Max wakes up and Claire takes a NAP.
>> Sunday, August 16, 2009
Hey all you Max-fans! I thought I'd give you an update...
Last night was our version of a "dip" for Max. What I mean is, his dip was not too bad, so don't sound the alarm. However, his Co2 levels got a bit high, and his O2 got a little low. When we arrived at the hospital after breakfast to say good morning, the Nurse Practitioner was raising his oxygen from 40% to 50%, and raising his respirator assistance just a bit to 75 bpm (breaths per min). Something that they saw in an x-ray was fluid building in the chest cavity, just as we were warned would be a possible negative side effect. Because of this, they started Max on Lasiks, a diuretic, to help him pass some of the fluids he was holding. HOLY COW did Max let go of fluid!!! Normal peeing for Max is about 7-11cc's per hour, and he's been doing great maintaining that. Today from noon-8pm he peed just under 500cc's. For all you basic math fans, that's 62.5 cc's/hour!! I kid you not, the baby looked like a water balloon that had a hole popped in it...his face, arms, legs, ALL got skinnier haha! Jordan and I both agreed he looked more like Max again; we hadn't realized how swollen he had gotten. So, we will wait for another x-ray to see if that fixed the fluid build up, but the respiratory therapist said it's extremely likely if that much fluid was passing.
Here he is this morning, before Lasiks. I don't think he looks too puffy here actually. There's a window right behind him in his new spot, so he gets real sunshine in the morning! :) I realllly love this picture. The nurses rotate him all day so he's not sore just on his back.
Another VERY COOL story for you! The respiratory therapist came by tonight around 9m (we are there...a lot.) to do another blood gas check (for Co2 levels, etc), and said that the day of Lasiks had vastly improved all his numbers. So, everything from last night being dippy is improved to better than before. Now, if that holds stable and the underlying cause of the "dip" is resolved, they can resume weaning the O2 and respirator assistance. BUT the cool part: he said that Max's blood test showed he is producing a high number of antibodies, which pretty much wont or can't happen without treatment such as giving antibiotics, etc. SO, thank you God! Little Miracles! :) I think God just gave Max some free antibiotics to make sure he got through his slump okay!
That's the summary on the medical side. On the mommy side, he is starting to stir and wake up a bit now because they've been cutting back his fentynol and versad, which are the pain killer and sedatives. Being more alert helps him to breath and heal on his own better. The perks to that for ME are that he opens his eyes and looks at us now. It just KILLS me! He looks so sweet and sleepy I just melt. Having his eyes open up felt like I was meeting him again for the first time, because it connected me to him even more. He has super dark blue eyes (like all babies, I know), so we will see what he gets since Jordan has blue eyes, and so does my dad. Maybe there's enough blue-eyed power in the genes for it to stick! I hope so.
The nurse gave us a preemie pacifier tonight to let him chew on a bit, because he chomps on his respirator tubes. He can't get suction because the roof of his mouth has tubes on it, but he seems to like "gumming" it and licking it. It's pretty stinkin' cute.
We brought an Ipod dock in to play music for him! Jordan found these cd's called Rock-a bye baby, which takes regular music and turns it into lullaby sounding music! We have everything from the Beatles and Beach Boys to Metallica and Coldplay. It's so cool because there's no lyrics, and it's super soft and sweet sounding, they just use the melodies from the songs. That way, the nurses and us can listen to music with him that wont overwhelm him, but it's not cheesy or obnoxious music. Pretty neat discover on Jordan's part.
