing with then. If it is nothing, then they will stop the antibiotics. If there does turn out to be something, then they will follow with more doses of antibiotics.


For now, he seems to be doing okay. He is not showing any signs of infection. So that is good. It is a little worrisome, as he can't fight an infection since his immune system is so immature. The biggest problem is if the infection gets in his blood steam. That could be a major problem. The docs are hopeful they caught this early though.


Other than that, things are the same. He is still having some de-sats, but no more than he usually has. Tonight is a weight night, so I will have that new info for you tomorrow. He is still eating at 6.8 cc's an hour and tolerating that well.

Nick and I did Kangaroo Care yesterday. It was fantastic, as always. He did so well with it. He just slept on my chest. No de-sats or anything. He just slept there. He is such a precious little boy. I am so lucky to have him.
This is Nick and I doing Kangaroo care. He just lays on my chest. I talk to him, tell him I love him. He and I stayed like this for about an hour yesterday.

Friday, December 26, 2008

Nick's First Christmas

Nick had a great Christmas. He had a good day yesterday. As of 8 am this morning, he hasn't had any de-sats since 4am yesterday. He has gone over 24 hours. That is really good!

He continues to grow and get big. New weight, 2lbs, 3.2 ounces. He is still getting his feeds, and will go up again today to 6.8 cc's an hour.

Other than that for now, not many changes. He had a lot of visitors yesterday, so I didn't hold him, but plan to try kangaroo care again today. I just love holding him.

Nick got lots of Christmas presents yesterday. Lots of books, clothes, and a rocking horse. I know he will be excited to use these as soon as he gets big. Even though he spent his first Christmas in the NICU, he had a good one.

Wednesday, December 24, 2008

Kangaroo Care

Yesterday Nick cooperated much better and got to do Kangaroo care with me and be held by Bryan. It was wonderful. He was a little upset at first, but finally settled down and just slept on my chest. Wow, it was an amazing feeling. It is always wonderful to hold him, but to feel his skin against mine was special. He did so well with it. He seemed to really enjoy it. After that Bryan got to change his diaper and put him back in his bed. He seemed really content. In fact, he didn't have an episode until 6 am this morning. I would like to think that is due to the special holding and care he got yesterday from both Bryan and I.

Everything else is still the same. He is tolerating his feedings well, he is up to 6.4 cc's an hour. I think he is at max feeds for his weight, or at least really close to it, so I don't know how much they will increase from here. (A little conversion, 6.4 cc's an hour means he gets about 5 ounces a day)

He is still on the bipap machine and handling it fairly well. I spoke with the respiratory therapist yesterday about the possibility of him going back on the vent. For now, it is still a decent possibility. However, she did say, that while he keeps having the spells, he was having the spells on the vent, so they felt like if he has them on the vent or the bipap, they might as well just leave him on bipap. So for now, he will continue to stay on bipap unless he has a major crash or just seems to be not tolerating it well. The other possibility for going back on the vent is his weight. He has to work hard with the bipap, doing the work himself, and if they feel that he is burning too many calories n the machine, they may have to put him on the vent. For now the most important thing is to make him grow as big and as fast as they can.

So, that is where we are today. Fairly positive. We are all happy with his progress right now. Hope you all have a Merry Christmas.

Tuesday, December 23, 2008

Try Again

I am sorry I didn't post yesterday. I feel like I have so much going on right now, I am not sure if I am even thinking straight. Nick didn't have a very good day yesterday. He had a few de-sats. He seemed to do them whenever the nurses did their assessment of him, or when someone messed with him. So, the nurses felt like him doing kangaroo care wasn't a good idea yesterday. We are going to try again today, but I know that he has had a few spells early this morning, so I am not sure if I will get to or not.

Even though he has had a lot of spells, they have not had to put him on the vent yet. They are really trying everything they can to keep him off of the vent. I just hope he cooperates.

Nick is still tolerating his feeds well. Last night was a weight night, and Nick is now 1lb 1.2 ounces. Small growth, but some is better than none.

Right now, Nick and I both need your prayers so badly. We are both going through so much. I appreciate all of you, and your support.

Sunday, December 21, 2008

Kangaroo Care

Nick had a little bit of a rough day today. It hasn't been bad, but not exactly good. He had a few episodes today, prompting the staff to put him on bipap. Basically, it is the same machine as the cpap, but it provides a little bit of pressure and rate to help him a little more. A bipap is basically a cross between a cpap and a vent. The nurse did say that she would be surprised if he didn't have to go on the vent tonight.

