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Tuesday, April 19, 2011

Momma I'm coming home...

Moving Day: 04-03-11
This is a huge development! We were moved from the critical care side to the non critical care side meaning we are closer to going home. All of this went down Sunday night after we left. We are so excited to move from that side; however each baby has their own room. Not really a fan of this but the upside is that we are getting closer. I came down with a soar throat so I was banned for 24 hours to allow enough time for the antibiotics to kick in. As I was leaving the clinic I received a call to bring Dax's car seat up for the car seat test. What are you kidding me? I'm sick and we are testing for him to come home, OMG I'm not ready. I never thought this would be my reaction. Again a little numb since he failed two crib tests so it's hard to get excited when you have been let down. 

Rooming In: 04-05-11
Tuesday night we stayed at the hospital, no wires, no alarms, a tiny room with a full size bed, oh and did I mention an inferno room. Literally 80 degrees and they expected us to sleep in there. First words out of my mouth were I'm not sleeping in this heat, it's not a realistic temperature to be testing his body temp in. Of course anyone is going to be over 97.8 when you are layered up in an 80 degree room. So after my fit the temp went down and Dax barely held his temp. At 3AM we turned it from 73 to 76 and his 6AM temp was 97.9 (barely over requirement) Overall he did really well, we are both exhausted and this is only day one. Mr. Dax weighed in at 5 pounds 15.8oz what a weight gain compared to Feb. 27th. We are so proud of our little eater.

Daddy and his babies
Since we roomed in we were able to check on Blake throughout the night which was nice. Discharge the next morning was the hardest day for me. It was harder than the day I was discharged because I knew we were leaving Blake there by herself. Again I knew this was going to happen but did not realize how hard it would be. I cried the entire drive home. It was truly a bitter sweet day in so many ways.


First Night: 04-06-11
Dax man did really well, he stayed on the NICU schedule and has been a very pleasant baby. Not a lot of crying until daddy decided to watch the Thunder game at normal sound levels. Mom went to bed so dad had to deal with the monster he unleashed. Grandma Foster was able to hold Dax for the very first time. She was very excited to finally get to hold the little mini me of her son. I'm sure it brought back so many wonderful memories of Richard as a baby. 


The nursery was completed the next morning by my mom. Cathy Haskett Interior designs, she did a wonderful job. I just love it! Thank you Cathy!!!


Nursery






Headed home


Miss Blake left behind


Blake

Crib Test
Dax

Snoozing...I've got this crib thang down.


04-07-11 I'm not staying here...

Literally we got a call that overnight Blake was taking her bottle, holding her temperature, and pooping as she should be and that we could be taking her home as early as Sunday. She did a complete 360 turn around and the nurses told us they see this a lot in twins. Some what of sense that the other one has left. Well this was great news for us because we were close to completing our family. Next thought...Oh shit we don't have a car to haul both of them in. Saturday we got ourselves a car, got a call from NICU wondering where we were and the news that Blake's jaundice was back, this time a different form and that they were doing some additional ultra sounds on her liver and that she was not holding her temp. We also learned that she would not be coming home. My heart sank however I knew that this was the best because a sick baby needs to be in the hospital. Luckily the results were good with her liver. 

Blake is ditching this joint 04-11-11:

What a beautiful day! Both of my sweet angels are on the way home. We took Dax up to the hospital to get their hospital pictures made. Daddy on the other hand was a little distressed by my choice of outfits for his son....classic timeless smocks. 

We are quarantined to the house for 6 weeks meaning only outings are for doctors appointments. I had to take a class called Leaps and Bounds at the hospital explaining the risks associated with germs and their immunities. No one under the age of 18 is allowed to interact with them for 6 weeks. This is a precautionary measure to prevent sending us back to the hospital. My sweet niece Riley who I dearly love is not allowed to see them. 

Week 1 at home:

My mom and sister have gone above and beyond helping us this week. I can not thank you both enough for how much I appreciate what you two are doing for us. You have no idea how much it is helping me. Plus Blake and Dax know their Mimi and Auntie Who HOO. The babies are on their NICU schedule waking every three hours and it's very nice. Dax is starting to stay awake a little longer looking around and checking out this world. Blake is still sleeping a majority of the time but getting there. We were a little scared of bath time and put it off till we absolutely had to do it. Neither of us wanted to deal with the screaming and the "torture" of a bath. Finally we decided it was time. Both Blake and Dax to our surprised did not cry once. We were shocked by this. 

