 |
Eight Months |
 |
Two bottom teeth! |
What a "birthday!" Sadly, Owen spent his eight-month birthday in the hospital feeling pretty miserable. We took the above photos after we spent a few days at home so we could continue the trend of taking his photo in the same spot. He's grown so much, but this time I think he's gained more height than girth, plus two bottom teeth! He said his first word, "Dada," but we have yet to hear "Mama." I hear a lot of "g's" and "b's" and sometimes "m's" in his babble, but we don't have another confirmed word just yet. We've been working on his tummy time, and he definitely has a lot of strength and will use his arms to scoot a bit. No crawling just yet. I'm anxious; I admit it. I know he'll get there, but I do think he'll be a less frustrated little Bug when he can be more mobile.
We spent six days in the hospital, following Owen's emergency incarcerated hernia surgery. At the start, we thought Owen had a bad stomach flu. He had been vomiting and refusing to eat, but otherwise had no secondary symptoms--no fever, not lethargic, no diarrhea. The doctors advised trying some Pedialyte and to watch for dehydration, but otherwise he should be OK. With puke in my hair and a sick baby in tow, I made a Target run for Pedialyte (Nick was out of town). I definitely felt like I earned a "Mom Badge" that day. After a 24-hour sick day, he seemed to be feeling much better and he went back to daycare.
After a couple days, Owen was sick again, same symptoms: vomiting, refusing to eat, no fever, diarrhea, or abdominal pain. I spent the night trying to help Owen sleep and keep hydrated, and I made an appointment to see a doctor first thing in the morning (Nick was on the redeye back from a work trip in Hawaii). I had a few suggestions on what could have caused all this, and I was so sure it had to be food related. Or maybe he had a stomach flu and caught it again from sticking everything in his mouth. Maybe. We were definitely aware of Owen's hydrocele (which he had been diagnosed with months ago) but our warning signs for that becoming a hernia or anything of concern were that he would have a fever, abdominal pain, and possibly diarrhea. The doctor sent us home with a urine test for a possible bladder infection, but otherwise it was probably a stomach bug.
Nick arrived home early afternoon that day, and we spent the day trying to make sure Owen was able to keep some liquids in his system, good rest, and just watching him closely. He was still fairly himself in between naps. While he was awake we could still get him to smile, and he didn't seem too distressed. That evening, we had absolutely no luck keeping any fluids in his system. Even touching his lips would cause him to vomit. He couldn't sleep, and soon became lethargic. Nick and I knew it was time to take him to the ER.
We arrived in the ER around 8 p.m. I feel like we had to wait an eternity to be seen. Owen was awake and not crying at all, so it almost seemed like it wasn't serious. We met with the front desk nurse for a few minutes before starting the tests. They tested him for hours, and it became more worrisome as the night progressed. They had to catheterize him to test his urine, and then he had to have his stomach pumped. When he didn't fuss for either of these painful procedures, we really became worried. He had a few x-rays done, an ultrasound, and then a surgeon came to see us. He explained that Owen had an incarcerated bowel and needed immediate surgery. If the bowel had died, it would be a very serious matter and would require subsequent surgeries and a very long healing process. If not, the surgery was expected to be more routine with a few days to heal. In an absolute blur of reality and a quick understanding of what was about to happen, we signed some papers and sent Owen into surgery at 2:30 a.m.
 |
ER tests |
 |
Feeling icky |
 |
Going into surgery |
Nick and I waited in the empty cafeteria for our pager to buzz indicating Owen was ready to be seen. They said two hours at best. We both knew we would have to call parents, but I just didn't want to make that call. When someone calls at that hour, you know the news isn't good. And I knew my relay of the information would be difficult. I couldn't hold it together, but I did as well as I could. At that point, Nick and I had both been awake in some form for the past 48 hours. After talking with both sets of parents, we passed out in the booth for just a few minutes.
I heard a very soft "good morning" and jolted awake to see the surgeon in front of me. He reported that the surgery went well, and Owen was doing just fine. He wasn't quite ready to be seen yet, but the bowel had not died, so it was the best case we were hoping to hear. When the pager finally went off, we gathered our things hand headed up to see Owen. Poor guy. He was still pretty out of it, but awake and not nearly as distended as when we brought him in. The tube used to pump his stomach was out, but he had an IV and a few other non-painful attachments to monitor him. After the nurses gave the OK, we were wheeled into the recovery room where we would spend the rest of our hospital stay.
 |
Surgery recovery |
 |
Waking up from anesthesia |
According to the doctors, Owen was expected to have a quick recovery and get back on his eating schedule within a day or so. All soiled diapers were a success story--they indicated the bowel was working and healing just fine. After a day of successful soiled diapers, we got the OK to start feeding him again. We started slow, as directed, with just a couple ounces. We added a couple ounces each time, never actually giving him a full feeding. This was the start of the longest night of his recovery. Owen started vomiting again, and his tummy was very distended. When they measured the circumference, it was 53 cm. To compare, when we left the hospital, he measured at 46 cm.
