After our daughter had been in the NICU for an entire week, we drove back to her birth hospital for what we prayed would be the final time regarding her, and ... God obliged! When we arrived, the (preferred) neonatologist had done all he could to get a tech in to read her test results asap, and as it turns out, with the meds, she passed her last test. Our precious little student didn't realize one of the most important exams of her life would be within her first week!
Of course, it's not like we could spirit her away to our cozy home just like that. We did have to jump through some hoops in the name of better-safe-than-sorry conservative medicine. And although that had its annoyances, honestly, as a mother, there was a part of me that was very glad for that approach. One of our conditions was that we had to both be certified in infant CPR. Boy, I'll tell ya, I was glad I insisted Jon and I take that class while I was pregnant, because all we had to do to check that box was flash our paperwork. We also had to go over a nurse-prepared prescription schedule showing which meds she had to take and when. We had to have a little lesson where we demonstrated we knew how to fill the baby syringes to the proper amounts, etc., and repeat when we were to administer them. We also had to have oxygen delivered to our home in case she needed to receive oxygen while feeding, and of course, that came with a tutorial, as well. Finally, Meara was required to wear an apnea monitor full time, so we had to go through training for that.
Ahh, yes, the apnea monitor. That particular device is the most complicated baby accessory. It sports a couple electrodes that go on her chest in certain places to detect her heart rate and respiration, and the wires from the electrodes feed into a machine that has to go wherever she does. So, it basically looks like our infant is wired to a small cooler with blinking lights, you know, like a lot of babies. Yeah. It's kind of a pain and solicits some concerned and confused looks from people ... if you know my personal headgear story, you know I know about that particular brand of public humiliation. Ahem. It records any problems in her breathing and heartrate, and when the recorder is full, techs come in, download the recording and restore the machine's empty memory until next time it fills. Then, the downloads are sent to a specialist, who interprets the info and writes up a report and sends it to her pediatrician, who gives us explanations and medical advice accordingly. Cake, right?
Anyway, if her heart rate drops below a certain point or gets above a certain point, the alarm goes off. If her breaths are too close together or too far apart, the alarm goes off. Remember the movie Speed? The whole thing sort of makes me get the part of Keanu Reeves, who is on the bus that has to maintain a specific speed so a bomb doesn't go off, but he isn't the one driving, nor does he have the trigger, so therefore he has limited control. Feels familiar. Maybe I can set it up to record her ideal rates in a loop, therfore outsmarting the machine and averting disaster ... wait ... I guess this isn't the movie, and I need to remember this machine is actually meant to save lives and not blow them to pieces. Ok, fine. So, we got all learned up on the monitor, signed off on everything and squared up our NICU tab (a minor copay -- seriously, thank the Lord for awesome Exxon insurance, because that kiddo racked up a monster bill, not to mention what she'll add over the next several months with prescriptions, checkups, outpatient testing and this monitor).
With all of that, we finally gathered up our NICU bag o' goodies; we got to take home all the stuff they had to take care of her there, like diapers, wipes, bathing cloths, her baby-burrito swaddle straightjacket (this fantastic cloth thing that you could put a swaddled baby in then tie up to secure the baby's swaddled position), toiletries, etc. -- it was like the spoils from a hotel stay or a celebrity party! Kind of. But that wasn't the best part. The best part was leaving. So, we liberated our girl. For the first time, Meara met the outside world!
Here we about to take Meara home in my mom-mobile little SUV, which my mom decorated with a big welcome-home heart on the baby's window; Meara is strapped in to her carseat, monitor attached, bundled up and ready to ride:
On the way home, we had a bit of a scare. We were on the highway, barely out of the med center, when Meara's alarm went off. Scary! We both kind of looked at each other like, "that was fast ... now what?" then Jon had me get in the back seat with the baby to check on her and reset her alarm. No, I was not already in the back with the baby. It's ironic, because Jon always made a big deal about how he thinks a mom and dad should ride together in front on the way home from the hospital, because the marriage supercedes the addition of a child, and besides, what's going to happen that a parent has to be supervising a sleeping baby in a carseat? Well, we found out. By the time I got back to her, her alarm stopped and she seemed ok, but then a few seconds later, it went off again. It's like being a foot away from a smoke-detector siren. It's really that loud and piercing, which is great for getting attention, but it sort of induces panic, in my opinion. Who can think through what to do with that kind of noise? After resetting the machine, I watched her for several minutes to make sure she was breathing appropriately, then I got back into the front seat, and we finished our ride home. Yes, it was difficult for me to sit back up front because I was a little startled at that point, but Jon reminded me I wouldn't be riding in back with her for the next several months she'd have the machine, so I had to start getting used it it off the bat, which was true. Sigh. No judging, people!