Going back on the vent is a mixed blessing. While it seems like it is a step backwards, it may actually help him. Right now, Nick is doing all the work of breathing. So, he is working hard, and burning calories by taking breaths right now. If he were to go back on the vent, then it would do more of the work, and allow him to concentrate more on getting bigger. While I am not happy about the vent, it may be more of what he needs. I am confident that they will do the best thing for him.

Tomorrow will be a big day for both Nick and myself. They want me to start something called "kangaroo care". I have been reading about this for a few weeks now and am very excited to try it. Basically, I sit in a chair and recline a little. Then they will bring Nick to me, and he will lay on my bare chest. We will have skin to skin contact. We will sit like this for about 3-4 hours. I will talk to him, read books and maybe even take a nap together. This allows him to get back on my rhythm. He will hear what he was used to hearing while inside, my heartbeat, stomach noises, just the noises of my body. It has been proven to really help him feel more comfortable, and content. Even if he goes back on the vent, they are going to try to let me do this. They really feel like this would help Nick. If he has a bad day, they may not let me do it, but for now, it sounds promising.

Friday, December 19, 2008

Milestones

Nick was weighed last night... 2lbs 0.7 ounces. We have hit the 2 pound mark. YEAH!

He is still on cpap and doing well. His nurse told me this morning, that if he does well today, she will let me hold him this afternoon. I am so excited! I can hardly wait for this afternoon. Please keep Nick in your prayers that he does well today. If he has a few de-sat episodes, they will have to put him back on the vent, and I won't be able to hold him. It is completely selfish on my part, but I want to hold him so bad.

I will let you guys know this afternoon how he is doing. I hope to be checking in with a picture of me holding Nick for the very first time.

UPDATE: I got to hold Nick! It was only for about 15 minutes, but I did. It was wonderful. I couldn't believe it. He was all swadled in a blanket, and then put into my arms. He just slept in my arms. He seemed very relaxed. He didn't get agitaed at all. It was really great. I asked the nurse to take some photos, but they didn't turn out. So, I will try to take some more tomorrow to post. For now, he is doing beautiful. No de-sats today.

Thursday, December 18, 2008

Little Stinker

Nick decided this morning that he no longer wanted to be intubated. So, he pulled out his ET tube. This is pretty common for babies that have the tube. They took him off the vent and put him on a CPAP machine. Basically, a cpap has prongs that go in his nose and supply him with positive air pressure to make sure his lungs stay open. He will be taking all his breaths on his own, and the machine will make sure he gets enough oxygen. The vent helped him take his breaths, so this will be a big change for him.

If he doesn't handle this well, they will have to reintubate him. That really wouldn't surprise me if they had to, but I am really hoping they don't have to. The longer the vent is in, the higher the risk for chronic lung problems as he gets older. So, we would really like to see the vent come out and stay out.

I will do a few updates through out the day today and let you know how he is doing on the cpap.

UPDATE: So far so good. He has had a really good day today. I almost hate to say that outloud. He is still on cpap, as of 6pm this evening. That is really good. The probability is high that he will have to go back on the vent, but we are really hoping and praying that he doesn't.

I did get the full story of the extubation this morning. Apparently, the docs were rounding this morning. They were standing by Nick, actually rounding on him, when he pulled his vent out. I guess he just wanted his point to be perfectly clear that he no longer wanted to be on it. I think it is pretty funny that he did this in front of every doc. That's my boy.

While I was at the hospital today, I got to hear him whimper and coo a little today. Now that he doesn't have the tube down his throat, he can make a little noise. It was the best sound in the world! I know he was a little mad and upset when he was making the sounds, but it was still wonderful to hear. He was very quiet, probably a little hoarse from having the tube for two weeks, but I heard him. It was the sweetest sound, even if he was mad.

They went up on his feeds again today. They also started the 1/2 breast milk, 1/2 24 calorie formula. So we should see some good weight gain over the next few days, hopefully. They were able to stop the insulin today as well. His sugars have been good.

Tomorrow they will pull out his pic line. That is the line in the top of his head. They will be able to give him any fluids/medications through his feeding tube since his feeds have increased. So, as long as they pull that out, then he will have the small tube that goes down into his belly to feed him, and he will have the cpap, which just goes over his nose and pushes air into his airway.

