
She was wide awake ready to say "hi" to Grandma Sue when we got home. Grandma Sue was ready and waiting at the door!
Posted by Kristen at 10:03 PM 6 Showin' Comment Love
Wednesday April 30, 2008
I'll write more later about all that has taken place yesterday and today, but it looks like we're going home today!! YAY!!!
Posted by Kristen at 2:19 PM 4 Showin' Comment Love
So we're just waiting around to hear from the Neurosurgeon and his decision about us going home. He is out of town right now. He left yesterday afternoon. If we would have waited to bring Cayman to the hospital Monday morning instead of in the middle of the night he would not have been around to do her surgery. Which we've been told a Shunt Revision is a pretty straight forward procedure, not too complex, so another Neurosurgeon would have been able to do it just fine. But we like having our doctor do it because we know him and he knows Cayman the best. So we're glad it worked out that he could do her shunt revision before he left town. I'm not sure why it's taking so long to hear what his decision is. Waiting sucks!
Yesterday evening we went to the Ronald McDonald House, checked in, and then took a nap. When we woke up we went back to the hospital to be with Cayman. She was wide awake. She looked so good! She even gave us a few smiles. She still had her nasal cannula on, and she just seemed so uncomfortable with it especially since she still has her stuffy nose. The nice part about being at the hospital is the nurse can take out their awesome sucker and get all that snot out! Mike asked the nurse if she could remove the cannula since Cayman's oxygen levels were great during a time when the cannula had fallen off accidentally for awhile. The nurse said the doctor hadn't ordered for it to come off yet. Mike's response was "As her parents, can we order for it to come off?" :o) So the nurse removed the tape and took the cannula off. Cayman gave her a big smile once it was off! It was so cute! She was a much happier baby without the cannula taped to her face.
Cayman was so hard to leave last night that we ended up staying with her until 3 a.m. Then about mid-morning today we received a phone call from Cayman's nurse. She said it had been about 4 1/2 hours since Cayman's last feeding and she couldn't get her to eat again. We told her that at times that is typical and just let her sleep for a little bit more and soon she'd wake up hungry. An hour later the nurse called back sounding a little stressed because she still couldn't get Cayman to eat and she asked for some "Parental Help". Mike and I were about to leave for the hospital anyways so we headed out right away. When we got there, Cayman was still sleeping. We talked to her for a little bit and she woke up. I gave her the bottle and she sucked it right down. She was just being ornary for the nurse...I would rebel too if I had to be in this place again.
By the way, Grandma Sue made it home just fine yesterday evening after being awake for a day and half. She got some good sleep last night!
Posted by Kristen at 3:31 PM 6 Showin' Comment Love
Cayman's shunt revision went well. Once inside, Dr. Maher discovered that Cayman's shunt was plugged the whole way through. He had to replace the catheter that goes into her brain and the valve. The rest of the tube that goes into her heart he was able to flush it to get it unclogged so therefore that part didn't need to be replaced. He said that some babies are more prone to protein build-up in a shunt and Cayman must be one of them. It could increase her chances of this happening again. They had some trouble extubating (removing her breathing tube) after surgery. Her oxygen levels dropped low and they had to give her medicine to help get those numbers stable. Pastor Dave traveled up to see us. That was nice!! He got there while we were waiting to hear word that we could see Cayman.
The doctor thought there could be a good chance Cayman can go home tomorrow. That would be nice. We are staying at the Ronald McDonald house. It was totally a God-thing that a room was available for us since this place is so difficult to get into.
Dr. Lindsey (one of Cayman's Neonatal doctors from the NICU) happened to see Cayman's name on the admittance list and stopped in to say hi. She was happy to see Cayman yet so sad to see her back in the hospital.
Grandma Sue is on her way back home right now. She's been awake for a day and a half so I pray she does alright making the long trip back.
