Category Archives: Milestones

Pediatric Theatrics

We made it!

Yesterday was the one week anniversary of Destroy’s graduation. It was also the muppets first trip to the pediatrician.

This was our first trip out of the house as a complete family. So on Thursday, we decided to do a trial run and got ready for a walk around the block. The trial run was very much a trial walk-very-slowly.

After the decision to brave the outdoors was confirmed, we first needed to ensure the boys were dressed appropriately. Should they wear short sleeves with a blanket covering them? No – it was a bit windy, they might get cold. How about long sleeves and pants? Well, the sun will be shining down on them; they might get hot. Perhaps a hat is called for. Those were promptly ripped right off their little heads. We finally settled on layers: short sleeve onesie, jacket, socks and an optional blanket. Forty-five minutes later we were ready to set out.

Next came the car seat challenge. Obviously, the each kiddo has already ridden in a car seat since we drove home from the hospital. Regardless, we were determined to make sure they were comfortable and sitting up straight. (It starts early in life, “Don’t slouch! Sit up straight!”) What hadn’t yet been tested was the SUV-size land yacht of a double stroller. After about five minutes of staring at our wheeled beast, we had figured out how the sun-visors worked and the direction to move seats in order to fit the infant carriers.

It took three of us to roll the stroller the whole three feet out the door and down the two front porch steps. Did you know that double strollers have a back AND front brake? I do, now. If you leave the front brake on, nobody turns.

It was over an hour in the making, but we set out into the neighborhood for some vitamin D. We went around the block. The entire trip lasted about 10 minutes. Search immediately dozed off and Destroy just looked a bit bored. But we did it! It was, indeed, possible to leave the house with two small twin boys. We felt ready to make the perilous journey 1.2 miles down the street.

Friday morning. The boys woke up early (I know, shocking – babies getting up early) and enjoyed breakfast. Since our appointment was at 1:45 p.m., I thought it would be a wise idea to start preparing early. So at around 8 a.m., after we dined (which mostly entailed Search staring inquisitively up at me and debating whether the morning’s milk was quite to his liking), I began readying supplies for our expedition.

The diaper bag was an event. I have a diaper bag. That was about all I knew for certain needed to come with us (in addition to the stroller, car seats and babies). The pediatrician appointment was our first “well-visit,” so I knew we could expect the entire visit to last at hour at most, for both boys. For the hour the diaper bag was loaded down with two additional outfits, multiple diapers per muppet, gauze and saline wipes, tushy wipes, a changing pad, pluggies, blankets and bibs. I stashed antimicrobial water-less soap in the side pocket and two full bottles of milk in the other pocket. As we were running out the door, I threw my wallet and keys into the bag as a last-minute afterthought.

Back to the hospital. I was so pleased we’d all made it three full days without any hospital visits, I didn’t even mind our return trip. Jon got Search and Destroy safely secured into their seats and snapped into the car bases. Not content to leave my little guys alone for the entirety of the five-minute ride, I squeezed myself in between them into the middle seat of the Honda Pilot. (It’s surprisingly roomy…) Much like our rehearsal the day before, Search slept while Destroy looked a bit bored.

By far, the least exciting part of our adventure was the actual doctor’s appointment. Both boys are doing precisely what they are supposed to. Destroy, our little pudge, has reached seven pounds on his rapidly rising upward trajectory. Search, while a few ounces behind his brother, is an inch taller.

There must be a requirement in med school that pediatrician’s be low-key and laid back. Our new doctor was very informative and completely non-plussed by the 2 p.m. lunchtime meltdown. Shortly after the doctor entered the checkup room, Destroy felt the need to remind us that he was hungry. This reminded Search that, he too, was dying of hunger. Over the cacophony of shrill shrieking we learned that four months is the generally accepted timeline for venturing forth into crowds and visiting little ones can look, but not touch, our tiny muppets.

