Taking it All in!

See that little speck?! Welcome Home Miss Elise Diane!!

We arrived home to Seymour around 3:30 Friday afternoon! It was an emotional goodbye to all the NICU professionals...all 3 of Elise's primary doctors and her 3 primary nurses came to the bedside to say goodbye (some even made a special trip to the NICU on their day off). I did ok with the momma tears until we buckled her in the car seat and I turned around to see everyone waving goodbye. We were truly going through with it--- not a dream after all!

Our ride home was very successful! I sat in the back while Dad drove home in pre-Indy 500-race-traffic. Yuck! Elise wore her "Lil' Dr. Olsen" baby doctor scrubs as her 'riding home outfit.'

Testing out her newborn napper in her pack n' play

Per the suggestion of my OB doctor, we purchased an Angelcare Monitor for Elise's crib. It's a pad that senses the baby's breaths. If it does not signal a breath for a series of seconds, it sends very loud and fast beeps through a monitor: a.k.a. Angel Fire Alarm. Even though this monitor is designed for a crib, we thought maybe it could work for the pack n' play as well....did we ever tell you we were newbie parents???

....we were both sound asleep at midnight. The alarm goes off. Even those Elise's pack n' play is on my side of the room, G made it to her first. As he fumbled for the light, I grabbed her chest. Whew. It was rising up and down. False Alarm. We climbed back in bed with heart beats that you could hear a mile away. Sure enough, the alarm went off a second time 10 mins later. We decided it wasn't working due to the design really being for a crib, not a pack n' play. We made the mutual decision to remove it so we could get some sleep. Even though I agreed, I laid there debating our decision until fatigue took over and our alarm clock went off at 1:55 for the next feeding.

We want to keep Miss E on the same eating schedule as she was in the NICU. That means every three hours we need to wake up and feed her...8:00, 11:00, 2:00, 5:00. The 2:00 and 5:00 am bottle feeds were pretty tough, mostly because Elise wasn't hungry. We had to wake her up out of a deep sleep. She took over an hour to eat two ounces and then when we burped her, she became wide awake. We would lay her down shortly after her bottle, but it would take 30 mins or so for her to fall back asleep. An hour and a half later, we were waking up to do it all over again. We realize this is the life of newborn parents...we aren't complaining...just realizing for the first time how physically, mentally, and emotionally exhausting it can be! We have our first pediatric appointment on Tuesday morning. We will ask about when we can feed Elise based off her cues, rather than a three hour schedule. Hopefully that will get everyone a little more shut eye time.

After Miss Elise's 5:00am bottle, she thought sleeping was for the birds! We started our day. The last time this momma saw anytime before 5:00am was when I was catching an early morning flight with my mother and matron of honor to Punta Cana for our destination wedding in June 2010. Oh how time flies!

Loving my mamaRoo from the Fallis family! 

We did catch some winks when Elise laid down at 1:00pm for a two hour nap. Ready for night #2! Might explore the stroller and a walk tomorrow if the air doesn't feel like typical Indiana jungle. While in the NICU, we took preemie steps for Elise. Now it's preemie steps for Momma.

Snoozing in Momma's boppy at 4:00pm. Momma wonders why not 4am?!  :)

Can't stop staring at our miracle baby who is HOME...

G & J & E

Tell the World I'm Coming Home!

106 days....15, 000 miles on the car....

We started on February 8, 2012....34 days on life support. Daddy's wedding ring fit on Elise's upper arm. Weighing in at 1 pound, 4.5 ounces.

17 days on CPAP....still so tiny.

Comfortable on Vapotherm...3-4 pounds.

Peaceful 5.5 pound baby with NO respiratory support.

On Friday, March 25, 2012, Elise Diane Olsen will be discharged from St. Vincent's NICU in Indianapolis!!!! 

The car is packed! Diaper bag is ready! Car seat is securely in place (a BIG thank you to Chris Hughes for coming to our home and making sure we had it latched into place!)

