3 pounds. 3 whole glorious, wonderful pounds. Nicholas hit another Szapacs family set milestone when he weighed in Sunday evening. We were ecstatic (and, of course Andy & I celebrated with a fist bump!)
Nicholas got his 1st out of state visitor this week – Aunt Carmen (my step-sister) came into town for an all too brief but appreciated visit. Aunt Carmen arrived Saturday from NC and spent a day and a half with us visiting Nicholas in the hospital (and soaking in some SW Florida sun!). Thanks for coming, Carmen!
On Sunday, Nicholas was still breathing on his own with only pressure support from the CPAP machine. His oxygen levels and heart rate were fine but his respiratory rates were high. And when I say “high” I mean “holy cow, that’s high.”. His respiratory rate should have been no more than 70 breaths per minute (bpm) but he was at 140 bpm at points throughout the day. As Andy and I sat with him and watched him breathing like someone who couldn’t catch their breath after running a marathon, we grew concerned.
After talking with the nurses about reasons for his high rates they explained that after he had been breathing on his own for 4 days he might be “getting stressed and tired” and diagnosed him with tachypnea. Its pronounced “ta-kip-ne-ah” and simply means someone who is a quick, shallow breather. (On a side note, the vast vocabulary I have picked up since being in the NICU should win me a spot in the scrabble world championships.)
One of the ways to help combat Nicholas’ tachypnea would be to increase the oxygen pressure on the CPAP machine and, if that didn’t work, we would have to consider the option of going back on the NAVA ventilator (which we didn’t want – we’re trying to remove tubes not put more in!)
All of this tachypnea chatter got me thinking. I remembered a day a few weeks back when he was having trouble breathing. The respiratory therapists thought having me hold him may help with his breathing. I held him for 2 hours and his rates did normalize. I didn’t want to hold him this time because his temperature was low (another sign of stress) so instead, I chose to read to him to see if it would help. I sat and read “Winnie The Pooh” for over an hour. Nicholas was alert the entire time looking around, smiling, and holding my hand while we read. As we continued to read, his respiratory rate came down within the “normal” range and, I’m amazed to say, he stayed within normal range all night long.
Over the next few days, we
patiently waited tried to be patient as we watched his respiratory rate slowly even out. We pulled out our old mantra of “deep breaths, buddy, deep breaths” and sat with him day in and day out doing everything we could to help him breathe better. We continued to work with the team of occupational therapists learning new techniques to help with diaphragm muscle recall, and even sat by his bed and over exaggerated our own breathing cycles for him (a lot of deep breaths make for lightheaded parents!).
By Friday, he was beginning to show signs of progress and looking much more confident breathing. He was also showing a bit more weight gain- by Saturday night he weighed 3 pounds 6 ounces! We know that with every ounce gained more and more of his breathing will become easier and more natural so we are thankful for every ounce.
On Thursday, Nicholas got a sweet surprise. My cousin Jordan flew down to spend 4 days with us. And, let me tell you what a God-send she was for us (especially me!). I had missed her greatly since being in FL and having her here provided another piece of home that I miss.
She spent much of her time here with us traveling back and forth to the Children’s hospital and hanging with us for hours on end in the NICU without so much of a “Gee, isn’t there anything else to do in Fort Myers besides tour the NICU?” ever being uttered.
She also provided a nice distraction from our routine – she was the reason I took my first boat ride since being down here (with my own health issues and spending time with Nicholas I haven’t had much desire or energy to do much else – especially go out on the boat). We spent one morning on the boat as a family sightseeing the area from the water, putted around in the Gulf Of Mexico, and even got up close and personal with a pod of dolphins. It was a good morning together as a family. Thank you for coming, Jordan- we all love you very very much!