As the visit wrapped up, Destroy gave a defeated sigh and feel asleep. We triumphantly returned home from our first family outing with Destroy snoozing in his car seat and Search looking slightly bored.

Both boys enjoyed a hearty meal upon our homecoming.

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Happy Anniversary

I woke up at 3 a.m. this morning, courtesy of a screaming child. Destroy was hungry. (To be clear, Destroy is always hungry – he just vocalizes this point at the top of his lungs every two hours and 45 minutes.) Jon stumbled downstairs to warm up some milk while I fumbled my way into the nursery trying to soothe an angry baby. As Destroy screamed, Search woke up and decided that he wouldn’t mind something to nosh on either. After their uncivilized-hour-of-the-night snack, Destroy fell back fast asleep. Search, on the other hand, decided this would be a wonderful time to socialize. He looked up from the crib at me with wide eyes, “Let’s start the day!” Continue reading

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Home

Words fail me.

Welcome home Destroy Anthony.

Born:                                   Welcomed Home:

May 28, 2010                      August 6, 2010
1:32 p.m.                               2:18 p.m.
2lbs, 3oz                               6lbs, 7oz
12.2 inches                          17.8 inches

Lyrics to Daughtry’s Home
I’m staring out into the night,
Trying to hide the pain.
I’m going to the place where love
And feeling good don’t ever cost a thing.
And the pain you feel’s a different kind of pain.

I’m going home,
Back to the place where I belong,
And where your love has always been enough for me.
I’m not running from.
No, I think you got me all wrong.
I don’t regret this life I chose for me.
But these places and these faces are getting old
So I’m going home.
Well I’m going home.

The miles are getting longer, it seems,
The closer I get to you.
I’ve not always been the best man or friend for you.
But your love, remains true.
And I don’t know why.
You always seem to give me another try.

So I’m going home,
Back to the place where I belong,
And where your love has always been enough for me.
I’m not running from.
No, I think you got me all wrong.
I don’t regret this life I chose for me.
But these places and these faces are getting old.

Be careful what you wish for,
‘Cause you just might get it all.
You just might get it all,
And then some you don’t want.
Be careful what you wish for,
‘Cause you just might get it all.
You just might get it all, yeah.

Oh, well I’m going home,
Back to the place where I belong,
And where your love has always been enough for me.
I’m not running from.
No, I think you got me all wrong.
I don’t regret this life I chose for me.
But these places and these faces are getting old.
I said these places and these faces are getting old.
So I’m going home.
I’m going home.

Getting Discharged

Driving Away

Home!

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Rooming In and Heading Out

Destroy is asleep. He’s lying on his tummy on Daddy’s chest.

We’re at the hospital again today. But today, we’re in a hotel-like room. It’s part of the NICU here, called the “Parent Sleep Room.” Funny huh? I wonder if they sense the irony that no parent will actually ever sleep here. Before a NICU baby graduates, parents are offered the opportunity to room-in; they spend the day with their kid – no monitors, wires, beeping or dinging. It’s meant to give paranoid parents the chance to practice. Yay, we’re a happy family but the nurses and doctors are just down the hall should anything go awry (or more likely, should parents suffer a panic attack).

Should all continue to go well, Destroy will graduate tomorrow. (I looked for a newborn size cap and gown. Wasn’t successful.)

Destroy Anthony was born 70 days ago at 2 pounds 3 ounces. He was so tiny. I didn’t even get to see him – all I got was a glance toward the Giraffe isolette as they wheeled him quickly down the hall to his Pod B6 home in the NICU. Most of the doctors repeatedly stated they thought Search would be the first muppet to break free. “Oh, definitely, he’ll be the first to go,” they’d say as they gestured toward Search.

Then 10 days ago, both muppets got their two-month vaccines. A series of three shots and that was it – instead of getting sick, Destroy broke out the big guns. I can imagine him thinking, “Oh, I am SO outta here before they stab me again!” He started eating all his food and breathing like a big boy.

