Tuesday, June 30, 2009

First Week Home



Luke has been home almost a week now and has brought so much joy to our house. He's eating well, sleeping well and putting up with the not-so-gentle love pats from his sister's meaty paws. Danny is much more gentle, but has flexed his muscles elsewhere, the worst coming when he stuffed an entire roll of toilet paper in the potty.

We have one more appointment this week and so continued prayers on that front. After that, we'll be able to give a better long term picture for some of the extra hurdles he may face along the way. But based on the first week, he's off to a great start.

Wednesday, June 24, 2009

Home!

A few shots from a blessed day:


Leaving Luke's pod in the NICU.

Danny excited to hold his little brother for the first time.

Reason #758 why Katie will not be left alone with Luke.

Also, Luke passed his hearing test today which is more great news! When we are able to provide more details about some of Luke's possible long term health issues, we will do so since it's obvious to us that your prayers helped him thrive so quickly over these last 11 days (and kept him secure for the 6 weeks before that).

Tuesday, June 23, 2009

For Real?

Today Luke lost the feeding tube in his nose. Tonight he'll be losing the PIC line in his leg. And tomorrow morning he'll lose the 24-hour nursing care to which he's grown accustomed since we arrived at UCLA on May 3rd.

Thanks to Luke's incredible progress with feeding and stability the last 3 days, we received discharge papers to take Luke home Wednesday morning.

As you can see in Luke's picture on the left, he was just as shocked as we were by the news.

Actually, he's rubbing his eyes after surviving a rough eye exam. Tomorrow they'll check his ears and we'd love specific prayers for his hearing and continued prayers for his long term prognosis.

But the short term is obviously OUTSTANDING, and we can't wait to strap the kid to the roof rack and take him home.

Monday, June 22, 2009

Lean, Mean, Bottle-Feeding Machine

Two days ago we asked for prayers that Luke would see some great progress in both his ability to eat and the volume he was able to take.

Done and done.

Today (Monday) we arrived at the NICU to see Luke sleeping happily in a standard delivery room bassinet. Unlike our other two kids, he never had the chance to use one until now. On top of that, the oxygen is his nose was gone... the jaundice light and mask were nowhere to be seen... and next to his bed was a 40cc bottle, which Hillary had the joy of feeding to him.

He even stayed awake for some pictures before heading back to sleep.

With these encouraging signs, we're hoping (and they're hinting) we could get Luke home within a few days.

With that on the horizon, our attention turns to some larger questions. Over the last nine days, doctors have given Luke about every test one can think of, and so our big giant overarching prayers are now focused on those results, which have more to do with Luke's long term health than his short term stability. All we can say for certainty is that Luke's strength is truly incredible and in many ways dwarfs our own.

Please pray for his long term health and God's healing touch. And thank you again for all the support. We know for sure he would not be making such rapid progress without all of you.

Saturday, June 20, 2009

Luke.... I Am Your Father

Happy Father's Day

The results of your prayers are on display at UCLA where the day after asking for extra prayers for Luke's feeding, he successfully took every other feeding today VIA THE BOTTLE. Nurses also bumped him from 10 cc's two days ago to 20 cc's yesterday to 30 today which is fantastic. Fifty cc's is the goal and these are huge strides.

On other positive fronts, his oxygen levels have been turned down and they hope to have him permanently off the photo light tomorrow.

We continue to pray for improved feeding and also for some upcoming test results regarding Luke's longterm health.

Week One In the Books...

Luke continues to do well in so many ways, just seven days from his rocky entrance into this world. Below are a few good pics from the last couple days.


The big prayer request at this point is that Luke would start to drink milk from a bottle rather than the not-so-glorious tube up his nose. They have tried a handful of times with the bottle and he tends to drink a sip or two, get excited and then, exhausted from the excitement, fall asleep. And really, which of us haven't done that? Over the course of this coming week, doctors are hoping to increase the amount of milk Luke receives as well as the amount he's able to handle from a bottle. Should he pull this off, he will only need to be weaned from the extra oxygen in his nose before being stable enough to come home.

