Monday, May 26, 2008

Holy Roly Poly!

Today we had a marathon of doctor appointments. I know it seems nuts to schedule three appointments in one day but I figure if I spread them out I would no longer be employed since one can only take so much time off from work.

The morning started out with a bang, literally. As Eliza was showing off her stuff to the NICU follow-up folks she got a little over enthusiastic in her stair climbing and flew headlong into the door jamb. It is comforting when these things happen in the presence of a medical professional since you can get an instant examination without having to pay extra. Eliza was pronounced "fine" and only looks like she went ten rounds with Mike Tyson (and unlike Evander Holyfield, she still has both of her ears).

At the follow up clinic Eliza stacked her blocks (a nice tower of ten blocks), put puzzle pieces in place in record time (and no baby puzzles I might add), made about two dozen animal sounds on cue and recited the names of her favorite 20 animals including "ot-a-poos." Eliza has a very respectable number of words but some are not easily understood and she does not put two words together so I'll keep working on that. She has now started to do this weird thing where she sort of twists her mouth when she talks. It almost looks like someone with Bell's Palsy (which she does NOT have). Very likely this is just a two year old -I'm-exploring-the-things-I-can-do sort of thing, but I'll keep an eye on it.

We discussed Eliza's feeding and sensory issues at length and it was universally agreed that any type of therapy that involves even modified force feeding would not be a good idea for Eliza. We also talked about some alternative medicine options which would fall into the category of "can't hurt might help" (kind of like how most Catholics like myself view confession). So I'll be exploring those and will post on those alternative treatments later on.

After finishing at Lenox Hill we stopped home for "lunch" which happily included Eliza feeding herself half of a yogurt. Then we took a car service to the pediatrician. I was de-lighted to find the usually crowded waiting room almost empty. I was not de-lighted when the receptionist sheepishly looked at me and said "oh you're the one I forgot to call to cancel today's appointment because of Dr. G's emergency." Arrrrghh. So another cab ride later we were back home uptown. For those of you familiar with Manhattan, this little round trip from the Upper Eastside to the West Village and back takes over an hour in mid-day and runs about $40.

After an afternoon snooze Eliza and I headed to the GI for her check up. When we last saw him about two months ago Eliza was a smidgen under 31 inches and weighed in at 20 lbs 9 ounces. Today she weighed in at ...(drum roll please) 22 pounds and 7 ounces (10.2999 kgs). Woohoo almost two pounds in two months! An unheard of feat. Being delirious over this news the nurse then measured Eliza ....(another drum roll please) and she was 33 inches (84 cm)! The nurse re-measured and re-weighed her a couple of times (much to Eliza's dismay) but no it is true, my girl gained 2 pounds and 2 inches in 2 months! Proof that the magic brew of 16 ounces of 65 calorie formula can work like a charm and everything wles that goes in her mouth is the proverbial "gravy." We are going to once again try to wean Eliza from her prevacid dose. Considering the torture it is to get it in her these days I am very much hoping that this time the weaning works.

So I shall leave you with some photos of the little pork-ette:

Showing off her excellent cup drinking skills:



Helping Nana garden:



Hopefully the first musical prodigy to ever grace the family tree:



Thursday, May 22, 2008

Your Life Is An Occasion ....

Rise To It.



This is my new favorite quote. My cousin Tracey shared this quote with me recently and it really hit home. You all remember cousin Tracey? She attended Eliza's delivery with me, NICU nurse extraordinaire who held my hand during the ugly NICU days and all around great cousin who somehow knows when my ego and soul need a boost (or a kick in the pants).

The quote comes from a childrens' movie called "Mr. Magorium’s Magical Emporium." How often do we fail to rise to the occasion of our lives? Not just the good occasions, those are easy to rise to, but to the not-so-good occasions. Those are the very occasions we need to, and must, rise to. I am no fan of the platitudes that people are forever repeating to me. I have never known why I should be forced to make a boring old vat of lemonade from a bowl of lemons when, with a little imagination and a cup or two of sugar, I could make a nice lemon meringue pie. I have never known why people believe that g*d would not give us more than we could bear, because otherwise we would not have insane asylums filled to the brims. But if this quote falls into the category of "platitude" than I'll take it. I suspect that lately I have been doing a bit of a wallow in the self-pity that having a kid who can't/won't eat and who has a few other issues in her life can create and that I may not have been rising to the occasion of our lives. So I think I will renew my effort to rise to the occasion of life ... it's the least I can do for Eliza.

On another note .... here is an article that was posted on a preemie group a week or so ago. I think it sums up nicely how I feel:


Not One of Those Mothers

by Kate Trump O'Connor, from Brain, Child


I'm going to confess something.

I never thought I could do this. I never wanted to do this. I never,
ever would have chosen this for me, for my one and only life, for my
son's one and only life. This? Mentally and physically handicapped? No
way.