He has been much more comfortable and less agitated than he was yesterday. I am so happy he has had such a good day today. When they said it would be a roller coaster, they weren't kidding. I am surprised to have such a good day, after such a bad one yesterday. He is fighting though, and that is all that matters right now.

Wednesday, December 17, 2008

Rough Day

Today, was not a very good day. Nick had quite a few de-sats today. He started doing this about 6 am this morning, and continued through out the day. The pulmonary therapist was monitoring him through out the day. Mostly, it appears that he has some extra fluid, that needs to be suctioned. When he gets too much fluid, he gets agitated and has a de-sat. This is the thinking for now anyway. They did start giving him a drug, verset, to calm him a little as well. They are hoping this takes care of the problem. There are a number of factors that could be causing this. They have started tapering off the steroids, and that may cause him to have a little set back. One option is to do a longer dose of the steroid. He has the extra fluid as I mentioned before. That could be causing this as well. The steroid would help that as well. The problem is that as long as he has the vent tube, he will continue to have extra fluid. So, they are just trying to get him strong enough to take out the vent tube. They did go up on his pressure and rate settings on the tube, but said they are still with in a low to moderate range which is good. The less support the vent has to give him, the better. This is another one of those problems that they aren't surprised he is having. They still have room to go up on his vent if they need to, and can give him another course of steroids if they feel that is necessary as well.


Other than that, he is doing well. They went up on the feeds again... 4cc's an hour. He is still handling his food well, and they are very happy with this.

They measured him today. He is 13 1/2 inches. So he has grown a 1/2 an inch. Pretty good for two weeks.

Nick had a pretty rough day today, but we are hoping for better tomorrow.

Tuesday, December 16, 2008

Gaining Weight

Nick had a good day today. They had to move the entire NICU to a different room for a few days due to some hospital electrical maintenance. The hospital is still trying to recover from the hurricane. The new room that Nick is in is not as private, so he gets a little agitated at the increase in noise. There are other babies that cry or have machines that make noise, and he really isn't fond of that.

Other than that, he is doing well. He has had some de-sats, but it seems like there is always a reason for them. He had one this evening, but he needed to be suctioned. I am told this is perfectly normal. Since he has the vent, they are giving him humidified air, and that creates a little more fluid. Once he was suctioned, he was fine.

They increased his feeds again today. He is up to 3.6cc's an hour. He also had another bowl movement on his own this morning. His sugars also continue to be lower.

The biggest news is his weight. He was weighed this evening, and has gained another few ounces... 1lb 14 ounces. We are so close to two pounds. I feel like that is such a land mark. I can't wait to get there! That really is the most important thing Nick can do right now is grow. We just want him to keep growing and growing.

I have heard from a lot of you that you would like more photos. I will try to comply with that. Really... I promise to try to take more photos and post.

Monday, December 15, 2008

Two Weeks Old

We had another good day today. Well, good meaning no changes. Nick is still responding well to the steroids. He has had fewer episodes. He continues to grow and get strong.

They have continued to go up on his feeds. He is at 3.3 cc's an hour as of today. They will go up again tomorrow. Then the next day, when they go up on his feeds, they will mix the breast milk with a higher calorie formula. They make a half and half mixture. This gives him more calories and extra calcium to help him grow. Apparently, no matter what I do or eat, breast milk only has a certain number of calories and a certain amount of vitamins. Normally, babies don't need more, but with preemies, they give a little boost to help them grow quicker.

He is still getting the insulin, but they were able to drop it down a bit. His sugars have been good. They just keep him on it while they have him on the steroid.

He ot weighed again last night. He is still gaining, but because of the steroids he didn't gain as much as he has in the past. He is now up to 815 grams, or 1lb 12.8 ounces. Still growing, and that is all that matters right now.

I know I promised you a video, and I did take one, but I can't seem to get it to upload. So, you will just have to make due with a picture. As of today, Nick is two weeks old.



Update: I talked to Nick's nurse tonight to check on him. He had a bowl movement all on his own. I know it seems funny to be excited enough to put this in the blog, but it is a really big deal. So far, he hasn't been able to do that, they have had to give him a suppository to help him along. This is a really big step for him. It also means that so far, his bowls are working great. One less thing for us to worry about. Good job Nick!

