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Out damn rock!
Stone is out. Pictures later.
But I am still stoned. On drugs.
Was difficult says doc but managed to do through tiny slits instead of massive slice.
Hurrah!
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Hurray!
The first crocus is in bloom. Hurray!
The backyard grass is revealed. Hurray!
The chickens have been liberated from their muddy purgatory! Hurray!
Disgusting carpet and mysteriously stained pad (eww) has been removed from the master bedroom AND taken to the dump. Hurray!
First coat of paint is up in master bedroom. Hurray!
Our friends and family are hard working generous people whom we love. (all together) Hurray! Hurray! Hurray!
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Guilty Pleasures
No Elizabeth Katherine today. Gallbladder flared back up and I was struggling to get the pain under control. By late afternoon I was worn out but pain was manageable. Grandmother Joanne went to Elizabeth Katherine’s noon feeding in lieu of mama, and fed her from a bottle! How wonderful and exciting. I wish there were a photo to share. You’ll have to settle for a photo of the device they use to manage her tube feedings (called gavage feeding, don’t know why).
Received news that Kate’s sister, Lucy, delivered nine (NINE!) pups by c-section today. Regrettably a small male wasn’t strong enough and sadly died shortly after delivery despite Dr. W’s best efforts. The other eight are healthy and have a good prognosis. Mama Lucy is recovering and doing a fine job of nursing her babies. Kat has nearly a full rainbow of colors between the two litters, sable, black and white, a TRICOLOR!, and brindles. Mama Kate continues to be good to her babies. She’s more comfortable leaving them briefly so she can take care of her own needs and continues to be aware and careful where her feet go.
Mel picked me up this evening and we spent about an hour over at True Value picking up paint and painting supplies. We had a good time. I’m glad Mel took me – the Dilaudid really affects my cognitive and decision making abilities, I would have made some poor choices un-chaperoned. Which could have been entertaining… I believe we’ll have ten bodies here on Sunday for our paint-a-rama. Feel free to come join the fun, 10-5 ish. Joseph is making a delicious selection of tasty sandwiches, we’ll probably have carrot-ginger soup, Jenn’s killer home made pound cake (I wish the hens were laying we could have provided eggs). There will be no shortage of food.
Pauline arrives tomorrow bearing goodies from IKEA. We should be able to get a fair bit done on the house during her week here even with my surgery Monday (because lets face it, I’m about as useful at house remodeling as tits on a bull at the moment).
Scott and Tom have been working on a sump pump reconfiguration puzzle. We’ve also been looking for a storm door (not white, include a screen, 2/3 to full glass, not cheaply made) and considering replacing the front door (we almost did it last year but ran out of steam). I ‘fixed’ the microwave door. The handle broke off a long time ago and we’ve been using a blunt knife to pop the door open. Kind of a ridiculous way to open your microwave door particularly when you consider how frequently that appliance is used. I removed one of the handle screws, fed through some kitchen twine, made a loop, then replaced the screw. Yeah, I know, cheesy. But it works and is certainly no cheesier than using a blunt knife to open your microwave door for several years.
Break up has been going extremely well. The driveway is about clear, the rose bush mound and the back corner birch have got a fair bit of snow free space. Patches of lawn are showing in the front yard. The dog poo is making itself known. Neither of us did much poo patrol this last winter so it is significantly worse than previous winters. Know a kid that wants to earn some money?
Guilty pleasures. I had ponies and rode through high school – it was a great delight and helped me survive the teen years. I used to participate in the Society for Creative Anachronism in my twenties. I wasn’t particularly good at it, but for several years I was a heavy fighter and delighted in trying to kill some of my best friends with a rattan sword while dressed up in armor (mix of 16 gauge steel, aircraft aluminum, and aluminum street signs). It was a heck of a lot of fun and left a lot of bruises. Did I mention I sucked? One of the most satisfying events I ever participated in was a horse event. No armor. There were rental horses. We tilted at rings and the quintain. With my horsey background I did very well at all of the events – I struck the quintain so hard it snapped. Whoops!
