20 uhh... 23 Week Ultrasound and Marble Scare

The week that I hit 20 weeks, the ultrasonographer did not have any appointments late enough for Steve to be there, and the following week, which was the week of the 24th (Utah's birthday) she was out of town, which only left us with being able to do it when we got back from San Antonio (and yes, I know I should be blogging about that first, but I have about 3 posts still before that one and hopefully once we're moved I will get caught up... and yes, more about the move later too!). So 2 days after we got home, we had our "big ultrasound". 

We picked up daddy from work and then all went to dinner somewhere near the hospital which ended up being Arby's. 

Em's been watching the Olympics with us and really enjoying it! Especially running and gymnastics... and diving. Anyway, she started doing the hands in the air thing around the same time.. so there you have it! When wanting to acknowledge an accomplishment, she raises her arms in the air, pretty funny!

Did you notice the "missionary photo bomber" in the background?? We thought that was pretty funny later, didn't notice he was looking right at the camera (phone) when I took it! 

After dinner, we headed to the appointment. Our little guy is doing well! Not measuring quite as big anymore, though my uterus is still measuring a bit big... so who knows! 

 Ultrasonographer pointed out his defined bicep! 

 Our sweet baby! 

He likes to look at us 

Isn't amazing how much you can love someone you never met! 

After the appointment, we headed to Steve's parents house to see them since we hadn't since we'd been back. Thought it would be nice to show them the video and pictures from the ultrasound too. 

There is a toy that they have that is Em's absolute favorite! In fact she starts asking for it right when we walk in the door! She has been playing with it for years without ever having a problem.... until that evening.... 

We were just getting ready to go, when Steve laid Em down to change her diaper and I noticed her struggling and then going purple.... and then I freaked because I knew she was choking on a marble, I got to her as fast as I could and Steve sat her up.... and at this point everyone had come to the room. It seemed like it took forever, but she finally coughed and then started crying. Another moment to add to the list of "scariest moments of my life". She kept grabbing in her mouth and at her throat though, so we didn't hesitate to take her to the hospital that is right around the corner from their house. Subsequently it is the same hospital where my sister died, and I haven't been there since. Needless to say, it was a little hard on me... 

However....

By this time, Em was pretty much back to herself... 

Just reading a magazine here.... 

Got her back and their first initiative was of course to do an x-ray. Most people I know were thinking we were overreacting.... but she did choke on them.... and she is unique in every aspect! Key one being here... her digestive system. She has issues, and when I say issues, I mean issues. She does not digest things well or without some kind of help every day. So, to say the least, I was almost as worried about her digesting them, as I was about her swallowing them.... almost. 

 Still doing the Olympic Arms... proud of herself I suppose ;)

And daddy taking on my usual role as baby boy and I wait behind the safety glass

After the x-rays, we were sent back to the room to wait where Em and Steve went about their usual business

yeah, don't ask ;)

After a few minutes the Dr came in and told us they didn't find one marble..... they found two!! Yup, two round perfect objects making their way to her abdomen. He told us we should expect their exit in about 48 hours..... haha, yeah right! But he wanted us to watch her and follow up with the pediatrician if in a couple days she hadn't passed them. And then we headed home... 

I checked on her a lot that night! But every time, this is the way I found her... peacefully and soundly asleep! And ten fold, that blanket on Em is the very blanket they placed on my sister at that hospital nearly 18 years ago. Bittersweet. 

Now the reason I waited on this post is because I knew people would be asking if those marbles were still in her.... so that is why I did it tonight. As of tonight which is 8 days later, this girl has finally "lost her marbles", pun intended ;) 

And yeah, seems like this girl is already set out to upstage her brother! 

The "Bust" of a Sleep Study

Play song, "Dog Days Are Over" with this post

We have had our fair share of sleep studies... which yes, are inaccurately named since no one gets any sleep! 

This one by far was the worst though. I'll try and make this short, but you know me ;) 

I guess it started with a call from Em's babysitter right as I was leaving work that day, saying that Em had been having some significant allergy symptoms, and she wanted to make me aware in case it was going to interfere with the sleep study that night. I thanked her for telling me, but thought that giving her a dose of benadryl before we left would suffice. We also had a physical therapy appointment at 5 and then Steve's sister Amber was coming from West Virginia that day. We packed a lot in before we headed to Salt Lake for our 8 pm check-in time, and honestly Em was still a little "hazy" but seemed ok. 

