Showing posts with label NICU. Show all posts
Showing posts with label NICU. Show all posts

Friday, May 25, 2012

Birthday Bash - Happy Birthday Leaf

Today my baby girl turns one.

Smiley girl, you were not supposed to be born yet - and yet you were, and we are sorting it out day by day. Thanks to you, we have now spent every personal holiday (like our wedding anniversary) along with every major holiday (like Memorial Day) in the hospital - though, to be fair, we had your brother's help on that front.

May 25, 2011

May 17, 2012, Eating Dried Mangos

Happy birthday, little one!

In honor of Leaf's birthday today, and Acorn's birthday in a short 20 days, I'll be hosting three contests over the next three weeks, starting tomorrow - so be on the lookout for it!

Wednesday, October 26, 2011

A scary triggery day

The day before Acorn turned 5 months old, he went to surgery for his trach and g-tube:

Acorn post surgery

They told us it'd be quick - less than an hour, and that we'd have him off the ventilator by the end of the week. He reacted poorly to the medication they gave to sedate him, so he ended up being sedated longer as they weaned him...and then it took a year to get him off the vent.

Yesterday, the day Leaf turned 5 months old, she had surgery to put in her g-tube:

Leaf, post surgery
They told us it'd be an hour (longer than Acorn's surgery to do 2 things), and that they'd extubate her before sending her back up to the NICU.  They failed extubation twice, so they sent her back to the NICU on a ventilator. They gave her the same sedative they'd given Acorn, and it had put her out too much to make the second attempt at extubation a go. They were hopeful that they'd get her off the vent later that day.

It all sounded too familiar. It all looked too familiar.

The good news (as evidenced by the photo above) is that they *did* get her extubated just a couple hours after she went back upstairs, with nurses and doctors who knew her and knew what to expect from her, and just a few hours later was back to baseline.

Of course, I missed that part where things went better. I was with Acorn, off to see the ENT about a suspected infection in his trach incision, which turned out to be the internal stitches working their way out of his skin (which still carries a risk of infection because the blisters keep popping open), which also shouldn't happen.

Still, there are days that this stuff is just too damn hard.

Monday, October 10, 2011

Worst Mom Award

I've spent the last few days feeling like the worst mom ever.

Early last week, Acorn got hand foot and mouth disease from daycare. We've been paranoid about handwashing since he started there, but Leaf got it anyway.

Acorn's been cranky, and it seems like the rash is painful at times. He's had trouble sleeping. But other than that, no real issues.

Leaf, on the other hand, seems extra fussy....and won't eat orally (or at least, wouldn't until Saturday morning). Which is a problem, since we've only been working on it a couple of weeks and she was just starting to get the hang of it.

Now, HFM is extremely contagious - so contagious that doctors don't generally recommend keeping kids out of daycare when diagnosed, because they assume the other kids have already been exposed. But I still feel like it's my fault all around that my kids are sick.

I was ambivalent about daycare to begin with. I wanted a nanny, and then was unsuccessful at finding one, and my spouse was unhappy about the cost of a nanny. I was the mom who went back to work when Acorn was in the NICU because we needed insurance and we needed the money.....and I was the mom who wasn't willing to give up things like music lessons for my kids because there wasn't money (which is what happened when I was a kid). So it's my fault he needed care to begin with.

I also felt like there's something we missed in washing or sterilizing or something that resulted in transferring germs from Acorn to Leaf, since he generally stays in his stroller when we visit, and since we all scrub when we enter the NICU.

After Acorn's birth, I needed to go back to work. I needed the mental stability of having responsibilities other than the NICU - I needed that anchor in reality. I was depressed, and running away from my issues (namely, the NICU) seemed like a good idea.

This time around, things are eerily similar at the hospital, but dramatically different at home. Work isn't a helpful anchor, it's a distraction in the way of doing what is important. And that makes a heck of a lot of difference in the way it feels to leave Acorn in someone else's care, much less having to leave Leaf in someone's care when she leaves the NICU.

I'm sure both Acorn and Leaf will be feeling better in a few days - their rashes are already improving, and Acorn is going back to daycare this afternoon. Leaf and I had our best nursing session ever yesterday morning. 

But right now, it doesn't leave me feeling any better about heading back to work today.