Please enjoy some of my favorite pictures from our first week. Thank you for all the calls, emails, and texts. 

Mom and Pop Foster...


Finally
Momma I'm coming home...



photo shoot time...

Blake

Auntie Who HOO

My angels


Another Quarantined baby...Aidan 




Sunday, April 3, 2011

Our life in NICU

Today I'm posting our journal of the babies progress since my last blog. Our world has been a little crazy lately. We moved into the new house and are trying to get everything settled. I seem to be a bit scatter brained, dropping things, losing my wallet in the parking lot at the hospital, and simply wasting the little amount of time that I do have with unnecessary tasks. The only feeling of control I have is to be at work right now. We thank you all for all of your kind words, facebook posts, texts, calls, cards and everything that you have done. It truly means so much to us. Special thanks to the ladies that came to our home to set up the nursery and unpack my kitchen. What a relief of stress you all took off my shoulders. I seem to find peace when I sit in their nursery and think about when they will be home. 


3-12-11
Both babies did really good today, Blake took a bottle and Dax was able to regulate his temperature. Blake has been dubbed the teradactyl, the wounded rabbit, the cat caught in a tree, and who knows what other names the nurses have given my itty bit. You know whatever that name is they probably are not gonna tell mama bear.

Diaper Duty:
So papa has been peed on multiple times now and I find it to be quite entertaining to say the least. Keep in mind this is the same man that said multiple times during the pregnancy that he was not going to be changing diapers. One thing that we have learned as a result of the rain showers is that if you see a baby boner you best take cover. Baby boner means that Dax man is about to spray you at any given second. Oh and one more thing, you always want to be pointed south bound in order to prevent wet clothes.

Clothes:
Since both have been doing so well they were able to wear clothes for the first time. I'm in the progress of getting their matching OU shirts and booties washed and ready so they can wear them next.


3-17-11:
Two cute little leprechauns stopped by the nurses station and left them a bag of little cuties, snickers, kit kats, and some cookies. Their names were Blake and Dax and they felt so lucky to have the best NICU nurses. Overall we think it was a hit and why not give the nurses a little extra incentive to be extra nice to our little itty bits. Dax the same baby that has slept through feedings decided that in honor of St. Patty's Day he would take an entire bottle. St Patty's day is the day of drinking so what a better day to begin taking the bottle. 


Our sweet Blake began having lime green vomit so she had all her feedings taken away to give her intestines a break. She is currently being observed, x-rayed, and has had part one of her lower GI testing. We are hoping and praying there is nothing wrong and that it's just a preemie thing. 


03-20-11:
Feedings are monitored very closely since we are trying to gain weight and make sure the baby gets the exact amount provided (no more or no less) So when they told me I could breastfeed for the first time I was so excited. It started out pretty funny considering TB told Dax this was his first tit even though it was his mom's there would be a lot more in his life time. Yes that was said to my sweet baby.



03-21-11:
We received the results of Blake's tests and so far they have ruled out genetic disorders and are leaning more towards this being a premature issue with her intestines. They began her feedings again at 3cc's a feeding. She is seriously pounding the 3cc's in literally 30 seconds. The amount is such a small amount that the nurse puts the milk in the tip of bottle nipple. 


SSBRTPDF:
Suck, Swallow, Breath, Regulate Temperature, Poop, and Digest Food is our life of the NICU world. We are on that roller coaster ride 24/7 and every day that we get good news that they have done this we get a set back so to say the least it makes for a very stressed out mom and dad. We go to the hospital everyday for the 3 wake time and stay till 7 or later. Our excitement is to take a temperature, change a diaper in hopes of a stool, hold them, and hope that they are going to take the bottle. Dax started out slowly and to date can pound 60cc's in less than 5 minutes, he's an animal. Blake is still putting it all together and working towards this accomplishment. She is currently on 20cc's and we hope everyday that she digests the little bit that she receives so we can get her closer to getting out of there.  Both are still in the isolates with temperature control. A week ago we thought we were close to getting Dax home and then he had to go back to his isolate due to temp control. 


