This is a blog documenting micro-preemie Arabella's journey in life through the eyes of her dad
Friday, March 23, 2018
G-tube surgery
This was one of the toughest weeks we've had in a long time, but we managed to get through it.
Monday March 19th was Arabella's g-tube surgery. Overall, she was a very strong and brave girl. And before going under anesthesia she was smiling, clapping and waving to the staff. Everyone that walked by was stopping to say hello to this little girl.
It was supposed to be a routine procedure. And for the most part, it went smoothly. The tube was inserted without any complications.
So it was out with the NG tube (via her nostril, as seen in the above photo), and in with the g-tube, direct into her stomach (as seen below).
But soon after the procedure, while Bella was in recovery, her blood sugar levels were quickly crashing. The staff was forced to give her higher concentrations of dextrose through her IV. And despite all of that, her blood sugar was still hovering quite low.
"Here we go again", we thought to ourselves. We've battled Bella's hypoglycaemia for a long time last year, and it felt like everything was coming back to haunt us yet again...
Arabella was in recovery for much longer than usual. The staff continued to check her blood sugar. They were poking her fingers, toes and heels every 3 hours, as her sugars were constantly at the thresh-hold.
By day two, Arabella developed a fever. Her feeds were immediately stopped for precautions (incase of an infection), and there was even more concern for her blood sugar.
Before discharge, children with g-tubes must prove themselves by tolerating their full feeds. It's a gradual process, where the staff increases each feed by 10ml until they reach the full amount.
Everything had to be put on-hold.
More tests and ultrasounds were ordered. Discharge was delayed. Day 3 turned into day 4, and then into day 5...
On top of it all, Arabella was becoming agitated, cranky, and unruly. She had trouble sleeping in the noisy room with other children, she was spooked by every noise, she was crying uncontrollably for long periods of time, and all of us were completely exhausted.
There were moments when we simply broke down. We had no energy, and we were sleep deprived the entire week.
But we battled through it. We've been here before, and we weren't going to give up.
Eventually, the staff ruled out an infection. They took pity on Arabella by the third day, and they moved us to a private room so that she could get rest.
Her fever was likely the result of a minor cold, so we'll continue to monitor her at home. And before discharge she passed her six hour fast (and her blood sugar levels proved to be okay).
Phew! We made it.
Everything just took a little longer than normal. It reminded us of our time at SickKids last year, when everything was constantly delayed. Everything turned into a struggle that we had to overcome.
And we overcame things yet again 😊
This short-lived experience made us realize how lucky we are to be home with Arabella. The hospital-life isn't an easy one. It requires all your strength and energy, and I have nothing but admiration and respect for any parent that has a child going through long term issues.
This place is a battle zone. Let's never forget it. And may God bless all the children that are fighting the big fight here at SickKids and around the world...
In the next weeks and months ahead, we'll see how much of a difference this g-tube will make for Arabella. One thing for certain is that she'll be a lot more comfortable now that the NG tube won't be down her throat.
Above is a photo of Arabella celebrating her 13 months (a few days before her g-tube procedure). She's obviously a very happy girl. Way to go Arabella! 💗
Monday, March 12, 2018
After a long winter...
Over the last few months, we've taken many trips outside of the house. Bella had all sorts of appointments, during a winter where the flu has made a lot of people sick. And according to the news, it's been one of the worst winters on record. The influenza A strain (specifically) was the big one to worry about.
Thankfully, Arabella has managed to stay healthy. It's quite amazing, actually. Considering all the places we've gone, and the fact that I'm around so many people during the work day, we've been very lucky.
Since November 2017, Belle's received 5 RSV injections (with each shot costing around $1000+). If you don't remember, RSV can be a potentially life-threatening virus, especially for premature infants. The shot is not a vaccine, but rather antibodies that require monthly injections.
A few weeks ago Belle had her final shot of the season. Next year she likely won't be covered for it, but she'll be much stronger, and perhaps she won't need it.
