Wise Men Say

I follow a couple of NICU parents online, and one of the dads recently created an incredibly sweet, short video clip to the tune of Can’t Help Falling In Love. Well I fell in love with their family’s video, and stole all of his creative juices. I literally created the same thing, except with clips of Olivia and scenes from our room.

I hope you enjoy watching this as much as I do, and perhaps I’ll start sharing more like it.

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Celebrating Firsts

Spending the first portion of Olivia’s life in the NICU is certainly not what Luke and I had envisioned for our family, but it is what it is and here we are: #NICUlife. There are countless things that cross my mind while being in the NICU, many of which include the laundry list of ‘typical’ memories we are missing – or hopefully simply delaying. Our first night at home, walks around the neighborhood, car rides, errands around town, visits with friends, afternoons at the park, evenings on the deck. Not to mention summer vacations, trips we had planned, and places we wanted to take our sweet girl.

Also on the list of events that are unfolding unexpectedly are holidays.

We spent our first mother’s day in the NICU, not at home how I had hoped. I turned 30 while hanging out with our sassy gal in the NICU. And today marks the beginning of summer holidays: Memorial Day. Olivia’s first Memorial Day! Instead of spending the day with outdoors, introducing Olivia to our friends at a picnic, we’re still here.

Celebrating these firsts… experiencing our family’s early memories in the NICU… is sad. My heart is often flooded with sorrow, sometimes jealousy, and even resentment. But at the same time, my heart is full. While sad, unexpected, and not exactly typical, this is our situation, our life right now. And so despite our environment, despite where Olivia spends her days or where she sleep, despite her condition and the string of unanswered questions, we carry on. We spend every day with our little girl, just as we would have under ‘typical’ circumstances. And we celebrate all sorts of firsts, as any other new parents would… just with slightly different surroundings.

So today, on Olivia’s first Memorial Day, we celebrate the start of summer and remember those who gave the ultimate sacrifice while serving our country, NICU style: with a decorated bed and festive clothing.

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35 Days Old: Daily Update

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Olivia had a quiet night, and snoozed the night away cuddling with her lovie from cousin Wyatt. Today she’ll get a visit from the Guerrero clan: Grandma and Grandpa G and Aunt Lauren!

Medical updates:

  • Slightly rougher morning on the respiratory front. Nothing critical, but Olivia has been fussy for a few hours, harder to settle, and doesn’t seem to like any position she’s been put into. In addition, there were more desats (minor ones) and our nurse was getting a lot more secretions from her tube than normal. The team has ordered an x-ray to see if there’s any signs of collapse or atelectasis. That will most likely be taken within an hour or so.
  • Feeds remain the same, at 18MLs per hour, for at least another day. Residuals are still within bounds, but have been slightly higher (two checks were in the 20s), so we’ll give her a bit more time at this amount to ensure she continues to digest appropriate amounts.
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Commenting – Put a Face To Your Name

If you’re an avid Olivia follower, you’ve probably noticed the faceless profile picture that appears next to your comments. Ever wondered how to create your own profile picture? Interested in finally putting a face to your name? Keep reading to learn how. The process is relatively easy, and while it is by no means required to comment, it will help brighten up our stories a bit!

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Step 1: Create a Gravatar account

  • Visit the Gravatar sign up page here.
  • Enter your preferred email address, your desired username, and a password. Click the blue “Sign Up” button once all three fields are complete.
  • Check your email for an “activation email” from Gravatar. Activate your account by following the instructions in the email.
  • Once you activate your account, you’ll be asked to sign in. Sign in using your email (or username) and password.

Step 2: Upload a picture to your Gravatar account

  • Add an image to your Gravatar account by clicking one of the following blue links, visible after you sign in to Gravatar for the first time.   Gravatar-addimage

Step 3: Continue commenting

  • Next time you comment on one of Olivia’s stories, simply type in your name and email address, as you have been. Make sure you use the same email address that you used to sign up for Gravatar.
  • Now, when you comment, the website will automatically recognize you as a Gravatar user, and display your profile picture next to your comments.

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Let us know, or comment below if you have any questions.

