The Countdown Begins

Leah’s surgery is in 23 days.

I guess summer is over. It’s been very hot the past few weeks, and suddenly I went downstairs and stepped outside to see this:

006

Gran drove me to an appointment in Pasadena this morning, and what was overcast and a little drizzly on the way there, turned on the way back into rain slamming the pavement and LA drivers becoming even more terrifying than they already are. The weather in Leah’s room is also pretty challenging. Yesterday we gave her a bath, and before undressing her we turned the thermostat up to 85 degrees in the hope that it would at least get a little bit warmer in the room so the kid wouldn’t start shivering. Well, it didn’t get warm. A little later we checked the thermostat and it was 70 degrees in here, even though it was set at 85. So we asked them to call maintenance and turn up the heat a little bit. Cut to 45 minutes later and the room was practically a sauna. Sheesh. There is no middle ground!

It was Baby Central in PICU this week, but lately there are some bigger kids coming in. The pediatrics waiting room has been PACKED all week. It’s like a giant party in there every day. I’m not sure if it’s one kid with a huge family or a few kids with moderate-sized families, but it’s SO BUSY in there almost every day. Even the security desk downstairs has been busy. On Sunday the line out the door was like the line at Diddy Riese.

Just need to take a moment to vent:

I’ve gotten to the point where I no longer volunteer Leah’s story to Peds and PICU parents who start a conversation with me (like in the elevator or the little room with the microwave) unless they ask for it. I’ve found that most of the time people just want to talk to anyone who will listen, so I let them. If they say they’ve been here for a month, I just say, “Wow.” It’s not a competition. On the other hand, I am endlessly grateful for Leah’s relative health compared to some of the other babies here. It’s easy to forget, in the colorful little bubble that is Leah’s room, how sick some of the other kids in PICU and Peds actually are. On the OTHER hand (said Tevye), Leah can look deceptively healthy. The lead PICU doctor (at least I think he’s the lead doctor as he really doesn’t see Leah that often and isn’t one of her main docs) has suggested more than once that Leah be moved to Peds to make room as flu season approaches. This is based largely on the fact that she is not intubated, and also due to some confusion over whether the fact that nurses aren’t logging every single clog necessarily means that Leah is improving. Memo: This suction tube situation only gets worse, not better. There is no improving on that front until Leah can swallow.

Thank goodness the surgeons shot down that suggestion immediately. I know that this doc is just anticipating a higher volume of patients and trying to stay a step ahead by taking ‘inventory’ in advance, but Leah is in a precarious situation and she needs to stay put. It’s easy enough to look at her and say she’s healthy enough to leave the ICU until her surgery, until you remember that the only thing keeping her healthy is that suction tube and the CONSTANT monitoring that it requires. As one of her nurses put it, that tube is her life support. It’s the only thing standing between Leah and aspiration pneumonia, which can be fatal and which would certainly throw a wrench in the plans for her primary repair. The last thing Leah needs before her surgery is to be placed on a unit where she isn’t going to have the vigilant monitoring required to keep that tube cleared and functioning. She can’t afford to get sick. If she was moved to Peds, she would develop pneumonia and then have to return to PICU, but in worse condition than she was when she left. What good would that accomplish?

The last time it was mentioned, he suggested that we be taught how to do the flushing. Totally not cool. We already feel we have to be here when a new-to-Leah nurse comes on duty because things don’t always get passed from nurse to nurse. We are here with our baby every day – for five months – but it is simply not fair to put us in a position where if we leave the room even for a couple of hours we are putting our child’s life at risk. It’s too much to ask.

Thankfully he hasn’t raised the issue again in the past few days, but I know it will come up again as the unit fills up.

< / end vent >

Okay. Can you tell Mama is getting more anxious as the surgery date draws near? That’s enough for one blog, anyway. Have some pictures.

018
Nomming on knuckles

014
Look at those chubby thighs!!

025 022
“Hi Lizzie! There are no spiders here, only BabyBugs!”

058
“OM NOM NOM MOMMY SHOULDER!”

035
I want a dress like that! It looks so comfy.

072
Precious

090
Working hard!

100
“OMG, it’s Cool Auntie Erin! I shall stare at her!”

