Friday, February 20, 2009

Brock - all the details....finally













So I think I finally have more than a minute to be on the computer and thought I'd write down Brock's journey here. It's probably going to be a little long so if you have time go ahead and read. And if not, here's the end: Brock's home and happy with us.

10:45 pm Saturday Feb 7 my water broke - not a big gush, just enough for me to go 'umm, I think my water just broke

11:00 pm getting a few contractions - and since strep B positive decide to head to hospital like Dr advised earlier

11:45 pm arrive at the hospital and have confirmed that my water had indeed broken and dilated to a 2

still having contractions but not really going anywhere

admitted and spent a sleepless night with contractions off and on and Cliff slept on the floor :(

7:45 am Feb 8 Dr Mark Darby came to see us and decided to start me on the pitocin (sp?)drip - I figured for sure once I got some of that in me the contractions would pick up and just keep going and we'd have a baby in a couple of hours

12:30 pm Dr Darby has to leave for a family function and still no closer to having a baby. Still at a 2 and getting frustrated

1:45 pm at an 18 on the pitocin drip, at a 3 and Dr Badenhorst re-breaks my water (they figure I either had a smaller bag that broke first or it broke and re-sealed itself) Pitocin is cut down to a 4 and contractions immediately pick up and get intense in pain and duration

2:00 ish I got a shot of phentanol (sp?) and that took the edge off a little

2:45 pm I am declared a 10 and told that I can start pushing. I panicked a little bit here because I wasn't mentally ready to push yet. I figured I was only a 6 or maybe an 8 like I had been with Rhett when I felt like that

Cliff was great and counted for me so I could focus on something - the nurses weren't prepared for me to be ready to push quite so soon and Dr Badenhorst wasn't quite ready to catch. But everyone got organized and at 3:13 pm Brock came into the world screaming. I was thrilled because he's the first to come out crying

They whisked him over to the warmer and a few minutes later brought him for a kiss and told me they were taking him to the nursery for a little bit of oxygen and my first thought was " if they get him in that nursery he's not coming out"

Cliff followed Brock shortly while the doc and nurses kept working on me - I hemorrhaged last time so they were taking extra precautions this time around. I was finally allowed up, got showered and over to see Brock around 6:30. We met up with Grammie and the boys on the way over to the nursery and all got our first look together....he wasn't just in oxygen anymore - he was hooked up to a c-pap machine - it basically forces oxygen into their nose. I wasn't allowed to hold him and figured we were in a for a long run

Monday 3:13 pm Brock is intabated and given a dose of bless to open up his lungs. Still haven't got to hold him. Nurses ask me if we have a preference for Edmonton or Calgary if they have to ship him out to a bigger hospital. Cliff gave him a blessing that night and promised that he would be healthy and strong and that his lungs would heal.

Tuesday 4:30 am find doc on call and nurses all clustered around Brock's bed (I had been there pumping) They were comparing x-rays, doing blood gas tests etc trying to decide how best to wean him off the machine because he had started to let it do the work for him - I was pretty stressed and pretty out of it but managed to keep it together

11:00 am get to the nursery after being discharged to find Brock off the machine and in hyper oxygenation. Room air is 21% and he was in 60%. I was surprised that he was off the machine and thrilled at the progress. I also finally got to hold him. His nurse knew how desperate I was to hold this precious little boy and had waited to do some things in his isolette so she could take him out and let me hold him. I had to hold an oxygen mask a few inches away from his face so he would get enough oxygen but it was so sweet to hold him and get to know him. I sat and held my sweet boy and cried.

Wednesday Brock went under the lights for jaundice and was still in 60%. His respiratory rate was still pretty high - he had a pneumothorax (sp?) in his left lung and from my understanding that meant that he had a spot on his lung that wasn't fully opened yet. So instead of averaging 40-60 breaths a minute he was closer to 80-100 breaths a minute. Because of this the doc wouldn't let him eat and he was just getting electrolytes through his IV

Thursday not much changed.