Bella absolutely hated the shot. It's one of the most painful shots a little one can get, but she was a tough girl. She would cry quietly for a minute, and then need a good cuddle.
We're all proud of everything that she had to go through this winter.
That's the life of a preemie. Extra appointments, extra pokes, extra stress for the entire family - but extra love and hugs to balance it all out.
It won't be like this forever, though. Arabella is now cleared of her pulmonary hypertension, so the blood pressure in and around her heart is finally normal.
Her kidneys checked out fine, too. As did her vision and hearing. One by one, Arabella continues to check things off her list, proving to everyone that she really is a miracle baby.
Soon enough, she won't need oxygen support...
Soon she'll be able to wave goodbye to that oxygen cannula on her face.
And on March 19th, Arabella will be going for her g-tube surgery to insert a tube through her abdomen (and have direct access to her stomach). Hopefully she'll be better able to tolerate her food, and mom and dad will be able to increase her calories a lot easier. We'll even be able to feed her slowly (and continuously) through the night! It should help her gain the extra weight she needs.
There are many advantages of the g-tube. Best of all, it will mean that her face will be entirely tube-free.
With the help of many different resources, we're slowly getting Arabella back to normal. For example, physiotherapy will help her get stronger.
This is just one the things we do at her appointments to strengthen her core and upper body...
At almost 10 months corrected, Arabella isn't a fan of tummy time. She's not big on rolling (although she does it once in a while). She's still not crawling, but we're helping her stand with assistance. Everything is a process that requires a bit of extra effort.
We're not concerned, though. We know that she'll get there. There's no rush, and there's no deadline. So in the meantime, why not enjoy the journey?
We're on the right track, and we couldn't be happier.
On top of it all, spring is just around the corner. We're finally at the tail-end of a long, dark and tiring winter. It's time to step out and enjoy the fresh air, and bask in the warm sunshine 😃
Monday, February 19, 2018
Happy 1st Birthday
A few days ago, on February 17th, we celebrated Arabella's first birthday. WOO HOO!
Yes darling, you turned ONE!
For most preemie parents, this day marks the one year anniversary of the trauma. It can be a day of mixed emotions, and a lot of parents have a difficult time celebrating, while some don't even celebrate at all...
For us, however, things were a little different. We were all about celebrating!
There were no tears, and there was no stress...
Because for us, this day marks Victory Day...
On this day last year we conquered our doubts and fears, and Arabella beat the odds.
And today we can't imagine a world without her.
She's God's child. A testament of true love and faith. She also happens to be the hero of this wonderful story...
How lucky were we to have witnessed this miracle? I think about this question all the time...
God has a plan for you Arabella...
He has a plan for us all...
So, my dearest Arabella...
One year is officially behind you, and so much more awaits. On life's long journey, I want you to remember that there will always be obstacles along the way. The journey is made of both good and bad experiences, and it won't always go according to plan. Should you stumble or fall, don't be discouraged. Get up, wipe your tears, and continue marching on.
This journey will teach you to move forward. It'll teach you to conquer your fears. Don't be afraid of doing or trying something, because you might just miss out on something great. Life is one big unavoidable journey, but you choose the way you travel. And the paths you choose will one day lead you to your destiny.
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THANK YOUS
Thank you to Suzi from idothisforfrankie.com for gifting us with Arabella's beautiful birthday outfit.
We'd like to thank our amazing family and friends for all the love and support we received over the course of the year. We couldn't have done it without you. Especially Arabella's grandparents, Nana, aunts, uncles, and cousins.
A special thanks to our family in Poland and Denmark, the entire Ciancio family, Leandro & Melissa for all their support, Jim & Lori, Sheiila & family, Kristi, Carrie, Bjorn, Nikki, Nigel, Kiefer, Tammy, Michal, Kirk, Shad, Paula, Moreen & Chris.