Posted by Kristen at 5:02 PM 12 Showin' Comment Love
Monday April 28, 2008
Cayman's in surgery right now. Grandma Sue and I arrived at the U of M E.R. last night around 4 a.m. Cayman did not ride well. She has been so fussy. It was the longest 2 hour trip with her! She had x-rays done to look at the placement of her shunt as well as a CT scan. The on-call Neurosurgeon dialed her shunt setting down to the lowest (0.5) to see if the fluid would start draining. This Neurosurgeon seemed to think it wasn't a shunt failure. So we were starting to feel better, but after she was admitted into the hospital and Cayman's Neurosurgeon arrived around 7 a.m. he felt it was likely a shunt failure and would need to take her to surgery. First he wanted to wait a couple hours to make sure there was no change. So around 9 a.m. he came back up and evaluated the situation. There was no change in her head pressure. So Cayman is having a shunt revision. Typically this is a simple procedure and the patient gets to go home the next day. However, the doctor wants to keep Cayman for a few days because of her history of over draining. We asked lots of questions about, once a working shunt is back in her will her head go back to decompressing and the bones overriding. Very likely this is what could happen again. And then we'd be looking at another surgery to put in the second valve to regulate the flow. So right now we are trying to focus on getting her a shunt that works and then go from there. Mike and I aren't sure where we're going to stay tonight yet. We are so very tired and worried about our little girl. Mike worked last night and came straight up to Ann Arbor when he got off, and I didn't get any sleep last night nor did Grandma Sue. I'm so glad we brought Cayman to the hospital though. Her head is now measuring 47 cm...only 1 cm smaller than it was at birth, and she weighed in at 8 lb 13 oz. Last week she weighed just 8 lbs. All the extra fluid in her head is contributing to these bigger numbers. We're so ready to get our baby girl back to feeling well and take her home again!!
The symptoms that concerned us about Cayman were:
Posted by Kristen at 10:44 AM 5 Showin' Comment Love
Grandma Sue and I are taking Cayman to the U of M E.R tonight. The doctor wants to see her tonight and not wait til the morning regarding her shunt. I'll try to keep everyone posted.
Posted by Kristen at 1:52 AM 5 Showin' Comment Love
It looks like we might be making another unplanned trip to Ann Arbor tomorrow. Cayman's head has grown almost a whole centimeter since Friday! I'm not sure if this means the shunt is plugged or not. Her head is almost back to the size it was when she was born!! Also, there is some puffiness around the shunt valve. The doctor wasn't concerned about it on Friday. He said it could just be some Cerebrospinal Fluid leaking out around it and that happens. I guess at this point everything is concerning me!! Cayman was smiling for Daddy and me today but at times she's either very fussy when she is awake or sleeping a lot, unable to stir her even past feeding time. It's difficult to know if this is just typical baby behavior or if it's because of the fluid increasing in her head. Yesterday she was not like that so again it's tough to know if it's something serious or not. Her eyes are back to doing the sunsetting (rolling downwards) thing a lot more, so I believe a lot of this is because of the increase in her head pressure. Daddy and I hate the thought of checking her back into the hospital. Maybe that won't have to happen. We already know she is going to need her shunt redone around 6 months of age. Her shunt empties the fluid into her heart. Typically a shunt is placed in the abdomen. Somewhere around 6 months she will have the shunt taken out of her heart and put in her abdomen. We know this shunt revision is going to happen and we've accepted it because we have to. In my mind there is this "check-off list" of all the procedures she needs to have done. It feels relieving to "check" one off and then move forward. I feel very uncomfortable with the thought of my "check-off list" growing.
Posted by Kristen at 3:29 PM 3 Showin' Comment Love
Saturday April 26, 2008
Cayman had visitors today:
Here's Aunt Linda holding Cayman
They came and brought Cayman gifts. She got lots of diapers, books, blankets, OSU outfits, and a BeBe Pod. Oh yes, and a huge stuffed pink bunny!!