Tuesday, August 16, 2011

Milestones

Today is Leaf's due date.

We're no where close to being home in the "due date plus or minus 2 weeks" that is typically quoted. We are, however, considerably past where Acorn was at his due date - a good 6 ounces heavier, wearing newborn sized clothes right on schedule, off the CPAP 6 hours a day and doing well with it, and there's milk in the freezer to last weeks....and I'm still pumping more.

This dress was really cute, but the nurses insisted she needed long sleeves to go under it:


And without the CPAP, with a hint of a smile:

Monday, July 11, 2011

A Little Project: Support for Pagan Parents of Preemies

According to the March of Dimes, 12.8% of births in the United States are premature - less than 37 weeks gestation. In most developed countries, it's a little less, 5-9%. The reason for premature birth is never determined in fully half of those births. Still, that's a lot of babies - 1 in 8 - so I know we can't possibly be the only Pagan family who's been through the NICU wringer.

These days, modern medicine produces some true miracles - one occupational therapist I know from our NICU experience points out that when she started working 25 years ago, the youngest babies that survived were 28 weekers - babies like Leaf. Babies like Acorn would likely not have survived at all (and frankly, I likely wouldn't have survived that pregnancy). Now days, more than half (depending on the study) of 24 weekers survive, and the youngest baby on record to survive was 21 weeks 6 days. That's not to say that there aren't lifelong complications for many of these tiny babies, but the odds get better the older babies are.

Life in the NICU is complicated and stressful. It has the potential to be more complicated and more stressful when your beliefs are not quite so mainstream. When you know that many of the people you're depending on to care for your child aren't going to approve of your faith, you have to wonder what happens to your child if you're open about your beliefs. Hospitals have chaplains, sure, but in many hospitals it's hard to know which of them will be ok with your faith and which ones will not.

I know - I've lived it. And right now, I'm living it again.

For those of you new to my blog, let me give you the brief back story: Acorn, my 3-year-old son, was born 13 weeks early, and spend 291 days in the NICU, along with another 13 days in various PICU units in his first year. He came home on a ventilator, unable to breathe without its assistance, and a long list of associated diagnoses. Leaf, my newborn (almost 7 weeks old at this writing), was 12 weeks early, and is currently in the same NICU Acorn was in.

After a lot of contemplation (because what else do you do when you're spending 4 hours a day every day for weeks on end with your breast pump, pumping milk for a tiny baby who cannot eat yet?), I've come to the conclusion that families like ours could use a little more in the way of support. Sure, there are mainstream preemie groups out there....but who do you ask about doing energy work on your preemie, or about doing baby blessings, Wiccanings, Sainings, and the like in a hospital environment? Who do you talk to about concerns about being in or out of the broom closet in what can sometimes be life-and-death situations?

With that in mind, I've got some resources in the works. If you know a Pagan family of any type who's in the NICU now or was in the past, feel free to send them my way.

First, a facebook page for parents to network. Search for Pagan Parents of Preemies, or use this link (I hope the link works - once there are 25 likes on the page I can get a shorter nickname link, and I'll come back and fix it). It's my intent to have some discussion threads, and to try to get a prayer/energy request post up every week.

There's also a blog - Pagan Preemies - I'm hoping to post the stories of different families here, along with other items as they come up, and suggestions for surviving in the NICU. Guest posts welcome.

We'll also be putting together care packages for families in the NICU. There's a request page on the blog. Long term, I have some big plans for these, but we're starting small - blanket, appropriately sized clothing, generally useful things (hand sanitizer, lotion, etc), a religious pendant or emblem, a battery powered LED candle, and so on. More ideas welcome, especially if you know where I can find the items you're suggesting.

Also on the blog you'll find a newsletter sign up. That will have a recap of items from the previous month and a list of all prayer/energy requests. It'll also have news about how many care packages are sent and what things we're looking for to go in them.

There are some additional things in the works. An ebook about surviving the NICU as a Pagan is in the works. A possible logo contest with prizes would be fun. I'd like to get some publishers to donate copies of the various prayer books that are out there, or maybe collaborate with other NICU grad families to create our own. I'm sure there's more that will come in time, but this is a good start.

