Monday, August 29, 2011
Shunt Failure
A short while later, we were led by a nurse down the hall to recovery and there she was sleeping, quietly sucking her thumb. Her beautiful hair was shaved, thankfully she has so much of it that a comb over would do just fine ( : The nurse taking care of her was a tall good looking man who was the nicest guy. I swear I used to make fun of doc shows that have all these good looking doctors, saying it was unrealistic, but honestly this hospital reminded me of that. I never seen so many good looking doctors and nurses lol Anyways, Josh got to talking to him about sealcoating and paving and home improvement, (what else) lol and the time we had to wait for her to get a room went by quickly since we had such a good conversation with him. We did have to wait about two hours because they had to get a room ready for her.
When we finally were able to get in a room, I was nothing short of impressed. This part of the hospital is fairly new. Remember we live in Maine, and the Bush family owns a house in Kennebunkport, so the Barbara Bush Foundation built and funded this huge children's ward at Maine Med. It has beautiful multiple play rooms, family rooms with computers and toys. Private rooms where the kids stay, with a crib, a bed for the parents, and pull out sofa, and two flat screen tv's with DVD players. Each room has its own private bathroom with stand up shower. There were spectacular views of the city of Portland from a giant picture window in each room. Overall, a comfortable and warm environment to stay in when you're going though an uncomfortable and awful time.
The rest of the night she slept well only waking a couple times during the night. I changed her diaper and had the nurse bring in some juice in case she was thristy. Her lips and mouth seemed so dry, so one of the times she woke up I sat her up and gave her a cup of juice with a straw. I have never in my life seen someone suck up a drink so fast. It was almost comical. The next morning she was put on a jello and broth diet, but didn't eat much, although she drank enough liquids for 10 people it seemed. She was much more alert and active, she did not want to sit in the crib, she wanted to move! The pediatric doctor came in in the morning and said as long as she was doing well all morning she could go home that afternoon. They were a little concerned about her weight which was at 17 pounds, small for someone her age. I told her she was almost up to 20 pounds a week prior, but I reminded her that she had been throwing up for 2 days straight. She said when she was released I could follow up with HomeHealth Visiting Nurses and have them come in and do a weight check and incision check. I let her know that I had used Michelle from that agency in the past and would get a hold of her to see if she could come in and check her out. The doc gave me a list of discharge instruction and follow up appointments along with some prescriptions. We were discharged at around 3:30, not even 24 hours from the time of her surgery. She's a trouper! So that was our experience with her first shunt failure. Not as upsetting, nerve wracking, and stressful as I pictured it, but still hard just the same. As Dr. Ecker pointed out, at least I know what to look for. Most people who have shunt failures experience the same symptoms the next time around, I know the signs, and should be able to distinguish it from an illness next time (hopefully there isn't a next time). I have many more wonderful updates that I will be sharing in my next couple posts, I just wanted to get this up and let you know about our experience. Thanks for taking the time to read this!
Saturday, May 21, 2011
My baby girl is 1...
Lilah had a wonderful first birthday party, surrounded by family and friends. She was given a high chair by her meme, and lots of toys and clothes. Her Papa set up her high chair so she was able to eat her cake by herself. She finished the whole thing. I took a ton of pics and when I am able to fix my computer I will post a whole blog page with nothing but pics ( : however my facebook page has a ton of new photos, so if you ever want to view them you can find the there, just look up Melissa Howard Berthiaume.
