Friday, June 13, 2014

Liberation

Cecilia's Coming Home!

Monday's the day!  Cecilia is coming home ~ This time we are beyond excited.  

Cecilia seems to have turned a page and is ready to come home to play with her sisters.  Her nurses tell me that she has, out of no where, just found an extra spark.  She has found her legs and loves to stand.  Just today she was standing next to a play table all by herself!

On Monday, June 16, 2014, the girls will be 8 months old corrected and 11.5 months actual.  We have come such a long way and will finally have our family together, at home, with love and excitement.  

Zoe and Isabelle came home on October 25, 2013 - Spending 117 days in the hospital - All in the NICU.
Cecilia will come home on June 16, 2014 - Spending 351 days in the hospital.  

This journey is far from over, but now we can all travel it together.  

Thank you for your love and support, patience and strength, kindness and prayers.  We could not have endured this adventure without you.  

Love,
Adam & daneille

   Thank you for being our family.

Tuesday, June 10, 2014

11 Months Old

Where has the time gone?


I know the last two posts have seemed angry and down, I apologize.  Adam and I are so very blessed and we know that.  We have been through a lot in the past 24 months - from discovering we were pregnant with Madison, buying our first home, losing Madison, getting pregnant with the girls and then having them born way too early by our standards, and then the constant battles they have fought - but through it all we have had each other and we have had the love and support of our friends and family, both old and new.  We are blessed.  

June 1, 2014

The girls are 11 months old - it is so hard to believe.  They have each battled and fought to be here and it was worth every minute of struggle because they are fabulous.  I know you might think I am bias (ok  I am bais) but they are really are wonderful little people.  

Cecilia's Activity Time
Outside for the 1st Time

Cecilia is happy.  Despite everything she has endured, she is happy.  She laughs and smiles and flirts.  She is ebullient - zestfully enthusiastic.   She is simply a miracle.  They all are.









Isabelle is determined 
Iz loves to "read"



Isabelle is daring and tenacious.  She refuses to let anything stop her.  She is pulling herself up to stand, trying to move around objects and letting go to see how long she can make it before she falls.  







Kisses from Zoe

But I want to go this way ~ Zoe



Zoe is Zoe - content to take everything in but refuses to be left behind.  Daring but doesn't take risks, rather she waits until she knows she can do what it is she is trying to accomplish.  Loving, without a fault, loving.  




We are incredibly blessed.  




June 5, 2014 - Sharing is NOT always best.

Sick Zoe
Zoe and Isabelle are sick.  Cecilia, in the short amount of nonexistent time that she was home, shared her respiratory infection with Zoe and Isabelle.  We are incredibly frustrated as Adam and I have tried so hard to keep Zoe and Iz from being exposed to anything that could harm them - yet our work was undermined.  
Zoe Playing

Isabelle has stronger lungs than Zoe, so she has not been affected as badly, but she is still sick.  And poor Zoe, the girl sounds like she is drowning.  Thankfully Dr. Haigh could see the girls right away and was able to prescribe medicine to help loosen up their airways.

On the upside, Cecilia, still a resident of Hotel Mayo, is sounding much better.  Her lungs are clearing up and she is on the mend.  We just wish she hadn't been so generous in sharing with her sisters ...

FOOD!!

Little Piggies!


The girls tried food!  


NO SQUASH!!






We started with squash - epic fail.  The girls ALL hate squash.  




Carrots are Yummy!


Carrots, however, are a favorite for everyone.  Even Cecilia has been able to get in on the action  : )  

EPIC FAIL

From Bad to Worse

Monday, May 26, 2014

Just when we thought it couldn't get much worse, of course it did. 

We made it through Sunday with little drama - a friendly RT stopped over to listen to Cecilia and confirmed that yes she was still wheezy.  Cecilia was scheduled to see Dr. Haigh on the upcoming Wednesday, so we were hoping she could make it until then - but we were not holding our breath.  

Monday, Cecilia was still having a hard time with her breathing and we were religiously giving her nebulizer treatments to help loosen up her airways.  Throughout all of this Cecilia was still coughing and looking just miserable.  What tipped the scales was her G-Tube.

As you know, Cecilia's G-Tube has been an ongoing source of trouble.  The first three attempts all failed - This was with a device called an AMT.  This is the device that is best suited for Cecilia's size and needs, however the balloons kept popping.  Following the third failure, the doctors decided to try a new model called a Mic-key.  The Mic-key seemed to be working well, but it leaked - a lot.  The leakage was explained away as something we would just have to deal with.  

We were told we would need to clean the site three times a day on average.  We could handle that.  The leakage should only be like the sweating on a beverage glass in the summer.  We could handle that.  The problem with the Mic-key is that it is a larger device that protrudes more from the skin - We could handle this also, if the device functioned properly.  

On Monday, we noticed we were having to clean the site more and more due to excessive leakage.  Not only were we leaking formula but there was also "gunk" leaking out.  Poor Cecilia looked like she had a ping pong ball stuffed under her skin - this was not normal.  We called the surgery team at Mayo Rochester and the on-call peds team at Eau Claire.  

Eau Claire could not handle her.  

The Surgery Team at Rochester tried to brush us off as nervous parents.  We sent them a photo and again they ignored us.  Finally when we saw formula erupting from the site and blood we told them that we were not comfortable waiting until Tuesday afternoon for someone to look at Cecilia.  We packed her up and headed out the ED again - this time in Rochester.  

