Monday, March 16, 2015

"New Years Eve" (12/31/13)

Today was the last day of what was hopefully going to be the worst year of my life.  I feel a little bit bad saying that because I had some good things happen such as my babies were born.  But on the flip side, they weren’t supposed to be born this early.  2013 was not supposed to be their birth year.  I got to meet my precious son Colin while he was alive and Nathan had some really good weeks there for a while.  But between my mother-in-law passing, my first born passing away, and now his brother fighting for his life every day, this has to go down as the worst year of my life.  I hope I never have another year that is worse than this one.  I prayed so hard to make 2014 a much better and happier year, and that began with Nathan.  Nathan needed to get so he was healthy enough to take home and then we could finally be a normal family that does normal things.  I was convinced that that is what was going to happen for the upcoming year and I had to keep telling myself that it was possible and that Nathan could miraculously come out of this just fine.

Just like every other day before this, we ate our breakfast and headed over to Nathan.  Meaghan was his day nurse!  Once again, we loved her and I know Nathan loved her taking care of him.  A sense of comfort comes over me when I see her in his room.  Of course the first thing I ask about was his urine output for the evening.  At midnight, he had 3 mL, at 4 am he had 11 ml!!! Can you believe that? 11!!  And then at 8 am, he jumped back down to 2 mL.  His noon care would come soon enough and we would be anxiously awaiting a wet diaper.  They also told us that we could do Skin-to-skin again after that care!  So many things to look forward to.

But in the mean time, we sat with him and just enjoyed being near him.  That morning, they said that his potassium levels were a little low.  They would like it to be between 3.5-4.5 but his was 2.  Nathan also had a little bruise on his left ear.  I know how my ears started to hurt from lying in the L+D bed for just 1 week and I was able to move my head from side to side if I wanted too.  I know the nurses change his position at every care, but he is constantly lying down and he is always on one of his ears.  And with the edema that he has as well as the lack of cartilage in his ears, they get flattened and make an indent in his head.  So when we turn his head at care times, I like to give his ears a little massage and ‘fluff’ his ear if you will.   Meaghan said they would be putting a topical cream on his ear to prevent possible fungus.  They also would give him 1 dose of fluconazole to help with possible fungus that could form on his skin due to the pitting edema.

He is still swollen and even more swollen then the day before.  He got more platelets last night so now, our poor little guy has an IV in his left leg, his left arm, and his PICC line is in his right arm.  He must be so uncomfortable, but let me tell you, he was one tough kid.  I admire him so much and always will.   His kidneys aren’t getting worse but they don’t seem to be getting all that much better either.  His creatinine level has stabilized at 1.6 but they would like the number to be less than 1.0.  It is still a waiting game.
Meaghan handing me Nathan

It was noon and time for me to hold my son but first we had to check his diaper.  We only got 1 mL this time around.  Where was that 11 that we loved so much?  Hopefully with me holding him, it would help him be more relaxed like we were hoping for his time with his Dad.  I felt like I haven’t held him in weeks!  Meaghan and Paulette (who was the Respiratory Therapist) moved Nathan onto me.   I was right by the window and the sun was shining in brightly that day.  I asked Kevin to see if Sue, who was watching the other babies, could lower the shades down.  My back was to his monitor so I couldn’t see what his SATS were or anything.  As they put him on me, the monitor was beeping, but that was pretty normal when messing with him. Meaghan silenced the alarm so I didn’t know what was happening with his SATS. 



Nathan Lying on me

I was just holding him, loving every second, but his SATS were apparently in the 30’s and 40’s. I also couldn’t see the fact that he was turning purple because he was right under my chin.  So after a few minutes, they made the decision to put him back in his incubator.  No one told me that he was as low as he was, or the fact that he was turning purple.  I clearly want what is best for him and if that means not holding him, then that is perfectly all right by me.  Nathan just wasn’t in the mood to be held that day and that was completely fine.  A part of me, obviously, wishes that anytime I held him, he would get better.  Pee more, higher SATS, move a bit more.  What mom doesn’t want to be the comforting and healing factor in their kids life?  But Nathan was not feeling it that day and I did not take it personally.  Once we put him back in his incubator, after a few minutes, he was happy again.  Just like a healthy baby at home, sometimes they like to be held and sometimes they don’t.  Today, Nathan did not.



                                     
His 4 pm care brought 1 mL of urine again.  I was getting a bit frustrated as well as worried.  And then at 5, Meaghan tried to take some blood samples but was unsuccessful.  She tried 3 times and they all kept clotting.  She didn’t want to keep poking him so she stopped trying.  She said they would try to get it through a vein instead of a heal stick next time but for now, he needed a break from being pricked.

We went back to RMH to rest up since we were going to ring in the New Year with Nathan.  At that time, I wrote his Nightly Update.  It read:

Happy New Years Eve!

So overnight, like I said, he had an 11ml diaper.  At his 8 am care he had a 2ml and then for his 12 and 4 pm care he only had a 1ml.  So although he did make us all happy with that diaper at 4 am care, he still needs to pee more.  So I guess this is what people meant when the said it is a roller coaster of emotions in the NICU.  We were so happy our boy was making progress and now back to being worried and scared.  His creatinine level is at 1.6 and it hasn't gotten worse but they do want to see the number go down to a .XX instead of a 1.X. 