03-27-11:
Four weeks ago today my sweet darlings were born. I still have not forgotten that pain to all of those who say you just forget it...umm not so much. Today we are waiting on testing for Blake and trying to rule out surgery. This is a bitter sweet day as we wait in anticipation of the outcome. She has been off food again as a result of the green vile return. This go around they did an upper GI test so we are just waiting and hoping it's positive results.My sweet baby had a rough day today. 
4 Weeks old 4 pounds 2oz

4 weeks old 5 pounds 3 oz



In Blake's short life she has now had a blood transfusion, 3 picc lines, multiple iv's, a lower GI test, and an upper GI test. She is a little fighter let me tell ya. So far they have ruled out surgery at Childrens, ruled out genetic disorders, and are now trying to diagnose the mystery. They resumed feedings and we are hoping this is reflux; however this has not officially been diagnosed.  Dax on the other hand is growing like a little bean, pounding the bottle except when it's his vitamins, pooping pretty much every diaper, and trying to get his temperature under control so he can go home. To date he has failed two crib tests, this is where he comes out of his isolate and they see if he can keep his temp up. If he fails he goes back into his little home. I like to say that he knows his tab is running and mom and dad are footing the bill. He has had one blood transfusion, one picc line, and to date he is officially not any kind of feeding tube or iv (fingers crossed this does not return). 


You know your life has changed when you go to dinner and toast your glass of wine to your baby having a poopy diaper. We never thought this would happen and no we will not become mini van owners. When Dax has a poopy diaper Daddy passes it off to me because he's not feeling the daddy vibe; however he has a deal with Blake that if she will give us one he will change it every time. 


Enjoy,
Ma & Pa






Hi Aidan
Blake's future boyfriend was born today! She was so excited to learn that Aunt Meredith was in labor. 


to big for preemie clothes, to small for newborn...





What up mom?









Beautiful handmade quilts that we love...






Pounding the bottle...

Sweet Blake 

Could not resist a mohawk


the bottle hold


love my little man


Blake on the bottle

first outfit

learning to bottle feed




Apnea (Thank goodness we are done with this...freaked me out every time.)

Apnea is another common health problem among premature babies. During an apnea spell, a baby stops breathing, the heart rate may decrease, and the skin may turn pale, purplish, or blue. Apnea is usually caused by immaturity in the area of the brain that controls the drive to breathe. Almost all babies born at 30 weeks or less will experience apnea. Apnea spells become less frequent with age.
In the NICU, all premature babies are monitored for apnea spells. Treating apnea can be as simple as gently stimulating the infant to restart breathing. However, when apnea occurs frequently, the infant may require medication (most commonly caffeine) and/or a special nasal device that blows a steady stream of air into the airways to keep them open.

Monitoring and alarm systems

Monitoring machines vary depending on the hospital and NICU. However, all monitors record the heart rate, respiratory rate, blood pressure, and temperature. A pulse oximeter may be taken to measure the amount of oxygen in the blood. You may notice that your newborn has various sticky pads or cuffs on his chest, legs, arms or other body parts. These sticky pads and cuffs have wires that connect to the monitor which often looks like a television screen and displays various numbers.
*Alarm systems go off periodically in the NICU and it does not always indicate an emergency.
Methods of feeding (Depends on the premature newborn’s individual needs)
Intravenous lines – This method carries nutrition directly into the blood stream. This method is used for premature babies who have immature digestive systems and are not able to suck, swallow and breathe in a coordinated manner. This method may also be used when treatment for other health complications is being implemented. An IV may be placed in the scalp, arm or leg.
Umbilical catheter – This method involves a tube that is surgically placed into a vessel of the umbilical cord. Don’t worry it is not painful. This method can carry potential risks (infection or blood clots) and therefore is used only for the most critical babies and with those who may need this type of feeding for several weeks. For these critical babies, it is the safest and most appropriate way to supply nutrients.
Oral and nasal feeding – This method involves a narrow flexible tube threaded through their nose (nasogastric tube) or mouth (orogastric tube). This method is provided for babies who are ready to digest breast milk or formula but still not able to suck, swallow and breathe in a coordinated manner.
Central line (sometimes referred to as a PICC line) - This is an intravenous line that is inserted into a vein, often in the arm which allows use for a larger vein. This is normally used to deliver nutrients and medicines that would otherwise irritate smaller veins.

