Thursday 26 April 2012

Less Intensive Care...

Days in captivity...
Great news! 

After fifty four days of intensive care I've finally been moved to the HDU (High Dependency Unit).  This is like intensive care - it's actually in the same room - only less intensive!  I feel ever so pleased with myself.  Daddy tried to get me in the incubator next to the window - I think he travels on aeroplanes to much.

Here's my list of achievements in the last three days:
  1. I've had a bottle... It was only 20 mls but I slurped it down, burped and went to sleep.  To be fair, I de-satted a few minutes later but breathing is on my list of 'non-achievements' which comes later.
  2. I've had another go at missing out the middle man on the feeding front and collecting Mummy's milk directly from the tap (as it were).  It was OK but I was very tired, so once I'd had a bit of a taste I went to sleep - not what the gathered crowd was hoping for.  I'm not at all worried about this bit - as soon as I latch on to those muffins it's going to take a tank and a tow rope to pull me off.
  3. I've been titrated.  Another new word for the blog and one which sounds great when said with a northern (Yorkshire) accent... tah-treeeh-ted!  It means that instead of being fed a tiny amount of milk every hour, I'm being fed more milk less frequently.  This is fine except I've now been introduced to a new sensation... HUNGER!  Hunger is not nice and it makes me grumpy.
  4. I've put on a bit of weight.  Not much just a bit.  I clearly like the TPN feed (my performance enhancing drugs) and since it was taken away my weight gain has slowed.  I'm now 3lb 10oz - not much more than last week but still moving in the right direction.  The dietitian has been to see me a few times and she's asked the nurses to add something called 'fortifier' to Mummy's milk.  Mummy asked the dietitian if there was anything she could do to help, such as eating cakes or chocolate but she was told that she should only be eating a healthy diet - the old five a day stuff - with no treats.  Mummy looked ever so disappointed!
  5. I have a new hat - the old one is now too small for my big head.
  6. My eyes were tested again and everything was fine.  Dad reckons I'm a bit gozzy - this is Scouse for cross-eyed - but I'm not.  I just have trouble pointing them both in the same direction all the time.  The two things are not the same!
  7. I haven't needed another blood transfusion and my gases still look OK.
My list of non-achievements (or 'failures' as my Dad insensitively calls them!) is a bit shorter, consisting of only two things - pooing and breathing!

My belly looks like this...!
The pooing thing isn't really too much of a concern.  My belly is still inflated like a Space Hopper and I'm becoming a bit self conscious about the funny faces I pull when I'm trying to push one out but the issue is being tackled with suppositories which (as you know from previous blogs) can have an explosive effect.  Mummy thinks that my big belly is mostly genetic and regularly points to the one that my Daddy carries around with him as evidence.  I think this is very insensitive of her.

My biggest non-achievement (by far) is still breathing.  The thing is, you all take it for granted that your brain is going to send a little message to your diaphragm every few seconds reminding it to contract... and generally speaking it does.  My Daddy told me that there have been a few occasions when his brain has neglected this task, normally in the middle of a big speech in front of a lot of people, and when this happens he has to take a few big breaths to recover.  This sounds a bit like a de-sat to me and I have them about five or six times a day - only difference is I normally have an audience of just one or two.  It's been suggested that this 'doing a Poppy' is some form of attention seeking and it's true that it generally results in a lot of activity, but trust me... I'd rather just keep breathing.
Head... shoulders... knees and toes...

I've progressed from C-PAP to high flow to low flow and most of the time I'm being fed oxygen at less than 10% which is really good, but this morning I has a major de-sat and went a sort of bluey grey.  This was bad, so I've been upgraded again to high flow.  This is OK with me as it means I don't need to put the mask back on (which I hate!).  Mummy was with me when it happened so she's a bit worried about me again but I'm fine... just keeping everyone on their toes that's all.

All the talk now is of Warwick.  I'm not sure if I've upset someone here or if they need my bed for someone else but they seem very keen to get me into a Special Care Baby Unit (SCBU - or scuba as my Dad calls it!)  Once I'm in scuba I can move to Warwick which is where I was born and much closer to home for Mummy and Daddy.  The step after that is home - so it's all quite exciting really.

Mummy's brother Rich has been over from Australia this week and the very nice people in Coventry let him come in to see me.  He's not really allowed but seeing as he'd travelled 8,456 miles they very sensibly allowed him in.  I was glad they did. He's a research chemist so he was able to have an intelligent conversation with Dr Iodine - something which my Dad has failed to do in seven weeks (bless him!).  Rich kept asking Mummy what all the numbers meant on my charts but once she'd covered off my weight and my milk intake she started to struggle a bit...

And talking of numbers, my brother Charlie's been in to see me a few times this week too and he's getting very good at reading my monitor.  He sat there for about twenty minutes reading my oxygen saturation levels out loud every time they changed - ninety two, eighty eight, eighty four, eighty six, seventy eight, seventy two, sixty four, fifty one, thirty two... BARP! BARP! BARP!  I de-satted especially for him and he felt very important!

