Terrible, Horrible, No Good, Very Bad Day Redux

Thank you all for your supportive and kind comments in response to last night’s post. We are facing some challenging decisions as we proceed with assessing the best options for BabyBug’s future. There is no ideal approach in this situation and not a whole lot of prior cases to rely on – her condition is very difficult and very rare (especially when you factor in the Down syndrome) so it’s not like there is anybody who has seen this exact scenario a few dozen times and knows just what to do and when to do it. We will see what comes of the doctors’ case conferencing.

Last night was not a whole lot better than the day. Because of the swelling in Leah’s throat, she was having a ton of trouble breathing all night and spent most of the wee hours of morning gasping for breath. They did a chest x-ray and the surgeons determined that she had some edema from the IV fluids so they gave her extra Lasix, and they observed that her throat was swollen from the bronchoscopy so they gave a steroid to help open up her airway. She also had a third dose of morphine. Once she was able to breathe a little more comfortably, Leah had a relatively decent day. But toward the evening she got really agitated again and when the nurse went to give her Tylenol we saw that her g-tube was red and a little bit leaky. She has also been having a lot of residuals lately (food left in her tummy at the next feed). The surgeon is going to come by and take a look. In the mean time it’s back to magical mommy tricks in turns to try to keep her calm, if not make her fall asleep. I can hear her getting very raspy. She has had trouble with the tube all day because her secretions are super thick and hard to suction. On the bright side, because her mouth has been so dry (probably why secretions are thick), she is ALL OVER the paci. She even sucked on my gloved finger on and off for like, half an hour. It probably feels good to have something in her mouth that increases the secretions. The down side is that it makes her cough more.

Can you tell it’s been a rough night? And it’s not even midnight!

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LeahBug during her “feeling better” period.

Baby’s New Throne

We stayed over at the hospital last night. I woke up at 4AM but thankfully Leah was still asleep so it was just a minor interruption. Cut to about 6AM – we woke up to a SCREEEEEEAMING baby, because some meanie nurses came to steal some of her blood! How dare they! Ooooh, she was mad. I draped myself over the edge of the crib (who can stand up straight at that hour?) and petted her back to sleep. Win! Mandy got to take the next wake-up call in the 8AM hour. Another win!

We had to run a couple of errands today, so once we left the hospital in the late morning, we didn’t get back until the early/mid afternoon. WELL. As we know, Leah has impeccable timing. I headed up to the PICU while Mommy Mandy was parking the car, and I could already hear angry little yells as soon as I walked down the hall toward Leah’s room. I got to the room and stepped inside, and man, that kid was PISSED OFF. One of the med students was in there looking kind of helpless, and I washed up and scooped up our tiny tot, who promptly fell asleep. The nurse returned shortly thereafter and explained that somehow Ms. BabyBug’s Mic-Key button had fallen out. The whole issue was resolved swiftly; the surgical team re-inserted the Mic-Key and all was right in the world of otherwise-discombobulated baby bellies. Apparently the button just kind of floated out and her lunchtime feed followed it, soaking her clothes. It sounds like there wasn’t enough fluid in the balloon to keep it in place – or maybe Leah was just trying to get a head start on Wednesday’s replacement. Leah is fine, but I’m sure none of it was very comfortable, and after an ordeal like that the only proper medicine is Arms-of-Mommies. The kid practically passed out the minute I laid her onto my lap.

Leah had a lovely little nap and then visited with her Aunti Staci. We brought in a bouncy chair this afternoon, so we decided to try it out once Leah was more awake. She is so small so the harness didn’t work and she kept sliding down, so we had to roll up a blanket for her to sit on to make her tall enough to be buckled in. Yes – she needed a booster-seat to sit in the bouncy seat! But once we had her settled in, she loved it! She didn’t know what to do with herself so she crossed her eyes a bunch of times and looked around frantically, trying to take it all in. We noticed that she seemed to fixate on the pink mousie toy (thanks a bunch for pointing out its inappropriate shape, Aunti Staci). She’s looking at it in almost all of the pictures. I thought maybe it was because it was a brighter color than the other toys, but as I was posting the pictures tonight I realized that she may have recognized Mr. Mousie from her mobile; that’s where he used to live. That would be pretty impressive!