Other equipment

Incubator – A clear plastic crib that keeps babies warm and helps protect them from germs and noise.
Bili lights – This is a bright blue fluorescent light that is located over your baby’s incubator. This light is used to treat jaundice (yellowing of skin and eyes).

What is Kangaroo Care? (our favorite)

Kangaroo care is placing a premature baby in an upright position on a mother’s bare chest allowing tummy to tummy contact and placing the premature baby in between the mother’s breasts. The baby’s head is turned so that the ear is above the parent’s heart. Many studies have shown significant benefits. According to Krisanne Larimer, author of “Kangarooing Our Little Miracles”, Kangaroo care has been shown to help premature newborns with:
  • Body temperature – Studies have shown that mothers have thermal synchrony with their baby. The study also concluded that when the baby was cold, the mother’s body temperature would increase to warm the baby up and visa versa.
  • Breastfeeding – Kangaroo care allows easy access to the breast and skin-to-skin contact increases milk let-down.
  • Increase weight gain – Kangaroo care allows the baby to fall into a deep sleep which allows the baby to conserve energy for more important things. Increased weight gain means shorter hospital stay.
  • Increased intimacy and attachment

How YOU can participate in the Neonatal Intensive Care Unit (NICU)

There are other ways besides breastfeeding and Kangaroo Care that a mother or father can help care for their baby in the NICU. Both the mother and father are encouraged by the NICU staff to interact with their baby. As a mother or father you may not see how it is possible to interact with your baby with all the wires, machines and incubator in the way. Surprisingly, there are quite a few ways you can accomplish this:

1. Touch your baby as much as possible. You can do this through gentle touch or even stroking motions.
2. Talk to your baby. Your baby is used to your voice(s) and it could be comforting to hear you. Along with talking you can read or sing to your baby.
3. Change your baby’s diaper.
4. Participate in your baby’s first bath. Depending on your baby’s progress, you may use washcloths or sponges to do this.
5. Take your baby’s temperature.



















Saturday, March 12, 2011

Our First Week or 34 Weeks-3-9-11

Thank you to everyone who has called, text, stopped by the hospital, and kept us in your prayers. Our little bits have a long journey ahead of them. They are constantly being poked with needles, x-rayed, and are hooked up to tons of monitors. All the monitors and cords look a lot scarier than they actually are; however most importantly you do not see them with oxygen. They have feeding tubes, monitors to watch their heart rates, oxygen levels, and pick line iv's.
Our first family picture



Baby Daddy Theory:
So I've decided that all babies come out looking like their dad so that your baby daddy must claim them. We already know who the mom since she carried them for 10 months or in my case 8 months; however the dad is a different story. The jury has come to a verdict that Dax is a clone of his daddy. Dax's hair matches the bulls chest hair and everything about the little guy is Richard. He sleeps like his dad, chills like his dad, and eats like his dad. There is no denying who this little guy's daddy is. Blake came out with very dark hair however her chin and mouth area looks like her daddy as well. The hair is starting to get a little lighter so I'm assuming by 40 weeks (normal birthday) she too will be a little clone. 

The life of NICU:
This week has been quite the roller coaster ride to say the least. Every time we get good news and are making strides we get a set back so mommy has been extremely stressed out and crying a lot. The jaundice went up to a ten on Blake (12 being the highest for her weight) so she was put under bigger and more lights. Her feedings were going great then they started to slow down because her tiny little body was having trouble digesting so she went without food making for a hungry little girl. She worked her way up to 5cc's of food every 3 hours and then had some problems so she went to nothing for 24 hours then to 2cc's of food every 6 hours. I too would be in a bad mood. She has these episodes where she forgets to breathe so alarms start going off and this seems to happen when she is on our chests during kangaroo times. The nurses come in telling us to pat her back so we can get her to take that breath. Scares the hell out of me every time even though I'm told this is completely normal. She has been receiving caffeine to help with this little forgetfulness.


Pick lines seem to be our common subject everyday. Both Blake and Dax have them and every time we turn around the pick lines have either moved or are not in the right place. Both babies are getting stuck and it breaks my heart to know this. We are not allowed to see this procedure for obvious reasons. 