Charlie has also been growing cress in a propagator at school and is now convinced that babies grow from seed.  That's going to be an interesting conversation with Daddy when he gets older!

Me...
Cress...
Life's never dull in here!  The last few days have been really positive.  Moving out of intensive care feels like a massive result and I'm so happy to be a step closer to going home, but I'm so frustrated about my breathing.  I know it stresses Mum and Dad out a bit so I'm trying really hard to get the hang of it but I'm still not quite there.  Give me another week... just one more week... and I'll have this thing cracked...

... I promise!

Lots of love and hugs

Poppy Lola xxx














Saturday 21 April 2012

Key Performance Indicators

I'm in trouble, aren't I? 

My only excuse for not updating my diary for so long is that I still have to rely on Daddy to post the blogs and in fairness to him he's been back in that Zurich place this week.  I still don't know where Zurich is but he told me today that he has to go on an aeroplane to get there. Tomorrow he's going to explain what an aeroplane is.

Today he was telling me about KPIs... apparently in his world these are 'Key Performance Indicators'... so I thought I would provide a quick update on my own KPIs:

KPI 1 - Weight

By the time you read this I will have been weighed again (Thursday and Sundays are weigh days) and I'm sure I will have gained a bit more but even so, my weight on Thursday was 3lb and 7oz, or 1.520 kilos.  That's my birth weight plus a half so I'm really pleased.  I think I might even be beginning to look like a proper baby - that's not the right word but I hope you know what I mean?  I look like a bit like a baby, only smaller... instead of looking like a gremlin in a nappy!
Like a baby... only smaller!!

KPI 2 - Breathing

This is a tough one.  I'm sort of getting the hang of it, slowly.  Over the last week I've been cycling (no they don't have me on a bike... you need to move into Special Care before that happens!)  Cycling in ICU means swapping between C-PAP and nasal prongs (or high flow).  This is all very confusing for Mummy and Daddy as they can't work out the difference between nasal prongs, high flow and low flow.  This was further complicated when Mummy spotted that the box delivering 'high flow' was in fact labelled 'low flow'!  Apparently this is normal and it is high flow (coming from the low flow box).  I imagine when I move to low flow it will be delivered through a box labelled 'no flow'...

My cycling is going well though.  The most I've managed on high flow is eight hours, which I did today.  I've just gone back on to C-PAP at 8pm this evening but I'm planning to make a big fuss to show how much I don't like having the mask back on my face.  I reckon I can do without the mask at all - I just have to convince the Doctors.  Leave it with me.

KPI 3 - Haemoglobin

This week I enjoyed my fifth (yes, fifth!) blood transfusion and I think I have now exhausted supplies from my original donor.  If I need any more I'll need to be paired up with someone else.  Hopefully this won't be needed as my gases are looking much better - speaking less technically... I'm a bit pinker!

I'm also pooing a lot better which is good for getting rid of red blood cells and helping my jaundice.  On Wednesday, Mummy was changing me when I suddenly felt the urge to... well you know what I mean.  I don't fully understand the meaning of the word 'projectile' yet, but it seemed to get mentioned quite a lot around that time.  To make matters worse, when the nurse changed me (or 'did my cares' as we like to say in here!) on Wednesday night I sort of exploded.  Listening to the doctors afterwards I think it's something to do with my fortifier - the stuff they add to my milk to make me grow faster.  Whatever it was, the effect was stunning.  I managed to decorate both the East and South wings of Chez Poppy with a greeny beige emulsion... and it stank!

I'm still on a bit of a cocktail of drugs with every feed.  The latest one to be added to the list is potassium.  When my Mummy saw this on my sheet she immediately went out and bought twenty bananas which she is now eating at the rate of four a day.  It's possible that this will help with my potassium deficiency.  It's equally possible that it might contribute to the decoration of the South and West wings... we'll see!

KPI 4 - Happiness

Foraging...
I'm doing really well on this one.  If the only measure of my progress was happiness, I would be out of here by now.  It's been a week of serious cuddles.  I think I've been out of my incubator every day, twice on some days, and it's brilliant.  Whenever Mummy cuddles me I keep getting this strange urge to find something to erm... suck on!  Whenever I start foraging around everyone says I'm rooting.  Just once so far I've managed to find something that felt right.  I gave it a good suck and what do you know... it only had milk inside it!  BINGO!

I plan to forage more aggressively next time!

My favourite photo... ever!
I've also had visits this week from Charlie and Millie.  I can't tell you how much I enjoy seeing them.  On Friday, Mum and Dad came in with Charlie and the nurse took a photo of all of us together.  This is like my favourite photo ever!  Charlie also had a try at being a Doctor.  He checked all of the numbers on my charts and stole the stethoscope from the drawer so that he would look the part.  This was both very naughty and very funny.

