Monday, March 28, 2011

Never A Dull Moment

Like I need proof that I'm missing a few screws!  One day it will be funny to look back and read all of my scatterbrained moments and laugh.

Today was just more proof that children eat your brain cells in utero. I have had a horrible time of arriving anywhere at the time I'm supposed to. If my appointment is for 12:00, be assured that I won't get there before 12:10. This morning, however, I was actually running on time. The boys were in their car seats, albeit quite upset about it, Raegan was ready to go as my little helper, the diaper bag was packed and Grant's HAM was packed up. All I needed to do was spritz my hair with a little water to tame the frizz and I was good to go. I wandered into my bathroom in search of our spray bottle but was unsuccessful in locating it. I decided to check the girls' bathroom as they often borrow things from mine. While I didn't find ours, I did find a little one that would work. I needed to get going so as not to be late like every other day. As I began spraying my hair a smell filled the air. Was that... Easter eggs?? Pickles?? And then it hit me. This tiny spray bottle was NOT just filled with water. It was the spray bottle we use for cleaning mirrors; water mixed with vinegar.

There I stood, completely ready to go aside from one minor detail: I smelled like a freshly died Easter egg. Gag! I quickly threw my head under the tub faucet and did a quick wash to remove the offending odor. I neglected to notice that my sweater still smelled of vinegar. Off I went, now late as always, with my three year old asking me from the back seat what that smell was. Sigh. At least Grant's nurse got a good chuckle out of it!

Friday, March 25, 2011

Missing: Mommy's Marbles

Can I begin by saying that I'm so very, very grateful for my mother being here to help out? I'd be a huge basket case if it weren't for her. We are busy each week with doctors appointments, staggered feedings and the chaos that comes with being a family of 8 with 4 three years of age and younger. We have weekly speech therapy for both boys to monitor their ability to take a bottle. As crazy as it may sound to some, it is a huge help. Grant has a very unorganized suck and can take up to 40 minutes to drink 2 1/2 ounces. He has improved greatly this week with his volume and is now taking up to 3 1/2 ounces at a time. Bryce was doing very good at taking 3-4 ounces at a time but has struggled to increase his weight. This week we increased his calorie intake to 28 calories to compensate for the number of times that he nurses, rather than taking the bottle.

I don't know if I mentioned it previously but both of the boys require higher calories due to their severe prematurity. Breast milk and "normal" formula is 20 calories. Grant is currently on 26 calories and gains between 1/2 - 1 ounce a day. Bryce had also been on 26 calories but he's been struggling to put on even a 1/4 of an ounce a day. The problem is not something that I would ever have considered a problem up until the twins' birth - nursing. Both of the boys are getting to the point where they'd rather nurse than bottle feed. Grant will nurse about 3-4 times a day but easily takes his bottle when it is offered. It takes 3-5 minutes to get him to latch on a times but once he does, he's good about emptying it. Bryce, however, is losing interest in the bottle. We have to really work with him to take even 2 ounces from the bottle in the past few days. It is absolutely AWESOME that micro preemie twins with as many issues as they had preferring the breast over the bottle but poor Bryce really needs those extra calories from the formula that I can't give him with breast milk. We have ST (speech therapy) on Tuesday and hopefully they will be able to guide me on what to do regarding this. Upping his calories was a good start but if he's not taking the bottle, it doesn't do a lot of good.

Other than feeding, both boys are doing very well. Grant sleeps up to 9 hours at night and does a fantastic job of making up for it in his feeds during the day. Bryce has been waking up every 2 hours to feed at night which is typical for a breast fed newborn. Both are beginning to focus on us when we're holding them or talking to them. They are also beginning to track us if they hear us talking as we cross the room. Grant is up to 8 pounds even and Bryce is 7 pounds 4 ounces. They are still dinky but they seem so big to me considering how tiny those little boys were when they first entered the world!! Bryce and Grant (especially Grant) are also starting to coo and I swear that I've never heard anything sweeter in all of my life. These boys are such precious miracles!!