We arrived at the NICU at 7:30 a.m., right after shift change. After saying hello to the boys and feeding a very hungry Search (he’s obviously not far behind), we put Destroy in a plastic wheely crib and rolled down the hallway. We quickly adjusted to having a mobile child – he’s got no strings to hold him down, he’s a REAL boy now (Pinocchio reference for any currently confused). And then we commenced staring at the child.

Destroy started out fussy and promptly conked out after an indulgent breakfast. We spent the next three hours staring at him as he slept contentedly in his bumble bouncer. He had formula for lunch and is now soundly back asleep on Daddy’s chest.

Nurse Susan and Nurse Anne (Destroy’s primary nurses for night and day shifts) will be sad to see him go. We’ll come back and visit.

Make way for muppets. Destroy is heading out with his brother not far behind.

Then

Now

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Triple Threat

Our Little All-Stars

Our baby boys aren’t so little anymore. Today’s NICU update revealed that the muppets are six pounds.

I shall repeat that.

Our tubby little muppets are six pounds. I actually asked one of their doctors if they were getting a bit swollen – water retention perhaps. “No,” came the reply. “They’re just fat.”

Two and a half months ago, I was lying in a hospital bed praying for chubby babies. Two pounds sounded huge for 27-weekers. Search and Destroy have tripled in size. Instead of purple little aliens, we have the cutest babies in the NICU. (I may be biased.) Even the nurses and doctors continuously stop by the boys crib to comment on how big they’ve grown.

Today also marks 37 weeks as the twins’ corrected gestational age. They are officially full term babies. And that means they could possibly be home soon. We’re getting close – so very close.

Our oh-so-talented muppets are also just about three for three on NICU graduation criteria.

Regulate your own temperature.
Easy-peasy. They’ve been chillin’ at a brilliantly self-regulated 98.6 (give or take a degree) since the end of June when they hit a mere three pounds.

Look! No tubes!

Breathe all by yourself.
Neither muppet has a nasal cannula any longer – or any other breathing assistance apparatus. They still swing a bit when it comes to their oxygen saturation levels, but those swings are at much higher percentages. There are no more real apnea or bradycardia episodes occurring; the only issues take place occasionally during feedings. The doctor noted that they are not as concerned with minor de-saturations that occur during meals because we know precisely why they’re happening – a large nipple is stuck in the boys mouths. (Plus, they’re still breathing. Current episodes just involve shallow breathing.)

Today we were told they just want to watch for a couple more days. We’re talking homecoming dates in days now!

Just look at those chubby cheeks!

Eat all your food.
This requirement sounds like something I’ll be dealing with for many years as a parent. “Eat the rest of your dinner, Search.” “Just a few more bites please, Destroy.”

Destroy is a rock star in this arena. Both kids are now on the “discharge diet.” This consists of straight breast milk with two servings of higher calorie formula per day. Yesterday, Destroy woke up at 9:30 a.m. for his 10 a.m. breakfast date. A nurse in our pod let the boys nurse know that I’d be in soon to give Destroy his bottle. By 9:45 a.m., Destroy was screaming so loud that the nurses were begging someone to just hurry up and feed the child. Today, Destroy drank his milk so quickly and expressed great displeasure with me when I took the bottle away. Since he was still making overt mouthing motions, I tried giving him his pluggie. That was spit out right quick with a look that clearly stated, “There is no milk in that piece of plastic, Mom.”

Search is doing well too, he’s just not quite as interested as his brother. His culinary disinterest is what puts him a couple days behind his brother in terms of release dates.

Our next step is “rooming in.” We’ll spend a day or night in a hospital hotel room (yay, spending more time in the hospital). The boys will not have any monitors or medical staff hovering around. It will be just up to us to parent them – but that non-hovering medical staff will be right there should we need them (or panic and think we need them).

We’re hoping that we’ll have a baby home by the end of the week. Eat, breathe and stay regulated boys!