Thursday, June 18, 2009

June 18th,

Rather than waste a lot of space with words, we just wanted to share some pictures from today, Luke's first full day off the ventilator. His growing stability and healing is such a blessing and the answer to so many prayers.






Wednesday, June 17, 2009

The Ventilator is Off!

(STANDBY NOT VENTILATING!)


Praise God!
While Bob and I were visiting the NICU this morning, the nurse practitioner decided that Luke's jaundice was no longer a concern and within moments the photolight was turned off and his mask was removed! In even bigger news, Luke's vent was turned completely off this afternoon! What a beautiful day filled with so many wonderful steps forward. We are closer to bringing this little guy home and we can't wait. Please continue to pray for him and for whatever the future may hold.

Luke means "bringer of light, morning"

I read Isaiah 60:1 the day after Luke was born "Arise, shine, for your light has come, and the glory of the Lord rises upon you."

Jeremiah 1:5 "Before I formed you in the womb I knew you, before you were born I set you apart."

Tuesday, June 16, 2009

Our Little Fighter

In so many ways, this was a very encouraging day.

*For the third straight test, Luke's heart shows that the enlarged right ventricle continues to shrink back toward a normal size. With every test, cardiologists are more and more hopeful that it will fully correct itself.

*Because of this, Luke's lungs are getting stronger as is his breathing, so much so that when we left the NICU today around 2:30pm, the ventilator was only doing about 25% of the work! Luke's head nurse said they are planning on weaning him "aggressively" over the next day and hope to have him OFF THE VENT altogether within a few days. Unbelievable stuff.

*For two days now, Luke has been receiving 24/7 photolight treatment to combat jaundice, which is so prevalent in all newborns but especially in preemies who can't yet ingest breast milk. The bummer is that the poor kid has to wear that funky-looking white blindfold/mask thing so he doesn't stare into the light. That said, his numbers are improving and hopefully the light can be switched off in a few days too.

*Despite the picture above, they're really doing very little to Luke at this point. The IV in his left hand is gone and his umbilical line will likely go tomorrow, meaning he'll only have the vent and the PIC line in his leg.

While there are so many blessings and answers to prayer already, there remain some other longer term concerns and we ask for continued prayers with those over these next few days.

Monday, June 15, 2009

June 15th

We checked out of UCLA today with a car full of stuff, and were greeted at home by two ecstatic kids and a sign on the door that Danny made reading, "Happy Home!"

For Luke, it was, as expected, a day full of more tests and ultrasounds, followed by more tests after that. Hillary went back to the hospital tonight to find him resting peacefully. We hope to have some more answers tomorrow, and we continue to ask for your prayers for those upcoming results.

Sunday, June 14, 2009

Day 2: Onward and Upward!

First, we're so thankful and humbled by everyone's encouragement and emails. We're also indebted for all of your prayers, which we absolutely credit for the progress and hope we've experienced today.

We were able to see Luke this morning around 10 (and many times since), and while we were there the cardiologist, who informed us of Luke's heart issues yesterday, stopped by again to see the little dude. He said that he had a chance to look at tests run on Luke from yesterday afternoon and was happy to report that the right side of Luke's heart indeed appears to be shrinking. The more it shrinks, the better the valve will work and the less blood that will flow backward through the ventricle. His hope and our prayer is that it continues to shrink and the problem will fully correct itself, possibly within a matter of days! If Luke can get there, he'll be able to breathe even better and could theoretically be weaned from the ventilator. This of course would be a giant step forward.

Tomorrow (Monday) they'll get back to poking and prodding Luke and doing ultrasounds from his brain to his feet to see what else they can learn. This is all very typical stuff for a kid with some of his issues.

The best part of our day was the end of our morning visit. Since he was born, Luke has always had his eyes shut tight. Even his nurse said she had yet to really see them open, but while we were there, he woke up and opened his eyes for a few minutes and checked out the crazy world in which he finds himself. It's hard to tell his eye color, but with that tape on to hold the vent in place, I think he's kind of got a Colonel Mustard look going.