Dr Charlie Hufton Jones
There's also been a new initiative launched which is very sweet.  All of the babies on the NICU have been provided with a shoe box to keep memories and keepsakes in.  I'm already filling mine up with photos and messages and bits and pieces to look at with Mum and Dad when I'm older.  On the outside of the box, the nurses stick a balloon on for every day we're in the NICU.  I've been in here for 51 days now, so my box has a lot of balloons on it.

KPI 5 - Head Circumference


Three small toys discuss the size
of my head...!
It's getting bigger - still not quite a tennis ball but getting bigger!


That's the last of the KPI's.  Overall I'd say I'm progressing.  Nowhere near as quickly as I'd like, but progress is progress.  One day soon I might even move from ICU to HDU and then to Special Care... and then home.  Until then, it's one small step at a time.  Dr Iodine came over to see me this evening and told me that if I was writing my blog tonight I had to tell you all that he's very proud of me.  I like Dr Iodine and his passion for the I2S2 trial... and I happy that he's proud of me!

Does this look like my
Granddad???
Before I go I have to tell you a little story that my Daddy told me when I was getting a cuddle from him tonight.  In between visiting Switzerland and visiting Coventry he's been trying to find a new car and last Saturday he went straight from the hospital to the BMW dealership.  He was bit late for the appointment so he told them that his little girl was in hospital and showed them a photo of me on his phone.

Anyway. Daddy went to pick up his new coupe today and he was very excited.  He picked up the keys and just as he was heading off to drive it away the guy in the show room asked if he would be able to get the child seat in the back... FOR HIS GRANDDAUGHTER!  To be fair, Daddy took it very well.  He just left him... lying there!

My shoe box...
That's it from Bed Three for tonight.  If you want to leave any comments on the blog I've changed the settings so that it's easier... I think some of you were having problems.  And don't forget, if you want to e-mail me you can, at poppylola1@gmail.com.  I'll print it out and put it in my shoe box!!

Lot of love and hugs as always, and thanks for thinking of me.

Poppy Lola xxx








Saturday 14 April 2012

Mum and Dad get told off...

It's hard to know where to start this update.  It's been such a strange week.

I'm doing well.  I now weigh 3lb and 3oz, which is still below the average weight of a baby at 32 weeks but this means that I've now put on over half of my birth weight.  I'm not exactly 'bonny' (which is a word my Dad taught me to use instead of 'fat' when you're talking about babies) but I don't feel like I'm just skin and bone any more.  I'm beginning to feel much stronger and I think this is helping me with my breathing too.

I'm still on C-PAP but I'm now spending longer and longer on high-flow (or 'prongs' as we call it).  I much prefer it when I'm not on C-PAP because I don't have to wear the white hat and have the oxygen tube strapped to my face which means that Mum and Dad can see my facial expressions properly.  So far my facial expressions have been mostly frowns but sometimes when I have wind it looks as though I'm smiling and everyone gets really excited... grown ups can be so daft.

My longest stint on prongs has been six hours and I'm doing OK.  I do get tired still and I normally end my session by de-satting down to 20% or less (sorry, I'm assuming everyone has a level of technical understanding now, so if you're new to the blog I apologise!)  The really good news though is that I haven't really needed bagging much at all and I'm recovering from all of my de-sats and Bradys all by myself... with a little help from the nurses of course!

My milk has gone up to 9 mls (!) every hour and I'm managing to keep it all down.  My tummy is still a bit swollen but apparently we only need to worry if it's hard... and it's not, it's all soft and squidgy, so that's good as well.  Even my jaundice appears to be getting better, so as I said, I'm doing well.

Oh, and one other thing, I had my eyes tested this week.  A nice nurse came and put some drops in (which stung a bit!) to make my pupils dilate.  Charlie had told me all about this because he has to have it done when he has his eyes checked.  They looked into my eyes with a big light and everything seemed to be OK but I think I'm having another check next week.

On the day my eyes were being tested they put a sticker on my incubator to remind the nurses that I was having drops.  This sticker joined the one with my name and prisoner number on, the one that says I'm in the I2S2 clinical trial (the iodine one!), the one that says I'm in the Dove clinical trial (I've not mentioned this one before but it involves my poo being taken away for analysis!), and the one that says Mummy brings her own blankets in!  There are more stickers on my incubator than on a middle aged German's Campervan!

Have you noticed how many sentences in this diary start with the phrase 'Dad thought it would be funny'?  Well, guess what?  Dad thought it would be funny to add another sticker and the only one he had was his National Trust Car Park sticker, so I'm now the most totally middle class baby in here!  Thanks Dad!

Heaven!
What else?  Oh yes, I've had some REALLY good Mummy cuddles this week.  It's so much better when I'm not on C-PAP and I can snuggle up really close.  It's funny but I think I'm happiest when I'm not in my incubator.  I just love being close to Mum (and occasionally Dad), listening to them talk to me while they stroke my head and rock me back and forth.  It's heaven!