Anyway, guilty pleasures. There’s a program on the History channel called ‘Full Metal Jousting’. The program is serious bread and circuses. I was prepared to despise it. I knew it would be cheesy with awful dialog. Contrived. Surely the suckitude would be immeasurable. I watched it tonight. Told Scott ‘just 5 minutes to satisfy my curiousity’. Huh – I liked it. The armor looked like it was light gauge and there was a great deal of unnecessary foolish flapping of gums. The horses were keen and certainly my next to favorite bit – they were just regular riding horses, only one looked like he had the heavier bone structure of a cold blood. The jousters were about what you’d expect – lots of testosterone and beating of chests (except the show jumper dude – he was delicious fun to watch). Its redeeming feature and probably why I liked it – they walloped the hell out of each other with great smashings of sticks and even crashing to the ground. This will become my guilty pleasure. I’ll watch it again once I am off the drugs – I may change my mind while no longer under the influence. In which case it will be beer, pizza (after gallbladder out) and jousting.
Choosing Paint
Scott and I do not possess interior design skills nor any real sense of style or color. When we were married folks asked us what our wedding theme was. ‘Wedding theme? What wedding theme?’ We didn’t have a theme but folks didn’t want to hear that. We took to responding ‘labs and quilts’ then making our escape while they puzzled that out.
So we don’t have a theme for Elizabeth’s room. I’d like it to be cheerful (duh – who wants a cheerless childs room?) but really don’t know how to accomplish that. We’d like a change for our room too. It’s been 8 years since the last paint job, and who knows when we’ll have time, energy, and opportunity to do it again. I’m guessing another 8 years. So its good to paint now.
Enter our dear friend Mel, who possesses a keen sense of style and color and IS good at this stuff. She brought over many paint chips and several child bedroom designs. She helped us figure out what we liked and a color scheme thats pretty darn nifty and will grow with Elizabeth. The pink confection bedrooms are sweet while the child is an infant, but less charming as the babe ages.
Anyway – here’s what we’re leaning towards for Elizabeth Katherine. I think we’ll do the leaves on the tree as peoples hands. We’ll also do chalkboard paint below the window. Fun, huh?
These particular colors are Dunn & Edwards, but we’ll select a low fume paint and ask the shop to tint appropriately.
The dark green will be the leaves and accent color, DEA170 Sea Turtle
Pale green for walls, DE5561 Lazy Caterpillar
Brown accent color and tree trunk, DEA160 Hope Chest
Rose accent color, DE5094 Berry Riche (not a typo).
We are less decisive with our own room. We are going to pull the bi-fold closet doors and replace them with a yellow curtain.
Here are two combos we are leaning towards:
Yellow for 3 walls, DE5331 Pasta
Brown accent, DEA160 Hope Chest
Purple on the curtain wall, DEA145 Wine Stain
Or possibly swap Purple for Aqua
Aqua on the curtain wall, DEA132 Ocean Oasis
At least, I think that’s what we talked about. Looking at them again, I can’t remember. Certainly yellow curtain with yellow on other three walls.
And Elizabeth was fine today. Better at nursing today – I folded the blanket to block her view outside of the circle of my arms. Previously she seemed to get distracted by the doings at the next cribside. Today she remained more focused. Every time she slowed down I jiggled things a bit and she resumed her work. Good baby girl.
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House Hurdles
Tonight we crossed a big hurdle for preparing the house for Elizabeth Katherine. With the help of friends, we (and by we I mean Scott) moved heavy stuff from the marmalade room to the living room.
The couch was tricky. When we bought it from Scanhome some 8 years ago we failed to realize it was too big to fit through doorways and did not disassemble (it has futon like qualities so it wasn’t an unreasonable expectation). Back then the couch remained in the living room for several months while we scratched our heads and Abby dog (gracing the top of the page) thanked us for our thoughtfulness in providing her such a superb dog bed. Placing the cranberry couch into the marmalade room required removing not only the door, but also the framing and door jamb. Back then I accomplished the task under Abby’s supervision while Scott was enjoying a Saturday at Northern Security. That was kind of out of the question this time.
I pulled the framing off the door while waiting for Scott to come home. I might have maybe removed the door too (I slid it so it doesn’t count as lifting over 5 lbs). Scott removed the jamb (I’d started but he thoughtfully relieved me of the screwdriver and finished).
With the aid of friends the monster tube tv, its stand and components and the cranberry couch were all moved to the living room.
And there was MUCH rejoicing.
There are nasty things visible in the marmalade room. A mouse spent some time under the tv stand. There is enough dog hair gathered in the crevices behind the tv and couch to make a 3rd and perhaps 4th dog. There _were_ crunchy things but Bing took care of those. I don’t want to know. I hope that he doesn’t tell us about it later. Sometimes he does.