We are so excited to make this post! What a journey we have been on...but now we get to face a happy journey that we have oh-so-longed for since those cold, scary February days. Our family. The 3 of us. Blessed beyond words.

We're Comin' for ya Elise!
G & J & E

P.S...We can't wait to introduce Elise to everyone who has prayed for her and wrapped her up in love! However, all three of us will need a few days to get comfortable with our new surroundings. We ask for your heartfelt patience and understanding while we adjust to life at home with our sweet little lady. Once Elise is ready, we will let you know a good time to come love on her. She certainly loves to snuggle! 

Mixed Emotions

As our NICU journey comes to its final days, I find myself with mixed emotions. Of course we are beyond thrilled that we are finally bringing our little lady home! There were many days that it felt like we'd never be that family with the discharged baby being carried out in a car seat by two very happy parents. Now, our moment to be those two very happy parents is days away. Sometimes I literally have to pinch myself since I have dreamed of this moment for a very long time...104 days to be exact.

My feelings don't end at excitement. We are nervous as hell too. In a lot of ways, we are similar to first time parents taking their newborn baby home. We are yet to face the sleepless nights, checking on her multiple times just to see her chest rise up and down, and asking ourselves, "why is she crying?" There will be no monitors, nurses, or doctors to provide us with comfort or knowledge when we might need it the most. We are thrilled to break free of all the NICU technology, but after 3.5 months, being 'let free' stirs up some anxiety as well. The nurses tell us we are ready, but self-doubt can be a very powerful feeling when beginning to enter a new "normal" in your life.

I find myself becoming more emotional as we get closer to bringing her home. Many tears are pure happiness (and somewhat disbelief that we are finally "here"), but there are anxiety tears too.

If preparing for Elise to come home hasn't been enough on my plate, I've had some medical issues myself. Some of my swelling has reappeared and I can't seem to shed the weight even though I've been on Weight Watchers since March 11th and pumping 6-7 times a day. Adding a few headaches and dizzy spells to the list made me call my local OBGYN and schedule an appointment for today. I absolutely adore my Schneck OBs-- a very talented group of doctors who are extremely in tune with their patients and care deeply about what they are going through...pre-pregnancy, pregnancy, and postpartum. As I began running through my symptoms with my doctor, he started to take notes and just listen. Then he asked the million dollar question, "How are you doing emotionally?"

I couldn't say a word. All I could do was cry. My number one goal was to remain strong throughout this journey, but I never said I wouldn't shed tears. As I tried to speak about my feelings through tears, my doctor made me understand what I was feeling was acceptable and normal. He looked up from taking notes and said, "You've spent every ounce of your emotional energy on getting through these last four months. Now you are filled with anxiety as you prepare to bring her home and try to muster up more emotional energy for this new journey you are about to begin. You can't be supermom. I won't let you. If you weren't showing me signs of anxiety/depression after everything you've been through, I'd be worried about you. You have been through hell and back. Let it out." 


It's easy to feel like you are alone when you are on a unique journey such as ours. "Traditional parents"with "traditional newborns" have seemed to pop up all around us. Commercials on t.v., friends having babies, or your husband being a pediatrician and examining these types of babies. When what you don't have is always in your face, it's hard to not feel like you live on an abandoned island.

After my appointment today, it is comforting to know that my anxiety is normal and a slice of 'traditional mommyhood' is around the corner. My doctor has all the confidence in the world that my emotions will change once I get Elise home and find a routine in a new life together. He wants to see me in two weeks to get an update.

Elise, herself, has had an amazing medical family for the last 104 days as well. When I was transported by ambulance to St. V's on February 3rd, strangers surrounded me. Staff doctors, residents, interns, medical students, nurses, respiratory therapists, neonatologists. They were buzzing around my unfamiliar hospital room as I held onto my belly, praying I could keep Elise inside me for at least three more weeks so I could deliver a 28 weeker, not a 25 weeker.

