NICU Week 11-14 The Last Mile

NICU Week 11-14 The Last Mile

To be honest with all of you, the last four weeks of this journey were long and very short at the same time. It felt like our world went on for eternities but somehow we would find ourselves near the end of it time and time again. Like a marathon.

Lilly was growing so fast! She was gaining weight and hitting those regular developmental milestones quite fast. This seem to worry the doctors more than please them. They were noticing that Lilly was beginning to outgrow the NICU but there was something holding her back.

Spencer and I could NOT have seen this coming even if we tried. We had the idea that for some reason the NICU was the place for her to be “fixed”, and we were so wrong. Lilly reminded everyone in her care team that the neonatal intensive care unit could also be just a part of your treatment and not the entire process.

After many tests and therapy sessions, she was diagnosed with dysphagia and would need special care whenever she needed to eat. Technically, dysphagia is the inability to swallow without chocking. This means that her “feeds” had to be thickened in order for her to be able to eat safely. That also meant that breastfeeding was out of the question since breastmilk is so thin; thinner than water.

I was devastated. I always intended to breastfeed, especially since I was lucky enought to be blessed with an amazing milk supply. Pumping became my new religion.

Lilly’s feeding tube was also a topic for conversation and brainstorming on the provider’s part. They knew that she would have to go home with suplemental feeding and that the NICU was not very fond of sending babies home with anything but a “G Tube”, which is a surgically placed tube straight to the belly. Now, there are lots of other ideas that preceded the long feared G Tube, but the NICU providers were not very hopeful.

With the help of our great Speech team, who advocated perfectly for our little one, the neonatologists came to the conclusion that she was a good candidate to be discharged with an NG tube as long as she was seen outpatient by the same speech pathologists. Luckly, my husband and I have enough experience with medical matters and we felt so very comfortable taking care of her at home.

Lilly was discharged Nov 5th with a feeding tube that she had to use for only two weeks after she got home. With the help of her amazing speech team, her GI team, and the sweat and tears of her parents, she no longer needed her feeding tube and she graduated from therapy!!!!

NICU/ICN Week 10

NICU/ICN Week 10

A gift from our amazing nurses

Oh the bittersweet week…

This week our sweet Lilly reached her due date. October 6th. A month ago, my husband and I thought that maybe our little baby girl would come home before this dreaded day.

When the day was getting close and she didn’t progress as fast as we wanted, we realized she would not be coming home yet. This realization was hard and heavy on our hearts. I was getting frustrated with “the system”. I was thinking maybe we were failing her.

They say that things get worse before they get better. Boy, are they right.

The ICN, as explained by the nurses, is a unit that is usually used as an overflow when they have too many babies to care for, and not enough space. When that census dropped, they decided to move those babies back to the NICU. This includes our little wiggle worm.

We packed our belongings and pushed her hospital crib all the way back to that long hallway. This time the room assigned to her is closer to the entrance so we don’t have to go through the dreaded hallway to get to her. It’s nice.

Lilly’s new room

Lilly has progressed in her eating technique; she has mastered the mature suck. She is able to suck, swallow, and breathe in a coordinated matter. She has been taking half of her feeds and has also been more alert in the past week.

Breastfeeding has been tough since my breast have developed faster than she has, making it difficult for her to receive such a big supply so fast. I am working with Lactation nurses to help Lilly latch and learn to manage my fast letdown and ample amount of milk.

She is gaining weight as espected and getting cuter by the minute.

Besides all the good things, there are some others that have kept us from going home. The biggest reason has been Lilly’s nutrition and learning to eat WITHOUT having events (i.e. choking/ coughing, desating, bradicardic dips). She has been having some more than usual, and it’s kept us from moving forward. We just have to keep working on it!

Until next week, keep on moving.. even if its only one inch at a time. Progress is progress.

NICU/ICN Week 9

NICU/ICN Week 9

This week we found out that our daughter had a low red blood cell count and needed some iron to help. This was kind of good news… here is what I mean by that.

Lilly has been very sleepy and lethargic. This makes it hard for her to actually work on feedings and learning how to eat like a newborn. In order for her to eat, she has to be awake/alert. Spencer and I were worried and communicated this to her doctors during rounds last week.

The doctors told us that it was very normal for her to be this sleepy given she was a preemie and “we are asking so much of them already” as the doctor put it. My motherly instinct told me that something else was happening and that we should ask again with more persistance.

The doctors decided to do a full blood panel and they found out that she had a low count which I believe came from me. I am anemic. Regardless, now we know what the problem is and how to fix it! Which brings me to our next achievement.

2 months old!

Lilly has been waking up a little bit more, enough to work on breastfeeding and bottle feeding! On Tuesday she tried breastfeeding and she was latched the entire time and she got milk! So she didn’t have to get any milk through her tube!

Today when Spencer and I arrived at her 11 am care, we found the nurse feeding her through the bottle and she was almost done! Spencer took over and Lilly and papi worked together and she finished her feed! her feeding has become a bit more mature and she is pacing herself. No events either!

We are making very small progress, but it is progress indeed. Lilly also has been gaining weight and she has grown in size! 6lbs 12.5oz of deliciousness! She almost looks like a newborn now and we are very much in love!!

To other parents with babies in the NICU: This week we also brought in some items that we had at home ready for her. A pillow to prevent flat head syndrome, her personal bibs, her boppy for nursing, and her receiving blankets to act as linens for her hospital crib.  **YOU CAN MAKE THE NICU YOUR HOME AWAY FROM HOME ** This has helped us feel like home is wherever she is and not just a stationary place that seems so distant and unachieveable.

YOU GOT THIS! Its not easy, but then again, nothing that is worthwhile is easy to build or find.

Our view from Lilly’s room.