Something on Jonathan

My 2.5 years old boy is growing up! I am unable to catch up. Do you know what I mean?

He begged me to carry him in the shopping mall yesterday.  Oh dear, he is so much heavier than he was the last time I carried him 9 months ago. He is now 15kg.

His vocab has improved a lot. That makes our conversation more understandable and enjoyable. Now, he is able more willing to follow you read or sing. He can answer your questions and tell you stories from pictures or retell the tv shows he had watched. His favourite tv show is Special Agent OSO.

Since the arrival of Samantha and with her condition that requires more care and attention, I spent less time with Jonathan now. I could only watch him play on his own. Missed putting him to sleep and snuggling beside him. Missed our bathroom fun time. I missed our bonding time so much!

With a new baby in the family, he is learning to behave like a brother.  He is a great lil’ helper and “runner”. He has the brotherly instinct in him naturally. Whenever Samantha cries, he will put aside whatever he is doing and be the first running to her little sister, comforting her. He watched how I take care of Samantha. He reminds me when I forget her handky. He imitates how I express breastmilk. He even use a handky to wipe his chest as how I clean my nipple every time I finished expressing milk. *slap head*

Tell me you like his new hair style. 😛 I love it but many want to chop off his “tail”.

 

Samantha @ 1 Month

This is a very very late post due to Internet connection problem. This post should be up on 24 April 2010. At 1 month old, she is still tiny and fragile, weighing at only 2.65kg. Will talk about her in a later post…

Samantha – The Challenges

Baby Samantha is 3 weeks old today.  I am still learning in taking care of her who requires more tender loving care.  Still working out the best schedule for her which includes her milk time, vitamins time and massage time.

I am practising the art of infant massage by using Johnson & Johnson’s guide on “The Importance of Touch…”.  The schedule would be at least one time a day but preferably 2 times a day.  Massaging fragile little Samantha is like breaking her bones. 🙂

Getting Samantha to swallow her vitamins is a great challenge and can be quite stressful. In a day, she needs to take 6 vitamins.

1. Riboflavin, also known as vitamin B2 (liquid – mixture of powder and syrup)
2. Biotin, also known as B complex (tablet – crush into powder form)
3. Vitamin B1 (tablet – crush into powder form)
4. Folic Acid (tablet – crush into powder form)
5. Co-enzyme q10 (soft-gel capsule – squeeze out the oil-soluble)
6. Vitamin E (soft-gel capsule – squeeze out the oil-soluble)

She was also given Polycose (powder to mix with water/EBM) 3-hourly to help her get the calories she needs for growth.

As it is quite taxing for her to take all vitamins at once, I separate them into 3 portions.  I need to establish a routine for her vitamins intake too.  All the vitamins are so awful you can see from Samantha’s reaction when the mixture reaches her tongue. Some smells awful. My poor baby…

Samantha went for her first follow-up after she was discharged. It seems that she had not gained any weight since she discharged. Because of that, doctor advised to give her EBM instead of direct BF. This is to ensure that she gets the right amount of milk which is for now, 1.5oz every 3 hours. But Samantha tend to fall asleep after taking only 1oz or less. No matter how you agitate her, she won’t suck.

She’s like an owl. During day time, she can sleep for 3 – 4 hours without crying for milk. At night, she cries every hour and using my nipple as her pacifier. BF her is a challenge too. When I started breastfeeding her, it was so difficult to latch her on my breast.  As she is smallish, she’s not willing to open her mouth wide unless when she cries out loud.  

My other problem is the bottle teat. I think she prefers small and soft teat with slow flow. Any recommendations?

Back to Daddy & Mommy’s Arm

Doctors finally allowed Samantha girl to go home on Monday, after 10 days being in Neonatal ICU. Thank you for all the prayers and concern for Samantha.  And as I am writing this post, my little girl is sleeping peacefully. Praise the Lord!

