a guy and a bee
a collection of random thoughts and ideas from me, her, and sometimes us
Tuesday: BBB
He is completely off his IV and out of his isolette. Both his blood sugar and temperature have been holding steady. He is slated to get his vaccines tomorrow morning. Plus he gained another ounce, officially pushing him over five pounds!!!
Tuesday: BBA
Progress today. He is being weaned off the dopamine and his bilirubin treatment is complete. His blood sugar still will not cooperate and his platelet count is still quite low, most likely requiring another transfusion. He had an ultrasound of his liver this morning to assess for issues (which could potentially explain his platelet issue). Hematologist is being consulted to discuss his platelet count. Endocrinologist is being consulted to evaluate the function of his pancreas (which could provide answers on his blood sugar).
He is much more active today and quacking like a duck, both signs that he may be feeling a little better. He is continuing to excrete fluid and had two stools which means his body is starting to process out all the gunk in it.
Off to see BBB now. Will update on him late this afternoon.
The last four days.
For those of you used to our blog, we are taking a turn . . .
The twins arrived on Thursday, July 2, 2015 – at 36 weeks and 3 days. They had been doing well up until Thursday, but at a routine pre-natal appointment, the doctor had significant concern for aggressive onset pre-eclampsia, kidney issues, and concern for the twins movement (they were very much out of space). BP was sent to the hospital for testing and it was decided quite quickly that it was time to get the twins out.
Baby A (BBA) arrived at 2:53pm weighing 6 pounds, 1 ounce and measuring 18.5 inches long. Baby B (BBB) followed at 2:54pm weighing 4 pounds, 14 ounces and measuring 18 inches long. There was immediate concern for BBA due to several factors including muconium in his lungs impeding his ability to breath, exceedingly high blood pressure, and undocumentably low blood sugar. BBB initially appeared to be ok, but his blood sugar quickly dropped. Both were taken to the NICU.
BBA was transferred to John’s Hopkins NICU at 4:00am on Friday when it was determined that his health needed additional specialty care. BBB remained (and remains) at Howard County General Hospital’s NICU for care.
Now to individual updates on what has happened with each since Friday . . .
BBA: On Friday, BBA was placed on a ventilator at 100% oxygen (normal is 21%), his blood sugar continued to be astronomically low, his blood pressure was too high, he was retaining all liquids (and not excreting), and his platelet level was very low. He received a feeding tube to begin to provide nutrients. Over the course of the next four days (Friday through Monday), he had many steps forward and back, but he was taken off the ventilator and breathing tube, which was inserted when the ventilator was off, the feeding tube was removed, his blood sugar was remaining more stable, and he was excreting which was significantly reducing the amount of fluid on his person. He, therefore, was using less energy to breathe and his blood pressure was going down, signaling less stress on his heart. He was still receiving platelets and they were repeating his eccocardiogram to reassess concern for his right ventricle. He will remain in the NICU until he can come off of all of the machines and eat consistently; he could potentially start taking “real food” by the end of the week.
BBB: While seemingly fine at birth, shortly after BBB’s blood sugar also plummeted, granting him a direct pass to the NICU as well (and a look at his brother). BBB has had a difficult time keeping his blood sugar up and consistent and as a direct result, cannot maintain his body temperature – he is using so much energy on blood sugar issues that his temperature keeps dropping. He was placed on an IV and after two attempts to wean him off of it over the next four days, as of Monday he was IV free and being tested to see if he could maintain a consistent body temperature and blood sugar level while in an isolette for 12 hours before being moved to a crib. He will need to stay in the crib in open air for 24-36 hours without any dips in blood sugar or temperature before consideration of discharge (so not before Wednesday).
We want to thank everyone for all of their support and offers to help. We are doing ok now – just trying to spend time with the boys and @littlepund who is a bit confused by all of this. We will keep everyone updated via our blog and let you all know how you can help. Generally we are spending mornings with BBA, afternoons with BBB, and evenings with @littlepund. We will post updates throughout the day as we get them.
Thank you.
ZP, BP, @littlepund, BBA, and BBB
If only issues were simpler to solve.
There is a “new” song out. We can dedicate a whole other post to my confusion about various radio stations classify “new,” leading to me not knowing if this is a really new song or a new to this station song. Either way. “Nothing More” by Alternate Routes. If you have not heard it, look it up.
Earlier this month, there was a shooter in the Mall in Columbia. As it turns out, the individual who has been identified as the shooter was a scared teenager who needed help. He did not, seemingly, know the victims. He had a family and friends. And he noted in his journal that he had “mental health problems.” Please note, I do NOT, condone his actions or sympathize with him, however….
As a person, this had made me think, truly and deeply, about the people in my life. I am “in” public health and think mental health services are one of the most important we can offer people in turmoil, and people in general. I would like to think that I would help my family or friends seek mental health services if I thought/knew they were in a dark place. Could I actually see it in them though?!? I do not know but I certainly hope so. And if only someone had helped this person to face his challenges in a more constructive manner.
It is incredibly strange to have seen the town I live in on national news. It is also strange to see how quickly we are out of the news. I am thrilled, don’t get me wrong, for the big media trucks to be gone. But, it is almost as if our “event” wasn’t big enough or did not have enough behind the story to make it past a few days.
