Monday, December 19, 2011

Holy %#*! where did the time go?

I decided to see when the last post was on the blog and realized it was September 1st.

It was about bodily functions.

When that post was made: 


  • Penny wasn't walking.
  • Isaak wasn't walking.
  • Real words had not yet been spoken (Penny has about a dozen, Isaak maybe 8).


Now we have running, pushing, shoving, taking, giving, smacking. All the craziness of toddlerhood.

Wow is it exhausting.These guys are blast and a challenge

I know we've said it before, but we really do intend to start writing again. If nothing else, a blog is like a public diary of events that you have recorded for yourself, not just for the world at large.

Oh yeah, we have cute pictures. Lots and lots of them. Videos too. If you are on Facebook  you probably have seen some of them, if not, I'm going to get some up over the holidays (whether that holiday is Christmas or Independence Day, I'm not yet sure)

.

Thursday, September 1, 2011

Epic Vomitus

Penny puked tonight.

Well, more realistically, Penny recreated the Exxon Valdez spill with the living room carpet acting as the ocean, partially digested milk substituting for crude oil, daddy acting as an oil covered baby seal and mommy as the guy in the yellow suit cleaning it all up. Chunks of meatballs and green beans played the role of tar balls just in case we maybe wanted to pretend it was the BP Gulf spill.

30 minutes later and Penny has new clothes. Daddy has new clothes. Mommy has new clothes and the carpet is now very, very clean in 3 locations. The boppy is still on life support.

Penny hasn't spit up much in her young life. Really, maybe a couple of dozen times in 16 months. Contrast this with little Isaak. I'd wager his count is closer to 2000. (He was 3 for 4 today. Struck out in the bottom of the ninth when his bunt rolled short and was picked up by the catcher).

That being said, I think the sum volume of ejecta might be about equal. See, Isaak just casually - vrpps. Some spit-up comes out, we wipe it off. Once in a while an immediate outfit change is needed...

Isaak is Old Faithful. Not the most dramatic of events, but a regular and known quantity.

Penny pukes like a food-poisoned Orca...*

And with that, we are back on the air.

*Disclaimer - I have no idea how a food-poisoned Orca pukes. I can only imagine it's gruesome. Probably involves baby seals.


Update: Now I feel kind of bad. Every time Penny has upchucked before has been gag reflex related. This appears to actually be illness. Bekka is off to the pediatricians office right now. She vomited 2 more times and has diarrhea and hasn't had a wet diaper since last night.

We had a great night. Or not.

Update 2: Shot of Zofran at the doc. Seems to be keeping stuff down now but the back-end isn't happy yet. Also had a good wet diaper, so it appears dehydration has been averted.

Friday, August 5, 2011

A Reflection from Getty's Mother


When Ollie was diagnosed with SMA, our world changed forever.

Strike that.

When Ollie was born, our world changed forever.  His short life changed many worlds, not just his mama's and his daddy's.  I think Neil is right about Ollie being too much for one vessel.

On Oliver's birthday, I want to share with you a post from a mother who's world was changed when her daughter, Getty, was born.  Kate recently wrote about the one year anniversary of their "d-day" or diagnosis day.  What she wrote really resonated with me and I hope it will with you, too.

Happy Birthday, lil' dude!  We love you!



A Reflection From A Mother

30 Jul 2011

From Kate:

I have had an entire year to think about this day, the anniversary of Getty’s diagnosis.

I remember what we were doing that day before her 4 month check-up at noon. I remember what I was wearing, I remember packing the small diaper bag, I remember the weather outside, I remember everything.
I remember the pediatrician appointment being rather routine. I remember the nice discussion we were having with our doctor about Getty. I can’t stress how routine it was. And in a moment right before we left, the doctor made one more quick check on how Getty was bearing weight on her legs and the entire game changed. She did another test with her reflexes and then another to look into her mouth to see the movement of her tongue, all the while Mark and I just sat back as parents not thinking anything was wrong. Then for some reason I started to look at our doctors facial expression. She started to have this really intense look on her face and then it seemed to turn to concern. In a way I was trying to ignore her because in my mind nothing could be wrong with Getty. We hadn’t noticed anything wrong so how could she find something we were not already privy to.

She finished her exam and sat back down in her chair. She paused and then told us that she was concerned. “I don’t want to tell you what I think it is, because you both will go home and google it. I hope I am totally wrong and you get mad at me later for adding such stress to the situation, but I am going to make an appointment with a neurologist to have Getty seen today.”

As I write this, those emotions just come back in a wave of terrifying proportions. We left the room, Getty snug in her car seat and we made the trip home only to wait for the next appointment. I laid Getty down in our bed and we just snuggled together. I could not restrain myself, I cried and cried and cried. I didn’t know what I was crying about really, just the notion that something wasn’t right was terrifying me. Getty looked like a normal 4 month old child. What on earth could it be? I stopped thinking and concentrated on her sweet little face and I just started talking to her. I started to bargain with her, like she in some way had the power to change the outcome of this situation. I told her that she couldn’t leave me. I begged her not to leave me. Her sweet blue eyes just looked back at me with such comfort. I held her for hours until it was time to go to the next appointment. 4 o’ clock came and we were sitting in another doctor room. The neurologist came in and did similar tests as our pediatrician had done. He sat back in his chair as our pediatrician had done and then he told us what he thought. Before he spoke though I can only imagine what was going on in his head. How do you phrase a sentence like this so a family understands but in the same breath is manageable to digest? He did pause for some time and I remember thinking to myself that he doesn’t think we could handle that maybe Getty won’t be able to walk? “Does he think we are shallow enough to not handle news like that, bring it doc!” I was already getting defensive and I had no idea what he was going to say.