A final note: at this time, this is not officially a non-profit, it's something I'm doing because I think it needs to be done, so donations aren't tax deductible. But, if you happen to run a church or other Pagan non-profit that would be interested in taking us under their wing, I'd love to hear from you!

Friday, July 8, 2011

Our Life in a Fishbowl

The essay below was written last year for a proposed anthology on chronic illness and spirituality. The anthology fell through, so I started thinking about what to do with this instead. I realized that it rings even more true now with Leaf in the NICU than it did when I wrote it, and I cried last year writing it.  

So, after some consideration, I updated a few things, and I'm posting it here as a prelude to a project I'm working on. I think families like mine - Pagan families of all sorts, with babies currently or formerly in a NICU - need support. We need connections to others. We need to be able to talk about how we navigate this journey, in all its stress and chaos, and come out the other side without losing ourselves. Next week I should have the remaining details ironed out, and I will post them at that time.

Without further ado, let me tell you about this fishbowl we've lived in for the last 3 years....


When your child is ill, the world stops.

When your child has a lasting illness...the world goes on without you, until you figure out how to get back on the ride.

My son Acorn recently turned three years old. In his first two years, he spent 291 nights in the NICU (neo-natal ICU), and another 14 in the pediatric ICU (those 14 nights were earned in 4 visits to two hospitals, and included an ambulance ride with full lights and sirens). In his third year, we had only one night in the PICU, and one on a regular pediatric floor – a huge improvement.

I went into this journey of parenthood with a deep faith in my Gods and Goddesses. That faith has seen me through thus far, on good days and bad, and helps me to continue to weather the storm. The events of the journey, however, have changed the way I approach the outward aspects of my faith – possibly for good.

Acorn is our miracle child in every sense of the word – a fertility treatment baby, born 13 weeks early and more than 2 weeks behind on growth even then. He's now 3 years old, running and playing and nearly normal – cognitively above average, about the right size for his age, physical skills are mostly normal, his lungs are improving week by week and month by month, he eats as well as any three year old, and he's cute as a button. I thank the Gods every single day for him – for all the things that have gone right, for the wisdom of doctors to make hard choices, for the staff that has cared for him, and for the things we've learned from him.

When it became obvious that he would be born extremely prematurely, I asked those same Gods to protect him. What I didn't know was the toll that the experience would take on all of us. I was very much out of the broom closet before parenthood – it was easier for me that way. For Acorn, being at least somewhat in the broom closet has been a necessity, and has been since his birth, and that's not the kind of Pagan or the type of parent I ever thought I'd be.

The first thing you learn about the ICU is that there is no privacy. Even though our NICU has “private” rooms for the smallest and sickest babies (which Acorn was), the walls were glass, and the nurses came running every time an alarm made a peep, plus anytime they felt like poking their head in. Six families were grouped together in these glass walled cubicles, and there were no secrets – our comings and goings, smiles and tears, all were on display for everyone to see.

Some families posted notes from their ministers on their message boards. Others went so far as to post crosses and pictures of Jesus and Bibles all over their rooms. We felt we could not place anything Pagan in our room to provide us the same comfort – we were dependent on doctors and nurses who, in most cases, would not share our faith – our child's very life depended on them, and the idea that they might treat him differently if they knew was too much to bear.

As the weeks in the NICU went by, we saw the chaplains a few times. All of them were nuns, except one (and she had sneaked up behind me one day when I was reclining in an easy chair, holding my barely 2 pound baby with his unstable ventilator connection, in a room barely big enough to turn around in, so she might have been a nun too for all I know). They asked if there was anything they could do for us, and I declined – I happen to know that I'm the only Pagan on file in their chaplain's office, if my nearly decade old file is even still there, with my no-longer-existing phone number from my previous residence. So, we kept an altar at home, and sang Pagan chants softly when we had a few moments without anyone in earshot.

We didn't have the church support that many of the other families did – no one brought us dinner or asked if we needed groceries or a break or just someone to talk to. The whole situation was extremely isolating.

At 4 ½ months, Acorn went into severe respiratory distress. To remedy the situation, he needed to be on a ventilator again, so he had a tracheostomy (a hole in his neck, with a tube to the outside, to breathe through – often called a trach by families in similar circumstances) – much like Christopher Reeve, after his spinal cord injury. He also had a feeding tube surgically implanted in his belly, and got much of his nutrition through it.

