December 15, 2009

<strong>December 15, 2009</strong>

Things are still going good.  Tayla is off the billirubin lights she is still on the billi blanket.  She is now able to be dressed and to be out of the warming bed.  She is doing a great job regulating her body temp as is Ruben.  She gained 3oz today she is up to 4lbs 10oz which is great as it is the first day she went up instead of down or holding her weight.  Ruben pretty much maintained his weight.  He had gained 1/2 oz yesterday so he is up to 4lbs 1oz.

Feeding continues to be an issues as they are not strong enough to suck long enough to get all their feeds by breast.  So we continue to nurse them on demand (if they wake up which is almost never) or every 3hours and then after they get tube feed an entire feeding as well.  They are doing a great job digesting all of their food and are not spitting up.  From what the nurses have said that in and of itself is great.

Keep praying for continued weight gain so we can go home soon!  The other kids need mom home.  We all need to be together.

December 14, 2009

<strong>December 14, 2009</strong>

So far today we have many things to celabrate.  They are both off their IV’s.  We are weaning the tube feedings trying to have them nurse instead.  Ruben is off the billirubin lights.  He is off the warmer and is wearing clothes to see how he regulates his body temp.  Tayla is still on billirubin lights but appears to be very close to being off of them.  They did drop them from two lights and a blanket to one light and a blanket.

Pray that they start to gain weight they both lost again today.

December 13, 2009

December 13, 2009

We had a very good day today. Ben is off all breathing support. Both of their Billirubin levels are down I’m hopeful that they will be off the light tomorrow. Once they are off of lights they can go in a regular crib with clothes on so we can see how well they are regulating their body temp. They are weaning the IV fluid and upping the feeds. They should be off IV fluids by tomorrow night and hopefully have their IV locks out by Tues.

They have thier newborn screen done tomorrow pray that their Phenyalanine levels are normal.

Ben woke up last night and started to nurse. Tayla on the other hand started to sleep. I am nursing both of them and they are receiving a full feeding though the feeding tube. Tayla maintained her weight last night she is down to 4lbs 8oz. Ben dropped another ounce he is down to 4lb 1oz. They are telling me that they are still in the normal range for weight loss but having them so tiny in the first place it is hard to believe.

It is looking like within the next 24-48 hours the only reason we will still be here is feeing issues.

Please continue to pray for our family.

December 12, 2009

December 12, 2009

They have names! His name is Ruben Isaiah (Ben for short) and her name is Tayla Grace.

Well I never did give a rundown of what was going on with her when we came in. Tayla did fine breathing pretty much from the get go she never needed help. She was admitted for several reasons. Besides being a premiee she seemed to be having some issues regulating body temature. She was really red because she had a very high hemicrat. The concern with this is that her blood may clot too much and be too thick in turn causing blood clots. Everything seems good with that now. She also has a heart murmur which is very normal for a newborn.

As of today Ben is down almost off the tiny bit of pressure to help him breath. We are hopeful that tomorrw he will be off of it all together. He is still on an IV for fluids but that was turned down. As his feedings increase the IV fluids will go down. He is not nursing yet all his feeds are being tube fed though a nose tube. He does however have a suck reflex, yea! He just does not have enough strength right now to do it. He is on a Billiruben light which is to be expected. One night on the light and his level came down a good amount. I got to give him his first bath tonight very exciting.

As of today Tayla is doing good. She too is on an IV and that will be decreased just the same as Ben’s. Her Billiruben level were higher then his. This is to be expected because of her high hemicrat there is more stuff to break down. She is on two light and a blanket. Her levels have gone down a little. She is doing great latching on and sucking. She does get tired very easily so after she spends time with me nursing she is still receiving a good portion of her food though a nose tube tube.

I am getting lots of milk so they should be able to just get my milk. Getting breastmilk for a premiee in a good portion of cases can be the difference between life and death.

I have been able to hold both of them and at least once a day I have held them both together. Today I put them check to check and it was so precious.

