Saturday, February 22, 2014

Day 24-29: Camp Nom Nom

So, how you been? We've been... well, MIA, I think sums it up best. I guess I left you guys hanging, huh? This is awkward after nearly a year. Frankly, I would have been fine to just let this blog fade, but I've had (several) requests to post so here we are.

Well, I'll just go ahead and start the posting up again, starting with some drafts I saved from way back when that captures the rest of Camp Nom Nom. Most of you readers probably know how we're doing now, but there's some details and pictures not seen before.

Last week of camp!

The last week of camp was surreal. After the Most Terrible Day, we cautiously went back to focusing on eating, with a slight limp. She didn't eat great during the last week, but her Pediasure drinks were still high so the calories were going up. However, she never gained more weight the last week. She better not have her Daddy's metabolism yet!

We didn't make much progress in the last 7 or so days of the program, eating-wise, but she did get much better in other areas. VitalStim sessions were much better, with the intensity increased and Olivia handled straight water without choking, just a cough or two. That's much improved from watery, red eyes! Also her occupational therapy was getting along well. She was able to roll around, tummy-down, on a yoga ball and grab stuff from the floor. When they first tried it, she didn't even want to be on the ball. She also is much better at touching food to her mouth, sometimes letting other people control it! All this sounds so elementary, but for kids with sensory issues and a weak core, these are good strides in the right direction.







Can't believe we're almost at the end of our journey. Today was a special day because the hospital had a parade for St. Patrick's Day. Since we are all cooped up in this hospital, we might as well make it fun! And the fun was quite funny! The child life specialists knew there were lots of kids who couldn't walk or needed to be pulled along, so they went a little green-happy. Gurneys were decorated to be floats (who says hospital equipment is boring!), streamers and shamrocks decorated wheelchairs, wagons were dressed up with all the bells and whistles.

 






The funniest part was definitely the parade itself. At a normal parade, children are in the crowd, eagerly awaiting candy and goodies thrown from floats, usually by adults. Well, at a place where none of the children have any desire for candy, the kids were in the parade, throwing candy out to the adults (who were all their therapists!) What other place in the world wants the kids to eat candy?

Anyways, the kids had fun and that's all that matters. At night after she sleeps, it was the only time I get to sit down and breathe. Since there was a nurse to watch her, I can also go out for a bit. My cousin and her fiance from Canada came into town for a wedding so we went out to the West End to get tacos. We also met up with my college friend, Ann, who took me to a great place, Oak Restaurant, during my first week here. Since the Canadians were looking for things to do in Dallas, AnnStar is the perfect answer. She knows a ton of places to check out, and one of the reasons we're friends, all the yummiest restaurants in town. I also got a chance to go out with relatives! My cousin Elise was in town for a training and came out to meet us up. And Shane's family came to Dallas to hang out with us! The thing is, I don't think it's really ever just been the three us of going out before and it happened. While in Dallas. We got nails done and went to eat at a delicious taco place (unfortunately, not a location in Houston). We mommies got our night out!


Our last day was both sad and thrilling. On one hand, we were ready to go home! Free from the hospital was all I could think about from Day 1. On the other hand, it's been an incredible experience, filled with amazing discoveries and new friends. Not to mention the fact that my darling baby is EATING! Who knew that in one month, she'd go from eating nothing by mouth to getting 80% of her daily required calories? She's intrigued by food and has learned ever so much, socially, physically and psychologically. On the other, we're leaving our friends, nurses and therapists who have come to really love Olivia.

For me, I was more than eager to get home. I was missing the comforts of home and starting to tire of the starkness and inconveniences of a hospital. I wanted my bed, a place to sit and chill without strangers passing by and a HOT SHOWER! However, what I have learned here is something I would never, ever have traded. I am my daughters' strongest advocate and I know that they deserve a healthy, happy childhood. In order to get that, I have to fight over other people's opposing voices, whether it's therapists, doctors, insurance companies, or even well-meaning friends and family.

One of the reasons I have stayed sane is because there are a lot of women here that are in my situation. There's a few moms that have really connected and we've made friends fast. We talk about our frustrations and our triumphs. I'm so glad for their presence and their fighting spirit. They inspire me to do better and help my flagging strength. And they are the only ones who truly understand what I go through and don't give weird looks when we carry around a backpack and tube attached to O.

