Saturday, January 24, 2009
Friday, January 23, 2009
Jillian Shoots Past Her Birth Weight!
Day 12 - The PICC Line is Out!
The PICC line (IV) which travelled from Jillian's arm to just above her heart (see earlier posts for additional details) was removed yesterday! She is now free of all invasive lines into her arteries and/or veins. She still has an NG tube which supplies Mommy's breast milk until she learns the "Suck, Swallow, Breath" technique necessary for nursing. Once that happens then it is just a matter of her showing appropriate weight gain! God is awesome!
She is maintaining her body temperature and they continue to drop the temperature in her isolette. I took a video of the tube being removed and will see about posting it this weekend.
We hope you're enjoying the pictures that we've been posting. We have some more amazing photos to show off this weekend - so stay tuned.
I won't let a post go by without thanking everyone for their prayers and support. A special thanks to the families who pitched in and blessed us with gifts - this is truly a humbling experience to know we are loved by so many. We are blessed to have such dear and wonderful friends. Our immediate family is still helping us with all of our needs and will continue doing so into next week. Our parents are more than a precious blessing. We have also gotten assistance from friends who have children in the same activities as James and Jocelyn. So we're doing well.
Jennifer is continuing to rest at her parents house as much as she can in between preparing Jillian's milk for delivery to the NICU and visiting Jillian during her scheduled Kangaroo Care times. Her blood pressure finally took a turn for the best on Monday of this week, but must continue to be mindful of her activity.
God is continuing to show Himself faithful in so many areas that I could write a small book about it. I know that the archives in heaven are keeping track of these events and I will someday see your prayers and gifts as a tribute to Christ. Praise God!
Love in Christ,
James
Tuesday, January 20, 2009
Strike a Pose!
Saturday, January 17, 2009
Children United for the First Time!
Jillian is 1 Week Old!
1. Jillian is continuing to breathe unassisted without complication.
2. The PICC line will most likely remain for about 3 to 4 weeks. She is receiving a 4 mL push of IV fluids and an additional supplement of lipids. The IV push will be reduced to 3.7 mL/hr tomorrow (Sunday)
3. She is being fed 9 mL of Mommy’s milk every 3 hours via an NG tube that enters into her nose and then travels down to her tummy. Her digestive system seems to be working wonderfully so they continue to increase the amount of Mommy's milk she is receiving by 1 mL at every other feeding. This will continue until she reaches a full feeding of about 50 to 60 mL (about 3 ounces). Mommy and Daddy coordinate with the NICU so Jillian is able to get fresh milk from Mommy every feeding.
4. Her bilirubin levels are now 4.4, the magnesium levels are now completely normal in the 2.0 – 3.0 range.
5. Dr. Woodman and the nursing staff heard a murmur during a routine exam on Thursday. As a precaution they ordered a sonogram of Jillian’s heart on Thursday morning. I met with Dr. Brownley on Friday @ 9:00am who is a cardiologist from San Antonio who visits the NICU once a week to check on the babies here. He determined the cause of the murmur and is not overly concerned. He would like to see her again when she is 6 months old. I will create a separate post addressing the technical details of the heart murmur for those who are interested. We just need to continue believing that Jillian’s body is perfect in every way!
6. Kangaroo care has been increased to 3 times per day. Daddy has been taking two of the three skin-to-skin hours at 8:00am and 2:00pm until Mommy has recovered. Mommy has been coming up to the NICU for the 8:00pm feedings. Eventually, Mommy will be here every 3 hours to nurse reserving a couple of bottle feedings for the early hours of the morning for sleep. It will be at this time that we may need some help from friends and family. As promised I’ll keep everyone posted.
God bless and thank you for your dedicated prayers.
James
Thursday, January 15, 2009
Jillian Update - Day 6 (Almost a week "old")
1. Jillian was taken off of all breathing assistance yesterday (Beginning of Day 5) - Incredible!
2. She is being feed via IV, but is successfully digesting about 4 mL of Mommy's milk every 3 hours. She'll most likely increase intake of Mommy's milk at about a rate of 1 mL / 6 - 12 hours as she is able to tolerate more. Her digestive system is still developing, but doing very well.
