09.30.08
Third Trimester!!! and an Ultrasound Update
We have officially made it to our third trimester, 28 weeks. I am so excited, and blessed!!! We really weren’t sure if we would get this far a few weeks ago. I also had an ultrasound this morning, and again shocked the doctors and nurses – my cervix has gone back up to a 16! Alot better than that 6 we had 5 weeks ago. There is still no dilation, and Max’s head is putting quite a bit of pressure on it – and it is still just getting better. Proof positive that prayer works.
I got more pics today, I’ve just got to find someone that can scan them in (hint, hint, mom) since I am not accessible to a scanner and sweet hubby has already broken the computer at home – what in the world would he do without me!!!
09.26.08
Better Together
At least for most of the questions in my heart ,
Like why are we here? And where do we go?
And how come it’s so hard?
It’s not always easy,
And sometimes life can be deceiving,
I’ll tell you one thing, its always better when we’re together.”
[Verse 1:]
There’s no combination of words
I could put on the back of a postcard,
No song that I could sing
But I can try for your heart,
Our dreams, and they are made out of real things,
Like a shoebox of photographs,
With sepiatone loving,
Love is the answer
At least for most of the questions in my heart ,
Like why are we here? And where do we go?
And how come it’s so hard?
It’s not always easy,
And sometimes life can be deceiving,
I’ll tell you one thing, its always better when we’re together
MMM, it’s always better when we’re together
Yeah, we’ll look at the stars when we’re together
Well, it’s always better when we’re together
Yeah, it’s always better when we’re together
And all of these moments
Just might find their way into my dreams tonight
But I know that they’ll be gone,
When the morning light sings
And brings new things,
But tomorrow night you see
That they’ll be gone too,
Too many things I have to do,
But if all of these dreams might find their way
Into my day to day scene
I’ll be under the impression,
I was somewhere in-between
With only two,
Just me and you
Not so many things we got to do,
Or places we got to be
We’ll sit beneath the mango tree now
MMM, We’re somewhere in-between together
Well, it’s always better when we’re together
Yeah, it’s always better when we’re together
I believe in memories
They look so, so pretty when I sleep
Hey now, and when, and when I wake up,
You look so pretty sleeping next to me
But there is not enough time,
And there is no, no song I could sing
And there is no combination of words I could say
But I will still tell you one thing,
We’re better together
Crazy Day Part 2
The fun continues! About 1am my IV started beeping, I had an occlusion where the line had gotten bent. No biggy, but the nurse did take my blood pressure because I was feeling a little loopy. It was obviously a little low, so for the next 3 hours, I had my blood pressure cuff go off every 15 minutes and a manual check by the nurse every hour. Didn’t get much sleep – but my blood pressure finally started to cooperate. Was a little sleepy today, but that was fine.
During both my 2pm and 8pm monitoring sessions, the little ones would not cooperate. The first nurse got so mad that “baby B” (Kate) wouldn’t stop moving, that she tore the monitors off and said if the doctors wanted to see an hour long monitor strip, they would have to come hold her on themselves!
About 4:00pm, I finally had the IV Therapy team come in and put in my PICC line. The whole process was really amazing – It took almost an hour for them to get all the items set up (They use an ultrasound to guide the line into a vein in your arm, then into a major artery near your heart), but only about 5 minutes to get it in. I was honestly a little scared that it would be uncomfortable, but the only stick I even felt was the lidocaine (did I spell that right?) numbing the injection site. In fact, when they were done, I asked when they would be done threading the line. Had no clue that it WAS done!
A few hours later, I noticed a leak on the floor. Seems the fluid line (luckily not the magnesium line) had come loose, and was all over the floor. The nurses got it fixed pretty fast, but I had to have new lines and bags so there wouldn’t be any chance of infection. Again, I cannot wait to tell these little munchkins what they put me through – I may leave out the fact that I didn’t hardly feel that PICC line thing, and that I get chocolate ice cream or cokes delivered to me bedside at the click of a button, and that I am getting to meet Titans football players …………. There are just some things they don’t have to know
09.25.08
Crazy Day
For the most part, my days here are pretty uneventful. Today was not. I have to be hooked up to the contraction monitor and monitors for the babies heart rate 4 times a day for an hour, and my first one is at 6:00am. Well, this morning the little boogers wouldn’t cooperate (Kate will go crazy and kick Max and knock him off the monitors), and I ended up on the monitors for over 2 hours with nurses having to come and readjust them constantly. This afternoon my hand started hurting pretty badly, and started bleeding around my IV. The nurse took it out, and couldn’t find a good vein to put a new one in. While we were waiting on Anaesthesiology to get here to find a good vein, the vein my IV had been in started spurting blood! It didn’t hurt, and for some reason, didn’t even alarm me, but the nurse was a little frazzled. So, now I am waiting for Anaesthesiology once again to get a PICC line put in. I am glad they won’t be poking me anymore – after 7 IV’s!!! I can’t wait to use all of this to remind these kids how much they owe me!!! It’s like I’ve said, though, I don’t care if they hang me upside down by shackles as long as these babies are healthy and happy. As active as they are, I don’t think that will be a problem.
