Monday, July 16, 2007

My mom is an idiot!

Today mom took me for my 2 month check-up,only 3 weeks late! The wonderful doctor told her I have GERD/reflux. You would have thought me screaming at her for the last 12 weeks would have clued her in, but NO, she just thought I was a fussy baby! No mom, I am sick and in pain! They gave us some medicine for me to take, boy does it taste bad, but mom says it is going to make me feel better. She was crying because she said she was sorry that I was sick and she didn't know it.

So you ask, what is GERD? GERD stands for Gastroesophageal Reflux Disease which is chronic symptoms or mucosal damage produced by abnormal reflux of gastric contents into the esophagus. Your stomach is filled with acid. Its purpose is to help digest the food you eat. Believe it or not, this acid is the same acidity as battery acid. Your stomach is built to handle the acid it produces. However, your esophagus isn’t. So when acid backs up into your esophagus, it can cause the burning sensation known as heartburn. Almost everyone has occasional heartburn. But if these symptoms occur two or more days a week for at least three months, you may have GERD, or acid reflux disease. Acid reflux occurs when the lower esophageal sphincter (the valve separating the esophagus and stomach) does not close properly, allowing acid to back up into the esophagus. GERD is a chronic condition and may lead to more serious medical conditions, but is treatable.


Here is an update she sent to our baby list:
Luke went for his 2 month check-up today. They diagnosed him with GERD/reflux and put him on 0.7 ml of ranitidine 3x a day! I knew all the crying and spitting up wasn't normal and hopefully this will help. The doc said that to him when he lays down it feels like he is drowning, so we have to keep him upright for 45-50 minutes after every feeding...so basically he will be UPRIGHT all day, since he eats about every 2 hours!

Other than that things went well. As the visit was drawing to a close, I was waiting for her to say "the nurse will be in with the shots" and I had prepared myself for the whole thing and instead she says "you don't immunize right? So I guess we are all done for today. Call me in 10 days and let me know if the meds are helping his reflux".....I bet my mouth was hanging open! I couldn't believe it. I hadn't even mentioned the immunizations outright at any previous visit, just politely told a nurse when she said something about a new vaccine in the schedule that "That's fine, I don't really need that information". The only other thing would be that the record might show that we didn't do the hepB at the hospital, so that may have been another clue. I am so thrilled with my new pediatric practice choice!

He weighes 12 lbs even and is 24 1/2 inches long...... 40% for weight, 80% for height...

Saturday, July 14, 2007

A day in my life at 12 weeks:



I woke up to nurse today at 6 AM, then fell back asleep until almost 9 AM. Today when I woke up, I didn't cry. I just pushed myself up on my arms and spent some time looking around. Mom came and got me and put me in that stupid exersaucer thing. I was happy for about 15 minutes, but then I got really bored and started screaming. That is the only way to let mom know that I want OUT!




9:45 AM: Nurse for about 20 minutes. I sure love my milk, it is so tasty and warm. I don't even spit much of it up this time.


11 AM: Sophia rescued me from the exersaucer. Apparently mom thinks getting ready to go to Jacob's baseball game is more important than holding me. I am not sure if I like Sophia holding me, she dropped me on the dining room floor the other day. It really hurt.




12 PM: In the carseat and heading to Jacob's game. The car is quiet, it is just me, mom , Jacob and Will.



12:30 PM: Why is it when I go places with my mom that strange people try to pick me up and hold me, and why do they talk to me like I am some kind of idiot. I finally fussed enough that mom rescued me and sat and nursed me under the shade of a big tree.



1:00 PM Hey, what are Brett, Grant and Dad doing here? Where did they come from? I laugh at Brett and he holds me.



2:00 PM: Another stranger decided to pick me up. I am not happy. Mom takes me back and nurses me.



3:00 PM: Back in the car after the game, time for a nap!

Saturday, April 21, 2007

My birth story: Written by my mom

It is with great joy that we welcome Luke Zaid (aka PUMPKIN!) to our family!
Luke Zaid Riesenberg
Wednesday, April 18,2007
2:35PM via planned c-section
weighing 9 lb 8.2 oz
measuring 21 inches

Here is Luke's birth story (and the story of our 48 hours in the hospital after delivery!)