 |
First bottle after surgery |
Owen was pretty uncomfortable and upset, and was having trouble sleeping. I tried holding him despite all the tubes and machine connections, but it was difficult. I don't have the strength or the mass to really hold him comfortably while he's arching his back and hooked up to all kinds of monitors and IV's. The doctors explained that is was not uncommon for this type of setback, it just means the bowel was "asleep" as they call it, and it takes it a while to wake up. Although the bowel wasn't stuck anymore, the muck inside the bowel wasn't moving along just yet, so feeding him was just filling him up again.
 |
Still not feeling well |
We were given the option to pump his stomach again, and to keep pumping to make sure the bile and other mucky stuff would stay out of his tummy. He would keep hydrated by the IV. The difficulty was that inserting the tube is pretty painful, and it also meant that we'd be keeping his stomach empty. In other words, yes, he'll feel better, but he'll be hungry all the time. *sigh* We opted to insert the tube again to help him sleep and lower his pain.
It was awful. Owen was much more awake for the tube insertion this time, so we had a better taste of how painful it really was. The tube originally wasn't sucking anything, which didn't seem right to Nick or me. After the nurse left the room, I noticed Owen doing a funny thing with his tongue, and I peered in his mouth to see the tube was looped inside his mouth. After another round of readjusting the tube, we finally had results from the pumping. No wonder he was so uncomfortable! Ugh...
 |
Lots of muck upsetting one tiny tummy |
Now that we were taking so many fluids out, the doctors also wanted more fluids to keep him hydrated through the IV. A second IV was needed, so we braced ourselves for another round of pokes. I'm not sure how many times the nurses tried, but he had been poked in every single possible spot, and no luck with a second IV. I reached out an touched the hand of one of the nurses who was trying so hard to get a successful IV. It was a rough night for our nurses too. We were all trying so hard, and it felt like the night that would never end.
It was soon suggested that we might need to catheterize him again to make sure his bladder was doing OK, but by that time, we had all had enough. The catheter could wait. We decided to increase fluids on the one good IV, and try a second one only if this IV goes bad. No catheter unless we don't have a wet diaper by tomorrow. Nick pulled our night nurse aside and asked that she help us all get a few hours of uninterrupted sleep. After all that, I honestly started to go into a zombie state. I was still maintaining my pumping schedule to the best of my ability, so I just collapsed.
The rest of the recovery was long, but progressively better each day. Owen had to keep the tummy pump in for two days, which also meant that his arms had to be braced so he wouldn't take the tube out of his nose. We did have to put a second IV in, but they brought in "The Nurse" who had a lot of success with difficult baby IVs. She was successful, and both IVs stayed in the rest of our stay.
 |
Too many tubes, tummy distended |
 |
Steve the Stegosaurus keeping watch: thanks G&G Mostek! |
Nick and I never left his side. Although our room accommodated two patients, we never had a neighbor overnight. We had a few recovery neighbors during the day, but they were in and out within a few hours. Nick and I alternated days to go home for a few hours to shower and get a few necessities. Owen slept pretty lightly because he was hungry all the time, so we ate in silence while keeping the room as dark as possible.
It wasn't all bad. Owen was definitely getting better, but it was just a waiting game. Nick and I spent a lot of time trying to see his smiles, and working on getting the first post-surgery laugh. No luck until my friend Jes and her family came to visit and brought their two kids. Colin, her two-year-old, was playing with a balloon in the room and Owen laughed. It was amazing. AMAZING. We didn't show it immediately, but it was a pretty emotional moment. We missed his laugh so much.
 |
First walk around the floor with Daddy |
On day 5 we got the OK to feed him, and the tummy tube came out. Owen must have made quite an impression on the hospital staff because 5 or 6 surgeons came to our room to announce that he had the OK to eat. It was a glorious announcement. We had to feed him in very small increments, which was probably more frustrating for him than not feeding at all, but it was progress. After a check 24 hours later, we got the OK to go home on the sixth day after surgery.
 |
Finally...food! |
 |
Feeling better |
 |
Mama feels better too |
 |
Our favorite nurse, Cassandra |
 |
Let's take these off! |
Since we've been home, it's been really great. No setbacks so far, and Owen seems to be healing just fine. We stayed home for a couple days with him to get us all back in the groove, and he went back to daycare without a hitch. He's back to being our little Bug, and he's very generous with the laughs. Now he has normal baby problems: teething, growing, crawling frustrations, being tired, and probably being bored sometimes. And I welcome it.
 |
Going to get ice cream |
 |
No ice cream for me? |
 |
Showin' the big grins | | |
 |
Block party: love big dogs! |
I do want to say thank you for all of the messages, gifts, visitors and overall support we received from our family and friends. We weren't expecting to be in the hospital that long, so it was nice to have small breaks to unload and fun surprises to help us along the way. Nick, Owen and I appreciate you all in our lives.