130
“Aunti Staci is here! I’d better go to sleep before she tries to teach me how to keep my tongue in its house.”

110
Cutest sleeping face ever.

111
Sweetie pie

117
Can’t handle her little eyelashes!

042
OMG. Does this even need a caption?

127
“WHEEEEE! I’m a baby!”

061
“OM NOM NOM. FINGERS.”

011
Blurry but sweet.

016
“Oh hai, Gran! I hope your arm feels better soon!”

019
“Mama and Gran are so silly.”

056
“Like, omigawd, Mama, look at my totally awesome bracelet.”

054
I love her little eyebrows. She is so expressive.

A word you haven’t heard in a while: PHOTOBLAST!

WHEW! Bet you missed that word!

Here’s another update you haven’t gotten in a long time: Leah weighs 4.54kg, which translates to 10.009 lbs. That’s right – BabyBug hit her 10 lbs mark right on time – in almost exactly 5 months. She would be ready for surgery now except that her surgeons are going out of town mid-month and they don’t want to leave right after her procedure because monitoring is so critical. But I’m pretty freaking impressed with their guesstimate as to how long it would take Leah to reach 10 lbs. She’s actually been up and down between about 4.5 kg and 4.6 kg for a couple of days, but she seems to be squarely on the 10 lb mark. They just raised her feed to 80mL from 75mL and started adding whey protein powder to her milk. They felt she wasn’t gaining enough with just plain breast milk, so they advised adding the protein. I guess it’s better than the formula, at least. The down side to the protein is that it makes it harder for Leah to produce the dirty diapers we so love to change. The past couple of days she has had a hell of a time. But we’re pretty sure she has learned the word “suppository.” She was crying in discomfort all afternoon on Friday. Her nurse finally got the go-ahead to give a glycerin suppository and was just about to start prepping it when Leah threw her hands up and said, “OKAY, OKAY, you WIN, I’ll POOP.” It was pretty funny. Today was another rough tummy day. She screamed at the top of her lungs for roughly 45 minutes, but admittedly, part of that was because Mama fed her a little late because we were busy dealing with tubey stuff. It took two Mamas AND the nurse and almost an hour to get the whole feed down. A little while later she gave us two giant yucky diapers and was suddenly a different baby, all wide-eyed and ready for playtime. Her doctor said we can go ahead and give her a little bit of prune juice but he wants to clear it with surgery first.

And now you are fully updated on Ms. LeahBug’s status. Don’t you feel well-informed? Hey – this wouldn’t be a proper baby blog if you didn’t have to hear about poop occasionally.

Other updates: Gran had to have surgery on her broken wrist on Friday. I wonder if she will set off metal detectors now. I’m still in some pain but have stayed out of the ER since last Monday. Good times. Mandy is sound asleep after spending the day with an icky migraine. In more cheerful news, we had a nice little night out on Friday when we went to see Auntie Erin’s band play at the Voodoo Lounge at the House of Blues. Very, very cool. We’re kvelling over here. And earlier today LeahBug got to snuggle with her cousins Sasha and Savannah for the first time. She fell asleep in Sasha’s arms. Sasha, you should take that as a compliment.

108
This is what our hair looks like in the morning. Shhhh. Don’t tell anyone.

076
Knocked out in one of her baby shower onesies.

112
“Oh hai, nursie!”

138
Tubeless and sleepy

079
Knocked out on Uncle Ralph

143
“I’m the King of the World!”

154
Sweet little face

013
“Really? Look at these eyes? Do these look like eyes that are awake enough for tummy time? Really?”

234
Okay… THESE look like eyes that are awake enough for tummy time.

247
Sleeping with one eye open – just in case the Mamarazzi decide to pull some of their little tricks

250
“Tummy time? Here’s what I think of that idea!”

263
“Another picture??? I thought we talked about this!”

277
She’s into all the latest fashions.

241
I could stare at this little sleeping punim for hours.

244
More shayneh punim

037
Cousin Savannah

040
Cousin Sasha and the sleeping Empress Baby.

041
Cousins Savannah and Sasha.

032
Cousin Savannah just got upstaged.

043
Cousin Oleg being a hammy ham

047
Auntie Corine

342
“Let’s talk about this outfit.”