Later in the evening, Uncle Ralph came to visit and he and Bug had a nice time snuggling while Mommy Mandy took a nap in preparation for another sleepover. It’s just Mommy and BabyBug tonight; Mama Lisa is back at RMH so she can get a good night’s sleep. Well… there’s still time.


Oh hey look – a video! Mama Lisa and Aunti Staci introduce Empress Baby to her new throne.

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In one of our childhood home videos, I’m performing a song for the camera but somehow the lens drifts off of me and focuses on my toddler sister, who is mimicking and mocking me in the background. With that in mind, I would like to thank my child for upstaging her Aunti Staci in this photo.

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“You don’t say?”

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“Whoa! A bouncy chair? For reals?”

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“Toys and bouncing at the same time! Who knew it was possible?”

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“Hello again, Mr. Mousie!”

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Family portraits

This post will kill you with cute.

This was a weekend full of visitors! Yesterday, Leah visited with her Gran in the morning, and then later in the afternoon, she had some very special guests: Great-Grandma Marilyn, Great-Great-Aunt Joan, and cousins Allison and Charlie, who live alllll the way on the other side of the country! It was very exciting and Leah is glad she got to see everybody! Today, my cousins Kim and Natalie came to visit BabyBug earlier in the day, and then our friends Jessica and Toni came a little later. Then in the evening Aunti Staci and Grandma Barbie came for a visit – and they brought frozen yogurt for Mandy, so I’m pretty sure they’re Mandy’s new best friends. The light in the PICU room is awesome for pictures (except when it’s so awesome that it washes out people’s faces) so hopefully I’ll be posting more pictures now! Enjoy!

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BabyBug with Mandy and her mama in a three-generation photo.

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Cute Bug

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“Oh hai, Gran!”

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“YAWN.”

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Mama and Tiny

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Pretty girl!

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My absolute favorite photo of the day.

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How did we wind up with such a ridiculously cute little Bug? Her Mommy is pretty cute too.

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Sometimes we make scrunchy faces in our pretty pink dress. Sometimes we are sweet and precious (not that scrunchy-face isn’t also precious…).

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And sometimes we just stick out our tongues.

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Great-Grandma Marilyn snuggling with Leah for the first time

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More snuggles

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If Great-Grandma wants to steal Bug’s feet she’s gonna have to fight Mama for them! Mama called dibs on toes!

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Sweet hands

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I <3 my Grandma!

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GG Aunt Joan says she’s not a picture-taker but I think she did just fine!

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A couple of great-grands, both ma and auntie.

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Cousin Allison!

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More Cousin Allison!

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Cousin Allison with a sleeping tiny tot!

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Cousin Charlie, who has never seen “Charlie the Unicorn”!

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“Um, I don’t know about this, Mommy!”

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Sweet faces

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My beautiful girls

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Cousins Kim and Natalie, who held me when I was this small!

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The view from BabyBug’s window

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Quality time with Mama

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Leah was so happy to see her friends Jess and Toni!

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Aunti Staci and her Mini-Me

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Sweet Sleepy-Pie

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This face!

Day 101

Well, assuming I’ve counted right, today was BabyBug’s Day # 101. It doesn’t really carry any significance except that there is now officially a Dalmation for every day she’s been alive, but hey – random milestones keep things interesting, right?

A few words about the PICU. You remember how I talked about the general feeling on the baby floor? The PICU brings this to a whole new level. Generally speaking, when the babies are born in the hospital (or relocated from another hospital), they go to the NICU and they stay there until they leave or until they get too big (usually about 10 lbs – Leah was moved more for logistical reasons). My understanding is that once the babies go home, if they have to be rehospitalized they go to the PICU. So as tense as the NICU can be, there is still a great deal of joy, because it’s full of new babies. Yes, we saw a family lose their baby in the first week we were there, and yes, there are babies there with very poor prognoses. But we have seen a lot of families go home – families who have been there for a few days or a few months – and we have been so happy for them.

The PICU doesn’t seem to house a lot of joy. We’ve only been there for a day and a half but here are my first impressions (we’ll see how accurate they turn out to be over time): The PICU is for kids aged 0 to 21, and it’s a critical care unit, not just a pediatric unit (that’s on a different section of the floor). As far as I can tell there are kids who have cancer, kids who have been injured in car crashes and other accidents, kids in really serious condition. There are rooms that are occupied one day and empty the next and we can’t say for sure whether the change is awesome or devastating. It’s more quiet. There is less laughter. There are more people crying at bedside. Walking down the hall you occasionally see a kid being wheeled on a gurney, with a terrified red-eyed parent trailing behind.

