Monday, December 22, 2014

Roller Coaster

Some of my favorite moments are when one of my babies grab onto my finger and won't let go.  In those moments I feel I am their protector and comforter.

Yesterday I commented about the NICU journey and about how many people refer to it as a roller coaster.  I was hoping that our 7th week would become a norm for us, because it went so well after 6 weeks of struggle.  But today we realized where that metaphor and the "2 steps forward, 1 step back" saying comes from.

I spent much of the morning in awe of the way God has provided the past 2 months.  I am not eloquent enough to describe the love we have felt.  Every time someone reaches out and says they have been following our story and praying for us my heart fills with gratitude.   We heard that a few times this morning at church, from people whose kid's we've had in our preschool classes and people who were strangers yesterday.

Honestly, some of this has been overwhelming.  I was not raised with religion but instead a doctrine of self-help.  Unfortunately it was reinforced on many occasions when I did decide to rely on someone else.  I share this because as grateful as I am, I am also a little uncomfortable.  As a Christian, I have felt the joys of truly loving others, but am still learning to accept God's love and grace.  So please know that I value you every second you think about my family!  Don't be a stranger, let us know you are coming along side of us!

So after a perfect morning at church (amazing praise & worship, incredible lesson, and the friends I already referred to), we went to the hospital to make rounds.  We squeezed in to our bed spots just in time to be the final rounds of the day.  The doctor decided to lower both CPAP pressures, but only by 1 (baby steps).  He also decided to move Grayson into an open air crib (as soon as one can be located so he hasn't transitioned yet).  We discussed Scarlett's EKG and learned that they weren't any clearer on what was happening,  They were able to rule out a few things that it was not, but the only change that was made was to discontinue her caffeine which was being given at a dose of 10 mg/kilo of her weight to help her brain remember to breathe.  Our game plan was to hope it didn't happen again

But it did.

Trish was at the hospital expecting to hold Scarlett around 6pm, but when she came out of the pump room and rounded the corner, there were about 10 people surrounding Scarlett's bed.  She was in the middle of a tachycardia episode.  Her heart was racing around 220 bpm (baseline is about 155) and the team was trying to stimulate her vagus nerve which can slow the electrical impulses that control your heart rate.  They were trying things like sticking their finger down her throat to gag her, and putting ice in a glove over her eyes.  They were bringing her heart rate back down, but she would go right back up.  They did another EKG.  After speaking with the cardiologists, the doctor decided they would treat her for Superventricular Tachycardia (SVT).  Her EKG results didn't seem to show SVT but her behavior did, so they will treat her with propranolol, a beta blocker.

Another possible cause is that her electrolytes are out of whack due to her lasix treatment.  Her potassium, sodium, and Vitamin D levels were all elevated.  She was taking supplements for potassium and sodium to balance what she lost in her lasix trial.  The vitamin D escalation could also be a side effect of lasix.

When I left, we were going to hold off on giving her more supplements until after rounds tomorrow.  They are also skipping her 9am dose of lasix so the doctor can decide if they want to try a different diuretic.  I believe I am going to ask to take a break from diuretics in general until we can get all of her nutrient levels back in order.

So tonight I will ask for prayers for her and the medical team, that we can identify the issue and treat it quickly.  If I can be selfish enough to ask, please also pray for Trish and I.  This event has been incredibly taxing emotionally and Christmas will probably not help that for either of us.  I haven't been able to get in the Christmas spirit despite it being my favorite time of year.  Typically by now we have lots of decorations put up, dozens of deserts made, and have been blasting music.  I am not sure why, but I can't even bring myself to listen to 104.9 this year.  Our Christmas CDs are still packed up (how long will this post stay up before someone reads it asks what a CD is???)

Grayson 

Scarlett

6 comments:

  1. Hi from Julie Copley Everhart. I usually dont say much but I do follow your posts. you have some really strong babys there. They are just keeping you guys on your toes with all the ups and downs . Hopefully it will only make them stronger. I can imagine how stressful it is on you guys. Your love is shining through for those two though. It will make them strong. Our love and compassion goes out to the whole family. We read your updates every day. Thanks so much for them. We do worry along with you. May everything go well and they will be big healthy kids before you know it. Love to you, mom and dad and a special portion for those beautiful little ones fighting as hard as they are.

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    1. Hi Tim I am Sara's mum. Just wanred to let you know the family in Australia is also here and with you and Trish every step of the way. Much love

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  2. God, we appreciated the break you gave us with the consecutive days of improvements. You allowed us to breathe more easily for a little while. Please let this be a minor set back with Scarlett. Please heal whatever is causing her little heart to race. Give the medical team the grace of your wisdom to recognize the best way to treat this issue effectively. We are confident in your love for these babies and trust that you will give them healing and keep them moving forward in their growth and development. Mary, our Mother, we beg you to intercede with your Son so this issue with Scarlett's heart can be resolved as quickly as possible. We rely on your motherly love for us and for the twins to ask Jesus, again, to give comfort to Trisha and Tim. They have been through so much with their children in these seven weeks and have proven themselves to be strong and faithful in the care they give Scarlett and Grayson. But they are only human and, despite their strong faith in God, experience human frustration and impatience as we all do. Please beg for peace and rest for them as they lovingly keep vigil with their children. God, we know your goodness and we confidently thank you for answering our prayers for Scarlett, Grayson, Trisha and Tim.

    Trish and Tim...you know you are loved and supported by our prayers without end. Although we are out of school for Christmas break, I will send a message out to our school community through our email system. Know we are all pulling for you and the twins!

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  3. Bless your heart Tim! As always, love your posts on the babies and being able to watch them grow. It amazes me of the strength I see and hear in all of you. I know that God is working his miracles in each of you and it makes me smile! I pray for continued strength for the Scarlet, Grayson , Trish, you and your families T.im. Love you all.

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  4. "It came without ribbons, it came without tags! It came without packages, boxes or tags! Maybe Christmas, he thought doesn't come from a store. Maybe Christmas, he thought, means a little bit more." A reminder for all of us, Christmas means so very much MORE than decorations, cards, CD's, carols, cookies, desserts, shopping, presents and everything else that we associate with this season. I know you and Trish know this to be the truth about Christmas. Jesus will be born into your hearts, just as He comes to each of us. The Heavenly Child will indeed fill your hearts with His presence. He will indeed renew you and Trish, will indeed raise you up and give you all that you need, every strength and every grace. Without a single decoration hung, not even a card sent or a cookie baked, He comes. Always He comes.
    Selfish to ask for these blessing? Not at all! We are only asking Our Father for the things that we need. And so we ask, with full confidence, that God meets your every need, fills those reservoirs again with strength, grace and a renewed assurance in His plan. We ask Him to provide for Scarlett's every need and guide the team as they make their decisions re: her care and this 'dip' in the roller coaster ride. We ask Him to continue to watch over Grayson as well. And we ask Our Holy Mother to rush these petitions and requests straight to Her own Son.
    Tighten your seat belts, tighten your grip, take a deep breath. The dips are frightening, but God is holding each of you close and secure and will see you through the ups and downs. As always, sending love and blessings.

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  5. We are still checking every morning, still praying, and still here for what ever we can to for you. All of you are dear to us, you are family. My favorite poem to read when I am down is Footsteps. It reminds me that I am never alone. You are not either, especially with the love and faith you have shown, Love to all, Aunt Gina

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