Climbing to New Heights

As a mom of young kids, escaping to use the bathroom is a calculating endeavor.  I must be sure that nothing can happen while I turn my back for a few moments.  I also guzzle a lot of water.  It’s my daily favourite; a must-have.  And, well, what goes in must also come out, right? 

Last week, I glanced around the living room.  The kids were watching something on tv.  I figured it would be a great time to slip into the bathroom, unnoticed.  (This was after watching eagerly for an opportune moment to get away.)

As soon as the door closed, I heard the familiar grating sound of kitchen chair being dragged across the floor.  Perhaps an older girl wanted to climb over the baby gate to get to up to her room.  As I washed my hands, I then heard the kitchen faucet being turned on and off, repeatedly.  Full blast!  Uh oh!  I thought.  What is Jamayia (my 6 year old) washing now?!

I rushed out of the bathroom, hearing the dollars wash down the drain each time the faucet turned on.  I rounded the corner and froze.  It was Rishayla!  My 22 month-old darling.  Except she wasn’t just playing in dirty dishwater this time. 

She was standing in. the. sink!!!!  I flew through a range of emotions within nanoseconds.  Shock.  Panic.  Annoyance at the extra laundry.  Worry (there was a *small* knife at the edge of the sink; a grater; other things that are unsafe for that age!!!). 

Yet, I quickly snapped out of my stunned pose and snapped her picture.

Would you believe she was completely dry?! 

Now to find other ways to harness my young acrobat. 

…Or get a catheter.

She’s in the sink!  She’s got skills, this one.

Rishayla’s Minor Hospital Drama

Rishayla also made a visit to the NICU, but a very brief one.  Her stay lasted approximately five hours.  Much better than the 2 weeks her older sister had lived there for.  Why?
She was a bit sleepy from the Fentanyl I’d been given.  This was to be expected; not a huge deal.  However, she was also sounding very, very mucousy and congested-like.  Even though she got the routine, post-birth aspirator suction, her little body was still full of mucous.  So, off to the NICU she went, only for observation. 
My thoughts on being back in the NICU?  Because Rishayla was only there for observation, that was fine.  Despite Jhyelle’s unfortunate health issues at birth, the overall NICU experience was still good.  Very attentive staff and they cared for the babies.  Parents have 24 hour access to the NICU, either in person or by telephone—and they encourage this.  The observation room was separate from the other babies.  She was suctioned a number of times.  They would stick a tube in her nose and suction with a machine.  Then someone got smart, and realized that they could still get a decently powerful suction from holding the machine just under her nose, as opposed to inside her nose, which was now causing some minor bleeding.  She also received an IV port during her stay, for a couple preventative medication doses.
The dry hospital air did nothing to help with her mucous state.  Whenever Rishayla gets really fussy, her breathing sounds a bit congested.  Thankfully, her lungs are all clear though, so no major worries.  They say that she should clear out on her own over time.  I can use the aspirator at home, as well as some saline drops to help soften things up. 
The medication drama.  When babies are born, they’re really small and, for the most part, sleepy and easy going.  It’s the adults in the outer world that add to the drama.  She was given prescribed two medications because I’d tested positive for Group B Strep.  One of the medications (I found out later) carries a risk of deafness if it stays in the body too long.  This same medication is also a diuretic.  But would Rishayla pee??  Barely.  And the nurses were on her case about that.  When you consider that she’s barely eating for the first little bit post-birth (their tummies are super tiny!), it’s no wonder that poop & pee are hard to come by for some babies.  She’d have some dirty diapers, but very little wet mixed in, or none at all during some checks.  And so the staff was starting to get worried.  There was talk of supplementing her with formula to help increase her urination.  I was so not good with that idea.  Then there was talk of giving her an iv fluid drip.  Turns out, they don’t do that on the ward (no one has the training) only the in the NICU.  However, the NICU was all full and so that next thing would be to airlift her to another hospital out of province.  ALL THIS FOR SOME PEE??  Finally it was decided to give her a bit of sugar water, after I nursed her.  This way we weren’t messing with the growing nursing relationship.  For the record, the sugar water didn’t help much either.  When Rishayla’s doctor stopped in the following day, she chewed out the staff for their unreasonable measures.  The Doctor thought it was unreasonable to expect a newborn to have 2 medium sized pees within 8 hours.  So, after some words, she cancelled the next dose of that medication.  She wasn’t too worried about Rishayla as it was.  Of course when we got home, she had no issues peeing whatsoever.  Change of environment does a baby good.
IV port drama.  Rishayla had a port for her medications, so that they wouldn’t have to stick her with separate needles for each dose.  Apparently finding a good vein was an issue.  When I got her back, they’d tried twice on one arm, once on the other and once on a foot.  The finally inserted it into her other foot.  Then at one point on Saturday, the line became interstitial (thanks for the new word, Dai!), meaning it because useless.  She ended up getting a dose of a medication in both thighs simultaneously before they sent her back to the NICU for them to insert a new port. 
I’m glad that I was feeling well enough to handle all this drama.  Physically, this was the best I’d ever felt post-partum, of the three girls.  I was glad that none of this hindered us from going home on time.  I’m also very glad for a magnificent pediatrician who stands up for the patient.  That makes all the difference in the world.