We were supposed to be at the hospital by noon, but we ended up running late. It didn't help that the majority of the elevators in the hospital were being serviced and that some maintenance guy with a bunch of big equipment seemed to think he took priority over a very pregnant woman and her pack-mule husband (poor Jay was carrying 2 suitcases and his newspaper!). We ended up arriving up in triage about 12:10 PM. It was oddly quiet and we were registered immediately and sent back to the surgical prep suite. It was so quiet that we ended up with 3 nurses attending to us! One of the nurses, Laura, went to start the IV, a procedure that I always hate as they tend to never get it right the first time. Unbelievably, even though she has to use the vein in the side of my lower left arm, she gets it started on the first try and it doesn't even hurt going in. Turns out her son plays football for UC (local college) so she and Jay chat about the new coach. They start the IV fluids, they need to get two bags in before heading into the OR. They test my blood sugar (77) and they fill out all the paperwork needed for the chart. Jay and I talk about names and the odd sense comes over me that since we easily picked a girl name, that this baby will be a boy! All of the nurses offer suggestions for names.

Shortly after 1 PM, Denise, the nurse anesthesist , comes in and discusses the procedure for the spinal. She is wonderfully cheery and upbeat, reminding me of the anesthesia guy we had with Sophia. It sets a great tone. One of the nurses shaves my massive belly to prep it for surgery.

About 1:45 PM, Jay is handed his scrubs (which look like a biohazard suit) and told to get dressed while they start my spinal. I walk into the OR (a different experience since I had been wheeled into the OR for both other c-sections) and asked to hop up onto the table. The room looks almost identical to the OR at the other hospital I delivered at, the only bad thing is that I notice that the infant warmer and scale are at the foot of the bed, so I won't be able to see the baby or the scale once baby is born!Denise tells me to sit indian style and to slump forward and relax! Easy for her to say, she isn't the one who is going to have a needle shoved in her back. She administers a numbing solution and I barely feel anything. I had felt tremendous pressure with my other spinals, but this barely hurt, I couldn't believe it. I was skeptical at first that she had even done it right, but as the familiar warmth and numbness rose through my legs and into my torso, I knew things were alright. By 2 PM, I was completely numb. While Denise does the spinal, the familiar sound of counting instruments is heard throughout the OR. They put a wedge under the right side of my back and strapped my legs to the table. Surprisingly, my arms were left completely free (another new experience). Denise put oxygen on my nose and Laura inserted the foley catheter. A screen was set up to block our view, but it wasn't very high. It was game time!

Doctors who perform the c-section: Dr. Andrews, Dr. Altman, and Dr. Valley.

Jay comes in and joins me just as the doctors test to see if I am completely numb. 2:05 PM the procedure begins. I can smell burning flesh and then realize I can see exactly what the doctors are doing in the reflection of the light. Jay can see right over the screen. The mood in the OR is light, lots of laughing, talking and joking. Denise agrees to snap pictures of the baby being pulled from the incision. Lots of PRESSURE and TUGGING! Jay stands up and actually manages to stay on his feet! Up baby comes into the air..... 2:35 PM....IT'S A BOY! I am completely and totally shocked, I think I even asked them if they were sure! I had spent my whole pregnancy preparing myself for a girl!

A funny sidenote. As baby is being delivered, the song "Rock Star" by Nickleback is playing in the OR. The night before (or more accurately at about 4 AM that morning) I awoke from a dead sleep with the words from that song streaming through my head. I had been dreaming about having the baby. The whole think gives me chills. I mention it to the delivery room. Everyone thinks it is funky!

Jay goes over to the table to watch them assess the baby. Apgars are 8 and 9. The moment of truth, baby is placed on the scale. 9 lb 8.2 oz. What a tiny little sprite for a Riesenberg baby at full term! He is 21 inches long. Dark hair and the most distinguished of cries. Ironically he looks NOTHING like any of his brothers at birth.While they are assessing the baby, the doctors are busy finishing the surgery. I can see my insides being reassembled in the reflection of the light. It is kind of cool and kind of weird at the same time.Jay comes back and sits down and is handed our beautiful son. Jay is right, he looks nothing like the other Riesenbergs! They finish sewing me up and staple the incision shut, not that I really notice, I am in total awe of the beautiful baby in Jay's arms.

We are wheeled out of the OR and back into the surgical prep suite. We will spend at least the next hour in there being carefully monitored!An initial blood sugar is taken from the baby. It comes back 37, just below what would be considered normal. Mine is also checked and reads 66. They decide to let me try nursing the baby to see if his blood sugar will come up on his own. i am worried since he has just been exposed to all the meds they gave me, but unbelievably he latches on the VERY FIRST TRY and then continues to suck for an HOUR! We finally take him off the breast because they have to wait 30 minutes after he finishes eating to recheck his blood sugar. I cradle him in my arms the entire time. They retest his bloodsugar and it comes back 43! YEAH! Jay finally leaves our side and calls the kids to tell them the news! We leave the surgical prep suite, baby still in my arms, and head downstairs (Labor and delivery is on the 3rd floor, post partum rooms on the 2nd floor).