Saturday, December 13, 2008

Still Growing

Nick is still on the same course. He has had a few episodes over the past few days, but nothing like he was having a few days ago. He is still getting the steroid, and is handling it well. We are hoping the course of steroids really help his little lungs grow and mature. He continues to show his strong will, especially with the nurses. He doesn't like to be moved much, so when they have to change out his wires, or change his diaper, he gives them a little attitude. Lately, that has consisted of him scrunching up his face, and pulling on his vent tube when he gets angry. He even went to far as to tinkle when his diaper was off, causing his nurse to have to change all his bed linens, and clean him up. He did this, not once, but twice yesterday. I am sure I will regret this temper later, but for now, I know his strong will is what is keeping him so strong and growing. You can all remind me of this later when he is driving me crazy with that same attitude.

Nick got weighed last night. He is 1lb 12.2 ounces. Still growing. They expect his growth may slow a bit while on the steroids. That is a common side effect. They will continue to weigh him every other day, so we will see.

So, we are still doing okay. Taking it day by day. I am so proud of my little guy. I got a video camera for Christmas. My mom gave it early since Nick was early. I am going to try to remember it for tomorrow, and take some video of Nick that I can post. He is so cute when he wriggles around and kicks his feet up!

Thursday, December 11, 2008

A Little Better Every Day

Today was another "better" day. Nick had a few episodes last night, but hasn't had any today, as of 6pm. He is tolerating everything well so far. They did have to start giving him a little insulin due to his elevated sugar levels. This is common since his levels were already a little high, and the steroid they are giving him makes his sugar a little more elevated. Other than that, there isn't much of a change. We will start looking for some improvement in a few weeks from the steroids. We are hoping that he will be able to come off the vent in a few weeks.

They weighed him last night, and he is up to 1lb 10.8 ounces. He went down from the other day a little, but that was to be expected. The other night when they weighed him, they had just given him a blood transfusion, so that is why he was 1lb 11 ounces earlier, now his weight is a little lower. His weight last night is a better indicator of what he really weighs. They do a weight every other day.

He is still doing well with his food. He is getting 1.8cc's of food per hour today, and they will go up to 2.1 cc's tomorrow. He is handling that well, and that continues to be the best thing for him.

You may have noticed, on the side bar next to this blog, I added a button from March of Dimes. If you have a moment, add your name to the petition. Basically, it is asking congress to provide more money and research to prevent premature births. It would be wonderful if they could figure out ways to prevent this from happening to other parents and children. So, if you have a moment, add your name to the petition. Thanks.

So, we are now trying to figure out if Nick just wanted to be here to check out the snow... in southeast Texas... in early December. We couldn't believe our eyes last night when we saw the snow. We really couldn't believe it when it stuck to the ground. Living here all my life, I have seen snow here 3 times. We will definitely be telling Nick about this later. For now, I will leave you guys with a few snow pictures from our house.

Wednesday, December 10, 2008

UPDATE

So, I went and saw Nick today. He seemed to be doing better when I saw him, versus yesterday. He only had one episode today where he dropped his sats, so that is better. I spoke with his doctor, they are starting him on a two week dose of steroids. This is to help his lungs mature a little more. His doctor is concerned with his lungs. They did an x-ray, and saw fluid, and that his lungs are just not looking well. She doesn't feel that they look worse than what his age would suggest they should look, but she wants to try to make them better. She felt that his vent pressure should be able to be lowered by now, and she can't do that, so the steroids are the next step to getting there. There are some risks with the dose of steroids they will give him. They will have to monitor his gluclose levels because the steroids can make those higher. There are also some risks for developmental delays due to the course of steroids. The type of steroid they are giving him has the lowest risk, and there have been studies showing amount and duration of the treatment can have an impact on the risk of having any complications. She felt his risk was really low for this, and the benefits of having the steroids for him right now far outweigh the possible risk of delays.


He still has his feeding tube and is getting 1.5cc's of food per hour. They will go up again tomorrow. They plan to weigh him tonight, so I will have a new weight for you tomorrow. Other than that, things are pretty much the same.


Thanks for the comments you have been leaving. I don't get to talk to you all much, so it is nice to hear from you. Again, thanks for all your positive thoughts and prayers. We appreciate all the support.