“Getty has Spinal Muscular Atrophy. It is a genetic progressive disease that targets the muscles. I believe she has type I which means it is the most aggressive.” The room was silent. No crying, no screaming, no nothing, we were in complete shock. The only thing that I was able to muster up was, “how long do we have?” His quiet voice responded with, “1-2 years on average.” More staring and more silence continued, all the while Getty was laying on the bed gurgling sweet coos to us.

He offered the same consolation, “I hope I am wrong, and I hope you call me later and yell at me for being so wrong.”

I was never able to make that call because he was right, Getty had SMA and Mark and I had given it to her because we were carriers. We unknowingly gave Getty a terminal disease. We gave Getty a disease that will continue to weaken her body. We gave her a disease that will compromise her swallowing. We gave Getty a disease that will compromise her breathing. We gave Getty a disease that currently has no viable treatment or cure. We did this!

So now what on earth does a family do? How on earth does one digest this kind of news? How on earth do you move on with life?

Well I guess the answer is, you just do and that is what we did. You get through one day, the next might not be so great, but the next day might.

Our lives will never be the same since July 30th, 2010.

I wrote soon after her diagnosis a phrase that I like to reflect on from time to time. “What can I say, life as we know it has changed forever. For better or for worse, we will stand together. I am honored to be mommy to the best little girl in the world. Miss Getty we love you!”

This helps me get through some very difficult days. But that is what we are doing, standing together through good and bad. No day is similar to another, there is no security that tomorrow will be here, so we just live everyday like it is seriously our last. It is although, no longer doom and gloom. In fact I would argue that I have never lived life with such fulfillment as I do now as a mother and as a human being. I would have obviously wanted a different outcome, but now I wonder if that would have been possible without one? I am still searching internally with that answer, perhaps I will never know.

What I know for sure is that the love I have for Getty is a love I never thought I was capable of. She makes my soul whole. She has the ability to comfort with the most gentle coos and touches. She is so thoughtful and such a strong-willed little girl. I am so in awe of her power and zest for life. How can such a little being be so wise and teach her parents such life lessons at such a young age? I thank her every day for choosing me as her mommy. I am so lucky.

I hope for those reading this post take in to account a couple of things. SMA does not care who you are. It doesn’t care if you decorated your nursery with cute bedding and beautiful furniture. It doesn’t care if you had dreams of your child one day following in your footsteps and kicking around the soccer ball. It doesn’t care if you were subconsciously dreaming about future milestones;  high school, college, wedding. All it does is take. 1 in 40 are carriers. That is over 10 million people alone in the United Sates. SMA can certainly be anyone’s reality. A simple carrier blood test can give you the knowledge you need to make the best decision possible for your family. It is seriously as simple as a blood test. Most doctors don’t even know what SMA is so you can’t assume they will offer this test to you, you need to ask, even if there is no family history. There usually never is.

Having said that I believe it is a choice to allow SMA to defeat you. I am in constant battle with our SMA monster that lives in our home. He is here and lives among us, but he does NOT define Getty in any way shape or form. Getty is, Getty. She is a robust little lady who loves life. Perhaps it is not the path I would have wanted for Getty, but it is what is, and we fight everyday for her. We believe that there is hope for her life and for other children with SMA. You have to hope. We believe we will see a treatment and/or cure in her lifetime. We believe that SMA will become more mainstream and lose its “orphan disease” title. There is nothing “orphan” about the #1 genetic killer of young children. Whomever designated SMA with that title certainly got their facts wrong and has done a huge disservice to this disease. Orphan, to me, implies insignificant and there is nothing insignificant about SMA.

On the eve of National SMA Awareness Month, I want to thank everyone that has helped spread the word about SMA. Whether you have received a Tell 5! package or you have learned from SMA by reading our blog or other great SMA non-profits and families around the US, I think it would be safe to say that we all thank you.

No family should EVER be given the diagnosis of SMA. No family should be given the dire statistics of 1-2 years of life expectancy. No child should have to have their respiratory compromised due to a degeneration of muscles.  We need to keep fighting for awareness and we need to keep fighting for a cure. Getty and her friends deserve nothing less. That is why we fight so hard. I want to see Getty attend high school, I want her to graduate from college, I want her to get married, I want her to have a full life and an extended one full of experiences. Getty deserves that.

Getty said “dada” the other day and Mark and I were over the moon. Will more words follow? We have no idea, but we are so thankful for “dada.”



Wednesday, August 3, 2011

Today

Has been a pretty good day.

It's been a long time since we've posted about Ollie, but we've gotten emails and phone calls from all over and want to say thank you.

Thanks for loving our little guy and thanks for loving us. We were talking recently and remarked to each other how August 3's approach didn't seem as terrible as we thought it would. A lot of healing has gone on in the last year, much of that thanks to two little ones that are our main focus in life.

There is a sense of something "missing" today. Of course, we'd love for Oliver to be here with us and playing with his brother and sister. In a way, he is. All of the little reminders are there, from photos, to notes, to toys that Penny and Isaak love as much as he did.

He was a special little guy that touched a lot of people and we like to think he made us better parents, preparing us for double trouble. You don't want to project too much on a 1 year old child, but Penny seems to have captured much of Ollie's mischievousness and Isaak his pure joy in life. Perhaps there was too much Ollie to be contained in just one vessel.

Ollie's Tale may no longer have him as a main character, but it still goes on.

Today really isn't a sad day. It's a good one.

Miss you buddy!