Health wise, nothing major, the only setback was about a couple months ago, when she had a slight issue with her weight. Michelle the visiting nurse was still making monthly visits for weight and wellness checkups. I would say around early March she was weighing in at about 18 pounds. When she was weighed the following month she went down to 17.4. We contributed it to a coupe of factors. First off, she had a touch of the G.I. bug, second, she was moving around a lot more, and last she had switched over to regular food, so she wasn't consuming the high calorie formula every four hours. She can't fit much in her little belly, pus the food I was giving her were "healthy foods", great for her body and health, her weight, not so much. We came up with different solutions to try to get in a little extra calories, such as cooking in extra butter, oil, higher calorie health foods, such as avacodo and cheese. She suggested some Pediasure or Carnation Instant Breakfast. Michelle said to try these different options for a week and she would return and see where she was at. If she had lost weight, then we would talk about possibly meeting with a nutritionist. She came back the next week and sure enough she had gained almost a whole pound. The main thing I had tried was the Pediasure, which she loved, but we also didn't want her gaining weight like crazy, so I just cut back to eight ounces a day which equals about 250 calories and 9 grams of fat. She followed up a second time, was still steadily gaining weight so officially dismissed her, no more visiting nurse! We did have a little scare with a MRSA infection, it started out as a little bump on her diaper line, and within days was a massive ball of pus, swollen up the size of a marble. I brought her in and they lanced it, and gave her a topical and oral antibiotic. thank god it didn't turn into anything worse.
Switching over to "normal food"has been an easy transition, she pretty much likes anything I give her. She has started to self feed and a week later she was a master at picking up anything on her tray. She is also drinking out of a sippy cup with a straw, for some reason she can drink out pof a straw just fine but has trouble with a standard sippy cup, most likely because she has a hard time tipping them. She has recently learned to hold her own bottle and drink it, as long as she's lying down.
New accomplishments through therapy include, as I mentioned, the self feeding, and drinking out a cup. We taught her this by starting with what her therapists call The Bear. It is basically a honey container with a straw sticking out of the top. It is easy to suck from and easy to squeeze in case she needed a little help. As it turned out she didn't need any help, she took to it right away, and we practiced it with her for a couple weeks prior to buying a sippy cup. She is able to kneel at a stool and keep her balance. She is coming to sit unassisted, I am so proud of this milestone! We always clap and make a big deal when she does it, so now every time she sits she looks at us with a big grin and starts clapping, looks like she's proud of herself too! She is creeping on her stomach, and even gets up on her knees for a split second, I honestly wouldn't be surprised if she starts crawling within a couple months. It seems like all of a sudden her motor skills have improved dramatically within a short amount of time. She is saying mama, dada, baba and has been making all kinds of silly sounds!
Doc appointments included a follow-up with Dr. Berman. We didn't take long at Berman's, because he came in, took a quick look at her, had her follow some objects, lights, etc, and he was amazed at the improvement of the Nystagmus, and her focusing. He said she seemed to go slightly cross eyed at times, but other then that he was happy with what he saw. We are going back in 6 months to see how she is, how she's seeing, and make sure we're still seeing improvement. Her one year physical went exceptionally well. Dr Landes. was impressed with her overall weight gain, head circumference, growth, everything. I mentioned the weight loss and she said not to worry, as long as she is going up on the charts and steadily gaining weight, I shouldn't worry about it. She was also impressed with Lilah's eye improvements, and thought cognitively and developmentally she looked great. She had her vaccines, poor baby, and her last Synagis shot!
Every morning when I get her out of bed and I get a big smile and a mama, it is the most amazing feeling in the world. My heart literally melts everytime I see her toothy grin, which now includes a top tooth! I want everyone to be able to see lots of pics, so I will gather a bunch and post as soon as my comp is fixed. Thanks for reading my blog and for eveyones continued support and prayers, it means the world to me!