I'm not sure if this is going to work or not but yesterday I had the hiccoughs for a while and Dad took a little video of me.  It's nothing special, just me in my plastic box having a good hiccoughing session but for those of you reading my blog I thought it would be good chance for you to see me in the flesh as it were.  Sorry if it doesn't work... I'll get on to the IT help desk first thing in the morning!



I suppose you're wondering why this diary entry is called 'Mum and Dad get told off'?  Well, like I said at the start, it's been a strange week, which came to a funny conclusion yesterday when Mummy and Daddy were taken away for a 'chat' with a lady who looked very important.  And you'll never guess what the chat was about... MY BLOG!!  Mummy and Daddy have had an official talking to!

All I'm going to say at this point is what I said right at the very beginning of my blog...  This Diary is for everyone who's been praying for me, for everyone who's been crossing their fingers for me, for everyone who's been worrying about me and my Mummy and Daddy, and Charlie and Millie.  I've tried to make it honest and funny, and I've tried to give you all a sense of what's happening here in Coventry NICU.  I hope that I've managed to communicate how fabulous the staff are that work here and what an incredible job they do, but as in all walks of life, things don't always work perfectly, and part of the joy of writing this has been laughing at the things that have occasionally gone wrong.  I really can't see why anyone would have been upset or offended by anything I've written but if they have been then of course I'm sorry. 

I'm only six weeks old... give me a break!

Lots of love and hugs and kisses!

Poppy Lola

xxx






Tuesday 10 April 2012

Bilirubinometers...

OK, before I get started with this blog, it's been brought to my attention that there might be staff from Coventry University Hospital NICU reading this!!  This is not in itself a problem however you should remember that I am only five weeks old and have yet to fully understand the skills of tact and diplomacy which will hopefully come later in life.  For now however, please do not take offence if I highlight one or two comical moments... it's all done with the best of intentions.  Oh, and for the avoidance of doubt, this is me - Poppy Lola - writing this, so if you're planning to sue for defamation there's not much in the way of assets to go for!  Any suggestion that my Dad is involved in the writing of this blog is pure speculation.

Let's begin with the good news... and there's plenty of it!  Since going on to TPN (the total parentatal nutrition stuff that goes into my arm through the long line) I've really been piling on the pounds.  Well, piling on one pound to be precise!  But get this... I now weigh over three pounds! I'm HUGE! It feels so much better to have a bit of flesh on my little frame.  It seems to make everything so much easier.

Look at that 'long line'!
I cried when that came out!
At first, when I went on to TPN, they reduced my milk intake to 3 mils every hour but over the last week it's been steadily increasing until today I topped out at 9.5 mils per hour!  The Doctors were so pleased with me that my long line finally came out of my arm today (after ten days) so now I'm back to just Mummy milk again.  Can I just say that it hurt like billy oh when they took that line out, so much so in fact that I cried!  I've never cried!  I've sort of whimpered every now and then, but today I cried a proper cry... and Mummy was there and guess what?  She cried too!  Daddy wasn't there but I reckon he'd have blubbed as well... he's such a lightweight!

As soon as the line was out the Doctor (who I shall now not name as she's probably reading this!) announced that I was going to have another blood transfusion so I was going to need another cannula putting in!  Brilliant!  I've lost count of the number of blood transfusions I've had now... I think it's five... but the amazing thing is, they're all from the same person.  Don't ask.  I've no idea how it works, but there's someone out there to whom I owe my life.  All they did was trot into a blood donation centre and donate a pint of blood and I've been sucking it up for five weeks.  I wish they knew!  If you give blood, I'm very happy for you to assume that it's yours I'm using.  This should make you feel good about yourself... and you deserve to!

To be honest, I don't really know what's going on with all this jaundice/bilirubin/red blood cell malarkey.  I know that the bilirubin light doesn't work any more because I'm too old... this is the only thing in the world that I'm too old for!  There's been talk of liver drugs and diuretics and transfusions and all sorts of stuff, but I've lost track of what's supposed to be wrong with me and what they're all doing about it, so for now it's another blood transfusion and hope for the best... more titivation!  For what it's worth, I think I just need to shit more.  So I'll be giving that my best shot over the next few days.

Dad was reading the Times at the weekend and there was an article about jaundice in new-born babies.  It was a bit scary so he threw the paper away before Mum could read it (not sure if this was a good tactic!) but before he did he copied this bit (below).  And if you read it, you will see that there's a machine called a 'bilirubinometer' which should be used at 'every opportunity'.  Now I wouldn't know a bilirubinometer if I fell over one.  Never seen one.  Which is a bit odd given that I would be awarded the 'Baby in Most Need of a Bilirubinometer' at the National Jaundice Awards... if they existed... which they don't!