Posted by Kristen at 12:14 AM 2 Showin' Comment Love
I took Cayman to Ann Arbor yesterday for another unplanned appointment with her Neurosurgeon. Mike and I had measured her head and it had grown bigger and the gaps between her skull bones are further apart. We emailed Dr. Maher some pictures and asked him if he thought we should make the trip up there before her next appointment, which is thursday May 1st. He thought it was best for him to see her sooner. Daddy had to go to work, so Grandma Cindy and Aunt Madison came to Ann Arbor with me. It was the first time we've went without Daddy. It was sad. We missed him. Dr. Maher ordered for an ultrasound to be done on Cayman's head. It looked the same as from the last ultrasound that was done March 20th (a week before Cayman came home from the hospital). Dr. Maher measured her head. It was 46 cm. She was born with it at 48 cm, so it's not far off from where it was. The doctor adjusted the shunt setting (down to 1.0 now). One of two things is going on he said. Either the body and shunt are still adjusting to each other or the shunt is plugged. He said that protein in the Cerebrospinal Fluid sometimes can plug a shunt. If that is the case she'll have to have surgery to replace the shunt. As the doctor keeps turning the valve setting down and we don't see extra fluid draining then we can know that it is plugged. You know those moments where you want to take a pillow and scream as loud as you can into it? That's what I feel like doing. First it was draining too much, so we prayed it would correct itself so she could avoid surgery. Now it's not draining enough, and we're praying it will pick up so again we can avoid surgery. Talk about a yo-yo effect!! But once again, Dr. Maher is staying positive. He thinks we'll see it drain more again on its own and the right valve setting will be found that will regulate Cayman's head drainage so it's stable and not all over.
Posted by Kristen at 10:31 AM 2 Showin' Comment Love
Yesterday was such a beautiful day outside here! Almost 80 degrees, sunny, bright blue sky with white puffy clouds. It was just perfect!! We had to go outside with Cayman to enjoy it. And Grandma Jeanne if you are reading, we did put a hat on her to protect her from the wind and any air that could be still chilly. Mike and I took a short walk with Cayman. It was wonderful!!
Here's a couple more pictures from tonight
Posted by Kristen at 9:50 PM 6 Showin' Comment Love
I was cleaning out today. I came across a journal I had kept during the beginning part of my pregnancy. It was before my 20 week ultrasound when my baby was diagnosed with Congenital Hydrocephalus. How strange it was to read my own thoughts from back then. How different they were then compared to the 2nd half of my pregnancy. It felt like I was reading someone else's journal, like it was a different time, or a different situation. I stopped journaling after that ultrasound. I wish I would have kept it up. I'm not exactly sure what I would have written. It's been hard for me to know how to put all my feelings into words, which has been one of the main motivations for creating Cayman's blog. I find it healing when I can figure out how to express myself. Otherwise if I can't put my feelings in some form of words that make sense, then everything just stays bottled up and I become emotionless so I can feel less. I don't like who I am when I do that. That's why you'll find me talking in circles sometimes trying to figure out what I'm feeling because once I can know, usually I can find a direction of where to go from there.
Posted by Kristen at 1:29 PM 9 Showin' Comment Love
My baby just smiled at me!!! She has smiled a few times over the last week or so, but it was hard to say if it was a social smile or just gas. But there is no doubt my baby voluntarily smiled at me!! She was fussing in her bassinet because of that stupid flem she has right now. I picked her up and snuggled her against me like I always do. She looked straight up at me. I smiled and said to her "My baby", which is what I said to her a lot when she was in the NICU. I would sit next to her bed, hold her hand, and say over and over in a soft sweet tone "my baby". I was so thrilled when I saw her smile, I said it again "My baby" and she smiled again. If she had teeth it would have been a big toothy smile! What a gift she just gave me. I wish I could have gotten a picture of it!!