However, as they began to hook her up, she was getting a little worse again, so I gave her one more dose of benadryl, which would bring her total to 3 tsp in about a 3 hour period (most she's ever had).... didn't seem to work, so I gave her her evening dose of Flonase, and then the sleep tech and I suctioned her out and they commenced hooking her up, and oh my gosh she was so exhausted! 

 this was taken before they started

And here's after she was all ready to go (and how anyone can be expected to sleep like this, is beyond me!)

She was asleep within no time and it had been a long week, so I went right to sleep as well. Too bad that was pretty short lived! I was first woken up by the techs coming in about every 5 minutes and talking about what they could do to get a reading.... I knew that things weren't going well and though we've never been sent home before, I know it is a possibility when they can't get a good reading. After they left the room for the umpteenth time, Em started to stir and seemed pretty uncomfortable, so I went over to her and that's when she began vomiting. The tech then came running back in since they saw what happened on the camera, and once the light was on, we saw how swollen she was looking. 

At that point, it was pretty certain that the sleep study was a bust, so we went ahead and pulled all that "stuff" off of Em and changed her clothes. The tech was not comfortable with us driving home without having her checked out by a doctor.... and since it was the middle of the night, the only way to do that was to go through the ER. So we were escorted there with all of our stuff (if you don't know, we need to take a lot of things for this little girl of ours... even for one night!). Amazingly the waiting room was completely empty (have to admit that I've never seen that in all of Em's life!)! So we were able to go straight back, and amazingly Em was doing quite a bit better by the time we were in a room. The doctor didn't see it necessary to do any epinephrin, so she was given some more benadryl, prednisone and zofran, and then a script for more of each of these, and we drove home at 3 am.... one of the longest nights of my life! And really I'm hoping this will be the last time we're in the hospital for allergies! Seriously, this family has seen enough of that! On top of everything else we deal with! 

So after all that, we will have to endure yet another sleep study since they didn't get anything at all from this one. Fun life we lead! Haha, what ya gonna do though? 

Number 15- The Aftermath

*Play song, "Keep Breathing" with this post- not the song I wanted, but the song that I deemed worthy to this week they did not have. If you're wondering what song that is, it's "Battle Cry" by Kyler England

I have come to realize that life just isn't right for the Peters unless there's drama.... itty-gritty, dirty drama. I just wish it didn't affect the littlest of us so often. 

My daughter is amazing. 

Again and again and again I watch her come on top of these things that would literally cause me to crawl in a hole and never come back. How did I get so blessed to be her mother, let alone just witness these miracles time and time again? 

Nothing is ever routine for her, nothing is ever ordinary.... yet, she is extraordinary. I just wish sometimes that I could do it for her, yet I know she takes it on much better than I could ever dream to if it were me. I just wish I could try.... even if it killed me, I would do it.

This wasn't the surgery... no that went perfectly and she is healing nicely. She went off narcotics while we were still in the hospital, around 5 days after her surgery. Don't think I could do that after a hip surgery! The drama of this week comes in something we've had to deal with on and on... and on again and still with no answers as to why. 

But I'll start off where I left on the last post, and like I said that first night went pretty well. The only thing was that Emarie woke frequently, not necessarily due to pain, but really I don't know.... if the girl ever felt pain from the surgery, she didn't show it. No, mostly she woke because she couldn't get comfortable. You see, when there's a very large foam block strapped between your legs, I can only imagine it makes it hard to move around. 

This was taken at 4:25 am, thank goodness for that iPhone! 

That morning (Thursday), daddy had to go to work, so Em and I both got what little more sleep we could and later that afternoon the physical therapist came in with a wheelchair and instructions for how often Emarie needed to sit up a day.

This is pretty much how it went that day.... don't get me wrong, she didn't complain and no, she's not asleep here. What she did was make a tent with her blanket and sort of put her head underneath to watch a movie on my iPod. I just think it was rather tiring for her, and unfortunately when we put her back in the bed, we'd discovered that she'd been bleeding from one of her incisions :( This was only about 20 minutes.