Growing up, shootings were not a frequent occurrence, as they seem to be now. Born in the early eighties, I remember, vividly, the news breaking about Columbine. It took almost 15 years. It was an astonishing egregious act that could not be understood and shattered the safety of my childhood. And, low and behold, mental health issues were at the core of the cause. If only those issues were simpler to solve.
Now, these occurrences make me feel less safe, but also more wanting to live my life without fear. And to teach my child to live with hope that the world can be better and work to make it that way.
A long year . . .
It has been a long, amazing year that has taken us far from our blog for many a reason. And yet, in the past few weeks, we have both been saying that we should get back here. So, here we are. Highlights from the last year in one sentence recaps.
Ravens superbowl win – 1.3.13
A triumph for a long-time Baltimore fan, a tragedy for a long-time Steelers fan, and a truly bittersweet day for reasons that will not be detailed here.
Chicago – 5.13
Zack drove to meet me in Chicago for Memorial Day weekend (only people who know him really well will understand how that sums up so much!).
Toronto – 6.13
Continuation of our quest to see the Orioles in as many stadiums as possible and a perfect long weekend completely outside of our comfort zones. Plus, slowly it turns . . .
New addition – 8.13
The greatest thing that has ever happened to us arrived on 8.15.13. Still going strong, six months later!
Sad end to the season – 9.13
After last season, it was hard to see the Orioles not advance to the playoffs; rest assured, we are counting down the days to the 2014 season – 35 as of today!
Elon’s 125 – 11.13
I know what quasquicentennial means, do you?
Sad end to two seasons – 12.13
And again, after last season, it was hard to see Baltimore not make it to the playoffs but thrilling to see the Steelers try to one-up them.
Not prolific, but a recap no less. Now, on to 2014. We will try our best to do better.
Oh no, I had to stand in line
I know I haven’t blogged in months but it’s crazy to me that earlier today people were complaining about standing in line to vote. It’s your civil duty to vote. Hundreds of thousands of people have died over the years for our democracy and people will complain about taking part in it. I am sure if they went to countries in the Far East or Middle East, they will feel the opposite.
You’ll stand in line overnight to get 50% off of a TV on Black Friday or the new version of the iPhone but you can’t wait an hour to do your civil duty?! Give me a break!
The other thing that fires me up is that people say they get intimidated at the polls. If you don’t talk or yell at the people outside the polling place, you won’t get in an argument and be afraid to cast your vote. Clearly it’s time to require valid IDs for everyone voting, they could control these things and the whole process better.
Anyway, that’s the end of my rant. Stand in line and read your ballot since you can’t use your phone and stop complaining.
when to leap?
you have been in your first job out of college for six years. you have succeeded in that job – been promoted several times and given amazing opportunities to show the knowledge and skills you have gained. you have mastered the subject area for which you are responsible. and at the end of the day, you wish there was something more to learn. for those of you who read this, this is bee seeking advice . . . when is it time to take a leap of faith and try something new?
when you like your job, but you also wonder if there is something else out there to do. when you need a new challenge but do not know if you should seek it somewhere else or ask for a new opportunity where you are. when is it that you know you need to go down a new path and how do you decide what that new path might be?
sometimes it hurts
if you ask me
how i’m doing
i would say, “i’m doing just fine.”
i would lie and say that you’re not on my mind.
(gavin degraw)
some of the most complicated relationships in life originate from ones family. i am certainly no exception. and even with the most challenging relationships, i would be hard-pressed to ever say that those people are not on my mind. the mistakes we have all made. the really good memories. and the things that will never be forgiven. over the past week, however, i have come to find the depths of complicated relationships and the true challenge in seeing the world in black and white.
as noted previously, i am honest and loyal to a fault. i care much more than i should and think everything should be fair. setting aside half of the fairness argument today, in my opinion, withholding information and/or asking people you “care about” to purposefully lie to people they care about on your behalf is wrong. especially the person who you know wants to respect your wishes and be loyal to you and also needs to be completely honest to others. it is truly not fair. it hurts. it leads to tears and devastation and a complete crisis of conscience. which is more important . . . loyalty to the person who asked you to withhold information or being honest with the person you have been asked to lie to?
i made a purposeful choice a handful of years ago that i was not going to take sides in an argument that was tearing people apart. now i feel like i am back in the middle and needing to make a choice. i do not like it. i am really sad. and i really love my husband for the ice cream and shoulder and reassurance that at the end of the day there is no way i am going to be alone. maybe if the world did not need to be so clear – black and white – and did not have to be fair all the time to me, this would be easier.
sometimes it lasts in love and sometimes it hurts instead. (adele)
black and white.
I am honest to a fault and see the world in black and white. The gray area frustrates me. Right and wrong are so clearly evident. And yet, recently I have seen so many examples of people who seemingly have no moral compass at all. Those who, literally, drive on the wrong side of the road with no care for on-coming traffic. Those who ride the train in the morning without a ticket and see no difference between their action and stealing. Those who are lazy and unproductive simply because they have been able to get away with it.
As noted previously, I often sit and wonder where life will take me. I do so from the lens of working really hard to get to where I want to be. And I seemingly do so with others thinking I am “on a high horse” trying to make you feel small. Well, that is not my intention. I intend to live by a set of rules that clearly dictate, at least to me, what is in fact right and wrong, black and white, fair and unfair, and, most importantly, true and honest.
Maybe everyone can think as simply as me today. No middle ground, just two sides.