Back to "real life" can be kind of scary. We no longer have therapists helping with feeding or doing OT everyday. We don't have doctors or nutritionists helping us count calories and adjusting in real time. I'm going to be responsible for keeping this protocol up and if it fails, it's on me, not my child. Well, I hope I can keep it up, but I think I'll need a lot of prayers for patience and tenacity to fight the urge for relapse. We're on the path of getting rid of the tube! Let's stay on it and never look back!

Tuesday, March 12, 2013

Day 23: Camp Nom Nom

Day 23 of 30

This is the absolute worst day that we've had at OCH, hands down. None of it was really our fault or even had to do with feeding directly, but it sure did make Olivia eat poorly. It all started overnight when the night nurse switched the rate and dose settings on her pump and she got virtually none of her feed. She woke up at 5:30 AM hungry and dehydrated. I felt terrible for the girl because she asked for water to drink but was so tired she wanted to drink lying down. It just resulted in her choking and kept her up until we had to go eat. By then, she wanted a nap, which of course she couldn't have, but she was starving so she ate a lot. She only got to take a one hour nap before she had to eat lunch. Both meals had a ton of meltdowns. She didn't nap before snack, so that went poorly, too. She finally got to sleep after snack.

She could have slept for 2 hours, but was rudely awakened by a janitor, who wanted to empty our trash and barged in. Olivia couldn't go back to sleep so we decided to take a bath. The communal bathroom is right next to our room, which is convenient for us. When we were done, I was holding her, wrapped in towels. I opened the door and stepped out, but not two steps later, I tripped over something and went flying! It was a cleaning cart that was parked right outside our door, blocking the bathroom. The janitor had left it there when she changed our trash. I couldn't see it because it was that close to the door and I had the kid in front of me. We both fell to the floor and I landed with her still in my arms, but felt her head knock the floor. I was so scared I'd caused permanent brain damage to my precious baby and could only sit there cradling her while she cried.

Nurses, techs came running and picked the two of us up. She was thoroughly checked out and there was no bumps, scratches or blood to be found on the kid. I was never so relieved in my life but was still shaking from what could have been. It was complete chaos as we calmed and dressed O, the janitor, who left the cart, returned to poke her nose in to see what happened and got kicked out. I finally registered that my foot was hurting from where I'd tripped. I was in no state to feed her so sent her off for our regular feeder to take care of her.

A ton of people stopped by to hear what happened and it was decided that the hospital was liable for the whole accident. After giving my statement several times and icing my foot, it finally calmed down. Thank goodness my cousin stopped by and we ordered sushi delivery, which is almost as good as wine.

After Olivia went to bed, I decided to go to the ER just to make sure I didn't break anything. 4 hours later, I could confirm that nothing was broken. It was a loooooong day, but I'm so glad that we aren't hurt, just a bit shaken up.

3/12
Food log:
Session 1: 81g
Session 2: 29g
Session 3: 30g
Session 4: 34g (threw it all up)

Drinks log:
Session 1: 30g
Session 2: 45g
Session 3: 33g
Session 4: 61g (threw it all up)

Monday, March 11, 2013

Day 22: Camp Nom Nom

Day 22 of 30

Hot Diggity Dog! We had a lot of fun visitors today. They all had tails, paws, slightly bad breaths, but loads of patience. Therapy dogs came in a large herd with their owners to our playroom. The kids were absolutely delighted/scared witless. Olivia was half scared, half intrigued by so many dogs. She was definitely excited and kept repeating "Wooh Wooh," which is the howl/bark that Cody makes. She went after the tails because Cody, being a boxer, has no tail, so she's unfamiliar with what keeps moving around. She did pet/slap them a few times but was scared and wanted to be held.

Playroom filled with dogs and patients
They also had cupcakes in an ice cream cone during Childlife. Kids were supposed to decorate with frosting and toppings. Guess who had no interest at all? Oh well, it's therapy for mommy! And this time, I got to actually taste what I created and it was not bad at all!
She's eating less and only drinking only ok. She's just not pulling much out of the honey bear bottle. We're thinking of new strategies. I feel like her therapists are always trying to outsmart her. And it's actually kind of hard. She learns so quickly and finds new ways to get out of eating and drinking.