Thank you to all of the wonderful staff at Mount Sinai and Sick Kids Hospital, especially the nurses and RTs who were constantly by our side. Magen, Kristen, Brenda, Evelyn, Janet, Ella, Jenn, Justine, Nhi, Vicki, Cora, Clarise - you will be forever in our hearts.
Thank you to everyone who supported our fundraiser (for us to be closer to the NICU) last year. Because of your help, we were able to give Arabella more of our strength, love, and support.
Thank you to everyone at Corus Entertainment, both of our work families, for their amazing support, as well as the HR staff who helped make things easy on us.
Finally, thanks be to God, and to everyone who has kept us in their thoughts and prayers.
💗
Thursday, February 15, 2018
Video: Arabella's first year
I can't believe our little Arabella is almost one! Here's a compilation video of her first year alive. God bless you Arabella! Mom and dad are so proud of you! 💜💜💜
Wednesday, February 14, 2018
Before Arabella (the story)
This post will get a little emotional. Please be advised 😊
In honour of Arabella's soon-to-be 1st birthday, we're looking back on the toughest, but most beautiful year we've ever experienced.
Before the exuberant joy of her birth, before the miracle, there was utter heartache. We were preparing to lose her - and it absolutely broke our hearts.
And well before this blog, there was the journal...
When we first found out that Kiera was pregnant, I was inspired to document the journey. I had never kept a journal before, but I felt like I needed something to help me record my thoughts, and the entire experience altogether. I wanted to make sure I remember it. So every week I would write down a brief story and recount the most important updates. I thought to myself, "It'll be nice to one day look back on this, and perhaps read a few pages to my future son or daughter."
The early pages of the journal were filled with great optimism, of course. It was sheer joy. We constantly compared the baby's weight to fruit (thanks to the 'What To Expect' app), and we were counting down the months and weeks to May. "What a beautiful month to have a baby", we said.
Soon after, we found out that we were going to have a girl, and that brought us even more joy. We were so excited. We were happy. We had great plans.
Then we saw our first glimpse of uncertainty. At week 16 of the pregnancy, Kiera's AFP blood results had foreshadowed something unimaginable. "What did this result mean? Was it simply a false-positive? What could possibly be going on?", we thought to ourselves.
After a few appointments, it seemed like it wasn't anything relating to genetics. And as the weeks rolled on, we were eventually referred to a specialized high-risk placenta clinic. By then, Arabella's growth was at a major slow-down, but Kiera and I were still naively hopeful. "She's just a little behind", we thought. "Maybe their weight calculations are off by a few weeks?". We were trying to convince ourselves what we wanted to believe.
After our first ultrasound at the high-risk clinic, following countless measurements, (literally hours of double checking by the technician) we finally met with the doctor. He had a look at all the notes and images, and he was very frank with us. He said the words I'll never forget, "It's going to get tricky".
He showed us the baby growth chart, and then marked a dot well below the lowest 'average' line. It wasn't even close. At that moment, everything started to sink in. Here was our baby, this tiny dot, drowning in a tidal wave of 'averages'. I imagined her underwater, struggling to swim, unable to rise to the top. I felt sick to my stomach.
We left the clinic that evening, got into a taxi, and quietly held hands in the backseat. None of us said a word. Our minds were buzzing with our own questions, wondering how this would all unfold. "It's going to get tricky", those words were echoing in my head.
As soon as we got home, we put away our shoes and coats, and we gave each other the biggest hug. We both started crying. "I'm so sorry," Kiera kept repeating. "It's okay", I tried to reassure her, "It's not your fault. We'll get through this".
From that point on, we had weekly ultrasounds at the clinic. The following week Kiera was granted a leave from work, and she stayed home to limit the amount of stress placed upon her.
Before I continue, here are my last four journal entries before Arabella was born.