Dad turned up on Bank Holiday Monday - when there was something of a holiday mood on the ward - with the Times under his arm, and demanded to know why I'd not been put on a bilirubinometer!  He sounded dead knowledgeable and important.  Unfortunately no one on the ward had ever heard of a bilirubinometer but like my dad they all thought it was a great word and everyone agreed that the journalist had done a great job of making it up!


Right, that was a bit of a tangent even for me.  Where was I?  Oh yes, I'm gaining weight nicely and I suppose my breathing is beginning to improve too.  I'm now coming off the C-PAP two times a day and just using the nasal prongs.  With these, I'm more or less breathing for myself but there's a little puff of oxygen under pressure on every breath just to encourage me.  Today I managed to do two five hour sessions just on the nasal prongs!  My Dad has been teaching me the importance of humility but sod it... I was brilliant!  I reckon I might be able to leave that C-PAP thing behind completely soon and who knows, maybe even move out of intensive care and into HDU (High Dependency Unit).  I've not mentioned this before because I though it was tempting fate but I'm giving myself two weeks max to get out of here!

Millie came in to see me again with Dad, who put his phone inside my incubator and took Millie's photo from where I was lying.  The result is a Poppy Lola's Eye view of what it looks like from here.  If you look at this photo and concentrate for a minute you can sort of imagine that you're me.  So far, this is more or less all I've seen... well a series of different faces, but you know what I mean.

Mummy and Daddy often talk about the world outside.  I can't wait to visit all the places they talk about when they're here, especially IKEA, Starbucks and that bloody hospital car park (which they talk about a lot!)  The world sounds like such an amazing place!

Vertical - a whole new perspective!
Nearly time to go to sleep again, so to end tonight's blog here's a picture of me from a new angle.  It's not one of my best (again) but I'm proud of it because:

  • I'm vertical
  • I only have prongs (no C-Pap!)
  • You can see my luxuriant head of hair
  • You can't see any other wires or tubes
  • The Very Hungry Caterpillar crawled into shot

Hopefully, you'll have sensed my optimism today?   I've missed out a few scary moments - you don't need to know all of the details all the time.  On balance I'd say I'm moving in the right direction and I'm still thinking of my release date on 8th June.  Who knows though, with good behaviour I might be out of here sooner!

Lots of love and hugs!

Poppy Lola xxx

Footnote:  It appears, that the 'bilirubinometer' does in fact exist and has it's own entry in Wikipedia.  Apologies are therefore due to the Times journalist... who probably got his information from Wikipedia anyway!

Friday 6 April 2012

Feet First... The sudden arrival of Poppy Lola!

It seems a lifetime ago now (it was I suppose) but so many people have been asking me to tell the story of how I arrived that I thought I'd throw in an extra blog just to complete the picture...

It was 1st March.  I remember the date because it was the day after 29th February and apparently they don't come round too often.  I was tucked up in Mummy's womb listening to Daddy trying to get Mummy to propose... apparently it's OK for the girls to ask once every four years.  Mum stuck to her guns though and refused to pop the question so I resigned myself to the fact that I'd be born out of wedlock.  I had no idea that it would be so soon though.

Poor Charlie had something call Chicken Pox which had kept him off school so mum had been off work for a few days taking care of him.  He was just coming to the end of it so wasn't in too bad shape. 

Mummy's friend Katrina came round for a coffee in the morning (and a hot cross bun!). She stayed for an hour or so and then after she left Mummy and Charlie were going to take a walk to the shop.  I knew there was something wrong before Mummy did.  It was like being in a bath and someone pulling out the plug.  Just as Mummy opened the front door she felt a funny, warm sensation down her leg.  I knew where it was coming from.  Mummy tried to remain calm but after a few minutes, with no sign of it stopping, she phoned Warwick hospital for some advice.  They told Mummy to get to the hospital as soon as possible.  I agreed!

But what to do with Charlie?  Mummy phoned her friend Kate who works from home to see if she could come and sit with Charlie.  Kate didn't answer but called back to see who had called her.  As soon as Mummy told her that her waters had broken she was round to the house in a flash.  She banned Mummy from driving herself to the hospital and insisted on taking her.  Luckily, Lynda the cleaner was at the house so Kate drove Mummy to hospital and Lynda stayed a bit longer than usual and doubled up as Charlie's entertainer for an hour.

In the meantime, Mummy had telephoned Daddy and Grandma to let them know what was going on.  Daddy was working at Kuoni head office in Dorking.  He was in a meeting when Mummy phoned him so he ignored her call!  When mummy called straight back he figured there might be something wrong so this time he answered.  Mummy thought she was sounding calm but later feedback suggested otherwise.  Good news though, Daddy was on his way!

Mummy asked Grandma if she could come down from Yorkshire to look after Charlie just in case anything happened.  Grandma's first job was to locate Grandad who was out working on a gardening job somewhere near Selby!