Saturday, February 26, 2011
Big Girl Lilah
riding lessons and swimming. She gave me many useful tools, that could have a positive impact on LIlah in the future. While I was grateful for all this, I was worried that everything was taking so long, because Lilah was already starting to get restless, and we hadn't even started the exams. Finally she said we would start the cognitive test with the psychologist and save the physical exam for the end. She did well during the testing as far as not crying and getting upset, but it was very hard to get her to do the things they wanted her to do. I think the fact that it was a room full of strangers and she has stranger anxiety contributed to that. Some of the tests she tackled just fine, like when they had her grab certain objects or reach for them. They stood behind her and called her name to see if she would respond to it. They had me hide from her view, then come back into her sight to see how she reacted. They had me play pattycake with her, and a few other games to see her interaction with me. The physical therpapist did some stretching with her and observed her on the floor for a little while, and then gave me some exercices that might be helpful to do with her, which most of the stuff she suggested we have already been doing. She also wanted to know what we have been doing with her in OT and PT. They were unable to give me any testing scores because their computer system was down, but they said I would be getting a full report in the mail (which I am still waiting on). The psychologist (I can't remember her name) did let me know that she will probably score low on the cognitive tests because so much of it is sight based, and we are not exactly sure what her limitations are as far as sight. Some of the sight tests included looking at certain pictures, although I'm not sure what they are expecting of her when she looks at the pics. That is why I am hoping for the report in the mail soon, and Amy said she would help me go over it in case I had any questions. I am supposed to bring her back when she is 18 months for a follow-up.
completely unsupported for up to 10 minutes at a time. She can't get into the sitting position by herself, you have to place her there, but she
has the strength to sit there for extended periods of time. I can tell when she is getting tired of sitting there because she will start to extend
her head backwards, like she's trying to gently fall back. When this happens I usually lay her down and give her a break. Karen had me
purchase a couple toys that were more in her age range because she is starting to get frustrated and bored with the rattles and toys that are
more geared toward a 4-7 month old. Karen thinks that Lilah's cognitive skills far exceed her motor skills, so that is why we are seeing a little bit of frustration with her. She wants to move around and play with the more advanced toys, but she simply doesn't have the motor skills to
do so. Although we do see slight frustration, Karen is surprised we don't see more. She thinks Lilah is very intelligent, and she can't imagine
how frustrating it must be for her, not being able to move her body the way she wants to.
sure her shunt was functioning properly. Of course they wanted her to go without eating after midnight in case we needed sedation. Although
the appointment was early in the morning she was still very cranky, irritated and hungry by the time they took us in to the MRI room. I
informed the radiologist that the last time we came they laid her down and allowed is to feed her the bottle while Josh talked to her and kept
her calm. He said since that seemed to work last time, we'll give it a try this time. They put the vest on Josh and I waited in the room with
the Radiologist, Josh fed her the bottle, but then she started coughing because she was laid down so flat. That caused her to flip out and
start screaming and trying to wiggle out of the contraption they had her strapped into. The radiologist went out and started moving the giant
bed back and forth, back and forth and sure enough the rocking motion put her to sleep. He came in and took the picture, which took a
minute or so and she was done. He said that works like a charm everytime ( :.
The month of February wasn't a great one for Lilah as far as her health was concerned. She had high fever on and off which led me to bring her to her docs positive she had an ear infection. Luckily she didn't. She also had a touch of the GI bug and had diarrhea and was throwing up for a couple days. She seems to be feeling a lot better since the beginning of this month, and she's back to her old self.
Lilah's first birthday is coming up and we are having a princess themed party. I can't wait! I can't believe she's already a year. Upcoming appointments include an eye appointment with Dr. Bermen and her 1 year physical with her pediatrician. I will update after these appoinments. I want to apologize for the messy blog, I still have no computer and I'm blogging from my phone.
Friday, February 25, 2011
A year ago today...
Tuesday, December 7, 2010
The Holidays Are Here!
This post was originally supposed to be in Dec. but my computer crashed, I have been without one for awhile, in the meantime I jotted down my entries the old fashion way, with a paper and a pen (gasp) so while this post will show todays date (feb 5) it was originally written sometime toward the end of December...
It's been hectic with the holidays, and I haven't had a reliable computer in months, so this post may be a bit long.
Lilah's first Halloween was so much fun, although a bit cold. Thankfully her costume was nice and warm. She was a pretty pink flower. We headed down to Mass because Halloween in Josh's family is kind of a big deal, and an excuse for everyone to get together with all the kids. We walked around Josh's aunts house as we do every year. She was her usual easy going self despite the long time outside in the cold.