My children have been amazing. Lindsey and Tucker have been doing a great job from what I have been told keeping up with the house and taking care of Melissa. Josiah has been helping out some too. Shelby and Cade came in today to stay with the kids at home so I don’t have to worry about them. Kelly is trying to figure out how to juggle work (he doesn’t have anymore time off of any kind until Jan 1st), being at home, and being here.

Thank you to everyone for all your support and prayers. We have been so very blessed by all of you.

December 11, 2009

December 11, 2009

They are both doing great. I will try and tell you a little about what is going on with each one since we got here and how they are doing now. Medical spelling is not my strong point but I’ll try.

Suprise, surprise, surprise, we had them at home as things moved so quickly. I had my concerns as they were so early but we were also having a very bad snow storm and by the time I figured out were weren’t going to make it I figured it was much better they be born in the controlled environment of home then in the car in a snowstorm. Thankfully they both did great until we could get to the hospital.

He had issues breathing from the get go. When we got here his oxygen stats were down to 68% and CO was over 50% They tried oxygen on him and that did nothing so they put him on a C-PAP. Because of his early arrival his lungs were not fully mature. Luckly they were mature enough that they did not need to put him on a ventalator and give stuff to mature them. He did great on the CPAP. The CPAP uses some pressure to help get the oxygen into the lungs and to keep them from collapsing. He was on room air with the cpak still within about 12 hours of us being here. 24 hours later they put him on just a cannula in his nose still with a little pressure. We are hoping with as well as he is doing to have him off all breathing helps with in the next 24 hours. He is off antibiotics as his cultures came back fine. They with held feeding by mouth since preemies are more prone to and issue with the digestive track as it is paper thin. They can get gang green and die. Luckily we are now using breastmilk only to feed them so the chance that that will happen is 10x less then if they were getting formula only and 4x less then if they were getting formula and breastmilk. He is receiving his feedings by tube. His appeared to not have a suck for the first fews maybe because of being early or maybe because he is tired. The suck reflex is one of the last things to develop on a baby before birth. I was able to put him to the breast yesterday and he did open up and latch all three times and by the time of the last feeding we even has some sucking motions! He did suck on my finger for several minutes last night as well and his tongue movement is what it should be. It will still be a little bit before we will be able to full feeding though as he gets tired very easy. Billirubin of course is elevated to be expected so I’m guessing they will put him on a light today. All in all he is doing awesome.

I will update you on her as soon as I can get back on.

December 9, 2009

December 9, 2009

On Dec 8th 2009 we added two more members to our family. We had twins 6-8 weeks early. We had a baby girl and a baby boy. We do not have names for them yet. We did not know we were having twins. The ultra sound only showed one baby. My water broke and I had them within about two hours. This was a shock to us on so many levels as we have never had a preemie baby before, we had two, and my labors in the past have been between 24-48 hours. The birth went very well.

Both babies are currently admitted into the NICU at Avera McKennan Hospital. Baby boy’s lungs are not fully developed and so they have him on C-PAP which he is doing very well on. We are very greatful that he did not need to be put on a ventilator. Baby girl is on an IV and they are concerned about the thikness of her blood. She also has a heart murmur that they are not concerned about. They are both a great size. He was 4lbs 12 oz and she was 5lbs 4oz. They were both about 18in long. She has a good suck and I am hopeful that she will be nursing soon. His suck seems to not be developed fully yet which will make feeding a little more difficult.

Click on the thumbnails to see a bigger picture!

They are thinking we will be here 3-7 weeks mostly for feeding issues. We will try to keep you updated.

Sept 1, 2009

Hyperbaric Oxygen Therapy-we are still in WI we decided to continue doing treatment for another week. When we leave Melissa will have finished 106 hyperbaric treatments since she started treating at 1 year old.

I am trying not to pay attention if we are seeing changes in Melissa. The first time we came I remember feeling like she was up and down the whole time during treatment. It wasn’t until after we got home that I was able to look back and see just how far she had come. That is what I am planning on doing this time as well. Although we are seeing changes.