Friday his nurse let me give him 5 mls of breast milk through a bottle which he sucked down in about 3 minutes flat! He was so hungry and was much happier after that. His oxygen sat levels and his resp levels just settled down nicely and he was the most settled he had been all day after that.

Friday afternoon they started weaning Brock off oxygen

Friday night or sometime early Saturday doctor decided he was ready for a nasal gastric tube and started a continuous milk drip

Saturday Brock was in room air by 12:30 pm and his IV came out

Sunday night we got to start nursing on demand and I stayed in the parent's suite

Monday I was at the hospital all day to nurse Brock whenever he was hungry and had nurses with differing opinions on the car seat test but we ended up doing the test which he passed with no problems. I also had a couple of nurses comment to me about how calm I had been through the whole thing - especially with a CRITICALLY ILL baby. Umm, critically ill? No one ever told me he was THAT bad! It's probably a good thing no one ever said critically ill around me 'cause I probably would have lost it. But I also know I drew a lot of strength from the blessing Cliff gave me before we left for the hospital and the one he gave to Brock in the nursery. So in just over a week Brock went from the sickest baby they had to the healthiest one! Thank goodness for the power of the priesthood.

Monday night the nursery got so full that Brock was actually moved into the middle of the nursery and not hooked up to anything anymore. I was tempted to grab him and run!

Tuesday morning I was the first one that our pediatrician assigned to Brock saw and he gave us the go ahead to come home! He told me that his lungs were good enough to come home but would still take a couple of months to fully heal so was given lots of counsel on avoiding certain places and screening visitors etc. Lots of hand washing and we're kind of quarantined for the next little while. So I won't be going to church for the next couple of weeks and if I do have to take him out I'll be doing my best to keep him covered up and hidden from view/germs etc.

It felt awesome to finally leave the hospital WITH Brock in tow and to walk in the house with him. Zane was so excited he was jumping around in circles and couldn't wash his hands fast enough to get a hold in. Rhett was very excited to come and look and point out all of Brock's things like his vibrating chair and blankets. He also raced down to Brock's room to bring him the toy that auntie Kizzy sent up with Grandpa.

Zane loves to hold Brock and look at him and talk to him. And Rhett is my best helper. As soon as he sees me getting ready to change Brock he's got a diaper, the wipes and cream ready. He's always concerned about where he is and what he's doing. He doesn't want to hold him yet but whatever.

And we are thrilled to have baby boy #3 here. Last night was a long night. I think he's hitting his 2 week growth spurt and most of the night was spent nursing, falling asleep nursing in the chair, waking up and nursing again etc. So I'm pretty tired today. Glad mom is still here and I can get a nap in this afternoon! Mom's leaving us Monday morning and I'm a little nervous but I know after a couple of days (or maybe weeks) we'll get into a routine and soon I'll wonder what in the world we ever did without Brock in our family. Mom is going to stay home tomorrow morning with Brock so I can go to sacrament meeting - I've already missed 2 weeks of church and probably won't be taking Brock until his blessing day - March 22. So she decided that I should go tomorrow.

And those are the details!

Saturday, February 14, 2009

A little more....





(These pics are from a couple of days ago)