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Don’t Chart That!

Happy two months to my little muppets! Sixty-one days down in the NICU, but we’re making progress. The last two hurdles to clear are a full five days with no As and Bs (apnea and bradcardias) and steady oxygen saturation and two full days of taking all their feedings via the bottle.

Mommy's Little Man

We’ve now reached that point where time has slowed down. We’re so close, but not quite there yet – or should I say not quite home yet. And every progressing day brings stronger feelings that they are MY children (with subtle overtones of “back off nurse”). We are eager to take on the life-changing experience of full parenthood.

This morning a nurse told us not to bother Search because they liked to let him rest. Jon was in process of changing a poopy diaper. This was the first time in two months someone had told us not to touch our babies without a very specific medial reason. (And as Search’s mommy and daddy, we’d made the executive parental decision that our child would rest better when not stuck in a smelly diaper.)

Naturally, Jon and I have grown incredibly close with them and feel that we are getting pretty good at reading their cues. This particular skill has been greatly enhanced by some of our favorite nurses who subscribe to the “they’re your babies – you deal with them” method of care. Yet because their regular nurses spend so much time with them, they’re part of our family right now too.

During their NICU stay the boys have amassed an awesome team of nurses who know them and their quirks as well as us. (Dear Search and Destroy’s regular night nurses – I’ve never met you, but I’m assuming you’re just as awesome as our day and evening nurses).

Destroy

Search and Destroy still swing. One of the neonatologists continues to call them the “Swing Boys” instead of the “Stream Boys.” But they’re recoveries back up to full oxygen saturation have become so much faster that the monitors are often up to half a minute behind. Last week, Destroy’s levels dipped low. A nurse unfamiliar with him rushed to his bedside and hurriedly started trying to stimulate him while frantically looking back and forth between a bemused looking Destroy and the offending monitor. Moments later, our nurse returned from her break. She peered into the crib and calmly noted, “He’s fine.”

“But I really don’t like those numbers!” the unfamiliar nurse retorted.

“So don’t look at the numbers,” our nurse suggested. “Look at the kid.”

When the boys swing during feedings, our nurses barely give us a second glance. They know the boys and they know us. They’ve made it clear when we’re visiting they rely on us to let them know if something is off. Jon and I have chosen to interpret this as a great sign of confidence.

Search

But a nurse who doesn’t know them often thinks of them as “the twins” or “the baby.” Our nurses know them as Search and Destroy. The nurses who don’t know them don’t know that they’ll immediately recover from a swing. A nurse who doesn’t know them doesn’t know if they have competent parents. And a nurse who doesn’t know them charts EVERYTHING. As we get closer to bringing them home, the slightest look of concern by an unfamiliar nurse prods exclamations of “Don’t chart that!” out of fear that it will ultimately delay homecoming.

It’s a vicious little circle since the reason our boys are doing so well is due to the conscientious team of nurses and doctors who don’t take any abnormality lackadaisically. Jon and I appreciate everything that the NICU staff have done for the muppets. And to Search and Destroy’s regular team of NICU family – we can’t thank you enough. You are amazing, informative and entertaining. And we can’t wait to be rid of you.

The muppets are scheduled to have a multitude of vaccines today. (What a way to celebrate two months on Earth…) So we’re happy to have all that additional help taking care of potentially tired, cranky, sore, sick boys.

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Five Pound Fashion

When the nurses originally told us it would happen, Jon and I found it very difficult to believe. Really? Three pounds in a month, we questioned. But Nurse Susan assured us that the NICU folks are experts at fattening up children.

Destroy and the fishies

Search - Daddy's All Star

Well, today the muppets hit five pounds. Chunksters!

This past weekend the twins graduated to Newborn size diapers. This may or may not have had anything to do with growth. Diaper size increases are usually determined by the current diapers inability to contain poop. (Prior to having children I never imagined I would care so much about bodily functions.) The new diapers are much kinder to the boys increasingly expanding tummies. Last Friday, Jon noted that Destroy was beginning to look like a football – little arms and legs, big oversize midsection.