While we're hoping to spend as much time at the NICU as possible with Luke, we're also very excited about being released tomorrow, going home, being a real mom and dad, sleeping in a real bed, eating home cooked meals, and having the Golf Channel at our Bob's disposal just in time for U.S. Open Week.

Saturday, June 13, 2009

Now What.


Consider it pure joy, whenever you face trials of many kids, because you know that the testing of your faith develops perseverance. -- James 1:2,3

This is tough. There's no gentler way to say it. It's been about 19 hours since Luke was born and Hillary and I will be heading to bed in a still empty hospital room. Down the hall we can hear the cries of babies and would love nothing more than to have our own kid's wails wake us up at 3 in the morning.

At 4pm this afternoon we headed over to see Luke again and spend some quality time there, but he was in the middle of having a PIC line inserted so he could be given more nutrients and carbs. All we could see around his little bed were a few nurses in blue scrubs.

Tonight around 10 we called the NICU to see if we could stop in and were told that the PIC line didn't take and after waiting a few hours, they were about to try again. So we'll wait until the morning and go from there. In our baby's first day of life, we've seen him for a total of 45 minutes.

It's a cliche to say that we don't understand what God's larger plan is for all of this. But like the verse at the top, we do have faith that one of the end results will be a strength and perseverance we wouldn't have had otherwise. No one wins $10 million and grows closer to God. You grow through trials, through putting your faith to the test and coming out better on the other side. And funny enough, that relationship between God and us is paralleled in our relationship with Luke. There he sits getting poked and prodded, and obviously can't begin to know what's going on or why. But we know those tubes and sensors and messed up PIC lines are steps along the way to making him stronger. They're hurdles that will ultimately give him the best chance to persevere and live a full life.

For now, I think our goal is just to have that same child-like faith. Someone bigger and stronger is in charge. The best thing we can do is just close our eyes and trust him.

Luke Palmer, Day 1

Here's a picture of Luke shortly after birth. He is fairly stable, breathing 1/2 on his own, 1/2 on the ventilator. He's on an IV helping give him fluids. Over the next week, doctors will be busy checking him out from head to toe and checking regularly on his heart to see if the enlarged right side shrinks down on its own. There could be other yet to be discovered complications, but the heart remains our primary prayer. As for the extra digit on each hand, that appears to be a fairly easy fix, but a low priority at this point.

Hillary is already up and running around, hardly acting like a woman who gave birth less than 12 hours ago. I on the other hand no longer have to pretend to be strong and have taken to ugly sobbing on a regular basis. Sometimes Hill joins me, but they're not really tears of sadness, just good ol' emotional breakdowns brought on by exhaustion and relief that we got the kid into the world as best we could and now we just have to wait and see. Hopefully Hillary will never again accuse me of not sharing my emotions.

Luke Arrives, Saturday June 13th, 4:12am

No time or energy for the long version, though you certainly will hear it at some point.

After a longer than expected labor, Luke was born amidst a flurry of activity at 4:12am. And he didn't look like a 35-week baby -- he weighed in at 6 pounds, 7 ounces. He came out bright pink but was not giving that great newborn cry. The NICU staff immediately took him and began helping him breathe. He is now stable and on a ventilator in the NICU. His breathing problems were largely due to fluid and mucus and he is doing some of the breathing on his own.

As noticed last week, Luke's heart is enlarged and a pediatric cardiologist will be in this morning to run an EKG and go from there, but there isn't any structural damage to the heart.

The one real surprise is that Luke was born with an extra digit on both hands and both feet. On some level, it breaks our heart, but when I told Hillary, she responded with a smile and said, "Hey, better more than less."

That is all for now, our prayers are that the heart issue can correct itself and that that is the limit to any significant speed bumps as he begins life, sharing a birthday with his incredible mom.

Friday, June 12, 2009

Day 41...And In Real Labor. We Think.

Over the last few days, Hillary's mindset has changed from not wanting the baby to come to excited about the possibility. Ideally we'd go 40 weeks, but no one really considered that much of a possibility, especially considering she's essentially been contracting for 5 straight weeks. After contracting more and more throughout the night, she began thumping even harder this morning. I tried not to get Hillary's hopes up that this might be it, but when our doctor came in and saw this monitor chart draping down, he said, "Whoa."

