Thursday, May 21, 2015

2nd Cord Blood Transfusion!

Our 2nd cord blood transfusion is complete!  Emily was calm as can be during the whole thing (except for the IV part of course).  It only took one try to get the IV started this time, instead of the four tries last time. (I think I'm still traumatized from that experience.) The transfusion itself only lasted about 15 minutes, but we were in the Day Hospital for 7 hours for wait time and to get IV fluids for a couple hours after the procedure.  We had an awesome musical therapist who came in to sing and play his guitar to create a soothing environment for Emily.  He played a beautiful song during the transfusion - I don't know what it's called but the words were "Beautiful Girl."  It was perfect for our girl.  :)

D. Kurtzburg said we have enough stem cells left for one more transfusion and a little more left over.  We can decide either to use it all for the 3rd transfusion or to save it for any treatment they might find in the future that doesn't exist yet.  We are leaning towards saving it, at Dr. Kurtzburg's recommendation, but will decide for sure when we do the next transfusion since the amount of cells they infuse depends on her body weight.

Our 3rd and final transfusion is scheduled for July 21st, when Emily will be 17 weeks old.


Monday, May 18, 2015

Appointments

Emily had a neurosurgery check-up on May 13th and everything looks good with her shunt! She has a rapid MRI scheduled in 4 weeks to see how her brain is responding to the fluid being drained out.  On May 14th, she had an audiology appointment since she failed the newborn screening in her left ear twice while in the hospital.  She passed both ears this time!! We were so happy to get that news.  After audiology, we saw neonatology and physical therapy and they are very happy with her progress.  They want her to gain at least 20 grams per day and she has been gaining 43 grams per day.  She certainly showed them she doesn't need help eating!  Our last appointment for the day was a hip ultrasound.  The doctors don't think she has an issue but it is just a precaution since she was in the breech position for so long.  We are still waiting for the results for that.  Right now, we are focusing on strengthening her muscles, especially her neck muscles because she will obviously need more time and work to learn to hold her head up and then move on to other motor skills.  We are so proud of her already. 

6 weeks!

Happy 6 weeks Emily Quinn!!

"I'm 6 weeks already?!"

Birthday kisses from Daddy

We celebrated by reading "10 Little Rubber Ducks"


Our first trip to the ER....

So Miss Emily had a fever and had been spitting up more than usual with some fussiness, and since she has the shunt we decided to take her into the ER just in case she had a shunt infection or malfunction.  Well after 8 hours waiting, a head ultrasound and a shunt series, we found out her shunt was just fine! Her ventricles were also a little smaller than her first head ultrasound, too!  The doctors just think she had a virus that needed to run its course.

Emily's First Bath!





 Emily really enjoyed her first bath! She was calm the entire time, even when Daddy held her under the faucet to rinse her off.

Monday, April 27, 2015

Pictures!

Chubby toes!


1st cord blood transfusion!

In her "big girl bed" in the special care nursery

1st cord blood transfusion!

1st cord blood transfusion!

Dr. Kurtzburg and Dr. Thacker after her 1st cord blood transfusion

Only a few hours old, right before surgery


She is amazing

I was able to give her a kiss before surgery!

Recovering from VP shunt surgery

She loves her daddy!


The day before Emily was born


Recovering from VP shunt surgery

Emily's Birth and First 5 Weeks!



Wow. What an amazing 5 weeks it has been!  Emily Quinn Griffin was born on March 24th, 2015 at 8:46am, weighing 8 lbs, 10 oz, 19.5 inches long, at exactly 37 weeks.  Her head circumference was 47 cm – very big for a newborn.  The C-section went well overall. It was a strange feeling but I actually enjoyed the whole experience, as weird as that sounds.  It was a little difficult to get Emily out because the umbilical cord was wrapped around her neck twice.  Due to that, she didn’t cry right away but as soon as they got the cord off and hyper-extended her neck, she was crying and breathing on her own! I didn’t get to see or hear her but Daddy got to follow her. Emily and Daddy got some good one-on-one bonding time.  They were able to collect enough cord blood to do 3, maybe 4 transfusions! 

She was stable and doing so well that they decided to do the VP shunt surgery sooner than planned – 7 hours after she was born!  She had an ECHO because they wanted to check on the fluid around her heart.  There was only a trivial amount and everything looked good so they cleared her from cardiology.   I didn’t think I would be able to meet my baby girl before her surgery but the amazing surgery team bent some rules and wheeled her up to my recovery room so I could meet her because in their words: “We can’t send a baby into surgery without meeting her mama first!”  It was only a couple minutes and went by so quickly, leaving the whole experience feeling like a dream.  The surgery was a success and Emily recovered really well from it.  She was off the breathing tube sooner than expected, already showing everyone that she is a rockstar! 

