Showing posts with label sick. Show all posts
Showing posts with label sick. Show all posts

Friday, May 20, 2011

Flu

Taking care of an infant is a thankless, messy, exhausting job under the best of conditions. I like to think that I normally handle it with a certain amount of finesse. I can deal with the sleep disturbances, the pacing back and forth, the bizarre way that all newborns can tell the difference between when you're standing and when you're sitting, the unpredictability of it all. I do it, and I smile. But you know when I'm ever-so-slightly less able to deal with the physical and emotional demands of taking care of an infant?

When I'm suffering from the worst stomach flu of my life.

I spent most of yesterday and today silently praying that I was sympathetic enough towards LL when he was sick with this flu last week, because holy cow this really sucks! I don't blame him at all for spending three days lying on the couch intermittently crying. I wish that I could do the same. Many people have written about how one of the worst things about motherhood is that you don't get any days off, not even sick days. Still, I think that most people can at least call on some family to step in with assistance when it gets really bad. The fact that we have no family in the area always hits me hardest at times like this, because just having somebody home with me who could help to hold Kermit on occasion, even if I still had to do the majority of the work of caring for him, would make a huge difference. It would help me to avoid those times yesterday (and yes, plural, multiple times yesterday, though slightly better today) when I sat in a rocking chair holding Kermit while both of us cried, as I gulped back my instinct to yell as loudly as I could about the misery of it all.

On the breast feeding front, Kermit is indeed breast feeding a bit. I'd say one-third of his feedings are entirely at the breast, one-third of his feedings he rejects the breast completely and eats just from a bottle, and the remaining third he nurses for some brief period of time before appearing frustrated, and then I top him off with a bottle. This sounds all nice and promising, except that it means that I never know how he's going to want any particular feeding. I attempt to nurse, then I need to go make a bottle, feed him the bottle, then put him down and hook myself up to the breast pump. The nurse-bottle-pump thing means that every single feeding takes an hour or longer, and I have to be at home for every single one of them. Thus, I can never leave the house. Which is not a long-term solution, obviously.

Even with pumping after every single feeding, I have run through my entire freezer of milk and have needed to start supplementing with formula. Even with three solid weeks of ridiculous over-the-top pumping, my milk supply has not budged at all, but Kermit's appetite (thanks to some reflux medication) has gone up. The stomach flu has thrown everything into even more chaos. Eating or drinking absolutely anything makes me ill, so I'd be dehydrated even if I weren't also trying to sustain another human being. Thus, my supply has taken another hit, and I haven't had the energy to pump for the past two days to try to keep it steady.

Perhaps I'll start up again after I'm recovered, but I suspect that my supply has dipped for good. And I'm trying to make peace with that. If I can figure out when Kermit is nursing and when he's not, I can just plan to nurse at those feedings and save myself the heartache of offering the breast at other times. My current plan, I think, will also include cutting out all that pumping. I know that this plan will cause my supply to continue to drop even further, so it probably means that Kermit will stop nursing entirely within the month, but I just don't have the energy to fight it anymore.

Assuming I'm over my flu, and assuming that S and Kermit don't get sick in the meantime, we're flying to visit my parents on Tuesday. I can bring a breast pump with me, but there's no way that I'll be able to pump eight times a day while on vacation. At this point, I kind of feel like I've been tilting at windmills for long enough. So, I'm nursing Kermit as best as I can right now, to try to force as many antibodies into him as he'll take, and once I'm over the flu, we're probably going to step it down a notch and let Kermit decide how much he wants to nurse.

But first, I have to get over this ridiculously awful flu.

Friday, May 13, 2011

Timeline

My month of May so far:

Sunday, 5/1 -- Like an idiot, I write a post about how Kermit's breast feeding is going better. I mention that I live in fear of him having a nursing strike like LL did, so I'm enjoying each day that he nurses well. Then I tempt fate even further by buying two new nursing bras.

Monday, 5/2 -- Kermit starts crying in the middle of every feeding. I am determined not to lose him over to bottle-feeding, so I refuse to give him any bottles. He's fussing a lot at feedings, but he also seems content by the end, so I trust that everything will right itself eventually.

Thursday, 5/5 -- Kermit stops nursing completely. He latches on, sucks once, then cries hysterically. By midday, it's obvious that he's hungry but he's not going to nurse, and I tearfully give him a bottle, then immediately call the lactation consultant.

Friday, 5/6 -- I meet with a lactation consultant. She thinks that I have a low supply, which is frustrating Kermit, hence the refusing to nurse. She tells me to rent a hospital-grade pump, then exclusively pump for the next two days and bottle-feed Kermit. Her prediction is that Kermit will eat 32 ounces a day (normal for this age is 30-36) and I will only pump 18-20. So basically, the nursing strike is entirely my fault. I'm heartbroken.

