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    July 30

    SUPER Husband!

    While I sipped a mimosa and had a fantabulous brunch with a couple of my girls (thanks Natalie and Beth!!), Nate not only handled all 3 kiddos, he went grocery shopping for the week with them--yes folks you read that right--all THREE at Tom Thumb on a Sunday no less and one of my dreaded tasks is off the list! 
     
    In even bigger news...Jackson Burgess should be on his way home to Dallas sometime tomorrow!!!!  YAY Jackson!  I'm so happy for Kimberly and Adam; what a great family! 
     
    Well, I made it through my week of single parenthood.  Without my dad coming to the rescue though, it would have been disasterous to say the least.  Audrey's doc appts alone would have done me in!  Speaking of...she listened well to y'all "thinking EAT", her oral intake increased substantially and she gained 130 grams!  GO AJ, or so I thought until we saw the doc...not good enough.  UGH!  He was pleased that she gained but thinks she should be gaining more and increased her gavage feeds.  She's already taking way less orally and still refuses the bottle.  I spent a good amount of time stressed out and defeated Friday and Saturday but decided today to talk to her ped tomorrow (the GI is on vacation this week) about a new plan.  I want to focus on increasing her oral intake and increasing her gavage is not going to do that.  So, we'll see what her thoughts are. 
    The bloody stools are still not resolved either but Dr. An feels strongly that it's the same thing that Jason had (I'm too lazy to look up the spelling right now), but we'll continue to watch it. 
     
    I have a few great stories about the boys, a new family that I met, and a great impact story from someone who follows us, but they will have to wait until later when I have more time.  I've given the teaser only to ensure that I will share them, otherwise they will get lost in my craziness!!  Also, I'm trying hard to get on top of thank you notes--those of you that have sent gifts, please know how excited we are about them and a note will make it soon.  Finally, I don't think a welcome home party is actually going to materialize, just too much for me right now; but I would like anyone who would like to come by to know that I love to share her, i just need a little notice, so call or email soon!  Tommy and Connie Hawkins--she loved meeting you  this weekend!!
     
    Talk soon,
    Love,
    Jenn
    July 24

    Think EAT!

    That's what Audrey needs to do.  She has made strong improvements in her volume from me; however the stinker is on a bottle strike and her over-all intake is still not enough to convince her docs that a G-tube isn't in her future.  Let me start with her GI visit; I LOVE Dr. An.  Jason saw him as an infant;  I loved him then and was again WAY impressed with him.  He's more than willing to wait as long as we want to do a g-tube as well as continue to try new things to get her oral eating up.  His biggest concern is the bloody stool.  He has several ideas about it and I feel good that he'll either figure it out.  He changed her gavage schedule to continuous (we were on every 4 hrs over an hour--we were only sleeping 3hrs max at a time) and lessened her volume in hopes she would up her oral intake.  At first we didn't see a difference but with her ped's suggestion to push her a bit, she's now taking 60+ cc's every feed (I have to feed her for 30 minutes though and she only wants to do 10, not fun!)  She is making strides though, today she took 108 at one feeding.  Her weight, however, is sliding.  I'm hoping though it will even out by the end of the week, like I said, think EAT!  Funny side note though, since seeing him and hearing him talk g-tube, she has increased her oral intake AND had no blood in her stool for 2 whole days (it's back though)!  I swear she understands every conversation she hears.
     
    Now, on to some serious props to moms of 3 or more.  Especially Amy D and T Thompson (who has 4 and probably doesn't even have time to read this!).  Those two had husbands who needed to be out of town for their jobs for an extended period of time and they made single parenthood look easy.  Amy used to even come and pick Ethan up for an outing while I was preggo and while AJ was in the hospital--she's my hero!  Nate's been gone since yesterday and by 1:30 today when my dad arrived to help, I was near losing my mind!!  Ladies, do tell how you do it.  Amy just moved to Austin--I miss you Amy!
     
    Finally, Sheri Smith stopped by last week and Audrey got to meet her first CDH friend, Jaxtyn.  I've been talking ot Sheri since we were diagnosed but we never were able to coordinate a meeting, it was great to finally meet her and see her gorgeous kiddos!  I didn't get my camera out until they were leaving, but she got pics of Jaxtyn and Audrey together so hopefully she will share those on her site or send them to me--hint, hint!! 
     