09.23.08
Ultrasound Update 9/23
Just had my ultrasound and talked to Dr. Fortunato. My cervix is exactly the same as last week, which is good news. As long as we can keep it there, we can make it another week. Our first big goal was to make it to week 28, and they seem to think that will not be a problem, and that our next big goal is 32 weeks. Since I had the steroid shots, they should be absolutely fine if they were to come then. Of course, they would have to be here for a while for growth reasons, etc., but should be fine. My goal is still to get them big enough to not have to even go to the NICU. Isabella did it – we were expecting a preemie with her, and she came out 8 lbs. 12 oz.
Chad and I both feel much better knowing that they are growing well, that I am being monitored constantly, and that everything is staying stable. Thanks for your prayers – we can never tell you how much we appreciate them.
Not much new with me and the twins, am having another ultrasound in the morning, but I did want to say congrats to our close friends Michael and Deb (Michael is Chad’s oldest and closest friend from elementary school). They welcomed their new son, 6 weeks before schedule, but he is doing great!
I also wanted to thank a few people for everything they have done for us over the past month – especially Pamela and the Ford family for making Izzy one of their own. All of the people who have kept Chad and Izzy fed while I am not there to cook (I can hear Chad laughing now). Our family members who have spent alot of money on gas getting up here to see me and to drive Izzy back and forth to gymnastics. Everyone from the church who has come by, called, and sent loads of cards that help me stay motivated in faith that God is continuing to keep His hands on these babies and on me. Chad and I are truly grateful for the outpouring of support from everyone!
Tomorrow is Chad’s birthday, and I hope that this ultrasound will be wonderful news to make it a special day for him. Happy birthday baby! I love you, Izzy loves you, and Max and Kate love you, too.
09.16.08
Ultrasound Update
I had my latest ultrasound this morning, and my cervix did drop back down to a 9, but is still holding strong with no dilation. The ultrasound tech measured the babies to get an estimate on the babies weight, and they both are 1 oz. shy of 2 lbs, so they are growing well, and are measuring great for their gestatioanal age(I am 26 weeks today).
Thanks for your continued prayers and support. I’ll keep you updated.
09.12.08
Prayers are working!
Hey – it’s karen! It’s been a long couple of weeks, but I am now able to sit up enough and not too swollen to type – so things are getting much better. I had another ultrasound today, and my cervix has doubled in length (from a 6 when I came in, to a 15 today), and the dilation is still closed (it was 1.5 when I got here). I still can’t believe I am talking about my cervix, and that Chad is so open to talking about it !
Thank you all for your prayers for me and Max and Kate – they really are working – it is very rare and unusual to have such a lengthening. It usually only gets smaller. My doctor was very, very pleased today, and it really set my mind at ease. For now, I will stay on the magnesium IV since it seems to be working, and I am still on strict bedrest, but I don’t have a contraction monitor anymore – I am just monitored every 6-8 hours, I have bathroom priveleges now (maybe that is more than you want to know) and I get to have a shower every other day – all of 5 minutes! But the most important thing is that the babies are great – They put them on the doppler monitor every 8 hours, so I get to see and hear their little hearts beating, and the nurses all joke with me that they are going to be strong willed and feisty, since they move so much while they are boing monitored (Kate fights it – she tries to hide every time).
Alot of you have said that you could never do this, etc., but trust me – when it comes to safety of your children – it really isn’t hard. In fact, I think it is harder on Chad than me. And Isabella is such a resilient little thing – she thinks that this is what every pregnat woman goes through. She tells everyone that mommy is taking care of her babies!
I will be having another ultrasound on Monday to get accurate measurements of the babies sizes – and Tuesday I will be 26 weeks, which is considered a huge milestone around here – especially since I have had the steroid shots. Today, though, it seems as if everything is going great, and these babies won’t be here for a while. I’ll keep you updated!
More good news
Karen had another ultrasound today and things seem to be improving. Her cervix measured a 6 and she was dilated when she was admitted a couple of weeks ago. It has now improved to a 13 and there is no dilation. The magnesium IV and complete rest seem to be working!
It also turns out that her first blood results were incorrect regarding Diabetes. She does NOT have gestational diabetes at this point.
She’s also finally wearing her own gowns/tank tops. No more prison cell gray hospital gowns.
09.10.08
On her feet
Karen now being aloud to get out of bed to go to the restroom. She called me about an hour ago really excited because they let her take a shower! Freedom!!!!! sort of.
09.09.08
Gestational Diabetes
Karen’s test results came back positive today for Gestational Diabetes. We knew this was coming since she was already insulin resistant due to her lifelong battle with PCOS (Polycystic Ovarian Syndrome). They’ll do another more accurate test tomorrow. All this means probably is that her diet will be modified.
The next ultrasound is scheduled for Friday. I’m back at work this week. Izzy is doing great so far with the all the change. Thanks to everyone who has helped out.