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Feb. 1, 2017
Another hospital visit under our belt - and things are so uncertain for the baby. She's weighing roughly 430 grams at the moment, and we desperately need her to keep growing. The good news is that she's still kicking a lot and she has enough oxygen going to her brain. The worst part is that the doctor told us that she could lose her heartbeat at anytime. We talked about the possibility of Kiera giving birth to a still-born. The idea of that makes us feel scared and horribly sad. It's heartbreaking.
What can we do. We're trying to come to terms with it all, but we're not giving up. We're going to keep fighting and do whatever we can to overcome this.
Everyday I put my hand on Kiera's belly. And everyday I feel the baby kicking and reaching out to us. I wish I could help her. I wish we could help feed her. I already love her so much. For some reason this placenta isn't giving her the nutrients that she needs. We're praying that she makes it. So many people are praying for us as well. Please Lord, keep our baby safe.
Now I know how parents feel - they would do anything to make sure their children are safe from harm. Nothing else really matters to me at this point. She means everything to me.
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Feb. 8, 2017
We're coming to the end of the road with our baby girl. Yesterday was another all-day event at the clinic. She's weighing roughly 470 grams, and they're telling us that she's just too little. The placenta is giving her too many problems. It looks like she's not going to make it. Kiera and I both cried for a while yesterday. And again today. Every morning is especially difficult. It's tough. It's not fair. We were so excited. We couldn't wait to hold her in our arms. And now we have to come to terms with her passing away. She's still kicking - and it breaks my heart. We're devastated. I can't say more.
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Feb. 9, 2017
Another day at the clinic. We're exhausted. Kiera had a bath afterwards and we felt the baby kick, then bunch up into a ball. I'm certain she loves the bath.
Today we tried to have a better outlook on things. It feels like there's nothing we can do now, so we might as well enjoy the time we have left with the baby. We cried for a while again today.
I did a lot of reading. I came across an interesting article about a couple who was coping with the eventual loss of their baby. The baby had some kind of horrible condition and would only get to live for a few days after birth. So the parents basically created a "bucket list" for the baby. While in the womb, they took their baby around the world. They took pictures at every chance, at every major stop and monument, and made the most of the time they had left. It would be a memory that neither of them would ever forget. I suppose that's how some people cope. You learn to cherish the time you have, you learn to live, you love, and then you have to let go.
She really is a beautiful baby. Kiera and I are so attached to her. It's hard imagining life without her. From the moment we found out Kiera was pregnant we imagined holding that baby and loving it so much. How do you say goodbye to that? I don't think I've ever felt this way. I love the fact that she'll always be my first, but I'm so sad to one day be letting her go.
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Feb. 14, 2017
Valentines Day. We were at the clinic at 8:30am. Another ultrasound. More measurements. This might have been our last visit before she passes away. Her fluid was really low today and I had a hard time dealing with that. I think she's starting to struggle. We don't know how many days we have left with her. This is one giant tragedy.
She was a fighter. She loved bath time. She seemed really happy and playful. She liked listening to music when we put headphones up to Kiera's belly. We were talking to her and praying together as a family every night before bed. We would read her books. Lilianna once named her "Baby Good" and she really was a good baby. A beautiful baby. We decided to call her Arabella. Mommy and daddy love you, and we will always love you. Happy Valentines Day.
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I was basically saying goodbye to her in that last journal entry. We thought we were at the end of the road. At that time, Arabella was showing reversed blood flow in the umbilical arteries for about two weeks, which meant that time was not on our side.
She was still below the viable weight, and in order to give her a chance at life we were dealing with great odds, possibly risking future pregnancies (by cutting into a thick uterus), and potentially putting Arabella through a life of major physical and/or mental disabilities.
We had heard it all. The doctors convinced us that having Arabella would be the biggest gamble of our life, and they showed us the percentages that played into their narrative. One doctor from the NICU even came to tell us personally that the babies she sees first-hand (around Arabella's size) "have a lot of major, life-long complications".
Our backs were against the wall.