Lastly, I actually took a nap today! Whoa!! I have been hanging by a thread for a week now, being that I pump every two and a half/three hours, on top of a C-section, being away from home, and watching my BABY in the nicu. Little daily meltdowns have been taken in stride by my ammmmazing husband, but something's gotta give! I crashed hard today, and it felt great. I think I may take one of these nap things every day! :)
Oh, this is the REALLY last thing...I am not "producing"!!? (BOYS now is your chance to stop reading...sorry) Seriously. No breast milk from this cow. Just a couple Ml's every three hours. I am going to call the lactation consultant tomorrow and see what I can do. I've heard it all, but it's been 7 days now, and even for a c-section, things should be progressing by now. I am drinking literally about 3-4 liters of water a day, trying to focus on a pic of Max during, I have his little hat that smells like him (I know that sounds creepy...), I do a little massage first to try to help let down, my pump fits properly, blah blah... but I think the mini-depression and sleep deprivation take their toll. So we shall see what this LC has to say. Feel free to say a booby prayer though! :)
Thanks again SO much for praying for our little wild thing, he is doing REALLY really well, better than most CDH kids do. God is GOOD!
Love,
Claire
25 comments:
I was right! "NO NEWS" was good news. I know you have been updating at night, but I just can't seem to get enough news about this little guy. Claire, I am so glad that you are getting some rest. Keep taking care of yourself and things should work out. God will keep taking care of Max, I know he will. Especially with all the prayers/thoughts he is getting.
Oh Claire I just can't stop cracking up with your girls message. you are so funny.It hasen't been 7 days until tomarrow, it will come don't worry. Sounds like everything is comming along great. Just keep taking care of youself. Love you girl Thanks for the update it has become my nightly ritual.
I think the rest will help the pumping issue....you NEED to be taking a nap everyday, at least! So glad to hear that Max is doing so well.....I'm sure its a good idea to talke with the lactation Consultant...but, I'm sure, if you keep pumping....the milk will come, eventually!! :) the good news, is that Max doesn't have to have it, right now!!
"Wild thing, you make my heart sing, you make everything grooooovy, wild thing". Perfect lyrics for Wild Man Max. Glad you got a nap today Claire, they are good things for a Mom. Will add the boobies to the prayer list! LOL
I'm soooo glad he's doing good!!!! I agree sleep is the best thing you can do to get the milk a flowing!!! My aunt is a lactation specialist here if you want to talk to someone else. Call me and I will give you her number she is awesome!!! I have some ideas for you too, I'll try and call you tomorrow ;) Get some sleep tonight!!!
I'm no lactation consultant but I know that Jordan can probably help!
Claire - thrilled to open up the Max-man update and see that he's doing so well. Max looks great - his color (in the photo) is fantastic for a little guy that just had surgery.
I'm glad you finally felt comfortable enough to sleep. Rest is the most important you can do to recover. Shhhh- your mommy/girlie issue could be from all the stres you have been under. 'Cause it sounds like you are doing "ALL" the steps you should be.
Thoughts are with you all....
Melissa N.
Dear Claire and Jordan,
I really appreciate you both keeping up with all the progress It really helps how to me focus my prayers for all of you.
Your right Claire you have a lot of healing yourself to do, those internal suitures take a while. I had 95 stiches on the outside no idea how many on the inside ( a surgery I had a while ago) and a family doc told me it could take a few months to heal so take good care of yourself and rest !!
Those nap things are wonderful!
Claire and Jordan,
I am trying to hold back tears as I look at pictures of your precious little angel. He is so perfect and I am praying for him everyday. I also pray that you may you find comfort in knowing God is in control. What a wonderful little blessing you have!
Melissa (Jocelyn's friend)
Speaking with the lactation consultant is a great idea - my first child was born with a different medical issue but I pumped every 2-3 hours as well with some improvement as time went on but a medication called Reglan helped me significantly with milk production (2-3 x amount). I was able to solely pump for 3 months once on medicaion and provide him with what he needed. Hope this helps and Max remains in my prayers!
I hope the milk thing starts working out for you. I really know nothing about this and plan on getting the education sometime tomorrow. .....thanks for the Rock-a-bye tip...I'm looking it up on itunes now...sounds pretty cool......Praying for Max and so glad to hear that he is doing so well!! Chanda
We are just thrilled to hear the awesome news about Max! He is doing amazing and we are so happy the Lasix kicked in so quickly. That will speed up the recovery so much! Kamryn is looking forward to meeting her CDH buddy in the future!