Saturday, 5/7 -- I spend much of the day hunched over a breast pump, crying. I'm in disbelief that my second child followed my first and rejected breast feeding at a far-too-young age. Today, Kermit turns just four months old. I feel like a total failure.

Sunday, 5/8 -- Having spent two days pumping 9 times a day and bottle feeding Kermit, it seems like all I'm doing is dealing with milk. The lactation consultant was only partially right: I did indeed only pump 18-19 ounces each day, which is horribly low. BUT, Kermit only ate 18 ounces each day, despite my offering him a seemingly limitless supply. The LC revises her diagnosis: rather than my low supply being the cause of the problem, it appears to be a symptom. Kermit decreased his demand for some reason, and my supply did what it was supposed to and adjusted to meet the lower demand. So now we have to figure out why Kermit doesn't want to eat.

Monday, 5/9 -- Kermit's well baby checkup with Dr. K. His growth is slow, and he has indeed dropped growth curves since two months, but he's still within normal bounds. We think he may have late-onset silent acid reflux. Or at least, we hope he does, because it's solvable. We start him on medication for reflux and cross our fingers. I also start downing fenugreek like it's going out of style. The hope is that the medication increases Kermit's appetite at the same time that the pumping + herbs increases my supply, so that by the end of the week, we can get Kermit back on the breast and eating a healthy amount. Which is good, because pumping 9 times a day while caring for two children is not long-term sustainable. In fact, it really sucks. At dinnertime, however, I discover a bigger impediment to finding the time to pump: LL has a sudden high fever, and will need to stay home from preschool until he's better.

Tuesday, 5/10 -- I'm home all day with a fussy Kermit and a feverish LL, trying to fit all those pumping sessions into a day already filled with caring for two mildly sick kids.

Wednesday, 5/11 -- The good news: LL seems better. The bad news: Kermit's appetite hasn't budged, and neither has my supply. At 3am, even my good news disappears: LL wakes up crying, then immediately vomits all over me. Guess he's not better after all.

Thursday, 5/12 -- All hell breaks loose. Both kids spend the entire morning crying. Kermit is burping and spitting up nonstop and wants to be held all the time. LL has horrible diarrhea and stomach cramps and wants to be held all the time. No matter which one I hold, the other one sobs. If one falls asleep, they soon wake up from their brother crying in pain. No way that I can adequately care for either one of them like this, much less keep up with the pumping. I call S and ask him to take a sick day and come home to help. When he gets home, LL is crying uncontrollably and in so much pain that he can't even hold his security blanket. He violently vomits all over his room, and I decide to take him to whatever pediatrician is free to see him. He's diagnosed with stomach flu. The pediatrician urges me to nurse Kermit as often as possible, to keep him from getting sick and to keep him hydrated. I mention the nursing strike, and the pediatrician predicts that Kermit will be sick within days, and will then need to be hospitalized for dehydration shortly thereafter. I return home with LL in total despair.

So, that's where we are right now. Three weeks ago, Kermit was sleeping well and eating well and growing well, or so I thought. Now he's a fussy mess and still refusing to breast feed for more than a minute or two at a time, getting all of his meager daily caloric intake from bottles while I desperately pump to try to produce even the small amount that he's eating. LL is violently sick with the flu and doesn't know what to do with himself other than clutch his stomach and cry. Having been vomited on yesterday more times than I can count, I can't imagine how I will possibly escape getting the flu myself, and I don't know how I will possibly keep it away from Kermit. After a week of effort, my milk supply has not increased at all, and getting sick will likely drop it even further. The lactation consultant predicts that Kermit will never breast feed again.

I'd like to say that I'm handling the nursing strike better than I did with LL. When he had his nursing strike, I sank into a month-long depression that I was only able to come out of once I gave up pumping and let my hormones even themselves out. I do feel a bit more even-keeled this time, but only barely, and it's probably just because LL's stomach flu is leaving me with very little time to dwell on how heartbroken I am about Kermit. For now, I need to figure out how long I'm willing to keep up with the pumping, holding onto the hope that Kermit may come back to me. In the mean time, I have two sick kids who need my attention, and I need to keep my head in the game.

Monday, February 14, 2011

Home Again Home Again

Quick update: we're home, thank goodness. Kermit isn't completely out of the woods, but he was stable enough and on the road to recovery so that they discharged us from the hospital Saturday night. We had a follow-up with Dr. K on Sunday morning, where we briefly thought that she was going to re-admit him, but all is well. He's still a bit weak, but he's eating better and breathing a little easier. And the fever is gone. And his oxygen saturation is staying a bit more stable, though it's still lower than we would like. We're checking back in with Dr. K tomorrow, just to make sure that Kermit is headed in the right direction.