After what Samantha’s had gone through, the doctor (a geneticist) diagnosed her with Inborn Error of Metabolism (IEM) in which she had Mitochondrial Disease. However further tests will be performed as she grows, to confirm this diagnosis. Right now, she has to be on long term vitamins to give her energy.

Here’s Baby Samantha’s miraculous story……

She was delivered via C-sect due to a breech position and weighing at 2.03kg. Apgar score was good and she looks like a normal healthy baby. Initially she was sucking well from the bottle but later towards the evening, pediatrician informed us that she was shivering and so she will be put in the incubator for the time being.

In the evening of the second day, she looks lethargic and was breathing rapidly with a pulse rate of 180+. Pediatrician stopped her feeding and put her on IV drip via her belly button in order for her to rest so to see if her condition will improve the next day.

In the morning of the third day, she was not getting much better but her condition deteriorated with very high acid level in the blood (pH 6.8 compared to normal pH 7.6). Pediatrician informed us that we need to send her to a bigger medical centre for further examination. He called all of the government hospitals and private medical centres but non are available to accept the patient.  At last, without a choice, we ended up at Prince Court Medical Centre (PCMC) in the heart of KL city. We are aware of the higher medical charges but we rather not put the baby’s health at risk by waiting for another few hours or a day until we get a cheaper hospital. Pediatrician immediately arranged for the ambulance to transport baby Samantha in the incubator accompanied by Darling.

In the afternoon, I got myself discharged, one day earlier with my sisters’ help. Good thing that I was strong enough and had recuperated quite well from the C-sect. I never thought that I would be wheeled out from the hospital without my baby in my arm. I had to be strong to face every challenges and Darling and I knew that Samantha will be in good hands.

At PCMC, Samantha’s condition was quite severe. She was admitted due to severe metabolic acidosis. When the doctors briefed us on her condition, they sounded very unpromising if Samantha can make it through or if there is any brain damage. She was sedated with tubes and wires every where. Every second, every minutes, every hour and every stages that she is going through is like a battle you never know if you will win. But by faith, we prayed to God each time she goes through a procedures. That night was a painful and scary night for both Darling and I.  We are very thankful and blessed that we have a group of doctors and nurses that are very caring, loving and sincere, that are willing to put in every might and effort to stabilize Samantha. Due to the severe acidosis, the doctors had to perform a blood exchange transfusion and peritoneal dialysis to remove as much acid as possible. The whole thing lasted until past midnight.

The next day and days after that was really amazing grace of God. Her acidosis level and pulse rate slowly improves. She fought strong and progressed very well for a tiny baby like her. It was a great joy seeing her getting well every day. Indeed God is good…all the time. Indeed God is watching over Samantha. Whilst she was in NICU, we  whispered to her everyday that Jesus is holding her hands to walk through all these and she’s going to be fine. Amen!

And so here is our little girl on the day she was discharged from hospital. Tiny she is but the angel of our heart. We are still praying with faith that she would not suffer from any developmental delay, learning difficulties, physical handicaps, behavioral problems or sickness which could occur in babies affected by IEM.

Our Little Girl – A Quick Update

As much as I would like to put up a good post showing off how well our little girl is doing, but the fact is she is not.

Baby Samantha 4 days old: 2nd day in ICU

Baby Samantha 5 days old: 3rd day in ICU

Baby Samantha (this is the name we’ve chosen for her) is currently in Prince Court Medical Centre’s Neonatal Intensive Care Unit. She was being transferred here since last Friday, the 3rd day after her birth. Cause of illness has yet to be diagnosed and we are still praying hard that the doctors will be able to rule out the diagnosis by today.  Will write more about her later.

At the moment, her condition is quite stable but still under close monitoring. Praise and glory to God for his mercy and healing powers thus far! Our gratitude and heartfelt thank you to family members, relatives, CG & church members and friends who has been keeping baby Samantha in their daily prayer. Do continue to pray that she will recover soon.