Thursday, July 30, 2009

Come on poo!


Little Reagan is doing better today. Her X-rays show very small amounts of gas distention in her small intestine and colon, so we are at least moving in the right direction. They have started giving her small meals every four hours through the tube in her nose. She has done well so far and has not had any abdominal distention. We are hoping that she starts passing some stool soon, and to be honest I've never wanted to see excrement so bad in my entire life. Having said this, I know later in life Reagan will have a boyfriend that will Google her name and find this post and likely dump her for it, but that will make my job of "screening" appropriate suitors that much easier.
Renna has been doing well and has been off of supplemental O2 for almost 36hours. We are hoping that that continues and we will get to bring her home soon. We would hate to have to separate our little girls, but we've been told that it almost always happens that way with twins in the NICU.
I've posted just a couple of pictures (taken on the 21st of June actually) which I particularly like. I'm sure most of you have noticed that I am going through what I would like to call "The black and white phase" where I think every picture of the girls is better without color, and I also feel it gives our colorblind readers a sense of equality as well. I hope to have some new pictures, both color and monotone, up by this weekend.

Wednesday, July 29, 2009

Detour Back to the NICU

Okay, so just when it seemed things were going well and we might be on the road to going home...another large detour in the road. Tuesday night when the doctor saw us we mentioned that Reagan had been really fussy the last several days and her belly was getting a little bloated (even after a BM). So after an exam we got our packing orders...you got it...right back to the NICU for both girls!! After a lot of scared and sad tears we packed up and took the girls back downstairs and left the pediatric wing. It seemed like our girls were being ripped right from our arms, even though we knew that is where they needed to go. Reagan's belly continued to become increasingly distended and of course we were very scared. They took x-rays and they just showed a TON of gas all thru her GI tract. They still aren't sure what caused it but they are hoping it was a reaction to the antibiotics that she was on. So we are still praying she continues to get better. They started our poor gassy gal on IV fluids and IV antibiotics. She also has a tube down her throat and into her stomach to let some of the gas been suctioned off. The plan is to not feed her for several days and let her GI tract rest. She is markedly better today but still seems a little painful in her belly. Poor little angel, it breaks my heart to see her so uncomfortable and now hungry too! I held her for awhile tonight and she seems to be resting much better. They will continue to recheck her x-rays daily and see if the GI tract starts moving the gas thru like it should. Please pray for her little stomach because the alternatives if she doesn't get better may be a lot more testing or surgery and we really don't want that for her. On a positive note Renna is doing phenomenal. She has officially been off of her oxygen since 8AM this morning and seems to not be noticing. Her feeding has been increased to 45mls. every three hours and she is drinking her entire bottle every time like a champ. You can't imagine how proud her daddy and I are of her every time she drinks an entire bottle. You would think she just won the nobel peace prize or something. I guess Renna is going to be our good eater. I knew one day my being a picky eater would come back to haunt me because I think Reagan could care less if she ever eats! So we are praying Renna continues to do well without her oxygen. Even though it seems like we had a huge setback and took a huge detour right back to the NICU, we are so glad that they are where they need to be and getting the medical help that they needed. After many tears and prayers I have learned since yesterday to stop complaining and wishing they would come home and just be thankful when they are doing well. I know eventually we will get to bring our little ladies home, just not on my timeline. We know God has a plan for them and he is teaching us great patience thru this experience. Sorry my post wasn't quite as funny as Adam's post but we have had a very scary two days. So I am back to my traveling mommy routine again and am not going to complain about it one bit (okay at least not a lot). Every minute we get to spend with the girls is so precious! Oh! I must end with their weights. Renna now weighs 4lbs. 9oz. and Reagan has passed her older sister and now weighs 5lbs. exactly! We were shocked to find that out tonight, but Reagan does have a lot of extra weight right now so we will see if she is still five pounds in a few days.

Saturday, July 25, 2009

The Fetal Position, Not just for Preemies...

Mendy enjoys her new bed, cold as usual. The girls new crib, also known as cell block C.

Renna napping away.


Reagan, not napping, as usual.