On one of the nights I was lying in my hospital bed, Karrie, a NICU nurse stopped by to say hello. In 2006, Karrie and I were two IUPUI students that happened to both sign up for a month long internship in Cuernavaca, Mexico. I was an education major and would teach English in the schools and Karrie was a nursing major and would work in the hospitals. We both would learn Spanish at a language school and live with host families nearby. We had a great time blossoming a friendship in Mexico with many, many fond memories. Once we returned back to campus, we became Facebook friends to stay in touch.

Little did I know that six years later I would really need Karrie in my everyday life. When she visited me before Elise arrived, she said to me, "Don't worry, when you deliver, I'll make sure I sign up to be Elise's primary night nurse. I'll take good care of your little lady." Little did we know that Elise was on her way. Elise came three days later as a 25w 5d preemie. The first night Karrie was able to take care of Elise was the first time my shoulders finally got a rest. In the scary, unfamiliar world I was quickly beginning to live, Karrie was a familiar soul that God knew I needed.

When I couldn't sleep at night, I called Karrie. When I was scared to ask too many questions of the doctors, I kept Karrie on the phone answering all my mommy questions. When I was afraid to bond, Karrie said cuddle with your baby girl. When I was fighting back tears, Karrie would hug me and reassure me that everything was going to be OK. When I so badly wanted to touch my daughter, Karrie would let me take off those darn purple gloves for a few seconds and touch her. When I was afraid to love, Karrie told me to love....and never, ever stop.

Tonight, Karrie works her last night shift with Elise.

My daughter will never fully understand how Nurse Karrie helped me get through this journey. Nights could have been lonely and sad for me...but when Karrie had Elise, the anxiety washed away and I was able to get some rest. Tonight, I joked with Karrie and told her that once we are home for 15 minutes, I will start texting her. We also started to make plans for her first trip to Seymour!

We have come so far, and now we must say our goodbyes to a very special medical family. These medical professionals raised our daughter for almost the first four months of her life. No food platter or bouquet of flowers could adequately thank the NICU personnel at St. Vincent's Women's Hospital.  However, someday, Elise will be able to thank them for herself. She will grow up learning about her NICU friends....and especially how Nurse Karrie let Momma get some rest during night shift.

Karrie once said, "There will never be another Elise in my life." Well, there will certainly never be another Nurse Karrie in our lives.

Forever Blessed,

G & J & E

Working Out the Last Kink

Today (Monday) was the day of Elise's swallow study to redetermine what thickness of milk she could successfully swallow into her esophagus. Grant and I actually got to attend the swallow study this time. We stood behind the glass window with the radiologist and watched the X-ray monitor. Nurse Donna fed Elise the different thicknesses while Elise laid on a big X-ray table. Elise was such a trouper! As the radiologist would ask for different nipples and different thicknesses, Elise would accept each one and swallow away. For Grant and I, it was very neat to watch Miss Elise's insides working so hard!

The radiologist started with the honey thick milk which is what Elise has been successful with since the first swallow study. As usual, she performed great with the honey thick. Then the radiologist moved to a step down from honey thick-- nectar. With nectar, Elise did OK, but not fabulous. After a few good swallows, the formula started to penetrate her windpipe. She certainly wasn't as strong on the nectar as she was on the honey thick.

Therefore, she needs to stay with the honey thick for a while longer. This means we will go home with that consistency. The problem with the honey thick would be that she can't get all the nutrients that she needs from honey thick bottles. She needs some nutrients from breast milk, but as I last wrote, breast milk cannot be thickened with the thickener we are currently using. We thought this would mean she would need to come home and be on the pump for a few of her feeds.

HOWEVER, it is a possibility that we could use a different type of thickener and thicken the breast milk for 1-2 feeds per day. Therefore, she would get the nutrients from the breast milk AND the milk would be thickened so she could successfully take it through a bottle. Tomorrow, we will know for sure if this is possible when the doctors meet with the dietitian and discuss Elise's proper nutrition.

Really Mom?! Possibly no pump feeds?? Yahooooo! 