Kate drove me and Mummy to Warwick hospital and went with us to the labour ward.  She was so calm, Mummy was in good hands!  Kate stayed with Mummy for half an hour and then went to get Charlie who then had tea at Thomas' house and had a great afternoon playing with Thomas and his little brother William.

In the meantime, Mummy was given a check over at the hospital and told that everything looked fine.  From my position it was clear that everything wasn't fine and I knew that my time in the cosy womb was nearly up... I just had to find my way out!  Even so, I heard them tell Mummy that her cervix was still closed (I'd soon fix that!) and that she would have to stay in hospital for 48 hours to be monitored.  She also had to have a scan the next day to see to what extent her waters had broken.

None of this was going down well with Mummy - 48 hours in hospital!  What a pain!

Shortly after Mummy had been checked over, Daddy turned up.  He'd gunned it round the M25 and up the M40 (obviously staying well within the national speed limits!)  It was good to hear Daddy's voice and good to know that he'd made it in time.  I knew what was coming next and Mummy was going to need Daddy by her side if my plan worked!

Mummy and Daddy chatted for a bit and came up with a list of names for me, in the event that I was going to turn up early.   Now Mummy and Daddy are not very good on agreeing names.  My poor brother Charlie wasn't named at all until a week after he was born even though on that occasion they had a full nine months to make up their minds!  Anyway, the naming process involved each of them coming up with a name for each letter of the alphabet.  You wouldn't believe some of the names that made the shortlist...

While they were having this conversation I was desperately trying to let them know that time was up.  I was kicking for an exit but apart from Mummy telling Daddy that I felt 'a bit low down', I wasn't getting my message over.  To make matters worse, at this point Mummy sent Daddy off to get her a newspaper and some magazines to keep her occupied during her stay in hospital.  It suddenly looked as though I was going to have make my move without Dad around!

There's no nice way of saying this, so here goes.... Whilst Daddy was away buying newspapers, Mummy went to the toilet.  It was at this point that my hard work began to pay off and she sensed that not everything was quite as it should be.  Let's just say Mummy had a bit of a rummage and felt something strange.  Little did she know at that point but I'd finally made a break through.  Literally.  The 'strange something' she could feel was my left foot!  And now that I was through I wasn't planning on hanging around!

Mummy got back to her bed and rang for a nurse.  She told the nurse that she thought I might be coming out but the nurse took a quick look and couldn't see anything.  At this point Daddy turned back up just as Mummy was telling the nurse to have a closer look.  Daddy said later that the moment the nurse saw my foot, her face changed to panic in an instant and she nearly knocked him over trying to get to the big red button at the top of the bed!  Finally I'd managed to get my point across... I was coming out and nothing was going to stop me!

In a flash Mummy was swarmed all over by nurses, doctors and anyone else who could get in on the act.  Mummy was wheeled into a delivery room.  I wasn't wasting this time... between the button being pushed and arriving in the delivery room I'd managed to wiggle my right foot out and anyone who cared to take a look (which my dad did) could see my knees beginning to appear!

Daddy counted a total of 16 staff in the room at this point and realised that we were dealing with some serious shit.  Mummy was also in a bit of a flap now.  Surely her baby wasn't arriving yet?  She wouldn't be cooked enough!  Mummy was scared and Daddy was heading in the scared direction.

One of the nurses rigged Mummy up to a monitor and they found my heartbeat. This made Mummy feel a little bit better but she was still very nervous.  Daddy was relatively calm and telling Mummy not to worry.

Mummy wasn't having any contractions or anything, it was all a bit weird.  The doctors explained that they were going to deliver me right away (or at least as soon as the Senior Consultant and Head Midwife arrived).   An incubator was brought into the delivery room along with enough medical kit to open a small field hospital.  A nice Doctor was explaining to Mummy and Daddy that when I came out I would need a lot of attention and then, worse still I would have to be taken immediately by a special ambulance to another hospital because Warwick wasn't equipped to look after me. 
The doctors didn't know at this point where I would end up, it was a question of which hospital had space for me. 

I was desperate to get out but someone was going to have to grab my legs and pull.  I'd managed to wriggle as far as my waist but I was going to need some help with my head!  At this point the Senior Consultant arrived.  He was about 75 with swept back long grey hair.  He was carrying the Telegraph under one arm and wearing a Cotswold tweed check shirt.  He looked for all the world like he was on his way to a horse auction!

Then another man arrived in the room.  This one was dressed top to toe in tight Lycra cycling gear with a bunch of keys on a bunny rabbit keyring attached to his belt.  Daddy asked him if he was the entertainer... and was ignored!  Without anyone saying another word the cyclist got down to the sharp end, grabbed my legs (which were now turning blue!) and started to pull!  Turns out he was the Senior Midwife!  He'd just cycled home when his bleeper went off so he came straight back!

Mummy was told to push, even though she had no inclination to do so, and after two pushes and a couple of 'aargghs' from Mum (in quite a loud voice by the way!) I was pulled out, popped into a plastic bag, messed about with, connected to tubes and wires, and put in an incubator. 