Even more exciting is today’s development. Along with the five-pound milestone, Search and Destroy no longer fit into their adorably tiny preemie size onesies. Their wardrobe options have just increased exponentially. Destroy was clad in a standard issue hospital shirt – size 6 months – which is provided to all babies, from preemie to jumbo term size. He may as well have not been wearing anything for how big that shirt is. Search was still wearing his preemie outfit since he hadn’t yet spit up on it. But when the Nurse Susan arrived for her evening shift, she found Search squirming about with the bottom snaps not even closed. Perhaps Nurse Margaret thought he needed extra breathing room.

For outfits that were still rather loose when we first clad the muppets with them, they were awfully snug these past few days. I was a proud mommy this afternoon as I toted the larger outfits into Pod B. Granted, these new outfits are still rather roomy. But they’ll quickly grow into these too. At the rate they’ve been growing, we’ll be taking home babies that actually fit into those size 6-month standard issue shirts…

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NICU Sucks

My heart always skips a beat when I see the hospital’s number on the caller ID. So I held my breath a bit last night when the phone rang a couple hours after my afternoon visit with the muppets.

It was Nurse June. “I just had to let you know – Destroy finished another whole bottle!”

Regulating their own temperature. Check. Breathing without assistance? We’re working on it. Taking all feedings from a bottle? Major steps forward. As I mentioned before, Search’s been doing great; he eats all of his meals from his bottle. And now, something has finally clicked with Destroy. Previously, despite his sucking enthusiasm, Destroy had not quite grasped the concept of swallowing. He’d get confused at what to do next with his mouthful of milk and stop breathing while he tried to figure things out.

Nurse June put a note in the boys chart stating, “ALWAYS use the light blue nipple when feeding. Do not change nipples until specifically directed by their primary RN!” (Shockingly, June is their primary nurse.) We’d been having a lot of success with the light blue nipple. And the night before, Destroy had taken half a bottle using it.

Three days after moving in together, Destroy and Search are feeding like champs. There’s no scientific proof that the cobedding spurred the improvement, but I’m pretty sure the two had a conversation about the fastest ways to get the heck out of dodge.

There’s also the competition angle. They’ve been naturally competitive since birth (see Musical Maladies), but their morning nurses have begun adding fuel to the fire of sibling rivalry. Margaret is Search’s nurse; Ann is Destroy’s. Their nurses taunt each other over the twins development.

“Gee, my baby takes all his bottles.”
My baby finishes his bottles without desatting.”
“I hope your baby doesn’t get too lonely when my baby goes home first.”

I’ve tried explaining that we do not need to be playing favorites, but I don’t discourage them too much since their tough love bickering seems to be spurring along the boys development.

Despite the blatant favoritism, Search and Destroy seem to have a great relationship with their nurses. (Of course, they’re so cute I naturally assume everyone falls madly in love with them.)

"Handsome Like Daddy" - The shirt says it all.

It must be an interesting dynamic – the longer they care for a baby, the more attached they become – the more they care, the more they want to get rid of the child. Nurse Margaret is going on vacation this week. When she said goodbye, she let me know with a bit of a guilty tone that she hopes her Search is still around when she gets back.

We’ll come back and visit, I promise. But don’t get too attached. We can’t wait to be rid of you either. Besides, thanks to the boys nurses, the NICU sucks. My self-regulated toasty little muppets are both downing more than an ounce every three hours.

And this time, when I say the NICU sucks – it’s a very very good thing.

Hi Search!

Hello Destroy!

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Raise the Roof

Well, now that it’s been more than a month, the muppets have apparently decided it’s time to pick up the pace. Both kiddos are over three pounds. Their isolettes are open. And we’re checking out the fun-filled concept of a bottle.