"You're 35 weeks, yes? Good," he said, then added, "This baby will be coming today or tomorrow."

While he could be wrong, for the first time since early May Hillary is off all meds and letting nature do its thing. We just feel so blessed by this whole trial and look forward to meeting this kid for real. Any day is good by us, but if it happened today, it would be hysterical seeing as we've had our other two kids on the 12th. But tomorrow's not bad either -- it's Hillary's birthday.

Say a prayer for all involved and we'll keep you posted.

Thursday, June 11, 2009

Day 40 and Keeping Busy...

One of the key elements of Hillary staying sane is the kid's artwork which now covers most of the room. On the right is one of our favorites. As you can see, we've strategically placed it to obscure the fact we're in the hospital, covering up the container used for used needles. Pretty sure most people don't have those hanging in their bedrooms.

When not making progress on scarf #2, Hillary has been busy convincing nurses to buy my Tiger Woods book as the perfect Father's Day present, quoting smoothly from the Sports Illustrated review while getting her blood pressure taken. I think Barnes & Noble should seriously consider placing an employee in a hospital bed in the middle of each store to suggest books to customers. No one in good conscience could say no.

Wednesday, June 10, 2009

Day 39...

Since we arrived here May 3rd, we've been keeping track of my stay with a countUP, not a countdown. We figured a countUP would be more encouraging since every extra day was progress, versus putting up "74 days to go!" which would have seemed overwhelming.

As for Day 39, my contractions have picked up a little bit in the last few days which has required me to receive an occasional shot but all seems to be under control for the time being.


The medical drama for the time being has transferred to Orange County, where my 92-year-old grandfather was put into 24-hour nursing care after suffering more and more falls. It is tough to see but he is stable and being well cared for. Then this morning, my grandmother (his wife) had a major fall in her apartment and was rushed to the ER with a sprained ankle and, worst of all, a broken hip. She is awaiting surgery tomorrow. My poor mom has certainly been put through the wringer and Bob hopes to give my parents a break with the kids so they can spend some time down south.

Today, we had a great visit with the kids where they enjoyed a picnic lunch in the hospital and showed off some arts and crafts they made with their great Aunt Patti a few days ago. Danny noted that he had never had a picnic in a hospital before.

I had secretly hoped that Luke would arrive a few days early so that he could be born on the 12th of the month just like his two siblings (October 12th and December 12th). We doubt Luke will hold off until July 12th so who knows, maybe this Friday will be the day!

Tuesday, June 9, 2009

Last Night...

So it was 5:45am. Dark. Hillary was asleep in bed. I was asleep on the pull-out couch. Again, it was 5:45am.

After a knock on our door, a male doctor enters and fumbles for the lights. He turns them all on and looks at a piece of paper in his hand as he walks over to Hillary.

Doctor: So how are you guys sleeping?

Hillary squints at him, confused.

Doctor: Do you have a foli in?

Hillary: A what?

Doctor: A catheter.

Hillary: No...

Doctor: Are you passing gas? Having regular bowel movements? Are you drinking water?

Hillary: Uh...

Doctor: Are you breastfeeding?

Hillary: What? No.

Doctor: Oh, have they not brought the baby back yet?

Hillary pulls her sheets down, revealing her giant stomach and baby monitors.

Hillary: I'm not due for 5 weeks.

The doctor looks wide eyed at his piece of paper, then back at Hillary. He gulps.

Doctor: Mrs. Davenport?

Hillary: No, Mrs. Smiley.

Doctor: I'm so sorry...

The doctor turns, hits the lights and is gone.

Monday, June 8, 2009

5 weeks and 1 Day: From Hillary

First, our apologies for not posting anything since Thursday. This weekend Bob surprised me with a quick two-night trip to Wine Country! No, actually, the real reason is that after being in the hospital for 36 days, we sometimes run out of interesting ways to say "Still here, no baby."

