Saturday, May 31, 2014

Long Awaited Homecoming


Day 115: Tuesday, May 13th
Yesterday Landon weighed 2825 grams -- 6lb 5oz-- measured 47.5 cm long --18 3/4 inches-- and his head was 35 cm around.  This morning when I called the NICU to see when he last ate, they asked me to bring in his car seat today because he is going home tomorrow!  It seriously felt like this day would never come!  He satted 99-100% the entire hour and a half in his car seat and slept the whole time.

He also had his circumcision today, by Dr. Sheffield, and he came back sound asleep.  So it must not have been as bad as I thought it was going to be.  We got all sorts of discharge and home-health teaching.  I am so excited to finally be taking my baby home!  I can't wait for tomorrow! And... no more feeding tube!
Dr. Sheffield resuscitated Landon and performed his circumcision
Monday, May 19th
Our sweet little baby came home with us on Wednesday, May 14th after 116 days in the McKay Dee Hospital NICU.  It still doesn't really feel real yet.  When Landon was born, there was a part of me that was sure he would never come home with us.  Now that he is home, it is so surreal.  We haven't had to go to the hospital for the past 5 days!  A week ago, I couldn't even remember what life was like before the NICU.  Landon spent 116 days in the NICU, and I was on bed rest in the hospital for 10 days before that so we have spent way too much time in that hospital over the past four months.
I could not stop smiling like that all day!
Ready to go home!
I am so incredibly thankful for the NICU staff though: the nurses, respiratory therapists, nurse practitioners, and neonatologists.  Without their efforts, Landon would not be here with us.
Went to town on his binky the whole way home

Max introducing himself to his little brother
Yesterday marked Landon's 4 month birthday, although he is only 2 weeks adjusted.



















Monday, May 26th
Mike had today off for Memorial Day, so we decided to go to the park as a family and spend some time outside where we could be away from most people.  We went down to the Ogden River parkway and walked around the path for a bit then spread out a blanket for Landon to lay on in the park.  He slept pretty much the whole time, but it was fun for us!



Wednesday, May 28th
The past couple weeks have been full of doctor appointments, in particular weight checks to make sure Landon is gaining weight well at home.  Today he weighed 6lb 15 1/2oz, and he is now bigger than I was when I was born (6lb 13oz).  His pediatrician also wants us to wean his oxygen from 1/16 Liters of flow to 1/32 LPM.
WARNING: Picture Overload - I just can't get enough of him!



Always pulling his oxygen out

Funny little guy sleeps with his hands in the air like this...
I imagined I would carry my baby around everywhere with me, but Landon's 4-foot long oxygen tubing makes that extremely impossible, especially because it's attached to a 70-pound oxygen tank!  I'm still not getting much sleep or having a lot of spare time like I thought I would, but it's worth it to have him home!  Grandma Hill and Grandpa Larry came to visit today and got to see Landon for the first time!
He got his whole thumb in there!
Daddy thinks this sure beats the NICU chairs every night! 






Sunday, May 11, 2014

Week 15 - 16: April 28th - May 11th

Day 100: Monday, April 28th
Today marks Landon's 100th day in the NICU.  What a long, long time to be in the NICU.  But on the other hand, I am so thankful that he is with us and getting the care he needs and growing bigger and stronger.  The staff got him a cake and card, and everyone wished us a happy 100th day birthday.  Landon weighed 5lb 10oz tonight.
 


He was so excited, he slept through the whole celebration!
Day 102: Wednesday, April 30th
I gave Landon a bottle for the first time last night at 7:30pm.  He ate 31mL out of the 48mL that he is up to now.  Since then, he ate 49mL by bottle at 1:30 am, 37mL at 4:30am, and 48mL at 7:30am.  Then he nursed a full feeding!  What a big boy!  If he keeps this up, he'll be coming home before we know it.  IN the last 24 hours he was only gavaged two full feedings.  I am so excited to see his progress!

