Search

I continue to be utterly amazed at their transformations. From the very beginning when they looked so fragile (and more than a bit purple) to today as they let us know how much they love their swaddling, Search and Destroy are gaining weight and cuteness. And their personalities are shining through.

One of the big milestones faced by a 32-weeker is “nippling.” Based on the cues provided by the boys, it is up to the nurse’s discretion to see if the baby is ready to move from gavage feedings to the nipple. Translated from medical jargon to English, this means it’s time to suck down a bottle – actually being able to taste their food – instead of experiencing a suddenly full tummy via a tube.

Destroy

Both boys have been showing strong indications of their readiness to start bottle -feeding. Brothers-in-arms, the two have adopted an attitude of, “these nurses are awfully stingy with the food around here.” Meals are served every three hours in the NICU. Search and Destroy will mouth/suck on their feeding tube to let staff know they’re waiting. Destroy, very concerned someone may pass him by, has taken to screaming about a half-hour prior to mealtime as a gentle reminder that he is HUNGRY.

For several weeks now, we try to see if the boys are interested in their pacifier during feedings. The idea is to associate sucking with a full tummy. The other day, I offered Destroy his pluggie (this is what my Mom always called pacifiers) and he took it excitedly. After several minutes, it no longer appeared that he was sucking on it so I gently went to remove it. Destroy opened his eyes – stared in my direction and opened his mouth wide. Point taken. I gave the pluggie back. When I tried to remove it a second time, Destroy clutched the pacifier with his death grip. He kept the pluggie with him – in the general vicinity of his mouth anyway.

Yesterday was the big day to try out the bottle. Search’s nurse, June, got Jon set up – he settled in with one baby bottle and one burrito baby. We were prepared for maybe a few drags on the bottle or a desaturation in his oxygen levels. Not my child! Search’s eyes lit up. “Finally! Someone is feeding me!” He latched onto his bottle like he may never see another one and sucked down his milk (an entire ounce) in 10 minutes flat. After, he snuggled with Jon with a very pleased smirk on his face.

I tried giving Search his bottle this morning. But after a few half-hearted sucks, he settled into my arms sharing that he was very content in his swaddle so he was going to nap instead. We shall try again this afternoon. But his nurses have shared he always takes a bit of his bottle. My son is obviously talented and gifted.

Destroy isn’t quite ready for his bottle yet. He is certainly eager and willing to try. But while he is a natural at sucking, he hasn’t quite mastered the multitasking process of succeeding said suck with a swallow. So we’ll try again in time. Destroy is currently to busy focused on gaining weight to deal with the work of eating. Today, he officially hit three-pounds. Both boys have now increased their birth weight by 50 percent.

Search

Destroy

And because of such progress, Search and Destroy are now living in open isolettes. This is the little plastic box, called a “Giraffe,” that they have been living in since their Earthly arrival. Once a baby can regulate his own temperature, they get to enjoy the open (NICU) air. With their roofs raised, they also get to enjoy being swaddled. Wearing giant oversize shirts (size Newborn) and wrapped in hospital issue blankets, the boys appear more comfortable than I have ever seen them.

There is a chance the two will become roomies in an open crib this weekend. We’ll see if such contentment lasts once they begin bunking together.

Raise the Roof

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30 Days and 30 Nights

It’s already been a month since the twins arrived. The time has passed by in the blink of an eye and taken forever at the same time. Have I said that already?

One month old and 32 weeks gestation today. It’s a big day. The boys are doing well – and here’s to their continued positively upward trajectory. Ideally, this is four weeks down with only four more to go. I’d love for the next month to go just as fast.

They get exponentially cuter every day, without fail. I love visiting with them while their eyes are wide open, looking around and taking everything in.

Even I can see how much they’re changing. And I see them twice a day. So, for your viewing pleasure, may I present a month-long progression of my baby boys.

See Search grow! Grow Destroy grow!

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