So rather than say it, how about we just show you some progress? (warning, this might scare you):My stomach is so big that at 3:41pm tomorrow, I'll be causing a partial eclipse over California and Nevada. The better news is that most of this watermelon is Luke. We had another ultrasound today and our doctor said he is measuring 2 WEEKS FURTHER along than his July 16th due date. He's growing so quickly that in just the four days since our last test, he has already gained seven days worth of weight. To this we credit all of your prayers and a steady diet of fast food.

In addition to the weight, the doctor looked at Luke's heart again today and while one side remains slightly enlarged, it both appeared and sounded to be pumping normally, which is yet another answer to prayer in all this. They will continue to do regular EKGs until he's born, but with every test the hope grows that this too was a misdiagnosis.

One of the biggest highlights of the past few days came on Sunday, when my dear friend Katherine Wolf (http://www.katherinewolf.info/) came to visit. Katherine suffered a catastrophic brain injury in April of last year and has recovered in so many miraculous ways. She is a total inspiration and helped me put things in perspective since she has endured much more than I could ever imagine.

And last but not least, today my nurse insisted that we move out of our little room and into a gorgeous one overlooking Westwood Blvd. It's so nice to be able to see long distances and objects moving below from the comfort of my bed. This marks our 8th room change since arriving on May 3rd. The hope is that we'll be able to stay in this room through next weekend which will mark my 28th birthday.

Oh, and in sewing news (aww yeah, makin' you wait for the big knitting update)... I'm now onto my second scarf and hope to complete one for each of the kids by the time Luke is born.

New prayer requests (also updated on the sidebar):

1. Praise for Luke's growth.

2. That he would continue to develop to full term and would not have any complications, specifically that any heart issues would disappear.

3. That Hillary would be able to have a natural delivery.

Thursday, June 4, 2009

34 WEEKS: Prayer and Praise!

Yesterday marked one month since Hillary was admitted to UCLA for preterm labor. In that time various goals have been met. Scarves have been knitted, contractions have been regulated, an American Idol champion has been crowned... And finally, today, doctors would finally figure out what was wrong with Luke.

For most of our stay, the focus has been on his esophagus. But Luke was always too small to know for sure. As you can see from the new picture on the left, he's a fatty. Six pounds by current estimates!

And in a true answer to prayer, an ultrasound on Luke from a few days ago seems to show that the stomach is filling normally and that Luke is indeed swallowing.

But that would be too boring of an end to this story, wouldn't it? Instead the doctor became focused on Luke's bowels, which seemed enlarged. Until today, when yet another ultrasound threw out that possibility.

Instead, one doctor became focused on Luke's heart, something a little more serious for sure. Today's ultrasound was showing that the right half of Luke's heart is enlarged, and causing some blood to flow backwards through one of the chambers.

While Luke is obviously thriving in the womb, the fear of this complication is that Luke's heart may not adjust well once he's born. In order to take added precautions, Hillary has been put back on 24-hour baby monitoring and moved back to the labor and delivery wing of UCLA. If his heart does show serious signs of distress or fails altogether, the "good news" is that Hillary is now just twenty feet from the O.R.

Within 30 minutes of receiving this news, a pediatrician from the NICU was in our room. Now expecting the worst, he instead calmed our fears, saying that the heart changes in dramatic ways once a baby is born. It's very possible that the condition may correct itself. And even if it doesn't, he believed that medication alone would be enough to stablize his situation.

To quote Hillary, "This is why I don't like roller coasters."

To cap off the drama of the day, our high-risk doctor popped his head in to say hi after we'd been relocated back to labor and delivery, well aware of the day's drama. Despite us believing the true diagnosis had at last been reached, our doctor said in his opinion they still haven't found anything truly wrong with Luke.

"But the enlarged heart..." I said.
He waved me off. "That will correct itself."
"You think so?"
"Yeah." And with that he waved goodbye and left.

So on a day when we were sure we'd get some answers, the breadth of conclusions depending on who you ask ranges from absolutely nothing to heart failure. Time to update our prayer requests... if we can figure out what they are.