Monday, March 24, 2014

Our first trip to the Emergency Room... and our second.

Retractions, nebulizer, posttussive emesis, bronchiolitis, respiratory distress.  Words that no parent of a two month old wants to become familiar with... yet we quickly learned them and many more the other week, after Addison was diagnosed with RSV - Respiratory Syncytial Virus. 


Andrew had a yucky cold with a mild fever the week before, which Mike and I chalked up to either a minor ear infection or his molars coming in... and since Andrew was his happy-go-lucky self, we didn't call the doctor.  When Mike, Addison and I developed stuffy noses a few days later we thought, "Ugh... a family cold."  Well, that Saturday, after running errands in the morning, Addison felt really hot when I took her out of the carseat to nurse.  While nursing she had a blow out diaper, so we stripped her down and wiped her off with wet cloths and she seemed much cooler, so I assumed she was just overheated in the carseat.  We then took a nap together, but I woke up to her little body being extremely warm.  I took her temporal and axillary temperature and it was 99.4, so I called the nurses' line (it being a Saturday - my kid's usual day to get sick), and they insisted I take a rectal reading with the direction that if her temp was 100.4 or higher, she needed to be seen immediately by a doctor since she was under 3 months old.  So, at 6:30 pm, after a reading of 100.9 - I packed Addison up, said goodbye to Andrew and Mike (who just took dinner out of the oven), and headed to the ER.  Four hours and several horrifying tests later - Addison was released with the diagnosis of RSV.  I was given the choice of admitting her for observation or watching her at home, and at the time, I was so traumatized by watching her getting her blood drawn and having a catheter inserted for a urine sample, that all I wanted to do was take my baby home and make her comfortable.  They gave me instructions to administer Infant Tylenol as needed and provided an inhaler to help her breathe better.  Only in hindsight did I realize how horrible of an idea that was... I am not a trained professional!  I am a worried mother who spent the evening wondering if every cough and sound was my baby going into respiratory distress.  Mike later said he was basically just watching for her lips to turn blue.  Around 4:00am she projectile vomited all over our bed, through the mattress pad, all over 4 different pillows and all over Mike, causing him to do a full outfit change.  Again, I called the nurses line and was told to call back if she did it again.  Well, the morning dawned and Addison seemed much better.  She was definitely still a sick baby, but I decided another trip back to the ER was not warranted, and we could make it until Monday to see her pediatrician.

ER Trip # 1
Below, they left the needle in her arm in case she needed an IV for fluids, so they splinted it so she wouldn't move it... definitely the hardest thing I've ever had to watch.
 

Monday morning, I headed to Dr. Maynard's office where he quickly informed me I was giving her the inhaler wrong (I didn't get proper instructions in the ER), and after taking her respiratory rate, decided that the inhaler wasn't doing enough.  He wanted her around 36 breaths per minute, she was in the 60s and 70s.  Even after two 10 minute nebulizer treatments (a machine with a mask that I had to hold over her face) - the lowest her respiratory rate went was 52.  He sent me immediately back to the ER to have her oxygen levels assessed, with the warning that 80% of babies under the age of 3 months are admitted to the hospital.  Well, that's just what happened. 

 
 Above: ER Trip #2, hooked up to the machines.  Below: In the same hospital gear, that she was in just 7 weeks earlier.
 

The pediatrician at the hospital gave me the choice again, because upon arrival, her oxygen levels were fine, but after hearing what we had gone through he strongly suggested we stay the night, so that their staff could help to make Addison more comfortable and to give Mike and I a break from worry - knowing the nurses and doctors are right there if needed.  As soon as he made the suggestion I felt immediate relief and agreed to admitting her, which ended up being the best decision because during the admission process, Addison's oxygen levels dropped, and she remained on oxygen for the next 2 days. 
The hospital's rule is that she had to be weaned off the oxygen for 24 hours before they would discharge her - so Wednesday afternoon, the tubes were removed and we watched the monitors with bated breath.  The nurse finally came in and turned the monitor off, assuring me she is watching Addison's levels closely at the nurses' station, and reminding me that I won't have the monitor at home, so I'd better get used to not relying on it.  Luckily, Addison did well through the night and we were discharged Thursday afternoon.
Addison had her first bottle in the hospital!
 

 
 Andrew was allowed to visit since he already had the virus.  Since we were in the pediatric ward, he got a Mickey mask, stickers, and a bath toy they gave to patients.  Addison and I stayed in a quarantined room where the hospital staff had to wear full protective garb from head to toe, so Andrew had to wear a mask to walk through the hallway.   Andrew loved the extra Daddy time he got at home... especially when Daddy took him to the construction site and let him do things Mommy would never have allowed!!

 
Mike visited during the day after dropping Andrew off at daycare. 
Weaned off oxygen.
Where I slept.
Happy baby - feeling much better - even with the stickers still on from the oxygen tube.
Addison is now at an increased risk to develop asthma later in life, and will continue to have a cough for quite some time.  She will also most likely have minor bronchiolitis with every cold she gets for the next year or two.  I, of course, felt incredible mom guilt.  After all, I was the one who made the call to send Andrew back to daycare instead of keeping him home with me while I'm on maternity leave... and if he was home, he would not have gotten the cold that got Addison sick.  However, my girlfriends were quick to remind me that this time is allowing me to give Addison the undivided attention that Andrew got when he was her age.  It also keeps Andrew in a comfortable, engaging routine that he loves, and allows me to keep some of my sanity.  I'll just keep telling myself that Addison is building her immune system and will be one tough little cookie!