PICU is also more isolating. In the NICU you have five other sets of parents in the same room with you, and I’m not saying you become best friends with every other parent, but there is a sense of solidarity, at the very least. Every baby may have its own issue and prognosis, but on some level and to some extent the NICU parents still share a common experience. And parents do talk and compare notes and commiserate and get to know the personalities of each others’ babies. And we get to feel that joy for each other when someone takes their little one home. At first glance, that solidarity doesn’t seem to exist in the PICU. Everybody’s situation is so different that I’m not sure it could even if we weren’t all in private rooms.

There is also less opportunity to get to know the nurses, since they are situated behind the nurses’ station and not at the bedside of one baby or another. I’m hoping this will become less of an issue as we get more acclimated. I mean, we were in the NICU for three months – that’s a lot of time to get to know people, and a lot of time for people to get to know us. I felt like there were a lot of nurses who really cared how Leah was doing. Some of them would even stop by on their way from point A to point B just to say hello and comment on how much she had grown. For whatever issues we had, there were a lot of good people in there who took good care of our little Bug. I hope we can build a similar trust and rapport in the PICU as well. Don’t get me wrong – I have no complaints about the nurses so far. They have been nice and very willing to help – we just don’t see them quite as often. It’s just different.

Okay – 36-hour observations aside… the Baby Empress has been enjoying her new territory, and she seems happy about the extra time with Mamas. Leah loves to be held and rocked (and bounced and petted and patted and snuggled and sung to), and sometimes that is all that will calm her down when something is making her uncomfortable. In related news, neither of us got much sleep last night. But I hear that’s how it’s supposed to be when you have a new baby. 😉 So yeah – I’m not saying she’s smiling socially yet, but we got a lot of little corner-of-mouth twitches today. What a precious little Bug we have.

And now… pictures.

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I think of Leah every time I see anything with a ladybug on it.

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“I LOVE YOU MOMMY!”

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Don’t stick your tongue out at Mommy!

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I know it’s a blurry picture, but how could I resist those little eyeballs?

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I am SO HAPPY that this kid is actually getting some natural light. She saw her first palm tree today! Through a window and from several stories up, but still! It’s a tree! And LeahBug saw it!

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Pretty in purple: Empress Baby’s new throne.

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Baby’s first bath in the new unit, pre-combing. We are terrible people. In all fairness, we didn’t do this on purpose. We just photographed it. Yep – still terrible people.

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“It’s exhausting being a baby!”

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Getting tucked in

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It’s not easy to catch the little smile-twitchies, but it’s a treasure when we do!

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Tiny hand

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Wittle toesies. Baby toesies are the best toesies.

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And of course baby yawns are the best yawns.

Honky tonk classics

I made a video for BabyBug’s fundraising page! I had to use a goofy cover of the background song since YouTube didn’t have the original available for public use. Our friend Faith made most of the original slides to put into an animated GIF, so I made bigger versions, added a few slides, and ta da! Honky tonk LOLBugs.

Still missing my BabyBug

Still not sure what the heck is wrong with me. I’ve had this sore throat since Monday night and it hasn’t broken into a cold yet. I went to the ER Thursday to get IV meds re: my whole ongoing Thing, and also to see if they could take a look at my throat. They don’t think it’s strep or anything, but it’s still SOMETHING so I’m not taking any chances. I went home this weekend to avoid getting Mandy sick (and also ’cause they don’t like contagion over at RMH – can you blame them?). The cats were thrilled to see me yesterday, but at this point I’m old news; at the moment, Lobo is fast asleep and Jeepers Creepers is trying to see what kind of trouble he can get into. He just tried to pick a fight with my bedside lamp.

BabyBug had a visit from her Aunti Staci today after two weeks apart (Aunti was at camp). While Aunti Staci was away, BabyBug sent her, among other things, eight postcards, a pack of white onesies and a box of rubber bands (HINT HINT HINT). Leah got her way and now she’s dressed like a hippie dippie baby. LOVE! Her weight has been at a standstill the past week or so – she was up to about 7 lbs 12 oz, I think, but I think some of that might have been fluid weight and she has lost a couple of ounces because of the Lasix. She’s 7 lbs 9.9 oz right now and has been hovering around there for a couple of days. They may increase her food again soon. She is already up to 70 mL per feed. Other than that, there is nothing new to report, which I guess is probably a good thing. They are still planning to switch out Mic-Key for Mini on the 21st.