3. She has a special PICC line in her arm which is her IV - all other lines have been removed from her body.
4. Her heart rate ranges from about 140 - 200 BPM which is great, there have been no heart complications to speak of. Her respiratory rate is about 45 breaths per minute. Her oxygen levels are almost constantly at 98-100%.
5. Her head ultra sound showed that there are no brain hemorages.
6. Physical therapists are encouraged and see no signs of developmental problems and will continue working with her throughout her stay and beyond to make sure she is doing well.
7. She sleeps peacefully throughout the day and simply gets fussy when she is being attended to. Once the nurses are done taking care of her she goes right back to sleep in her assisted fetal position. Kangaroo care and restful sleep will continue for months to come!
God is glorious! Thank you for your prayers.
Jillian - Off Limits!
I am so confident that your prayers have sent a powerful message to our Father in heaven. In the Spirit, I feel that Jillian has a forcefield of protection from any attack from the enemy. Praise God! However, I feel that your prayers have been even more powerful than that. I feel that every enemy that would even think about bringing harm to her has been put on notice that she is off-limits. So much so that the enemy doesn't want anything to do with her! HALLELUIAH!!!
It so overwhelming for me to think about this even as I type. I will never take for granted everyone out there who is praying. Jillian has more than a hedge of protect, but a fortress of solitude armed to the hilt. Glory to God! May He be glorified for His mighty protection. I have never once been fearful and I attribute that to you all - our dear friends and family. Be encouraged and strengthened - God is answering your prayers in a supernatural way.
Thank you so much. Blessings, glory, honor, and praise be to our faithful and glorious Father. Jesus is interceding for us on Jillian's behalf. I am thankful for this blog that it may be a testimony of his goodness and a blessing to us all for an eternity to come.
James
How Big is that Peanut Anyway?
Mommy Turns the Corner
Jennifer's liver enzyme levels should be back to normal despitre rising a bit. Everything is understandable sore, but each time she gets up to perform an activity she is making obvious progress. She will have lots of care and support during her recovery as she is staying with her parents here in town. Jennifer's parents have been amazing and a wonderful support during this first week helping to keep things as normal as possible for the children.
I want to thank everyone for your understanding and patience while Jennifer is recovering. I personally would love to have visitors when in a situation like this, but Jennifer needs things quiet and calm. Seeing anyone during this process simply made her too emotional so she asked that we provide everyone updates this way so you know your prayers are being answered. We getting closer to a time that you can come and see her, but we're not quite there yet. Rest assured that Jennifer knows that you are all praying for her and anxious to provide her with any help that you can.
I promised all who wanted to help that I would give you an opportunity. I will soon devise a plan by which everyone who want to help can do so. I'll see if I can coordinate our efforts so everyone can have fun pitching in. Details to follow soon.
God bless!
James
Daddy Gets a Turn at Skin to Skin!
Tuesday, January 13, 2009
Skin to Skin for the First Time!
Heading to the Outback Mate!
Jillian Update:
- She has been weened down to 1 L/min of flow from the canulet with room air
- Blood gases continue to be perfect
- As is expected Jillian has lost about 100 grams of weight since birth (completely normal)
- Jennifer is supplying all of her feedings now (3 mL / 3 hours)
- Her little bowels are working well but need time due to the magnesium
- Most of her calories have been devoted to adjusting to living outside of Mommy
- We're now praying that calories will begin to be devoted to growth
Jennifer Update:
- Jennifer may be released tomorrow - I'll let you know
- She is recovering slowly, this is nothing like our previous children
- As much as she would like to have visitors, she really has needed a lot of rest and quiet
- This recovery process will most likely take a good 4 - 6 weeks
- Specific prayer requests
- Blood pressure needs to come down more
- Platelet count (due to HELLP) needs to come up and stabalize
- She has a terrible headache and may have a complication from the epidural
- She may require another procedure so pray for miraculous healing so this is not necessary
- Quick healing from the surgery
- Peace and tranquility of spirit
I'll provide further updates later this evening. Please keep the prayers coming. Your prayers have been the reason things have been going so well. I will be sure to provide specific prayer requests so you can know specifically what to pray for.