    I'm off to bed now, Nate's gone until LATE Friday night so I need every second I can get!  Oh, real quick...thanks for all your comments on the Sugar picture, Jen emailed me saying her blog hits were up from y'all checking the photo out!!  She truly has a gift.  We won't see the rest until next month, so I'm sure I'll be raving about her again then!
     
    Have a great week, think EAT!
    Love,
    Jenn
    July 21

    Sending lots of love to Jackson Crowe and his parents!

    Jackson's surgery is about an hour away, please send him and Stacy and Jeff lots of positive energy. 
    I'll update when I hear that everything has gone well and he's resting at home!
     
    Thanks,
    Jenn
     
    UPDATE:  All is well!  Jackson is home and happy!
    July 18

    My heart in an image

    http://sugarphotography.blogspot.com/2006/07/we-finally-meet.html

     

     

    Jennifer Weintraub of Sugar Photography came to our home today to do a photo shoot of Miss Audrey and her family.  I originally heard of Jennifer through scotthousehold.com as she did photos for them.  As we were preparing for Audrey's arrival, I learned of an amazing group of photographers called Now I Lay Me Down to Sleep .  They take photos for families of babies who don't make it.  I had them in the back of my mind, but didn't want to contact anyone before AJ's birth just out of plain fear (making those kind of preps in my head were scary enough, not too mention the real plans Nate and I had in place for the worst).  I had told Stacy though that that would be one of her tasks if we were in that need.  We aso learned of the other organization that Jennifer is a part of for seriously ill babies and that's where Stacy discovered that Jennifer was a part of both.  I remember when she told me on Audrey's second day; I totally didn't understand why she was talking about Sugar Photography when that was the one who did Maggie Scott's photos (I wasn't following that she was a part of the organizations too).  Jennifer was so wonderful to me that first week when things were so touch and go for AJ.  She offered to make herself available no matter what and then when AJ started to improve, she kept up with us asking when she could come photograph our superstar.  Today was the day!  The link I have above is Jennifer's blog, she has a site for her work as well http://sugar-photography.com ; check out both, you'll be amazed.  Also, check out her July 6th blog entry to see Audrey's best buddy Allison with her daddy. 

    I have lots more to share but sleep is calling!  Thanks for all your kind comments and more so for being a part of this journey with us.  It's starting to feel like just life now, and that's pretty sweet!

     

    Lots o love,

    Jenn

    Happy Anniversary Mom and Dad!

    Today is my parents' 36th wedding anniversary.  Have a great day Grandma and Papa, we love you! 
    They were here this weekend and their departure was a bit sad to say the least.  They've been with the boys since May 1.  How do you thank someone for that?!!  We are so blessed. 
    SO, that means we've been on our own for nearly 48 hrs...oh man 3 kids is tough!  All is well though, Nate and I even managed to get the house whipped into shape tonight when everyone finally went to bed.  Miss Audrey is doing well-- still gaining steadily despite herself!  Ethan says today, "why does she always cry when she burps?  she cries everytime she eats, that's weird mommy"  I started to try to explain in 5 year-old terms, but how do I say "her guts grew in her chest and just don't work right" so he'll understand?  I ended up just reassuring him that it'll get better.  He was good with that.  We see the GI doc on Thursday so hopefully he'll have some ideas about how to progress on feeds.  I'm pretty confident about what he'll say about the blood in her stools too, we'll see.
    She's good though, smiling much more frequently and....cooing!  she'll just "talk" up a storm, it's the cutest thing ever. 
    News and thought request...Stacy's son was just diagnosed with a (are you ready for this?) congential inguinial hernia.  It's apparently a very common one for little boys to have.  He'll have to have day surgery to repair it though so please keep our little man in your thoughts.  I know this hernia is nothing like Audrey's, but how weird is it that both our kiddos have a congenital defect?  The doc who will do the surgery is the same who removed Audrey's central line. 
     
    Finally, some shock and awe--- we received AJ's hospital bill last week--JUST the hospital, not her care, not her labs, not her surgeries (we've been seeing the insurance statements from those for a while) and the total was 400K!  Thank goodness for insurance is all I'm sayin!  Healthcare costs are shocking. I'd pay it twice it though if it meant the same outcome. 
     
    Please keep praying for our CDH families and keep Jackson Crowe in your thoughts too!
     
    Have a great day everyone! 
    Love,
    Jenn
    July 15

    Quick Update

    I didn't want to write after the devastating news of 2 more babies lost to CDH, but I also want to be sure that Audrey's story remains complete to give hope to expectant moms.  Some kiddos do make it and do great; no crystal ball (or MRI, or Ultra sound, or surgeon, or med journal) can tell which ones will, but some do.
     
