03/17/2023
Happy Thursday from Charlie Paige 🤍
In just a few hours, miss Char will be a whole WEEK old. We were just getting admitted at this time last week to officially start the induction process to meet our little peanut.
Today was a long day of waiting. ‘Hurry up and wait’, they keep saying. Seems it will likely be a theme in our immediate future.
Yesterday, the team all decided that Charlie bear was looking well balanced and we were ready to start thinking about extubating. At the time, she had ‘access points’ through an umbilical cord line, which is good for max 7-10 days, an IV in her head, an arterial line in her hand, a second IV in her other hand and an NG tube in her nose. Before pulling her breathing tube, they wanted to place a PICC line - another access point (in the thigh - can be done in either upper or lower extremities, but in heart babies, they prefer to use the lower as the cardiology team will need the uppers for ‘heart things’) that will be able to remain in place for weeks-to-months. This would replace her umbilical line and head IV.
As per Charlie, she throws a nutty anyone tries to mess with her. Diaper change? Throw down. Fresh sheets? Throw down. Meds? Throw down. True to self, last night, the IV team showed up to prep and sterilize the room to place the PICC, and miss thang started her usual shenanigans. We were asked to leave as they create a sterile environment for the procedure, and told it should take an hour. We headed downstairs to wait. An hour and a half passed, with no word, so I called up. Our nurse picked up the phone laughing. ‘How do you imagine it’s going?’ ’Terrible, obviously.’ ‘They’re wrapping up now to call it a day. Charlie won the battle.’
Today, we knew we had an uphill battle to make it toward trying to extubate. The PICC was necessary - and if they extubated before they placed the line, they would be forced to place the line without any breathing assistance - and given Charlie’s perseverance against being messed with, this was not a risk anyone was comfortable taking. So we hopped in line to get a spot in interventional radiology (IR), where she would be taken downstairs to a room where they could place the PICC with additional intervention available. First she got a spot at 1, then 130, then 230, then 315, then 4. Finally she headed down. It was supposed to take an hour. Yet again, 2 hours goes by. I called up and they were on their way back upstairs, so we headed up to meet them.
Sure as s**t, the bull headed 4 pound infant required not one but TWO doses of paralytic ON TOP of the double dose of morphine AND the extra sedative they gave her. So she is now snoozing comfortably, with her PICC successfully placed in her teeny little thigh, and she will not be alert enough to even consider extubation until atleast tomorrow.
I presume the morning will bring another day of ‘hurry up and wait’-ing.
For tonight, we pray for rest for all of us. After I succumbed to exhaustion last night and committed to a full night of sleep in the hotel without heading into the hospital overnight to pump as we had been doing - the hotel had a fire alarm at 2am and required we all evacuate. We (kids included) reluctantly trudged down the stairs in our underwear and stood outside for 45 minutes, and my mental health is still suffering from it. 😂
This is certainly a wild ride. Hard to believe it’s only been a week. Thank god she’s cute.