We don’t like getting shots!

BabyBug has been pretty slow to gain weight since she hit 6 lbs, but she is at 6 lbs 3 oz now. Yay!

Leah got her 2-month vaccines yesterday and today, so she is pretty out of it and is running a little fever. She was very sleepy yesterday, and was a little bit more alert today but was still relatively lethargic. They’re giving her some Tylenol tonight.

Not much else to report besides more of the same – breathing issues, leaking Mic-Key button, inflammation at the insertion site. The surgeons are keeping an eye on it and we’ve been told the leaking should stop as she gets bigger.

Here are some pics for you!

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Cousin Jenna visiting!

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“Mommy, why did you let them steal my hands?”

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“Whew. That was an exhausting cry.”

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I haz a tubeless baby!

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First Kangaroo with Mommy since the Mic-Key button went in. She’s right back to her favorite spot.

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Smooshy face

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Pinchable cheekies

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Wide-eyed Buggy

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The many faces of Ms. Bug

Actual updates – how about that?

Three updates today:

1) BabyBug hit 5 lbs on June 20, and today she hit 6 lbs! Good Buggy! If she continues to gain at this rate she should hit 10 lbs in early October.

2) The doctor said it looks like Leah’s ASD has gotten a little bit smaller and was hard to see on the echo. She said the VSD is still a moderate size (i.e. not small, but not large), but it may have gotten a little bit smaller too. In the back of my mind I keep thinking maybe the fact that the Bug was screaming at the top of her lungs through the whole echocardiogram possibly affected the reading, but I’m not a doctor, so… I’ll take it.

3) We had our meeting today with the ombudsman and head nurses to discuss what happened with BabyBug’s feeding tube. I like that they have a process through which parents can voice concerns in a non-adversarial setting and the nursing staff can identify ways to avoid a repeat in the future. We felt listened-to. That’s so important for parents, especially when babies are in the NICU for long periods of time.

That’s about it for today. I did promise pictures, and was reminded of this in an impatient text message from a certain sister of mine… so here you go. Are you ready for this?

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We present to you… Luigi, our little Super Mario Brother.

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Signor Baby taking a nap before she goes off to rescue the princess.

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Little Luigi wore herself out from all the screaming.

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Tiny Luigi toes, good for swimming in a frog suit and running through pipes while avoiding man-eating plants.

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Luigi still attempting to master the art of thumb sucking

Updates and piccies

BabyBug is 5 lbs 11.5 oz! She is taking ages to get to 6 lbs, but I remember we felt the same way about 5 lbs and she got there eventually!

Just a few small updates. Leah has been on liquid antibiotics for a few days now for the inflammation around her Mic-Key button, but the surgeons are not happy with the rate of recovery so they are giving her IV antibiotics now. This means she has a boxing glove again. Leah has also been pulling out her tube pretty frequently – I think it’s three or four times in five days at this point. Her doctor suggested we put her in mittens. This will also help with another new problem: She scratched herself! This is the second scratch in two days. I think that when she is upset she has a tendency to wring her cheeks to express the depth of the torment to which she is being subjected, and now that her nails are growing, she’s drawing blood in the process. So we will start putting her little paws into mittens. The last update is that she is making that scary rattling sound more frequently and needing to be suctioned more often. She did it again today, even with the tube in, and it took removing her tube and cleaning it out fully in order to make the sound stop. Poor kid. It can’t be fun to have that thing coming in and out of her throat so frequently.

In other news, 4/5 of the babies in Leah’s NICU pod (including Leah) have very similar names. It’s pretty funny.

Picture time!

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“Awwww Ma, that was a terrible joke!”

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“Ladies and gents, I introduce to you… Mommy!”

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“Whuh? Where did my hands go? OMG WHERE DID MY HANDS GO?????”

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This is what happens when we don’t hide her hands.

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BabyBug never looks too happy when her tube is out (mostly because it usually only comes out when there’s a problem), but apparently being petted helps.