Next day (Friday) went much better and she stayed in the chair for over an hour!

Later that day the therapist brought in the chair that we would be taking home for about a month.

This is a picture I captured of Em taking a nap that day

She is sleeping with her eyes open.... she does this every once and awhile and it really creeps me out.... even though I love her to pieces!! 

Steve and I both spend the night at the hospital when Emarie is here. Due to all the things that have gone "wrong" in times past, there just is no way we could sleep comfortably an hour away just in case. But, if I had a dollar for every time someone was  concerned (for lack of a better word) about the fact that we were both spending the night.... well, I'd have a lot of dollars ;) Just to give you a clue, here's a conversation I had with the tech the very first night:

Tech: As he's looking at me with the most confused look! "You... you're both sleeping.... h-here?"

Me: "Yes we are"

Tech: "You know.... you know....y-you can only have one.... uh, bed... uh I mean sleeper, r-right?"

Me: "Yes we know that.... it's not our first time" ;)

Tech: "They.... they only fit one person-n"

Me: "Wanna bet??.... No, just kidding, settle down! We know how to do this, we take turns, one sleeps on the, uh, "bed" while the other takes the chair... until it's just too hard to bear it any longer... and then we switch! See everyone's happy!"

Tech: "Well.... I d-don't really know what to... to... do" and then after a very long and puzzled pause... "How many.... like how many blankets and uh... pillows should I bring?"

Me: "I promise this isn't that hard, there's only 2 of us. We'd both like 2 pillows and probably 3 blankets total will be enough"

Tech: "So 2 pillows?"

Me: "No, 4 pillows"using my fingers as well here

Tech: "Ok, I'll be back"

15 minutes later, he brings us 5 blankets, 2 sets of sheets and about 10 pillows.... I just smiled and said, "Thank you, that will be all for tonight"

See what we deal with?? Can't even tell you how many times people ask who's watching our other kids too! 

Anyway, so like I mentioned, Steve and I switched off in the pull-out bed, and he may be able to sleep somewhat in a chair... but for me it's absolute torture to even try! So I killed a lot of time facebooking, pinteresting and blogstalking ;).... and I guess making up words apparently! 

But Friday evening, I had to take a moment, a moment because I heard the unmistakable sounds of a life-flight helicopter landing, a helicopter that was unmistakably carrying a child because it was coming to Primary. I cannot tell you what it does to me to hear or see one of these. Same thing with an ambulance, or even someone wearing the "life-flight" insignia. I took that moment to pray for that child.... for their strength, for their courage and their comfort. I also prayed for this child's parents, because they need prayers just as much for all of these things. I cannot ignore how close I've come to sending my child in one of these. Cannot also ignore how close my sister came to riding in one of these over 17 years ago, but sadly they didn't get there in time. It's enough to make anyone's heart stop when they hear that sound. I also could not ignore taking time to be grateful in that moment. How lucky we are each time we take Emarie home from there. That hospital is filled with children fighting battles, the weight of which should not have to be carried on such young shoulders. My daughter I do include in this category, but I also know there are parents here that are constantly faced with terrible decisions. Decisions of ending life support... of hearing doctors tell them there's nothing else they can do for their child's cancer.... and then those tiny little babies that are born much, much too early. The staff at Primary are amazing, and we are constantly indebted to them. One of the best is making sure the time a child spends there is the best it can be.... even if that's all they have left to do.

Yes, I am blessed every time I take her home..... each and every time.

So, coming back. As you can imagine, switching off sleeping would have the tendency to make 2 poor parents very tired! So, sleeping during the day was pretty much a daily occurrence. On Saturday, at one such time of Steve being asleep, and Emarie was asleep as well... so, I got bored. This was also the day of pretty much the only snow storm Utah has seen. So what did I do? I took the camera and went all over Primary, U of U hospital and took some very random pictures... here's just a few

 Outside and it was still snowing!

 I can't believe I've never caught a picture of Em's favorite elevator here! This is on the outpatient side (she doesn't ride the one by the main entrance very often) and she gets so excited when this is the one who's doors open to her!

Yeah, this was just a nerdy attempt to capture her surgeons name plate.... yeah, don't ask!

