Monday, April 20, 2009

Settling into life at home

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Having "kick time" on the ground - he is working on rolling over :)

In the swing


Cuddling with daddy


Little Mr. Nicolls minus the feeding tube!

Aiden has been doing so good since he came home. It has been a fun, exciting, exhausting, laughable, challenging and wonderful 3 weeks. Jeremy and I are learning how to be parents and nurses to a preemie at home.

Feeding Aiden was difficult the first 2 weeks, he was constantly having to be tube fed and at one point stopped wanting to take anything from the bottle. Last Saturday we needed to change out his feeding tube and decided to just not put it back in and see what happens. We also changed his formula, started feeding him every 2 hours instead of every 3 (he was getting 60 mls every 3 hours) and experimented until we found the right bottle/nipple combo. Well, something worked because we haven't put the tube back in. He is taking 45-50 mls every 2 - 2 1/2 hours all by bottle and has been eating over his required amount everyday. We don't know if he just didn't like the feeling of the tube in his throat or if changing to every 2 hours made the difference, but he is now telling us that he is hungry and we no longer have to force a screaming baby to eat.

He has been re-casted twice since we have been home and currently he does not have a cast on. His orthopedist showed us how to massage his feet and we have been doing that a few times a day. He will most likely get casts put back on both feet when we go to see his new doctors at Shriners next week, but for now he has a little bit of freedom :) The doctor also said his hip is doing better, Shriners will now see him for that as well. It will be interesting to see what Shriners does, they specialize in babies and children and I hear that they just do more "kid friendly" things - better casting techniques, etc.

He also has had another eye appointment and another hearing test. His eyes look really good but he failed his hearing screening on his right ear, so we have added another specialist to our list and Aiden will go see a pediatric audiologist in May to do a more complete screening to see if there is an issue with his hearing in that ear - it could be nothing or it could be that he can't hear some tones. We'll see, but we are trying not to be too concerned, we hear preemies fail the screenings for no reason often.

He is still on 1/4 liter oxygen, we have an appointment this week with a pediatric pulmonologist that will be watching his lungs and help us to wean Aiden off the oxygen and medications that are helping his lungs, so we will be interested to see what he says. The home health nurse measures his oxygen saturation when she visits and it has been at 100% each time for the last 2 weeks, hopefully we can start to lower his liter flow to get him off the O2 soon!

Other than all the appointments, Aiden has been doing the typical baby things with us - going on walks in the stroller, being held, playing with toys on the floor, being held, playing in his swing, learning how to hold his head up, being held, trying to fit his whole fist in his mouth when he is hungry, grabbing at our hands/his bottle/our clothes and being held. He has turned into a wiggly little boy and doesn't like to sit still for very long - which is a good thing...the more he moves the better!

We love having our little one home and have adjusted to life without much sleep and having him on us at all times. He was content on floor by himself this morning and I was able to make coffee, make formula for the day, wash his bottles from the night, eat breakfast, get his medications and breathing treatment together, and clear the dishwasher all in 15 minutes. Its amazing how much faster you can move when you become a mother!

Sunday, April 12, 2009

Happy Easter!

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Aiden's first Easter!

An Easter picture of both of our children :)

We had a quiet Easter at home today. We took Aiden for his first walk and showed him around the neighborhood - it was a beautiful day outside! We can't wait until Aiden is running around hunting for Easter eggs :)

It's been a busy couple weeks for us, it's hard to believe that on Tuesday Aiden will have been home for 2 weeks! We are still getting used to life with a little one, he still doesn't want to be put down and will only sleep at night if he is in bed with us. We are adjusting to getting much less sleep than we used to get - but it is definitely worth it :)

Our biggest challenge has been with feedings. A couple days ago he started crying uncontrollably during feedings and hasn't been taking as much, we think he may be having a hard time digesting the thick, heavy Neosure formula for premature babies, so we changed his formula last night and it seems to be making him feel better, he is much less fussy and gassy and has been taking more food by mouth. We'll see if it continues - we are trying everything to get rid of the feeding tube!

We have had alot of doctors appointments this week and a home health nurse comes to our house twice a week. They make sure we have everything we need, answer all our questions, and examine and weigh him. On friday he weighed in at 7 lbs. 1 oz. The nurse said she was very pleased with how he is doing at home and might cut her visits down to once a week. He has changed alot in the short amount of time since he has been out of the NICU, he moves his arms and legs around so much more and is grabbing at us, his bottle and toys. He holds onto my hands when I am feeding him - it is really cute. He is just working on growing and developing his little personality!

Here are some pics of our week...

Playing in his crib, watching the mobile go around

Wondering whats going on while mom & dad soak off his cast

Happy to have his cast and sling off for a few hours - look at his feet!

Bath time in the whale tub

Saturday, April 4, 2009

Busy Days (and nights)

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Aiden has definitely been keeping us busy since he's been home.
He REALLY wants to be held all of the time. We try to let him get some crib time every so often but it usually doesn't last very long, he complains after a few minutes. Our theory is that when we put him down he is thinking he is still in the NICU and that we are leaving him for the night.

He came home on 1/4 liter oxygen and he still has the NG (feeding) tube in place just in case he can't finish his bottle. He is getting 60ml every 3 hours.

He is still on 3 oral medications as well as a breathing treatment every 12 hours which is a medication in the form of a mist.

We will be having a nurse come to the house about twice a week to check on him.

The nurse weighed him while she was here, he weighed in at 6 lbs 10 oz.

Next week will be very busy. Every day we will have some sort of appointment.

We gave Aiden a bath today so I took a bunch of pics and a short "afterbath" video.

These pictures are "clickable" so you can view the full size :)