If these updates had sound you would hear deep sighs and tired and worried parents trying to voice frustrations but clinging on to hope. Anxious and eager for the day when both children are home HEALTHY and we are not worrying about their day to day well-being.
Pediatrician was unsure what to do about continued blood in stools so talked to specialist in KC. The specialist still believes it to be an allergic reaction to milk protein. He is requesting we stay on this new formula for two weeks total (have already been on it five days) to see if the blood goes away. Assuming it won't we would then be put on a much more expensive formula (didn't realize that was possible) for two weeks to see if THAT clears up the bloody stools. And then, assuming that one doesn't work either they would move forward at that point with a GI scan to see if she has a fisher or polyp that is causing the bleeding. They are doing what they can to avoid the scan because she is so small and it would mean more radiation.
Because she is still losing blood several times throughout the day she will still require blood counts to make sure she is not losing too much or requiring another transfusion any time soon. She will have blood work done in the morning to see how quickly her numbers are decreasing. If they are decreasing too quickly and/or it looks like this is going to cause the need for another transfusion then they will do the scan sooner than expected. We are still not sure if we would have to do the scan in KC or be able to do it here in Springfield, but for the time being we do not have to go to KC or St Louis for hospital stay. And the KC GI Specialist actually comes to Springfield once a month to see patients, so that would be a huge help if we were able to be seen by him.
As for the Apnea spells during the night, looks like they were minimal apneas that didn't last quite twenty seconds. Doctor said the nurse should not have stimulated McKenna and should have allowed for her to hit the twenty second mark before doing anything to see if she would have come back on her own. I voiced my concern to the nurse that she is having more of these and that she is going backward on the apnea and heart drops and asked her to convey the concerns to the doctor sense he was not able to visit us here today. Hoping tomorrow he will stop by and I will not hold back on the concerns we have!!!
So for now the only real update is to continue as is. Stay on formula, no trip to KC or St Louis for at least another week or two, blood work in the morning to see how blood count is, and act like child not breathing is normal and no big deal. Guess it is already time for Mom and Dad to retake CPR training.
Thanks for the prayers everyone!
Monday, June 15, 2009
More Trouble for Our Sugar Bag
It's so easy to get on here and complain or talk about all the negatives that our poor little girl is going through, so today we are going to try to start out with some positives.
McKenna weighed in at 5 pounds this morning. I wanted to cry with joy. She is officially the weight of a bag of sugar and is truly as sweet as one too. This is a huge step forward, especially since she had started losing weight when she first checked in, and since she had only gained four pounds when she was home for a week.
Yeah, that's pretty much the only good news. Nurse came in this morning and asked how McKenna was doing. My reply was that she was just sitting there stooling blood for them. He commented that it looks like she will be going to St Louis or Kansas City becaues Springfield just doesn't have the specialists needed to deal with this stuff. While the trip would be a good thing and maybe we could finally get some answers, we can't help but be negative and think that all the tests ran here have come back negative for problems, so what will a specialist find? Also, we are rather frustrated that NICU felt it okay to release her under these circumstances when we have had three pediatricians now tell us how alarming it is that she has been stooling blood for such a long time and that it was just blamed on a fisher.
Also, during the middle of the night McKenna had an Apnea spell. This is where she stops breathing for over twenty seconds. That's a long time for anyone, let alone a five pound baby. It happened while she was sleeping and the nurse ran in, observed her and started stimulating her - rubbing her back rather hard and talking to her. It was so scary to watch. The nurse told me to go get some sleep as she was doing this. ARE YOU KIDDING ME?!?! Our child is not breathing, you are breaking her back trying to get her to "come back" and you want me to sleep?
Please keep praying. We are worried sick, and if St Louis or KC is the next step then we will have to figure out what to do because there is still our little baby boy that needs one of us to take care of him, and Kyle has taken SO much time off work already that we really don't want him to take any more off, and if only one of us goes with McKenna, that means that the other parent doesn't see Keaton, and the one that doesn't go doesn't get to see McKenna. All very nerve racking!!!
Waiting for doctor to come in this morning and tell us the next step.