Day 104: Friday, May 2nd
Today was my due date.  It has been a hard day for me.  My mind has been flooded with reminders of what has happened and the dream that is lost.  I've been thinking a lot about how he should have been growing safely inside me until at least today.  I've been thinking about how big my belly would have been, how it would have been to see my baby poke a foot or elbow into the side of my belly so Mike and I could see and feel it.  I've been thinking a lot about how I never got to experience my third trimester, a normal delivery, or immediate bonding with my baby.
On the other hand, I am so thankful for Landon and the miracles that we have been blessed with.  I am so thankful he is receiving the care he needs.  We have been extremely blessed by many things that have helped us through this trial: Mike working hard so I don't have to work and I can be at the hospital for most of the day, me being able to withdraw from Weber State classes for a full refund in the first week of class, living with my parents so someone could do Mike's laundry, feed him and take care of the animals, having insurance at and delivering at one of the state's best NICU's, and being able to not get sick for 104 days and counting so we can keep going up to the hospital to see our little guy.
Landon ate pretty well today.  He nursed at 10:30am, ate 22mL at 1:30pm, nursed at 4:30pm, and ate 52mL at 7:30pm -- that's 4mL more than he needs! I know it's probably repetitious for me to keep listing how much he eats and when, but this is what you get excited about when you have a baby in the NICU!  These are the steps towards coming home and this shows his progress, eating is hard work for a little guy!
Bath time!
He sleeps through most of his baths, funny guy!
Day 107: Monday, May 5th
Landon weighed 5lb 15oz tonight, was 46cm long (18 inches), and his head was 35cm around.  Since 7:30pm last night, he has only been gavaged two feedings, and the bottles he has taken he has eaten full feedings! --which is now 50mL-- He is also back on regular wall oxygen at 1/8 LPM of flow, and they are trying his bed flat rather than inclined to see how it affects his reflux.
Day 110: Thursday, May 8th
Well, I was hoping I would have a baby home by my birthday, but I guess Landon never got the message.  Tuesday he ate all full feedings from 4:30 am to 10:30 pm.  But at 7:30 pm he spat up a bunch of milk as soon as I laid him down and held his breath to protect his airway.  Well, because he held his breath, his heart rate dipped to the 70's and would not come back up because he just kept holding his breath.  His face was turning purple and his eyes were watering even though I had turned him over and was hitting his back to get everything out.  I yelled for Calleen, the RT, that he wasn't breathing, so she and the RN came running and suctioned him to get all of the milk out.  He continued to hold his breath, however, and his oxygen saturation dropped to the 40's!  I was scared to death!  They had to put the CPAP mask on him to force him to take a breath and as soon as he did he started crying and his vitals came back up.  I held him up on my chest, he let out a big burp, and immediately fell asleep like nothing had happened!

So, after that episode he was exhausted and decided to sleep through a few feedings during the night and had to be gavaged.  We are kind of starting all over at working up to full oral feedings again.  One step forwards, two steps backwards...
He almost looks chunky here!
Shawn, the Nurse Practitioner, said we could try him on an ad-lib feeding schedule.  So he will be fed when he wakes up and acts hungry -- like a normal newborn -- rather than only be fed at care times.  He will have a 12-hour minimum to reach and if he doesn't reach it, they will gavage the rest.
Landon @ 40 weeks
Landon @ 25 weeks
Day 113: Sunday, May 11th
Today is my first Mother's Day as a new mom.  It was certainly not how I had always pictured my first Mother's Day.  I just want so badly to be with my baby all the time.  But I was thankful to be able to spend time with my little family at the hospital.  Landon has been waking up hungry and crying with his new ad lib feeding schedule.  It is definitely a developmental step in the right direction.  Now he is at least waking up and attempting to eat every meal, but we are waiting on him to be able to eat the entire amount at every feeding.

Imagine my surprise when I saw my little guy in the swing from the webcam at home!
First Mother's Day with my little guy
He weighed 2825 grams tonight, so 6lb 3oz.  He also has a hernia on the left side of his scrotum.  They are just watching it for now, but there is a 70% chance he will need surgery to resolve it.