A poopy day, both figuratively and literally

Thanks for all the well-wishes, folks! They are much appreciated. I’m feeling a little bit better – I had a diagnostic test earlier this week and I’m still feeling kinda lousy from it, but it’s starting to wear off.

Today was one of those days when we understood with perfect clarity why BabyBug has to stay in the NICU until her surgery. For the second day in a row, the little punk pulled out her suction tube. It was already not suctioning very well, and as soon as the tube came out her breathing got really scary. You know that sound your straw makes when you’re sucking up the last drops of a milkshake? Raspy and rattly and slurpy and so totally not the way you want a person’s breathing to sound? Yeah. It was like that the whole time – and one point she started gagging and hacking up spitballs. It seemed to take FOREVER for the nurse to get a new tube and get everything prepared and replaced, and in the mean time we were holding the baby upright and waiting anxiously for the nurse to hurry back – although she seemed to be moving in slow-motion. Really the whole thing probably lasted about 5-7 minutes, but it was like, 5-7 minutes of watching our little love struggle to breathe. And really, that’s a pretty long time. Not fun at all. She couldn’t even cry, except for one smothered little bleat. Poor love. After that, she got fed and then passed out on Mandy’s chest.

In lighter news, I got pooped upon today. Good times. I mean, the kid has nailed us both during diaper changes, but that’s to be expected. This time she leaked right out the back of her diaper while I was holding her. I guess I should get used to this – it’s only the beginning!

Also. Yes. I did it again. Vote for LeahBug. Woo!

http://community.babycenter.com/contest/entry/124402/baby_leah

More details

Thank you all so much for your positive thoughts today! We had an exhausting day – more mentally exhausting than anything else. Leah’s surgery wasn’t until 2PM, but when we arrived at the NICU this morning she was already hooked up to the IVs, and we spent a good part of the late morning and early afternoon trying to soothe her back to sleep because she kept waking up and realizing how very HUNGRY she was. Once it was time for them to take her away, they transferred her into a smaller portable isolette – much like the one in which I first saw her staring up at me. We walked down to the OR area with her and she spent the whole journey so distracted by her new and changing surroundings that she seemed to forget her hunger – until we got downstairs, anyway.

From the time they sent us on our way, it was about two hours before the nurse came out to the waiting room to get us. When we went into the room BabyBug looked so much like she did the day she was born. She has the ventilator, the IVs, the little boxing gloves and snow shoes – everything. On the bright side, this time she is a lot bigger and stronger – and also has more hair and poofier cheeks. She woke up for a little bit and started trying to squirm out of her new gear, so they gave her some more pain meds, which knocked her out again. We left the NICU in the early evening to give her a chance to rest – and as soon as we got back to RMH we both crashed out too, at least for a nap. We just called the NICU to check on Leah and she is still sleeping – and she hasn’t had to have any more pain meds so far. They are slowly starting to wean her off of the ventilator, so we hope by the weekend she will be breathing on her own. The IV nutrition will be in a bit longer as she gets reintroduced to feeding.

And finally, here is the news you have really been waiting for: Yes, they did her contrast study today, and yes, it does appear to be a long gap. They measure the gaps in vertebral bodies rather than cm or inches, and they said her gap spanned about 5 vertebral bodies. It sounded like the pouch on the stomach end was very small – hopefully we will get more details as the days go by, and I am going to ask if we can see the scans. The doctor said 4 or more vertebral bodies would be considered a long gap, so yes, she falls into that category. This means that her surgery will likely be a very complicated ordeal as opposed to a simple repair. We suspected as much, but it was nice to hold out that hope that she might be one of the very few kids with pure EA to have a short gap. Alas. On the bright side, she still has to get to 9-10 lbs, and during that time the gap may or may not shrink – sometimes it does, and sometimes it doesn’t. They will do another contrast study when she gets a bit bigger. But it does sound like we’re looking at a long-gap repair.

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This is our BabyBug on drugs. Any questions?