    Audrey has had 2 great days after a miserable Wed which landed us in the lab on Thurs to get  chest and ab (KUB) x-rays, urinalyis, and a home stool-collection kit.  She's totally fine, in fact the whole time we were waiting at the hospital on Thurs (about 4hrs total, ugh) I knew we didn't need to be there.  I don't fault her ped though, she was just being cautious and it was nice to be reassured.  On Wed, AJ basically cried all day and refused to eat until 6pm and then spit up the entire feed when she did.  She did ok with her gavage feeds and then was fine the next day after one episode of inconsolable crying.  Her doc thinks she may have had a small tummy bug that she had seen lots of.  I hadn't felt good all day Tuesday so I think that could very well be it; who knows?!  i'm still learning all the ramifications of CDH, we have to worry about normal stuff too?? !!!
     
    Anyway, she's doing great now.  She's taken to projectile spitting one feed a day (nearly the whole feed anyway) and spitting up tiny amounts of others during the day, but she's fine after (happy actually!).  She's gaining steadily too, so I'm hoping maybe she's just trying to tell us she's ready to give up one of her gavage feedings.  We're going to play with it this week.  She took her biggest oral feed today too, 68cc over 30 minutes! 
     
    Biggest news of the day, the boys are back and AJ's grandma finally got to hold her!  Jason's first word out the car was, "Audrey?".  After loving on E and telling him it sure was quiet around here without them, he says, "didn't Audrey cry much while we were gone?"  I just love my boys! 
     
    That's all for now; please keep those families in your thoughts.
    Love,
    Jenn

    Our Deepest Condolences to the Akar Family

    Baby Mert passed yesterday.  Our hearts are so heavy with this news.  Emel and Aytekin, please know we are thinking of you and sending lots of love across the globe to you.  Mert, we'll remember you sweet boy!

    Our Deepest Condolences to the Southmayd Family

    Baby Judah passed Wednesday.  Our hearts ache for his family.  Please keep them in your thoughts and prayers. 
    July 12

    Slow and Steady Wins right?

    I need to keep reminding myself of that.  That, and how grateful we are to even have the small problems we are having.  I know lots of mom would do anything to be frustrated over feeding issues if it meant they had their babies.  It's all perspective I guess.  One of AJ's doc's favorite sayings was "don't be greedy" whenever we were asking about her progress.  I'm trying hard. 
    She is gaining so she's doing fine, but we're not able to make any dents in her gavage feedings, she still won't take more than 30 - 50cc's at a time from me or the bottle, there is still significant amt's of blood in her stool (although now it seems to be tied to breast milk), and she still appears to be in pain.  I think I just thought home would be some magical cure for her and I'm disappointed that it's not so far.  Maybe she needs those crazy boys back!  They return Friday.  She is smiling more now, that is a new wonderful trick! 
     
    On to more pressing things...I've recently been "introduced" to a few more CDH families by a NICU mom who found our site.  One of the babies was born in April and is doing great, home and happy!  The other, Judah, is being taken off ECMO today as no more medical intervention can be made for him.  Please pray for him and his family.  Their site is http://www.babyhomepages.net/judah/  It just breaks my heart to hear of yet another CDH baby not doing well.  I also got an email about about another CDH baby, Gabriel, who didn't make it.  He was born and died last week.  Please pray for their family as well. 
     
    I just HATE this defect, HATE it. 
     
    Baby Mert has started his battle, is in surgery as I type.  Be strong little fighter! Jackson is extubated and doing GREAT!!  I'm so excited.  He and Audrey will be getting together before we know it!   Sofia is doing well, she's a super eater, gaining like mad!  Drew and Avery were suppossed to be with us too, it justs maddening and mind blowing that they're not.  Jana and Lauren, I miss your babies everyday.  Parker and Jolee Jean are never far from my thoughts either.  One day no more babies will die from CDH, one day.  Until then, please keep praying.
     
    Jenn
    July 09

    Doing well!

    Still having bloody stools and this morning she projectile spit a good portion of her last feed, but overall, we are good!  Is it kosher to share such gross stuff?  Sorry, it's our life!
     