344
“Enough talking. Time for glaring.”

056
“Auntie Co, my fingers are so nummy!”

352
“I gotta get out of this outfit, see? I need a footie sleeper, see?”

090
Well, two out of three paying attention ain’t bad.

355
Theeeere we go.

061
“Let’s talk again about this outfit.”

062
“Mama, it needs black leggings and pink sparkly shoes. Come on. Get it together.”

064
“This is as close as you’re getting to a smile. Like it.”

361
A deep and meaningful conversation with Aunti Staci.

371
You can’t help but love this little face.

312
Tiny baby all tucked in.

067
Knocked out after a long, hard day of babyness.

Reunion!

Not a ton to update today but I feel guilty about not updating for a few days, so here I am! BabyBug had a better day today – she got lots of sleep and hasn’t pulled out the tube yet, though it did get loose once. She had a bath earlier this afternoon and it knocked her out for a bit.

We have been seeing NICU nurses up here for the past few days; apparently it’s been quiet down there so the nurses have been “floating” here. We heard that one of the NICU nurses is moving to a different hospital after today, so we went downstairs to say goodbye, and wound up running into a handful of Leah’s other NICU friends as well. We had a nice couple of minutes showing off BabyBug’s Big Girl pictures, and then one of the nurses took a break and came upstairs to visit with Leah for a little bit. We had a nice visit and Leah was happy to see an old friend, although she seemed a little wary at first: “Are you going to mess with my tube? No? Okay. You may stay.” I can’t wait until we can bring her downstairs to wave at everybody before we take her home!

Now Mommy and Mama are having a nice quiet evening with BabyBug. We attempted tummy time, but Bug was so tired that all she really did was try to see whether pink and green taste the same. No word on the verdict. At present, Leah is snoring into Mandy’s shoulder.

I would like to state for the record, BTW, that there is absolutely nothing better than a giant babysmile. Even if it’s random and not quite social yet. It’s the best. The very best. That is all.

Mama Dramarama

For those of you keeping track of the Mama Drama… the answer to the question, “How did it go Saturday night?” is that I just spent five hours in the ER this afternoon/evening after spending all of yesterday feeling like I drank acid and after being sick most of last night. The surgeon did say it could take a few weeks to see a difference since I’m still healing from surgery, so I’m not writing this off as a failure – I just think maybe Saturday was a leeeettle too early. Will keep you posted, as always.

Leah had a pretty uneventful day, which I guess is the best kind of day when you’re in the ICU. She had her blood drawn this morning (boo!) and her 6PM feeding was late (hiss!). She had a visit from her cousin Beth, who came bearing awesome gifts from various family members (pics when I upload a new set!). The little Bug wore herself out with crankiness (due to the late feeding) and now she’s totally knocked out in her vibrating throne. I think Mama will follow her lead and get some early sleep tonight. Maybe.

20130930-202039.jpg
Our sleepy girl and her piiiiiinchy cheekies

Ready to report for work duty!

When we first got to the NICU, we talked to various parents who had been there for several days, several weeks, and several months. I remember being in total awe of the parents who had been there for months and were still hanging on. It seemed like such a looooooong time – like something impossible. These days, we meet parents in Peds or newcomers to the PICU and they ask us how long we’ve been here… and we tell them and watch that same shock spread across their faces. That’s us now.

On a lighter note, my surgeon said I could try solid foods today (slowly and nothing too heavy), so Mandy and I took the opportunity to have a dinner-date night. We were back in the PICU before 8:30PM! Short date, but still nice.

Leah wore the most ridiculously cute outfit today. It killed me with cute. Have some pictures.

020
And Mommy Mandy rolls her eyes at ME?

022
“Guuyyyyyss! Come ooonnnnn.”

041
“Thank goodness that flower is gone!!”

031
“What do you meeeean I can’t go outside to play? I’m dressed for fun!”

025
Staring at our nurse and willing her to stop trying to take our blood pressure.

031 (2)
“Mmmmm, purple.”

046
“Mmmm, Mommy shoulder.”

002
“Mommy is so silly! Silly Mommy!”

004
“Oh no! It’s the Mamarazzi!”

Photos photos photos!