Shawn
That music is wonderful! We did the same thing for Kasey, the nurses liked it too! Glad to hear Max is peeing like a champ!
I was about to say sometimes no news is good news and I agreed w/ Helen. Can't seem to get enough news about your little Max. Also Claire, about the pumping issue...Devin is right on the money (no joking). I am so happy to hear all the great news about Max. We are here for you little guy...so keep it up!
Dai
yay max!! this is bringing back such memories for me- studying the monitors, blood gas checks (their poor little feet!) and celebrating all the little miracles. i am so happy to see max has a window nearby, claire's nicu was like a dungeon!
and yes- take naps and rest!! it took awhile for my milk to come too, but you are trying all the right things. make sure you give about 5 minutes of the fast, light pumps before you start getting really pinched! that seemed to help my milk come in.
love you guys and praying for you everyday!
Claire there are some great homeopathic vitamins you can take as well to help with the milk..you can check with lactation consultant if you are interested..good luck..it will happen..
rooting for all of you
Hi Claire,
I know I'm a complete stranger to you, but I work with your Mom and she shared with us Max's story and I've been anxiously following the little guy's blog. Yeah for all of you that he's coming along so well-I'm so happy to hear good news!
On the pumping front, I know you've heard it all (and really, there's NO room for being shy or introverted after baby comes-everything is exposed, isn't it???), but I wanted to tell you that I had serious difficulties pumping with my first daughter. I would pump those boobies RAW and get a few milliliters-SOOOO frustrating! However, I kept the milk going (in tiny little drips!) and when she was able to nurse normally and I was able to master the latching-on-without-killing-your-mother's-nipple thing, breastfeeding went great and copious amounts of milk spewed forth. Then, back to pumping and drip, drip, drip. So, all this to say that the pump obviously isn't the same as a baby and when Max is given the green light to join you, I'm sure it'll be a huge success.
So happy to hear everything is going so well for the 3 of you-thanks for keeping us strangers updated!
Hug the little man for me,
Cindy Berenter
Mesa, Arizona
Claire & Jordan:
So glad to hear Max is making it through all this like a champ! He is a true warrior, and he's not even a week old!! WoW!!! Praise God! Claire - keep up with those naps :)
Praying for you all,
Maureen Romero (former Fuse Leader)
Claire,Jordan and Max,
Kay and I are so happy to hear Max has done some really wonderful things, God sure does have his arms around him. I have to bring Kay over to my house so she can see all of the pictures. By the way i will include in my prayers tonight a "Booby" prayer. Before Max was born Kay called me twice a day to see if he had been born yet for the whole week before. We Love you
Linda and Kay
I just found your blog through another CDH blog. Praying for your little man. I only ever pumped 2.5 ounces total while my daughter was in the NICU. Can you pump at his bedside? I tried that to help out. Be sure to get some rest, ask the LC questions and don't give up! Even a little bit will help him tremendously.
Take care,
Amy
All the time! All the time, God is good! :-) The girls have included all of you in their prayers every night. Now that there are some pictures up, we will let them see little Max so they "know" who they are praying for!
All our love,
Katie, Mike, Trinity, and Kyri
PS - LOVE those CDs for the kiddos!
I've been catching up on your blog and couldn't be happier to hear that Max is doing so well! You are truly in good hands. We delivered our twins there and Olivia is a Dr. Kays miracle baby. (I know God gets the credit, but Dr. Kays is definitely listed in the credits below that!) And don't worry, my milk never came in, even with twins! It would be so neat to connect with them in that way, but if it doesn't happen, it won't change your bond with him! He's so precious and I you are blessed.
Jacy Bassett
Sending you prayers and love from San Diego. My friend, Rob Actis, asked for prayers for your family via FB posting... We will keep beautiful Max and your family in our thoughts and continuous prayers. Take care! xo
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