Since he isn't peeing the amount the doctors really want, they will put a catheter in at his 8 pm care to just make sure there is nothing blocking the urine from getting out.  They don't think so but they just want to double check with all the edema he has.  So that will stay in for just a few hours to make sure it doesn't cause infection.

Today we tried Skin to Skin with me.  Nathan did not want to do that today.  He de-sated to in the 30's so we put him back in his incubator and he felt better.  I guess we will wait till he really feels good to do so.  I didn't take it personally.  I want what is best for my baby and today he just wanted to be left alone.

So those are the big things today.  Other than that they are just tweaking his fluids a bit to keep all the numbers stable.  

I sent this early because we are ringing in the New Year with our sweet boy.  Hopefully it is a very uneventful evening filled with wet diapers and happy babies.  Keep sending out those pee prayers!  And here is to 2014 being 100 times better than 2013 has been.  

Love, 
Kelly, Kevin and Nathan

Once I finished his update, we headed back to the NICU and Holly was his night nurse.  We had never had her before but she seemed to be very sweet.  She was pregnant with her 2nd child and she only had a couple months to go.  Kim, the other pregnant nurse who had Nathan one night, was the nurse for the 2 other babies in isolation.  We began his 8 o’clock care and I told Holly that I liked to help with his care.  She had this motherly feeling about her and I liked that a lot.  She talked to Nathan as we did his care as if he was reacting to her.  I loved it when the nurses did that. 

We ended up weighing him at this care and he was 1252 grams which is around 2 lbs 12 oz.  And unfortunately, his diaper didn’t have any urine in it.  We did bump him up to the next size diaper because his edema was getting so bad. As we were putting the new diaper on, he did have a drop of pee that we saw come out.  I guess a little bit is better than nothing.  Then Holly realized that they wanted to catheterize him.  So she went and got the tools that she needed to do that.  Hopefully, something was just blocking his urethra and by catheterizing him, would unblock it and the urine would just flow right out.  As I watched Holly put the catheter in, I held his hand and stroked his head.  That can’t be comfortable for him.  He de-sated a little bit but he is a strong little boy and I know he could handle almost anything poking at him.  We did see some urine right away, which was promising, but it didn’t get very far and it was moving very very slowly.  Now I had something else to watch for the next 4 hours or so. 

Kevin and I did sit and talk with Holly and Kim for a bit.  We found out that Holly actually has a sibling that lives in Dublin, OH, which is the town north of us.  And we also talked about parents in our situation and how she doesn’t understand how she can be pregnant with a healthy child and my child is fighting for his life and one has already passed away.  She said it’s not fair and she is right.  I don’t wish her to have an unhealthy baby; I just want to have a healthy baby.  I did everything right while pregnant and we still ended up in this situation.  Then there are babies in the next POD over who are going through withdrawal because their mom was a crack whore and couldn’t keep her addiction under control while pregnant.  That baby did nothing wrong and they are suffering because their mother was a fucking idiot (pardon my French).  Nothing about this situation is fair and trying to understand why we got chosen to be in this situation is a dead end.  No one can explain it.  No one can give me an answer and I will never get an answer.  Maybe one day when I have come and gone, either God will give me an answer, or Colin can explain it to me.  And even then, I won’t accept that to be a good answer.  All I can do is say that it is what it is and do the best I can to get through it. 

Midnight was approaching so Kevin and I got garbed up and went into Nathan’s room.  I stood on one side, and Kevin stood on the other.  We had our hands in the incubator holding his hands and rubbing his head. I stood over his swollen body and just started to cry.  I couldn’t help myself.  This year has sucked beyond belief and I only wanted to end 2014 like I am starting 2014; and that is with Nathan by my side.  I couldn’t loose another child.  Loosing Colin was the hardest night I have been through in my whole existence and I can’t go through that again with Nathan.  I needed 2014 to bring so much more happiness than what 2013 has.  I needed Nathan to pull through this and make me the luckiest mom in the world.   But only time would tell his fate.

10…9…8…  Watching the clock tick away …..7….6…5…..tears streaming down my face and landing on his incubator…..4…3….2….1.  Happy New Year I guess.  Another bittersweet moment.  Happy I have him here with me tonight, sad that I am not sure what 2014 will bring for him.

I stood with him for a little bit longer after the clock struck midnight.  I kissed my hand and touched his forehead.  He was my first kiss of 2014 and I wouldn’t want it to be with anyone else.  I told him how much I loved him and how I really want to be able to take him home this year and to meet all his family and friends.  He was my New Years Resolution.  I just wanted him to be healthy.  There is nothing else in the world that I wanted in that moment than for him to be healthy and come home with us and hopefully be there to celebrate 2015. 

I said Goodnight to him and headed out of the room.  The nurses brought around sparkling grape juice to cheers with at midnight so they gave Kevin and I a glass.  We drank that real quick and told Holly ‘Thank you’ for watching over our sweet baby and we headed back to RMH. 


Tomorrow (or I guess at this point it’s today) was another day for Nathan.  What would it bring?  Good news?  Urine? No one knows but Nathan and I guess we will have to wait and see.  Is 2014 going to be the start of something good?  Oh boy I hope so.

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