Now I shall return to binge-watching “Orange Is the New Black” and leave you to enjoy photos. Yay.

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Hippie Dippie Tripped-Out Baby

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Look at this face!

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THIS FACE! OMG. Need to reach into the phone and pinch her little cheeks.

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Together at last!

Missing my Bug!

I had a bit of a sore throat today – not sure if it’s from being sick so much or if it’s from getting sick-sick, but I didn’t want to take any chances. So we improvised.

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“MAMA! OMG MAMA’S TRAPPED IN THE LITTLE BOX!!”

Meanwhile… I have another gastric emptying study in the morning. I get to eat a radioactive sandwich. It’ll be my first sandwich in months.

In better news… BabyBug is off of her antibiotics! Let’s hope it stays that way!

Just one of those days

Calling the NICU for a 2AM update and hearing your kid screaming in the background… kinda rips your heart out a little bit. She’s hungry. She’s uncomfortable. We’re supposed to be able to pop out of bed and go to comfort her when she’s screaming like that. Instead I’m getting a report from a stranger.

The doc said earlier today that Leah’s chest x-rays from yesterday and today looked worse than the x-rays from last weekend. She is pretty sure Bug is aspirating but isn’t sure how to prevent it aside from vigilant monitoring of the tube as well as keeping the kid calm (so much for that). They advanced her repogle another 2 cm (which I asked about like 3 weeks ago and was told it was unnecessary). She doesn’t seem to be tolerating it well, though. It keeps sticking to the lining of her throat and therefore not suctioning. Maybe they should have started with one extra centimeter.

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This took the tireless efforts of two exhausted but determined mamas utilizing such tricks as Mama’s Knervous Knee (built-in bouncy chair!) and Magical Mommysongs. It worked, but apparently it didn’t last long.

At long last, another photo-blast!

Not a ton to update today. BabyBug was more comfortable today (well, yesterday, technically, but I haven’t gone to sleep yet so it’s still “today”) than she was yesterday (well, Saturday, technically, etc.), but she was still pretty squirmy and pissed off to have to be hooked up to so many extra tubes. She has two IVs – one in her hand and one in her foot – as well as the nasal cannula and all the usual stuff. Plus she has to get her mouth and Mic-Key button swabbed with medicine for the thrush. With all of that going on, I’m surprised she did as well as she did today. Let’s keep hoping for no more fevers!!! And it’d be nice if she could go back to breathing independently, without extra oxygen.

I realize that it has been many days since I have bombarded you with photos. Therefore, I shall make it up to you now. Behold: the photos I have been hoarding since the last update:

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“Like, omigawd, totally, gag me with a spoooon.” OMG. Is my child going to pick up my Valley-girl accent?

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The “thing.” The nurses have us wear this under our shirts for a bit while we’re in the NICU so Baby has something that smells like us when we’re not there. Nobody is really sure what to call it so it’s just kind of “the thing.”

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I see little toesies! Do you see little toesies?

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Snuggling with Uncle Ralph!

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Chillin’ with Grandpa Bill

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Did you miss these little toesies?

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Not gonna lie – we giggled like 12-year-olds over this. And then we fixed it so that she was giving a peace-sign instead. This one, she came up with all by herself.

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“UHHHRRR?” (a la “Home Improvement”)

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Aunti Staci needed a pick-me-up. Babyhawk!

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Pretty girl basking in… um, as close to sunlight as she’s seen so far.

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Who’s our pretty tubeless girl?

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“Who, moi?”

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BabyBug sporting Beiber bangs, but in an ironic hipster sort of way. Look at that face.

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Mommy and BabyBug enjoying some snuggly time.

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BabyBug practicing what her Aunti Staci taught her – the art of the selfie. These are MySpace-worthy.

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Sweet Buggy Bug puts up with so much. But she LOVES her behind-the-ear rubs. “Dear Mommy. Do not ever stop. Thank you.”

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LOVE. THIS. FACE. Sweet Bug. Notice the ears sticking out due to Mommy being the bestest ever and giving another ear rub.

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“I love you, Mommy.”

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BabyBug showing off her pretty froggies.

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BabyBug’s really bad acid trip.