I am SO EXHAUSTED so I’m going to keep this short. BabyBug had a couple of OT sessions this week and they are working on some new skills, including cause and effect. They linked her little plastic rings to hang off the mobile and then let her pull on them so she can see that when she pulls, the mobile moves. We need to get her some more toys that react when she does something to them. She is so fascinated by it. She is playing more with the rings while she is in her vibrating seat. She still manages to get them onto her wrists but now she is trying to put them in her mouth as well. And those tiny fingers are days away from being nommed by tiny baby lips.

Not much else to update. Mama is still a bit of a zombie. Tomorrow I will try solid food for the first time since surgery. Yikes.

010
Sweet face

025
OMGCOOL

004
Sillie Jo!

015 (2)
Hi Cathy!

035
EmoBaby drifts off to sleep. Check out her bangles.

041
She loves her Mommy!

045
BabyBug’s first Shabbat candles! (LED FTW!)

Loopy Mama

Let me just get the Mama update out of the way: Surgery seemed to go well. It will still be a little while before we know whether or not it actually worked; I need to heal first and can’t just dive face-first into a giant plate of chocolate cake (as fun as that sounds). My surgery was Monday morning, and by about noon today I was ready to head out. If I didn’t have a baby to get back to I probably would have stayed one more day, but I do, so I didn’t. In case you were wondering, my meals in the hospital consisted of heavily-salted broth, decaf coffee, generic Jell-O, and vanilla soy milk. Cream of Wheat for breakfast. Very exciting. The surgeon said I can experiment with solid foods starting over the weekend but not before then. Here’s hoping for some sort of positive change!! In the mean time, let’s just scrape by with as little pain as possible so I don’t completely lose the next few days in a Percocet haze.

Not too much on the LeahBug update front. The dietitian wants to start fortifying the breast milk again, but this time it would just be pure whey protein powder and not baby formula with unpronounceable mystery ingredients. We’ll have to decide on that in the next couple of days but I think pure protein powder is better than formula, at least. Speaking of nummy protein… Leah has fiiiiinally discovered that fingers can go in mouths. She’s still working on the whole thumb-sucking arrangement, but she’s managed to nom on her fingers a few times. I knew she would catch on eventually!

I had a lot of spare time in the car today (thanks again for shlepping me around, Dad!!!) so I started tweeting at some of my favorite folks on Twitter in the hope that they would retweet and get the word out about Leah’s story and our GoFundMe page. Look who answered our call:

093

095 099

How freaking cool is that? Thank you, Jane Espenson and Amber Benson!!!

If you are on Twitter, will you please retweet their posts?

And finally, I certainly can’t post pictures on the blog without posting BabyBug’s sweet little face, so here you go:

143
We are SO CLOSE!

136
Almost a smile…

127
Sweet baby-doll! Look at that tiny tongue! We need to figure out a way to keep it inside that tiny mouth. Any suggestions, speech-path posse?

Now it is time for me to sleep. Forgive me if I don’t remember any of this in the morning. :-/

Woooooo, drug-induced post

Well, I didn’t die on the operating table, so that’s a start. Still totally out of it. Keep drifting off as I’m typing and making lots of errors that autocorrect can’t fix. Taking me FOREVER to write this. Oy vey. Hard to breathe, too. But I’ve heard that Leah has one of her nursie friends taking care of her, so yay.

Tick tock tick tock

We had a nice day today. Aunti Staci and cousin Jenna came by in the afternoon, and Uncle Ralph visited in the evening and then brought me back to RMH. Leah’s big project right now is trying to figure out how to suck her thumb. She’s getting closer and closer every day but refuses to let us show her. She wants to figure it out herself. She has also been doing extremely high leg-kicks lately. She gave her cousin Jenna a nice kick in the chin this afternoon.

I have to be up at 8AM to get ready for my surgery, which of course explains why I am up at 1:30AM making updates to the blog. Who can sleep knowing they’re going in for surgery in the morning? So I added two new “pages” to the main menu.