OH, another photo from today. It isn't wonderful, but he has his eyes open and you can see his nose... I had a special request from his Aunt Tiffany to see his nose... yeah, looks like he got my Italian nose.


Better

I talked to Nick's nurse this morning and he is doing much better than yesterday. They gave him some lasix last night. That has seemed to help him. It got some of the fluid off from around his lungs, and just gave him an easier time breathing. He hasn't had any of the de-stating episodes last night or this morning after having the lasix. He is resting this morning. I am going to go down this afternoon and check on him.

I got a little better explanation of what was going on with him yesterday. Apparently, it is just due to his immature lungs. It is something that he will have to grow out of. This will probably last a few weeks. While it is scary and hard to watch, the doctors and nurses have it all under control. They are used to this sort of thing.

Yesterday was hard for me. Watching him was so difficult knowing there was nothing I could do to help him. I know there will be many other days in his life I will have that feeling. I am so thankful that today is better. I only hope that the good days far outweigh the bad.

Tuesday, December 9, 2008

Setbacks

It has been a rough day for both myself and Nick. Last night Nick started having de-sats. Basically, his heart rate would drop, and his oxygen level would drop. They went up twice on his pressures on the vent today, and that seems to have stabilized him. He hasn't had any episodes since they went up on the pressure this morning.

The doctors were expecting this setback, and it is something that happens often. Basically, his lungs are just premature. They explained that this happens in a lot of premature babies, and they are on top of it. That doesn't make it any less upsetting for me to watch, or hear about. I sat with him for a good part of the late morning. His breathing seemed much more labored than it has in the past few days. He is still breathing somewhat on his own, with the vent there to support him. His nurse said he is doing okay, not good, but not bad. So for now, I choose the think of that as good.

We knew that there would be days like this, but really there isn't anything you can do to prepare yourself for it. It is so hard to watch him knowing there is nothing in the world you can do for him, except tell him I love him. I guess that is a lesson in parenthood that I am learning early on. I desperately want to make it better, but I know that at this point, the only thing I can do is pray. I have done that a lot today.

Today was my appointment with my regular ob/gyn. She was to remove my staples. So far, I am healing nicely. When she saw my incision, she said, "Wow, you did have an emergency c-section." Not really sure what that means... I asked her if my incision was healing nicely, and how much scaring there would be. She said to consider it my battle wound. Thanks! I did have my staples removed with minimal pain. She is still trying to find out the results of pathology on the placenta. We may never know exactly what went wrong, but they are trying to find out so that we have smaller risks of this happening again in the future. Right now, they are pretty sure it was a problem with the placenta, and not with Nick. So that is good. We were worried about possible genetic problems with him that would have caused all the problems while he was inutero, but that seems to not be the case, so that is good as well.

So, for now, I am resting, or at least trying to. I just spoke with Nick's nurse and there have been no changes this afternoon. I am happy to not have any changes for now. Please keep Nick in your prayers, he will need them over the next few days.

Monday, December 8, 2008

One Week Old

I don't really have any new updates for today. Nick is resting this morning. There really aren't any new changes, and that is good.


Basically I am just writing to say that as of 9:10 this morning, Nick is one week old. I can't believe the first week is already over. It went by so fast, and so slow at the same time. I hope the coming weeks go faster and faster, until the time when we get to bring him home.


Bryan and I also wanted to take a moment to say thank you to all of you. We were talking last night about all the family and friends that have been supporting us over the last few weeks. These have definitely been the happiest, scariest, and hardest weeks either of us have ever experienced. We are so thankful for the support that each of you has given. We have definitely felt your prayers hard at work, and so has Nick. We are also amazed at the number of people that know each of you, that don't know us, that are praying for us and our Nick. That is very humbling as well as uplifting. It really means so much to us. Please know that you are all in our thoughts and prayers.


Please keep Nick in your prayers. We are only one week into this journey, and I know there will be hard times ahead.


Here are a few more pictures we took this weekend...

So this is for those of you who haven't seen him. Just to give you an idea of how small he really is, this is Nick, next to a dollar bill. He is about a "dollar and a half".


Just a picture of Nick, and my hand. I think it is funny how he is laying, but that is the way he always sleeps. What is even more funny, is Bryan sleeps like that a lot.

Just a photo of his foot. I am obsessed with his feet. They are SO cute. They are so tiny, although they are big compared to the rest of his body. He has big feet! But they are cute feet.

