Sunday, February 18, 2007

we're home!

no more tubes attached


ready to leave the hospital


elliott pointing out maddie's toes


happy to all be together at last


will write more later...right now, we're just getting settled back in.

Sunday, February 11, 2007

monkey feet...baby steps...



Before we knew about Maddie's condition, we noticed how incredibly long her toes were. We imagined her rock climbing with us when she was older and hanging from her toes from holds. The doctors assured us that once she's recovered, she'll be just a normal kid and will be able to do all the things any kid her age can do, including rock climbing.

Since her surgery, she's gotten two monitors & a drainage tube removed and is slowly being weaned off of the meds and the ventilator. Three down...still many more to go.

Friday, February 09, 2007

one down...????? many to go


After my c-section, but before we knew about Maddie's heart condition, I judged how quickly we would be able to go home by how many tubes were still attached to me. Every time one was taken away (catheter, IV, etc.) I would count, "One down...two to go." Maddie has a few more tubes and monitors to count down than I did.

"she's fiesty"


The first twenty four hours after surgery are the most critical. For Maddie, the doctors and nurses just wanted her to rest and not move or be stimulated. They sedated her to keep her still and sleeping, but Maddie wasn't having it. From the moment we walked in this morning, she was waving her arms, clenching and unclenching her little fists and wiggling her toes. They kept amping up the dosages of the drugs they were using to sedate her, but they weren't working. Even into the early evening she was still moving & wiggling around. When the doctors came in to check her status, one of them mentioned how he was surprised at how much she was fidgeting around when he saw her earlier in the day. "She's fiesty. We can't put her down," I overheard him say. The nurse that kept watch on her last night mentioned how at one point, Maddie had a grip on her breathing tube and was trying to pull it out. Hopefully, this is an indication of how well she'll recover. We'll have a better idea these next few days...

Thursday, February 08, 2007

its hard to believe that Maddie is only 6 days old today...

Thank you to everyone for all of your love, support and concern. I'm sorry we haven't been able to respond to all of your e-mails and phone calls - we've been a bit overwhelmed lately. Luckily, we've been blessed with a lot of help from Dan's parents, my mom & my grandmother. I'm not sure how we would have gotten through this without them. Elliott has been doing well - oblivious to what is going on, he is in heaven having many of his favorite people around. We've spent most of our time at the hospital to be with Maddie and talk with the doctors. Elliott is being spoiled in Champaign by his Grandma & Grandpa Weix and they have been frequently coming to Peoria to provide us with some comic relief and diversion.

Maddie had her heart surgery today and it went well, though it took a little longer than expected which was a bit nerve racking. Her little heart and arteries are all working the right way now and slowly the doctors will begin taking all the tubes away and we'll just have to see how well she does on her own. Recovery can take anywhere from a week to several months - its all up to Maddie now.

Prior to today's surgery, we had spent the past five days just waiting. The doctors like to wait until babies are at least a week old before operating on them to give them a chance to get used to life outside the womb. Maddie did really well during this time, but liked to keep the nurses on their toes. Many of the nurses became scared of her and we frequently heard comments like, "I want to check her temperature, but I'll wait to change her diaper so I don't angry her up too much." You can't really blame her though, getting a thermometer shoved up your bum is not the most pleasant thing in the world. Sometimes when they would change her diaper or check her temperature, she'd get so mad that she would reverse the flow of blood going through her heart. "Uh oh, she's shunting," the nurse would say as we watched her oxygen level crater on the monitor. The doctors have assured me that it should all be fixed now so when she does throw temper tantrums, they shouldn't cause her to pass out.

Maddie also liked to keep the nurses on their toes by having short episodes of apnea where she would just stop breathing. Newborns are known to do this from time to time, but it is a common side effect of the prostaglandins that were keeping her alive. About mid-week, they started giving her a little bit of caffeine in the mornings to help reduce these episodes and it seemed to work pretty well. I have a feeling that one of her meds when she comes home will involve a shot of espresso every morning. I imagine our morning routine will go something like, Elliott wakes us all up bright and early and we all go downstairs to watch him run around and do his thing while Maddie, Dan & I settle in for our morning coffee.

Once again, thank you all for your love, support, prayers, e-mails, and phone calls. Hopefully the worst is behind us now. We'll post pictures as soon as we can.

Monday, February 05, 2007

her chinese name means "hero" or "brave..."

...but we never thought she would show us how brave she can be so soon.



Madeleine Wu Zi-Ying Weix weighed 8 lbs. 2 oz. when she was born February 2nd at 7:54 am. She was born almost the exact opposite time of year, almost the exact opposite time of day as her brother, Elliott (he was born August 1st at 7:53 pm). I was determined to recover from my c-section quickly and be discharged as soon as possible so that our family could all be together again. I was up and walking within 7 hours of being stitched up and joking with my doctor to try and get her to discharge me the next day. That seems so long ago now...I was indeed discharged a day after my surgery, but not for reasons I ever would have expected.