By 5PM we are settled into post partum room number 220!We call the kids again. I am given juice to drink. Boy it tastes good after not eating anything since midnight. Baby nurses again for about 15 minutes (6:30 PM). They bring my meds bedside (ibuprofen, gas-ex) and tell me that I can take them when I need them, no more than every 6 hours. If I want narcotics, I just need to call the nurse. Jay heads out to run a few errands and to go home and be with the kids. Nurse until shift change is Mary.

After Jay leaves, I call my mother. No congratulations. Only her saying she hopes that this is the last baby we have. At least she holds her tongue and I don't get a white trash comment from her this time around. I don't get it and I never will. Oh well, not my responsibility for her to take joy in her grandchildren. It certainly is her loss!

7 PM is shift change. Night nurse is Phyllis and the PCA is Lori.By 8:30 PM, I am eating Jello. Oh, how I HATE jello! I call Deanne and chat with her a bit, but don't feel up to calling anyone else.

11:30 PM, I am given a sandwich, applesauce, and cookie to eat. A very dry turkey sandwich has never tasted so good!

4:45 AM: Catheter is removed.Baby was up the whole night! He nursed some, but mostly fussed.

5 AM: They test my bloodsugar. It comes back 85! YEAH!

7 AM: Dr. Wall comes to visit. Baby is happily nursing once again. He removes the dressing over the staples. OUCH! He reminds me to keep the incision clean and dry. Yeah, like I want to let it get infected! Baby finally falls asleep. Shift change and our nurse for the day is once again Mary and the PCA is Bonita, who is wonderful sweet!

7:30 AM: Breakfast! For a hospital, it really sucks nutritionally! An egg, danish, juice, milk, cereal! But I am hunger so I eat the danish and the egg and drink the milk, even though it is 2%.

8:45 AM: 4 hours after catheter is removed, I finally PEE! What a relief, although it is obvious that the bladder is still being affected some by the anesthesia as it is hard to control the flow. It gets easier to pee over the next two bathroom visits and things are pretty much back to normal by noon.10 AM: Baby is taken to nursery for circumcision.

2:35 PM: Happy 1 day birthday baby! Checked for jaundice and level is 7.4, just under what would be considered worrisome at 24 hours old (a reading of 8).

4 PM: The gang arrives for a visit! By the end of the visit, Luke has been named! Will insists that his baby's name is PUMPKIN! Emily even changes a poopy diaper!

7 PM: My mother visits. She HATES the name. It so happens her father's name was Lucas so she hates it. She is hell bent on holding onto the past, I much prefer to create new memories and a bright future. The way I see it, it really is not my problem if she likes the name or not, after all, how much contact will she have with him? If her past behavior holds true, maybe on holidays and an occasional baseball game. She leaves by 7:30 PM. She comments that I need to lose weight, even though she brought chex mix and trail mix with her for me to eat. I will NEVER understand this woman!

8 PM: Hannah returns with Sarah and Deanne for a visit. They bring a chicken sandwich from Penn Station with them! YUMMY! It is great to have company that actually wants to be there! OK, the kids wanted to be there, but they were VERY LOUD!Baby is taken to the nursery to be weighed (this is normally the only time each day baby is taken from the room). 8 lb 12 oz. Night shift nurse is Jeanie and PCA is Alice.

12 AM: Luke screams for almost 1 hour. Nothing makes him happy. Hopefully this isn't an omen of things to come!

1 AM: I am in so much pain from the incision,backache and cramping (with baby #9, post partum contractions during nursing are worse than labor contractions, and each contraction is accompanied by gushing blood) that I ask the nurse for perocet. She is a sweetheart and takes Luke out of the room with her and says she will bring him back when he needs to eat. Apparently I pass out from exhaustion ( I slept less than 1 hr the night before) because the next thing I remember is the nurse standing over me with Luke at 4 AM saying he wants to eat! It is amazing what just a few hours of sleep does for the spirit and soul!

4 AM: Luke nurses for an hour! We fall back asleep.

6 AM: Dr. Wall comes to visit. Says we can go home if we want. Incision looks great according to him. It isn't oozing at all! Home health nurse will remove staples when she visits. Need to make appointment for follow up visit in 1 week and at 6 weeks. No long car trips for at least 2 to 3 weeks because of swelling in my legs.

6:15 AM: SHOWER! What fun it is to be CLEAN!

10 AM: Hearing test is administered. Once the vernix is cleared from Luke's ears, he passes with flying colors!11 AM: Peds round and agree baby can go home! They check a bilirubin on baby at it is 9.4 at 45 hours of age. They do the PKU test and also test baby for Duchenne Muscular Dystrophy, a fatal disorder that only afflicts baby boys. They have just started offering the screening for this disorder and we agreed to participate in the pilot study.

By 3 PM we are heading home. Just 48 hours after surgery and we are reunited with the family!