    I added new pics; I just couldn't decide which ones not to put up, so I put a bunch!  Poor Papa was such a trooper on the 4th one, I just wanted a picture of her from that day and she never was on board, crying pics are fun too!  Speaking of Papa, AJ loves him!  He holds her while we get her first gavage feed ready and while she starts out a mess, by the time we take her she's sleeping peacefully.  She must know everything he did to help her recovery!  That reminds of a cute E story from yesterday...Audrey was fussing and Papa was trying to calm her when Ethan speaks up, "Papa, pat her back, that's what works"  He's only been around her a few days and has already picked up on the nuances of how we care for her, LOVE that kid! 
     
    Love him so much that we're sending them to San Antonio for a few days!  Mommy guilt is already setting in, but I think it will be best for everyone.  My dad has an appt this week so he's headed back home and taking the boys with him.  We figure it will give us some time to focus on AJ and maybe sneaking in a little sleep (right now when she sleeps we're on with the boys).  Her gavage feeds at night are taking a toll.  Anyway, when they get back, my folks will stay a night or 2 and then we're on our own.  Little nervous for that but I'll spend some time this week preparing (I hope my posse is ready for playdates with the new and improved Miller clan!)
     
    Better run, lots to do!  Please send some thoughts for Baby Mert (I've added his link) who will arriving this week.  Be strong little fighter! 
    Also, I believe I have the right date...Happy Birthday Connie!  My dear friend from WAY back, she knew me when the bi-level with spiral perm hair-do was all the rage, good times! 
     
    Take care everyone!
    Love,
    Jenn 
     
    July 08

    2.5 oz!!

    Superstar gained!  I won't lie and say I wasn't nervous about her weight check this morning but I knew in the back of my head she had done it.  Now we just have to stay on that path so we can get rid of the gavage feeds.  I went ahead and rented the mack-daddy scale so I can monitor how much she's taking by breast as well as her weight in general.  We left the hospital saying we were done with monitors but this will give me peace of mind, so we're going with it.  Many of you have asked how big she is now; 10lbs 5 oz and 22 inches long.  Not sure if I shared that I found out she was 20 inches at birth---I wondered but thought they hadn't measured her since it wasn't a vital statistic, we looked back at her chart and they had, it just wasn't ever remeasured "deferred, too sick" until she was over a month old. 
    I've been slowly starting to get my head around what we went through our first 5 weeks or so; when we were in it we just were getting through, now that we're out, it's a little overwhelming to realize from where we came.  All I'm going to say about it is wow, my baby really is a special little spirit.  I'm humbled too by the greatness and power shown to us through the support we were given and continue to receive. 
     
    OK, the stuff everyone has been asking about...visiting!  We are so excited to share her with you!  It's going to be slow going for a while though.  First and foremost, she needs to be protected from illness (we're already having trouble just within our house!), she looks SO normal on the outside that it's hard to remember how fragile an illness could make her.  Her lungs are significantly smaller than "normal" and damaged from all we did to save them.  Second, we're still trying to figure out how to "do" 3 kids (how Amy D makes it looks so easy is beyond me!), so my stress level is a bit high and my house is a wreck (which adds to my stress level!)
    We are slowing trying to do outings and take visitors though. I think we will try to plan some sort of "welcome home" the first week of August or so.  I will be depending on party planner extraordinaire, Caprice, to help me out with this. 
    Bottom line, we want to see you, just know I'm a little freakish these days and forgive me in advance!!
     
    Her feed is finished so I'm going to get back to bed.  I'll try to post pics tomorrow.  I'm hoping to finally get some good ones with the boys now that E has been fever-free for a few days.
     
    Talk soon,
    Jenn
     
    PS  Thanks to everyone who gave advice about feeding, keep the tips coming, especially anything to help her tummy.  Poor pumpkin's tummy just hurts.  She's not spitting but she wiggles a lot, grimaces, and cries with just about every feed, burp, and poop.
     
