Day Care Drama

So Thursday I got a call from daycare in the middle of a staff meeting.  My heart literally stopped.  It was the first such call from daycare but I am sure it will not be the last.
Jack had been throwing up all day, running a fever, and they said he was lethargic.  Now, note to self, lethargic to a nurse means something a lot different than to the lay person apparently. So i get to daycare as soon as I can. 
We get home, and when I turn my back he starts crawling to his toys.  Okay thats got to be a good sign I tell myself.  Then I start to wonder, am I underreacting?  Luckily, having good friends who are pediatric residents come in handy.  She comes by, and reassures me that Jack is ok just a cold, but to be on the safe side she says she could come by on Saturday.  I start to worry and then she asks whats for dinner. 
OK all is well that ends well.  I was terrified that Jack's cold would keep us from our upcoming trip to Texas to visit my grandparents.  That should be a trip literally and figuratively.

Mom Challenge

So I happened upon this challenge on pinterest.  I know I'm starting it a bit late but I think it will be very useful.

Week 2 of the Challenge is to slow down.

slow down mummy, there is no need to rush,

slow down mummy, what is all the fuss?

slow down mummy, make yourself a cup tea.

slow down mummy, come spend some time with me.

slow down mummy, let's pull boots on for a walk,

let's kick at piles of leaves, and smile and laugh and talk.

slow down mummy, you look ever so tired,

come sit and snuggle under the duvet, and rest with me a while.

slow down mummy, those dirty dishes can wait,

slow down mummy, let's have some fun - bake a cake!

slow down mummy, I know you work a lot,

but sometimes mummy, it's nice when you just stop.

sit with us a minute,

and listen to our day,

spend a cherished moment,

because our childhood won't stay!

~ R. Knight

(Source

This poem is listed on the challenge and I agree with the blogger that it is a very good reminder to slow down.  On another parenting blog I saw a figure that there are only 900 weeks of childhood.  I know it might sound like a lot but with today being Jack's 6 month birthday I am struck at how first time goes by.  

It is easy to get caught up in lists of things to do.  It can also become a source of resentment if you feel like your list is never done.  So this week I resolve to slow down.  Letting the laundry sit or waiting on the dishes, won't be the end of the world.  I'm gonna take time to cuddle with Jack, to play with my stepson and to take time to enjoy our little family.  For Jack is definitely growing way to fast.  It seems like just yesterday that the only time he would sleep was if I held him on my chest.  Now he only wants to cuddle when he wants.   I caught myself thinking earlier today that I wished he would want to be cuddled at an easier time.  Now I wish I could take that thought back, for it won't be to long before hes going to be running wild after his brother. 

How do you slow down though?  How do you slow down without feeling like you are letting your family done because the chore list isn't done?  That will be my struggle this week. 
Any ideas or suggestions?

Happy Half Birthday!

Wow!  Six months has flown by! Gone is my little baby and emerging is a growing little boy.  No longer are we immobile.  Now we scoot, roll, and babble up a storm.  I know that we are in for it once the babble turns to words. I have learned so much in the last six months and can't wait for all you have to teach me.  

National Neonatal Nurse Day

Today is National Neonatal Nurse Day.  I have worked with a lot of amazing neonatal nurses and nurse practitioners in the last almost 10 years.  One thing true of all of them is their fierce dedication to the tiniest of patients.
 As a NICU nurse and nurse practitioner, I was secretly scared my whole pregnancy that my baby would end up in NBICU.  I was scared to have a sick baby - in part because of all that I have seen working in the NBICU.  However, the one calming thought was that my baby would be in great hands if he was in the NBICU.
Throughout my pregnancy I had a couple of scares with preterm labor, gestational diabetes, multiple failed stress tests, early onset of contractions and cholestasis of pregnancy.  Jackson, being stubborn (like his father) decided after multiple scares that he did want to come early and my water broke at 35 weeks.  However, Jackson being Jackson changed his mind and I ended up with a c-section under general anesthesia.  The first 3 hours of his life is literally a blur as I took awhile to be lucid after the c-section.  My husband dutifully went between the recovery room and the NBICU and told me the story of his birth and admission multiple times (apparently).  I was blessed in that Jackson did remarkable, was never on oxygen, and started eating as soon as I came over from the recovery room.  We were discharged a little over 48 hours later from the NBICU.  I was so relieved as a parent to know that there were such amazing nurses watching over my little guy. 
Throughout my years in the NBICU there have been countless families that have touched my life and shaped my practice.  Now that I am a parent I am even more in awe of all the families go through during their stay in the NBICU and after almost 6 months pumping I have a whole new respect for our moms. I can honestly say that for all its moments good and bad every family has taught me something about compassion, nursing, and neonatology.  So today when we take time to say thank you to all the neonatal nurses I also want to say thank you to all the parents who let us take care of their precious babies and let us into their lives at such a difficult time.

 

 

 

Jackson Cooper Grassham in the NBICU on 3/17/2012

 

 

My little cool guy almost 6 months later!