In fact, as weeks became months and we became the longest-resident family on the unit, nurses started sending other families to talk to us, so that we frequently didn't even have the privacy of being out of earshot of others. I got requests like, tell them your baby was the same size as their's and is just fine (well, as fine as a child with a tracheostomy, on a ventilator can be). Tell them that they're not alone, that they're in good hands. Tell them what a trach is, and how much better it is than the alternatives. I got questions from some of those parents too. How do you do this every day? How do you come in here with a smile? Telling them it was because of my faith only brought more questions. I deftly deflected questions from them about that faith, but could not avoid continued assurances from some families that their God would heal our son. Again, I found myself thinking how different the discussion would have been had we had a pentacle on our message board, or a goddess statue – would it have interfered with our ability to help these other families?

Another thing that I found: When most of your non-working hours are spent in a place where your religion feels unwelcome, it impacts your practice. I had no time at home to celebrate Sabbats and Esbats. I couldn't celebrate them openly with my child in the hospital. My in-laws kept butting in on weekends I had hoped to get a little time to go to rituals. I couldn't really celebrate anywhere.

What happened instead was a transformation – my practice became more efficient, more succinct, with fewer tools and props. Meditation and prayers became key tools – what else can you do when trying to hold a fragile child still enough not to dislodge the tubes and wires keeping him alive? Energy work took on new importance too – when your child is too sick for you to even hold him, all you can do is send energy; when others ask for your prayers (even though you aren't of their faith) and you need to spend time with your own child, energy can still be sent.

Even after finally leaving the hospital, we have nurses in our home every day. None of them are Pagan. As a family, we have taken to keeping our faith quiet, rather than losing good nurses because they're uncomfortable here. This has caused some issues with Christmas, but for the most part we've given up all privacy in favor of having our child cared for properly, because we have no other options. Altars have been moved into bedrooms rather than in the open, rituals are done in the hours no nurse is here, and we've been cautious about decorating Acorn's room with anything identifiably Pagan.

We can't exactly ask our nurses to attend festivals with us. We don't have enough nursing hours to leave Acorn at home for a weekend while we go away either, if we want to have enough care during the week to go to work. Even if we could swing a day out to a local festival, we've been instructed to avoid large crowds, to help minimize the risk of Acorn catching a cold or the flu, which can be very dangerous for a child with bad lungs. And how do you take a child on oxygen camping – off the ventilator, it's a little closer to possible, but still not very likely. So, again, we were isolated. I keep my solitary practice, though it's still usually quick and with few tools, and we do some things as a family, but not much in the way of public or group rituals. Most groups want you to put in a certain amount of time each month, and I just don't have it to give – not that I wouldn't love the chance to take time for myself regularly, but that for three years, our schedules have revolved around Acorn, around his therapies and his nursing schedule and his health.

In some ways, I miss those connections with other Pagans more than anything – not in terms of the strength of my faith, but in terms of having people to have conversations about faith with, and in terms of having role models for being a Pagan parent to a little boy who thinks the world is a magickal place.

One day in the not too distant future, we see a time when Acorn will be “just like” other children – when no one meeting him for the first time will suspect the story of his life, unless they know what to look for: the tell-tale scar from a tracheotomy, the careful pronunciation of a child with years of speech therapy behind him, the fleeting terror that crosses his face at the mention of a doctor, the absent minded fidget with his shirt where his feeding tube was.

They won't have the blessing of watching him learn to open his eyes when he was a week old, or the understanding of how amazing the human body's capability to heal can be. They'll just see the person he's become – the child of the Goddess he's been all along.

Until then, I lean on my faith, and the deep well of peace it provides, and I enjoy my daily reminder of how magickal the world really is.

Friday, May 27, 2011

New Arrival!

Baby Leaf was born Wednesday (28 weeks, one day), weighing a hair over 2 pounds. There's lots to say, but I think I need to wait until I'm not in the hospital to say it - I'm already on their hit list for "Post Partum Adjustment Concerns" and I feel like they're watching a little too closely for my comfort right now - and this has hit far closer to home, and brought up far less pleasant memories of Acorn's birth, than I feel they need to hear.




Leaf actually made it most of the first day on CPAP only, but has since been intubated and put back on a ventilator. She's doing well, really, and should be just fine.