Before Thomas, my world was largely untouched by disability. I went on
with my life, unaffected and unconcerned, and I never had to face my
own ignorance.

Then, one beautiful June day, I was forced to face it-and the face it
wore looked just like his brother's, with round cheeks, a tiny nose,
and the deepest brown eyes.

Thomas arrived three weeks early on a sunny Friday in June. We made it
to the hospital with just enough time to drug me up, something for
which in hindsight I am extremely grateful. Not for the pain of
delivery-his birth, my second labor, was quick and almost easy-but for
the heart-wrenching pain and grief that came after.

Dr. T. is a calm and gentle man. He broke my water, saw meconium, and
calmly explained that he would keep the baby from crying until he had
suctioned him carefully and thoroughly. So when they rushed our new
son (another boy!) across the room and huddled around him, we weren't
alarmed. Dr. T. betrayed nothing while he and the nurses worked to
resuscitate my baby. I was too giddy to notice as 10, then 15 minutes
passed.

"He's having trouble breathing, so we're sending him to the special
care nursery," my doctor said. I remember thinking that it was OK,
that these things happen all the time.

Maybe we should have been more concerned in those first minutes and
hours. Maybe instead of making giddy phone calls and rejoicing in our
new son's birth, we should have been preparing ourselves. There were
warning signs. His initial Apgar score was five. When I briefly held
him and said, "He looks just like his big brother," my obstetrician
replied, "He does?" Only much later did I realize why he sounded a
little surprised.

Hours passed. I was moved to my postpartum room, and still we waited
to see Thomas again.

I have to stop here for a minute, before plunging ahead into the next
chapter. It's vital that I get this right so you don't do what we all
instinctively want to do-put distance between my life and yours.

It's not personal, I know. But as soon as I say anything, your
imagination will stand at the mouth of that dark tunnel, the one my
husband and I found ourselves hurtling down when Thomas came into the
world. You'll shake your head to clear the vertigo. Not your path in
life. More power to me, but you couldn't imagine it.

I understand. Before Thomas, given the choice, I'd be leaning over
your shoulder looking at some other mother with that same sense of
sympathy and awe. "How do you do it? You're amazing," we'd echo in
unison to that mother who, but for the grace of God, the universe,
Mother Nature, and random chance, could be us.

That other mother sits a little apart. When she talks about her kid,
there's a certain look in her eyes, like she's seeing something we
don't see. She speaks a foreign language-of sats and meds, of OT and
ST, of IEP and inclusion-that you don't want to understand. It's so
hard and she's such an amazing woman, and you know that you wouldn't
have the strength to do it.

You mean this as a compliment.

It's not. It's the verbal equivalent of throwing salt over your
shoulder. It's a fervent and silent plea: Don't pick me. I'm not
strong enough, I don't have enough faith, my heart isn't radiantly
kind. And what will he look like? And will I be able to love him,
truly love him?

You wish desperately to believe that special mothers are chosen. That
God doesn't give us more than we can handle. Two years ago if I had
been told that at two days, instead of being discharged, my baby would
be put on a lung bypass machine; that at two and a half months he
would have open-heart surgery; that at 14 weeks he would come home,
alive but fragile, with a feeding tube and an oxygen tank-if you had
told me all of this I would have said, Nope, can't do it, find someone
else please.

And if I had been told the first gift we would receive after my son's
birth would be a book titled Babies with Down Syndrome, a present from
the chief geneticist at the big-shot hospital? Certainly I would have
paled and looked around. Me? Surely you mean someone else-someone who
hears all this and doesn't turn away in fear.

Perhaps you're still skeptical. You can't let go of your certainty
that somehow I am a different breed of mother. I know you're
wondering, so I'll tell you. No, I didn't get all the prenatal tests.
No, we didn't want to know. Yes, we chose the uncertainty. We never
really imagined our baby would be born anything but healthy and perfect.

Now, I must concede: I am a different kind of mother.

Thomas is 20 months old now. At night I sit by his crib and watch him
sleep, mouth open, the sleeve of his PJs exposing too much wrist
because he's growing so fast. His pudgy hand rests on his baby-blue
sheet, the one with the owls. His dark blond hair, exactly like his
brother's, curls in a cowlick. His plump cheeks are covered with white
medical tape, which holds the oxygen tube tight in his nose. I glance
at the display on his oxygen saturation monitor. Nearby, my husband
stirs in his sleep. The baby is still in our room so we can respond
when his alarm goes off, signaling a drop in his oxygen levels. It's
easier than stumbling down the long hall. I should be sleeping, too.
Yet I sit and watch Thomas sleep. Because I can.

I know when he wakes in the morning, he'll pull off the oxygen tube
(he needs it only when he's sleeping) and greet me with a loud
good-morning babble. His big brother will come in, asking to go
downstairs and watch cartoons. "Bring Tommy down, too," he'll say,
because to my amazement, after all we've been through, they're close
as brothers can be.