Is it weird that I’m more nervous for Leah than I am for myself? I’m usually there during the day and often at night to make sure the repogle behaves itself, and often I have to call the nurse in to manage a “tube incident.” I’m hoping the next few days will run smoothly for LeahBug. Gran will be there to keep her company and make sure she doesn’t pull the thing out or hack it up, both of which she does on a regular basis. We asked the charge nurse to please assign familiar faces to Leah for the next few days and nights, so hopefully that will happen. It’s not that Leah’s care is so complex right now while she’s awaiting surgery, but it is extremely particular and the consequences of messing up are pretty freaking awful. In general, but especially when we’re not there, it’s important that whoever is taking care of her knows her peculiarities and is comfortable monitoring the suction tube and recognizing when it’s clogged or stuck. BabyBug hasn’t quite learned to use her words yet. :-/

Okay. I guess I should sleep so I can wake up. Wish me luck!!

Family reunion!

BabyBug had a big day today! Aunti Staci and Grandpa Mannie came over in the morning, and Aunti Staci proved that she can’t be left alone with Mama Lisa’s phone. I really should have known better – any phone that winds up in her little hands generally returns to its owner with a background picture of Aunti Staci. Oy vey. Sneaki Aunti!!!

A little while after Staci and Grandpa arrived, Leah got to meet her cousins Phyllis and Roy and one of their daughters, Marci. It was a nice little reunion; Phyllis is my grandpa’s niece and they hadn’t seen each other in years and years. If you’re reading, it was absolutely awesome to see you guys and I hope you had a nice visit. Please definitely let us know next time you’ll be in our neck of the woods. And Marci, there’s a pair of bitty babyfeet waiting for you in the PICU whenever you want to come visit again. 🙂

After our cousins left, my sister and grandpa stayed to visit for a bit and then headed home as well. Shortly thereafter began another round of visits; Gran came over, followed by friends Cheryl and Gary. After they left, Gran chilled with LeahBug while Mommy graded some papers and Mama got some stuff done on the computer. Eventually things settled down and we got back to Mommy+Mama+Baby time, which is a fancy way of saying that Mama and Mommy spent a couple of hours dancing and singing and bouncing and rocking and patting and petting (and Lasix-diaper-changing) to get a BabyBug to sleep. She would fall asleep in our arms and then morph into Ms. ScrunchyFace the minute we put her down. We were finally able to get her to sleep in her bed a little earlier this evening and managed to get in one episode of “Breaking Bad.” We are trying to catch up on the current season before somebody goes and spoils it for us on Facebook like they did with the season finale of “True Blood.” Not cool!!!! We’re watching it with headphones so that our child doesn’t come out of the PICU with a little bit too much knowledge for her own good. Just finished the second episode.

Other than that, there’s not too much to report. Leah’s still hovering around 9.5 lbs and her g-tube site is looking good, though they’re still doing silver nitrate every few days, as needed, to keep the granulation tissue under control. She just needs to grow grow grow, and keep from aspirating! Mama Lisa has her surgery on Monday and will be in the hospital for a few days. I had my pre-op appointment on Friday and at some point I remarked that I had never spent a night in the hospital. Then I had to pause for a moment, think about how silly that sounded, and clarify that I had never spent a night in the hospital as a patient. Oy vey.

In other news, Leah’s nurse tonight is a Buffy fan and loves Dar Williams AND Raining Jane. Coooooooool.

And now, what you’ve really been waiting for: Pictures!

008 (2)
Yes, this happened.

005
Supah-Stah says, “Fan me with palm fronds!”

016
This face!

042
No, wait – THIS face!

036
THIS FOOT! We’re practicing for our debut as a Rockette.

019
“OH HI GRANDPA MANNIE!!!!”

021 (2)
Mama and Baby and Grandpa, oh my!

026
“HI MAMAAAA!”

031
Grandpa can’t take his eyes off BabyPie!

035
She was so comfy on his lap!

046
Staci goes for cutesie, Leah goes for emo

050
Leah is making plans

052
“Aunti Staci, do you see what these people put on me today? So humiliating.” And yet SO CUTE.

009
Cousins Phyllis and Marci and Aunti Staci and Grandpa Mannie. I think cousin Marci might be about to abscond with a babyfoot.

012
Cousin Phyllis snuggling a baby!

007 (2)
“Oh hai, Cheryl! I like your dress! Does it come in size 3 mo?”