Saturday, June 11, 2011

Pictures, Pictures and more Pictures

So here we are. 3 albums of pictures. A set of general April pictures, the huge birthday bash in Raleigh and the party in the mountains.

There are more. I haven't touched the general pics in May yet and I have TONS of video that I'd like to sort through.

In the meantime, please enjoy these snaps of your favorite internet twins. Thanks to Amanda Milloway for taking most of the pics in the Raleigh Birthday Album. She did a great job documenting their big day.

And thanks for checking in - we know that updates have gotten sporadic at best, but crazy work and busy twins keep us going non-stop. We hope to have more thoughts on just what that milestone meant to us, but that will have to wait a bit.
                                                                             

First a few cute pics during the month of April, highlighted by Bekka's father meeting the kids for the first time.

Penny and Isaak - April 2011

Next, the big (100+ in attendance) party in Raleigh for all those friends and acquaintances that have been such a huge help over the past few years with Oliver and these challenging little monkeys. Pay special attention to the gorgeous cake. (Thanks, Sarah! :)

Penny and Isaak's First Birthday Extravaganza

And finally, some of Ollie's and the twins' biggest fans at the celebration on Powder Horn Mountain. Thanks so much for loving our children. All 3 of them.

Penny and Isaak - First Birthday on the Mountain

That's it for now but you should see May and June soon and hopefully some video and new original blog content. Wouldn't that be great?

Wednesday, May 25, 2011

Babies' 1 year check up

So it was actually more of a 1 year and 3 week check up.  Whatever!

This will be a quick update for ya'll, but it is an update.  =)  

Penny has 4 teeth on the bottom, 1 up top and at least 2 more on the way.  Isaak has his top 2 "fangs" and his 2 middle teeth on the bottom.  He'll chew on a teether for 30 minutes straight and is drooling like he's rabid.  My best guess is at least 3 or 4 more are on their way.  

Isaak loves puffs and Cheerios.  Loves them so much that he eats them hand over fist...literally!  As soon as he puts the o's from his right hand in his mouth, his left hand is following with the next bunch.

Penny started feeding herself puffs and Cheerios about a week or so ago.  She liked eating them but preferred for you to feed them to her.  Can you say "diva"?  We've actually coined the term "P.S.T." for Penny.  It stands for Penny Standard Time and it means that she does things at her pace and when she wants to do them.  Thus far, this has included rolling over, self-feeding, and, ahem, bed time.  

Neither of them is crawling yet...but it's coming.  They both try to get up on their hands and knees.  Isaak's not too worried about it all since he can roll.  And roll and roll and roll...right under the couch!  It's his favorite place to hide.  Penny's great at sitting up unaided.  Again, Isaak's not too worried.  His sister may sit up and swipe his toy from him.  But he'll roll past her and snag that same toy back from her on his way.  Can I just say it is so entertaining to watch these two little people?

Anyhow...back to the stats from today's visit to the pediatrician.  The percentages I've listed are based on their actual age (1 year) not their adjusted age (9.5 months).

Penny:
weight - 24 lbs, 2.5 ounces - 85%
length - 29 inches - 40%
head circumference - 47 cm - 90%

Isaak:
weight - 23 lbs, 7.5 ounces - 52%
length - 29.5 inches - 28%
head circumference - 48 cm - 85-90%

The pediatrician was, obviously, very happy.

And so are we!

Saturday, April 30, 2011

The Big Day - 1 Year Later

So this is it. The end of one short saga. The beginning of an odyssey.

At 6:35am on April 30, 2010, I made this short and to the point entry:
http://olliestale.blogspot.com/2010/04/bekka-back-for-c-section.html

Less than 2 hours later, it was "over." And it was just starting.
http://olliestale.blogspot.com/2010/04/babies-are-in-nicu-and-bekka-in.html

That evening, we actually had time to think and compose a longer entry. I'm not sure how I managed to make it sound so "together" and functional. I think my engineering brain just turned on at some point during that day and pushed me into clinical mode. That allowed me to step away from the abject terror lurking deep my id.

http://olliestale.blogspot.com/2010/04/babies-are-in-nicu-and-bekka-in.html

We can't give enough credit to our "hosts" at WakeMed. Prior to, and just after the delivery, their calm professionalism kept both of us focused and while frightened, also hopeful. We aren't exactly easily rattled people, but this wasn't exactly a normal situation.

Perhaps you might want to go back and revisit photos of that first week just to get an idea of what we were dealing with. When you can see more medical equipment than the skin of the little person in the incubator, it doesn't create a particular sense of comfort. Also it doesn't help that they looked a bit (or a lot) like ET when they were born.

As tense as that morning was, to my dying days I will remember Isaak opening his eyes at the sound of my voice in the post-delivery room. He was lying there with an oxygen tube in place and in a plastic sandwich baggie for warmth (not really, but that was what it looked like). And at the first sound of my voice, he cracked his eyes. 

Amazing.

We owe a lot to so many people. Doctors, nurses, family, friends....

Thank you all for a brilliant first year.

Friday, April 29, 2011

The Contraction Countdown

We didn't know it, but the afternoon of April 29, 2010 saw contractions beginning that heralded the arrival of our children. We'd seen this show before as can be noted in the first post:

http://olliestale.blogspot.com/2010/04/contractions.html

A few hours later, Bekka was still experiencing contractions and the growing concern is evident in my post. I sounded calm, but I think we both knew that this was going to be "it".

http://olliestale.blogspot.com/2010/04/contractions-update.html

Sometimes I think life throws things at our family more like Phil Niekro. A nasty, wobbly knuckleball that approaches the plate with agonizing slowness. You can't hit the thing because of it's random motion but you have to wait and wait for it to get there. Often I think the more predictable Nolan Ryan fastball would be far, far preferable. It may come at you at 100mph, but at least it's over with...

