Tag Archives: piglet

the eric update – day 56: eric’s second lunar birthday!

day 56: a lunar birthday party

thankfully, eric’s alarms stopped alarming and everyone feels quite confident that the whole hullaballoo was just eric’s way of saying that he needed a little more help breathing that we thought. without the constant alarms, we were able to enjoy a relatively quiet 8 week birthday. eric’s friends all gathered around to wish him a very happy birthday. after eric was finished socializing, i had the chance to give him his very first “spit bath”! it took me a little longer than kris takes when she gives him a bath, but we eventually made it through the process relatively unscathed.

kris will claim that she doesn’t know how to take nice photos, but i think this series proves that she’s fibbing.

day 56: a lunar birthday spit bath. I.

there’s a diaper under his head to help prevent water from soaking his bed. the nurses never put a diaper under his head when kris gave him a bath, so i believe they’re really thinking that i don’t know what i’m doing 🙂

day 56: a lunar birthday spit bath. II.

he’s trying to subtly let me know that i should hurry it up so he can get back to sleeping.

day 56: a lunar birthday spit bath. III.

one simply must have a sqeaky clean forehead on one’s second lunar birthday.

day 56: a lunar birthday spit bath. IV.

as i’m trying to give him a bath, he grabs my finger very tightly and won’t let me pull it away as he looks right at me as if to say, “enough, already!”

day 56: a lunar birthday spit bath. V.

he keeps looking right at me as i clean the folds in his neck, as i think about how amazing that he actually has folds of skin on his neck, given how skinny he was just a few weeks ago.

day 56: a lunar birthday spit bath. VII.

you don’t want to leave any soap on a micropreemie’s head, so it’s mighty important to give him a good rinse.

day 56: a lunar birthday spit bath. VIII.

it’s that easy to scrub his back with the intravenous lines and nasal cannula, but we make the best of the situation.

day 56: a lunar birthday spit bath. IX.

his head is drying under the towel as i’m scrubbing his legs and feet.

day 56: a lunar birthday spit bath. X.

i’m picking him up as kris is changing his bedding and simultanously trying to take a picture. he’s a little bigger than the last time i held him like this on day 8 ( she took that picture too ).

day 56: a lunar birthday spit bath. XI.

kris and i have switched roles and now i’ve got the camera. he’s looking up at her as she’s telling him what a super job he did enduring my bath, which was twice as long as the those that she gives him.

she’s getting ready to put a “big boy” top on him to help keep him warm after the bath.

day 56: a lunar birthday spit bath. XII.

all done! baths are quite tiring, he almost immediately falls asleep and enjoys a lunar birthday nap.

day 56: serenity

clinically speaking, eric is doing very, very well, which is amusing to say considering all the alarms just yesterday. he’s tolerating his feeds as well as anyone could expect and the amount of undigested material that they are pulling out of his stomach between feeds is gradually diminishing. i think that it might be possible for him to be back on full feeds by the end of the week. he’s looking a little pallid due to a gradually decreasing number of red blood cells. so, despite the hope that he might have recently had his last transfusion, it looks like he might get one ot two more.

i haven’t been giving any updates on his weight because he hasn’t been adding on any weight. i discovered that being on the vent is a great way to add weight to a micropreemie, since it’s doing all the work and they can convert the extra energy towards gaining weight. since eric’s not on the vent, it’s not unusual for him to stop adding weight as quickly as he had been; however, i think they’ll look at adjusting his diet a bit in the coming days, since it’s not a good thing to not put on any weight for five whole days.

day 56: full moon lunar birthdays

we always know that odin’s lunar birthday is approaching because it coincides with the full moon. well, technically, it’s a day after the full moon, but it looks full enough to me. i realized tonight that i hadn’t bothered to capture a photograph of the moon 4 weeks ago, and i couldn’t let it happen again.

it’s seemed like a big, bright birthday candle in sky as we took the dogs for their nightly walk.

the eric update – day 54: his first “onesie”! and non-nutritive suckling!

day 54: admiring his new "onesie".

eric’s intravenous line was moved to his foot, so we were able to dress him in his very own cloths today!

pooh and piglet came over to check out his new duds and compliment his on being healthy enough to ditch the hospital outfits. pooh is particularly amazed at how big eric is getting, while piglet is confused as to why the bears on eric’s shirt don’t look like pooh bears.

we received the shirt from beth, a friend of kris’ who also recently had a preemie in the nicu ( thanks! ). i believe the shirt can be found at target and is one of the few preemie specific outfits that they carry in the store. it’s a little hard to tell from the picture, but he still has plenty of room to grow in clothes, which is funny because they look so tiny compared to full-term baby outfits.

day 54: got milk?

today, we reached a milestone that nicu veterans probably suspected was fast approaching when they saw the supersized paci. that’s right, the sometimes long and complicated process of getting a micropreemie to breastfeed has officially begun with what’s known as non-nutritive suckling. essentially, after kris has pumped ( charming phrase, no? ), she puts everything in place while eric gets a feeding through a tube. it’s the first step towards getting eric to realize that food doesn’t always come from a syringe; despite the fact that no feeding takes place, it has innumerable good side effect, from aiding in mama and baby bonding to helping kris to sustain her milk production. it’s not unusual after 6 or 8 weeks of pumping for milk production to begin to fall off if real breastfeeding hasn’t begun, so it’s time to start trying tactics to keep production up, since even if everything does optimally well, it could be weeks before eric is able to coordinate the complicated series of events that need to occur for proper breastfeeding.