 

Freezer/Slow Cooker Cooking

So my Pinterest addiction has had some very beneficial side effects.  One of them has been the addition of freezer/slow cooker meals.  I work 12-13 hours shifts which sometimes run closer to fifteen.  Having the ability to have food ready when my husband comes home from work has greatly decreased our eating out bill.  Well, until I fell off the prep ahead wagon.  So once again I am making my list to head to the grocery store to restock my freezer.
 I always wanted to make more home made meals but I wasn't sure when I was gonna find the time or the energy. Then there was pinterest and the pin on "Dump" Cooking.  This post would change our families summer. Freezer slow cooking is the ultimate in plan ahead.  I don't have to cook ahead and I don't have to do alot of hands on cooking.
For anyone that cooks I highly recommend looking into it.  Don't be scared by the recipes where you spend a whole day actually cooking and then freezing.  It can be as simple as plopping stuff in a gallon ziplock and then having 20+ meals ready to cook in less than 1 hr of work.  I am putting some of my pinterest board links to where I keep my favorite recipes I have found.


http://pinterest.com/nicucourtney/freezer-meals/


http://pinterest.com/nicucourtney/slow-cooker/

The End of an Era

As a first time mom I was nervous about breastfeeding.  My job as a neonatal nurse practitioner added a little bit more stress because I knew how important it was especially since Jack would be going to daycare.
Then Jack wouldn't nurse.
He had been born a little early at 35 weeks, so I was super paranoid about making sure he ate enough so I started to pump and give a bottle.  I still tried to nurse but it got harder and harder and then there was reflux.  Now as a neonatal nurse I have been puked on a fair number of times and I thought there was no way I could be surprised.  Note to self - NEVER EVER EVER say you can't be surprised. 
Jack would have such bad reflux that I could feel it come up and he literally would have projectile vomit that cleared a good 3 feet. 
I was shocked.  His vomiting was so impressives that my stepson said we should sell tickets to see Jack.  I was like what?  He went on to explain that we could feed Jack turn him towards the crowd and say wait for it, wait for it,  and then let Jack spray the crowd.  I didn't know whether to laugh or cry because my step son was right.
It wasn't the laundry I minded it was the screaming and the clear pain that he was in.  Then I would try to breastfeed him and you would think I was poking him with a hot poker.  With the reflux, we found that in addition to the medicine if we thickened with rice cereal he no longer resembled a human puke canyon.
So I pumped,  and I pumped, and I pumped.  While I stayedd home I pumped every 3 hours.  I had a decent amount of milk in the fridge.  Then I went to work.  In a job where lunch and bathroom breaks was not always guaranteed, I was determined to continue to pump.  So I became a multitasker.  I could pump, type my notes, and eat lunch.  Then the dreaded happen - I started getting less.  Jack was 4 months old and I wasn't ready to quit.  So I took the herbs, the teas, woke up to pump in the middle of the night.  My milk came back and I was ecstatic.
Then came Labor Day.  We were in Colorado visiting my brother.  I was pumping and not getting much and then my stepson accidentally knocked over the bottle spilling what little I had.  I was so upset I thought I was gonna have a breakdown. I remember looking at my husband and thinking I can't do this anymore.
I was devastated.  I felt like a failure.  Not inly had I not been able to nurse my child but I didn't make it to my goal of 6 months.  But you know what, after I accepted that I was not gonna be able to keep doing it I felt relieved.  Finally, I could relax and enjoy feeding the baby, playing with him and not obsessing about my milk.
My husband told me something that really made it better - he said you have worked so hard and you have done the best you can.  I am proud of you.  It seemed like I was off the hook.  Who knows, maybe next time it will be different - either better or worse.  But I am convinced that I gave it my all.
Bye Bye Pump. 

Mourning

The hardest part of my job, is finding the right words to say when I have to tell a family that we can do no more to save their precious baby.  After a particularly hard weekend, I have looked for some poems on line that share some sentiments I want to keep in mind. 


A million times I've missed you, a million times I've cried.
If love alone could have saved you, you never would have died.
To some you are forgotten, to others just part of the past;
but to me who loved and lost you, your love will always last.
It broke my heart to lose you, you didn't go alone,
for my life went with you -sweetheart- the day angels called you home.
For things on earth didn't matter, but now I feel so alone,
My heart will always be broken, my life will never be whole.
We might be parted for awhile, our hearts will always be together
for one day soon we will hold hands again forever.
~Unknown


I have not turned my back on you
So there is no need to cry.
I'm watching you from heaven
Just beyond the morning sky.

I've seen you almost fall apart
When you could barely stand.
I asked an angel to comfort you
And watched her take your hand.

She told me you are in more pain
Than I could ever be.
She wiped her eyes and swallowed hard
Then gave your hand to me.

Although you may not feel my touch
Or see me by your side.
I've whispered that I love you
While I wiped each tear you cried.

So please try not to ache for me
We'll meet again one day.
Beyond the dark and stormy sky
A rainbow lights the way.
~Authour Unknown


Gone Too Soon

This was a life that hardly begun
no time to find your place in the sun
no time to do all you could have done
but we loved you enough for a lifetime

No time to enjoy the world and its wealth
No time to take life down off the shelf
no time to sing the song of yourself
though you had enough love for a lifetime

Those who live long endure sadness and tears
but you'll never suffer the sorrowing years
no betrayel, no anger
no hatred, no fears
Just love, only love in your lifetime..
~Authour Unknown


They Say There is a Reason

They say there is a reason,
They say that time will heal,
But neither time nor reason,
Will change the way I feel,
For no-one knows the heartache,
That lies behind our smiles,
No-one knows how many times,
We have broken down and cried,
We want to tell you something,
So there won't be any doubt,
You're so wonderful to think of,
But so hard to be without.
~Author Unknown