Thursday, April 28, 2011

A Year Ago Today...

A bit late on the post today thanks to a pre-6am start at work and traveling all day.

Last year at this time, we actually thought things were going pretty well. This post classifies the day as boring...wish that had lasted! Tomorrow would be when the excitement began - slowly at first, but then building.

http://olliestale.blogspot.com/2010/04/25-weeks-1-day-and-some-sweet-sweet.html

Today is the day that Ollie died. Not the date of course, but the relative time to his birthday - 2 days before. I've become increasingly anxious as we have approached this 1st birthday milestone with these little tykes. Today I'm glad that I was very, very busy and did not have time to ponder. Oliver didn't get to see his first birthday and all the cool birthday favors we had for him...he didn't get to see anything else after that day.

Saturday will be wonderful and uplifting. It will also be bittersweet. I feel bad about that for these little guys.

We'll love them, and squeeze them and look for butterflies.

Tuesday, April 26, 2011

Last Year at this Time

A year ago we were at WakeMed in Raleigh, cautiously hoping that we might make it a few more weeks before getting to meet our children. Alas, that was not to be and very shortly our epic saga of preemie parenting was about to begin. Over the next few days, leading up to the twin's first birthday (!?!?!?!?!) I will post links to the post from the same day last year.

It's a fascinating experience and I almost feel disembodied reading my own words. The stories over the last year have been harrowing, joyful, volatile, cute - you name it. They (thankfully) don't carry the same emotional land mine triggers that re-reading Ollie's story so often reveals, but the memories are intense.

Last year on this date, we actually had a post from the lady herself. Without further ado, here's a rare update from Bekka (she was kinda busy at the time - lying down - but busy):

http://olliestale.blogspot.com/2010/04/quick-updatefrom-bekka.html

Feel free to browse back to the beginning of April for more of the insanity.

Thursday, April 14, 2011

If you are reading this, it is way too early in the morning...

...and Isaak is on his way to get his stoma closed. Finally.

His surgery is scheduled for ~7am and Bekka and Isaak are supposed to be at UNC by 6:30. Our wonderful, fantastic, incredible, (for)giving friend Cathy is baby sitting Penny, as I have a work engagement. Unbeknownst to Cathy until this afternoon, I have to be at work at 7am. Which means she has to be here by 6:30. Normally, 8am suffices, but not today.

Thank you! Your diet Cokes have chilled overnight in the fridge.

As to the actual procedure, we are ecstatic this is finally happening. As excited as we were by the incredible symbol of Isaak's improving health having his g-tube removal was - we would rather that sucker had stayed in. 2 1/2 weeks of constant gauze/maxi/tape/duoderm to no apparent effect on his stoma site has been frustrating and worrisome. A couple of quick stitches tomorrow should make this a fading memory and will be one more step towards a "normal" life for a special little boy and his worn-out parents.

Tuesday, April 12, 2011

Found It!

Mommy happened to catch a glint on the kitchen floor. An area that had been gone over in great detail several times today. Our only thought is that it popped out somewhere, somehow or maybe had gotten stuck on his high chair this morning.

We have no idea if it has been out in the open air long enough to be unusable. Bekka cleaned it and we are going to let it sit in solution overnight.

Anyone know if they make RFID tags small enough to fit on a contact? This could be a challenging issue.

Isaak Had a Contact Lens

Yes. Had.

He's lost it already.

Where?

We don't know. It's even possible the thing is still in his eye and we just can't find it.

Why does he have one, you ask?

His left eye is now aphakic, that is, missing the lens. You may recall it was removed during the retina surgery in December 2010. The only way to reasonably correct aphakia is via an intraocular lens replacement or by wearing a specially designed contact. Isaak is too young for a new lens due to his still growing eye and an increased risk of scar tissue. So they gave him an extended wear (7 day) contact.

And he lost it.

Before 24 hours were even up.

He had it when he went to bed, but it was gone this morning. We guess he just rubbed his eye randomly and popped it out. We looked in the bed, in the blankets, in diapers and on the floor all around. Did he eat it? Did he throw it out of the crib somehow? Or, it it really still in the eye somewhere? His eye isn't tearing and he doesn't seem to be rubbing it a lot but does seem kind of cranky and clingy today, according to Mom.

Did I mention these things cost $260 a pop. For ONE contact lens.

Clearly he will need to be trained.

Outside of the saga of the contact lens, his followup yesterday was very good. The main reason for his visit was to make sure the pressure was acceptable in the left eye after being off Azopt for 36 hours. It was in excess of 40 just 3 weeks ago. Yesterday, it was 9 (under 20 is normal).

Penny also had a 6 month checkup and here eyes look fantastic. No need for an exam under anesthesia for her. The only issue she has to track is very very mild veiling at the outer edges of her retinas. Leftover artifacts from the RoP. She'll be seen in a year. Way to go little girl.

Monday, April 11, 2011

A Note on Videos

So apparently PicasaWeb is bad for videos.

Very bad.


See update for details.

I didn't verify the green bean video upload last night, and checking it out today, I've found that the audio is very choppy. Apparently this is a known issue when uploading higher quality video.

A search of the Google forums suggests that the solution is YouTube (way to go Google!), and I'm going to do what anyone with really cute twins would do and upload all the videos there. This makes sense in a lot of ways as YouTube is designed to handle big HD files like I'm producing and is also much much more easily accessible from mobile devices. We've wanted to show videos several times on phones and haven't been able to get Picasa to work so this will take care of that.