All in all, it looks promising! Elise took 6 bottles today and did great. Tomorrow, they will try all 8 feeds through a bottle (and hopefully work out the pump feeds so they are through bottles as well). She is OFF all respiratory treatments and lung medicines! It is POSSIBLE that when the time comes, we will come home on vitamins, Prilosec, and thickened feeds...that's it. To think of all the things we could have come home with (oxygen, monitor, pump feeds, medicines, respiratory breathing treatments, etc), we are very, very blessed.

The next step will be feeding Elise ad lib. Meaning, instead of feeding her on the dot every 3 hours and giving her exactly 45 mLs, we would watch for cues from her as to when to feed her and how much. Most likely, it will be close to every 3 hours, but the amounts per bottle may vary. She may be super hungry and take 60 mLs one time, but the next time she may only take 40 mLs. We will make sure on average she is taking full feeds. I'm excited for this...something traditional mommies do :)

You might be reading this post and thinking, "When is this little lady going to come home??" Soon! We have a few more kinks to work out and then we will be making that celebratory post that we've been waiting to write for many, many weeks.

On the ride home this evening, I found myself thinking about making the drive home with a little peanut in the back seat, all buckled into her new polka dot car seat. It still seems soooooo surreal at times. Even though we've had Elise in our lives for 3 1/2 months, my schedule hasn't resembled that of a "traditional" mother. On my days spent at home, I can sleep in if I need to, and I'm certainly not woken up in the middle of the night unless my bladder starts to scream. When I run errands, I jump in and out of the car and do whatever I need to do. Basically what I'm saying is, when I'm in the NICU, it's 'Elise time' and I'm all about rocking and holding her. When I'm home, it's easy to forget about full-time, 24/7 motherhood.

I do know one thing: I am beyond excited to get my baby girl home so we can cuddle and play in our pj's all day long with no nurses, doctors, monitors, or other crying babies to be seen or heard!

Our pink-legging chunker: 5 lbs. 9 oz! 

Patiently Waiting,

G & J & E

Thick vs. Thin Dilemma

We continue to inch our way closer to the "going home" light! She is still off all respiratory support and doing fabulously! She also is packing on the ounces too. She currently checks in at a whopping 5 pounds 6.5 ounces!!

Friday, May 18th, happened to be my actual due date for Elise. During the day on Friday, I took a moment to think about the last 3.5 months. Imagining myself still pregnant on Friday? Whoa. Imagining myself still teaching?!?! Double whoa. God certainly had a different plan for us.

Speaking of Miss E, the dilemma right now is her feedings. Ever since we found out that Elise was aspirating (swallowing food into her windpipe) during the swallow study 3 weeks ago, the nurses have been thickening four of Elise's feeds with rice cereal. Right now, she is on the thickest of the thick because her swallow study showed her aspirating on anything less than honey consistency. The doctors have slowly increased the amount of thickened milk (formula) in her bottle. However, thickened formula does not give Elise all the proper nutrition she needs. Therefore, four feeds a day are through bottles with the thickened formula and four feeds a day are on the pump with nutritious (yet thin) breast milk. It would be ideal if Elise could take all her feeds by mouth, however, the nutritious breast milk cannot be thickened. If she would take it through a bottle (instead of it going through the feeding tube directly into her stomach), she would aspirate it into her windpipe due to how thin it is.

Soooooo....Monday we are going to do a repeat swallow study to see if she can take a less thickened formula and not aspirate it. Since the first swallow study, she has gained weight, she is older, more mature, and has been practicing swallowing into her esophagus. If she can take less thickened feeds-- well then wonderful! She will be able to take all her feeds orally and get the proper nutrition. If she continues to only take the thickest of the thick on Monday during the study, then she will still need her pump feeds once she comes home.

This means Grant and I (ok, really just me since Dad knows this stuff) will have to be trained how to place a tube down her nostril that goes directly through her esophagus and on into her stomach. We are then trained on how to listen to her belly with a stethoscope and make sure we inserted the tube down her esophagus and not into her windpipe. We do not want milk going into her lungs! When I've watched the nurses do this in the NICU, of course Elise hates when the tube is inserted. Who wouldn't?