The One Where Daddy Droops

Yes, he really did faint.  Not the sudden “thud” kind, but more of the gentle drooping type of fainting.  Third time in the delivery room and he faints.  But wait—it’s not what you think.  It wasn’t the scents or sight of blood or fluids or even nerves that had him fainting.  That would’ve been too easy.    
It was lack of food.  Yes, the big guy needs more than a few onion rings to fill him up.  Here are the details.
So, in birth story part 1, you remember that he played chauffeur the morning of January 20.  He, however, neglected to eat breakfast.  Then after dropping the girls & I home, he went straight to work, not stopping to eat and bypassed all food places as he went.  He was very busy at work, and quickly stopped for some onion rings.  He worked a bit longer than usual, then went grocery shopping after work.  When he came home, it was straight to the girls’ bedtime routines and tucking them in.  Please note that he still has not yet eaten… 
My water broke at 9 pm, so he quickly changed and we went to the hospital.  I did pack Jono a bag full of granola bars, chips and water.  The major food groups were covered—salty & sweet.  Again, we bypassed all sorts of eating places, though I did keep telling him that he could and should get something to eat.  There was a coffee shop still open when we arrived at the hospital at 9:40 pm—I encouraged him again to get something.  And again, he declined, wanting to see me settled first. 
By the time I got a room (I was in triage first) and “settled” in, it was after midnight.  And FINALLY he went and got something to eat.  He was a bit worried to leave me because he didn’t want to miss the baby’s birth.  (Jhyelle was born soon after I’d arrived at the hospital.)  I couldn’t blame him.  How do you explain that??  Sorry, honey, Daddy was there but was too hungry to hang around while you were being born??  He came back as quickly as he could, relieved to not have missed any action. 
Just before the pushing started, I noticed he was wearing a fleece sweater over his shirt.  I asked him if he wanted to take off his sweater, to be more comfortable.  No, he’s fine, he says.  I ask if he’s sure.  Yes, he says.  (This is key!)
Baby comes out and out of the corner of my eye, I see him bending towards me.  I thought he was going to kiss my forehead.  Then I hear the Doctor call out “Oh, Dad’s down!”
Ummm, WHAT?!?!?! 
I was immediately worried.  He’s never passed out!  Ever!!  I knew it wasn’t the delivery room or anything.  Now I’m worrying that he’s suddenly sick.  And remember from part 2 of the birth story, how there were a number of people in the room?  Well, why did the Doctor have to order somebody to help Jono?  Seriously!  “Somebody! Help! Dad!!” were her exact words.  Like hello, ladies, I certainly was in no position to do anything.  And the Doctor was a wee bit busy tending to me.  The resident was closest to him and just stared as though this was her first night in the delivery room.  My nurse had to come from the other side of the room to help him out.  Their next panic was for his head.  They thought he had hit it because of their viewpoint when he fell.  So, they’re also examining him for blood and bruising.  (He did not hit his head.)  They managed to get him sitting up before he awoke.
Then I hear Jono ask “what’s going on?”  They tell him he passed out, and began bombarding him about his head injury.  He kept saying he was fine, and they sort of helped him up from the floor and into a chair.  (He’s like 6’3 and they were all about 5’5; not too much help from them either here).  Then there was talk of his going to the ER because they all swore he’d hit his head, despite his assurance that his head was unscathed in this adventure.
After my Doctor got me all stitched up and the baby was tended to and the extra players left the scene, my Doctor came back in with some apple juice.  All those people, and the second busiest person in the room was the only one to do something productive. 
My version is definitely much more descriptive and accurate.  Jono’s version is this:
He was getting hot, and started to lean forward a bit as he was taking off his sweater.  Next thing he knows, he’s sitting on the floor, with a few strangers standing over top asking him if he’s alright.
This dramatic event still makes us laugh.  Our family nearly fell over from laughing so hard.  I’m glad he’s okay. Needless to say that I’m always making sure that he’s been eating and drinking water regularly.