Bryan and I are going up to the hospital later this afternoon, so I will probably have an update on him later today.

PM UPDATE: We went and saw the little man this afternoon. He is doing very well. They are happy with his progress. He is up to eating 1.5cc's of food an hour. He is tolerating his food well, and doing very well on the ventilator. They may even consider taking the vent out and going to a cpap ( I think that is what it is called). Anyway, it is just something that just goes into his nose and pushes oxygen into him. We will see if they go ahead and do this. They were thinking about it, but no decision as of yet.

They took the light off of him that they had for his jaundice. So that was good. Because he didn't have the light, they were able to take off his sunglasses. He was opening his eyes. I know that he can't see anything, but it was neat to see him with his little eyes open. I didn't want to take any photos of him like that, because I didn't want the flash to hurt his eyes. He lookes so cute though. It was awesome to be able to see his whole face.

Sunday, December 7, 2008

720 grams

Nick had another great day today. Bryan and I went and saw him this morning. He got weighed last night and is up to 720 grams. Basically that is 1 pound, 9 ounces. That is up one ounce from his birth weight. That is really good news. He probably lost weigh, as most babies do, in the first couple of days. So, the fact that he has surpassed his birth weight already is great. All his nurses and doctors were impressed with him today.

They also lowered his vent pressure a bit today. He is getting to the point on the vent that they won't do much else with the vent. He is stable on the vent, so it will basically be there for support for him until his lungs mature more.

So, still hanging in there. Bryan and I are as well. We are so proud of our little man and his progress. We just keep looking forward to the day when we can bring him home.

Saturday, December 6, 2008

Another Great Day

Nick had another good day today. He stayed the same on the vent, which right now, is really good. They went up again on his food... .9cc's an hour. Definitely eating like a Brennan now. They are going to weigh him tonight, so I will be able to get his new weight in the morning.

Nick met his Aunt Tiffany and his Uncle Brian today. Both said how adorable he is. Of course we agree, but we may be biased.
Today all has been well. We are just praying all this good news continues. Thank you again to all of you who have been calling, thinking of us and praying. It means so much to us that Nick already means so much to all of you.
Here are a few more photos of Nick...


Day 5



Nick had a GREAT day today. I can't tell you how wonderful it is to hear about his successes. We get so excited. We are trying to completely focus on the good days, and not worry about bad days that may come. That is so hard to do, but on days like today, we have a hard time not getting really excited when he is doing so well.




So, when we first got to the NICU this afternoon, Nick's doctor saw us, and before we even went in to see him, she told us that he was having a really good day. Coming from the doctor caring for him, that meant a lot to us.




We went in to see him, his nurse for the day went over everything with us. They did his gases, and were able to turn down the vent some. Now he is breathing mostly on his own, and just has the vent to help him out a little and make sure that he doesn't "forget" to breathe. He handled his food so well the previous day, they were able to go up to .6ccs of milk. So far so good. Everything is going well. They were pleased with his day, and so were we.




While we were there, we took a few more photos, including our first family photo.


You can really see how small Nick is compared to Bryan and I.


I also got to change Nick's diaper for the first time. That was a pretty neat feeling. Funny how such a little thing is such a big deal.

Anyway, we were so happy about all of the results today. We just told Nick to keep on doing exactly what he is doing. We are so proud of him.

Update on me: So many people have been curious about how I am doing, thought I should give an update. So, I am home now. I left the hospital Thursday. After being there for so long, I thought I would be excited to leave, but it is really hard to be so far away from Nick. We are doing well though. Bryan and I are able to go down at least once a day, if not twice. I am having some pain, but that is really to be expected. I have realized that the less I do, the better I feel. That is really hard to do. I try to take frequent breaks and rest a lot. I have started pumping to breast feed, and it is going well. I am able to supply Nick with everything he needs and that is a great feeling.

For now, all is great with us. Bryan's Aunt Meaux will be coming in next week, so that I can go to the hospital during the day while Bryan is at work. Then Bryan's mom will be in the next week. In the interim, my mom has been doing some cooking and cleaning for us. We really appreciate all the extra help.

72 Hours Old

Yeah! Nicholas has made it through his first 72 hours with flying colors! That was the most critical point for now. We knew that he would have a tough road the first 72 hours, but he made it through that beautifully. We are so proud of him, and tell him that every time we see him. He is doing so well.