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Fashionista Incoming

There have been many-a-talks lately about Olivia’s body temperature, specifically her ability to regulate her own temp without the help of a “warmer bed”. Technically speaking, Olivia was born full term, and now that she’s almost a month old the team doesn’t expect temperature regulation to be a problem for her. Or at least no more so than your average 4 week old newborn. And yet over the past few days the nurses have found her to be too cold during her assessment periods, and as a result they’ve resorted back to the warmer bed. So some of us on #teamOlivia are now on a mission to help her prove to the nurses that she’s ready for a crib upgrade.

Enter: baby clothes.

To date, we’ve kept Olivia in just a diaper for a number of reasons, including: her lines, her wires, and her leads. Not to mention the nurses needs to regularly assess her, her regular blood draws, and the fact that a certain someone hates, absolutely hates to be moved. Imagine trying to dress and undress a newborn with severe hypotonia and multiple PICC lines, who hates when any part of her body is moved. At least every 4 hours, if not more frequently. Doesn’t sound fun, and/or easy, does it? Hence why flying half naked in just a diaper has been the go to since birth. It’s been in everyone’s best interest, including Olivia’s.

But now it’s time. Time to dress the baby! Because sitting around in your diaper all day and night with just a couple of muslin blankets is sure to leave you cold every once in a while, right?

I am so excited. You have no idea how excited I am. Because, this:

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Olivia’s closet at home is full of goodies, just waiting for her! And while we won’t be able to wear all of these adorable little things just yet, we’re going to give sleepers a try. Specifically sleepers with buttons (not zippers) to provide space for her lines.

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Coming and Going

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When Olivia first arrived in the NICU, the room across the hall from ours was empty. For those first few incredibly frightening and emotional days, it was nice to feel like we had some additional privacy surrounding us.

Soon after, our first neighbor arrived. Olivia’s nurse warned Luke and me ahead of time: “A very sick baby is about to be admitted… you’re going to see a lot of people rushing in. Just a heads up so you aren’t surprised by the scene.” My first thought was one I probably shouldn’t share. I remember thinking: “Another ‘very sick’ baby. Well at least now we won’t be the only one. And maybe we won’t be the sickest baby anymore…” Obviously, in my right frame of mind, I would never wish ill will upon anyone else, let alone an innocent newborn. But that was my honest thought. Maybe, just maybe, we won’t be the sickest anymore.

A week passed. The faces and routines of the parents across the hall became familiar. We waved and smiled when we could, and witnessed each other breakdown in tears when we could no longer keep it together. We spoke on occasion to the grandparents as they visited, and socialized with one another in the lounge. But then we began to take notice of their baby’s progress. Like Olivia, their baby had been cooled, and warmed. We overheard that their baby came off the ventilator after only a few days. I watched mom and dad hold their baby, all bundled up, without many cords and wires connecting them to the bed. And I saw the little baby feeding peacefully from a bottle. A big bottle. Directly to the mouth. No ng tube. No continuous drip of a seemingly minuscule amount of breastmilk.

One morning, we walked into Olivia’s room and I paused. The baby across the hall had been discharged. The room now perfectly cleaned and prepped for the next baby in need of care. The first words that came out of my mouth were kind and wholeheartedly genuine.

“Oh wow,” I said as I observed the empty room. “Good for them. Good for them…”

Since their discharge, we’ve had another neighbor arrive, and that neighbor has since gone home too. We’ve seen a handful of rooms in Olivia’s hallway go from occupied to empty. We’ve seen parents walking past the secretary’s station with carseat in hand. Babies coming and going, all while we stay.

It’s a bittersweet concept. On the one hand, of course, I feel happy and hopeful. Happy for the families around us who get to bring their little baby home. Hopeful that one day we may do the same. But on the other hand, no matter how much I try to fight these feelings, I feel sad. Jealous. Resentful towards people I’ve never even met.

We don’t know if we will be here another two weeks, or two months. We don’t have a clear prognosis for Olivia’s conditions. We don’t know when, or if, we will one day bring her home. So we stay. We stay and we wait for answers and we hang on. All while loving on our little girl.

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23 Days Old: Daily Update

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Today’s activity focused on three areas: (1) newborn fashion, (2) GI/feeds, and (3) cardiology.

(1) Mom doesn’t like headbands, but our nurse found this handmade piece (courtesy of the volunteer “Cuddlers”) in Olivia’s drawer and thought it matched her blanket so nicely that she’d give it a go. Mom still doesn’t like headbands, but thinks Olivia looks too cute to take it off. For now at least.