I was out!  If I had known then what I know now, maybe I would have waited a bit longer but at the time I was just happy to be here.  Poor Mummy was out of action for a bit - she still had a placenta to get rid of - but Daddy came over to see me.  He'd been really good up to this point but he took one look at me and started crying.  I would soon learn that this was to become the standard response to meeting me for the first time!

I was weighed and thankfully it was good news. I was a bit of a porker for my age coming in at just over a kilo. Mum and Dad were told that this would help me in my next hours, days and weeks.

Mum and Dad were then told that I would be moved to Walsgrave hospital in Coventry.  This was good news as it was the closest hospital to them with a neonatal unit. 

And that's where I am!  Mum and Dad were given one last look at me in the middle of my life support unit.  I must have looked so tiny and out of place in the middle of all that machinery!  I didn't like saying goodbye to them.  I sort of knew even then that the next few weeks were going to be tough and I wanted them close!

Mum had a cry when she said goodbye and I heard Dad say that it would help if they sent me off with a name.  'Poppy' said Mum without hesitation.  'Lola' said Dad.

'Popy Lola' they both said to the Doctors, and so my name was written on the card and attached to the incubator.

Poppy Lola - 1st March 2012

Thursday 5 April 2012

Growing fast... but wearing a vest!

OK, I know it's been a few days again and I apologise, but listen up... whilst you've been away I've been growing (and growing!) and I now weigh 2lb 15oz.  Nearly three pounds!  I'm so happy I can't tell you... I feel like running around this incubator and singing but that's just going to freak out the nurses on night duty.

I've been making really good progress all week.  Turns out the decision to put the long line back in last Friday was a good one.  As soon as my milk feeds were reduced and I started taking my TPN nutrition through the tube, I started to feel so much better!  I've been doing at least a couple of hours every day this week.  Just on the prongs - no C-Pap - and get this... for an hour on Wednesday I was breathing air, just air!  All by myself with no assistance, I was breathing air.  Just like you all do!  Fair enough, I didn't last long and I was pretty pooped at the end of it, but they say that every great journey begins with a single step and it does feel as though I'm finally starting properly on this journey.

Me and Mummy don't like
to say goodbye!
It's been a really good week.  I've not seen much of Dad because he's been working away but Mum's been in every day - for ages - so I really feel as though we've got to know each other this week.  It's hard you know.  All of my instincts as a tiny new born baby are to be with my Mum all day every day, but in here I have to say goodbye to her every afternoon.  I try to make sure now that my breathing is good whenever she leaves... or she just worries.

I've slowly increased my milk back up to 7.5 mil per hour, which is more than I was on before I started having my fat belly problems.  Sorry for being blunt but I'm pooing and weeing much better now too and even my jaundice is not looking too bad.  Too good to be true?  Possibly!  You know what I'm like.  Turn your back for a minute and I'll start playing up.  I did have a minor bagging earlier today but to be fair I was on the prongs and I was tired!

My first outfit... a white bloody builders vest!
We passed another tiny milestone today... they put a little vest on me!  I don't suppose many of you even know what the first thing you ever wore was but I bet you imagine it to be something really cosy and sweet... pink or blue certainly, and maybe with teddy bears or flowers on it.  Well let me tell you I'm never going to forget the first thing I wore... because it was a white builders vest!!  A builders vest!  About as far away from cute and cosy as its possible to get. And I know I'm still very small but look at the picture... this thing swamped me.  I felt like Laurel wearing Hardy's underwear!

This was all part of today's 'titifications' to see if I can maintain and control my own body temperature, so as well as dressing me in a vest they turned the heating off in my incubator!  Honestly, talk about running before you can walk!  I was bloody freezing!  I've been maintained at a steady 36.8 degrees for nearly five weeks, then they pick the day that IT SNOWS (!) to turn the heating off!  As it happens, I think I did alright but I was pleased when they turned it back up again... I could take the vest off!

Step one of our Cheese Production line...
On a completely different subject one of the nurses pointed out to Mummy that she'd broken one of the rules by filling up two baskets in the ICU freezer with Poppy milk - apparently she's only allowed one!  When dad came in on Wednesday night he had to take some of it home and keep it in the freezer until it's needed.  When he got home and opened the door of the freezer he couldn't believe his eyes!  It's full to busting with Poppy milk!  I'm very proud of my Mummy - I already knew she had many talents but now I can add 'dairy production' to the list.  I'm never going to get through all of that!  Dad thinks we should go into cheese production but I think it's going to be a very specialist market.

Almost time for a sleep now but I've just remembered that I haven't yet told you all the story of my arrival.  It's a good old yarn so I'll write a separate blog to share the whole thing with you.

In the meantime, Happy Easter from Poppy Lola Hufton Jones and thanks for staying with me.

xxx



Sunday 1 April 2012

It's my birthday...

