You're probably wondering about Shawn. I really have no idea when they'll release Shawn. The only hurdle he has is his bottle feedings. It is a struggle to get him to eat by bottle, and he fusses a lot of the time, especially in the beginning. He will take it, and he wants it, but you must have patience and persistence to get him to finish. I attribute this difficulty to acid reflux. When he eats, a little of the formula and stomach acid slips back up into his esophagus. It burns, and it is painful--hence the fussing.
The problem is that the nurses don't always have the time (or patience) to work Shawn through his entire bottle. Once he starts to fuss, the nurses tend to go for his feeding tube to gavage the rest of his food. So, on paper, Shawn doesn't finish a lot of his bottles. He can (and does when Isaac and I are there to feed him), but he doesn't because when he starts to fuss, they give up on him. It is a vicious cycle. (I do want to say that not all of the nurses are like this, but there are enough of them.)
I have talked to the doctor about this issue, and he doesn't think that his acid reflux is any worse than that of other babies. I beg to differ, but I can't seem to get them to agree. There is medication to help Shawn deal with this, but again, the doctors are leery of giving it to him.
I finally got them to remove Shawn's feeding tube late yesterday. I am hoping that this will end the temptation to give up while the nurses are feeding him. I don't want to jinx anything, but Isaac had a good night with him last night (with only minor fussing), so maybe things are resolving themselves slowly but surely. There is a catch, though. When Shawn bottles his entire feeding, he burns more calories. This translates into weight loss. He lost an ounce last night. This wasn't unexpected, but he definitely can't come home if he continues to lose weight. And for someone (me) who never had to give calories a second thought, all of this calorie/weight stuff is challenging (and depressing). Sigh.
They placed Jason's IV line in his head. Thankfully, they didn't shave his head before they put the IV in, which would have made me blow a gasket. He doesn't have that much hair to begin with and he already is bald on the back of his head from his surgery, so shaving his head would have killed me. I do have to say that it is odd to see him with the IV there. He doesn't seem to mind, so I guess that is all that matters. It does tether him back to the IV pole, which is sad. We had just got him disconnected from the major monitor only to add that. It will be extremely nice to hold the babies without a bunch of wires connected to them!
Isaac pushed the doctor into doing the same tests on Shawn that were done on Jason. Hopefully they won't find anything, but if they do, we want to get it treated now and not wait until he is ready to go home. Neither Isaac or I want to go through the same situation with Shawn that we went through with Jason. You better bet that the next time they say I can take one of the boys home, there will be a baby in the car before they know what hit them.
I am still not in a good place, but I am doing what needs to be done. It isn't like I can't. Somehow, we all have to find a way to go forward and get things done, even when we would rather dig a hole and bury ourselves in it. The light is at the end of the tunnel (although I swear it is on a major dimmer switch right now), so I am trying to focus on that and not on my misery at the moment. Ten days. I can do ten days. Now we are at 9 days. See things are already a little better than they were yesterday. (believe that?)
My resilience is almost at its end, though. I am finding it harder and harder to pick myself up to move on to the next hurdle. There have just been so many without any breaks. It has gone on for so long. I am tired.
I also have to admit that it is VERY hard for me to go to the hospital, and I have to resist the urge to turn around at every corner. But once I am there, it is usually okay. Hard, but okay. I have never been especially fond of hospitals in the first place. My experiences while I was there didn't help matters much. Add to that all of the mess at the other hospital and the delays and setbacks we get from this one, and it equals some pretty strong emotions. Again, I am trying to push that stuff to the side for now and focus on getting the boys home. To say it has been rough is the understatement of the year.
Thank you for listening to me vent about all of this stuff. I realize that it must be hard to read. I have been negative and fearful, but you stayed by me. Your kindness and support have got me through many tough days and nights, and for that I will be forever grateful.
I can't wait to be complaining about the sweetness of sleepless nights and spit-up. I can't wait to post pictures of my beautiful babies at home, smiling at the camera. I can't wait for it. I know it will come. It will. It is just hard to remember that sometimes. Thanks again for sticking with me, hopefully until I can do all of this stuff and more.
Hmm...with the two blogs combined, this is my 200th post. At my 100th post, I was dealing with the other hospital. Now with the 200th post, I am dealing with a delay to the boys' homecoming. I sure hope the 300th post brings much brighter news!
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4 comments:
Glad to hear they are doing good today. Google preemie reflux,there are a few good websites out there but I don't remember what they are at this point. I'm so surprised Shawn isn't on Zantax (or whatever it is called). Why won't the docs give it to him? I thought it was pretty standard for preemies (my son was offered it even though his wasn't too bad. Do you have a ped picked out (on through the NICU) that you can get a second opinion from about the reflux. Also, Speech Therapists woudl often work with preemies when we were in the NICU with bottle feeding. I might request that or again, get a second opinion.
As always, good luck!
Candice
I can't WAIT for you to complain about sleepless nights and spit up.
We are non stop bit^hing machines...mothers. :) I don't attribute it at all to being a woman...but motherhood has it's ways of pushing air and energy through our minds and mouths !!
You have every right to be worried and sick of what your boys have been going through. I'd much rather you let it all out here, than hold it inside.
Keeps you sane ! :)
9 and counting !
Actually if there's a debate between Zantac and Prevacid I'd take the Prevacid every time. Apparently it's much more effective. Our littlest guy has been on it since he was 2 months with no side effects whatsoever. It's been a great drug for us and we were extremely leery about giving him anything. Without it he would sit there and scream after he ate and get so upset that he would spit up from inhaling air. Talk about a waste of calories...give the doctor that line (he'll waste more calories if he fusses and fusses than if he isn't in pain).
I think you've done a tremendous, tremendous job of holding things together since the boys have been in the hospital. It's only natural that your patience gives out. We're not saints, after all. We're just parents that want our kids!
You know, the bottling thing can turn around overnight. Our fattest triplet was just taking his bottles very slowly (read sssslllloooowwllllyyy...) and all of a sudden he just started eating up a storm. I think it was when his brothers started to go home.
I'll pop on here every day and join the countdown...9 more days, hurrah!
I nearly had a heart attack the day I came in and found that someone had tried to start an IV in my son's head. It hadn't worked, but he had a bruise on his head, and I was a mess. The nurses reassured me that it was ok, and I remember feeling it is NOT ok to stick an IV in his head. There were times I wanted to stick the nursed or techs after they had tortured my precious babies!! I know the doctors won't release Shawn over the feeding thing and it is so frustrating, it was that way with my daughter (although not nearly as long as your ordeal) but honestly once she was home, and we had all the time she needed to be fed and we fed her on demand, not on a schedule, her eating and weight improved, and I think you'll find the same is true with your boys. All babies are different and in the hospital I think the nurses have to treat them the same, so if Shawn wants to take his time, it may not be on their time. So frustrating. I have found that my daughter is like this in a lot of things; she is slow and methodical, and scrupulously careful about things. Take school assignments, she does a meticulous job at everything, so it takes her a lot longer than it takes her brother who simply plows through things. I wouldn't be surprised to find a few years down the road that Shawn has a very careful thoughtful personality, and it will serve him well.
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