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The Mic-Key button, with feeding tube attached. When it is detached, the little flap folds over to seal it.

All OK

BabyBug had her surgery today. Mic-Key is in, study is done, and baby is pissed off to be stuck to a zillion tubes again. She is sleeping soundly thanks to drugs. We are exhausted. More later.

News in the nation and news in the NICU

What. A. Day.

I should probably start off by disclosing that I got very, very little sleep last night, so I’m very sorry if this is disjointed. I couldn’t fall asleep until about 2AM, and then I kept waking up every hour or so because I kept dreaming that I was repeatedly checking CNN for the SCOTUS decisions and they weren’t showing up. I woke up at 6:30AM and checked CNN for real, but there was nothing, so I drifted back to sleep. Then, for the second time in two months, I woke up at roughly 7:30AM to Mandy exclaiming, “OMIGOD.”

We were glued to our computers for a couple of hours after that – we had the morning news on briefly, but oddly they seemed not to really be talking much about the decision. It was really about Facebook today. We are, understandably, kind of isolated from the rest of our world right now (physically, at least), so it was really nice to be a part of the online celebration and enjoy the moment with friends who live all over the city, state and country. And world, for that matter.

It’s funny – I commented to Mandy that I’m really happy about these decisions but I didn’t feel the same adrenaline rush that I did the day that the original district court decision came down – we were on a cruise ship celebrating my graduation, and I RAN from our cabin to the lounge to tell Mandy. It was a moment. This… this took most of the day to really hit me. I’m so grateful to the generations before us for what they did – and what they lost – to get us to where we are today. And even with everything that came before us, Mandy and I have seen so much in our relatively short lives. Hawaii and DOMA. CA’s Prop 22. The year 2003 with its groundbreaking SCOTUS and state supreme court decisions (Lawrence and Goodridge) as well as Gavin Newsom’s ground-level activism. Mini-DOMAs being added to state constitutions across the nation – nearly 40 in all. The back-and-forth with the California Supreme Court, followed by Prop 8: Marriage. No marriage. Then marriage. Then no marriage, but some marriage. The bittersweet moment of watching Obama’s acceptance speech on the massive screen at No on 8’s election night headquarters. The afternoon rallies that turned into all-night protests. People pouring out of the subway station to march to City Hall. Then this federal case and all its intricacies and legal maneuvers. And now we’re at today. The enormity of the whole situation is still sinking in. This legal avalanche that started with DOMA has been going on for our entire adult lives and then some. And now DOMA is dead – or at least, a key part of it. Prop 8 is dead. We live in a better country today than we did yesterday. And we could be better still tomorrow.

< / sermon >

As soon as we were ready to head out, we rushed to the NICU to tell Leah the wonderful news. When we got there, she was thoroughly knocked out. She had just been downstairs for her contrast study and was exhausted after what I imagine was a very long period of angry wailing. Poor BabyBug! We waited patiently until she woke up to deliver the wonderful news – but as it happens, she was hungry and needed a diaper change by that time, so she was having none of it. After we resolved these critical matters, we were able to tell her all about the Supreme Court’s rulings. She promptly fell asleep.

On a more serious note, when the surgeon came in to read through the contrast study, he discovered that Leah’s tube had migrated into the second part of her intestine, meaning that instead of delivering food into her stomach (which is supposed to stretch the stomach), it was bypassing her stomach and putting the food directly into her intestines. As a result, her stomach is still very small as it has not stretched with the increased feedings. It’s possible that the tube was misplaced when they put it in two days after her birth. This would mean that she has missed out on 7 weeks’ worth of tummy growth. However, after thinking about it we suspect that it may have happened the day that her g-tube stuck to the gauze and pulled out a bit and the nurse pushed it back in. That would explain why she had been tolerating feeds so well but then suddenly started getting gassy and uncomfortable.