We were in Mass again for Thanksgiving, which we were happy to be able to make another trip down to spend with Josh's family. I bought pureed turkey and sweet potatoes so Lilah would have her very own Thanksgiving dinner.
We headed down to Mass yet again for an early Christmas with the in-laws. Josh's mom and aunts put on an x-mas party every year, and this was Lilah's first. Chevelle and Lilah had matching Santa dresses and they looked adorable.Lilah seemed a little leery with all the strange faces, but she was well behaved the whole time, in fact she napped through most of it. Christmas day was spent back up in Maine at our house, and we sat Lilah in her Bumbo surrounded by all her presents. She seemed disinterested, but as most babies do, found stuffing wrapping paper in her mouth to be a good time.
In the past couple months, between all the holiday activities, Lilah has been making progress in every area. It can seem a little slow at times, but Karen her PT pointed out that as long as they see progress, even if it is a bit slow is a good sign. They grow concerned when babies plateau at an early age, and this hasn't been the case with Lilah. In therapy, there had been a four or five week period where she screamed through her entire OT and PT sessions. It was so sudden, she went from being comfortable with Karen and Amy to completely melting down, acting like they were complete strangers sent to torture her. It can be hard when your baby acts like she's in pain, not to rush right over, pick her up, and comfort her. Karen thought that wouldn't be productive, because then she would learn that when she cried, that meant her mommy would come "save her" from the mean old therapist. I knew she wasn't in pain because the exercises and activities they had been doing with her, are the same ones I do with her on a regular basis without incident. They just kept working through the screaming and getting in as much as they could. Amy said it was most likely a phase and she would get over it. Sure enough, as Amy predicted she did. One day Amy walked in and Lilah had that look on her face like she was going to lose it, whimpered a couple times, then eventually started smiling and playing with the toys Amy provided for her. Lilah's OT sessions have been moved to twice a week because she thought she could really benefit from it. Lilah has learned to roll from stomach to back, we are working on the other way around, but so far it hasn't happened. I am thinking that even if she was physically capable of it, she would probably avoid it like the plague, because she hates being on her tummy so much. She can now sit unsupported for a couple minutes here and there if she has her Boppy to support her back. Her balance is getting there, but she likes to fling herself back a lot which results in the loss of her balance. It is also hard for her to coordinate sitting with playing with toys, it's easier for her to sit if she isn't playing with anything.
A couple weeks ago she had her cardiologist appointment to see if the chamber to her heart had closed. She also had a tiny hole in her heart that they wanted to check out to see if it had closed. Thankfully her heart was perfect and healthy, and she never has to go back again, unless there is a specific problem.
Healthwise she has been doing so-so, no major issues. Just quite a few ear infections, fevers, and runny noses. It seems like she is constantly stuffed up. I hope her health improves when the winter months are over. Her Pulmonologist said this winter will be the test with her. If she can make it through this winter relatively unscathed, then the following winters should be a breeze. She also has started a monthly vaccine called synagis, which protects her from RSV, a deadly respitory virus that affects preemies. Jan is a busy month with a few appts., including her 9 month check-up and the preemie clinic. I will try my hardest to update as these appointments happen instead of waiting so long between posts.
As far as Lilah goes, she is certainly developing a little personality. She is constantly smiling, babbling, happy. She has such a sweet manner about her. Her gummy, goofy smile can't help but brighten your day. She is an absolute joy to be around, we all love her so much, and are thankful to have her in our lives. It's been a rough year but I would go through it again in a second, because she makes me so happy.
I hope everyone had a wonderful holiday, and below I included a couple Holiday photos. They're a little mixed up, but the first one is Lilah surrounded by her presents (spoiled baby). The second one is Daddy feeding Lilah her Thanksgiving dinner. The next one is Lilah in her Halloween costume, and the last one is Lilah eating some wrapping paper. Enjoy!
Tuesday, October 12, 2010
9 Year Anniversary!