So today is day 6 in the SCN and it was a good day. Brock has been steadily improving and today he was completely weaned off of oxygen. He was in room air for most of the day and did really well - keeping his sat levels above 90% where the doc wants them. He also nursed twice today!!! The doctor is really happy with how his chest sounds now and says he can hear his heart sounds a lot better now - they were really muffled before because of how hard he was working to breathe. So basically the goal now is to get him nursing/bottling every 3 hours instead of every other feed like we did today and his jaundice is still an issue. He's only been under one photo light ever since he went under and if his levels still weren't down with the blood test tonight they were going to start another light as well. I don't know why they've waited so long - it's a little frustrating that the thing holding us up the most now is the jaundice!! But we are just so grateful that he has made such great progress. Every morning I'm pleasantly surprised that he's just kept plugging forward towards coming home. With Rhett he would do really great one day and then have one or two bad days and then progress again. It was really stressful and in the back of my head I keep expecting Brock to do the same. Thank you everyone for your prayers and support. We're hoping that he'll be home with us in a couple of days.
Rhett is having a hard time with mom being gone all the time. He's turned into quite the tantrum throwing stinker and I'm anticipating a rough couple of weeks even after Brock comes home but it's all part of life. For now I'm trying really hard to give him some extra cuddle time when I am home but also to let him know the tantrums aren't acceptable and I'm not giving in to them. It's a hard balance when I'm only home in the evenings but hopefully we'll all be home in a matter of days and then we can work on bonding together as a family.
Zane is doing great... he's adjusting so well to having a new brother and can't wait every day for me to phone with an update on Brock. He's also learning how to tell time and recognize money. Grammie bought him some fun flash cards and he couldn't wait to show me what he knew tonight. He brought them down to Brock's room while I was pumping tonight and went through all the times he knew - all the o'clocks and the 30s.
I am so incredibly blessed to have 3 sons. It's still sinking in that I am a mom to 3....it will feel more real when #3 is home with us. I'm also so blessed and grateful to have the priesthood in my home. Cliff and dad gave us all a blessing last night and also received blessings themselves. Everyone has some form of cold and we need our house to be healthy for Brock to come home. I have been blessed to have the mildest form of the cold - just a little bit of head cold and have felt much better today. I'm hoping for continued improvement in all of us.

Wednesday, February 11, 2009

Today's pics












Here's Brock today just chillin' under the lights. His billy count is a little high so the lights it is for him. He was in 60% oxygen today because the doc wanted his saturation levels to be really high in the hopes that the spot in his left lung that hasn't opened all the way will hurry up and get there. His doc is almost more anxious than we are to get him better and home!
Other than that there's no change really. He started on his NGT today (nose tube for milk) and seemed a lot more content than yesterday. I didn't get to hold him today because the doc wanted him in the high sats all day but I did sleep a lot in the chair.
Maybe a change tomorrow.



Tuesday, February 10, 2009

Brock is here....

I'm not going into all the gory details right now...I'm too tired and I need to pump. But the quick break down is that Brock Dooley Johnson was born at 3:13 Sunday afternoon. He was 37 and 4 days gestation, 8 lbs and had not great lungs. So he's currently hangin' in the SCN in Red Deer with fabulous nurses and doctors. He's been hooked up to a c-pap machine, intibated and given bless to open his lungs (I'm sure that's not how to spell that drug but that's what it sounds like) and when I left the hospital this afternoon he was breathing on his own in oxygen in his incubator and just went under lights for jaundice. His billy count was getting high - not quite jaundice level but we're being pro-active on it.
I'll write more of the details another time....he's beautiful and we can't wait to bring him home!

Saturday, February 07, 2009

Speaking of Which...

The other day Zane was talking to Grammie S on the phone when I heard him say "speaking of which..." and then go on with his conversation. I have NEVER heard him say that before and I don't think I use that phrase so I'm not sure where he picked it up. The funny thing is that he used it correctly! It makes mom and I giggle every time we bring it up because he was just so serious and it's so grown up.
Grammie arrived on Tuesday and we are loving having her here. We would love it even more if I would have this baby bu I'm not having much luck in that department. Anyways, the afternoon she got here I suggested she move her truck to the other side of my van and when she went out to do it discovered that the tires had melted down into the ice and she was now stuck. As she and I tried different things I had to take a break to take Rhett back inside - he decided to investigate in his socks! - and Zane met me at the door with a very serious expression and said "mom, I know what the situation is and I have a plan..." Seriously, can this kid get any cuter?
And other than that our house is just clicking along. I'm very hormonal, very uncomfortable and very anxious to meet this new baby. And if one more person tells me that maybe I'll make it all the way to 40 weeks or further this time, and then laughs like it's some kind of a joke I will punch them.