Since bringing the boys home from the hospital, we've been looking for another mode of transportation. Our minivan, while awesome, only holds 7 passengers. It also only held 3 car seats so it has been impossible to go anywhere with the girls during the week. This is yet another reason I'm terribly grateful for my mother. I only have room in the van for the boys plus Brooklyn so whenever the boys have a doctors appointment or I need to run an errand, mom watches the girls while I take the boys. It has made things a lot easier. However, we ARE going to have to be able to go as a family at some point and driving two vehicles to go anywhere is certainly not cost effective. We were blessed yesterday to be able to find a tank...er.... large vehicle for a great price and in great condition with low miles that fits all 8 of us comfortably. *I am still reeling from the thought that there are 8 of us in this family, btw* We bought a Ford Expedition. I swore I'd never go back to a domestic and certainly NEVER own a Ford (gasp) but it runs well and we can all go places as a family so I can suck it up, I guess. LOL

So why the title? Well, it has been quite an adjustment having two infants in the house, in addition to Brooklyn who is still a baby herself, and her three older sisters. And trying to figure out a way to get the whole family from point A to point B has been an interesting journey. However, the biggest adjustment for me is the acceptance of the fact that I'm just not all there right now with all that is going on. This morning I had an appointment for a much needed trim. I brought Grant and Raegan with me and left the younger 3 at home. When everyone asked which one of the twins I had, I of course said Grant. However, each time I'd talk about him after that, I'd call him Bryce. Earlier in the month I had a prescription called in for Bryce to our local pharmacy. For some reason, the prescription was filled under Grant's name instead of Bryce's. While they were in the middle of switching things over to Bryce, they asked for his insurance card to make sure that it was filed properly. I promptly handed them Grant's insurance card and yes, I knew it was Grant's when I handed it over. Confused the poor lady comes back and apologizes for all the confusion and told me that the script had been filled for the right baby after all. How foolish did I look when the light bulb came on and I had to explain that it was filled for the wrong baby and I just gave her the wrong insurance card. There have been times that I can't even remember my own name from being pulled in 38 different directions during the day. I know that this is just part of adjusting to life as a mom of 6 - 2 of which have special needs. But good gracious, how I'd love to have a few of those brain cells back! Its absolutely embarrassing some of the stupid things that I do and its always when I have none of the kids with me to explain away the complete airheadedness. Most people must think I have more than a few marbles loose. Sigh. I will be so happy when some of those marbles find their way home. I know. You don't have to tell me - to some extent, I will always be a few Fruit Loops short of a full bowl - but I know that at least SOME of those brain cells will become functional again once the kids are a little older and sleeping for 3 hours solid is not a luxury.

I read over my blogs since the boys' homecoming and have to sigh. I've gone from formulated thoughts to lots of ramblings and rabbit trails. Ah well. At least you have some good reading material if you desperately need to sleep but can't. Read my craziness and you'll conk right out! ;) Seriously though, I wouldn't trade one lost night's sleep or brain cell for the fact that both of these boys are home from the hospital and are beautiful, healthy and growing little babies! As much as I'd like to, I have no right to complain. Each night when I go to bed, I get to kiss two gifts from God (well, technically SIX!!). :)

*Correction (and proof that I'm a few marbles short):  We bought an Excursion NOT an Expedition.

Tuesday, March 15, 2011

Week 1 Update

Taking care of six children is an interesting challenge. Can I just start out by saying that? Goodness. It has been an interesting adjustment since bringing Grant home this past Sunday (March, 5th). I am so thankful that I have my mother here to help or things would be in utter chaos; not that it isn't borderline chaos anyway.

Both of the twins are doing well. Bryce weighs 7 lbs even and is such a good eater. He is definitely a snuggler. I spent a good bit of last night holding him because he would fuss like crazy if you set him down. Spoiled, I know, but with a sweet face like his, how could I refuse? ;) He officially went wireless today!! Dr Rising, our pulmonologist, nixed the home apnea monitor (HAM) for him this morning. I cannot tell you how happy I am to be less one HAM. Our nightly routine for the past week has included several minutes of detangling HAMS and Grant's oxygen tubing. How they manage to get so tangled is beyond me. Grant is such a chunky monkey!!! He weighs in at a whopping 7 lbs 15.5 oz. He is by far the worst eater I've ever had but hopefully the weekly speech therapy will help with that. Speaking of which.... I cannot tell you how many goofy looks I get when I say the boys have speech therapy. We have them in speech therapy because they're not talking as clearly as we'd like them to. ;) In all seriousness, speech therapy is to work on their ability to suck well and effectively take a bottle. Poor oral control can lead to speech issues on down the road, believe it or not.

The girls are adjusting remarkably well with boy of the boys home. Morgan and Haidyn are a great help to us and love being little porters, bringing us diapers, wipes, burp cloths, whatever we need to keep the little men clean, fed and happy. :) We let them sit down and hold the boys once a day and they eat up that time with their brothers. Brooklyn is doing better now that both boys are home and we can devote more one-on-one time with her. She loves to cuddle up (ie sit on) her brothers so we have to keep the boys up away from her reach. Tummy time and bouncy seat usage is limited to Brooklyn's nap and meal times. LOL :)

Overall, it is going as smoothly as we can expect. Paul is a wonderful help with feeding the boys during the night and my mother helps me with them during the day. I cannot believe that the boys are both home and both doing so well. To think that they started out at just over 2 lbs a piece and are now chunky, happy and healthy between 7 & 8 pounds!