I've just started the upload process of the 4 videos currently on the website and hope it will finish overnight. Once they are up, you can access them via the channel I've set up at the following URL:

http://www.youtube.com/user/sooner1997

We will also create a link specifically to go to video from the front-page of the blog.

All the photos will still live at the PicasaWeb site as it is by far the best I've used for photo purposes. So follow the above link sometime in the morning and see what is to be seen in video land. I've made the vids public for the moment, but we will see how that goes.

Thanks for your patience.

UPDATE:
Everything should be up and running on YouTube now. Some of you may have tried the green bean video this morning and discovered that it was still choppy. Turns out the issue wasn't really with PicasaWeb (as YouTube and PicasaWeb are both owned by Google and appear to use the same rendering engine) but with the way Google deals with the uploads of AVCHD files and certain settings in those files. Essentially, the file was being doubled in length and the audio was being chopped up to try to fit. Seems to be an issue with 60fps video. This issues has been going on for nearly two years and appears to be random. I changed formats and made a couple of other adjustments and all should be good now.

With this new info, I could probably still use PicasaWeb for the videos now that I have a handle on the issues, but I think the benefits of YouTube for accessibility are still there. Perhaps I will maintain both.

In fact, I just uploaded the new version of the video to PicasaWeb and it works great.

Don't forget that it's possible to subscribe to the blog, to the YouTube channel and to PicasaWeb so you will be notified of any updates or changes.

Sunday, April 10, 2011

Penny and Isaak's Latest Feature Film

As promised a couple of weeks ago, here is the film of Penny and Isaak partaking of green beans the second time. Sound is a must, but the facial expressions speak for themselves.

From The Penny and Isaak Video Show

We also have 162 (!) photos in the March 2011 folder. Yes, that's a lot, but it cataloged important events like the first trip to Nana and Papaw's. They also seemed to have been inordinately cute last month. What could we do but snap hundreds of pictures ;)

Those photos can be found here:
Penny and Isaak - March 2011
Enjoy!

Saturday, April 9, 2011

Isaak Eyes and Frustrating G-Tube Stomas


Little guy went to Duke Eye Center on Friday for an exam under anesthesia (EUA), and the news was better than expected. I'm not sure we've been able to utter that phrase in relation to Isaak's vision in quite awhile. We were very worried about the possiblity of glaucoma surgery due to elevated eye pressure at his last checkup. After 3 weeks of drops, his pressures were well into the normal range, so no surgery was necessary. We keep him off the drops this weekend, and they will re-measure on Monday to see if he needs them or not.

In other good news, the retinal fold is beginning to flatten and the macula is actually moving back towards the appropriate location. Now, this doesn't mean that lost vision will be returning, but it does mean that the danger of additional vision loss has abated (somewhat, for now). Scar tissue is still present, but doesn't appear to be expanding. This is important as the scarring is what caused much of the tension on the retina and created the fold.

There are small fatty deposits on the retina, called exudates, that are likely a result of the massive hemorrhage Isaak experienced last July and continued bleeding afterward. This hemorrhage was the proximal cause of many of his vision complications and the advanced RoP. Nothing that isn't experimental and potentially damaging can be done about them, so we'll just be hoping they don't grow any more.

He goes in Monday for a followup to the exam and to be fitted for his contact lens. If you recall, the surgeons were forced to remove the lens from his left eye to carry out the retina surgery. This contact will help the eye regain some it's ability to focus.

His right still looks perfect. Thank goodness for small gifts.

Penny (yes, she is still around ;) Also has a date with Duke on Monday. It's been a few months since she had her last eye exam, and we want to make sure nothing untoward has occurred since then. If her eyes still look great, she'll just be on a yearly exam schedule.

Isaak will have another EUA in late summer and may very well have one annually for a while.

In news of a more frustrating nature, Isaak's g-tube site has remained stubbornly open. We've been dealing with a leaking, hissing tummy for two weeks now. For some reason, UNC did not schedule an OR date in case the stoma did not close and so it will be Thursday before Isaak finally has the procedure to do so. 3-4 outfit changes per day plus innumerable quantities of pads, gauze, tape and protectant ointment have been consumed and quite a bit more will be prior to Thursday.

We only hope there hasn't been tissue damage around the site from stomach contents leaking out.

A Year ago Today...

Bekka wound up at the WakeMed Cary in the middle of the night while I was delayed getting back home from a business trip.

A few days later I put this up as we were in the 3 week odyssey leading up to birth of the twins.

http://olliestale.blogspot.com/2010/04/twins-hospitals-and-amniotic-sacs.html

It is unbelievable that a year has passed. We have two (mostly) healthy babies and no spare time in our lives, but one year ago we were terrified of losing them.

April 9, 2011 is a much better day than April 9, 2010.

Thanks for the love and support!

Thursday, March 31, 2011

Ding-Dong, the G-Tube's Gone!

Yes. Yes. You aren't seeing things - this *is* the third post in March.

Oh, you meant the headline? (Of course you did!)

This was a potentially life-altering week for Isaak. On Monday, Bekka took him to UNC for what we thought was going to be a pre-op appointment with the surgeon to schedule removal of the g-tube and closure of the stoma. Previously, there was evidence that the gastric mucosa (stomach lining, basically) was growing up and out of the stoma site. On this visit, they decided it wasn't and went ahead and pulled the tube!

This was/is very exciting.

It's also very messy.