The living room is a bit awkward right now. We moved the love seat in front of the fireplace, the cranberry couch where the love seat was beneath the windows, and the tv into the awkward alcove near the front door. The living room which had seemed roomy now appears kind of small.
I think it would be nifty to cut away the hearth in the middle so there is enough room to slide the love seat flush to the fireplace brick. The remaining hearth on either side of the love seat could then be end tables. We’d get to use the sawzall, wouldn’t have to build a funky tv stand on the hearth, more square footage in the living room would be available, and it would be an entertaining conversation starter. It would probably also be a train wreck and Scott nixed the idea. I still think it would be cool. I’ll consider it again when I am no longer on pain killers.
Sunday we paint.
We also had a good consultation with our gallbladder surgeon today. She and her nursing assistant declined to do the surgery in the consultation room (hey, Scott’s got a jackknife, you got a table right here, I just took my pain killers and heck, we trust you doc, lets just get this done…). Darn. We almost had the surgery scheduled for tomorrow (glee!) but the doc recounted the number of weeks since the c-section and said no at last minute. Apparently the worst time for scarring is between the 3rd and 4th weeks (where I am right now). However we are scheduled for surgery next Monday. Hurray! I can’t begin to describe how relieved I am knowing this unpredictably excruciating bit of flesh will soon be excised from my body.
A good visit with Elizabeth today. More breastfeeding. She didn’t take as much as yesterday which was a bit surprising because she appeared to be more successful at it. More consistent longer latches, lots of sucking, so I don’t know what th scoop was. More practice needed. She’s suffering from a bit of diaper rash, we’d been treating with Desitin but after a couple days it hasn’t improved so the nurses pulled out the big guns. I don’t recall the product but they have a procedure where they basically rhino-line her rear. Her hemacrat was also a bit low so they’ve started her on iron and some other stuff to improve that. They’re not particularly concerned but will be testing her hematocrit daily for a while until it improves. We are to watch for behavioral changes and breathing changes (lethargy and low oxygen saturation levels).
Elizabeth Katherine was tuned in to her environment today. She kept craning her head back in an apparent attempt to see past our screen to the activity at the next crib. She also exhibited an awareness of other babies crying. She’d be steadily nursing, a baby would cry, and she would stop mid-suck and her eyebrows would furrow and eyes would squint, then she’d resume sucking. She also held my left pinky with her right hand (tight squeezing, good strength) during nursing. Made it awkward to hold her but made my heart pound with the N Rockwellness of it. With Joanne’s assistance I stood up and put back in her crib on my own. Previously I’d had to pass her to a nurse as my abdominals weren’t strong enough to stand with her in my arms. I was in a glider rocker today instead of a recliner which helped.
I should get to NICU for twice daily breastfeeding (day shift and night shift). Not sure how we are going to pull that off as I’m back on Dilaudid and may not drive. Night shift feedings are 9 PM to 6 AM. We’ll talk some more with nurses and lactation consultants. Maybe we could do 9 AM and 6 PM or something like that. Once the gallbladder is removed/healed and I’m driving again it won’t be as difficult.
More milestones
I was feeling quite a bit better this evening so Scott and I were able to visit Elizabeth Katherine in NICU. I am glad we did. Elizabeth has made excellent progress and the nurses were able to make important changes that reflect how well she is growing.
Elizabeth Katherine is now able to regulate her own body temperature. This is a big hurdle and is one of the requirements prior to going home. She has been moved from an incubator to an open ‘crib’ (it looks like a tote, actually). This also means she is no longer wearing the aggravating temp monitor. The sticker that held the temp monitor to her chest was really sticky and hurt like the dickens to peel off for replacement. The temp monitors cable was significantly shorter than the other cables on her little body and frequently pulled free under tension.
When we arrived tonight Elizabeth Katherine was clothed and swaddled in the open crib. Yeah baby girl!
A video of Elizabeth Katherine and her papa (about 6 MB).
Her nurse would like to try nutritive (as opposed to non-nutritive) breast feeding with her tomorrow. The last few visits she’s latched on immediately – as well as any lamb or foal or piglet – with no help from me. Nursing apparently is hard work for preemies, so we’ll start with the breast, weigh her before and after to determine how many grams of milk she took, then when she tires finish her meal via tube feeding with however many grams she didn’t take from breast. It will take time for her to develop the endurance to obtain all of her calories via suckling. We’ll do a combo of breast and bottle with the feeding tube, as she’ll be on bottle at least part of the time when she gets home.