Happy to be home!
 

Friday, March 7, 2014

The Potty Train!

Some may consider us crazy to start potty training our toddler when we have a 5 week old, but we had to take advantage of Grammy being here and having an extra pair of hands to hold the baby while we wiped up poop.  So, that is the adventure we embarked on this past week and the focus of this blog entry. 

Warning - if potty talk is offensive to you, you may not want to continue reading this particular post.  I am capturing certain details because it's amazing how much I've forgotten from Andrew to Addison, and I want to be able to remember this when it's her turn to board the Potty Train (Andrew thinks there is a train somewhere). If you just want to bypass the details of our potty training escapades (some of which are pretty funny if you ask me) and just see cute baby pictures, scroll to the bottom of the post. 

My first impression when Andrew put on the big boy undies was - my little boy is all grown up!!  He looked so big!  I've been thinking that a lot lately.  I'm not sure if it's because I'm staring at a 10 pound infant most of the day, but there's no doubt my first baby is growing up before my eyes.


Andrew has actually been peeing on the potty for awhile, but only between diaper changes. So, after making the decision to "give it a go", I went to Target and bought the supplies: 14 pairs of Planes and Mickey underpants, 8 pairs of new pants, Gummi Bears, Peach Rings and $1 toys.  Yes, I bribed him... and so far it's working.

 At first, Andrew was very excited to wear big boy underpants.  But then, he got the undies on and seemed kinda nervous.  Well, after successfully peeing on the potty at our suggestion twice, and stopping himself mid-accident another time... he told Grammy he had to go sit on the potty and then did!   By the second day, he was consistently telling us when he had to pee and had only one other accident.  We are now at the end of our first week, and he has less than one accident a day... except, for pooping.  We are told this comes later, but we are still wondering how much later.


Day 1 (Sun) - As I mentioned, Day 1 started out great.  Andrew was a little uncertain, but quickly gained confidence in his ability to use the potty.  He got a Gummi Bear for every time he peed at our suggestion and a Peach Ring every time he went on his own.  He also got a sticker for his potty chart (courtesy of Gram and Pop, who gave Andrew "Potty Training Elmo" for Christmas). 

The day was not without event though... Andrew managed to lock Grammy outside while I was nursing Addison, and then announced he had to pee.  What fun! Shortly after we let Grammy back in the house, he pooped his pants.

Then, Andrew woke up from his nap (which was in a diaper) by falling out of our bed and getting a black eye by hitting his face on the nightstand. He was so worked up, that he refused to put back on his undies.  The thing that finally worked after much pleading, candy bribes and putting Blue Bear in his undies, was a bribe of a "backpack ride mini" (his term for piggy back rides - we have no clue why) from Grammy.

 

Day 2 (Mon) - Andrew did NOT want to put on his undies in the morning and had to be bribed with gummy bears to wear them.  He did very well with only one accident, but he did not poop (which is abnormal for him... uh oh).

Day 3 (Tues) - Same thing in the morning... major resistance to having his nighttime diaper removed and putting on new undies.  I wanted to give up because I did NOT want potty training to be a negative thing for him, but just when I was ready to give in, Andrew sat on the potty, peed and let me put him in big boy pants.  Yay!

That afternoon, Andrew napped on the couch without a diaper and stayed dry!  (I was planning on putting a diaper on him first, but he fell asleep while we were cuddling on the couch and I didn't have the heart to wake him.)

After his nap, he had some minor regression. He was acting very unusual, running around like a maniac - and had two accidents, in addition to pooping his pants (while I was busy changing Addison's poopy diaper, of course). Yes, "poop" is the most used word in our house right now.  Or maybe "potty".  Anyway, in hindsight I think the regression was because he knew Grammy was leaving that night. We all were very sad to see her go... having her help for the two weeks she visited was much appreciated, and Mike and I were definitely nervous - we have no more help lined up to rescue us anytime soon!  Andrew will miss his Grammy very much and asks us when we are going to Pennsylvania to see her almost every day since she's left.


Day 4 - Andrew's first day at school in big boy pants.  Yet again, we had to bribe the kid to put on his underwear, but once in them, he did great!  I called school at lunchtime to check in (yes, I'm turning into one of THOSE parents) and they said he went a couple times on the potty and had one accident.  When Mike picked him up that afternoon, we were told the "accident" wasn't a "real accident" because he was sitting on the potty, but his pants weren't down all the way.  Yay!  Luckily, one of Andrew's friends is starting potty training this week as well.  He keeps giving us reports that she pooped her pants.  Andrew on the other hand, has refused to poop today.

Day 5 -  Andrew did great at school without any accidents today!  Unfortunately, he peed in Mike's car as soon as Mike pulled into the development.  He finally pooped that evening - in his pants - 3 times. 

At this point, Andrew either runs and hides to poop, or tells us he has to poop and then stands near the potty.  So, we know he knows when he has to go, he just refuses to try and sit on the potty. We had offered up yet another bribe for pooping in the potty - "Chug" the fuel tank from the movie Planes.  Chug sat and sat on the mantel staring at Andrew's potty, until finally, on Day 10, Andrew went on the potty.  Unfortunately, it was the first and last time he has gone on the potty since then.  UGH.

 

Again, sorry for all the details... I promise this is the last post that will center around potty talk!

As promised, here are some cute Addison pictures!