Her weight on Friday showed a huge jump up - almost 21 lbs. Today she lost a little but it's still up, so they are cutting another one of her feeds in the day time. She's down to one feed during the day! I am just amazed at the difference. From 4 loooooong feeds during waking hours to one short half hour during the day. Perhaps I can actually do other things now besides watch her while she feeds. Like take them to the park without worrying about her always throwing up. I guess we do have to spend more time actually feeding her food, but it should be better after we come home (start praying now!).

3/11
Food Log:
Session 1: 47g
Session 2: 61g
Session 3: 60g
Session 4: 33g

Liquids Log:
Session 1: 21g
Session 2: 26g
Session 3: 24g
Session 4: 10g

Saturday, March 9, 2013

Day 21: Camp Nom Nom

Day 21 of 30

I got to feed Olivia three more times today before we drove back. Given that it was Daylight Saving Time, I was running on fumes. It was so hard to muster up the energy to give the encouraging praise after each bite. I'm already a bit subdued in expressing my emotions, so you could imagine that today Olivia probably thought I was a robot. The feeding cues were supposed to be monotone while the praises are energetic and animated. But mine were starting to blend together. And not only that, Olivia's biological clock was thrown off too since now she was eating and napping one hour earlier. So lets just blame the poor numbers below on that and not the feeder.……

We got to go out and grab lunch at Cane Rosso, a fantastic pizza place in Deep Ellum, and Sandra got to spend some quality time with her Sophie since she stayed with her grandparents all weekend.



On the way back, Sophie fell asleep at the point when we were close to Buc-ee's so we decided to skip the stop and push on. Big mistake. Shortly thereafter she woke up and somehow realized that she had been sitting in the carseat for 3 hours! She was not a happy camper. Luckily we ran into this rest area and found her a good alternative.

 

3/10
Food Log:
Session 1: 40g
Session 2: 51g
Session 3: 39g
Session 4: 58g

Liquids Log:
Session 1: 29g
Session 2: 35g
Session 3: 12g
Session 4: 23g

Calorie Count: 428

Day 20: Camp Nom Nom

Day 20 of 30

Another weekend filled with visitors for Olivia, with grandparents coming in from Houston and auntie Elaine and her boyfriend Chris coming from Austin. On the way up to Dallas, we made our usual stop at Buc-ee's. Since there were two grandparents this time, Sophie decided to take full advantage. I went to order some dinner for the road as the grandparents were watching her and when I came back, they were in the toys section following Sophie around who was holding on to two toys! When I approached her she wouldn't let go to either toys and tried to run out the door! I blocked her way and then she just got into "toddler squat" position and hugged the toys tightly. This didn't work on me, but the grandparents could not help themselves and gave in.


Today after observing Sandra feed three sessions, it was time for me to get my feet wet. I was actually practicing the same technique on Sophie in the car on the way up, and it worked! So how hard could it be? But once we started, I had to juggle between what Sandra had mentioned before - from the toys and tv, to three different foods and a drink, to adjusting the portion in response to how Olivia handles each bite, to controlling my tones, cues and praise. The therapists really do make it look easy. Olivia ate through the session, despite the rookie feeder and took nearly her best amount to date!

Hanging out with Daddy
Quality bonding time
 We decided to change things up a bit this weekend. Sophie stayed at the Ronald McDonald House with grandparents and Elaine and Chris, while Sandra stayed at OCH with Olivia and me. So as soon as the kids went to sleep, we were able to have a rare impromptu date to Pinkberry and In-n-Out Burger followed by a night in with Wreck It Ralph. Being separated for a few weeks really made us realize how much we took for granted the times we are together.

3/9
Food Log:
Session 1: 48g
Session 2: 66g
Session 3: 63g
Session 4: 75g

Liquids Log:
Session 1: 19g
Session 2: 21g
Session 3: 25g
Session 4: 29g

Calorie Count: 446

Friday, March 8, 2013

Day 19: Camp Nom Nom

Day 19 of 30

Bingo! Childlife activity of the day was fun for parents and kids. Except mine. She wanted to cheat and mark all the squares so I wouldn't let her. Of course she threw a fit and then left to wander around and put bits of stuff from the floor in her mouth. Every kid won, so of course we had bingo. But the prizes! Oh, boy, were those fun. They had new costumes for each kid to take home. I found just one that fit her ok. All we need are some wings and a wand and she's ready to go trick-or-treating!