I have reports that people are anxious to provide assistance. I will be working with Jennifer to come up with a list of needs so we can give everyone a chance to help. I'm beginning to get a handle on what how long it will take for things to return to "normal." I predict that Jennifer is looking at a recovery period of about 4 - 6 weeks. I also predict that Jillian will have a similar time period for her recovery. I therefore think that a realistic date for our family to be at home together to be March 1st. Remember, that I'm the eternal optimist, so I consider this the best case scenario. We're walking this out one day at a time and will allow God to set the time table, but I'm believing for nothing less than a miracle each and every day. I say all of this to help everyone understand how major a situation this is - it helps me to put things in perspective when I have a timetable.
God bless you all!
James
Monday, January 12, 2009
Mommy Visit #2 - Jillian's Says Hello!!!
God bless!
James
Big Day for Mommy!
So onto the updates! There are so many and they are so very exciting!
Jennifer Update:
- I have spent a lot of time with Jennifer today taking care of her. She has had a big day!
- Jen is off the Mag!
- She has eaten two meals of solid food - fruit, yogurt, Ensure, and a roll
- She and I walked together to the bathroom and she used the restroom for the first time!!
- She later took a shower
- Prayer for a quick recovery from the c-section incision
- Jennifer and I will visit Jillian again after the children leave for their visit
- The NICU doctor came to visit today and pushed breast feeding much to our excitement
- I requested that Jennifer be allowed to pump while I read to Jillian in the NICU which was approved
- I will provide a final update later this evening after Jennifer and I return
Jillian Update:
- Mag levels down to under 3.5 mg/dL so she's becoming more active
- Bili levels down and will be checked again tomorrow
- Blood gas levels awesome
- She is on a 2 L/hr pump of room air through her canulet
- She is on an IV push with various electrolytes and another for lipids
- Up to 3 mL of breast milk every 3 hours
- Jennifer will be pumping some more tonight
- Pee and poop are all regular
- She will get the lines removed from her belly button (UAC and UVC) tomorrow after a pic line is put in
- We will then be able to remove her from the cart and hold her :)
- I have gently placed my hands over her - She likes to kick and wiggle
- I also grabbed the stethoscope and listened to her heartbeat and breathing for about 20 minutes last night - that was wonderful :)
I'll be sure and take pictures tonight of Jennifer and Jillian when we're in the NICU.
God bless and keep you all. Thanks for your continued prayer!
Take care,
James
Sunday, January 11, 2009
Jillian's First Meal Video
Jillian - Sunday (Jan 11th) Evening Update
Jillian is still trucking along wonderfully. I just left her for my fifth visit of the day. She is urinating regularly and has had at least two bowel movements. The major concern now is her biliruben count. She has risen from about 4.3 to 7.8 mg/dL. She is under two BilliLamps and laying on top of a BilliBlanket. They will check her blood work again at midnight and then again tomorrow morning for a full workup. She has 1 mL of donated breast milk every three hours. Perhaps it is some that someone on GCM donated. :)
Jennifer is still on magnesium until tomorrow morning. Her platelets are above 100K and climbing, her liver enzymes are back down to acceptable levels, and her BPs have gotten back down for the most part. Her feet are very swollen so we did some foot massaging after given them a little bath and coating them with lotion. She hasn't really been in much pain, but she's not able to move around much.
Jennifer did get out of bed today and after having a good couple of BP measurements was able to get in a wheel chair and head to the NICU to see baby Jillian for the first time since delivery!!! Whoo hoo!! Mommy talked to Jillian and get an update of her progress. She was feeling a little light headed so headed back to the room to lay down and rest.
Jennifer took a Vicadin and it made her uncomfortably groggy. While I was visiting Jillian, Jennifer had a panic attack and the nurse came in to pray with her, give her some Christian CDs to listen to, then suggested that she pump to do something proactive to connect with Jillian. Jennifer got some colostrum which was taken to the NICU ready for use! Way to go Jennifer - she's just too awesome! Please pray that she recovers quickly so she can get to spend more time with Jillian. Also pray that she has peace about Jillian's health and safety while she is separated from her precious baby.