It is hard to believe that before we did hyperbaric the first time Melissa had lost the will to live. She was just an empty shell. To look in her eyes she wasn’t in there. Most nights I went to bed wondering if she would still be with us in the morning. It was so hard as a parent to watch my child fading before my eyes and being powerless to do anything about it. After her first 40 treatments of hyperbaric I no longer had to wonder she was so changed and the life had come back to her eyes-she was with us to stay! This is one more things that hyperbaric has done for Melissa and our family. I truely have to thank Shannon. She made hyperbaric possible for Melissa. Thank you Shannon!

August 5, 2009

It has been many months since I have been on here. So much has been going on. We do not have Internet at home so it makes posting so much harder and before we had dial up which in its own way didn’t make posting very easy.

Melissa had a birthday she is now 5 years old! Where has the time gone? She enjoyed her special cake we made for her. She even reached out and grabbed a handful of frosting and stuck it in her mouth. We were all cheering her on as she has not done that before.

We were presented with a wonderful opportunity to do more Hyperbaric Oxygen Therapy. So here we are in Madison Wisconson for a month. Today is day number three. We will be doing another 40 treatments. When Melissa is done she will have had 95 Hyperbaric treatments. We have been very grateful for this treatment as it really gave us Melissa back. It has been so neat listening to the testimonies of other families who have seen amazing results with this treatment.

Well, since Feb we have done so much with Melissa. She was still continuing to receive PT, OT, Speech, and Pool therapy until the end of school. We are now on the summer schedule (ESY) which is much lighter.

We had Melissa’s IEP in May and the new school administration recommended that Melissa attend Children’s Care Hospital and School (CCHS) for school. Children’s Care is a school that only deals with children like Melissa. I got the 25 pages plus all supporting paperwork filled out and turned in to them and Melissa was accepted (really I didn’t have a doubt that she would be accepted since she has worked with at least 6 therapists at CCHS over the last four years). We still need to have a meeting when we get back from WI to make a plan with all of her therapists as to what services she will get while she is there. She will be going two days a week right now to transition and we will see how she does before we decide to up that time.

We had an adaptive communication evaluation and I thought that we would be leaving with different ideas and equipment to help transition Melissa into some form of communication. How wrong I was we left with them suggesting only more switch practice. Melissa is so board with the switch she want something else to do and she gets so frustrated when she can’t get her point across. How frustrating for us and Melissa.

We are so excited we got on the local Family Support Network which as been great for our family. The goal of the network is to help with things in a way that will help keep children like Melissa in the home. They purchased a special needs jogger stroller for Melissa. We love that stroller. We live in the country 2 1/2 miles form the nearest paved road and all we have is gravel and grass. Melissa’s other chair would shake so bad I was not joking when I would say it was giving her shaken baby. So because of this she didn’t get to go out as much. Now with the new chair it is so smooth off road. Thank you Family Support!

We are not having as much luck figuring out what to get for a wheel chair for her. As a parent how am I suppose to decide which chair will be best for my child for the next three years from a picture? That is what we are expected to do. We need to decide and soon as Melissa has outgrown her Kid Kart and needs a chair for school that has a tray and good side support. Plus once we figure it out it will take a good two plus months to get the chair(you’ve got to love the approval processes).

On the plus side we continue to see changes in Melissa. She is so much more social she smiles all the time. She is so close to sitting up she now has enough strength she just needs the balance to do it. She is reaching for more things and when the kids eat in front of her she watches their every move and tries to grab their food out of their hands. She has also put on over 6 pounds in the last six months! That is huge for Melissa. She has a few special toys that she can hit and make them play noise she gets the cause and effect from these toys.

Life is good and we can’t wait to see the changes yet to come for Melissa.

February 7, 2009

It is February of 2009 already! Where does the time go? Melissa is 4 1/2!

Melissa is outgrowing her Kid Kart. We need to figure out how we are either going to grow her chair bigger or if we are going to get a new chair for her what we are going to get. She is also in need of new AFO’s (ankle foot orthoditcs basically a fancy term for braces). We will be doing new casting for her AFO’s. We will also be doing an adaptive communication evaluation. I am very curious what an adaptive communication evaluation will entail as we are new to this one. Wow, lots to do.

The bigger kids are involved with a group called Living Legacy Academy. I help out when they are there and Melissa is able to go into the pre-school class. She enjoys watching the other kids for the hour or so that she is in there.

Melissa is in some respects getting easier to take out and about and in other respects getting harder to take out. She is getting easier just because she is more predictable in when she will want to to eat, drink, etc. It is getting harder because where do you change a 4 1/2 year olds diapers? Do you pay for her when you go on field trips? She still communicates by crying and complaining to get what she needs because she doesn’t use words yet.

I know that some people ask how can I tell people that Melissa is in a constant state of change and development yet she still can’t sit up by herself or feed herself? I know it may be hard to understand to those who don’t see Melissa on a regular basis but it is true. Melissa has only improved in development in the last three years. When you have a child like Melissa any improvements no matter how little is more then what the professionals expect to ever see with her. We celebrate the little things like going from pulling back when something was put in her hand to reaching out and grasping it for seconds at a time. We celebrate that her legs can now hold her up for several minutes at a time (with someone holding her to keep her balance). So while to some it seems as if she is in the same place to us we know that she has come so very far with her development!

I guess the poem”My Child” says it best.

“My child is on the honor roll”
“My kid just made the team”
“My daughters the greatest ballerina”
“My son’s a musical dream”
We all have moments we feel so proud,
of the feats our children achieve
But the smallest task may also be,
the most beautiful gift to receive.
Let me tell you something wonderful
about my amazing child.
I called out my daughters name today,
And she turned to me and smiled!!
I’ve heard them all but I’ve got you beat,
though your not likely to understand-
I reached out for my daughter today,
and my princess reached for my hand,
People see a child in a wheelchair,
and feel sad or even disturbed-
but that magical little laugh-
is the sweetest song I have EVER heard!!

October 8, 2008

I love Melissa’s new website compliments of Karen Arnold. She said Melissa was a big girl now and needed a big girl website. Thank you Karen!

I am hoping to get new pictures up soon of Melissa. She is really changing and getting the big kid look to her. She even got to be a flower girl in her big sister’s wedding. She rode down the aisle in her chair and was pushed by the ring bearer, her big brother, Josiah who was very honored to push her.

We had her at the doctors the other day and she weighs 22lbs 14ozs and is 35 ½ in long. The funny thing is that I was talking with a friend who has carried Melissa many times and we both agreed that she feels like she weighs about 30+ lbs. I told my friend that she probably only weighs 22lbs since she always feels way heavier then she really is. My neighbor guessed Melissa at 37 lbs while holding her. There are days that Melissa feels like a lightweight and other days you go to pick her up and she feel like she has lead in her butt. We use the CP growth chart and at least she is on the chart unlike the “normal” chart. I know her weight is a little of a concern to the doctor but I’m not concerned at all anymore. Melissa has muscle on her, she has a healthy glow about her, she is very healthy, alert, and eats like a horse. I say all those things mean that she is getting what she needs. Even though she is not on track developmentally she is always in a constant state of chance and improvement. Besides the doctors basically told me that because she wasn’t developing before the infantile spasms she would most likely be mentally retarded. Well, Melissa is far from mentally retarded. The girl is so very smart it is only her body that won’t work for her. She knows what she wants and finds ways to let us know. Besides, Lindsey and Josiah are lightweights too so I think part of Melissa’s small body is genetics.

She rolled over to her right today! She has been rolling to her left side continually for about 4 months now but never rolls to her right until today! She actually rolled all the way to her tummy when rolling to her left us usually just rolls to her side to get off her back. She stayed on her tummy for over three minutes before complaining. She hates to be on her tummy so I was very impressed. In fact, it was as if she was trying to figure out how she rolled that way.

She is cocking her neck around to study and observe people more and more. She is using “yes” and “no” more and more often when being asked a question. We still don’t know if she is really answering us, but it does seem to be appropriate for the question about 75% of the time.