She's definitely on the mend and is eating pretty well. The one thing that her feeding team is concerned about is her drinking. Olivia's really tricking us to think she's taking a lot in, but in the end, it's really not much. We've moved her from taking 3 sips to 4 sips every time before her video is played. It's not working great and there isn't enough motivation to keep her going for 4 sips. At least she's still eating!

In OT, they are working on getting her to play with food and put it in her own mouth. She touches the food and makes a mess (which she already does at home), but getting her to taste it has been hard. Maybe it's too much playtime and she doesn't take it seriously. I'll have to start monitoring these a little closer.

Family is coming in today! Can't wait!



3/8
Food Log:
Session 1: 41g
Session 2: 45g
Session 3: 66g
Session 4: 63g

Liquids Log:
Session 1: 30g
Session 2: 24g
Session 3: 39g
Session 4: 15g

Calorie Count: 429

Thursday, March 7, 2013

Day 18: Camp Nom Nom

Day 18 of 30


A surprise came for us today! We got the cheeriest flowers delivered to our room! Thanks, Tony and Becky! It's so nice to know that people so far away still manage to be part of our time here. The sterile hospital room is slowly filling with homey touches.

Another fun day of eating and playing at boot camp for Olivia. She ate even more than before and she's feeling better. She threw up less today than yesterday during feeds, so we know that she's retaining her calories. The nutritionist even cut back another feed! That means she only has tube feeds 2 times a day and one big one at night while she sleeps. This is the whole point of coming here, so the progress is phenomenal for us. We're moving from one item to eat per feeding to three. She seems to love the variety, and come on, who doesn't love a good buffet? I know Sophie does!

She slept well again after we gave her tylenol. I'm not one to medicate my child, but if it really does help them get them through the night and doesn't throw up, it just might be worth it. I'll have to keep this trick in my back pocket.

While we've been here, we've met a lot of families who are also in the feeding program. Most of them have G-tubes, like Olivia, but there are varying degrees of eating aversions. No kid has eating aversion just because. It's always a side effect of something else, and those something elses vary wildly. Some kids, like O, had severe reflux, but many of them have tracheotomies at some point, along with heart abnormalities, severe allergies or lung issues. Breathing treatments are very standard here. But if they are here, they've gotten over a lot of their other, more life-crippling issues, and are ready to work on eating by mouth. Other kids have had surgeries that turned them off of food, such as brain surgeries for tumors and strokes, have Downs syndrome, or have had just freak accidents that paralyzed them or caused gastrointestinal issues.

But there's one kid here that was special from the get-go. She's around the twins' age, but I noticed had no parent or visitor here with her. Nurses and nursing techs take care of her. She has an NG tube and can't walk, so has to sit in a wheelchair. She's as sweet as can be but never seemed to be as developed, mentally, as the twins. Recently, a nice couple started visiting her and I thought they might be related to her. As I got to talking to them, I found that they are her grandparents and she's here because she was shaken as a baby and it caused her so much brain damage that she's more like a 3-5 month-old instead of a 1.5 year old. It's a wonder she lived through it, so they call her a miracle baby. Before the incident, she was walking, laughing and almost potty trained. I am so filled with anger at whoever could do such a thing to such a beautiful baby girl. My heart was already aching for her when I saw she had no parents, but I felt ripped when I heard of what landed her here. Please pray for her, if you are praying for Olivia, too. God would never abandon someone like her, but could only be cradling her in His arms. He blesses the weak, but this is one of the times I had to remind myself He's also God of justice and hates evil. I go to bed with a heavy heart and hug my baby just a bit tighter.

Food Log:
3/7
Session 1: 68g
Session 2: 65g
Session 3: 73g
Session 4: 76g

Liquids Log:
3/7
Session 1: 30g
Session 2: 31g
Session 3: 25g
Session 4: 30g

Calorie Count: 464