Maddie was already proving herself to be the perfect baby. She didn't complain much and just seemed sleepy. She was already very much a daddy's girl - she would wake for Dan and look up at him with one eye open and stick her tongue out at him. She loved holding on tight to your fingers and just looking up into your eyes. When Elliott and Grandma & Grandpa Weix came to visit, the brother and sister duo were immediately drawn to each other. Maddie stared at Elliott with interest as he pointed to her, said "baby," and then "gentle" as he tried to stroke the hair on her head. Our first night together went well. Dan stayed overnight with us because Maddie was rooming in with me and I needed help getting in and out of bed. She slept well and ate a few times during the night. That morning she was checked out by the pediatrician on call and was determined to be, "in perfect health." A couple of hours later, during the nurse shift change, one of the nurses noticed that Maddie's color seemed a bit off. She was looking a little purple, not unusual for a newborn, especially a baby who's temperature is 95.4 degrees fahrenheit. We all thought she was just a little cold and after bundling her up with another blanket, her temperature rose to a perfect 98.6 degrees. However, the nurse still thought something wasn't quite right. She decided to check Maddie's oxygen level and when several attempts hovered around 30% (normal levels should be 95% and above), we all assumed something was wrong with the sensor - its hard to get a good reading on a baby. Still, the nurse decided to pursue this further, just to be sure. She took Maddie to the Neonatal Intensive Care Unit to have the nurses there check her out. We just assumed she'd be back shortly. When she wasn't, we just assumed they'd forgotten to bring her back to us. When the nurses came back in and said that the neo-natalogist was going to come speak with us, we began to worry. When he finally did come see us, he didn't dance around the issue: Maddie has a congenital heart defect known as transposition of the great arteries (or TOGA! as Aunt Viv puts it). Basically the arteries leading from her heart to the lungs & body are reversed so she isn't getting all the oxygen she needs. In order to correct the defect, Maddie would need to undergo open heart surgery. The hospital we were at wasn't able to perform the surgery and they were going to send Maddie to the hospital in Peoria, one of the best in the nation for this type of surgery.

The next time we saw our baby girl, she had at least half a dozen tubes attached to various parts of her body, including a tube down her throat to help her breathe which prevented her from crying out at the injustice of everything happening to her. She no longer looked like the tough little baby casting one-eyed glances at her father - she looked helpless and fragile. The nurses and doctors spent the next couple of hours prepping her for the helicopter ride to Peoria. We could only stand back and watch as they adjusted dosages of prostaglandins, added IV lines, and poked and prodded our baby. When they finally took off with her, we set off back home to pack, cry and then head to Peoria to be with her.

When we got to the hospital, the nurses and doctors updated us on her status and checked in with us regarding how the day's events unfolded. They spent the remainder of the night adjusting her dosage of prostaglandins and seemed to arrive at a good balance that allowed them to remove her breathing tube. Hearing her cry was music to my ears. We spent the rest of our stay talking to her, holding her hands and stroking her head before leaving to our hotel for the night.



Its funny how everyday with a newborn is different. While yesterday, everything seemed so incredibly overwhelming and terrifying, today, things seem more optimistic and under control. It turns out that Maddie is in a very good position right now. We were lucky that that one nurse was so persistent in ruling everything out so that Maddie's condition was spotted early on. In fact, we would be in the same position if this were detected before birth - minus the emotional stress and the helicopter ride. Maddie is breathing on her own and doing quite well with a few episodes here and there. She is stable and although we aren't able to hold her, we are able to be with her, touch, talk and sing to her. She's already proven to be quite spirited as well at only two days old. If we're not with her, we have to put her mittens back on or risk her pulling off the monitors and IVs attached to her. She lets it be known that diaper changes and temperature checks are not welcome, but singing and stroking her head are quite acceptable.

We were able to talk more with the doctors and get a better understanding of what the next few weeks would be like. Its best to wait until a baby is about a week old to perform the surgery so that they have had time to adjust to the outside world. It is a major surgery and recovery can take several weeks. But all of it depends on Maddie and how well she does. We take everything a day at a time right now. No time tables have been set, no schedules have been made. Hopefully in the next few days we will have a better idea of how she's doing and the doctor's will be able to decide on a day for her surgery. The rest is a big unknown. It could take her a week to recover and come home with us, or it could take months. It all depends on Maddie. So right now, our main goal is to let Maddie know that although we can't hold her and take her home with us, her family will be here with her as much as possible and give her as much love, stimulation, and support as we possibly can. Its hard and scary to know that someone so small and young is going through such a huge ordeal - but when you see her and how well she's doing, you just draw strength & courage from her. Its unbelievable. And she's only two days old. Already, I can't remember what life was like without her. I long for the day that I can hold her again and bring her home and protect her from her big brother, Elliott, trying to hug her to death as he does with his bear and his doll. I wonder what her future holds and how this will affect the rest of her life. I wonder if she will even make it through the surgery. And then I start crying...And then I remember, once again, that we need to just take this a day at a time...one day at a time.