You see, the closure process basically involves letting the stoma close on its own, much like an earring hole. During this process, Isaak still has to eat and drink...and this has a disturbingly frequent tendency to result in a mess. Daddy came up with a method to help control the mess - maxi pads taped to his stomach - but it's by no means 100% effective. We still get milk geysers when changing the dressing once in awhile...

The stoma site is slowly closing and already looks much better. It is supposed to close in 2-3 weeks (!?!). Sometimes we think doctors don't quite know what we have to deal with at home...

In other news, we had a visit at Duke Eye Center last week. This visit was not nearly as exciting as the UNC visit because the news was not all good. Isaak's right eye still looks great, but the left has developed new issues. There is a bit of new bleeding and also some sort of lipid deposits around the macula. To add to the concern, the pressure is elevated in the eye whereas it had previously been fine. Sooooo....we have another appointment at Duke on April 11 to reevaluate the pressure levels and sometime soon after Isaak will have yet another exam under anesthesia. It's possible (possibly even likely) that Isaak will require further surgical intervention in the eye. We certainly hope not, but we'll go with it day by day.

In the meantime, this is the first time we've had a cordless little boy since Ollie was 7 months old. This is significant for us on so many levels. It really hasn't fully sunk in yet and probably won't until we no longer have to have bandages/maxi-pads on his tummy.

There is so much more to discuss regarding their development and new-found ability to say dadadadadadadadadee, but that will have to wait for another post - perhaps the post that will have the epic video of attempted green bean feeding. (Hint: it did not go well)

I can leave you with a few numbers this evening: Both kids are basically 28 inches long. Penny weighs a tick over 21lbs and Isaak a little over 20. Such a long, long way from 1lb 7 and 1lb 11 and under a foot long.

What is amazing is how deep they both are into the "normal" baby growth curve. Penny is sitting right at the 50th percentile while Isaak is around the 25th. If you adjust for their prematurity, Penny is over 90% and Isaak over 50. Amazing little guys.

Sunday, March 6, 2011

Picture Time! - Late Winter 2011 Collection

Here it is. What everyone has been waiting for. Hundreds of pictures of your favorite cuties!

Just click on Ollie or the pic below and be whisked away to the gallery.

Update: New video here. (Man have I got to get some video editing software. Lots of good stuff of the kiddles to chunk together, but everything free is terrible).

In other news, since I'm sure everyone will be wondering just how big they are:

Isaak: 18lbs 12oz and 27"
Penny: 19lbs 12oz and 27.25".

Amazing.

Pretty soon they will be outgrowing their infant car seats!

Have a great Sunday!

Let's roll, Mama!

Thursday, March 3, 2011

All Better Now (Mostly)

We've received several inquiries as to everyone's health and I'm happy to report we are all significantly improved (and none too soon!).

Penny also wound up on antibiotics, but it appeared to be the right move as she responded very quickly and is probably the healthiest of us all. Isaak and I still have residual congestion (he was really hit hard by this thing). I'm the last to get better, and now that I'm through the dizziness that apparently accompanies the end of the illness, I feel much much better. Bekka got better a couple of days before me, also experiencing dizzy spells. I can only imagine what went through baby brains if they had the same experience. It might explain some of the additional yakking.

We are so thankful that Penny is feeling better. Isaak became ill and basically just wanted to sleep a lot. He was clingy and miserable, but otherwise pretty normally behaved. PenPen on the other hand - she didn't want to be alone - ever - including nighttime. She spent all or part of 5 nights in bed with us. Any attempt to lay her down in her own bed resulted in wailing a bobcat would've been proud of.

The last 3 nights have been comparative bliss as both have slept through and woken up to be happy babies again ;)

I haven't had congestion-induced baby vomit in my pants pocket for 5 days now. You know that has to be an improvement ;)

Thursday, February 24, 2011

In Sickness And In Health

In every marriage vow I've heard there seems to be some variation of this line. It certainly makes sense: You take care of me and I will take care of you.

What you might not be thinking about at that particular moment in time is that the vow includes kids. Snot-dripping, mouth uncovered, licking everything in a squirm-able radius kids.

We don't know how Isaak got sick. We only know that he started it. "It" being a now two week long ordeal of coughing-congested-runny-nose-fever-for-which-they can't-take-a-thing-hyper-crud-during-which-no-one-gets-to-rest-illness.

Yesterday was the two week point for Isaak. We took him back to the pediatrician and because this holy terror has been going on so long they gave him antibiotics as it has probably transformed from virus to bacterial. Penny has a script on hold in case she heads down the same path.

The rest of us trail Isaak's trajectory by as little as 3 days (Penny) to as much as a week (Neil). It is not fun. So far, Isaak has been the only one projectile vomiting due to gagging.

What it feels like is the flu without the 103 degree fever. Maybe it *is* the flu and the flu-shot is doing it's thing to keep us all from getting worse. It all started coming to a head on Wednesday when it hit Bekka full-force and me almost as hard. Two sick kids and a sick mommy? Uh-uh. Not happening. So home I stayed and to the pediatrician we drug ourselves.

It was tough enough already, but in wee hours of Thursday morning, it got worse. Much worse.

Last night, Penny cried for 3 hours straight. Was this from 9PM to midnight? Uh. No. Poor little thing started at midnight and continued to three in the morning. She was hoarse. Her eyes were watering, she didn't want to eat. She didn't want to cuddle. She finally fell asleep after sitting up in a bright room looking around for 15 minutes. Don't ask me why this was calming to her, but there was zero interest in snuggling with her loving parents.