Birth Story–Part 2

(you can read about the first part here)
At the brief registration process (my Dr had pre-registered me, so I only had to answer some basic stuff), I asked about private room availability.  Apparently, part of the third floor was under construction, so the rooms on the LDRP unit were cut in half to share with another ward.  That’s not what I wanted to hear then and just kept praying for a private room.  
They finally stick me in a triage bed, and start all the pre-delivery stuff.  A nurse gets me attached to monitors for the baby & contractions.  The doctor comes in, all business-like, introduces herself and asks if my water broke.  Yes, I say.  So you felt a big gush, she asks.  Yes. 
(I will interject here that there was another patient in triage moaning and screaming with pain, acting like she was in labour.  But when they checked her, she was not having any contractions, nor was she in labour.  They didn’t know what her issue was, but it wasn’t labour.  Funny enough, her screams stopped too).
The Doctor checks me.  I’m now 4 cm dilated.  And, with that check came a contraction, followed by the rest of my water.  (It can come out in segments, not the big tv/movie gush).  She asks about pain management—epidural, I say.  In the meantime, I’m also hearing chatter in the general area between staff, about how there are only 2 beds left on LDRP.  One for another patient and the last one for….
Me.  Thank you, God!!!
A nurse comes in and gets my IV started.  I’m still asking Jono if he wanted to get something to eat, before Tim’s closed at 11 pm.  He wanted to wait and see me into a room.  This nurse also asked about pain management, again, I emphasize epidural.  Anyone who asks knew up front I wanted the epidural—I even heard the staff chattering about it too.  Contractions were getting worse and more frequent.  Finally, it was time to move.  I had to walk it over.  It’s not a far distance, but far enough when you have to pause in between for a contraction.  As soon as I meet my nurse a few minutes later, I ask about the epidural.  She claimed she needed to check something first and then made the call to the anesthesiologist.
Her tone on the call didn’t sound right.  When she hung up, she told me of a waiting list.
Um, what?!
Clearly the third floor needs more than one anesthesiologist assigned at a time.  There was a c-section and then another labour patient ahead of me.  So, at least 1.5 hours of waiting.  I ask about my other options and whether I could still receive an epidural while on another painkiller.  Fentanyl was offered, which would make me sleepy/drowsy, and yes, I could still get the epidural.  My nurse also explained that it’s not that strong.  Some ladies need a dose every 30 minutes, others it has no effect and other need only one dose.    
They started the Fentanyl around midnight, Jan 21.  It was bliss—while it lasted.  It was like clockwork.  I’d get a dose, feel very sleepy and kinda hover in and out of sleep.  But around 25 minutes afterwards, it’d wear off, and I’d beg for another shot.  During this time, Jono finally went for something to eat.  By this point, he was just worried about missing out on the birth.  He had a feeling my labour would be quick.  He made it back as I was on my third dose, I think.  I asked for another—they turned me down.  Huh?!  I’d had three doses by then, and they were worried about overdoing it.  They didn’t want to give me too much because they didn’t want the baby to be too sleepy either.  And then the anesthesiologist appeared. 
Thank God!!! 
It was now 1:30 am; pretty much the hour and a half that my nurse had originally guestimated for his timing.  He started off by asking a few questions.  I almost asked him to drug me first, then ask questions later.  I’d had an epidural for my first labour—surely not that much has changed in 4.5 years, right?  So, he’s finished his little interrogation and goes to prep his kit.  (I think that these drug doctors should always be prepared, really).  The nurse says to sit up and turn to face the window.  Jono’s pulling me up to sitting position and…
I’m extremely uncomfortable.  There’s a tremendous amount of pressure down below and I felt like I was living in one big everlasting contraction.  This was not a good sign.  And my other issue—the need to push.  I mention my feelings to Jono, who then tells the nurse.  She decides to check me…
Aren’t I now 10 cm dilated!!!  And the head was right there, hence all the pressure.  The only thing I could say was “damn!”, as I hear the nurse tell the drug man that he was no longer needed.
The necessary labour observers are called in.  A couple extra nurses, a resident (I don’t know why she was even there–she did nothing).  They’re trying to get the room set up.  My nurse is watching me with the order to not push.  Sorry lady, my uterus was doing its own thang by then!  Let’s try pushing, she says.  Sure.  Two good pushes and now the nurse is practically screaming for help.  The Doctor then walks in, and all I hear is “I’ll deliver”.  I think she had enough time to pull on some gloves.  The next best words—“it’s a girl!”. 
Rishayla Jasai arrived at 1:47 am.  And she cried right away—yay!
She was a wee bit sleepier than they wanted though and very congested sounding, so they took her to the Neo-natal Intensive Care Unit for a little bit, for observation and intense suctioning.  But she was fine. 
As we’re awaiting the placenta, Jono decided that this was now the best time to pass out—thud!  (separate post to follow)   I’d also torn a bit, and the doctor claimed I’d need stitched.  I wasn’t looking forward to the painkiller injections (those sting without the epidural) nor the stitching, which I wouldn’t feel anyways.  Then, she informs me that because it’s only two stitches, they would do it without painkiller.  No need for an extra 6-8 needle pokes for 4 stitch pokes was her reasoning.  Could I not catch a pain break at all?!?!   Maybe if you were stitching a limb, I’d understand.  But these stitches were going probably the most delicate of all areas of my anatomy and I must feel every stitch??  Oy!  I also ended up with 3 stitches, after all was said and done.
Anyways, I survived the labour and lived to tell about it.  I was disappointed to miss out on the highly effective painkillers, especially when I’d arrived at the hospital with enough time to receive them.  Some women are anti-drugs during labour, and that their choice.  Me, I prefer the least pain possible.  Pain generally makes me very tired and weary.  I knew that the best way for me to have some form of energy would mean eliminating or at least dulling the pain. 
I’m very happy to have a third little girl and am relieved that she was only in the observatory side of the NICU, as opposed to a proper bed with all the invasive monitoring.
Next up, my hospital observations and how Rishayla was doing.