I can't believe it's the first of April.  A month since I was born!

If I'm honest I was sort of hoping I'd have made a bit more progress by now but the 'one step forward, one step back' game goes on.

Friday was a tough day.  Mum came to see me in the morning and managed to get herself all stressed out.  I was sort of doing OK but the team in here were busy with new arrivals and no-one updated her on my progress.  Then I was a bit sick and nobody noticed and Mum thought I wasn't being monitored properly, and then she had to leave before she really had any answers because she was taking Charlie swimming.  What with all of this she wound herself up into a bit of a state, so by the time she called Dad from the car park she was ready to blub... so she did...  Dad couldn't really understand what she was saying but he figured out enough to realise that his afternoon visit wasn't going to be plain sailing.

It was calm enough to begin with but first thing Dad noticed was my fat belly!  One of the problems with C-PAP is that you have to keep your mouth shut or some of the pressurised air goes straight into your tummy, resulting in the medical condition known as 'C-pap Belly', (it's in the medical dictionary already!). 

The first feed after my dad arrived came straight back so Dad asked if the doctor could take a look before the next one.  The Doctor came along and prodded me for a bit, then listened to my gurgling tummy with his stethoscope, then instructed the nurse to deflate me.  This wasn't the term he used but it's exactly what he meant!  The nurse took my feeding test tube and put it into reverse, literally sucking air out of my tummy.  Dad thought it would be funny to crack a joke about me 'letting myself down' which I quite liked... but nobody else laughed!

The calm before the storm!!
My tummy deflated a bit, but not that much, so I was a bit surprised when the Doctor said we should go on with my next feed.  I managed to get the next seven mils down inside, then I turned over to face Daddy and tried to go to sleep.  Dad took this picture of me just seconds before I chucked up!

This time the fluids from my tummy blocked my airways and before you could say 'Desaturation' I was down at 8% oxygen.  It was a wonderful commotion.  Normally there is just a nurse and an assistant when I need bagging but this time it was like the whole ward joined in.  Dad was slowly edged further and further back until he ended up about ten foot from the bed next to the student nurse who was looking very worried!  My Dad told her not to worry - I was just doing a Poppy!

Anyway, after all these shenanigans they finally decided that I needed a break from all the milk and they put me back on to the intravenous long line.  It took ages for the doctor to find a vein in my arm and when he finally hit one my Dad said that the blood sprayed all over the inside of my incubator!

I'm now on something called TPN or Total Parentatal Nutrition - again this sounds to me like something they use secretly in the Tour de France - and they've reduced my milk to four mils an hour which is much better.  I was weighed earlier today and I'm finally putting on a bit of weight.  I'm now 2 lb 10 oz!

Saturday was a much better day.  I got to see my big sister Millie again and my big brother Charlie.  Thankfully Charlie wasn't wearing his silly green glasses so he didn't embarrass me in front of the other babies...

Asleep on my Mum!
And, I had another brilliant cuddle with Mum... not that I remember much of it - I was fast asleep in a nice cosy pink blanket. I was a bit tired from all the messing around on Friday.  Mum seemed to have calmed down a bit too.  The only problem with having a cuddle was that everyone seemed to forget that I was on a long line as well as the C-Pap, as well as all the other lines that connect me to my monitor, so when it was time to put me back it was like trying to sort out the back of a telly.  There were wires and tubes everywhere!  In the end one of the nurses pushed the third pedal on the bottom of the incubator and the whole thing lifted up like a space ship!  It was so cool.  When I was finally sorted out they lowered it all back on top of me and I shouted out, 'To infinity and beyond!!'  But nobody heard me...


To infinity and Beyond! (Pedal 3)
I was one month old on today so I thought I ought to begin to show some signs of improvement.  Mum phoned this morning and the nurse looking after me told her that she was going to try and take me off C-PAP and put me on to nasal prongs.  Mum was terrified - talk about having no faith in me.  To be fair I guess I haven't had a good track record so far have I?

Despite Mum's worries they went ahead and did it anyway and guess what... I managed to go THREE HOURS breathing for myself.  I mean COMPLETELY breathing for myself!!

Not pretty!  But look at my hair!!
And no C-PAP!!!!
It meant I could take my hat off so Mum could see my face properly for the first time.  Admittedly I'm still not the prettiest thing but at least I could also show off my hair, which I have quite a lot of!

After three hours I was knackered and needed a bit of a rest so I went back on my C-PAP machine but the oxygen was really low and I was still coping brilliantly. 

I think I'm on the mend!!
Dad came in to see me tonight.  He's away at work again from tomorrow so I won't see him now till Friday.  We had a really good hour.  I was so tired I just slept on my tummy under my blanket but Dad stroked my head for me and it was cool.  I think I'm on the mend... I really do.  Keep your fingers crossed.

Lots of love,

Poppy Lola xxx