I'll preface this post by saying that this is Adam, and while I may not be as funny and cheerful as my lovely wife, I do have a few minutes to post on our blog to keep everyone updated. I got some exciting and scary news yesterday while at work. Mendy called and told me that Reagan took her entire bottle in one feeding, then she told me that the doctors wanted to move us out of the NICU and up to our own room in the pediatric ward. My first statement was "Wow, are you sure there ready? That's pretty scary!". So while I like to think of myself as the risk taker in our little family, I have learned that when it comes to my little girls, I'm already the overprotective Dad I swore I wouldn't be. So yesterday around noon they moved the girls to our own room and we get to take care of their diapering, feeding, and the monitoring of their breathing and slowed heart rate episodes. Needless to say we are getting about 3 hours of sleep a night, and walk around like zombies most of the waking hours. One of us has to be with the girls 24-7, so we have employed both of our mothers to help us out. We are so thankful that both of our moms have been able to help out, we can't thank them enough. Their help has allowed us to take a few cat naps during the day to catch up on our sleep. The girls have been doing OK since we moved. They do of course realize we are amatuers at intensive care babies, and have decided as most children will, to test their parents in every way possible. We love being able to be with them as much as possible, but I must say when that alarm goes off at 4 AM that says one of them has stopped breathing, we both almost jump out of our skin. Then when it goes off again at 4:17AM our hearts jump out of our chest. Then when it goes off at 8:00 AM, both of our stomachs turn over. Needless to say, when this is all said and done were are going to crawl into the fetal position and suck our thumbs every time we go through the line at Walmart and suffer the constant beeps as they scan our groceries. That being said, we love being with our little girls and can't wait till we can get them home. Renna has been taking all of her feedings by bottle, but still has to have some supplemental oxygen. She is at the lowest possible setting for oxygen supplementation, which is called "whiffs" by the nurses here. Reagan required a blood transfusion yesterday (her third), but is still not requiring any oxygen. She does not seem the least bit interested in taking her meals by bottle. She enjoys having her feedings through a tube in her nose, thank you very much, and will not suffer the lowly task of sucking milk out of a rubbery nipple. So while one daughter needs "nose candy" and the other is hooked on O2, we carry on. We appreciate every one's thoughts and prayers, and really look forward to getting our girls home.

Wednesday, July 22, 2009

42 days and counting...

Reagan
Renna

Sorry I haven't updated in awhile. Things have been busy here as usual. We have decided our life will now always be crazy and we will always be tired! We wouldn't have it any other way. Anyways, we finally made the big move home from the hospital hotel to our home on Sunday! What a huge move...I never realized how much stuff we had accumulated in 5 and a half weeks. It is great to be home but bittersweet without our little girls here. We both slept really good in our own bed for the first time since the birth! So now my days are even more busy if that is possible. I am making the thirty minute drive to the hospital twice a day and only going home for a short time in the afternoon. I am now officially a mommy on the go! The girls are doing well. Renna weighs 4lbs. 9oz tonight and Reagan is 4lbs. 7oz. Reagan is quickly gaining on her sister. It is so good to see their little faces filling out and some fat accumulating in their little legs. Renna had to get her third blood transfusion yesterday, but seems to be having a lot less slow heart rates and breathing episodes today. Hopefully the blood transfusion is doing its job. Renna had an amazing day today. I arrived this morning and they informed me she had met the goal of taking all of her feedings by bottle in a 24 hour period! No tube feeding anymore for her! She got her tube pulled out of her nose and is vigorously nursing and drinking her bottles. I know she would eat more if they would let her. They tried to turn off her oxygen canula today. She is doing pretty well without it when she is resting. When she starts drinking her bottle or moving around too much she has to have it turned back on. But we are very pleased at these giant leaps in the direction towards going home. Way to go Renna! Reagan is having a lot of nasal congestion and snotty nose. This is especially hard for her trying to learn to take her bottle because she can't breathe well thru her nose while she is trying to suck. This process of suck, swallow, and breathe is hard enough for preemies but especially for her since she is having trouble moving air thru her nose. They cultured the discharge several days ago and the doctor told us tonight they are going to start her on some nose drops and an oral antibiotic. We hope this gets our little lady some much needed relief. It makes me really sad hearing her snort and gasping. I am sure this is just the first of many colds and sinus infections. Now we are just hoping it is nothing too contagious that Renna might get as well. So we are all doing pretty well. We have been working to get things squared away for when they finally come home. My mom and grandma came and helped me on Saturday and Monday. Adam is working tonight to try and finish staining one of the cribs so they will have a place to sleep when they finally get to come home. For all who don't know Adam has made both of the cribs out of maple and they are absolutely beautiful. I will try to post some pictures when they are completely finished. I must say that it has been a long road in the NICU and everyday I see babies go home that have arrived only days/weeks ago...it is very frustrating but I am happy for them. Just a little (okay a lot) jealous. I guess I have to remember how lucky we are and how much God is continuing to bless us. Hopefully we are at least now on the downhill slide and starting to see a little faint light at the end of the tunnel. Adam and I will never take for granted getting to hold our little angels whenever we want and have them in our own home! The girls will be six weeks old tomorrow. We can't believe that. I guess it is true what everyone says about how fast time flies once you have little ones. I had to post a few new pictures of the girls that Adam took with his new camera. He is getting pretty good!