Regardless of getting this news today, we must remain thankful. We dodged a huge bullet: since Elise is doing so well off oxygen, there's a 99% chance we DO NOT have to come home on oxygen! She might be coming home on pump feeds, but HOME is in SIGHT! The last thing I want to be trained on is how to insert a tube down my daughter's nostril and hear her scream and squirm, but my best friend said it so well: "It's amazing what you will get trained on and be able to do for your child" (and might I add...It's amazing what you'll do so your child can come home from a 3 1/2 month NICU stay).

We would just have to insert the tube at night and do four feedings during the middle of the night with the tube. During the day, she can get her thickened bottles. Hopefully she will only have to do pump feeds for a few weeks to possibly one month. Then we will probably repeat the swallow study for a third time and see where she is at and what thickness of milk she can swallow safely. Inch by inch we will get there.

There is still a possibility that we MAY dodge this 'pump feed' bullet on Monday if Elise can show us she CAN take less thickened feeds and not aspirate. However, Elise's primary nurses, who know her inside and out, are not hopeful of this occurring. They think the swallow study won't show much improvement from the initial disastrous swallow study from three weeks ago, and therefore, she will be on the current plan once we come home: 4 thickened formula feeds with rice cereal through a bottle and 4 feeds of the nutritious (thin) breast milk on the pump.

The nurses and doctors are confident in me that I can learn all I need to in order to bring her home and provide her a successful environment. I just need to gain confidence in myself!

On my drive home from the NICU today, I was thinking....women need a set of ovaries AND a set of balls. I think God secretly always gives both to females. I just need to find mine so I can get over my "donotwanttohurtmychild-phobia."

I'm almost ready for you Mommy and Daddy! 

Onward and Upward~
G & J & E

Kiss Those Lips!

What a milestone day! Miss Elise Diane Olsen came off all respiratory support!!!! No more nasal cannula. Her lungs are proving to us that they are ready to handle “this breathing thing” on their own. Wow! I find myself pinching my arm to make sure I am actually typing the above statement and not dreaming. Inch by Inch…we are getting there!

Of course today was beyond exciting. We couldn’t wait to get to the NICU and start kissing Elise’s lips…something we’ve never been able to do because a breathing apparatus has always stood in the way.

 

However, in a weird way, taking off the nasal cannula was a little nerve-wracking as well. There was no more “turning her up” or “giving her a little more support.” Of course the nasal cannula was on stand-by all day today (and probably tomorrow) since we are in the trial period, but the time has finally arrive for her to show us what she’s got. She has to keep her oxygen level at 92% or higher to be considered ‘successful with no support.’ At 91% an alarm sounds that tells the nurse she is de-satting. A slight dip down is not worrisome. It becomes alarming if Elise would continue to keep her oxygen level in the low 90s or high 80s.

Another reason I was nervous that they were removing the nasal cannula today was because the eye doctor always comes on Thursdays. He uses a big black piece of equipment that keeps her eyes open so he can look in and examine her retinas. Regardless of a person’s age or size, this would piss off any human being. Sure enough, Elise likes to fight the eye doctor with the best of preemies. A nurse holds Elise’s arms down while she screams bloody murder. I worried about how Elise would handle the eye doctor drama today with no respiratory support. When she got so worked up during the eye examine, would they have to quickly put a mask on her to give her some breathing support?

No fear…sure enough, she sailed through! She impressed everyone, especially her momma and daddy. The best part? The eye doctor said he has decided to move Elise to every other Thursday appointments because she continues to improve with every examination. Yeah!

Daddy's mini

Our trial period with no respiratory support continued to go well until about 5:00 when Elise started to show signs that she was de-satting and not bouncing right back up. She kept her oxygen level around 89-91%. The alarm had nurses and doctors studying her monitor screen, while it had momma and daddy worried that nasal cannula was about to go back on our daughter’s face. We left for dinner around 6:00 with the thinking that when we returned for our night cap, there was a strong chance Elise would be back on oxygen. If she indeed would have to go back on it, it was highly likely that she would be coming home on oxygen.