Before my mom went back to KC the day before, she kindly decorated our yard with signs declaring our good news. All of our neighbors were curious about the baby's sex since they'd gotten to know me and my mystery baby bump more during the hurricane, so mom helped us spread our parental pride:
Here's the sign provided by the hospital for our recovery room door to brag our stats; mom transferred it to our tree so interested persons could get the details:
Here is Meara's nursery, complete with welcome gifts from loved ones:
Here is our sweet setup for our top-notch infant-SCUBA-diving training facility:
Fine, we do not in reality run said business. The above is actually the massive oxygen tank, complete with smaller travel tanks, for Meara should she need oxygen while feeding. At least it matches her nursery color scheme.
Here is Meara with her daddy in her nursery for the first time; the thumb of his left hand (under her head) is parallel with her arm, so you can compare and see how brand-new little she is! Granted, Jon has big paws, but you get the gist.
Jon was also pretty firm on the idea that Meara would sleep in her own bed in her own room from night one of her homecoming. I wrestled with that a little, because I knew I'd be nursing her, and the idea of getting up and marching to the other end of the house every few hours throughout the night didn't excite me. But I understood that Jon having to hear the baby off and on all night when he resumed working didn't seem ideal, either. Since Jon had already burned a week of his paternity leave, he'd be returning to work the Monday after Christmas, one week away, so it didn't make a lot of sense to get into the habit of him getting up to bring me the baby, either, when I knew that duty would fall on me in a matter of days anyway. So, hoping for a greater good down the line, I agreed, and we wired up her alarm, swaddled her, tied her into her baby straightjacket, put her in her positioner (on her side to avoid choking on spitup and to keep her from getting flat-head syndrome ... you know what I'm talking about), tucked a blanket over her (yes, far from her face), kissed her, said goodnight, turned out the lights and shut the door. Since she's on a three-hour feeding schedule, I knew it wouldn't be long before I saw her again.
Here's our precious bundle all snug as a bug in a rug:
Fortunately, I felt peaceful about not being right there with her. A lot of new moms I'd spoken to voiced fears about leaving their babies asleep in their own space. It's scary to think about the "what-if" issues like SIDS, etc., but aside from a lot of prayers, I had the help of technology, as well. For one thing, our baby monitor (not talking about the apnea monitor here) is fantastic; it's the kind that's not only audio but also visual. We set up the camera on her crib, so with the touch of a button, we could also see her whenever we wanted -- the beautiful little face and gentle rise and fall of her tiny body. The camera has night vision, so darkness wasn't an issue. I hope it still works when she's 16 -- no boys are going to sneak by us. Then, of course, we had the apnea monitor. Although a bit of a pain, it gave me peace of mind. I knew that should something go wrong with Meara, the alarm would go off, and we could be there to help her in enough time to make a difference; I didn't have to worry about the ultimate newborn-parent fear of my child slipping away quietly. Ugh; I almost couldn't even type that. Shudder, shudder, shudder. So, the whole NICU debacle did yield the use of a machine that calmed some of my anxieties.
Aaaaand slumber had barely touched our eyelids before the alarm went off for the first time of the night. Toward the end of pregnancy, sleep often becomes somewhat elusive for a woman, and I believe it's God's way of preparing her for mommyhood. I used to be such a heavy sleeper, and now, a snake's sneeze would wake me up (yes, as a snake owner, I have actually heard this before). So, that alarm had me straight up and tearing into the baby's room at Olympic speed. Of course, with the ever-burning flourescent lights, constant nurse chatter, scattered alarm soundings, machine beeps and handling for vital-signs checking and med administration, the NICU had prepared her for sleeping through armageddon, so it didn't effect her at all. I checked her out, reset the alarm and went back to bed. Then it happened again. And again. And after more repeats, Jon saw my frayed nerves and exhausted face and told me to go ahead and bring her in while he set up her portacrib right next to me so checking her and resetting her alarm wouldn't involve getting in and out of bed. Phew!
