Monday, November 25, 2013

Best of Friends!

My mom sent this to me and I couldn't stop crying after I saw this. 
  This is Stella already and I know Jefferson and Stella are going to be the best of friends, just like these two cuties. 


A couple nights ago I was in the bathroom with Stella painting her fingernails and Jefferson was in the other room crying because he was hungry.  Stella said "baby Jefferson is crying for me to hold him."  She wants to help me with everything, feeding him, changing his diaper, holding him, and giving him his binkie.  She is such a big helper and is going to be the best big sister! 

Our Perfect Angel!

   This going to be an emotional post for me.  I have had many discussions and good crying sessions the past couple of weeks over this.  Don't take this the wrong way, the crying sessions have been very spiritual and humbling, not negative.  
   Well as you have probably read in a previous post, that Jeffersons heart defect is common with Trisomy 21 and he had a 25-50% chance of having it.  We didn't care to do any testing prenataly because it was not going to change how we felt about our baby boy.  We were going to raise him and love him to pieces.  
   The day after Jefferson was born they drew his blood for the genetics testing that would take, the longest 3 days of our lives!  It actually ended up taking 4 days, and like I have said I have no patience, so it was eating at us those long 4 days.  
   Over the 1st 4 days of Jeffersons life, we fell completely head over heels in love with this little guy.  He is so special in every way it is so hard to describe.  He is so tough and hardly ever cries.  Even when he gets poked for more labs, or before every feeding to test his glucose he hardly ever cries.  He is the biggest sweet heart.  I was always worried that Stella being an angel that her little brother had a lot to live up to.  But right now, he has her beat!  
    
   I knew there was a possibility.  I knew there was that slight chance that Jefferson would have Down Syndrome.  His ultrasounds never really showed any signs, other than his body was a few weeks behind schedule, compared to his head.  I didn't get to hold Jefferson till several hours after he wa born.  He was whisked away to the NICU to get on oxygen right after he was born.  After the epidural finally wore off I was able to get into a wheel chair to see my baby.  He was placed in my arms and he opened his eyes to look at me and it hit me.  That possibility of having Down Syndrome just became real.  You could see it in his eyes.  Then the mind game played tricks on me for the next 4 days.  Could he, or could he not have that extra chromosome? 
   I went back to my room and cried.  My stupid mind kept thinking of all of the things he wouldn't be able to do.  I felt like it was my fault.  I felt like a failure because I didn't give Andrew a son that could continue on the Warwood name.  He wouldn't be able to have kids.  He would take longer to walk, talk, run, eat, etc.  After I finally was able to talk to Drew about it he was able to comfort me and help me to understand that he is still our son.  He is one of Heavenly Fathers angels that he sent us because he trusted us enough to raise him.  He is perfect in every way.  He may have an extra chromosome, but he is the most special little guy that we get to have for eternity.  He is our son and we get to raise him and love him to pieces.  
   After that little crying fit, it didn't matter any more.  Every time I held him I fell more deeply in love with him. How could you not love this adorable face? 

Several days later, our NNP came to tell us that Jefferson tested positive for Trisomy 21.  I think he was expecting us to have some sort of reaction.  We had already had this discussion a couple days before so it was not a shock for us.  We knew that the outcome of the test was not going to change anything for us.  He is our son and we love him no matter what.  He is so special and is straight from heaven.  So please, when I say "he has Down Syndrome" do not reply to me "I'm sorry" because I am not sorry.  I feel privileged to be able to raise him.  Every trial and hardship I had previously does not matter because he is absolutely perfect and we would not have him any other way! 


Day 9 in the NICU

November 21, 2013
They day has finally come!  It was a really busy day, but everything was heading in the right direction for us to go home!  Jefferson did great last night with us and had a few more tests to get done before we could leave.  He had his hearing test done, passed that with flying colors, whew!  He had another echo done on his heart this morning.  Cardiologists looked at it and said it looked really good.  His PDA was considerably smaller than the first echo - which is that much closer to closing up.  He had his car seat test, and passed that as well!  Apria also came and swapped out the pulse oximeter and it seems to be working this time.  
  It took most the morning to get all the other tests done, so by 2pm or so we were signing all the discharge paperwork and gathering all of our belongings and taking them to the car.  By about 3:30pm, we were carrying Jefferson out the door! 
   I really didn't think this day would ever come.  It has been the longest, and hardest 9 days of my life.  With all the ups and downs I am surprised I wasn't hospitalized for a heart attack of something from all the anxiety.  I don't know how other parents do it with their couple pound kids that are in there for months at a time.  That would be unbelievably hard!  I shouldn't complain, but it is so hard to see your brand new baby hooked up to all the monitors, being poked MANY times a day, being too tired to even eat, and feeling so helpless because there really isn't anything you can do for him, except be patient.  And we all know I lack any form of patience.  But after countless prayers, a couple priesthood blessings, Heavenly Father listened and answered our prayers.  We know he was suppose to be in the NICU  for a reason.  And thank heavens for the talented nurses and Drs that took such great care of our precious angel!  He can finally go home to his family, where he belongs! 



Day 8 in the NICU

November 20, 2013
Everything is on track to get to go home tomorrow!  He got an EKG done this morning and everything seems to be normal- considering his CHD.  They changed his oxygen from blended (oxygen and room air) to 100% oxygen, because he can go home on that.  His feeding tube was pulled out, YAY!!  He failed the room air challenge, which was expected.  But that just means we needed to keep him on oxygen at home too. 
   Apria was contacted to bring us our oxygen tank and pulse oximeter.  They came about 5pm and showed us how to work all the equipment.  All the beeping and noise from both the hospitals machine and out new pulse ox was a little overwhelming.  Anxiety was kicking in and I was kind if freaking out.  
   The NICU has these rooms with bed and showers that they mainly use for babies that are going home so that the parents can room in with their baby and basically have a dry run, with nurses on standby if needed.  So we had the room scheduled for tonight so we could practice with all the cords and monitors.    
   We got all settled into our room and Jefferson hooked up to both our monitor (that we will be taking home) and the hospitals monitor, to compare.  We ended up turning off our monitor after a couple hours because it kept saying system error.  So we will just have then bring us a new one in the morning.  
   Jefferson is a great sleeper.  He just wakes up to eat and then goes right back to sleep.  It was the beeping of the monitor that kept us up most of the night.  Every time it beeped, it startled us and woke us up.  It would just take time to get use to it.  But we did pretty good working together as a team last night.  I think we can handle this! 

Tuesday, November 19, 2013

Day 7 in the NICU

November 19, 2013
 Jefferson is 1 week old today!! 
  What a difference a day, and lots of prayers can do!  Jefferson has done a complete 180 since yesterday.  Feedings through the night were basically all done via a bottle. He had one feeding through his tube at 9pm and then he was awake enough to eat for all the rest of his feedings!  This is a HUGE step! I nursed him when I got there at 6am and he are like a champ! He was so much more awake and alert than I had ever seen him. Let's just hope he keeps it up.  
    The cardiologist (a different one than we saw the first day) came and saw Jefferson to check him since they turned down his oxygen. They had done another X-ray this morning to check the fluid in his lungs.  He looked over the pictures and the fluid was GONE!!  Come to find out, Jefferson being on the 1liter of oxygen was making him have pulmonary hypertension, so it was making his heart work even harder than it already was, making him really tired. And it was causing the fluid in his lungs too. So just turning down his oxygen to a 1/2 liter made a dramatic change for him.  Thank goodness a different cardiologist came and saw Jefferson, or we may still be in the same situation and Jefferson would not be getting any better. 
   If he keeps doing better, the feeding tube could be pulled tomorrow, and he could possibly go home on Thursday !!  They also changed him back to ad lib feeding, where they just feed him on his schedule instead of waking him up to feed him every 3 hours.  Just another step forward, thank goodness!
   Thank all of you for your love, support, and your prayers.  They definitely have been felt, and prayers are being answered.  Thank you thank you!!

Day 6 in the NICU

November 18, 2013
Shout out to my little brother, Happy Birthday!!

  Jefferson weighed in at 7lbs 13oz today! I love my little chunky monkey! 
It has been another roller coaster of a day.  It started off with getting poked again for more labs, and then he had to have a chest X-ray.  His poor left foot is black and blue from all the poking.  The other foot has the oximeter on it so it hasn't been poked as much.  They had suspected fluid in his lungs from the oxygen, so they wanted a X-ray to check.  Sure enough his sat levels were too high and were flooding his lungs being one of the reasons he is so tired all the time. 
   After several days of asking, Cardiology finally crossed the dreaded bridge to come see Jefferson.  (I say this because it's not like the Drs have to go outside or anything, they just have to walk to the building next door to see us and for some reason, that is just too hard for them).  I haven't seen a Cardiologist since his first day of life.  I was getting a little perturbed about it and I think the Nurses and Nurse practitioners were starting to realize how pissed I was.  How do you know how your patient is doing without physically seeing them.  The Drs and nurses here in the NICU have basically been waiting to see what cardiology says before doing anything. So frustrating!  
   Any ways, a different Cardioligist came and saw Jefferson today.  He suggested turning down his oxygen to 1/2 a liter (of output) instead of a liter.  Plus he suggested for his range to be 88-93 instead of 92-98.  So basically the fist cardiologist was pushing Jeffersons heart and pulmonary artery too hard by wanting his sats that high.  Good grief!!  They are going to do another X-ray in the morning to look at his lungs again.  If there is fluid in his lungs, then they will have to put him on a diuretic that will flush that out.  But it will screw up his electrolytes and other things that are perfect, by making him pee all the time.  I feel like it's just another set back to getting us home.  I keep getting more discouraged, but I know it's for the best. I just want him healthy!
   So we are optimistic and hoping for a better day tomorrow! 

His poor foot


I cannot get enough of the little guy!

Day 5 in the NICU

 November 17, 2013
 He weighed in this morning at 7 lbs 12.5oz, 1 oz from birth weight!! 
   Thank heavens for nurses!!  With his feeding tube and him being able to take bottles, the nurses have fed him at night either through his tube or by bottle, and I have been able to sleep!  I feel much more refreshed!  I'm still a little tired, maybe it's my body playing catch up, but either way it is SO nice to be able to sleep and heal up a bit.  Jefferson is doing good.  His oxygen levels stay 30-40% which is good, they are not getting higher thank goodness!!
   He is still super lathargic and is really hard for him to stay awake to eat.  That's the main reason we have a feeding tube right now.  
  This is his day 5 of life, and he is just now getting a bath, yummy!   He absolutely loved it though!  Hopefully he will love the water just as much as his big sister does! 
   It's a little discouraging being here in the NICU.  I haven't seen my bed for days and I just want to bring him home!  I want to see my family.  Poor Stella doesn't ever want anything to do with me when she sees me.  It breaks my heart.  But at least I got to spend some quality time with her before Jefferson was born, while I was on bed rest.  I just want to get home and get settled into our new lifestyle as a family of 4!



All clean!! 

And one of my favorites, so far

Monday, November 18, 2013

Day 4 in NICU

November 16, 2013
    Jefferson had a much better day today!  He did really well and pretty much slept through the night while the nurse fed him through tube, only moving him to change his bum.  In the morning when I first went to see him he was much more alert and fed really well.  He keeps getting better and better when he eats from me.  He is finally starting to get it and he is doing better in putting his toung down and out of the way.  
   His oxygen levels were around 35 through the night.  Not too high, but he seems to be getting lower.  The Drs decided to put him on a schedule for every 3 hours and his feeding a changed from 45mils per feeding to 53mils.  In order to try and figure out how much he ate after nursing, we started to use a Breastfeeding scale before and after.  It weighs him and then figures out the difference of what he ate from me.  Then after weighing him we then know about how much more to feed him.  We then try with a bottle and see how much he will eat from there before getting too tired or uninterested, and then we feed the rest through his tube. This has been a good plan so far.  It seems to be helping his oxygen levels stay down and he is nursing better each time I feed him. With his heart defect he doesn't have any energy.  He is tired all the time and barely has enough energy to even eat.  It breaks my heart to see him work so hard and get tired so quickly.  Between his heart problem, low glucose the first couple of days, his PDA (I'll explain later) still being open, low temperatures at times, and his oxygen levels, poor guy is using all his energy just to breathe.
   He is such an amazing little dude and is a fighter.  Although it feels like forever, I know he needs to be here in the nicu to get him strong so he can come home.  We just absolutely adore him and cannot get enough!! 
    I feel guilty I have not been able to spend much time with my little princess, but hopefully since things are more under control with Jefferson I will get to see her more.  She got to hold her little brother today.  The NICU only lets her come for 15 minutes, 2 times a week, so she was really excited to get to hold and see him. She is going to be one amazing big sister to this little stud.  They are going to be the best of friends!



I LOVE his hair!!

Sunday, November 17, 2013

Day 2 in the NICU

November 14, 2013
Jefferson is making a good transition into his new world.  His oxygen levels were amazing at night (and early morning) and was eating like a champ!  Although I'm not sure he was getting much from me.  I began trying to get my milk to come in started pumping after every feeding.  His glucose levels had been dropping from 60s to low 50s and they were concerned he wasn't not getting enough.  He also was not having enough wet diapers.  
   He has been able to maintain a good body temperature and was taken out of the heat beds and put into a crib bed.  He seems to like it, but he loves to be swaddled.  It's a little awkward with all the cords and attachments to him.  His poor heels had to be pricked still before every feeding and is so sore.  It breaks my heart, but I understand why it needs to be done.  What ever they need to do to keep him healthy so he can hopefully go home soon. He also needed more blood drawn for labs so he got poked in the hand for that.  He's so tough and took that like a champ.  
    He is such a great eater, I just hope I'm making enough for him.  I just don't want to have a low supply like I had with Stella.       I had been pumping after every feeding, so we started to feed him that milk through a nipple after I fed him to try to get his glucose up. He chugged down what ever extra I had in seconds.  
    His weight dropped.  He is 7lbs 5oz now.  But the Drs are not too worried since this is common with newborns.  But other than that he is a champ and keeps doing better each day.
He doesn't open his eyes for very long, so it's nice to get it on camera. 

Friday, November 15, 2013

Day 3 in NICU

November 15, 2013
   Today was a big day, pysically and emotionally.  I got kicked out of the hospital and after a few hours of trying to figure out where I was going to go, we decided to get a hotel close to the hospital so that I could still go and feed him.  
   It started out with bad news with his sats (oxygen levels) being low and had one wet diaper all night.  The Drs are worried he is dehydrated and isn't getting enough from just breast feeding.  So they decided to see how his morning feedings went and if he hadn't had any wet diapers they would place a feeding tube in him to help get the right amount in.  He only weighed 7lbs 4oz, which is too much lost since birth.  
    By mid afternoon, things still were not getting any better so the nurse put a feeding tube in.  With the tube they were able to draw back what was in his stomach to see how much he got.  Kinda gross, made me gag a bit when I first saw it.  The Drs figured he needs a minimum of 43 mils of milk each feedings.  On a good note my milk started to come in more so I was able to produce a little extra each time I pumped, than the 43 mils needed for one feeding. They also decided to put him on a 3 hour feeding schedule instead of an "ad lib" schedule, where we feed when he wakes up and is ready. 
    On another good note his glucose had been good numbers for the last couple feedings so they stopped the glucose teste before each feedings!!!  Yay!! Maybe his heels can begin to heal now.  Poor thing has blue and purple heels from being poked and had blood squeezed out of them.  
    Drew had Stella all day so I spent all day at the hospital alone.  I went back and forth from the hospital and hotel to rest and feed Jefferson.  I was able to do skin to skin with him.  This is such a special time and I highly recommend it to any parent.  There is something magical that happens when you do skin to skin.  Within seconds of putting him on my chest he just stared at me and stilled.  His eyes got big as he was listening to my heart.  Something familiar to him that he hadn't heard in a few days.  It was so sweet and I loved every minute of it.  
   The nurse and I decided since he had a busy day to just let him sleep through the night and feed him through his feeding tube.  I thought that the tube was another set back, but it actually was a blessing in disguise.  Jefferson was able to get some sleep and I was too!!  We went from 9pm to 6 am with all his feedings through a tube.  He did really well and I was told he didn't wake hardly at all and slept through the majority of the night.  Other than getting up to pump, I was able to get more than 3-4 hours of sleep.  It took so long to get up get to the hospital, get set up, feed him, pump after, clean up and get back to the hotel I was only getting an hour and half of sleep before I had to get up and be back to the hospital.  So it was heaven.  
   Here's a few more pictures of my sweet little boy! 


  

Day 1 of NICU

November 13, 2013
Jefferson is THE sweetest little guy ever.  He had been poked before every feedings on his heels, had an IV needle placed in his head, had blood drawn for genetics testing, and had a nose piece to give him oxygen.  Even after all that, he has been so quiet and mellow.  He hardly ever cries and is such a little champ.  
   His glucose levels have not been too bad today.  They have not been too low to need supplementing or an IV, so that is great news! He has been eating like a champ and had 6 poopy diapers in one day!  He is such a snuggler and loves to be held.  This is when his oxygen levels are at the highest.  He just loves to be held, and I just love to hold him! The Cardiologists came and checked out his heart.  Everything was looking good, considering the circumstances.  His oxygen had to be bumped up to 45% today.  But they are not too worried.  
    He is in the main NICU unit with all the tiny babies.  I felt weird walking in there every couple hours with all the babies that were fighting for their lives.  Every nurse and Dr that saw him said, "woah, what a big baby."  
   They got him stable and his oxygen levels regulated and they decided to move him to another room in the NICU that did not have such high risk babies. It was a good move.  The room is much quieter (other than crying babies, less noisy machines) and easier to access.  Babies are mostly in cribs, not incubators here.  Jefferson is still under a warmer for a bit longer, but he is doing so well!  He is so adorable and keep falling in love with him every second I get to hold him! 


Before all the poking and bruising.  :( 

Grandma Sherrie came to meet this little guy, and instantly fell in love! 


Welcome Welcome!!

We would like to introduce you to our little sweet angel:
Jefferson Daniel Warwood

This little guy was fortunate to be born on 11-12-13.  It just so happens to also be my Grandpa Tuckett's 80th birthday that day too!  Jefferson weighed in at 7lbs 13.6oz and was 20.5" long.  Being bigger and longer than Stella was, labor was easy and recovery has been even easier.  
    After all the drama and worry over, if I'd make it to the hospital in time, it is so nice to finally have all that anxiety over with so we can now focus on keeping him strong and healthy!  I am so grateful everything went as planned.  I hate uncertainty and it was so nice to be able to walk calmly into the hospital, get my antibiotics running (I was group B positive), after the 4th poke, and then pitocen going after 4 hours, and then really begin the labor process. I walked into the hospital having been dilated to a 5cm for 3 weeks.  Contractions were irregular but strong and made me have to stop what I was doing and breathe through it.  For having a low tolerance for pain I was able to handle contractions till I was 7+cm.  I got the epidural, and after the 2nd try it kicked in and worked on my left side.  Contractions suck with out pain meds.  I felt them on my right side after my water was broken and it was unbelievable how much it hurt.  I honestly do not know how people deliver babies without pain meds.  The anestithioligist came and did a quick change literally 2 minutes before I started to push.  Thank heavens for pain meds and for that to work, like a charm!  
Jefferson slid right out and went right to the team of Pedatricians and resuscitation specialist hands.  They worked on him quickly and wrapped him up and took him to the intermediate nicu.  I didn't get to hold him for several hours afterwords, but I was prepared for that.  I was able to go in and see him and hold him just before he was taken again to get an echo done in his heart.  
   They found another small hole between the bottom two chambers of his heart, but they expected it to go away within 24-48 hours.  He also was having trouble with his lungs and was out on oxygen.  About an hour later his oxygen levels were not improving so they took him to the NICU.  It was there I was able to finally feed him and snuggle with my sweet baby boy.  Between his oxygen levels and low glucose, he was being watched over very closely.  
   He is being well taken care of and I am so grateful for all of the amazing Drs, residents and nurses at the U that have taken such great care for my little angel.  



Sunday, November 10, 2013

The Thrill Seekers!

The week is finally here.  This will be my last post before 3 becomes 4 and our lives get much crazier!  It has been a good last week being pregnant, but I am for sure ready to be done.  I really should not complain, because I know more women have much harder pregnancies than I do, but it has been a giant roller coaster and I'm just ready to get off.  If it's not one thing, something else got thrown on our tracks to throw us off our path.  But just like any amusement park, you get off one roller coaster, with the thrill and excitement still pumping through your veins, and you go jump on another one. So this roller coaster of a pregnancy will be ending in 2 short days, just in time for us to jump on another one, called 'Jefferson's heart journey!'  There will be lots if ups and downs, twists and turns, but we are ready for it.  Just as we put our faith and trust in the ride operators and engineers of the roller coasters we love, we are putting our faith and trust in our Heavenly Father, whom we love, to guide us and protect us on this next roller coaster we are about to jump head first onto.  We have prepared as much as we could ahead of time for this, we are now just ready to meet this little guy and welcome him into our family!