(2) The team removed Olivia’s NG tube today, as she hasn’t been tolerating feeds very well. It was replaced with an ND tube, which bypasses her stomach and delivers the feeds directly to the first part of the small intestine. She’ll continue receiving the drip of breastmilk through this tube, and we’ll see if it helps get her gut moving. The indicators as to whether or not this method is “working” better than the NG tube include: seeing more regular (and unassisted) stools, and avoiding both distention and spit up.

If the ND tube does work, the team would look to slowly increase feeds via this method, and begin to decrease her TPN. Eventually they would then try to transition more feeds through an NG tube (to reengage her stomach) and ween down the ND tube.

If the ND tube does not work (as indicated by distention, or spit up), the GI team has a number of subsequent tests to introduce that could better help us better understand if her GI track is built as expected, and where any malfunction may be occurring.

(3) We learned during this morning’s rounds that the nurses and doctors recently discovered a heart murmur. The murmur is inconsistent, but has been noticed on multiple occasions by different providers. An echocardiograph was ordered and performed this afternoon. We did have a fetal echo done around 22 weeks during pregnancy, and it looked normal, but we were reminded that it’s not always easy to see everything during fetal exams.

Other medical details (for those of you taking notes): daily Dornase has been discontinued, ventilator remains at  a rate of 35, 19 over 6 ,with a pressure support of 10, and labs will be drawn tomorrow as part of her new Tuesday, Thursday, Saturday schedule, at which point we’ll get an updated blood gas, Phenobarbitol level, and bilirubin level.

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Rock-a-Bye Baby

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Having a child in the NICU is strange. I’ll just say that. In terms of one’s journey into parenthood, it really throws you for a loop. Everything you imagined doing with your child happens differently, if it all. You don’t feed your fussy baby every couple of hours (at least we don’t yet). You don’t go through a bajillion diapers a day. You can’t just pick up and cuddle your baby whenever you’d like. And you aren’t the one at your baby’s side every time she falls asleep and wakes up.

This last one hurts the most.

It breaks our hearts to think about Olivia waking up when we aren’t there. Waking up at a time when the nurse isn’t in her room. Waking up and being unable to cry to let someone, anyone know she’s ready to have some love and attention. Waking up and being alone… The thought of her falling asleep alone is no different.

She doesn’t fall asleep in our arms. We don’t get to rock her slowly, or walk the house in circles until she dozes off. She falls asleep in her giraffe. Usually to the sound of a heart beat (noise machine), with a hand hug from mom or dad. What’s also different is that she falls asleep when she wants to, always. There is absolutely zero concept here of “putting her down” or “trying to get her down for a nap” or “getting her to fall asleep” to align with someone else’s notion of a schedule.

She’s here, in her giraffe, all day and all night. Awake and asleep when her body decides.

Fortunately, Luke and I have been able to spend every day with Olivia. So we’ve watched her fall asleep countless times. Similarly, we witness those little eyes ever so slowly wake up, multiple times a day. We don’t always know she is immediately awake (because of her lack of cry), but we see her cycle through awake and asleep times all day long.

Out of all the hundreds of times Olivia has likely fallen asleep in the past three weeks, there are three specific moments that I hope I never forget. These are the times I felt most like a normal parent, rocking my baby to sleep.

Three times so far I’ve sat next to Olivia’s bed and felt like it was me – her mom – who put her to sleep. Olivia was already tired, but she needed the love of her momma to help her get to bed. Each time started just the two of us. Olivia and mom, hanging out, starring into each other’s eyes.

One time I slowly rubbed her forehead. Over, and over, and over. Until each blink became a bit longer, and finally her eyelids remained closed.

One time I could tell she was snoozy, and I spoke softly to her. Told her stories and held her little hand until off she went.

And one time, she was fussing and crying, fussing and crying. With one hand on the side of her face, I placed a finger on her lip. She started sucking slowly. A comforting reflex. She immediately stopped fussing and seconds later her face calmed completely. The beads of sweat on her forehead dried up, and her eyes began blinking, slower and slower each blink.

It’s little moments, I’m learning, that make you feel like a normal parent in the NICU. Three sleeps, out of hundreds, reminding me that no matter what our circumstances are, I’m a momma now. And our little girl needs me.

 

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