Birth Story–Part 1

Who ever would’ve thought I’d be retelling the birth of my third child?  A third daughter, no less…

Jonathon took the morning of January 20 off work in order to drive me around.  I thought he would’ve just stayed home with the girls while I went to my appointments.  But, he decided that I was in no physical condition to drive.

I first saw my OB.  She informed me that I was two centimeters dilated so far.  The contractions I’d been having since about 11:30 pm the night before were clearly doing something.  For formality’s sake, I had to make an appointment for the following week, but I think we were both sure I wouldn’t be making that one.

After the OB, I had an appointment to get my WinRho injection because it was my due date and baby hadn’t yet arrived.  If I would give birth in the next few days following this shot, I wouldn’t require any extra treatment for this in hospital, post partum.  If the baby took longer to arrive, then I’d need another dose of this treatment.  Following this appointment, we went home.

My contractions were still sporadic and slightly uncomfortable, but no real pattern to them yet.  At about 2 pm, my mom called me from work, asking if anything was happening.  I told her about my random contractions and she planned to leave work shortly.  The plan was for her to come and stay with Jamayia & Jhyelle while I was in the hospital and stay a few days to help me out once I got home.  She also knew that because I had tested positive for Group B Strep, I would need to head to the hospital fairly early in my labour to receive treatment.  I told her not to rush and that Jonathon had driven to work that day and was just a phone call away.

Since I had an idea of when my mom was coming, I sprung into action.  Nice time for the nesting instinct to kick in.  I stripped the sheets off my bed and Jamayia’s bed, and remade both of them.  I washed those sheets too.  Then I grabbed and changed all the towels and washed those after the sheets.  I did some other minor cleaning too.  Even though my Mom was coming to help me, I didn’t want to just dump everything on her.  Plus, I realized that moving around seemed to stop the contractions, or at least make them less painful.

At 9 pm, just after tucking the girls into bed, I was standing on the stairs, talking to Mom & Jonathon when I felt a small gush of water.  I looked down and was very, very glad to see that there was no leakage on the carpet.  I went to my bathroom and changed my clothes.  I finished gathering the last minute items in my hospital bag, and also packed some snacks for Jonathon.  Turns out that he hadn’t eaten all day long.  He’d skipped breakfast, grabbed some onion rings quickly in the afternoon and hadn’t really had the chance for anything else all day.  On the way to the hospital, I kept asking if he didn’t want to stop in at a drive thru somewhere, but he kept refusing.  Even when we arrived at the hospital, Tim Horton’s was still open, but he wanted to see me settled in first.

I got to the hospital at 9:45 pm.  Contractions were more regular, about 15 minutes apart.  It was nice to go through the brief registration procedure without constant pain.  It was also great arriving there late at night.  It was nice and quiet and not a lot of people around.  My main goals were to get a private hospital room and also an epidural.

I’d had an epidural for Jamayia’s birth and missed it with Jhyelle.  I figured I had arrived early enough to not miss it again this time…

(Part 2 to come soon)