Saturday, November 24, 2012

Happy Thanksgiving!

We had a great holiday with some of the nearby family members, and appreciate the company on Thanksgiving :) We were fortunate enough to be out of the hospital in time to celebrate the day, but could definitely not have left town, so it was wonderful to have guests come to us.

He checked into the hospital Monday, and had a feeding tube inserted into his nose in about 60 seconds flat. Unfortunately, docs required that he stay for nearly two days so they could monitor his progress. Additionally, I had to stay by his side so I could learn how to insert and care for the tube, and show the doctors that they could trust me to do this without their supervision. We thought this would be a relatively simple stay, and although in some ways it was. . . it other ways it was hectic and complicated. Doctors, nurses, medical staff and medical pump manufacturer representatives, social workers – people were in and out of the room nonstop throughout the duration of his stay. Discharge was such a relief on Tuesday night.

Our apartment has some serious medical gear now. The Joey Kangaroo pump, attached to a large pole, pushes milk from the suspended bag into his nasogastric tube and through to his stomach. The little guy gets up to 12 hours a day of tube feeding; essentially, he has a target amount to eat each day, and whatever he doesn't have the energy to eat by mouth gets pumped in overnight. The machine is noisy and requires frequent refills/cleaning/maintenance, in addition to the burping and other baby maintenance that James needs :) so we're still working on getting used to the new addition.

His new stuffed monkey from Aunt Liz is a big hit, but unlikely to keep his tail for long in James' eager hands!




Thursday, November 15, 2012

Thansgiving Day Surprise :)

Normally, Kirsten would post a regular update, detailing the fun things our doctors had to say about James, and the awesome things she did to get James to the doctor, home from the doctor, and everything in between.
 
Today, it's my turn :)
 
Yesterday, November 14th, James had his first dose of Synagis, a vaccine for Respiratory Syncytial Virus (RSV), which is apparently a common ailment for cardiac babies. He'll get this once a month 'till the end of winter, so probably through March or April. He got this one at our pediatrician's office, and it was a very quick visit. We were in and out in less than 15 minutes, including check-in, weigh-in, and vaccine, which is pretty unheard of for us these days. James, however, was absolutely P.O.d. Apparently, Synagis is a fairly thick substance, so the shot is more likely to have an immediate sting to it than other vaccines. James turned the cutest, and saddest, beet red, and gave us all the most disgusted looks. I suppose I would do the same thing if I were in his place. Either way, one more vaccine down, and we were off to see the cardiologist.
 
Yesterday was an eventful day at the cardiologist. We had an EKG, they checked his BP and O2 sats, got an echo, talked with social services, and had a long talk with the cardiologist about . . . James’ eating habits . . .
 
In case we haven’t posted this recent enough for our readers to remember, James is off the charts in terms of weight, and not in a good way. He is now about 3 pounds, or about 30%, under weight for babies of his age, mostly because he doesn’t eat enough, and all our docs are very concerned about his weight going into the upcoming procedures: a cardiac catheterization toward the end of November, the goal of this being to get a clear picture for surgery in late December or early January. For normal-weight babies, it’s easier to recover from these procedures; underweight babies are at a higher risk, simply because they don’t have the fat reserves to recover, and they are generally a little underdeveloped in other ways physiologically.
 
So, to get James ready for the main events coming up, today docs are having a conference call to discuss inserting a naso-gastric tube tomorrow or early next week. This way, even if James doesn’t have the stamina or drive or hunger to eat his normal 20 ounces a day, we can literally finish off his meals or give him an extra meal or two through the tube, just like they did in the PICU and NICU.
 
This could be pretty awesome. Not only will family get to gorge themselves on food next Thursday, but we can also make sure James gets to fall into a food coma, too! J In some ways this also feels weird, like we’ll be “fattening the goose” for the holidays K
 
Either way, I think Kirsten and I are both very much looking forward to a happy bout of Thanksgiving Day Surprise meals, just a little on the heavy side, so James, too, can enjoy the peacefulness of eating just a little too much J

Thursday, November 8, 2012

Flu, election, snow...fall photo edition

crazy eyes



We are elated the election is over, and finally there are other topics being discussed and reported! James stood in line with me for his first election, although he really didn't care about all the hoopla. At least he was patient, and didn't make a fuss while we waited.

He did just have the flu, which was quite an ordeal: it hit him quickly and hard, and our little guy was up all night several nights in a row, miserable from sniffling and coughing and throwing up. His fever was never much to worry about, but the congestion was major league. He celebrated his first flu by getting a chest x-ray, since respiratory problems pose a special risk for him. The results came out fine, but this seasonal sickness certainly garnered a lot of fuss. Thanks to Hurricane Sandy closing the schools all last week, at least Peter and I were well rested... going into it at least. By day 3, we were bleary-eyed and grouchy. A sick baby is no fun at all. By this week, he'd passed his flu to me (thanks, squirt) and somewhat to Peter. Not until I was weak from fever and nausea did it truly sink in that I can't ask for a day off :(

We got our first snowfall though yesterday, a lovely and welcome sight. We're all feeling better, so we bundled James up in his warmest clothes and took a little stroll.

snow gear!



we've been cooped up for too long so I have a ton of these...