They are going to start feeding him this afternoon. They are going to drop a tube next to his vent, into his tummy, and feed .3 cc of breast milk an hour. We are very excited about this step. We know that they wouldn't feed him if he couldn't handle it. We are hopeful that this will be really good for him, and allow him to grow and get better each day.

UPDATE: Nick has had the feeding tube for 4 hours. He is handling the food well. All is great.

Wednesday

Today was pretty much the same as the last few days. There hasn't been much of an update. That is actually good news. We would rather have no change than bad news.

They did have to put in a pic line. His IV line in his belly was leaking which is common. They wanted to start a central line so that they wouldn't have to do IV lines every few days. They were going to start it in his arm, but couldn't get a good spot, so they did the central line in his head. Again, we hate to see it, but we know it is the best thing for him.

Later in the day, they decided to do an ultrasound on his brain to make sure he didn't have any bleeding in his brain. We were very concerned about that. It is common for preemies his age to get brain bleeds. There are 4 levels of bleeds. The first two aren't that concerning (at least that is what they tell us, how a brain bleed can be not concerning is beyond me). Anyway, they usually check for that at the 7 day mark, but some of his blood levels were low, and they thought he might be at risk for a brain bleed.

It was a tense afternoon as we waited for the results, but finally, they came and told us, no bleed. Thank God!! We are thrilled. He still has a risk, but for now, that is really good news. They should do another test on Monday to make sure, then he should be through the critical part of the brain bleed.

All good news for now. We are so thankful.

Day 2

Nick had a good first day. They did have to put him on a ventilator today. We knew this was a possibility. He is so young, and his lungs were going to be the last thing to develop. They will get regular gases on him, and adjust his pressure and oxygen based on that.

We hate seeing him with the tube in his mouth, but we know that this is the best thing for him. The least amount of work he has to do on his own, the better for him.

Friday, December 5, 2008

Welcome Nicholas

I started this blog as a way to update friends and family about Nick. Each day there is something new. We can't wait to watch how he grows and changes... and boy will he. I also figured this is a great way to chronicle his growth and development, so that one day, he would have it to look back on. So, where to begin... I guess at the beginning.

We found out I was pregnant the day before we left for a vacation in Colorado. Both Bryan and I were shocked. We really couldn't believe it. We were really excited. The next few months brought doctors appointments, ultrasounds, and evening sickness. Lots of evening sickness. Despite all of that, we talked about what kind of child we would have, how we would raise them, and what they would be like.

The time finally came, and we found out we were having a boy. We were both so excited. We had a name picked out already for a boy... Nicholas Charles. Both Bryan and I liked the name Nicholas. Charles was after my father, who passed away 4 years ago. We really think we picked the perfect name.

So, there we were, pregnant, planning, and starting to get the room ready, when November 19th rolled around. I had a doctor appointment for an ultrasound. When the tech started the ultrasound, he noticed a few things wrong. First, the fluid around the baby was low. The blood flow between myself and Nick was also low. He consulted the doctor, and they thought it best to admit me to the hospital for observation. I went to UTMB in Galveston that morning and checked in.

Over the next few days, they monitored me, did a few tests and came up with treatment plans. Nicholas proved that what the doctors had planned was not necessarily what he had planned. After more complications, we finally realized that I would be in the hospital until I would have a c-section, sometime in the next week or two.

After almost 2 weeks in the hospital, Nick decided he was ready to make his grand entrance. He certainly made his entrance memorable. After his heart rate dropped, and I was rushed to the operating room for an emergency c-section, Nicholas made his arrival on December 1, 2008 at 9:1o in the morning.

Being only 27 1/2 weeks, there were complications. Nick went immediately to the Infant Special Care Unit. We knew he would be there for many months. We were able to talk to Neo-Natal Doctors before delivery so we would know what to expect in the first few weeks.

We know that the next couple of months are going to be a roller coaster. We are praying for many more "ups" than "downs". I know that each of you reading this has a special place in your heart for Nick, and I know that you as well will be thinking of him and praying for him as well. I hope to update this daily, but you know how life can be.

We are so proud to know this little boy. Bryan and I both have fallen unbelievably in love with him. We hope that you feel all of our joy as we go through the next few months. Please feel free to check back often, as I said, I will try to update daily. Also, feel free to leave comments, we would love to read them.