Long story less long, it turns out her electrodes were not adhering properly, so the machine was misreading, and we replaced the electrodes. However, within a short period of time, we requested nonadhesive electrodes with a velcro band to hold them in place. That seemed to keep things secured much better and seemed easier on her skin, as well. Eventually, though, after continued nights of the alarm going off literally every few minutes or even seconds (I must have looked like a zombied-out jack-in-the-box, popping up and down in a semi-conscious state, my trained hand going through the monotonous motions of feeling for breath and heart rate then expertly finding and resetting the alarm buttons in record time -- similar to people's snooze routine), we asked the machine be replaced with one that might function better. We could tell it was having issues with inaccuracy, because it would register she wasn't breathing when we could see and feel she was. At one point, we were so desperate, we just turned it off, and I would put my hand on her every once in a while when I naturally woke up to check her. Sounds risky, but having a life depend on me while crazily sleep deprived wouldn't have been much better.
Anyway, just a few days after she arrived home, we got to celebrate her first Christmas. Before she was born, I'd been able to scrape together a few decorations (I feel like now that I'm a parent, I need to try harder). Here's our fireplace, dressed with gift-full stockings (Jon's, then mine, then Meara's mini stocking, then Nestle's and one for Jon's parents' dog Mandy, then one for Louis then Diana):
Here is Mandy getting into her stocking ... apparently, her thought process was to intimidate it by staring it in the eyes mercilessly, therefore forcing its submission of treats:
Nestle, a stocking veteran, knew exactly where to strike, and he expertly extracted his goodies:
Here's Meara, anxiously awaiting her turn to partake in the action:
She ran over, got her gift from us, jumped back on the couch and put on the Santa hat Diana gave her in time to pose for the camera. Hmmm, I guess she must have been blinking in this pic:
By the way, the bruising on her left hand in the above photo is not from us! It's from I.V. treatment in the NICU. Sniffle.
We got her a little Eric Carle (author of "The Hungry Caterpillar," etc.) book, called "Do You Want To Be My Friend," I think, which came with a plush version of its protagonist. Honestly, I like Carle, but I bought it for the blue elephant. Meara's obviously totally psyched. She couldn't stop reading it aloud to us. I guess she's blinking again:
The next day, she had her first post-NICU pediatrician visit with her new baby doctor, Dr. Hassel. I chose to go with a doctor other than the one she had assigned at the hospital from her birth, because I wanted one who not only had an affiliation with the Children's Hospital but also who was local and recommended by friends. Turns out, it was a great choice. I really like Dr. Hassel, and Jon and I enjoyed meeting her at this appointment. We went over her brief but impressive medical history; normally a checkup isn't required so early on, but because of her NICU stay, the hospital required an appointment within her first two weeks of life. We'll have a followup appointment in less than one week. Geez.
That evening, even though her umbilical cord had not fallen off, Jon wanted to give her a basin bath rather than the standard washcloth wiping down. We're breaking all the rules here, folks! At this stage, we easily determined Meara does not like baths:
The best part about baby baths? Hoodie towels, hands down:
A couple days later, with a cleaner baby to show off, we ventured out for Meara's first restaurant experience. Jon's parents took us to Red Lobster -- mmmmmm! When Jon's grandparents (Diana's parents B.A. and Emilia) were alive, B.A. would always take me and Emilia out for crab legs, because we shared an affinity for them, and no one else in the family had quite the enthusiasm for them that the two of us did. Then, when Emilia passed away, B.A. continued the tradition by taking me out for crab legs when we visited. Now that they're both gone, Jon's parents carry the torch, and I still get crab legs. I do like this tradition. I also got the chance to put on real clothes (not just p.j.s or sweats!), makeup and get out of the house. A lot of folks quarantine their babies in their first weeks of life, but for some reason, we did not feel the need to subscribe to that particular parenting philosophy. Come on: Red Lobster is calling! Anyway, she slept the whole time, not stirring until we got the check, on cue, and we got lots of compliments on our beautiful and well-behaved daughter.