The first time we saw Cayman smile was actually on ultrasound. It's not a very good picture because she was moving around a lot and that created smudgy shadows on her and by the time they froze the screen her smile had faded to more of a grin. We cherish that we have a picture from that!!!
Posted by Kristen at 1:36 AM 5 Showin' Comment Love
Monday April 21, 2008
Mike worked last night, came home, got less than 2 hours of sleep, and off to Ann Arbor we went for two doctor appointments, and he never complained once. What a good Husband/Daddy he is:
Neurosurgeon:
Yeah, I know, Cayman just saw the Neurosurgeon. This was an unscheduled trip to his office. Her head had grown a whole centimeter since Thursday (it's now 44.5 cm)and we were worried that next week would be too late to see the doctor again and since we were going there today anyways, Dr. Maher fit us into his busy schedule to see Cayman. Her scalp veins were starting to pop out from the head pressure. Crazy fluid. One week it's not enough fluid, and the next it's too much! The doctor adjusted the shunt valve setting so it is slightly draining the fluid a little bit more. It was at 2.5 and now it is at 2. I say that not because it really means anything to everyone, but more for my records since Cayman's blogs serves as our own personal document of everything.
Pediatric Surgeon:
Her stomach incision has healed beautifully. The doctor was very pleased to hear she's eating everything orally and we never use the G-tube to feed her. In fact, the last few days we have not been venting her so she can learn and adjust to burping through her mouth instead of the tube. That's been going pretty good actually. She has spit up a few times but I'm not really sure if that is because of this change. She has been having a runny nose that drains down her throat and she gags on it, then that makes her spit up. The doctor was going to put a button G-tube in. We were so excited about this. A button will sit flush to her skin instead of having this long tube extending from her body that we have to be so careful it does not get caught on anything. However, they were all out of the button tubes. So the next time we are back up there for another doctor appointment (which is next week) we are to call and see if they have any buttons in stock and if they do we can swing by the office and they'll put it in. She weighed in at 8 pounds exactly. We were so excited to hear this high of weight and then were shocked to find out the doctor said her weight was down since she weighed on April 17th. April 17th was when Cayman was at the Pediatrician's last week. Mike and I were there and saw the scales say 7 lb 10.5 oz. There's gotta be some sort of miscommunication going on.
Random thoughts:
Posted by Kristen at 12:04 AM 1 Showin' Comment Love
When Cayman was born with so much hair we wondered if it would fall out like some babies' hair does. Not only did it not fall out, it's growing!! Well I should say it's growing in the back. It's so funny...when she wakes up she has bed head.
Also when she was born her eyelashes and eyebrows were so light it looked liked she did not have any. Her eyelashes have now darkened and lengthened. I think they are so pretty!!
Posted by Kristen at 12:25 AM 15 Showin' Comment Love
Posted by Kristen at 1:42 PM 3 Showin' Comment Love
I'm going to make this brief because I don't like thinking about it. But it's so HUGE that I can't leave it unspoken because I believe in the power of prayer...and a lot in specific prayer!!
One of my post from when we were at Duke I meantioned that Dr. Kurtzberg had some blood drawn on Cayman to test for a specific gene disorder she thinks Cayman could possibly have. The name of this disorder is Fanconi Anemia. It's a rare inherited disease that can lead to bone marrow failure or other cancers. Fanconi anemia may be associated with heart, kidney, and/or skeletal malformations. Which I think might be what tripped Dr. Kurtzberg since Cayman has all three of these issues.
It takes 3 weeks for the test results to come back. Oh how badly I want them to be negative. My worse fear has always been that they would find something that would only lead to more health issues throughout her life and eventually would be fatal. I don't want to live my worse fear. Please pray!!
Posted by Kristen at 12:48 PM 2 Showin' Comment Love
Posted by Kristen at 9:36 PM 5 Showin' Comment Love
Posted by Kristen at 12:12 AM 2 Showin' Comment Love