On the other hand, it’s also possible that it’s been migrating gradually as various nurses have been changing the dressing on the insertion site, since apparently this is a bit of an old-fashioned tube and many nurses have not encountered it before. Not that this is an excuse. If you use a certain type of tube, you make sure people are instructed on how to care for it, regardless of how old-skool it is. But it does appear that it has migrated even just in the past week. Last week another surgeon examined Leah and concluded that her tube was in too far, so he pulled it out a bit and put a black mark at the spot where the tube entered Leah’s belly so that the nurses would know where the tube should be. At some point over the week or weekend, the black mark vanished and we were told it had probably washed off. Well, today Leah had an epic tantrum because we noticed that the bandage tape was really close to the insertion site and thought that might be irritating her, so her nurse changed the dressing, which resulted in a totally-justified tantrum on Leah’s part. As Leah screamed and cried she pushed her belly up, and the tube started to slip out a bit, and slip out a bit… and wouldn’t you know it, after maybe an inch and a half or two inches of tube, the black mark emerged out of the insertion site. How about that?

(Later, as she was calming down, I told her, “See, if you had just used your words, we could have helped you sooner! No need to cry! Next time, just tell us, ‘Dear mothers, I do believe my g-tube might be inserted up to 2 inches too deep and it is causing me extraordinary discomfort.’ See? Just use your words, that’s all you have to do!” She squeaked at me.)

Well… to make a long story short (although really I think it’s too late for that), the surgeon who examined this morning’s contrast study said that the study was useless because of the tube placement, and he decided he wanted to just do the study himself next time instead of reviewing it after the fact. He asked what the date was for her Mic-Key button placement. When we told him it wasn’t until July 11, he said we might as well just do it next week – and then said we could just do it tomorrow. She is big enough now and this way she can start stretching out her tummy, which was supposed to have been happening all of this time.

So Leah will be having her Mic-Key button surgery and contrast study at the end of June after all.

We hope you will keep BabyBug in your thoughts tomorrow! It’s just a little surgery but it’s still surgery and it’s still scary! The unnerving thing is that Leah will be back on the machines again. She will have to be intubated and will have the breathing tube until she no longer needs it. She will have to be on IV nutrition while they resume feeds slowly – even more so because we don’t know how much her stomach actually stretched out and it may not be able to hold what she’s been consuming at each feed. It will be rough seeing her like that again. We just have to remember that the NICU can sometimes feel like it’s three steps forward and two steps back, but this particular step is a step toward progress.

And now… pictures.

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A family portrait on this momentous day.

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Adorable blankie from Barb and Cass!

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We love our new hat made by Mandy’s coworker! It is really adorable – she made several hats in different sizes and nested them so that each fits into the next. Leah can grow into each one!

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We haven’t quite mastered the art of thumb-sucking yet.

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We’re still working on that.

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Saddest. Picture. Ever.

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BUZZZZZZED BABY. OMG. She was SO AWAKE she didn’t know what to do with her eyeballs, so she was looking around, crossing her eyes, looking up at Mandy, looking at me, crossing her eyes again, and asking us to please stop slipping Red Bull into her g-tube.

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We stayed late at the NICU to give BabyBug a bath before her big day. She loves bath time! I was very proud of her tonight – she was a little too high up on the mattress so we scooted her down a little bit – and she used the cushion at her feet to scoot herself right back up! Yay for using our muscles!

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This one’s for you, little sister. You’re welcome.

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Now we’re a peaceful bug again.

And now I leave you with this live performance by Vienna Teng. The song has been in my head all day and I think you’ll understand why.

Photo Extravaganza

I totally owe you all tons and tons of pictures, so tons and tons of pictures you shall have!

Quick update first – it’s looking like they may actually just go ahead and do the contrast study this week. They were always talking about doing it in late June, but when they postponed the Mic-Key button procedure to July 11 we assumed they would postpone the contrast study too. Guess not! Keep your fingers and toes crossed for a short gap!!!!

BabyBug has been having some trouble with her suction tube lately and as a result has been coughing up icky stuff that should be going out into her tube. Still trying to figure out what’s causing that. In the meantime Leah has been a bit fussy.