After finally snuffling her self out, she ate a 4 oz bottle, went to sleep...and promptly woke up 30 minutes later in full-on air raid siren mode. This would be 4am. Another 15 minutes and she went back to sleep and stayed that way until 10 this morning.  Was it terrible gas? Was she just so unused to feeling this way she didn't know how to react? Did her 100 degree fever give her the ability to see the ghosts of the dead Indians upon whose graves our house must surely be built?

Elefino.

A little secret? It was also terrifying. She screamed like she had just been vaccinated, but for 3 hours instead of 3 minutes. Having seen our share of medical issues, we didn't panic, but the ER certainly crossed our minds. Neither child has ever done that and Bekka and I hope we don't see it again.

So far today, she's been clingy and miserable and still running a temp but no extended bouts of hollering practice. Isaak is still coughing and sneezing but the antibiotic and rest seem to be moving him along the right path and he's pretty chipper. Bekka has retreated into full-on turtle mode - she gets better only with mass quantities of sleep thanks to a terrible case of mono in high school. She woke up to eat lunch and feed the babies theirs.

As for me, Isaak woke up bright and sun-shiny at 9am (giving me about 4.5 hours of sleep) - and so a very sick daddy (but the least sick of the household at this point) took care of his very sick little kids and his sick little wife.

Phew. I sure I hope I can go to the office and get some rest tomorrow...

Monday, February 14, 2011

And then there was Poop....

This evening, Daddy is innocently watching his favorite set of twins as mommy has decided the double coupons at K-Mart are just too good to pass up.

The evening is fine for a time. Penny is carefully inspecting each toy attached to her super seat, Isaak is playing with O-balls on the floor, and Daddy is watching HAL9000 take it to those pesky meatbags on Jeopardy.

Life is frolicking happiness for all.

The phone rings. It's Grandma! Daddy pauses the TV to talk to Grandma and to provide the latest update on the little ones, while at the same time trying to keep them entertained. Multi-tasking: It's what you do with twins.

After daddy hangs up, he notices the smell of something rotten in Denmark wafting gently on the breeze of the furnace blown air.

Let's check Baby #1: Success! (?) Isaak has something in his breeches!

Time to change the little fella! Other than it being his fourth poop of the day :-( all is well. It's a *good* poop - a poop like ricotta cheese with an extra little sumpin-sumpin. For Isaak, it's a win!

Daddy had noticed that Penny seemed a bit damp before he headed back to change Isaak, so he grabs a diaper and a wipe before heading to the front of the house,

Daddy gently places Isaak on the playmat and bends down to change Penny. Ok, let's unbutton your outfit a little sweetie ...ohgodohgodohgodohgod.... Foul on the play!  15 yard excessive poopage penalty: Something has breeched her breeches! Denmark has escaped it's borders and now seems to be heading into Norway!

Daddy grabs up mommy's little girl and springs for the nursery.

Penny has baked a sweet potato surprise! A LOT of sweet potato surprise. (more on the dining habits of the Mastin Twins later). It's about 3 inches up her back and squeezing out the sides...no use trying to salvage the changing pad now. I yam what I yam and it is what it is.

One sacrificial diaper later, Penny is something approximating clean. Daddy has managed to secure her befouled clothing away from his sweet princess and has a diaper loosely under and covering her. He takes the time to secure the previously soiled undergarments in a plastic baggie, lest they further contaminate the premises.

Dearest Penelope takes this brief moment to do something very un-lady like: She kicks her diaper open and relieves herself on it...and on the changing pad...and on herself.

In case you are counting - that was diaper #3.

Daddy laughs (and Penny laughs) and Daddy sighs (and Penny...well, laughs).  Daddy reaches for a couple of tissues....ah crapola. There are no Kleenex in the box...So saying a little prayer to Peenemunde (the German God of all things damp), he grabs his naked little girl, runs for the closet and gets a box of tissue (coincidence it's a yellow box? I think not!). Miraculously, he makes it back to the bedroom with no further liquid damage.

A few moments later, we finally have success, no more dampness. No more poop. Only four diapers! Let the dancing commence!

Cue mommy walking in the door...

As I type this, Penny's outfit and changing pad are soaking in the bathroom sink with rather a lot of soap.


Penny is getting a bath. A Very. Thorough. Bath.

Daddy is having a well deserved adult beverage.

I never did get to see how Watson fared on Jeopardy this evening...wonder if he offered the humans a chill pill?

Wednesday, January 26, 2011

December 2010 Pictures are Here!

I was finally able to find a few hours to download, sort, tag and upload pictures. This is no easy task when you have about 500 for a month. I think mommy may be snap happy (can you blame her). A special shout out to Amanda Milloway who took a bunch of the super cute closeups (those dated December 12). Not only does she love the babies, I think she liked our camera too. It's certainly some of the best work to come out of it.

Realizing that it is now January 26, this month's photos will be coming shortly, along with updated video. I'm afraid there will not be nearly as many shots, probably because there wasn't a huge holiday with dressed up babies to celebrate.

Penny and Isaak - December 2010

Monday, January 24, 2011

Goodbye Broviac and Hello 200th Post

UPDATE: Broviac removal is complete. They didn't even have to cut the little guy. The surgeon was able to work the catheter out gradually. He'll be bandaged for a couple of days then home free. Conveniently, they also changed his g-tube for us while they were in there. That isn't a particularly painful thing to do, but can be uncomfortable.

Tomorrow is a big day for little Isaak. A very big day. As his blood work has continued improving, the docs were comfortable with scheduling Broviac removal. We don't have a time slot yet (please don't let it be 6am, please don't let it be 6am!), but at some point tomorrow, Isaak will be Broviac free for the first time since July 13, 2010. The little fella has progressed beyond the most optimistic expectations of his various doctors and this is the latest sign.

