Thursday, December 26, 2013

Merry Christmas!

For the first time this season, I have a few moments to sit by the light of our Christmas tree and enjoy the still and the quiet. As I do, I'm flooded with emotion. Grateful that Brooke is home with us and doing fairly well. Such joy in having her here with us to celebrate the birth of our Savior today and in watching our kiddos enjoy the typical happenings of Christmas day in our home. Such joy and hope.
 
At the same time, my heart hurts for the families who aren't home with their kiddos tonight. There are so many families, some we got to know by sleeping next to them in the parent lounge or passing them several times a day in the hallways of the CICU, who are sleeping in that same parent lounge or on the chair next to their child's bed tonight...unsure of whether their child will make it to tomorrow. Such heartache. Will you pray for them tonight?
 
And whatever season of life you find yourself in this holiday season, may you experience the peace, hope, love and joy that can only be found in Jesus. He loves you so much.
 
Merry Christmas!
 

Monday, November 25, 2013

HOME or bust!

We're headed home with our sweet Brooklyn Hope...in a couple of hours! Ahhh! Crazy day today trying to tie up all the loose ends, soak up every little bit of learning we can, etc. Still have quite a bit to do. Bottom line, Brooke passed her "exit exams" this morning, and we are outta here!
 
Praise, praise, PRAISE HIM!
 
We cannot wait for Brooke to "see the world," as Big Big Sister said last night. I cannot wait to be in my own home with my little family of five, sleep in my own bed with my husband, snuggle my three girls on my own couch...
 
More from home!!
 
 

Friday, November 22, 2013

graduation day...and more

I can't believe I haven't updated since Saturday. Wow! What a whirlwind it's been since then. On Saturday afternoon while we were out playing in the leaves at the park with our big girls, Brooke graduated to the step-down wing. Basically, this means she is doing well, is out of intensive care and is another step closer to going home. The approach is much less hands-on here in the step-down wing as far as the nurses are concerned...and much more hands-on as far as we're concerned. Vitals are checked every four hours. Lots of various doctors, nurses, therapists and the like still come to check on Brooke throughout the day (and night). There are nursing students and their instructors here every morning coming in periodically learning, teaching, checking. But, the most important difference for us is that we get to care for our newborn in some "normal" ways like feeding, diapering, swaddling and snuggling...and be very hands-on in learning how to provide the special care Brooke needs with feeds, medications and such. SO exciting to pick up my little one when I want, change her diaper when she needs it, soothe her with a snuggle when she needs it...or when I just want to hold her for a long, long time. It's absolutely wonderful.
 
Needless to say, Brooke has continued with great progress. As of Sunday, she is completely off oxygen. As of Monday, she has no more PICC line (no more IVs!). As of Tuesday morning, she is on full feeds (2oz + fortifier every 3 hours). And, she is now taking on average close to an ounce from the bottle with each of her daytime feeds. She is on very small doses of just three meds--two of which she'll go home on--which she takes either orally or by NG tube. Her latest echo, EKG and chest x-ray all looked great. Know what all of this means? If her good progress continues throughout this week AND John and I learn, learn, learn what we need to for her care at home, there's a good possibility we will be heading home next week!
 
As I've said many times, THANK YOU from the bottom of our hearts for supporting us in our journey through encouragement and prayer. We are so grateful for you!
 
We'd love for you to continue to pray...
  • For Brooklyn to maintain this steady course of progress with feeds. The biggest hurdle at this point for her is sustaining the energy to drink an entire 2oz bottle and keeping each feed down. She's actually quite good at drinking from the bottle, as the speech therapist has assured us, but she lacks a lot of stamina for enduring even a 2oz bottle. She tires out after drinking just a third to half of that. She's also spitting up quite a bit.
  • For John and me to continue to have good, focused learning this week as the nurses and other staff prepare us for life at home with our sweet bundle.
  • For our family as we move toward transitioning back home and establishing our new normal.
 fun in the leaves at Forest Park
 
 
 
 
sister snuggles
 
Mom's favorite way to snuggle
 
 
Daddy-daughter time
 
 
 Wednesday...first time in clothes!

Saturday, November 16, 2013

bottle feeding!

Brooklyn has had a great last few days! More good progress. Had to go back on some sedative briefly on Wednesday as well as increased oxygen. By Thursday she was improving again and adjusting to weans on both. She is on some nutrition by IV as well as some oral heart medicine and a tiny bit of fluids. She looks great and her numbers look great.
The big news right now...we started trying bottle feeds yesterday! She did really well with the first drinking a whopping 12ml of breast milk from the bottle. :) She gets the remainder of her current feed amount through her NG tube. We are almost halfway to the ideal amount of 60ml. She is tolerating the milk SO well. The speech pathologist was here for the first feeding and will return on Monday to coach us through more bottle feeds. Though I've been through plenty of newborn feeding with Ab and Em, I learned a lot from our speech path regarding what to expect with our sweet heart baby. The one thing that struck me the most was how quickly she tires out from something as simple as eating. We have a long way to go on switching over to bottle feeding, but we knew that would likely be one of our biggest challenges when we start transitioning toward home at some point. For now, she is proving to be such a little fighter, and I have no doubt that she will make great strides in eating through the coming days.
In other big news, we were moved from the main CICU floor down to an "annex" room that's sort of a transition between intensive care and "the floor"/"step-down." This was a bit of an unexpected move as they needed Brooklyn's room right away for a more critical patient. But, as our cardiologist said, "it's good to be the patient (especially in a FULL CICU) who is doing the best and is ready to be moved to a different room." Brooklyn is still considered in intensive care, but with our move we have already experienced a shift in taking on more responsibility with her...diaper changes, soothing and now feeding. It's SO exciting to be doing those things that seem so simple but are a big deal when it comes to a newborn who's been through as much as she has already. I've never been so excited about changing poopy diapers! :)
Here are a few pics from Brooke's first couple of bottle feeds...and some sisters that were very excited to see each other after being apart this week. We're off for more family fun today!



buddies :)

Sigh... I could watch her sleep all day/night long...

Thursday, November 14, 2013

great strides

Praise God for progress! I have NO doubt that God is hearing and answering the prayers of the faithful...YOUR prayers! THANK YOU!
 
Brooke has made some amazing strides in the last 48 hours. Doctors concluded that she had either a little too much fluid in her lungs and/or a partially collapsed lung that was causing extra stress in the form of breathing issues, high blood pressure and an elevated heart rate for Brooke. However, once they got her relaxed with some sedative and got her to calm down consistently throughout the day, her heart rate and blood pressure finally leveled off and have stayed within a fairly normal range. She's also having some therapy where they pat her back for several minutes to loosen mucous in her lungs and then suction it out. She loves the patting. The suctioning, not so much. :/ The therapy seems to be making a big difference though.
 
So, within the last 48 hours... She had her chest tubes removed. Yay! She has been weaned off all medications other than a little Tylenol now and then. She has also been weaned back down to a "normal" cannula for oxygen. They are still trying to find the right balance of oxygen for her so that she's not working so hard to breath normally. Naturally, her heart rate tends to increase when she's working harder to breath. But, overall, she is much more content throughout the day. She is sounding and looking much more like a "normal" newborn. The sweet little kitten-like sounds are turning into those sweet newborn cries as she works through the hoarseness from having the breathing tube.
 
She also started feeds again today. Wahoo!! She's tolerating mommy's milk very well. And...the big news yesterday was that John and I got to snuggle her for the first time since her surgery last Monday. Heaven. A little piece of heaven. And, I shouldn't be surprised at how very content she was in our arms. She hasn't slept so soundly or been so content since her surgery as she was when she was in my or John's arms. I held her for a while today as well. I. am. in. love. :)
 
 Friday
 
 Sunday
 
 
Monday

 
 Tuesday
 
 
 
Wednesday
 

Monday, November 11, 2013

a sleepy update

I can't count the number of times I've sat down with my laptop to post an update...and fallen asleep before I finish. So, here's a quick update before I fall asleep...again. :) If something doesn't make sense, it's because I fell asleep again.
 
Brooke had a good afternoon and evening on Friday. Once they finally found a good balance of morphine and Tylenol, she was much more comfortable and at rest.
 
Saturday was a big day for her. She had her catheters, pacing wires and the three right atrial lines removed. They were also considering removing her chest tubes. However, she still had enough drainage to warrant keeping them in for now. But, the other three things were a big deal! Just another good step forward in recovery! Because of all of these changes, she was irritable off and on throughout the day, but they were able to keep her calm and comfortable for the most part.
 
Sunday was a different story. John was with her most of the morning while I spent some time at the apartment cleaning, doing laundry and playing with our big girls. She was very irritable all morning long. She ran a slight fever overnight, had to be suctioned from her nose quite a bit and needed lots of consoling. She also needed more oxygen, and her blood pressure was elevated quite a bit. The doctor was concerned that she could possibly have one of a few different things...a respiratory infection, pneumonia or an infection in the blood stream. They did some blood work, took x-rays of her chest and abdomen and did an echo. The respiratory test came back negative. We will receive results from the other two blood tests (for pneumonia and an infection in the blood stream) in another day or so. The echo showed a well-functioning heart. Woohoo! The x-ray of the abdomen showed nothing of significance. The chest x-ray showed a "hazy" right lung. The doctor said this could indicate either a partially collapsed lung or post-op pneumonia. As I said, they are giving her extra oxygen, and they also started antibiotics in anticipation that one of the tests will come back positive. They stopped feeds (breast milk through her NG tube) for now and reintroduced the medication that helps regulate her blood pressure. 
 
At this point, she is doing well. Still on a higher level of oxygen but coming off of the blood pressure medication. She is also off of morphine completely, thankfully. They have been able to keep her comfortable with Tylenol as well as reintroduce one of the pain meds she was on previously. Those things seem to be helping. However, she gets quite upset when she loses her paci, has her diaper changed or is unwrapped from her swaddle. Can't say I blame her. :) I thoroughly enjoyed the opportunity to console her while her nurse gave her a wipe-down bath and changed her dressings late Sunday night. Couldn't really hold her close, but I was able to help her keep her paci in and snuggle her with my hands while she was in her bed. I'll take it! For the record, I'm totally in love with her grunts and wimpers. My goodness. They are pitiful and oh so adorable all at the same time. :)
 
In other news, we've had our big girls with us all weekend! So grateful for this time with them. Balancing time with them and time with Brooke has been a challenge, but we have had a fun weekend overall. More on our family fun at The Arch in another post.  Ab has really enjoyed spending time at Brooke's bedside helping her with her paci and rubbing her forehead. So, so sweet as usual. :) And Emily has been so sweet, too. She kept asking to see  (and "pet") Brooke this evening. Unfortunately, Brooke really needs low stimulation right now and can't handle her noisy two-year-old sister very well. Sweet girl gets so excited to see her baby sis, she can't help herself. :) 
 
So, praises...
  • Our family is together again for a couple more days. 
  • Forward progress with getting lines and tubes out one at a time. 
  • Brooke rests calmly and peacefully for the most part at this point. 
  • Brooke's last few nurses have been outstanding. So much easier to leave her bedside occasionally knowing she is in such good care. 
Prayer requests...
  • Doctors determine whether or not Brooke has some sort of infection or collapsed lung and why her temp and blood pressure were elevated.
  • For John and I to balance time with our big girls and time with Brooke. Right now we're sitting with Brooke in shifts while the other spends time with our big girls                                                                                                                                                                                                                                                              
some fun in the hospital garden

 
and a gorgeous sunset while we were up there...what an amazing Creator we have!
 
no ventilator...now we can see her face (or at least more of it)!
 
two smitten sisters :)

Friday, November 8, 2013

morning update

12:00 pm...
Brooke had another great night. They removed her ventilator tube this morning at 8:00. She has been breathing wonderfully on her own since that time! Praise God! She has also been very agitated  as well, unfortunately. To remove the tube, they had to stop feeds early this morning as well as come down on her sedative dose so that she would be more awake and breath better on her own. That had an obvious effect on her comfort level, so they slightly increased her sedative dose as well as started morphine to help her calm down. She has had brief periods of time when she relaxes and rests but a lot of agitation as well. So hard to watch. We can hear cry now, but she's very hoarse from the tube, so it's a faint cry. Nonetheless, it's hard to watch and listen to. Also, the doctors want very low stimulation, so we can't touch her or talk to her right now. We've stood by her to help her keep her pacifier in, but that's the extent of contact at this point.
 
Please pray that Brooke's little body calms down and that they can determine what's causing the agitation and address it. Please pray that she continues to breath well on her own and just rests, rests, rests. The attending doctor just came in a few minutes ago (while she was resting well) and said she looks wonderful. Five minutes later she's agitated and crying (really hard). :(
 
 
7:45 am...
Quick prayer request... They are pulling the breathing tube this morning in just a bit. Please pray that she handles this well and her little lungs continue to show such strength. Thank you!