Wait, It’s The Weekend Already?

Well, I thought about it yesterday then again this morning, and I decided that at the very least a medical (of sorts) update was needed.

Things continue to move very slowly, so it isn’t going to sound a whole lot different from the last one. We have yet again changed some medicine that he is receiving, and we continue to chase the elusiveness that defines getting him settled and comfortable. The new medicine does make him a bit sleepier, but does still allow for much awake time and interactivity. One thing that has been happening for a few weeks – and hasn’t been discussed here – is that he has moments of dyspnea. They come and go as they please, and they are normally pretty short lived. They also seem to happen when he is either falling into a deeper sleep or when he is waking up from that same sleep, and are identified only by the alarm sounding on the monitor (this is also partially attributable to him being a full-term baby and therefore having a lower resting respiratory rate). This has been a continuing source of much attention, and all of us are keeping a close eye on it.

This morning marks the eight week point of our stay here. Don’t know why that seems more significant than say the six week mark, but it does. I often think back to the first night and day that Liam and I were here (Ahna still at the other hospital) and to the estimated stay in the NICU to be in the neighborhood of two weeks. Obviously, nobody knew at that moment what we know now – and even though it’s the same life, it feels like a completely different one. Eight weeks is a long time and all of that time suggests that what is sustained is also fleeting. We are thankful for everything and everyone that we have in our lives.

Absent

Sorry that the blog has been left behind for the last day and a half….honestly, I have been a unmotivated to write anything, so nothing gets written. And tonight really isn’t much different, I just thought that I needed to say it to you all. Maybe more tomorrow – we’ll see how the night goes.

With a blanket from Sara

Ezra haninging out at the hospital this morning

FAQs: An Update

Well, we have been here a lot longer than any of us have anticipated…so, it’s time for a quick revisit to the answers to see if they have changed or been rethought at all.

Where are you sleeping? On the same crappy bed, but it seems to have gotten a lot crappier over the past several weeks. We are still both staying each and every night here (also meaning that our parents are still shouldering the load of watching Ezra – and doing it beautifully, if I might add). Unfortunately, beds don’t seem to grow over time – no matter how much you wish for it. The good news is that our oft-wondered question has been answered in the affirmative: If you through-hike the Appalachian Trail, do you think you could stand months on end of sleeping on a thermarest? Ok, that has never been a question that has seriously been asked, but still the answer remains the same…and the thermarest might even be more comfortable.

How is the cafeteria food? Although the ketchup situation resolved itself with the help of friends from Ohio, the overall food situation hasn’t improved. We have broken out of here for a few meals, and we have had family bring us some stuff; but 7 weeks of eating away from home is getting really old no matter how you cut it. We have found some ways to cope by bringing stuff in (cereal, snacks, etc), but we are still often limited to the offers from the kitchen staff downstairs – I can confirm that they have a very limited vegetarian selection….and I know that both of our digestive systems have undergone a reconditioning that will hopefully make them tough enough to handle the most remote food options after this.

How’s the drive? Well, you’ll have to ask our parents that question. Due to a combination of Liam’s condition and the weather over the past two weeks, we haven’t gone home. We just don’t want to end up that far away if we are needed here…and a lot of snow on the roads have really hampered any thoughts of going somewhere other than the occasional local Target run (it isn’t the snow that we are concerned about, but the fact that we would end up 35 miles away with slow driving people in our way). Since we haven’t been able to go home, our folks have been more than accommodating in figuring out a way to get themselves and Ezra up here almost everyday – which is always a remarkable bright spot in the day.

Showers? I think that we have figured out that the earlier you go, the warmer your shower is likely to be…which is somewhat confusing to me since we are in a 24-hr hospital. It’s bizarre that they are apparently on a limited water supply that would rival most residential home systems. When we were still going home pretty often, it was nice to be able to shower there and do the things that take more time and space (good clean of hair – for Ahna…the jokes about me are too obvious, a shave, etc); but since we are showering here, we are forced to make due with what we have…and Ahna can confirm that blow drying a head full of hair in a steamroom is annoying at best; and I can confirm that trying to shave using a sink with an automatic faucet that times out and stops working after a little while will make you want to say a lot of four letter words.

Do you get sick on those elevators? Still no, but we are completely sick of the elevators. There seems to be one that breaks down fairly often, leaving the vast majority of people fighting for space on the other one….and because of this, you can count on stopping at each and every floor each and every trip up and down. We do try to take the stairs when we can (even though they are completely out of the way…very poor design), but sometimes after that cafeteria food it just isn’t that good of an idea.