In non-medical news, we finally broke down and let some folks besides the doctors and nurses hold the bitty bug. We chose Mandy’s cousin Erin for the honor of being Numero Uno. Valerie (of Leah Valerie) was Erin’s grandma and a very important person in Mandy’s life. Plus Mandy watched Erin come into the world! So it seemed appropriate. By now BabyBug has also been snuggled by her grandparents and some of her uncles and aunties. FYI, she gets a lot of visitors and it wears her out to be passed around too much, so please don’t be offended if we don’t offer to let you hold her when you come to visit! We are trying to balance snuggle-sharing with keeping the little one well-rested so she can grow and be strong!

Okay, here’s what you were really waiting for: PICTURES!

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Hooooongry baby!

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Sweet kidlet.

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Numero Uno Baby Snuggler

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Auntie Erin is thrilled to be holding a little bug!

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“Oh hey, there’s a bug in my lap!”

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Gran, Mandy and Baby

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We have awesome hair.

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Comfy

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Leah’s friend Barbara, who visited along with her wifey

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Grandpa Bill. Grandma Barbie shunned the Mamarazzi.

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Grandpa Bill and Baby Bug having a serious conversation.

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“Hey, whatchoo lookin’ at?”

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BabyBug is a genius! Look at her starting to sign her name already!

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What are you laughing at, little girl?

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Bitty bitty fingerses

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Knocked out

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Mama Lisa playing with the camera

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Itty bitty fingernails.

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Portrait of a Bug

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Look at our little headband!

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“Uncle Ralph thinks he’s sooooooo funny!”

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Aunti Staci loves her little bug

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“Who is this silly lady holding me? Oh, hi Aunti Staci!”

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Peaceful sweetheart

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My cousin Kim holding the tiny tot. I used to babysit Kim’s kids. Kim used to babysit me. My dad used to babysit Kim. Kim’s mom used to babysit my dad. And now the cycle shall continue.

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“Oh hai, Auntie Kim! What’s up?”

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Little snow pea.

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Your reward for getting to the end of this post. I found it on Facebook. Love. Even though it’s missing the crucial “HELLO!”

Quiiiiick update

Sorry for the tardiness – we were so tired yesterday that we got home-ish (that’s what we’re calling RMH) early and crashed out. Today was our 6-year wedding anniversary so we celebrated by spending the day and evening in the NICU with Leah, though we did have a little dinner date between shifts (about 2 blocks from the hospital – we didn’t stray far!). So we’re exhausted tonight too!

We gave BabyBug another bath tonight and she was just as cute as the last time. She gets so wide awake as she tries to figure out what the heck is happening to her. This time she thought it would be very cute if she waited to pee until we took the diaper off. It was a laugh and a half. What a silly bug!

Leah’s weight is still around 5 lbs 4 oz; she gained a little and then lost a little. The doctor told us this afternoon that they may try to do a mini dye study a little later this week to get a sense of how her stomach is doing (e.g. how large it is) and whether they can see at all what’s going on in the stomach end of the esophagus (if there even is one). More news as we get it!

I sweeaaaarz I will post pictures tomorrow. We have some great photos to share.

You’re halfway there, BabyBug!

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Oh hey, look – it’s a 5 lb baby!

“Did she just say — did I just read — what??”

You read me correctly! BabyBug officially weighs FIVE POUNDS as of last night. To be more precise, she weighs 5 lbs 0.6 oz.

Of course, this afternoon BabyCenter’s “My Pregnancy” app (which we haven’t yet disabled) notified us that our baby is now at 38 weeks, and “has really plumped up. He or she weighs about 6.8 pounds and is over 19 1/2 inches long.” Way to be a wet blanket, BabyCenter! We’re very proud of Leah for fattening up to 5 lbs. Her little chicken legs are starting to turn into baby thighs and her cheeks get more squishy by the day. That’s the best we could ask for right now!