I'm doing well to. Thank goodness for an OB who decided to say enough is enough, and decided to just do the c-section before either of us crashed - we'd had progressively more problems with Leaf's strips on the monitors, and progressively creeping blood pressures, and the outcome that high risk was waiting for was for one of us to no longer tolerate the treatment. I may hurt like hell from surgery, but I do not feel like I've been hit by a truck, and I have the energy to get up and do the things that need to be done, and didn't have to spend a lot of extra time on magnesium trying to keep my blood pressure down after surgery. Leaf is little - but we didn't deliver because she wasn't getting enough oxygen or because her heart was giving out or because she was *too* little and not getting any bigger, which was a big part of why Acorn got delivered. We might have been able to eek out another couple days, but the likelihood of issues grew with each day.

So, for now, lots of easy breathing vibes for Leaf, and lots of pumping for me. We've had issues getting pumps in my various rooms, which has not helped matters. But now that I'm in one place again, things are getting more situated and we'll work through it.

Wednesday, July 7, 2010

If not the NICU, then where?

Welcome to the July 2010 Carnival of Nursing in Public


This post was written for inclusion in the Carnival of Nursing in Public by Dionna and Paige at NursingFreedom.org. All week, July 5-9, we will be featuring articles and posts about nursing in public ("NIP"). See the bottom of this post for more information.


***



So, if you consider the NICU as being "in public," then my entire breastfeeding relationship with Acorn (all 3 weeks of it) was in public - every session, every day (well, ok, the two times a day he was allowed to breastfeed).

I considered it nursing in public - we were in a pod that housed 10 infants and their families, plus 4 nurses, and a never-ending stream of doctors, residents, and nurse practitioners, plus a lactation consultant.

I always found it funny that the nurses rushed to find screens to put up around the nursing moms - we were in a hospital, for goodness' sake, in a room where all of us were encouraged (sometimes to the point of badgering) to pump a the very least for our tiny babies. Every woman there had a pump set; every woman was expected to at least try to breastfeed...and yet it was still seen as a time and place where we needed to hide and cover ourselves, when every other part of our lives there were so very public.

I was the odd woman out, nursing a 4-month old who was still more fragile than the other 3-week olds in our pod. I was the only one there who had started with the intent of exclusive breastfeeding - although by this point we were already supplementing my exclusively-pumped supply. I was the only one there who didn't go looking for screens when we sat down to breastfeed - I sometimes turned my chair away from the rest of the room, but that was as much to keep my child's attention as anything else - besides, we had a window space, and I liked the view.

Our breastfeeding relationship ended when Acorn's respiratory status went downhill. I held out hope for another 3 months, pumping every 3 hours round the clock, with my supply decreasing weekly, but reached a point where he was not going to be able to eat (possibly for years) and I needed sleep more than I needed to make breastfeeding work. He's much better now, for which I am grateful.

But if we can't even nurse openly in a hospital, in a room full of mothers and babies who are all learning to breastfeed at the same time, what hope do we have for nursing out in the rest of the world?



Art by Erika Hastings at http://mudspice.wordpress.com/


Welcome to the Carnival of Nursing in Public


Please join us all week, July 5-9, as we celebrate and support breastfeeding mothers. And visit NursingFreedom.org any time to connect with other breastfeeding supporters, learn more about your legal right to nurse in public, and read (and contribute!) articles about breastfeeding and N.I.P.


Do you support breastfeeding in public? Grab this badge for your blog or website to show your support and encourage others to educate themselves about the benefits of breastfeeding and the rights of breastfeeding mothers and children.




This post is just one of many being featured as part of the Carnival of Nursing in Public. Please visit our other writers each day of the Carnival. Click on the links below to see each day’s posts - new articles will be posted on the following days:

July 5 - Making Breastfeeding the Norm: Creating a Culture of Breastfeeding in a Hyper-Sexualized World

July 6 – Supporting Breastfeeding Mothers: the New, the Experienced, and the Mothers of More Than One Nursing Child

July 7 – Creating a Supportive Network: Your Stories and Celebrations of N.I.P.

July 8 – Breastfeeding: International and Religious Perspectives

July 9 – Your Legal Right to Nurse in Public, and How to Respond to Anyone Who Questions It