In a twist that would only be achieved by a newborn, Kermit began social smiling while in the hospital. I mean seriously, who smiles, much less for the first time, while in the hospital?

The decision we need to make now is what to do about our upcoming trip for S's sister's wedding. We had been planning to fly, but I'm starting to have concerns about trapping Kermit in a plane with 300 strangers and recirculated air for several hours. We could drive instead, but it's a 14 hour trip, and that's a long time to spend in a car with a toddler and a newborn. Dr. K says that Kermit will probably be well enough by then that we don't need to worry about flying. But nothing puts a mother's nerves on edge quite like several days in the hospital with a one-month-old.

Friday, February 11, 2011

Focus

Nothing quite like the feeling of finding out that you've been focusing on exactly the wrong things.

Last weekend, both my kids got sick. LL was a feverish toddler mess, but he had weathered colds before, and I figured this one wouldn't be any different. Kermit's symptoms were newer and more mild, yet he was the one I was concerned about. I knew the drill with toddler colds -- you bring them to the pediatrician, and then you listen to the lecture about how viruses just need to run their course, take them home, keep them hydrated, nothing else to be done. It almost always feels like a wasted trip. Kermit, however, was barely one month old. Surely a cold in a one-month-old deserves a bit more professional attention!

So Monday morning, I called and made an appointment for Kermit to see Dr. K. And as an afterthought, I checked with the advice nurse to see if maybe possibly it might be a good idea to bring in LL as well? I expected the "don't be a hyper-protective mother" speech, but instead the nurse rather pointedly mentioned that lying on a couch for four days without playing or eating isn't exactly normal behavior for a two-year-old, so yes, bring him along to the appointment.

When Dr. K entered the exam room, my speech to her went something like this: "Kermit has the sniffles, and he doesn't have a fever or anything, but he's coughing, and he's only four weeks old, and I'm really concerned about him. Also, LL has been a feverish mess for four days and counting, but I'm sure he'll be fine soon." And then she examined both of them, and said, "Sorry, he has pneumonia." And I said, "Oh my goodness, Kermit has pneumonia?!?!" And she gave me the oddest look in the world, and I'm paraphrasing here, but she said something along the lines of, "No, you dolt, I'm talking about LL! You know, the one who's really acting sick! Kermit just has a cold, and it'll run its course, keep him hydrated, call if it gets worse. But LL, goodness gracious, he's really sick!"

Anyway, I felt like an idiot, because the whole time that LL had been sick, I'd been focused on making sure that he didn't pass it to Kermit. And not only did I fail at that (as if there were any doubt that Kermit would catch LL's cold) but I had somehow totally glossed over how very sick LL was. I was completely focused on the wrong kid.

So, I spent the next several days obsessing over every detail of LL's recovery. Was his fever dropping? Was he drinking enough? Was he eating more? Exactly how much more active was he than he was the day before? On Wednesday morning, Dr. K called to check on the kids. And I gushed over how much better LL was compared to when she saw him on Monday. As for Kermit... well, he wasn't getting better, but he wasn't getting worse. You know how colds are, they need to run their course.

By Thursday morning, however, as I gleefully dressed LL to head to Natasha's because he was remarkably and gloriously better, I looked down at Kermit and realized that he hadn't really eaten much the night before. And he'd spit up massive amounts of milk at his last several feedings, even though he's generally not a spitty baby. And he had been fussing at every feeding since Wednesday afternoon. And he seemed to be sleeping more than usual. I'd told Dr. K on Wednesday morning that he wasn't getting any worse, but by Thursday morning, I had a sinking feeling that he actually was getting worse now, and maybe we should bring him back to be seen.

I made a follow-up appointment for Kermit for Thursday afternoon. When I made the appointment, I kind of thought (again) that I was doing the over-protective mother thing, but by the afternoon I was glad that we were going. Still, I felt a bit silly leaving the kid with pneumonia to fend for himself at daycare while I brought the kid with the run-of-the-mill cold back to the pediatrician.

Then again, Dr. K never once said this about LL, but she said it about Kermit on Thursday afternoon: "Sorry, but this baby can't go home with you today. He needs to get to the hospital. We're calling an ambulance to take him there. Right now."

For several days, I had obsessed about Kermit's cold and missed that LL had pneumonia. And I then over-compensated and fixated so much on getting LL over his pneumonia that I completely missed that Kermit had suddenly, very suddenly, gotten a heck of a lot worse. For the second time in one week, I was focused on the wrong kid.