Wednesday, March 9, 2011

Thirteen Weeks

Thirteen weeks ago, I was sitting in POD 2 of St Johns NICU staring at the smallest baby boys that I had ever laid eyes on. Bryce, weighing just 2 lbs 5 oz was extubated and breathing with the help of a SiPAP machine. Grant, weighing 2 lbs 9 oz was still intubated and showing his first signs of seizure activity. We had no idea what to expect. Would the boys even come home? Thursday, December 2nd we found out that Grant had a grade 2 brain bleed and was seizing, requiring phenobarbital. I was devastated. I remember hearing only the first few words of Jenni's explanation before my brain checked out. I had a good cry, gathered myself and then asked Jenni to reexplain what that brain bleed meant. Three days later, Bryce crashed and was reintubated. The drive to the hospital that night was unnerving. I wasn't sure what we were going to hear when we got to the NICU and my knees nearly buckled while waiting outside the NICU doors to be ok'd to enter. That night I came home and looked at the totes full of baby clothes, diapers and blankets piled up along the wall in our bedroom. I burst into tears wondering if we would ever be able to bring home these tiny baby boys. I was afraid that we'd never bring them home to our family. The next 4 weeks were heart wrenching. The boys were constantly up and down with their health. I slept with my phone under my pillow, terrified to answer when it would ring and "Unknown" would pop up knowing that it was likely the NICU.

January was better with both boys being extubated and both advancing towards bottle feeding. Then came February and a set back I never saw coming; Grant coded while being intubated for eye surgery. We spent another two weeks on pins and needles. I think that I broke down in the NICU more those two weeks than the rest of our NICU time combined. Once again I wondered if both twins would be coming home. Bryce improved enough that on Friday, February 11th we were able to bring him home seven days before his due date and just 2 days shy of daddy's birthday. What an awesome way that was to celebrate Paul's birthday! The next few weeks were a frustrating blur trying to get Grant to catch up to his brother and come home as well. Yet, through all of that, here we are with both boys home.

As we prepared to bring Grant home on Sunday, I was a crazy mix of emotions. DaNae, one of our favorite day time nurses brought the discharge papers into our Care-by-Parent room and we got pictures for the first time with she and both of the boys. She admitted Bryce (or was it Grant?); the first one to take care of him and the one who "caught" him after Dr Williams removed him from my belly. Becky was busy taking pictures of the boys on the bed as DaNae and I stood to the side and watched. I gave DaNae a hug and bawled. I cannot thank her enough for all that she did for us during the time Grant was struggling with seizures on the vent back in February. I would never have been able to make it through that week, or the weeks that followed, without her. Funny that I was so very ready to have the boys both home yet felt sad to leave the NICU and the incredible staff who work there. Becky and I bawled on eachother as Grant was loaded into the van to go home. I climbed in and looked back at the boys as we drove out of the parking lot. Again I bawled. We had BOTH boys in our van. No more late night visits to the NICU, no more dreaded calls or disheartening lab results. No more NEC scares, NG tubes or ventilators. No more alarming monitors, or screeching isolate temperature alarms.

Here we are, thirteen weeks after their birth and despite all of struggles, they are here, they are healthy and they are HOME. Home. I honestly wondered if that day would ever come. We have traded NICU visits to specialist appointments. Opthamologists and pulmonologists, pediatricians, occupational therapists, speech therapists, home-health nurses. Crazy med schedules and complicated formula concoctions. Three hour feeds and LONG nights. Yet I wouldn't trade a moment of it. God heard the many many cries for healing that were offered up for our precious boys and these tiny babies have become small miracles. I know what it feels like to ache to hear your baby cry. I know how it feels for your arms to ache to hold them. I can now hold them all day long if I wanted. I don't have to put them down and go home. They are home with me! I hear their sweet cries each day.

Bryce struggled when we first brought him home to eat and gain weight. We've upped his calorie count, added AR to his formula and propped up his bed and he is doing much better. He's even beginning to get the jowls that little brother has developed. Grant is doing good now that he is home and is eating a lot better than I expected. Its still a bit of a challenge to get him to eat during the night but he eats like a champ often during the day. They love to snuggle and love to be close to eachother. They are getting spoiled already because we don't want to put them down. But that's okay. We'll worry about that later. Right now I just want to enjoy every moment of them being home and hold them as often as they want. :D

Thank you all so very much for your prayers. Thank you for the many encouraging messages that you sent out to us to help lift us up when we were struggling to make it through the day. Who am I that God would hear our cries and b less us with such incredible miracles?