Tuesday, July 14, 2009

Matching outfits are the most fun!











Both girls continue to do well in the crib. We are so pleased that they have been able to keep their temperatures up. What an accomplishment. They both are taking their bottles very well. They are getting bottle feedings about three times a day and both getting to try to nurse twice a day. This rigorous schedule wears them (and me) out! Renna is getting 35mls and Reagan is getting 33mls every three hours. This large amount of food is certainly helping them grow. Renna hit a landmark tonight, when they weighed her she was 4lbs. 1oz! It seems like a huge hurdle to hit four pounds in the NICU. Reagan is quickly increasing behind her and is 3lbs. 11oz. We are finally starting to see little Reagan's face begin to fill out a little. Our sweet girls are actually getting some meat on their bones! I love being able to change their outfits everyday. What fun to dress up two little precious girls. It is a reminder of how little they are as the preemie outfits are still huge on them. However, I have a feeling they won't be too big on them for long. My favorite part is the matching outfits. The top picture is my new favorite of them together. The next picture is a closeup of Renna (we got to take a quick one without the oxygen canula in), then Renna drinking her bottle, and then a closeup of Reagan. One day I will figure out how to label each picture but for now this is the best I got!




Sunday, July 12, 2009

Together at last!






















Here are some of the pictures from yesterday and today of the girls in their new crib. Our nurses suprised us with the great news that we could move them out of their isolettes and into a crib together. Both girls are still holding their temperatures up today, so hopefully they will get to stay together.

Saturday, July 11, 2009

Big leaps in the right direction

Well we have certainly been busy these last few days. The girls are both doing phenomenal. Renna now weighs 3lbs. 11oz. and Reagan weighs 3lbs. 7oz. Reagan is determined to catch her big sister. They are both making so many advances the last two days. I will do a paragraph for each to make it less confusing.

Renna began yesterday with getting off of her vapo-therm which is the oxygen that she has been on that is pressurized. She was off of it for about twelve hours and then had to be put back on a regular oxygen canula. She seems to be doing great with it and they have it set at a very low setting. Hopefully she won't need this very long. They discontinued her IV nutrition and lipids and tonight the plan is to take her off of the dextrose solution she has been on! She also got to try "non-nutritive" nursing with me which is basically really hard for them right now. It is just a practicing for nursing later. Renna's milk feedings have now gotten moved up to 30mls. every three hours. This is considered full feeding and is where Reagan is right now also. What amazing accomplishments Renna has made in just this short week. We are really starting to see her personality more as she seems to be feeling so much better and being awake more now. She is our little smiler!

Reagan continues to do well with the "non-nutritive" nursing and so got to start trying to nurse for real today!! It is really hard because it makes her really tired but she is really trying. I think she is determined...or maybe stubborn like her mom (and daddy too)! Reagan did start having a few more episodes of slow heart rate and forgetting to breathe, so she got her second blood transfusion yesterday. This seems to have made her feel better and she has had less episodes today.

Now there are several large leaps that they have both decided to make together that started yesterday. Both girls got their feeding tubes moved from their mouth to their noses. This is a great step because it means they can practice sucking and nursing easier. So the next step was they also got to try nipple feeding, which is a gigantic leap! So they both had their first bottles yesterday. The nurse fed Reagan hers and she drank it all! Then Adam got to feed Renna her first bottle last night...she did wonderful and drank it all as well. As if that wasn't enough they also got to wear clothes for the first time! Now you can imagine how excited I was about that. Getting to dress my sweet little angels for the first time. We will definitely post some pictures later of all their cute little outfits. We appreciate everyone who got us preemie outfits as they are now going to be put to good use. So yesterday they stayed in their incubators swaddled in blankets. When we got there this morning and took their temps they were both really hot and their beds were turned down as low as they could go...so you guessed it....they are both out of their incubators/warmers now and are in a crib together! I can't tell you how amazing it is to see them swaddled together and sleeping in a crib! They have done great with it so far today and are keeping their own body temp up. We hope that this continues. They are now both getting three bottle feedings a day and doing pretty well. So many huge leaps in two short days. Adam and I are pretty proud parents right now. Can't wait to see what they get to do next. We will try to post some pictures soon.