the eric update – day 34: no ROP (yet)! a kilo! wet dogs. and flowers.

day 34: a hand hold with piglet

eric seems to be stabilizing quickly. he only had 6 alarms today, which is a lot better than the 36 he had just a few days ago – and many of those alarms were induced the nurses “meanie” sessions where they due all manner of not fun things to him. and he’s continuing to pack on the weight; tonight he weighed in at 1020 grams which is 2 pounds 4 ounces and means that he’s finally, officially hit the kilo mark! hooray! his breathing also seems to be getting more regular and stronger, which means that they’ll probably try to put him back on the nasal cannula soon.

we were also surprised to find that his eye specialist came by for eric’s initial visit to assess whether or not he any signs of retinopathy of prematurity (ROP). we were surprised because we weren’t expecting to see the eye doctor for another week or two. i guess they like to check micropreemies early and often. the absolutely fantastic news is that the doc says that his eyes are “perfect” right now! that said, the doctor cautioned us that it’s nearly a certainty to see some manifestation of ROP in a micropreemie, so they are going to keep a close eye on him ( ahem! it’s an eye specialist joke! ) in the coming weeks.

other than that, all was quiet on the nicu front. we still haven’t been able to resume the kangaroo care, but hopefully that will change over the next day or so.

a day at the dog park. II.

and i have photographic proof that kris and i are trying our best to regain some semblance of our normal schedule. today, we had a little free time and we went to the dog park. our city isn’t very dog friendly, in terms of official dog parks, so we had to become members of a private dog park; prior to eric’s birth we were dog park “regulars”, but haven’t been able to find time recently for all the obvious reasons, much to the dismay of our two dogs. so, today, we were finally able to enjoy a little time away from the nicu with the dogs.

a day at the dog park. I.

a day at the dog park. III.

a day at the dog park. IV.

bees do it

and we even stopped to smell the flowers. even if they weren’t roses.

a small, red flower made quite large

the eric update – day 14: baaaack in the CPAP saddle! and more kangaroo care.

day 14:  a new tube

lots and lots of things going today. he was doing so well on the vent and they were so quickly dialing back the “assist” settings that they put him back on the less abusive CPAP regime last night! w00t! again, they thought it wouldn’t be unusual for him to stay on the vent for a few weeks, so this is a great sign that he’s recovering quickly.

day 14: pooh and piglet marvel at his progress

his white blood count differentials are looking better. they still haven’t found a specific bug and nurse practitioner dawn and i talked about the meaningfulness of the tests for quite some time today. they are useful as a “barometer”, but not as useful as compared to full-term differentials, since there seem to be so many special exceptions to the rules for micropreems, as their immune systems simply respond differently or not at all. n.p. dawn has apparently seen micropreems close to death with no differentials at all and perfectly healthy babies with big swings “to the left” ( she kept referring to a “swing to the left”, which i’m sure refers to a change in the standard differential graph, but i never bothered to clarify the point so i could be wrong ).

day 14: pound puppy looks on

so, in the continuing saga of making Educated Guesses, since they’ve not found anything in his cultures ( again, you might not ever find anything in the cultures ) and his insulin has stabilized, they feel that he could be: 1. responding appropriately to the antibiotic regime. 2. stabilizing after being Just Plain Tired and the differentials were a Big Red Herring 3. stabilizing after having a bout of the earliest stages of necrotizing entercolitis (NEC), which is an inflammatory response in his gut that we talked about the other day and which could cause the differentials that they were seeing. 4. stabilizing after “aspirating” his food back from his stomach into his esophagus, which – for reasons that aren’t well understood – can cause apnea, bradycardia and differential shifts to the left.

day 14:  the arm bend

when eric went back on the vent, they stopped his feedings, which would have reduced the potential inflammatory response ( just one of the many variables that changed ) and/or the potential aspiration events, so they are now moving away from the yeast infection theory and towards the theory that he’s not tolerating his feedings.

day 14:  foot

to that end, the observant among you will notice that he now has a green “o.j. tube” ( oral-to-jejunum ) inserted through his mouth ( can you guess where an “n.j.” tube originates? ) and threaded down his esophagus, through his stomach and directly into his intestines ( you did remember that jejunum is the name for the beginning of the intestines, didn’t you? of course you did. ). the o.j. tube will reduce the chance that he will aspirate his food.

day 14:  the leg bend

the potential NEC is a little trickier to manage ( and much, much more problematic if they don’t catch it in time ). about the only thing they can do is reduce the amount of milk they give him in the “gut primings” and watch him very closely.

day 14:  more kangaroo care

anyway. the greatest part of going off the vent and back to the CPAP is that we can start the kangaroo care again! and this time kris had him on her chest for over 1.5 hours and completely hogged all the time. i think she needs to learn how to share 🙂

the biggest excitement of the day came at the end of the kangaroo care when eric decided to surprise everyone by pulling out his endo-tracheal and o.j. tubes. i can’t imagine that it was very pleasant, so hopefully he’ll realize not to do that too often. he was quite unhappy with nurse donna when she abrupty had to wisk him away from kris to start rethreading tubes.

oh, and it shouldn’t go unmentioned that as of 8:36 tonight, he’ll be two weeks old, which brings his overall survival stats to closer to 85%, which is certainly a lot better than his chances when he first came into the nicu.