Look how tiny and cozy and precious she is in her carseat:
That night, Meara also went back to her own crib in her own room. We left the portacrib in our room for a more local changing station or occasional naps, but otherwise, we committed to the nursery being her nursery, and it went pretty well. By this time, the new velcroed electrodes and replaced apnea monitored helped calm things down considerably, and the alarm events were quite reduced. Getting up and making the little trek to her room every three hours was a challenge, but when it's your baby, and she depends on you, there aren't really any serious complaints. The hardest part was that she took sooooooo looooooong to nurse (we're talking, like, up to an hour), that we'd both be nodding off by the time we finished, but that's just the way it is with some babies. I hear over time most babies get to be more efficient eaters. We shall see.
The other frustrating thing is all the spitup. Despite the medicine, this kid can puke. I've started calling her Mount Meara ... affectionately. Burp rags are my constant companion, and Nestle follows me around when I'm holding her like that crazed Tomacco (tobacco-infused tomato) -addicted sheep from that Simpsons episode, waiting to lap up any loss of containment. Thank God she doesn't get upset about her eruptions; she doesn't cry or anything, but at 2 a.m., when I have to choose between showering or collapsing back into bed, there are some scary results. To tell a particularly nasty-but-true mommy story, I once tracked a spoiled-milk smell for an entire day only to realize it was nestled in my tresses! She'd puked in my hair the night before, but I was so tired, I just went back to bed in my stupor and didn't realize until late into the next day that the reason anything I put near my head offended my senses was because it actually was my head! Gross! Do I get an award? Yes. Yes, I do. A beautiful, beautiful, barfing award. Ahhhhh, mommyhood.
The day after Jon went back to work, Meara had a successful grocery-store run. I went with Jon's parents, and we were able to get in and out without any trouble from Meara. I will say, though, that unless you are super-model tall, putting the carseat on top of the kiddie bench in the cart is impractical and blinding. Also, placing it in the basket is awkward and creates a serious limit on grocery space. I quickly decided the baby Bjorn carrier is the way to go when shopping.
Anyway, Meara also had a good followup appointment with her pediatrician, and when Jon got home, we decided to celebrate by taking Meara for her first walk. It was sunny out but still a little chilly, so we bundled her up, put her in her carseat, and placed the carseat in the stroller. Then, of course, we had to attach the carseat securely to the stroller with giant red straps, like she's going on a rollercoaster, because like every American, we take our walks at a brisk 107 miles per hour; hang on, baby:
Good thing my amazing shutter speed can capture Jon:
I took over and slowed things down so Nestle could join our walk baby-ride style. Yes, he's a ways from his old weiner-dog racing days, but he still gets by with a little help from his friends:
Man, that walk was exhausting. Nap time:
Well, the end of the year was upon us before we knew it. We thought we might as well send her into the new year clean and sparkling, so we gave her another bath:
Her opinions of baths still hasn't seemed to have improved much, but Jon does a good job nonetheless. I'm glad I requested a new baby-bathing-friendly faucet for Christmas. Well done, Jon -- gotta get both sides:
And, in true baby style, juuuuust as the hoodie goes on, the puke comes out. Nice:
So, here we go again; back in the tub, baby:
After the traumatic bathing incident, Meara and Jon cuddled up for a little pre-bedtime nap. Isn't being a baby grand? Pre-bedtime nap. Awesome. Anyway, it was a lovely evening with Jon's parents, where we continued our old tradition of the SciFi channel's Twilight Zone marathon (which we interrupted once to watch an installment of Planet Earth) and freezer-section bar food (I like to cook up jalepeno poppers, mozz sticks and the like). Happy New Year!
So, having Meara home has been sweet, and I look forward to filling you in on our adventures in the upcoming year. See y'all in 2009! Here's a parting shot: