Wednesday, December 26, 2007

Christmas



Merry Christmas! We had a great one, just the five of us here at home. We are so blessed by family who sent so many fun presents for the kids to open. It was unusually cold here, about 45 degrees!! I am loving it!

A little Ezra update: he is now over 4 months old! He has started weekly sessions of both physical and occupational therapy. He will be starting feeding therapy as soon as the find an home therapist. He's not a fan of tummy time, but we keep working on it. He has certain goals he needs to meet. He will have a slue of tests in the new year, more extensive genetic tests, an MRI, and some other test to determine the rate of firing of his neurotransmitters. He's not growing because he uses too much energy to do things and the neurotransmitter rate might be the issue...So, hopefully we'll know more about his disabilities after these tests but we cannot do them until we have the new insurance (we are applying for insurance designed specifically for children with disabilities). It's a constant waiting game when it comes to our little man. And he never complains. He's such a good baby, considering everything he has to deal with on a daily basis.





Thursday, November 15, 2007

Ezra Update

Well, Mr. Ezra is coming along slowly but surely. He turned 3 months old on Tuesday (chronological). His adjusted age is one month old today—so he's doing most things a "normal" one month old does—except eating and eye contact. He is still on the nose tube—but his bottle sessions are improving. He takes about an ounce and a half per session now—formula plus a thickening agent to help with his swallow issues. The pediatrician wants him to be able to take 2 ounces at a time before we take him off the tube. He's now weighs 6 pounds, 10 ounces, but the doctor thinks he should be gaining weight faster than he is. He's gained 1 pound, 3oz since he came home 4 weeks ago (!) and the goal is to gain two pounds a month.
In December he'll start occupational and physical therapy here at home. In the weeks to follow he will have speech therapy at home as well (to help with bottle feeding). Once he's mastered the bottle, the speech will stop until he is about 8 months old (corrected age--10 months old, chronologically). He also has many doctor appointments coming up, including the two big ones—the cornea specialist and the geneticist. Its time to figure out what disorder or syndrome Ezra could have to explain some of his odd features and movements. Plus, it could explain his feeding issues.
Please continue to keep him in your prayers—especially about his eyes. The insurance may not cover the transplant, and he could potentially be blind without it.
The homefront is pretty chaotic. The other kids are really impressing me with how they handle Ezra. Alayna has taken a few swats at him, but she's over that now. All she wants to do now is coddle him. We're missing our CA peeps more than ever at this time. We feel very "on our own" here in AZ. Our friends all have new babies or are expecting new babies, so they can't offer much help. They do send encouraging emails and we know they are praying for us, just like all of you. Again, thank you SOOOOO much for your thoughts and prayers.

We love you!

Thursday, October 25, 2007

First Week Home

It has been so nice to have the little guy home. Of course, we're not getting any sleep, but enough to get by. Ezra is 11 weeks old tomorrow; 10 days old had he been born to term. We're supposed to think of him as a 10-day-old, when it concerns development. He doesn't do things a term 2-month-old does. He is very much like a 1 to 2 week-old newborn. So, from here on out, we'll talk about his chronological age and his corrected age. It gets a little confusing, but we're used to it.

NIGHT 1: The kids were ecstatic to have Ezra home. They wanted to hold him and take pictures. But first, upon arriving, we had to feed Ezra, cook dinner, and I had to pump milk. It was a hectic 2 or 3 hours. All three kids were asleep by nine and Peter and I sat down to watch a movie and both of us fell asleep during it. And that night was a doosie. I got about 20 minutes of sleep every hour between 10pm and 6am. It added up to be about two and a half hours. Saturday was busy running errands to get last minute things for Ezra. But my mid-afternoon we were all zonked and just sat in the livingroom, zoning out in front of the TV. Sunday was not much different.

The rest of the week went fairly smooth. Ezra is having a terrible time eating independently—either from the bottle or nursing. We find ourselves relying more on the feeding tube and I don't like that. And Ezra is on so many medications, that it's difficult to keep them all on a timely schedule. On a good note, Ezra is a good sleeper, sleeping through most of the noise the kiddos make. But, like most other newborns, he has his days and nights confused and wants to be awake at 3am. He's also a lovable little guy that LOVES to cuddle.

A home health nurse has been visiting him every other day to check his vitals, his weight, and his O2 levels. He's passed them all.

On Thursday, he had his check up with the pediatrician. By that time he was up to 6 pounds and was 18 ½ inches long! The pediatrician is concerned about him having a milk-protein allergy, which means I have to cut ALL dairy if I want to nurse. Please pray against that because I LOVE my yogurt and cheese! (I could do without the rest of the dairy stuff.)

On Friday, he saw the eye doctor, who suggested an ultrasound ON HIS EYE. Can you even believe that they are capable of that? Then, they can better see what the problem is and redirect him to a cornea specialist. The opthamalogist is certain Ezra will need a cornea transplant to have viable vision. Please pray they can figure out what the issue is and that they can fix it so that our little man will see!!! If it's a transplant, that Ezra would NOT reject the new cornea (which can happen about 20% of the time).

As we look ahead I am trying to stay positive and not think about the potential disabilities that may arise. Ezra has what the doctors call "dysmorphic features", which could be indicative of some congenial abnormality. Most of the doctors he's seen (the neonatalogists, his pediatrician, the eye doctor, the neurologist, and the geneticist) are all pretty certain he has something, but they've run many tests and aren't finding exactly what is wrong. I drove myself crazy this last week, looking stuff up on the internet and found a few RARE syndromes that Ezra might have. The thing of it is that if Ezra does have something, he would have been born with it even if I had carried him to term. Actually, it is very likely that it is what put me into preterm labor, because that is often the case for many of these syndromes. And it may also have been the reason I got so sick. Don't ask me how—that's what the doctors say though. I am just holding onto a prayer that all Ezra needs to do is grow and get a hang of eating and he'll "grow into" these features (the small, off-set eyes, low-set ears, elbow contractures, and limited range of motion). Only time will tell, and God's will be done. We just pray that Ezra can have a "normal", healthy existence, with all the same opportunities that his siblings will have.

Peter took the whole week off work. He goes back tomorrow and I am a little panicky about that. We don't have family here to help us, and our friends all live too far (and are busy with babies and older kids of their own) to offer any sort of assistance either. Its just us. I can already tell that the hours between 4 and 6pm are going to be the hardest. In that time I will need to feed Ezra, pump, cook dinner, and entertain the other two children (or keep them from killing each other). YIKES! I SO wish we had a back yard because then I could just send them outside to play without worrying about Jeremiah calling out to every car that drives by or Alayna running into the street. I long for the days when we will finally be near family!!!

Again, thank you all so much for your prayers, thoughts and support. It means so much to us. Please continue to pray for Ezra over the next year as he develops. He has quite a few hurdles to jump! God's blessings on you all…

Thursday, August 16, 2007

Early Arrival

What a whirlwind week for us! It started with Jeremiah's first day of kindergarten on Monday. The day started like any other day, except Grandma F was here and Daddy went in late to work so that we could all accompany Jeremiah to his first day of Kindergarten. He was SO excited to go. I was having a variety of emotions—joy, relief, anxiety, hope. But mostly, I was feeling like crap. I had been feeling pretty yucky all weekend, and had attributed it to IBS. So, we walked Jeremiah to school and put him in the very capable hands of his new teacher. He had the biggest smile on his face--no tears were shed on this first day! Daddy went to work and Marian, Alayna, and I went home. Marian took Alayna swimming and I was ready to start my routine, but my body had other plans. I was just so uncomfortable. At around 10am on that Monday the 13th, I started feeling contractions. They started in my lower back and then rattled my uterus intensely. They were about 6 minutes apart. So, I lied down, like my doctor advised me, to see if they would go away. They didn't. In fact, by noon, they were 4 minutes apart and the intensity was more severe. So my Mom-in-law drove me to the hospital. After a few minutes of waiting, a "prenatal triage nurse" took me to a room and examined me (whilst asking me about a MILLION questions). She then informed me that I was 8-9 cm dilated. For those of you who don't know much about the labor process, this is VERY close to the time when the mom starts pushing. So, they paged my doctor and called Peter at work and got ready to deliver me right there in the triage area. It was going to be a drug free, vaginal birth. Then, the ultrasound gal came in to check the baby's position and discovered that the cord was "prolapsed", which means that it preceded the baby and could cause all sorts of complications. The doctor tried to get the cord back behind the baby's head, but to no avail. So, they wound up doing an emergency C-section at 2:15pm. I won't go into the gruesome details of what happened, but it was very painful and traumatic. They didn't have time to do an epidural, so they gassed me up and pumped me with demerol and I was asleep for the delivery. It happened so fast, Peter was not allowed in the room. And Ezra was so small that they rushed him to Intensive Care to get ready to transport him to another hospital via a helicoptor. They had to transfer him because the hospital I delivered at doesn't have a NICU (neonatal intensive care unit). They didn't take him until after I woke up and got to see him, around 4pm. Then, I was doped up on morphine for the next 12 hours. By Tuesday morning, I was still very sore, but finally aware of what was going on. Its been a whirlwind week since. God bless my mother-in-law because she postponed her trip back to CA till Sunday so that she could stay and help out this week. She's been a GODSEND!!!

Ezra is still in the NICU and will remain there for at least another 4-6 weeks. He's on a ventilator and feeding tube. Please pray for him! That he gains strength and weight and makes a full "recovery" from this early delivery. He's stable now, and that's a good thing. As for us, we need prayer for encouragement, rest, and peace. We know we serve a Sovereign God, who is willing to lay down His life for us and we are faithful. But, EVERY prayer and good thought counts!

Oh yeah! His stats are as follows:

EZRA JAMES
AUGUST 13, 2007
2:29pm
3 lbs, 6oz
15 ¾ inches long




So, yes, everyone, keep us in your thoughts and prayers. He has a long way to go! And I guess we do too!