Her weight is up to 4 lbs 7 oz and she was wearing clothes (a monkey suit) when we arrived. That was new, too.
Kangaroo Care was especially sweet tonight. We arrived late after she’d been fed. Elizabeth Katherine was sleepy and soft and quiet. I settled into the recliner and Scott handed her down to me. Settled in with a snoozy baby, my beloved at my side, and soft contented noises around us. Peaceful and joyful and good. When it was time to go Scott and I worked together to redress Elizabeth Katherine while she was still on my chest, gently rolling her side to side as we guided her arms back into her sleeper and snapped her tiny legs back into the outfit. Then Scott lifted her from my arms (abdominals are too weak to stand with her in my arms) and placed her back in her crib. I showed Scott how to do a square swaddle. Her eyes opened at that point and she gazed around.
Her hands had escaped the confines of the swaddle before we even left. She appears to be whale-eyeing over the heart rate monitor cable.
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Breakup
The weather improved and breakup began sometime while I was in hospital. Today it is snowing, but before that the roof of the house was about clear of snow and many roads were snow free. Todays snow won’t stick for long and hopefully it will be just enough to push us to a new snowfall record (we are about an inch short of breaking the last record).
The rosebush mound in the backyard should be snow free soon which is good news for the chickens. With breakup beginning their run will soon be a muddy uncomfortable mess and though they can escape to their nice dry coop they will still spend time outside bitching about the conditions. Once the rosebush mound is clear we (well, Scott) will improvise a run surrounding the rosebush and move them to the higher drier ground.
Scott and friends picked up mighty sandbags earlier in the week and got them installed in front of the garage door just in time. Water hasn’t pooled in front of the garage yet but I anticipate that occurring as the volume of melting snow is so high and drainage is not good. A hardworking young man we know has undertaken the mess that is our driveway. He has been working diligently most days to chip away our winters sins. Scott says there is a clear walkway all the way down the driveway now. Wow – substantial effort was required as the ice had grown appallingly deep.
Bing doesn’t like going out front right now and I don’t blame him. Breakup means the deep deep deep snow which previously held his weight easily has become very punchy. Punchy snow takes on new levels of unpleasantness when you’ve got short little corgi legs. He stands at the front door saying ‘No, really, I’ll hold it for a few more weeks, ‘kay?’
My favorite part of breakup made an appearance early this week, late last week. Our spring bulbs are up!
I’ll need to get help clearing the front garden bed. I was unwell with first trimester morning sickness last fall so didn’t clean up the fall foliage. Then Scott and I bought some yard and garden stuff at True Value’s fall sale and placed it in the front bed to put away ‘later’. Yeah, later is here now. It shouldn’t take long to do, but I don’t bend well right now and may not lift more than 10 lbs while the C-Section heals. Frustrating as its such an easy and satisfying job.
I was unable to visit Elizabeth Katherine yesterday. My gallbladder produced a mild flare up Wednesday night (mild enough I could acknowledge it and go to sleep anyway) and a more severe flare up began late Thursday. I’ve been keeping a food diary and am unable to identify what triggered the attack. Made a few doctor phone calls Friday as the pain had increased (though nowhere near as bad as the original attack). My surgeon was in surgeries all day Friday so couldn’t do anything for me then, however her office was able to squeeze me in Monday. So its been back to the Dilaudid for me with the doctor recommended back up plan of heading for ER if pain gets more severe than my ability to cope. Pain was present pretty much all of Friday. Today it comes and goes and perhaps is receding. I don’t like what the Dilaudid does to my brain capacity. At Mondays appointment we will try to convince doctor that I have recovered sufficiently from the c-section to perform the gallbladder surgery next week. Cross your fingers for me.
Friends Mel and Chris spent some time with Scott today working on a tv relocation plan. The contents of the marmalade room need to be moved to the living room still and the biggest hurdle has been where to put the tv. The living room is a little awkward between the (non-functional) fireplace on a slanted wall and a fairly large alcove kind of opposite but at an angle to it. We like our tv, quality and tube size are fine, however it is a tube which means its heavy and big, which hasn’t lent itself well to the living room layout. They talked over several option, including the possibility of throwing money at the problem to make it go away – break down and purchase a flat screen and mount it over the fireplace. There is a lot to be said for that plan. We’d preserve the seating the hearth provides during gatherings, and the flat screen could have a curtain or something over it so its not as intrusive as the tube would be. Plus it would be well out of reach of the inquisitive toddler fingers that will be here in our not so distant future. We’d still have to deal with getting rid of the tube somehow but thats what freecycle and craigslist are for, right?