I'm pumping breast milk like Bessie the cow and the goal is to be at 1000ml in a 24 hour period. I'm pumping 8 times within 24 hours, putting milk in containers to be frozen, and then hauling them up to the NICU. The milk is then thawed out and put into syringes which is put in a machine that feeds the babies through their feeding tubes. 

Blake now weighs 2lb 11.8oz so she is just over birth weight because babies lose their birth weight and then have to regain. She has a ways to go before I can start dressing her up. She must have her jaundice under control and must be at least 4lb. She is in the 10th percentile for preemies. When she gets mad she sounds like a wounded animal. The nurses have narrowed it down from a wounded cat to a taradactle. I personally think it sounds like Chad's coyote caller wounded rabbit. I hope this ends soon so Mr. Dax can get some sleep in the nursery. 


Dax is up to 8cc's of food and is beginning to root around (look for food). His jaundice is lowering slowly so hopefully he will be able to begin wearing clothes. He currently weighs 3lb 15.1 oz, a smidget over his birth weight. Once he hits 4lb and has no jaundice I will be able to dress him up too.


Friday 3-11-11:
We had good news today, Blake and Dax both had low enough billy ribbons to be taken off their jaundice lights. They no longer have to wear their eye protectors and are free from the lights. Tomorrow we will find out if they made it through the night without an increase in billy ribbons. They hit another mile stone in their development today; both successfully took a bottle. Only set back was that when mom and dad tried to feed they were to comfortable and went straight to sleep. The nurses were able to feed them successfully in their little temporary homes. 


Overall we are so much in love with our little blessings and just can't wait to get them home. We know in our hearts that all these set backs are completely normal in the NICU world and that we have to be strong for our little ones. Again we thank you for your kind words, thoughts, and prayers. Please enjoy some our favorite pictures from this week. 


Shanna and Richard


Mom and her sweet itty bits...


How your baby's growing: If they were still inside me....
Your baby now weighs about 4 3/4 pounds (like your average cantaloupepreterm labor, you'll be happy to know that babies born between 34 and 37 weeks who have no other health problems generally do fine. They may need a short stay in the neonatal nursery and may have a few short-term health issues, but in the long run, they usually do as well as full-term babies


Dax and Blake


When you look good you feel good and must coordinate with your binkie.


Checking out the world without goggles.


First bottle- Dax man


No bottle for me...
Daddy's girl...


Friday, March 4, 2011

32 WEEKS PREGO

32 WEEKS (leading up to the big day)


Well we made our goal of 32 weeks and the babies chance of survival went from 80% to 95%, what a relief. I began having contractions on Wednesday night. Every week I get asked have you had contractions and my response is I don't know, their response is oh you will know. To me that is so vague and I'm like okay whatever. Well I officially at 12:45AM knew I had some contractions. Those "practice contractions" woke me out of my slumber and for a minute I forgot I was prego and was thinking I need some narcotics. Then after a few they just went away like nothing had happened. It was almost like that earthquake we experienced a few months ago where we were all like what the hell just happened?


As a result of the minor earthquake I experienced, the neurotic side has come out. I'm freaking out about being packed for the hospital. Richard and I have the nickname the tornadoes given to us by my parents so you can only imagine what we have done to their bedroom. Richard keeps telling me we are not going to Libya and we will be fine. I on the other hand realize Mercy is 45 minutes away and if the water breaks prior to 3-14 it's go time, not pack time. So to say the least I'm on the verge of driving myself to Target getting an electric cart and getting my essentials since my husband seems to believe it's not a big deal. 


Thursday:
Blake and Dax both scored an 8 out of 8 today. They get two points for the following: movement, breathing, circulation, and heart rate.  The Warden came with me to the Dr. since the Bull had a closing. Doc was very excited that we are following his instructions and was so funny about it. I guess after seeing what I've seen in the lobby not to many people listen to his instructions. One thing I did say to the Warden prior to entering was be sure not to make eye contact, you might get beat up. Unfortunately we had no entertainment because I moved my appointments back to early morning as a result of the psycho circus I was previously in row 1 for. 