After I got back from my photography excursion... the two sleeping beauties awoke and we got ready to put Em in her chair again to see if we could maybe get away with taking a walk... and without cords! She had no IV at this point (they had taken it out earlier that day since it was going bad), so the only thing left was her oxygen and well, this was getting on to be too long for her needing it after a surgery... but when we tried it off, it didn't go so well.... but we didn't let it stop us and we took Em out of her room for the first time that stay!

Fyi, she had to take her balloon with her everywhere she went!

This is also when we had our first and only (mostly due to the inclement weather) visitor! A friend that we subsequently met here almost a year ago. I talked about it in this post. Not sure why we didn't document her being here (meaning I don't have any pictures of her)... but she did take this picture for us!

 Unfortunately there were more people in the playroom than I'd ever seen! I'm sure this picture was very hard to take! But thanks for coming Kelly! And thanks for the picture! 

Little miss found her favorite thing at the moment! A piano!

 Really starting to think she might have some talent here too!

I took this picture after we got back to show how badly Emarie has been scratching herself! Just to paint an even bigger picture, she pulled out an IV, nearly pulled out her epidural and tore up and ripped off countless bandages on her incisions! 

Sadly enough, it actually got a lot worse than this... I really need to take another picture!

We had been told that day (Saturday) that we would likely go home the next day (Sunday).... though I'm never convinced until I see the discharge papers! But sadly that evening is when everything took a turn for the worst.

I had begun to notice Em's belly being swollen on Friday. Doctors assured me that it looked normal, but I still suggested maybe adding some meds that would help, Miralax (which she should have been getting everyday anyway) and eventually a suppository. But that evening (Saturday) I had a bad feeling I couldn't shake, and around 2 am, those worries were confirmed when Em threw up. I wish I had paid more attention to what was in the first round of vomit, but I do remember it didn't look "normal". But, we got her cleaned up and she was already falling asleep again, so we all went back to sleep after that. 4:26, she vomited again, and this time there was no mistaking, there was definitely blood in it. Also, this such instance with her swollen abdomen and the thrust of her heaving, it was enough to pop her g-tube out. Nurses informed the doctors and then after changing her diaper that only contained blood, they were notified again, and a KEB x-ray was ordered. Belly was measuring nearly 60 cm at this point, which is more than 3 inches bigger than her normal waist size... very alarming.

To really give you an idea of how much bigger this is, I'll share this picture again from right after her surgery

You can see how she clearly has a defined belly button here, above, not so much, and you can see her ribs. Also in this picture, you don't see her veins like the above picture.


Thus necessitating an x-ray

Labs as well had been ordered at this point, feeds were stopped, so IV's were reinserted (I say plural, because there were about 4 different ones put in to insure that they'd always have a working one with her tendency to loose them so easy). The blood draws were ridiculous, poor girl had 6 in 2 days.... like I said ridiculous! And most of them were really early in the morning ugh! 

I know that #4 was done at 4:30 am, and thankfully that was the earliest, but talk about yuck! I mean who orders blood work that early in the morning?? All of this is more than anyone should have to put up with.... but let alone someone that's recovering from a huge surgery and dealing with their intestines not functioning! I'm sure most would not be able to find the ability to even smile.... but not this girl.

This is after one such blood draw (on Sunday) and IV (they coupled these together a lot because it was easier). I had climbed in bed to help hold her when I noticed how hot she was and temp showed 103... and all I was thinking was what else is this poor girl going to have to put up with? So of course that was a reason for more labs... even though she didn't vomit after the 4:30 time, every diaper that day was still only filled with blood.

First round of labs showed that her hemoglobin levels were dangerously low, thus requiring a blood transfusion.

This picture was made in good fun.... but I don't think everyone appreciated the joke. Emarie was making faces because she was starting to feel better after the transfusion started... so really she was happy and these were taken in good spirits to lighten the mood. 


They gave her two units of blood slowly and she was finished up just after 10 pm.

 And she was feeling much better! And see no more oxygen! 

 But as soon as the transfusions were finished we had to head downstairs to get a chest x-ray to rule out respiratory infections for the "mess".

 Poor girl looks so tired! Can't say I blame her though!