The procedure is pretty minor, but he will have to be sedated/put under for a brief period. Apparently, we were extra-careful taking care of the Broviac and the internal cuff that holds it in place is really embedded in tissue. It's supposed to be that way, but the surgeon told us that in a lot of cases the catheter will just slide out of the patient when it's time to remove it. I guess this means we are good parents/nurses...

To top off the joy associated with this event, we have started dramatically reducing his g-tube feeds. A few weeks ago they let us drop it to 20 hours, then to 16. And 2 weeks ago we received clearance to start dropping by 4 hours a week. Right now, he's only hooked up for 8 hours overnight. That will drop to 4 hours on Friday and (pending positive blood work) nothing next Friday!

If this happens I'm not sure exactly what Bekka and I will do. It will be the first time we've had a little boy not hooked up to tubes since Ollie was 7 months old. I expect there will be dancing and tears of joy. You can't even imagine...

Isaak only has a few blood test results that are out of range, including phosphorus and a couple of liver enzymes. He'll probably have to continue getting monthly or bi-monthly blood draws for a bit to make sure he is getting fully hydrated and not having kidney or liver issues (thank you TPN and preemie-ness). That was one nice thing about the Broviac - they could draw labs without having to stick him. We'll still trade (not sure what Isaak's opinion is on this yet). Much like with the Broviac, the g-tube will stay in place for a while to make sure he is doing well enough to go without.

In other areas, Isaak is doing fairly well. He is still lagging in gross-motor skill development and muscle strength but has made really good strides the last few weeks thanks to weekly physical and bi-weekly vision therapy. We work with him everyday to improve strength. We have been able to play with him more and more as he's spent less and less time hooked up to feeds. He appears to be responding well. Why is he lagging his sister? Other than being a male preemie (a huge strike), he was also unable to be handled and/or moved as much as Penny. Thanks to the tubes, we actually had to restrict his movement.  Even though preemie developmental milestones are based on adjusted age, they frequently lag in development. By 2, they are usually caught up. While mommy is very confident, daddy waffles between extreme concern about Isaak's physical skills to very impressed with how he's doing on a given day. I'm afraid that Ollie left daddy overly sensitive to these things. Here's to more progress and less worry!

He has a follow-up at Duke Eye Center on Thursday (busy week). The vision therapist from the Governor Morehead Preschool has been quite happy with how he's responding. We'll see how the eye is physically doing this week and go from there. Externally, it looks to be healing well and he is even still tracking objects with both eyes. His left eye looks a bit odd with it's missing lens and huge pupil, but if the eye is functional at all, we are ecstatic parents.

Looking back over entries in the last months, it's clear that Penelope has received short shrift due to her "boring" lack of medical problems. Well, Penny is anything but boring. She is a mess. Her head is something like a radar dish as she constantly whips it around to absorb EVERY little detail of the world around her - especially when she's sleepy (which is also when she'll slap her leg to keep from falling asleep). She loves to play rocking horse with whomever is holding her (whether they are ready or not) and has been testing her lungs at maximum volume regularly for weeks. She also likes to raise both legs and slam them into the mattress or floormat.

Repeatedly.

For an hour.

The only weird thing is a persistent refusal to roll over. She appears to have the necessary strength and coordination and can roll to either side with ease, but just won't quite go on over. My theory is that one day she is just going to stand up, turn around and lie down on her belly rather than bother with rolling.

Oh yes, recent measurements on the two: Both were 25.5" long (a couple of weeks ago). Penny is now over 17 pounds and Isaak is over 16.5 pounds. These babies have come a long way from 1lb 7oz and 1lb 11oz.

Know that we haven't forgotten about photos or videos. The last few weeks have been inordinately busy with work, doctor appointments and family emergencies. Soon though, we promise!

----------------------------

This is the 200th entry on Ollie's Tale. A little over 2 years ago, Bekka posted this. Our first, painful entry in the too-short story that was to be Ollie's life. We look forward to many more posts that are less and less about medical news and more about the little (and big) joys in our life. Bekka and I have talked about creating a new blog more focused on the twins and preserving Ollie's Tale as an archive of his struggle and the struggles of his little brother and sister as they first entered the world. We haven't made a final decision yet, but will soon. Penny and Isaak deserve their own space, I think.

Monday, January 3, 2011

Yes - We ARE still kicking

No, we haven't been ignoring the twins' adoring public.

Yes, we have a few quick updates!

It's really incredible how busy life is with these little guys. They take so much time and energy and we have to sneak in regular life events at the same time.

Isaak has been doing really well post eye surgery. The two week check-up indicated that his eye is not worsening, which is all we can ask right now. He has elevated pressure in the left eye and is getting drops for that and he'll be on steroid drops for another week or so.

He had another positive visit with the GI doc. His continuous feeds are no long 24 hours, but 16, meaning he has 8 hours a day connected to nothing! That was a fantastic Christmas present (one we got on 12/27, but close enough to count). You can believe we are taking maximum advantage.

Having children around as well as Nana and Papaw and Auntie Amanda and Uncle Philip made it a very special holiday. It could only have been better if Grandma and Grandpa could've made it too. Next year will be oh so much fun as they will be big enough to be tearing around the house (and tearing through the wrapping paper).

I promise we'll have some photos and video up soon. In the meantime I will leave you with this parental nugget: An LED maglite is a *great* distraction in a car with screaming babies at night. Maglite FTW!