We arrived at the ED in Rochester, after calling the Surgery Team at five minutes out, at 7:40 p.m.  We were placed into an ED exam room at 7:55 p.m. and poor Miss Cecilia was drenched from her G-Tube site and running a 102.7 fever.  Her respiratory infection was getting worse AND her G-Tube was malfunctioning.  At approximately 11 p.m. the decision was made to admit Cecilia and we were up in a room on the Pediatric Floor at about 12:55 a.m. Tuesday morning.

Sick Cecilia back in the hospital

Tuesday, May 27, 2014

Cecilia was scheduled for a GI Study to see if the G-Tube was still functioning before she could be seen by Dr. Ishitani.   The GI Study showed that the tube was still working.  She had a hernia growing from the G-Tube site - it looked like an alien growing out of Cecilia!  Everyone was very positive - That is until they unwrapped the site and Dr. Ishitani was able to view Cecilia for himself.

Dr. Ishitani's face changed very quickly.  He looked up at me and told me Cecilia would more than likely need to have surgery because the hole where the G-Tube was was entirely too big.  Upon examine, he felt like she had lost her abdominal muscles as well.  He would re-examine her the next day.

But we knew what was coming - Cecilia needed surgery - again.

Thursday, May 29, 2014

Dr. Ishitani, Cecilia's guardian angel surgeon, once again opened Cecilia up and performed surgery.  Dr. Ishitani repaired the hernia and painstaking sewed Cecilia's stomach muscles together in an attempt to save the original G-Tube tract (less pain and recovery for Cecilia if it worked rather than having to create a whole new tract).  

Due to the Mic-key being an inappropriate tube for Cecilia based on its size, and the damage caused by it, we all decided it was best for Cecilia to retry the AMT.  Adam and I held our breath waiting for Dr. Ishitani's phone call.

Dr. Ishitani did it again - he helped our baby girl.  We will not let another surgeon near Cecilia.

After surgery, Cecilia was her normal self and tried to extubate herself ~ It is nice to know somethings never change.

Recovery Time

Given all of the complications we have had with G-Tubes, Cecilia will need extra time to recover.  Cecilia's feeding regime would need to be reworked and she would need time to learn to eat again - She went almost a full week without eating.

As it stands, Cecilia is once again a resident of Hotel Mayo and this time we are not going to let our concerns for Cecilia's well being be brushed aside - It is about what is best for Cecilia, not a race to see who can discharge her first.  

We truly feel as if harm was done to Cecilia and that is horrible.  Plus, we do not know the dangers exposed to Zoe and Isabelle.  

Adam and I are incredibly grateful for how far our girls have come, but even we get weak and sad when we think of how far they have had to come.  Sometimes it seems like the battles they must fight just keep mounting, but we know we are blessed because they are here, they are fighting and they are purely wonderful.  With all of this, we do still ask you to please keep our daughters in your thoughts and prayers. 

Thank you.

D-Day

Evicted from the Hospital

Friday, May 23, 2014 - Discharge Day

You would think Adam and I would be thrilled about this, however that was the furthest emotion from our being.  We were worried, concerned, anxious, hopeful and a mix of many other emotions.  But thrilled was not one of those emotions.  We simply felt that Cecilia was not ready to come home - Needless to say, it did not matter what we felt, because Cecilia was pushed out.  

Adam and I arrived on evening of Thursday, May 22, 2014 for our overnight stay in the hospital with Cecilia - Basically we needed to prove we were capable of caring for our own daughter.  The hospital calls it "Rooming In" and we did this Zoe and Isabelle (after fighting to have the ability to do so).  Given Cecilia's chronic medical conditions, it was not a bad idea: Sadly, it just was not presented in the nicest way possible.

Anyway, we arrived on Thursday night and notice Cecilia had an intermittent cough.  We asked about it and were told not to worry - However the cough was getting progressively worse as the night wore into the next morning.  During morning rounds we again voiced our concerns regarding her cough, but were brushed off.  Yes the doctors listened to Cecilia but denied anything being wrong with her.  

We were not released from the hospital until about 4 p.m. Friday afternoon after having to meet with multiple specialists.  Cecilia also had many visitors who wanted to say good-bye ~ She was a very popular little patient.

During this whole time, Adam and I were worried about Cecilia but the doctors kept saying she was fine.  Our parental intuition said something was off but sometimes when a person's mind is made up, nothing is going to change it.  The doctors had decided it was time to send Cecilia home and it did not matter that circumstances had changed.

We arrived home in Eau Claire at approximately 6:30 p.m. with Cecilia - who was coughing worse than ever.  We tried to chalk it up to parental insecurities but we knew better.  By 7 a.m. the next morning, we were sitting in the ED (Emergency Department) in Eau Claire with Cecilia who was in visible respiratory distress.  

6.5 hours later we finally left the Eau Claire ED, exhausted and frustrated.  Cecilia had a respiratory infection - Yes Mayo Rochester sent her home with a respiratory infection.  Not only were we scared for Cecilia, but now we had to worry about the exposure level for Zoe and Isabelle.  Something Mayo Rochester failed to care about.

Let me clarify, there are some truly amazing doctors and nurses at Mayo Rochester - and we have been very blessed to have so many wonderful people care for our children. However, there are some doctors who live inside their own little bubble, failing to understand the potential consequences of their decisions.  It is these individuals who are challenging and frustrating and infuriating.  

At the end of the day, Adam and I just want what is best for our little girl, and it seemed as if what was best for Cecilia simply did not coincide with what was already put into motion.  So instead of celebrating having Cecilia home, we were going to the ED.