I'm currently admitted to Children's Hospital with Kermit, while LL is at home with his grandmother. I totally didn't see it coming, but my toddler with pneumonia is at home without his mommy because, remarkably, he is not the sickest child I have. We think that Kermit has some sort of respiratory infection, probably RSV, but we don't know for sure quite yet. His oxygen levels keep dropping, so he's getting help breathing, which thankfully is giving him enough of a boost that he has also started eating more. We've been told that he will be here for at least two days, probably more. S keeps telling me that I should feel proud of myself for realizing that Kermit was getting worse and insisting that he be seen; apparently when I made the follow-up appointment, S thought I was being silly and that Kermit was just fine. And yet, I cannot shake the feeling that I'm failing miserably at the mommy-to-two-children thing, because I can apparently only pay attention to one of them at a time, and it always seems to be the wrong one.

Wednesday, February 9, 2011

The Good and the Bad

First, the good news:

The Packers won the Super Bowl! The Packers won the Super Bowl! The Packers won the Super Bowl! The smallest town with a professional sports team in the US has defeated the mighty Big City! The Lombardi Trophy is back in Title Town! Cheeseheads rule the earth!!!

Now, the bad news:

Our house has been hit with the plague. I mentioned that LL was feeling a bit sluggish and under the weather on Friday? He continued to spend 100% of his time with his feverish little body draped over me all day Saturday. And all day Sunday. After breaking out the animated movies Friday and Saturday, we switched to football on Sunday. This was absolutely a one-time-only, just-because-LL-was-sick sort of thing (definitely not something that I would have done under normal conditions, even with my Packers in the Super Bowl) but we watched eight hours of pre-game shows on Sunday. Eight hours! Do you know what people have to resort to in order to fill eight hours of pre-game? Let's interview every player on both teams, even people you've never heard of. Let's interview people who used to play for both teams but don't anymore. Let's interview people who have ever played in a Super Bowl. Let's discuss exactly how much of a jerk Ben Roethlisberger is, and whether anyone cares. Did you know that it's really cold in Dallas? Let's talk about that for a while. Here's the history of the cheesehead. Here's the history of the terrible towel. Did you know that the Packers coach grew up in Pittsburgh? Let's find out which team his former neighbors are cheering for! Did you know that Michael Douglas is cheering for Pittsburgh? Did you know that Catherine Zeta Jones is a huge Green Bay fan, because she really likes cheese? Did you know that John Madden, George W. Bush, and Cameron Diaz sat together at the Super Bowl? Does anyone who is not literally being held down against their will by a toddler actually care about all of this??? And then, when all eight hours of pre-game were over, we still had a full Super Bowl to watch. With commercials. All told, we watched 12 hours of football on Sunday. I am now officially footballed out.

Normally for LL, watching NFL games is a full-body sport. He runs when the players run. He falls down when they're tackled. He does all the referee hand motions. He yells, "Touchdown!" and "First down!" and "Go Pack!" But for this Super Bowl, he sat quietly on the couch with his head buried in a pillow. When the Packers scored a touchdown, we got a faint smile, but he didn't even have the energy to lift his arms for the signal. I convinced him to eat an Oreo cookie, and it was the only food he'd eaten since Friday. Really pathetic.

Also, by Sunday morning, both Kermit and I also had coughs, congestion, and slight fevers, so nobody was having very much fun. S was still healthy, so he was hiding out as far away from the rest of us as he could manage.

When nobody was any better Monday morning, we went to the pediatrician with both kids. Kermit has a run-of-the-mill cold. Except that he's barely one month old, and no cold is run-of-the-mill at that age. We're keeping a close eye on him.

LL's cold has progressed to pneumonia. And an ear infection. He's on antibiotics. We're trying to convince him that he needs both food and oxygen to survive, but he's not getting very much of either one right now.

I was told to provide LL with whatever he needs most (to sit in my lap, 24 hours a day) and to provide Kermit with whatever he needs most (to nurse every hour, 24 hours a day) and to be sure to get plenty of sleep so that I recover, too. Anybody notice how completely incompatible those things are?

And the kicker: the pediatrician suspected that this might not actually be a run-of-the-mill cold at all. She thought that it might be whooping cough. (Yes, LL and I are both vaccinated against it, but this particular vaccine is notoriously unreliable, so it was a very real possibility.) We were in panic mode until this morning, when we got the lab results that came up negative (thankfully). But if nobody's better by next week, our pediatrician wants to re-run the test, because it apparently has a high false negative rate.

But hey, at least the Packers won, right?