Kiera and I had a lot of difficult discussions. We talked about potentially raising a disabled child. Are we ready for this? And what if she doesn't survive the c-section? What if she has major complications after birth? Do we have enough strength to watch her suffer? We had a million questions.
And then, like a ray of hope, our family told us they would support us, regardless of what happened. "If she's paralyzed or disabled, we'll be there to help you guys", they said. "You'll never know if you don't take the chance. Don't be scared. Trust in God."
They were the realest conversations we ever had. And they were right.
If we let Arabella pass away, we would regret it for the rest of our lives. People refer to moments like this as 'the turning point'. Thinking about that kind of regret put things in a new perspective for me. Suddenly, it wasn't about what would happen if we did take a chance - but what would happen if we didn't.
Kiera was quiet the entire Thursday night. She didn't say a single word to me. The anxiety was almost unbearable. It was clear to me that she was scared. She knew I was in a different frame of mind.
On Friday morning, we arrived at the clinic nice and early, and because of our dire situation, we didn't have wait very long to be seen. We got in the room, Kiera laid down, and the ultrasound technician began her scans. Arabella's fluid was very low, but her heartbeat was still there. Thank goodness.
That was the first good sign.
She continued scanning. Then the technician said something that peaked our interest, as she zoned into Arabella's belly. "Here you can see her diaphragm moving. We typically call that 'practice breathing'", she said.
"What does that mean?", we asked. "Oh, it's just an indicator that she's getting ready to breathe on her own", she replied. "Oh, really?", we said.
That was the second sign.
Following the scan, and after asking the technician tons of questions, we asked her to page the doctor. "We're considering the c-section," I said. "Are we able to chat with the doctor?"
We went into another room and waited. Kiera was already shaking at this point. I held her hand tight. "It's going to be okay!", I said. "God's with us. Don't worry."
The doctor came in, along with a young fellow in training. "So I heard that you guys are thinking about going through with it?", he said.
"Yes sir", I replied. "I have a good feeling about it. There's a lot of people out there praying for this baby. We just know that we have to do this."
I think he sensed our determination. He wasn't going to talk us out of it.
Knowing that Kiera was scared, I asked the doctor to explain the c-section to us in more detail, and to clear up any confusion with regard to the uterus. We had been previously told that a vertical cut might increase the chances of a uterine rupture in the future, due to the fact that the uterus wasn't very expanded (on account of Arabella being so small).
Somehow, he managed to reassure Kiera. He said it's rare that it would be a vertical cut. Chances are that it would be a horizontal 'bikini' cut, and it wasn't something to stress over. The doctor performing the surgery was one of the best.
That was our third sign.
Kiera began to calm down (slightly). After a few more questions and answers, the doctor then left the room to make a few phone calls.
While we waited, I pulled out my journal from my backpack. "Look at this Kiera", I said. "If you have any remaining doubts, this should put them to rest."
I showed Kiera a page from December, where I once wrote that I had a feeling our daughter's favourite number would either be 7 or 17.
Low and behold, it was the 17th.
That was yet another sign, and it was just what Kiera needed. I think she started to believe.
Within the next hour, Kiera was admitted to the hospital for an emergency c-section. Time was of the essence, so she was only given one round of steroids, and officially gave birth to Arabella at 2:28pm.
Following the delivery, Arabella was placed on the 17th floor in room 77...
Just in case Kiera and I still had doubts of what was ahead, God threw in one last sign to let us know that it was going to be alright.
And like something out of a storybook, Arabella went on to spend 177 days before being discharged from the hospital.
Needless to say, the number 7 and 17 have become all of our favourite numbers.
Thanks God, for giving us the signs we needed 💗
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I know that some of these posts are a little too raw, and perhaps difficult to read. Thanks for sticking with us until the end.
My hope is that these words reach you (and maybe others in a similar situation), so that you too can find faith and hope in your own struggles.
God bless.
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