A couple days after her surgery, I was able to hold her, do kangaroo care and breastfeed her.  It was simply amazing. After about 4 days, Emily had jaundice and had to be under the bili lights, but that was expected being born early.  Her optic nerves looked good and she responded to light.  She will still have an in-depth neuro-opthamology appointment in June.  She passed her hearing test in her right ear but failed in her left ear twice.  We are getting that rechecked in May.  If that is her only issue, I’m one happy mama!  Other than that, she was just working on feeding, growing and recovering from surgery.  After only 4 days, she was discharged from the NICU to the general care nursery where we were able to room in with her and take care of her with the nurses’ help.   

When Emily was 1 week old, she had her first cord blood transfusion!!  We were so excited!  Dr. Kurtzburg and Dr. Thacker, who are performing the study, are awesome.  We are so hopeful that the stem cells can help repair any damage to her brain and give Emily the best chance possible.  It’s almost magical what they can do.  We asked how old the youngest patient to receive a cord blood transfusion is and it is 1 week so Emily fits in that record!  The procedure was easy and only lasted about 15 minutes.  She had to have Benadryl as a precaution that she could have an allergic reaction to the preservative that cord blood is treated with so she slept the whole time.  The only downfall was that it took 4 tries to get her IV in because her tiny veins kept blowing.  I was tough for her while it was happening but I cried after the nurse finally got it in.  I feel so lucky that we were able to do this for her.  How simple a procedure for something so big! 

Emily had to have an NG tube placed because she got too tired to finish all of her feeds.  So we settled into a routine of trying breastfeeding or bottle feeding with breastmilk and finishing the rest through the tube.  Soon, we didn’t even need the nurses anymore because we learned how to run the feeding pump, do her head circumference, weight and keep track of the amount she took by mouth. We were focused on getting home but the neonatology team wanted Emily to return back to her birth weight first.  We thought that was ridiculous because she had lost so much fluid from her head so it didn’t make sense to expect her to have weight “gain” like a typical newborn.  We explained this to them and all her other doctors every morning during rounds.  The pediatric team, lactation consultant and all the nurses agreed with us and thought we were ready to go home.  They also wanted us to add formula to her breastmilk to add calories, which I was against because I’ve done research about other babies that started formula and started spitting up more, defeating the whole purpose of adding it in the first place.  Every day they recommended it and I told them I wanted to give it more time.  It was frustrating.  Finally they agreed to let us go as long as we both placed an NG tube in Emily twice, had training with the pump we were going to take home (even though we already knew how to run it) and promised to communicate her weight gain with them regularly.  We both felt like she would do better with eating once we were home because she could actually rest in between without nurses bothering her every few hours to get vitals.  That was another frustrating part – every time we got Emily all settled down and asleep, they would come in for vitals.  It got to the point that we had to shoo them away and tell them to come back later.  Despite this though, the entire team that took care of Emily was amazing and I am so thankful for all of them.  We had many doctors and nurses that we loved and who loved Emily!   

Finally, after 2 weeks and 2 days, we were discharged on April 9th!  When Emily reached her due date on April 14th, she took off with eating.  We needed the NG tube less and less.  She pulled out the tube one day and we haven’t looked back since!  Now she is an amazing eater and we still can’t get over how often and how much she eats!  Soon she might be our little chubster!   Every day with Emily has been a blessing and we fall more and more in love with her.  She has quite the personality and doesn’t hesitate to express her opinion!  She can obviously see and hear things, she tracks our faces, and is very alert and responsive, which is quite a relief.  I’ve spent too much time while I was pregnant hoping and praying that she would have a good quality of life and be able to see and hear the beauty in this world.  It’s something I’ll never take for granted again, even though I wish I could have the luxury of being naïve about it.  I know every milestone and small moment will be momentous for us.  I am so proud of how strong Emily is already.  She is a fighter.  

We had a checkup almost 2 weeks ago with Emily’s neurosurgeon because she had some swelling along her shunt tract near her incision.  He said everything looks good and the shunt is doing its job perfectly!  We also had a checkup with neonatology, who were happy about her weight gain and everything else.  She weighed 8 lbs, 5 oz, which is less than her birth weight, so we were surprised they weren’t concerned, as much grief they gave us in the hospital.  But we weren’t about to question them!  She’s been gaining ever since and currently weighs 9 lbs, 4 oz, as of today at almost 5 weeks.  Unfortunately Emily currently has a fever, has been spitting up more than usual and is fussier so we took her to the ER yesterday since she is in the window of high likelihood of shunt infection.  They did an ultrasound of her head to make sure the ventricles weren’t bigger and did a shunt series, which are X-rays of the shunt.  Everything looked good, thank goodness!  Her ventricles have decreased some, too!  They think she has a virus that just needs to run its course.  

Not knowing what the future holds is still hard, but we are enjoying each moment and feel blessed to be parents to our strong, amazing hydro baby!