At dinner I expressed my worry and downright frustration about this. When a person gets to a point when they ‘can see the light’ within walking distance, it’s hard not to get frustrated with the slightest setbacks. G and I talked in length about how we will adapt at home if she does come home with oxygen. Certainly NOT something we will wish for, but something we will accept if our hardworking lady needs it.

After dinner we headed back to the hospital. Again, we thought Elise would probably be back on cannula. Sure enough, the night nurse said Elise had kept her oxygen between 97-100% since shift change. Amy, the nurse, was very promising and helped me feel much stronger. Hearing her say, “I think Elise will do great with this new change,” meant everything to me. It was much easier to head home after seeing Elise in the high 90s and hearing the positivity from Amy.

On the scale with a double chin...that's our girl! 

I think I’m also overly tense this week because our doctor is brand new to Elise. Unfortunately, every 16 weeks, the NICU doctors rotate floors and patient assignments. We’ve worked so close with Dr. Ben Saad, Dr. Pyle, and Dr. Maylock for our entire NICU stay. This week, two new doctors were introduced to Elise. These doctors have had Elise on nightshift sometimes, but it’s incomparable to being the day doctor that calls all the shots and communicates with family. Although I understand hospital policies, such as doctor rotations, it still isn’t comforting when a doctor has to learn about Elise after we’ve spent three and a half months with other doctors that know her inside and out at this point.  Fortunately for us, the new doctor, Dr. Tauscher, is very nice and knowledgeable. He listens to family members and leans on the nurses before he makes big decisions because he knows family members and nurses are the constants in Elise’s care. It will take sometime to get to know him like we know the other doctors, but we certainly will try. We loved hearing Dr. Tauscher say, “I’ve been instructed by Dr. Ben Saad to follow the plan in place for his little girl, Elise.” It’s nice to know the doctors get territorial over their patients and their families because we certainly get territorial over them.

We continue to pray that Elise will soar! It’s all up to her now.....wait, hasn't it always been?

Goodnight,

G & J & E  

Capturing Our Normal

Several weeks ago, we received a fabulous gift from one of Grant's medical school buddies and her family. It was a gift certificate for a professional photographer from the Indianapolis area to come capture a day in the life of a NICU baby.

Joni Streit is absolutely amazing! (www.streitphotography.com) Due to the MRSA regulations with Elise, I had to ask Joni to put on the gown and gloves. I hated to ask her to do this, but she shot her camera for over 45 minutes with all the garb on, never complaining once. She was at complete ease and so were we! A HUGE thank you to Joni and her incredible work! We've posted some of our favorite pictures from the session. These were taken on 5.2.2012 when Elise was approximately 4.5 pounds. Enjoy!

Melt. 

Dr. Pyle happened to stop by during the shoot :)
We are forever grateful for everything the doctors and nurses did to keep our baby girl alive.  Miracle Makers. 

I didn't know I was capable of loving this much. 

Sleep baby girl, sleep. 

To have someone so dependent on us...we are blessed beyond words. 

We. Are. Family.

We've come a long way...Daddy's ring used to fit up to Elise's elbow.
Now it fits over 3 little toes. 

No doubt that she is loved. 

We can't wait to leave behind all the wires and cords.

Daddy's Girl she is...

Those eyes....those EYES.  

What a story these eyes can tell...

For many days those tiny fingers didn't grasp on to anything.
Her touch means the world to us. 

Elise continues to improve during the last leg of our NICU journey. She now weighs FIVE POUNDS, THREE OUNCES! She is on 1/4 of a liter of nasal cannula and still sitting at room air (21%). Her bottles continue to go well...she slurps them down and gives me a look that says, "More Please?" Elise's nex tdoor neighbor, Abby, was discharged today. I felt bittersweet while rocking Elise and listening to the excitement in Abby's parents' voices as they were given final instructions for their preemie baby girl. I'm sure they are home by now soaking up parenthood in their home. We cannot wait to be doing the same!

Continuing Forward,
G & J & E