On another note, Karen isn’t getting much rest because the phone keeps ringing. She definately appreciates the calls, but I told her I would try to limit them for her. Not sure if these times are best for her or not, but I’ll throw some out there that I think will work. Try to call only between:
11a-1p
5-7p
09.05.08
Ultrasound update
Karen had another ultrasound today. It showed slight improvement; her cervix has moved from a 6 to a 9. Again, a 40 is normal and she landed on bed rest with a 22, so 9 is far from “good”, but it is a small improvement nonetheless. There’s still a small level of “funneling” that’s of concern. The bed rest seems to be working – slowly – but working.
09.04.08
Baptist – Room 3206
We’re all settled in the Predators Suite now – room 3206. We have MORE than enough room for visitors now with lots of seating. The phone number is 284-3206.
Another upgrade is that we have a DVD player now instead of just the VHS…so, in case anyone wants to send or bring DVDs that’d be great
Anyone have complete seasons of “The Office”?
Moving day…again
We’re excited about this one though. We’re moving down the hall later this afternoon to the Predators Suite! It’s much larger, decorated with Preds stuff, and has a view of the Nashville skyline instead of the parking garage. Hooray! One more tidbit about the new room; a Nashville celebrity gave birth not too long ago in our new room. Any guesses on who? I’ll update the room number in a bit.
09.03.08
Decisions to make
Dr. Fortunato just visited and spent some time once again discussing options with us. We have a couple: put in a cerclege (in simple terms a “stitch”) or do nothing but continue very strict bed rest. It’s not an easy decision since he says the medical community is not in complete agreement as how best to treat twin pregnancies in this case. If we were pregnant with one baby they’d almost certainly do the “stitch”. With two babies though the research isn’t as absolute. He said some women with multiples actually fair better without the stitch. With the stitch there are a couple of risk: infection and it could cause contractions. On the up side it could force the babies to stay put. Right now Karen’s body seems stable just doing the strict bed rest. We’ve both expressed to the doctor that we don’t want to go home, because we feel safer here. He said thats the plan then … to remain here under their care. We decided to think over the decision tonight and decide tomorrow after more ultrasounds and blood work. They did start steroids today. Those will help Max and Kate’s lungs develop faster. Tomorrow they start daily ultrasounds. Please continue to pray for us. We feel with all certainty that these babies were sent to us by God and a series of events beyond our understanding has allowed us to keep them safe to this point.
More later.
09.02.08
Baptist Hospital Rm. 3201
Our tour of Nashville hospitals continues! The number is 284-3201.
“In the past five days I’ve been in 2 ambulances and 3 hospitals.” – karen
Dr. Forunato let us know this afternoon that Karen’s cervix is measuring a 6 – normal is a 40. She was originally put on bed rest with a 22.
Baptist is great so far. The room is HUGE. The nurses are all great and seem to be making fast friends with Karen. I don’t think they see many women come in with a smile on their face – like Karen. I’m a little jealous; they put these awesome leg massager things on Karen’s legs to keep the circulation moving.
More as we learn it.
transferring to Baptist
We knew this was coming: Karen is being transferred to Baptist this afternoon due to insurance issues. Dr. Fortunato thinks Karen is stable enough to make the trip across the street (in an ambulance of course). Thank you Blue Cross Blue Shield.
I’ll update the blog with new contact info (room number, phone number, etc) later.
another partial update
The nurse from Maternal Fetal group just left. She did the ultrasound, but we still need to see the doctor. The nurse did tell us that the dilation has closed, but the shortening of the cervix is about the same. Bottom line: we’re getting comfy at Centennial. Karen will likely be here for the next few months. We’ll know more after talking to the doctor; not sure if that will happen today or not. Dr. Lombardi is out today so we’re not sure if Fortunato will visit us.
This is a positive update. At least things haven’t gotten worse. I’m actually kind of glad they think Karen will remain here. She was nervous about going home. She’s in the best place possible. There is a small chance that we might transfer to Baptist due to insurance issues, but that remains to be determined. If the doctors determines this to be an “emergency” and that Karen is too unstable to transfer then BCBS will pay…otherwise, we’ll be moving. More later.
Chad
Update (sort of)
Chad again: Nothing new to report really. Karen had a good long weekend here at Centennial. She’s handling staying in the bed great. Imagine not moving for 5 days and facing not moving for 3-4 more months. Several of the nurses have told her that she’s their favorite patient because she’s the only person on the entire floor that consistantly has a smile on her face and a good attitude. Typical Karen…they all love her. Izzy has become a superstar around here too. She loves talking to the nurses about being a princess and coloring. I dropped Izzy off with Pamela Ford (our neighbor) this morning. She’ll have a blast there! Thanks Pamela, Randy, and family. Not sure what the rest of the week holds for us yet.
One thing is for sure; we feel alot more relaxed today than we did on Friday when Karen was loaded into an ambulance and sped North on 65 while I did my best to keep up.
The doctors are going to do some testing today: more ultrasounds,etc. That should tell us alot. Keep us in your prayers and I’ll update the blog after the tests today.