    July 06

    You'd think it'd set in by now

    but I still really can not believe she's here and I'm typing an update about her sleeping beside me right now getting her gavage feed.  Don't get me wrong, there's a lot of reality in our house right now--little sleep, clutter EVERYWHERE, Jason's obsession with knowing where Audrey is at every moment, Ethan getting sick with some random virus, etc etc--but I still find myself gazing down at her and just getting overwhelmed that she's actually here.  One of her docs warned us about spoiling her because we're so grateful for her, I can totally see how that might happen; fortunately she has 2 brothers who just won't let it! 
    Poor E, woke up Mon in the middle of the night with a fever that he just can't seem to shake still.  Of course we are panicked about AJ, but what can we do besides wash our hands and try to keep their distance?  Both boys go the ENTIRE hospital stay with nothing more than allergies and we get her home and boom, 104 fever for E and J has a gross nose, ugh!  They've been SO sweet with her.  Jason is saying "Audrey" from the second he wakes up looking for her and then just pointing at her when he finds her "Audrey" "Audrey" or "Audrey sleeping" or bringing her a blanket, paci, or TT (what the boys call their lovies).  It's really sweet, but he has woken her up a few times as well as given her things a little too generously (ie smashed her face with a blanket, etc)!!  Ethan is the perfect little helper and narrator--if I'm not holding her he tells me the play by play of what she's doing. Good stuff.
     
    Miss Audrey is adjusting well.  We went to her first ped appt today and although she did lose a little weight and she's still having a little blood in her stool, all else is fine.  I don't know if I shared ever our continuing diaper battle--in what seems to be a direct correlation to fortifying her gavage feeds with formula (we add formula powder to breast milk in order to increase her calories without adding volume), she strains with BMs and ends up with blood in her stool.  We're pretty sure it's from a tiny tear in her bottom (fissure) but blood is always concerning so we're messing with the type of formula we add.  We would try to eliminate it and add more breast milk but her tummy just can't handle that much volume at a time so she needs the extra cals.   
    Goodness, she's gonna die when she reads this at age 16, I better stop sharing all the details!  Bottom line, she needs to eat more from me at a time and gain weight so we can stop having to fortify.  It's so painful to watch her struggle when more is in her tummy though, she's just miserable.  She'll get there, just last week she was only tolerating 20cc's in a shorttime frame and her last measured feed (hospital) was 58cc's in 15 min.  Her gavage feeds are up to 125cc's but it's over a hour at it's shortest. 
     
    Speaking of, she pulled her tube out first thing this morning, little stinker!  We weren't excited about putting it back in, but it went well save the taping part.  Getting it secure is such a challenge with her as she's SO excited about messing with it.  The home healthcare nurse comes tomorrow, I may have her do the ugly white tape job as it's the most secure. 
     
    Alrighty, this was probably a pretty boring post as I didn't share much other our daily details, it's just what I'm thinking about right now.  I have lots more floating in my head about our journey and the people who have joined us, but it's not what's coming out right now, perhaps tomorrow.  Until then, thanks for your wonderful comments, they've brought smiles to our faces and touched our hearts.  I can't tell you how excited I will be to give a hard copy of all that has been written here to Audrey when she's old enough to understand it all.  What an amazing little girl I have to elicit such support from so many amazing people.  My heart is so full of gratitude and love for each and everyone of you. 
     
    Talk soon,
    Jenn
    July 03

    There's NO Place Like Home!

    She did it!  We have been home since noon and all is well.  Better than well, perfect!  We could not be happier (unless all CDH babies, all sick babies for that matter, got to go home). 
     
    She's asleep in her crib right now and couldn't look any sweeter!  We'll get pics up soon, I think we've taken a million today.  Leaving the hospital was so emotional for me; I was beyond overwhelmed with gratitude and happiness.  The people there, everyone from housekeeping to the doctors were SO good to us.  I could go on and on (and I'm sure I will in the upcoming nights waiting for her gavage feed to finish) but for now, I'm going to go and continue to settle us in.  Ethan said it best when he saw the piles of stuff we came home with, "wow, babies come home with A LOT of stuff, does she need ALL of this?" 
     
    With an overflowing heart,
    Jenn
    July 01

    Super Fast, need sleep!!

    Oh so very much to share and zero energy to do so.  I clearly remember waiting with baited breath for updates on all the other babies, not to mention my checking of scotthoushold.com before I ever dreamed I'd be posting my own updates; so , I apologize for the lack of info lately and be assured I will do much better when we are HOME!!!   I won't give a date as it's not a sure thing yet, but we've been working very hard to get Miss Superstar home and it may happen soon!  You just can' t even imagine the joy, relief, excitement, anxiety, etc etc we are experiencing with this news (not to mention the lack of sleep with being at the hospital 24/7!) 
     
    I'll give more details when I have time.  I posted 2 new photo albums. 
     
    PLEASE send thoughts to Carole and her family (I posted Baby Joseph's site for those of you who haven't seen it before).  My heart breaks for them.  Carole, I think of you a million times a day.
     
    That's all I can do for now, I've got to sleep!
    Love,
    Jenn