X-ray looked normal for a child with asthma, but this wasn't a surprise since she didn't have any of the other tell-tale signs of a respiratory infection.


I guess blood is what Em really needed because she became a completely different kid afterward! O2 levels began to improve, fever went down considerably and the kid had enough energy to last for days! Stayed up until about 2 or 3 am laughing like crazy! 


The next morning (Monday), was when the doctors continued pouring in... but still with no answers. But, I still don't appreciate things like bone marrow disease... hemophilia.... cancer.... being casually thrown around. My heart dropped to the floor at the mere mention of these things, causing me to almost miss when one said that most of these things had been ruled out.... They were at least all in agreement that they didn't think the huge blood loss was from the surgery, or the blood discharge in her bodily fluids... they all believed that it's been happening over time.... yet not something that they necessarily want to explore. The labs that morning had showed that her hemoglobin levels had more than doubled and the GI doctors thought that if there was even the slightest decline in the labs the next day (Tuesday), that they would scope her then immediately. And of course I felt like an awful mom for hoping they would go down, because I really felt there is something going on that needs to be looked at.... but of course no such luck, those crit levels were even higher, so no scope *sigh


But Monday did warrant some more walks and visits to the playroom :)

This girl is getting to be a pro at rolling her eyes.... must be mine ;) Mom is still needing a lot of practice with the new camera!



Tuesday was when the resident pediatric surgeon came in because he had come across Em's chart, and he too was concerned. After receiving her history from me and assessing her himself, he thought that she should be scoped as well.... but of course the GI doctors were not as convinced. And they suggested we maybe see a blood specialist to rule out any blood disorders. But after asking the Ch18 community about this and since there's no family history, I didn't think it was necessary.... unless maybe nothing is really found related to GI, then I may revisit this claim. The surgeon also believes that she has been slowing loosing blood over time... and really that's not ok. Anyway, my stance is to not let it go, and I've been on the phone with different doctors since we've been home. I know her pediatrician will help, so we'll be seeing him soon... and her regular gastroenterologist we've already scheduled with for the 1st of February.... and trust me, this time I'm not letting it go. 


Other than the news from GI, Tuesday was the best day we spent at the hospital thus far.

After so many pictures, Em kept hiding her face.... so this was my sneaky attempt at getting her through a hole in the side-rail of her bed ;)


The two of us got to explore the hospital that day, and she joined me for lunch, which I had to admit was a first ever for when she's been admitted! 

Us at lunch, photo courtesy of Em's iPhone


Em joined both her daddy and me again for dinner that evening

Sadly he only got pictures of the two of us though!

And our funny little girl laughing at Sesame Street.... got to love modern technology! 


Wednesday was discharge day, which means that she spent 8 days in the hospital. Since she made such a turnaround from her transfusions and was looking great, they didn't see any need to keep her, and we agreed. No reason to stay in a hospital bed when the doctors haven't even agreed to see what's going on anyway.... *sigh


But we were happy to be going home... and so was one sweet little girl!

 Getting her hair done... looks thrilled, right? ;)

 All ready!

 Couldn't resist this! That hat was from her grandma Peters for Christmas and doesn't it go so well with the pj's and  gingerbread toy my grandma gave her??

 "So.... why aren't we leaving yet guys??... Seriously, put the camera down and let's blow this joint!" Note how red her lips look! Seriously, scroll up and see pictures from before and tell us what you think! Looks like that extra blood made a difference in a lot of areas! 

The iPhone photo I caught that I absolutely love!  :)

 Yeah this picture is too funny! Really does look like she's getting ready to go sky diving! This wonderful thing strapped to her is her replacement for a car seat until she recovers. Actually she proved to be quite a challenge to the car seat team with her wedge and all. This is the best they could come up with... much to my dismay :(most know what a fanatic I am when it comes to car safety!)

 "Seriously, do you really need to take pictures of this??"

And here's how she looks when all hooked in the car... we thought she might not like it, but we were wrong, she quite enjoyed it! All I can hope is that she doesn't get too use to it and won't put up a stink once she's able to ride in her car seat again! Needless to say, she won't be taking any unnecessary car trips in this!


So that's it! Sorry it was so long!!!