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New P/T info sheet today
Today Elizabeth Katherine received a new P/T info sheet from physical therapist Ginny. Here is what it says:
Elizabeth is approaching readiness to begin oral feeding. She is practicing with non-nutritive suck at the breast with her mother. Please support Elizabeth to be held during gavage feeds and offer non-nutritive sucking and tastes of milk. This will help her associate getting full with sucking and socializing. Watch her cues and breathing for signs she needs a break.
When she is ready to begin eating support her to eat by cues. How she eats is more important than how much she eats as feeding is a process that matures over time and volume will come with maturity.
Elizabeth likes touch. She calms with containment during cares and is able to calm herself when supported in side-lying to grasp hands together. This is useful for cares in bed and transfers.
Continue to support her in a rounded position so her back is rounding and her arms and legs are close to her body. Change her position for her muscle and bone development. Changing her position for head shape is also important for her vision and movement development.
Until 38 weeks continue to support her hearing and vision development by keeping interactions simple. Let her look or listen but not both at the same time.
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Organized and Disorganized Behavior
Yesterday I met Elizabeth Katherine’s physical therapist. She showed me how to stretch Elizabeth Katherine’s back to help her maintain a rounded position. She needs the rounded position at this point of development to help with her muscle growth, remember she’d ordinarily still be in the womb and all curled up. You place your palm beneth her, draw your palm towards her feet until you feel her hip bones, then apply very gentle stretching pressure as you pull your hand footwards, lifting slightly as you draw.
We also talked about Elizabeth Katherine’s body language and body posture, and the meaning behind the cues as well as the terms organized/disorganized behavior. Over simplified, but basically organized behavior is desirable and means Elizabeth Katherine is handling the stimulation and her environment ok, she’s not over threshold, and is in a good spot to do stuff (diapers, non-nutritive nipple therapy, body care, etc). If she’s exhibiting disorganized behavior she’s over threshold, over stimulated, has been pushed beyond what she’s capable of processing. Disorganized behavior is undesirable because it means the baby is under stress, cortisol may be getting released, and her bodys ability to focus on growing bigger and stronger has been inhibited/interrupted.
Organized behavior is relaxed posture, rounded back, legs and arms tucked in towards her chest, smooth forehead, relaxed hands. Nothing splaying or stretching in rigid motions. Disorganized behavior may mean forehead wrinkles, gaping mouth, rigidity in the body or limbs, splayed fingers, splayed toes, arms/legs thrust out hard, abrupt movements. Lots more.
Talking with Ginny was a lot like being back at Chicken Camp with Bob Bailey and Terry and Bill Ryan, and all the super cool trainers, discussing operant and respondent conditioning. Behavior is lawful. Behavior is meaningful. I’m going to see if I can find an extra copy of Turid Rugaas’ book ‘Calming Signals’, I think she’d appreciate it.
Ginny provided me with a large handout so Scott and I can learn more about Elizabeth Katherine’s communication and body language.
And here is Elizabeth Katherine’s information sheet at her cribside, provided by her physical therapist:
03/20/2012
Behavior is my primary form of communication! If you understand my behavior, I will tell you how to interact with me. Look at page 2 and 5 in ‘Other Side of the Cradle’ for more information about behavioral cues. She calms with containment, grasping and sucking on her pacifier.
Touching: This sense is the well developed. Light touch and stroking can be too much. Calming touch is firm and consistent. Placing a hand at the head and feet or holding the arms and legs close to the body until calm, is very helpful.
Elizabeth calms with containment during cares so having a second pair of hands or swaddling to contain during cares will hep her decrease stress signs during cares.
Positioning: It is important for movement development for Elizabeth’s back to be rounded with her shoulders forward and arms in front of her body so she can get her hands together as she calms when she can grasp. Lifting in side-lying can help her maintain her ability to self comfort during transfers. Round her low back and tuck her legs in to her body.
Skin to skin holding as often as possible and as long as possible is the best.
Vision and Hearing: These senses are still developing. Please protect them by keeping her environment quiet and dark. Dim light during cares is okay but please keep her eyes shaded. Keep voices down and silense alarms quickly.
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