If you had told me two years ago that this child would come into my
life, I would have wished I could be the mother you thought I was, but
I would have known deep down that I was not. If you had told me that I
would sit here today by Thomas' crib and say that on most days I don't
think much about his having Down syndrome, I would have said you have
a fantastic imagination.

But the truth is, whoever or whatever is in charge of baby placement
didn't see anything in me that is not in everyone-the capacity to love
our children beyond measure and reason, beyond diagnosis and fear,
beyond uncertainty and self. I wasn't picked to be Thomas' mom because
I am special; I was made special because I am his mom. When I took him
in my arms for the first time and gazed into his eyes, I saw only my
beautiful, perfect son.

Kate Trump O'Connor lives outside Boston with her husband, two sons,
and twin daughters. Her website is www.ktoconnor. com
. Excerpted from Brain, Child(Winter
2008). Subscriptions: $19.95/yr. (4 issues) from Box 714, Lexington,
VA 24450; www.brainchild mag.com .

Wednesday, May 7, 2008

A Downside to Being Single and Pregnant

I seem to have been inundated lately with photos of pregnant women. Women who are a little pregnant, women who are somewhat pregnant and women who are really, really pregnant. Aside from feeling a bit saddened by and/or envious of the photos of the really, really pregnant women, this recent photo montage has made me realize that there are apparently only two photos of me while pregnant with Eliza Grace. Well, there was a third one, but it was lost when my computer died and unless the person who took the photo still has it on his computer, that one will never be seen again.

I think there is a direct correlation between being single and not having any cute pregnancy photos. I mean really now, is a girl to walk up to a stranger in Central Park and say "hey there good fellow mind snapping a few shots of my pregnancy belly." I think not. Also I was pretty well into my second trimester before I even told more than one or two people that I was pregnant. Given my not-so-stellar pregnancy history I thought I would wait a bit before making an announcement. This decision pretty well eliminated asking my family and friends to take some photos. Although I suppose I could have just started randomly hiking my shirt up to expose my belly in the occasional family photo.

Interestingly these two known photos were taken by my cousin Tracey who later attended Eliza's delivery with me "in lieu of a husband."

This first photo was taken on my birthday in early February 2006.



I spent the 48 hours following this photo shoot on the L&D floor sick as a dog with what turned out to be food poisoning contracted at the swanky restaurant that my cousin, brother and sister-in-law and I went to for said birthday celebration.

This second photo, also courtesy of cousin Tracey, was taken later in February:



The day after this photo was taken I ended up for my long term stay at Lenox Hill thanks to my ever worsening pre-eclampsia.

Anyone noticing a theme here? Take a photo, head to the L&D floor. Maybe I should be thankful that I had no one to take any pictures sooner than 22 weeks.

Thursday, May 1, 2008

The "Why" of It

It seems lately I have been asked (a little too often) by friends, family and even passing acquaintances things like "but why can't Eliza eat?" or "why does Eliza get so upset if she ______" (you can fill in any number of things). The truth is I don't think anyone has a really good answer for the "why" of it all. I mean Eliza has no identifiable neurological disease or defect, no significant structural problem that would impair her ability to eat (save for a shockingly high palette), nor for example did she suffer some acute injury (except for a few hundred heel sticks) that would cause her to be in visible discomfort from simply the touch of sand, a blanket or carpet on her feet.

I find myself simply telling people that her brain is wired a little differently because no one was meant to be born so soon and no one really knows what impact being exposed to the outside world 14 weeks too soon has on a baby's brain.

It has dawned on me though that, much like the misguided belief that micro preemies are just cute tiny babies that need to grow, people probably think a micro preemie's brain is just the same as a full term baby's brain, just a little bit smaller.

Well guess what dear readers, these "tiny" brains look nothing like the brain of a 40 weeker:



Eliza was born at 26 weeks and 4 days, so her brain was not quite as developed as the schematic of the 28 weeker's brain. Due to her IUGR, Eliza was more like a a 24 weeker, so her brain would be closer in appearance to the schematic of the brain of the 22 weeker. In either case, neither the 22 weeker's brain nor the 28 weeker's brain is nearly as convoluted as the 40 weeker's brain. Kind of makes you wonder how all those little fettuccine like convolutions develop when they are exposed to the light, sound, touch, smell, and taste of the outside world when that little ball of fettuccine should have been happily floating in a nice warm dark pool of amniotic fluid.

So I think I am going to laminate the little schematic above, carry it in my wallet and show it to folks when they ask the "why" of it ... kind of like the old "what's wrong with this picture" game.

Speaking of what's wrong with this picture....



Can extreme prematurity be the cause of an utter lack of fashion sense?



Why does Eliza wear her shirts as skirts?



Why?

Prematurity... Should It Be a Classification for Special Needs Services?

It is hard to fathom that in a couple of days Eliza will be ten. I look back on the past decade and and am amazed, and often baffled, how sh...