Jack Undecided

Well the trial extubation was just that, a trial. He lasted less than 24 hours before they re-intubated him. They had him on the CPAP (provides positive air pressure to help him breathe) but he did not like it! He did okay at first just seemed aggravated by the CPAP (it straps onto his head). As the evening progressed he was requiring a higher oxygen concentration and a stronger oxygen flow. Also he continued to be agitated and his heart rate was elevated. Considering all of these, the doctor decided to reintubate him. Hopefully they will be able to try again in a little while. :-(

Even though we knew that was a chance, it's still pretty disappointing that it didn't work. Other than the breathing, Jack is doing well. He keeps moving up on his feeds and is quickly gaining weight. He's up to 1180 grams at his last weighing which is around 2 pounds 9 1/2 ounces! I've been able to kangaroo him a couple times in the last few days which is absolutely awesome. Mackenzie was up for one of those visits and it was incredible to watch the joy on her face as she got to see her baby brother up close and out of the box. It's amazing the relationship that she already has with him. She is so in love with her brother. It's also amazing the faith that she is able to display during all of this. We had the following conversation after I talked to the doctor this morning:

Mackenzie: "Mommy, why are you crying?"
Mommy: "I'm crying because I miss Baby Jack."
Mackenzie: "Well mommy, I don't cry because I miss Baby Jack. I just pray to God when I miss him."

Wow, what a humbling moment for a mommy. Also such a comfort to know that she has her faith to draw on.

I'll post again soon,

~Jeny

Funny NICU video

http://www.youtube.com/watch?v=Hg0w2bJ7YaU

30 Weeks g/a Today!!

Jack is officially 30 weeks today... at least his gestational age. I keep getting these weekly emails from Baby Center about "What your baby is doing this week..." It's amazing to see the developments happening that are supposed to be happening in the womb. Jack is quickly gaining weight now. He is almost 1100 grams which is around 2lbs 5oz. They keep moving up on his feeds which is good since I am overproducing for his intake right now :) We went out....or should I say DJ went out... and bought a stand alone freezer to put in the garage to store Jack's milk so that we'll have room to actually put food in ours. It's still in the back of the van, but hopefully it will make its way to the house soon. :)
Jack's last day on antibiotics is tomorrow!! Yippee!!! They will repeat his head ultrasound probably tomorrow and we'll see how his clots are progressing...or more accurately, regressing. is primary doctor, Dr. Brown is out of town for the week but she has another doc, Dr. Albertini, checking in on him. (Yes, like appletini, and I'm always afraid to make that mistake when I'm talking to her :o) She's nice and we've had her before when Dr. Brown is off for a few days.
The other change is on his ventilator settings. He has been on what they call automode for a couple days now, which is where Jack is responsible for breathing and the vent just kicks in when he forgets to breathe. He's been doing well on it and Dr. Albertini is hoping to have him extebated in the next couple days. However, as is typical (apparently) with Miller-Pighetti children, his lungs sound crackily and they have put him on these 2 drugs that the doctor was kind enough to describe to me as Albuterol and Pulmicort. I had to chuckle as I explained that our eldest has asthma and we are very familiar with those drugs. Looks like we're 2 for 2 in the asthma department. I will continue to hold out hope that the meds are only needed because of his prematurity and that he will not be officially diagnosed with asthma. ::fingers crossed::
Post again soon,
~Jeny

Jack's Bath

Mommy got to give Jack a bath last night. (Well help anyways :) It's been quite a while since I've bathed a baby, and never since I've bathed a baby that little. Luckily, his nurse was very patient. (Thanks Brie!) It was a little terrifying, but still really cool. We bathed him in his incubator so it was a little hard trying to work through the portholes, but I think I did an ok job. He didn't like the water so much, and if he hadn't been intubated I'm sure he would have very vocally objected. Instead he just flailed around a lot and tried to grab ahold of everything. He's got quite a strong grip for such a tiny baby. He's also working on his upper body strength by doing push ups. He is definately an active baby!