How are you doing? If you’ve been keeping up with the blog, you could probably come up with the appropriate answer to this question. Still mostly the same, but really stir crazy right now…and really wanting to be back home. We have found a game that we have been playing back and forth to occupy some of our time (Words With Friends…do you have the app? If not, go get it…and let me know your username…maybe we can play sometime).

Update on the nurses and the pumps….not really an update to a FAQ, but an update none-the-less. A few days ago I did a posting about the pumps in the rooms and mentioned how it seemed that the alarms would inevitably sound whenever our nurse was unavailable. Since then, it was nicely brought to my attention (insert throat-clearing noise and sneaky look to another person here) that perception doesn’t always meet up with reality….and that the majority of the time the nurses are really and willing as soon as that alarm sounds. Because we truly have the best nurses available, it’s time to smile and not insert the sarcastic humor that would normally go here.

Monday Afternoon

We are in a winter weather pattern that is even a little odd for this area, and certainly restrictive to parents wishing to be in multiple places at once without ever being to far from either one. After a ridiculously warm weekend about 10 days ago, it has been pretty cold (including that super cold snap) and it has snowed pretty much every day – with another 6-12 expected tonight and tomorrow. It’s been a long time since either Ahna or I have made it home, although we have made it out of the hospital for short trips in the area a few times. Outside of that, it’s been a very emotional couple of days…and I think I’ll just leave it at that.

Took this photo over the weekend, and thought it deserved it’s own post to shine…

A Little Celebration…

Okay, it’s not the blue and orange, but tonight we cheered hard for the green and yellow. It was really good for us to be able to think about something else for a little while, and at the end of it all to be able to smile. My parents brought up some decorations for the room, and we were able to sneak some chips and dip into the room to have our own little Super Bowl party. Liam hung with us for the entire game, and was actually awake for the ending – likely due to the excitement from his Mom and Dad. The staff around here was also supportive…they filtered anyone that needed to come into the room during the game (like the guy checking the fridge) by asking if they were cheering for the Packers. Steeler fan? Can’t go in. Also, big props to Aaron Rodgers for proving a lot of people wrong and the Packer front office for kicking a failing QB to the side. GO PACKERS!

 

 

The Pumps

Earlier this afternoon, Ahna, Liam, and I were watching a movie (Taking Woodstock – two stars…just not enough story in the film to carry it) and I realized after about a hour that I sort of forgot that we were in the hospital. It was quiet, the lights were low, the snow was falling…we were lost in the moment. As I realized this, I looked over at Ahna and smiled to myself. Then I saw the blinking lights just out of focus – and it all came rushing back. The noises in the hallway returned, the TV got smaller, the chair more uncomfortable.

When the pumps are powered and doing their business, they have this image that looks like a needle, with three lights that move directionally to show you that the pumps are working and the medicine is moving. These relatively small machines are responsible for giving Liam all of his medication…they use the same syringe that you are used to seeing, but they have an attachment that allows the pump to give the medicine at a very precise rate and a very precise amount. The only inconvenience that these normally create is that Liam is permanently connected; and therefore they must travel everywhere with us – from a little move in the room to a trip down the hallway.

However, these are also the hands-down winners of the ‘Most Annoying Thing In The Room’ award. The beeping noise that they make is unmistakable and reminds us each day that machines don’t know the difference between night and day. There are three primary times that the alarms sound on these things…the first is when the medicine is near empty: it will go off two times then stop. Due to this, we have become conditioned to let the alarm sound twice to see if this is the reason (lately we can actually tell you exactly when this will go off as Liam is getting a single dose of medicine only twice a day – the rest of the time he is on a steady drip). The second example of the alarm is the next logical one after the first: when the medicine is done. In this case, the alarm sounds until someone turns it off. And finally, the other primary reason for the beeping noise is if there is pressure increasing in the line….this alarm goes off all the time and all hours of the day – but is 99% of the time a false alarm. No legit reason, no understanding for why. It just does. And I can tell you from weeks of personal experience, when the alarm sounds for either the #2 or #3 reasons (since both sound continuously until someone turns them off), the nurses are either tending to another patient or on break. They are never just sitting at the desk and readily available…take it to the bank.

Friday Afternoon

This place is crazy – I have no idea how the staff here stays to upbeat and helpful, let alone sane. In the short/long time that we have been here, there have been at least three other kids put on the head cooling; meaning that despite our best intentions, devastation like we felt is a constant in the NICU. Of course there are amazing stories of recovery, and there are lots and lots of kids that come here for short periods of time and get better with the help of the doctors and nurses – but it’s an unfamiliar realization that this isn’t something that happens every blue moon, rather something that families are faced with on an all-to-regular basis.

Our last few days have featured a steady stream of emotion, some of which has been expected and some of which has been very unexpected. These moments of stark reminders of reality sneak up and scream their presence at the most unassuming of times. Ahna and I generally are able to cope with change fairly well – and are getting a lot better at it since Ezra appeared – but to deal with these changes as frequently as they come, as surprising as they are, and as impactful as they are is a new experience for us (resulting in a lot more gray hair. I’m sure that if you took before and after shots of us, they would look a lot like the before and after shots of the President). You could probably throw just about anything our way right now and we would be able to absorb it, but you change even the smallest thing with Liam in a way that wasn’t anticipated, and the world temporarily shifts.

We have been graced with a few visits from Ezra in the past two days, and today we were able to see in person for the first time his newest ‘face meets something it’s not supposed to’ marking. He and Nora were quietly and peacefully sitting in a chair down at my parent’s house when they tipped it over and fell into a cabinet. Nora walked away with no outward expression of the incident, while Ezra received a temporary tattoo of a scrape on his upper lip.

Molded

As we were expecting Ezra a few years ago, we received a gift from a friend/coworker of Ahna’s of a three dimensional replica of his hand and foot. Well, nine days into Liam’s life, we were fortunate to have her come back and do it again.

It’s at a place like this where I feel like I have to be honest…when I first heard about these molds, I was really skeptical. Of course, it’s a modern day rendition of the old school brassed baby shoe that our Grandparent’s have on their shelves – so it’s not a new concept…but I used to think that it would be a little creepy to have the molds done; and frankly I was afraid of turning into that old couple that has things like that on the fireplace mantel when our kids have become parent’s of their own. That was before I saw them done, and done how Cheri does them. It’s a super cool thing to have, and it’s really nice to have that moment in time so properly on display.

When Cheri got in touch with us about doing Liam’s mold, we were right in the middle of the first two weeks of this journey: quite confused, quite emotional, and quite lost (still are at times); but we were certainly sure that we wanted that molding to get done. She came up to the hospital, and figured a way to get Liam’s (who was still very sedated and laying flat on his back) hand and foot into the cups for the mold to take shape. A few weeks later, we were presented with the awesome piece of art that will soon find a good spot in the house.

If you are interested in getting one of these of your child (or pet or you, I suppose) for yourself contact Cheri at www.littlepawsdesigns.com

Cold

I’ll get it out of the way first, to attempt to spare you the east coast centric hell-is-freezing news stories that have dominated the past few months (stop crying, it’s winter). Over the weekend it was 68 degrees. This morning it was -18 with a wind chill of -41. That’s cold….and you can see it in the photo below: that’s the window sill in our hospital room when we opened the curtains – and it’s inside the room (right off the edge to the right is the bed).

Liam’s day was again up and down. During his two decently longer naps, his vital signs were all over the place…again giving us more concern than normal. And even though he is getting anti-seizure medicine, there are still occasional signs that he might be having them. Also, he did finally loose that unappealing stump of the umbilical cord during a bath….revealing a clear cut innie (there was some question with Ezra).

Mental Fortitude? Sometimes Hard To Come By

Some guy named Einstein once said that “the definition of insanity is doing the same thing over and over again and expecting different results.”

Each day encompasses essentially the same thing: we wake up after a short night sleep, have breakfast, hang out with Liam, have lunch, hang out with Liam, have dinner, hang out with Liam, go to bed. Sprinkle in some family and a trip to see home/Ezra and you have pretty much nailed down our current life. During each of the past 43 days, we have expected something different than what has happened (both positive and negative), yet we wake each morning thinking that something is going to be different about today. The anticipation is tiresome and the routine has long lost it’s usefulness.

Walking back into the NICU this morning, there was a harsh realization that I really don’t like this place anymore. Sure the hospital and the NICU are well designed and well stocked with things that we need, but it’s just not the life that we want. The doors, the carpet, the smells, the sounds, and the routine are getting on our nerves in a big way – compound that with a winter storm that has brought the coldest temps in more than a decade – and you end up with a level of restlessness that is hard to overcome.

The one thing that we aren’t sick of? Our nurses.

As we walk by the folks that don’t have a private room, we think about how thankful we are to have the space and the ability to spread out. In the room we have a TV that features 4 local channels, 5 ESPN channels, 5 news channels, 5 Spanish speaking channels, and 6 basic cable channels….and it’s surprising (or not) that there is frequently nothing but junk on them. We have the internet, and even though that has proven a good escape at times, it still turns boring and lonely. Books? Magazines? Games? Movies? done and done.

Yet, there isn’t any option. This will either get easier or harder – and we only control a small portion of that.