You are all more than precious to us!
God bless and keep you all!
James
Jillian Update - We're off the Vent!
I have been reading your emails to Jennifer this morning. We are blessed beyond measure. I pray that we have the opportunity to be of such comfort and encouragement to each of you some day. I can tell you that I have not been anxious or discouraged during this entire process. I attribute that to God’s peace and your uplifting prayers. I look forward to showing Jillian the tribute built for her through your prayers and supplication as we walk about heaven – yet one more testimony of God’s goodness and faithfulness.
Jillian update:
We’re off the vent! Jillian actually pulled that nasty tube out of her throat. They were ready to have her taken off the vent, but wanted to wait until morning to give Dr. Woodman a rest for the night. This morning I was able to let her hold my finger for over 45 minutes and talk to her quietly every so often. When it was time for me to get back to Jennifer to provide an update I would try to slowly move away, but Jillian would grab back on to my finger to pull me back. So Jillian is now breathing at a rate of about 44 bpm (breaths per minute). Normal can range quite a bit for various babies and also depends on whether or not their resting, eating, or upset at you for moving them around. The main thing is that her oxygen level is staying at 96 – 100 %. Her HR (heart rate) is about 144 bpm (beats per min) on average. She is under the BiliLamp because her little liver is not quite developed enough to break down the biliruben in her body. Biliruben is a waste product as a result of the breakdown of red blood cells. The light helps break the biliruben down into a form that can be passed through the bowels, which is a subject for a future post/email.
Jennifer update:
Jennifer is doing well and on a liquid diet. Dr. Hajovski came to check on Jennifer. She will be on magnesium until tomorrow morning which is making her very sleepy. Her pressures are good, her kidneys are kicking back in and filtering protein properly. Jennifer was given a little doll made by “Threads of Love” which she has pressed against her chest. I’ll take that into Jillian so she can smell Mommy. J
James & Jocelyn update:
The kids are doing well. They are not able to go into the NICU, which is understandably frustrating – but necessary. They are excited and hanging out with Grandma and Grandpa. Aunt Kristi (Jennifer’s sister) came to visit and was a great help as well. Abuelo (my dad) came to visit as well.
Things are going great! Praise God!
Take care,
James
Jillian Update with Picture!
Thanks so much for your prayers - as they have been answered thus far! My apologies for not providing an update sooner, but we have been very busy. I pray everyone had a restful night sleep and is waking up to this joyous news on Sunday. I have added additional details below.
My love to everyone!
Saturday, January 10, 2009
Saturday Update Number 2
Jillian Olivia (we’re pretty confident that is her name) is born! She was born on January 10, 2009 @ 1:23pm. She is 2 pounds 4 ounces (1040ish grams)
Jennifer is doing well and Jillian is stable.
I’m about to go see Jillian now so I have to run.
Please continue to pray, because this will be quite a long ordeal.
Our God is a great and mighty God!
Saturday Update
Having the baby via C-section at 1:20p Saturday, January 10, 2009 (that’s in about 15 minutes).
Everything looks good, but they want to do it sooner than later to make sure Jennifer doesn't make a turn for the worse.
Again, both Jennifer and baby are doing wonderfully. We are shooting for an epidural rather than general anesthesia.
Please continue to pray (I know you all are)! Pray for strong lungs and no complications with the baby. We think her name is going to be Jillian. Pray that Jennifer recovers quickly. Her platelet count was great so she’s just getting a local, which is wonderful.
We love you guys tremendously and covet your prayers!
God bless,
James
Saturday E mail
Hey there,
I’m sitting in Labor & Delivery at
Jennifer has been diagnosed with HELLP syndrome which stands for Hemolysis, Elevated Liver Enzymes, and Low Platelet count. http://www.aafp.org/afp/990901ap/829.html She has stabilized and her BP is now much better, her liver enzymes are lower, and her platelet count is much higher.
Jennifer has been given a shot of steroids (Celestone) to prepare the baby (her lungs) for early delivery. The baby is 29 weeks old and we are believing God for a miraculous and safe delivery. She will be in the NICU for a time and pray she will be home very soon.
We appreciate your prayers and will keep you posted.
Take care,