When the warden is away the inmate will play:
Disclaimer: The warden left me alone and the bull never called to bring me lunch so when you gotta have some eats you leave the jail. Oh and hit CVS drive thru and the bank. So I thought to myself CVS, Sonic, and Arvest are all within 100 yards of each other and I will not get out of my car so I will be fine. Sonic...check (discovered the orange cream slush) CVS...check (script filled) Arvest...check oh wait I'm busted! The tellers tell me my father (the wardens assistant) is in the bank and I'm busted. Literally busted! I really thought they were messing with me, no they were telling me the truth. I swear what happened to my smooth skills when I would sneak out in high school. Clearly I'm a little rusty these days. 


The last 48 hours:
Friday night I felt pretty good but was still harping on the bull that he really needed to have his bags packed and ready. I was pretty consumed with this and he seemed to just tune me out. Saturday he surprised me with a packed bag and I was so excited. I was starting to feel pretty bad with some light bleeding but had this massive amount of ambition that I was in no way going to be talked out of getting what I needed for my bag from Target. I was a hen on a mission and it did not matter how many people said not to do it I was doing it and was not having it any other way. So we went to Target where I drove a motorized cart, hit a few racks and beeped while in reverse embarrassing myself. Richard on the other hand would not walk beside me and I did not care, I was adamant that I was getting the things I needed. 


Saturday night again not feeling to hot and pretty miserable I got off the couch and moved back to bed for a while. All night long each time I got up it was like a waddling duck and the pressure was pretty intense but again at this point I really didn't know what was going on. 


Sunday morning I started having  some painful earthquakes and tried to go back to bed but just could not so we began to time the contractions for an hour beginning at 8:08AM. All the contractions were between 5-7 minutes apart and they felt pretty bad. I told Richard that I strongly suggest he take a shower while I'm counting because this could be it.  After an hour I took a shower and we headed up to Mercy. My husband, the same man that gets speeding tickets on a regular basis is now driving 60mph when the speed limit is 70mph as the pain began to get more and more intense. When we got to triage we were told to hang tight and that they were going to try to stop them with hydration. I on the other hand was asking for narcotics and wanted it to stop immediately. Remember the words you will know, yes that is true but for anyone who has never been through it I'm going to compare it to the worst menstrual cramp you've experienced and for a man I'm going to compare it to a charlie horse in abdomen and then add the pressure of feeling like you are going to have a major ass explosion. I think that is what the doctors need to tell us first timers in the future:)

Now keep in mind this is our third trip up to Mercy so to hear the words your dialated to 1cm was pretty surreal.  Literally before we knew it we were told that we were going to be having tiny tiny babies in the next 30 minutes. 


12:49 PM Blake Evelyn Foster was born weighing 2.10lb 14 and 3/4in 


12:50 PM Dax Glenn Foster was born weighing 3.15lb 17in






Our beautiful tiny little blessings were finally here and rushed immediately into NICU. I did not see them till 9PM that night. Monday was a rough day, I was very sick so dad stayed with his babies while I recovered. Dad changed diapers, took temperatures, and adored his little ones.  Both have been removed from oxygen and are currently being treated for jaundice. We were able to hold them for the very first time. Words can not explain how wonderful this was. Grandma and Grandpa Foster were able to experience this very special time with us. I held Blake and Richard held Dax.  Both just knew who we were and became very calm once they were on our bare chests. This is called kangaroo care where they have the skin on skin contact with you. Prior to this Blake was squealing like a wounded rabbit and then she became instantly calm. Dax was the same way and once his daddy held him he became calm. Let's just hope this works at home:) Yesterday both began receiving breast milk through their feeding tubes and both were able to digest it without complications. 

As always we thank each and everyone of you for all your kind words, thoughts, and prayers. These children are true miracles considering the journey we began. They are doing great and each day is a huge step towards their growth and development. The care they are receiving is unbelievable and we are 100% confident in our doctors and nurses. Our sweet little ones still have a long way to go; however considering the odds they are doing tremendous. I on the other hand cry every time I have to leave them so this is going to be a long 7 weeks. 

Miss Blake
Pain pain go away


Meeting Blake

Meeting Dax

Proud papa and his boy

Priceless

Baby Dax

Dax with his eyes open

Dad jumping in like a seasoned pro.

Mom trying to figure it out.

Yes that's an I Phone and a diaper for size comparison

True love



Dax man sleeping peacefully on daddy




Miss Blake

My itty bitty Blake, what a miracle she is.