Health-wise Jack continues to improve. He is up to 2lbs 2oz and they have been weaning him down on his ventilator settings. Today they moved him down to "auto-mode" on his ventilator which means that Jack is responsible for breathing on his own and the vent only kicks in when he forgets to breathe. So far he has been tolerating it well. They also moved him up on his feeds from 16ml to 18ml.

Family-wise, we actually managed to make it back to church today. I didn't realize just how much I had missed everyone. It was really great to see everyone and be reminded of all the support that we have and all the prayers that Jack is getting.

Well, I'll go ahead and post this now so that I can head up to the hospital and see lil' man.

Post again soon,

~Jeny

Mack and Jack

I took Mackenzie up to see Jack today. She decided to take some of her books up there to read to him. Soooo freakin' cute!! She really enjoyed it and also the attention that she got as the "Big Sister" :-)

It was a little weird though, leaving the NICU with one kid and leaving one behind. Not a feeling that I enjoy and hopefully not one that I will have to deal with for much longer. Only 11 weeks and 3 days until his original due date. Even writing that number is surreal. I really hope that he is ready to come home by then.

Health-wise Jack continues to do well, no real changes. He is getting another PICC line tonight. We were hoping to avoid it but they are going to continue his anti-biotics for another couple week or so and he is running out of spots for his i.v.

My mom went home today :-( Really going to miss her. Mackenzie seemed to do ok. I was worried that she would have adjusted to well to her new routine with Nana, but so far so good. She has school tomorrow morning so we will see how drop off goes ::fingers crossed:: It's weird to think that the next time she comes down (which isn't really that far away) Jack will be home from the hospital. It's almost overwhelming the amount of stuff we have to get done before he comes home. On the plus side, I'm not pregnant anymore so I can pitch in with the room decorating....IF DJ lets me!!

I'll post again soon,

~Jeny

Jack and the Binkie

Well, Jack took his first binkie yesterday! :) Luckily we were there to witness this. The last few days we've noticed that he has been trying to suck on his ventilator tube and anything else that gets near his mouth. His nurse, Kristi offered to get him a binkie, and sure enough that was just what Jack had in mind! He chewed on it a couple times at first and then went to town. Looks like we have yet another binkie kid in the Pighetti family! :)

Health-wise Jack is also doing well. He had another spinal tap yesterday to re-check the meningitis. It came back clear for microrganisms but still positive for WBCs. This is good, it means that the anti-biotics are working to clear the infection but that his body is still reacting to it. He has had all negative blood cultures since the 4th, and is back taking breastmilk. They have him up to 16mL every 3 hours which does not seem like a lot considering his tiny tummy. They will continue the antibiotics for awhile longer to make sure that the infection it totally gone.

Mom leaves tomorrow :-( Very sad. Hopefully I can continue to make the house run once she is gone. It was such a blessing to have her here, and at least we know she will be back again come May so we'll try not to miss her too terrible much.

That's all for now,

~Jeny

Jack Update (Original post date 2/3/10)

Hey guys! I meant to get this up sooner, but things have been a little hectic around here. Jack recently accuired an infection (YUCK!) that spread to his blood (sepsis) and spinal fluid (meningitis). They have had him on anitbiotics since early Monday morning and already we have seen a big improvement in his attitude. (This morning he again attempted to pull out his ventilator tube!) They have sent off fresh blood cultures to see make sure the infection is being controlled and will do a head ultrasound tomorrow morning. The ultrasound will give them a better idea if the infection has caused any obvious damage to his brain. The infection can be treated, but at this point the main concern with the meningitis is whether it will leave any long term neurological effects. Everyone that we've talked to seems positive that because it was caught early and he was not exhibiting any obvious neurological syptoms that his outlook is good. He definately seems to be doing better this morning and seems back to his normal, feisty self. I'll continue to update as we get more information. Thank you so much to everyone for your love and support, especially our friends and extended family. I am overwhelmed (in a good way) by the number of people, even those that don't know us, that have stepped up and added Jack and our family to their prayer lists. Also a huge thank you to our church family who has provided meals and emotional support. As difficult as this whole situation is, it is such a comfort to know that God is watching over us and that his plan for our Jack is so much more incredible than our own.
Talk to you all soon,
~Jeny