McKenna weighed in at 5 pounds this morning. I wanted to cry with joy. She is officially the weight of a bag of sugar and is truly as sweet as one too. This is a huge step forward, especially since she had started losing weight when she first checked in, and since she had only gained four pounds when she was home for a week.
Yeah, that's pretty much the only good news. Nurse came in this morning and asked how McKenna was doing. My reply was that she was just sitting there stooling blood for them. He commented that it looks like she will be going to St Louis or Kansas City becaues Springfield just doesn't have the specialists needed to deal with this stuff. While the trip would be a good thing and maybe we could finally get some answers, we can't help but be negative and think that all the tests ran here have come back negative for problems, so what will a specialist find? Also, we are rather frustrated that NICU felt it okay to release her under these circumstances when we have had three pediatricians now tell us how alarming it is that she has been stooling blood for such a long time and that it was just blamed on a fisher.
Also, during the middle of the night McKenna had an Apnea spell. This is where she stops breathing for over twenty seconds. That's a long time for anyone, let alone a five pound baby. It happened while she was sleeping and the nurse ran in, observed her and started stimulating her - rubbing her back rather hard and talking to her. It was so scary to watch. The nurse told me to go get some sleep as she was doing this. ARE YOU KIDDING ME?!?! Our child is not breathing, you are breaking her back trying to get her to "come back" and you want me to sleep?
Please keep praying. We are worried sick, and if St Louis or KC is the next step then we will have to figure out what to do because there is still our little baby boy that needs one of us to take care of him, and Kyle has taken SO much time off work already that we really don't want him to take any more off, and if only one of us goes with McKenna, that means that the other parent doesn't see Keaton, and the one that doesn't go doesn't get to see McKenna. All very nerve racking!!!
Waiting for doctor to come in this morning and tell us the next step.
Another Night
Sweet Little McKenna, another night in the hospital. She has had a few heart drops outside of feedings, which has not happened since the beginning of life for her. We are rather worried about those. Drops with feedings are easy to correct, although nerve racking. If she has one outside of the feedings we are not always standing right there or aware of what is going on, so we are scared about how often she will have them. Doctor says these could be false alarms. They will download monitor tomorrow to determine if they were actual alarms.
While talking to doctor this morning he said we need to let McKenna have her heart rate drops even when we are not feeding her. We are not suppose to stimulate her...just sit, watch her stop breathing and watch her turn color. Let the alarm beep several times, check out the baby and note her color, calmly check her pulse...ARE YOU KIDDING ME was my response. How in the world is a parent suppose to watch their child turn blue and just observe as they stop breathing?!?!?! His thinking is that she cannot learn to come back on her own if we don't allow her to do this. Also, they need the data. If we don't allow for her to come back on her own the monitor can't tell the doctor what is going on so he has no way of correcting it. Guess we will "try" to refrain from immediate stimulation, but I still refuse to wait until she needs CPR!
McKenna is still having blood in her stools. They suspected it was a fisher (tear in rectum) but after three weeks of bleeding decided it must be something else. She has been put on special formula to see if she has allergic reaction to milk protein which would cause bloody stools, but since the blood started again today we suspect that it is not due to milk protein.
The doctor is going to talk to a GI specialist tomorrow and possibly do an upper GI scan to see what is going on and if there is something visible as to why she is having the stool problems. For now, that is what is keeping us in the hospital.
Please pray for McKenna's brain to develop and remind her to suck, breathe, swallow. Pray she doesn't have heart drops outside of feedings either and that her heart and brain are strengthened. Pray for blood in stools to go away, body to develop, lip swelling to go away, body to stop having "preemie trimmers", and overall health, wellness and development.
I was able to run home while grandma Dana watched McKenna and give Keaton hugs, kisses and a much needed bath. He did pretty well and only fussed a little bit. His diaper rash seems a tad bit better but is still pretty red and feels like it is scabbed over. All I can say is Desitin, Diaper Doo, and A&D Diaper Cream don't work. Trying Butt Paste now and hoping that helps. We'll see.
Keaton still seems to spend most his days eating then sleeping which makes easy for caring for him. He slept today while Grandma watched him and daddy mowed the yard. He gave grandma a smile too while she was talking to him. Still not sure if it was an actual smile or just gas but either way I am sure he was just loving be held by his grammy.
Grandpa Dana got to feed Keaton this morning while daddy went for his run and he seemed to do well for him. I think the twins already have the grandparents wrapped around their fingers.
Please pray for Keaton's motor skills to develop. He gets irritated often and shows signs of overstimulation. Doesn't do well with eye contact lately or interaction. Tuesday First Steps comes out to observe him and tell us if he needs occupational therapy, physical therapy, speech therapy (for feedings). So we are excited to see what their thoughts are and to learn things we can do to help him develop.
Please pray for Keaton's overall health as well. Pray that he doesn't get sick or infections. Pray for growth and strength and continued good feedings.
Two more weeks and Nana Deb is heading out from Montana to help with her grandbabies. We can hardly wait to show off the twins and have them loved on by her. Praying McKenna is well enough and home by then.
While talking to doctor this morning he said we need to let McKenna have her heart rate drops even when we are not feeding her. We are not suppose to stimulate her...just sit, watch her stop breathing and watch her turn color. Let the alarm beep several times, check out the baby and note her color, calmly check her pulse...ARE YOU KIDDING ME was my response. How in the world is a parent suppose to watch their child turn blue and just observe as they stop breathing?!?!?! His thinking is that she cannot learn to come back on her own if we don't allow her to do this. Also, they need the data. If we don't allow for her to come back on her own the monitor can't tell the doctor what is going on so he has no way of correcting it. Guess we will "try" to refrain from immediate stimulation, but I still refuse to wait until she needs CPR!
McKenna is still having blood in her stools. They suspected it was a fisher (tear in rectum) but after three weeks of bleeding decided it must be something else. She has been put on special formula to see if she has allergic reaction to milk protein which would cause bloody stools, but since the blood started again today we suspect that it is not due to milk protein.
The doctor is going to talk to a GI specialist tomorrow and possibly do an upper GI scan to see what is going on and if there is something visible as to why she is having the stool problems. For now, that is what is keeping us in the hospital.
Please pray for McKenna's brain to develop and remind her to suck, breathe, swallow. Pray she doesn't have heart drops outside of feedings either and that her heart and brain are strengthened. Pray for blood in stools to go away, body to develop, lip swelling to go away, body to stop having "preemie trimmers", and overall health, wellness and development.
I was able to run home while grandma Dana watched McKenna and give Keaton hugs, kisses and a much needed bath. He did pretty well and only fussed a little bit. His diaper rash seems a tad bit better but is still pretty red and feels like it is scabbed over. All I can say is Desitin, Diaper Doo, and A&D Diaper Cream don't work. Trying Butt Paste now and hoping that helps. We'll see.
Keaton still seems to spend most his days eating then sleeping which makes easy for caring for him. He slept today while Grandma watched him and daddy mowed the yard. He gave grandma a smile too while she was talking to him. Still not sure if it was an actual smile or just gas but either way I am sure he was just loving be held by his grammy.
Grandpa Dana got to feed Keaton this morning while daddy went for his run and he seemed to do well for him. I think the twins already have the grandparents wrapped around their fingers.
Please pray for Keaton's motor skills to develop. He gets irritated often and shows signs of overstimulation. Doesn't do well with eye contact lately or interaction. Tuesday First Steps comes out to observe him and tell us if he needs occupational therapy, physical therapy, speech therapy (for feedings). So we are excited to see what their thoughts are and to learn things we can do to help him develop.
Please pray for Keaton's overall health as well. Pray that he doesn't get sick or infections. Pray for growth and strength and continued good feedings.
Two more weeks and Nana Deb is heading out from Montana to help with her grandbabies. We can hardly wait to show off the twins and have them loved on by her. Praying McKenna is well enough and home by then.
Another 24 Hours
Kimberly just called and informed me that McKenna will not be released today as we planned. She ended up losing 2 oz yesterday which for a baby that only weighs 4 lbs 13oz, that is big! Doctors are going to proceed with another transfusion as I type. This is her third and hopefully last. You always wonder if the blood they are putting into your child is free and clear of impurities, yes, I know they run special screens, but the thoughts still cross your mind. Hopefully this transfusion will give her more energy so that she can stay awake during her feedings and actually eat the amount she needs to in order to gain weight.
Problems at Home
This is Kyle writing at the request of my wife who is tied up at the hospital with McKenna for the past 24 hours. It has been difficult for Kimberly to keep up with the care pages ever since McKenna has come home. Managing two children is definitely more than we had expected but we are learning the ropes and managing well with the help of family and friends. We are adjusting to life with no sleep.
It all started yesterday when we took both children to the doctor for a check up. What started out as routine ended up taking 3 hours for which we were grateful for a doctor that was willing to take all that time to answer our questions. We had several concerns for McKenna's development and why she was so far behind. At the conclusion of the appointment the doctor gave both children their vaccination shots. McKenna had another heart drop during the shots which gave us quite a scare because she turns a dusky gray and goes limp....enough to scare any new parent. When we got the kids home, Kimberly called me over to look at McKenna...she appeared to be breathing irregularly at which point the alarm on the monitor sounded that she was having a heart drop. A heart drop outside of a feeding is even scarier. So Kimberly rushed McKenna off to the hospital where she had was admitted and has been ever since. McKenna still has blood in her stools, a very low blood count (possibly needing another transfusion), some kind of growth on her lip, and of course the heart drops. She will be undergoing various xrays and tests today and tomorrow morning and hopefully that can find out what the problem is.
Keaton is still doing quite well. I have managed to take care of him by myself now for 24 hours for which I am very pleased. We are getting along well. He is eating well and seems to enjoy peeing on his father during the diaper changes which was funny at first but not anymore! Our only concerns with him currently are a pretty nasty diaper rash and his umbilical hernia appears to be getting larger.
Keation weighed in at 6 lbs 9oz at the doctor and McKenna weighed in at 4 lbs 13oz. We were expecting McKenna to have picked up more weight than that since leaving the NICU but the doctor did not seem overly concerned.
We hope that you will continue to pray with us for a complete healing and restoration for both children, especially tiny McKenna. We have so much appreciated all the comments and support from everyone out there. It is so encouraging to read your comments and your prayers give us much needed strength to get through the long days.
It all started yesterday when we took both children to the doctor for a check up. What started out as routine ended up taking 3 hours for which we were grateful for a doctor that was willing to take all that time to answer our questions. We had several concerns for McKenna's development and why she was so far behind. At the conclusion of the appointment the doctor gave both children their vaccination shots. McKenna had another heart drop during the shots which gave us quite a scare because she turns a dusky gray and goes limp....enough to scare any new parent. When we got the kids home, Kimberly called me over to look at McKenna...she appeared to be breathing irregularly at which point the alarm on the monitor sounded that she was having a heart drop. A heart drop outside of a feeding is even scarier. So Kimberly rushed McKenna off to the hospital where she had was admitted and has been ever since. McKenna still has blood in her stools, a very low blood count (possibly needing another transfusion), some kind of growth on her lip, and of course the heart drops. She will be undergoing various xrays and tests today and tomorrow morning and hopefully that can find out what the problem is.
Keaton is still doing quite well. I have managed to take care of him by myself now for 24 hours for which I am very pleased. We are getting along well. He is eating well and seems to enjoy peeing on his father during the diaper changes which was funny at first but not anymore! Our only concerns with him currently are a pretty nasty diaper rash and his umbilical hernia appears to be getting larger.
Keation weighed in at 6 lbs 9oz at the doctor and McKenna weighed in at 4 lbs 13oz. We were expecting McKenna to have picked up more weight than that since leaving the NICU but the doctor did not seem overly concerned.
We hope that you will continue to pray with us for a complete healing and restoration for both children, especially tiny McKenna. We have so much appreciated all the comments and support from everyone out there. It is so encouraging to read your comments and your prayers give us much needed strength to get through the long days.
Finally Home
So sorry everyone for the delay in updates. The past few days have been exhausting and trying to find time to get on the computer has been difficult.
Friday we got the call that they were going to send our baby girl home. We were thrilled but nervous as could be. They decided to send her home even with her low blood count, severe anemia and daily heart drops. Apparently they thought she would do better at home.
The doctors had increased her iron intake due to low iron and not producing blood still, but the iron (she receivved it orally) was causing her to choke and have heart rate drops, so they have put a stop to the iron until she sees her pediatrician and then the doctor will tell us at what point to put her back on it.
Heart rate drops - she still has several a day with feedings. The night of discharge we had to feed her before she left and she had three heart rate drops during that one feeding alone. They suspect it is still just due to immaturity. As she ages this should go away.
Her blood count is low and she is very pale, but it was not quite low enough to do a transfusion. The pediatrician will most likely retest her count at her two month check-up this Thursday to see if a transfusion is needed yet. She is 4 lb 9 oz, so we will get to see what she weighs now too.
We are so grateful for all the prayers and love and support. You are so amazing! Our children are home today because of people like you standing in prayer for us. THANK YOU a million times!!!
Please keep praying, and as I am able to find time will try to update the page. Currently getting about 45 minutes of sleep every three hours, so exhaustion has prevented updates the past few days.
Prayers for McKenna is for growth and maturity. Pray that her brain develops and she remembers to breathe while eating. Pray for increase on quantity she takes of food. She is so wonderful and it is such a blessing to have her home!
Keaton is doing well. He is getting huge and we are excited to take him to doctor Thursday to see how much he weighs. I am guessing seven pounds at least. hahaha.
Keaton is taking up to three ounces of milk every three hours now. We are hoping doctor will tell us we are okay to go longer at night between feedings but we will see.
The babies seem to enjoy each other. They haven't really done much together but lay there, but they take turns watching over each other. One will sleep while the other looks at him/her and vice versa. This morning McKenna started fussing a bit and by the time I finally got up to feed her she was asleep and resting her head on Keaton's hand. It was so cute and looked like he was comforting her. A protective big brother already. Love it.
Please keep praying for overall health and wellness for Keaton as well.
Friday we got the call that they were going to send our baby girl home. We were thrilled but nervous as could be. They decided to send her home even with her low blood count, severe anemia and daily heart drops. Apparently they thought she would do better at home.
The doctors had increased her iron intake due to low iron and not producing blood still, but the iron (she receivved it orally) was causing her to choke and have heart rate drops, so they have put a stop to the iron until she sees her pediatrician and then the doctor will tell us at what point to put her back on it.
Heart rate drops - she still has several a day with feedings. The night of discharge we had to feed her before she left and she had three heart rate drops during that one feeding alone. They suspect it is still just due to immaturity. As she ages this should go away.
Her blood count is low and she is very pale, but it was not quite low enough to do a transfusion. The pediatrician will most likely retest her count at her two month check-up this Thursday to see if a transfusion is needed yet. She is 4 lb 9 oz, so we will get to see what she weighs now too.
We are so grateful for all the prayers and love and support. You are so amazing! Our children are home today because of people like you standing in prayer for us. THANK YOU a million times!!!
Please keep praying, and as I am able to find time will try to update the page. Currently getting about 45 minutes of sleep every three hours, so exhaustion has prevented updates the past few days.
Prayers for McKenna is for growth and maturity. Pray that her brain develops and she remembers to breathe while eating. Pray for increase on quantity she takes of food. She is so wonderful and it is such a blessing to have her home!
Keaton is doing well. He is getting huge and we are excited to take him to doctor Thursday to see how much he weighs. I am guessing seven pounds at least. hahaha.
Keaton is taking up to three ounces of milk every three hours now. We are hoping doctor will tell us we are okay to go longer at night between feedings but we will see.
The babies seem to enjoy each other. They haven't really done much together but lay there, but they take turns watching over each other. One will sleep while the other looks at him/her and vice versa. This morning McKenna started fussing a bit and by the time I finally got up to feed her she was asleep and resting her head on Keaton's hand. It was so cute and looked like he was comforting her. A protective big brother already. Love it.
Please keep praying for overall health and wellness for Keaton as well.
Close to Going Home
McKenna is getting close to coming home. She is 4 lb 8 oz tonight. Wow, can hardly believe it. Her face is more full, her eyes more focused, twitches less and overall looks great.
McKenna is still having one or two heart drops each day with her feedings, but today she has been heart drop free. Hopefully a sign that she is on her way home.
We signed papers today for her heart monitor for when she comes home. Tomorrow she is having car seat testing which we assume she will fail. And she is having blood work tomorrow too to see if she is producing her own blood yet and what her blood count is. Her count will determine if she needs another transufion. We are hoping that if she does need another one that they are able to do it in the next few days so she will be healthy and well when she gets home. They did increase her iron vitamins to help her produce blood.
McKenna has not been eating as well lately and they have determined it is most likely due to the nipple they are using. They switched to a different one today and we are hoping that will allow her to get more milk in a faster time period and will require less work for her.
Doctor today said that she is doing well. Has less heart drops than before, isn't sick, and overall health is looking up, so she is basically ready to come home when we are confidant in feeding her with the heart drops. So we will see what doc says tomorrow, but we assume she is coming home in next couple days.
Keaton is doing awesome. He was circumcised today - poor guy. It looks so painful and he has been rather fussy all day, so I am sure he is in pain. We were hoping to get a chance to weigh him before the procedure, but we walked into the room and saw the little bed they strap him down to and all the knives and stuff and I think we were both too overwhelmed to think about weighing.
Keaton goes to the heart doctor June 25 and will see if he still needs his monitor or if he is well enough to go without it. They will also determine at that point if he is able to go into a car seat or has to stay in car bed for now.
Keaton was sweet today and peed all over the nursery wall, the changing table, his clothes, and everywhere else you can imagine. Luckily it was daddy changing him and not his mom, but if you know Kyle, you can imagine how bad he freaked out. For sure a fun story and memory to record in his baby book.
Please pray for McKenna that she begins producing her own blood, that she stays healthy and well, that she begins eating better, that she stops having heart drops, and that she adjusts well when she comes home.
For Keaton, Please pray for overall health, for pain to go away from procedure today, for increased feedings, and for adjustment having McKenna home.
McKenna is still having one or two heart drops each day with her feedings, but today she has been heart drop free. Hopefully a sign that she is on her way home.
We signed papers today for her heart monitor for when she comes home. Tomorrow she is having car seat testing which we assume she will fail. And she is having blood work tomorrow too to see if she is producing her own blood yet and what her blood count is. Her count will determine if she needs another transufion. We are hoping that if she does need another one that they are able to do it in the next few days so she will be healthy and well when she gets home. They did increase her iron vitamins to help her produce blood.
McKenna has not been eating as well lately and they have determined it is most likely due to the nipple they are using. They switched to a different one today and we are hoping that will allow her to get more milk in a faster time period and will require less work for her.
Doctor today said that she is doing well. Has less heart drops than before, isn't sick, and overall health is looking up, so she is basically ready to come home when we are confidant in feeding her with the heart drops. So we will see what doc says tomorrow, but we assume she is coming home in next couple days.
Keaton is doing awesome. He was circumcised today - poor guy. It looks so painful and he has been rather fussy all day, so I am sure he is in pain. We were hoping to get a chance to weigh him before the procedure, but we walked into the room and saw the little bed they strap him down to and all the knives and stuff and I think we were both too overwhelmed to think about weighing.
Keaton goes to the heart doctor June 25 and will see if he still needs his monitor or if he is well enough to go without it. They will also determine at that point if he is able to go into a car seat or has to stay in car bed for now.
Keaton was sweet today and peed all over the nursery wall, the changing table, his clothes, and everywhere else you can imagine. Luckily it was daddy changing him and not his mom, but if you know Kyle, you can imagine how bad he freaked out. For sure a fun story and memory to record in his baby book.
Please pray for McKenna that she begins producing her own blood, that she stays healthy and well, that she begins eating better, that she stops having heart drops, and that she adjusts well when she comes home.
For Keaton, Please pray for overall health, for pain to go away from procedure today, for increased feedings, and for adjustment having McKenna home.
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