Friday, December 13, 2013

One Year Old

Archer turned one on December 1st! What a difference a year makes! Archer now weighs over 15 1/2 pounds. Overall, his health is spectacular (thanks to everyone being cautious about their health when visiting), and he is showing great developmental improvements while trying to catch up to other 1 year olds. He quickly progressed from rolling over, to crawling, to pulling himself up, all in the last few weeks. Keeping up with him and preventing him from tumbling and banging his head on anything and everything is a difficult task. He enjoys trying to catch the cat, pulling up on Mom and Dad, and checking out the environment around him. He especially likes inspecting nightlights and electrical cords. The Christmas tree is up in the house, and surprisingly he does not pay much attention to it. Dad is trying to teach Archer how to just "touch" things instead of tugging and pulling, like the cat's hair. He has learned to grasp two different objects with both hands and bang them together. One of his latest favorite games is crawling to the edge of the couch and taking a nosedive into Dad's arms. He also enjoys clapping hands with Mom as she sings songs to him.

Archer was surrounded by close family on his first birthday. He was in a good mood for the entire day (a long morning nap helped him make it through the party). Dad carved and decorated a car cake, which Archer dug into with his hands. He ate some pieces that were fed to him by hand. Archer is eating more solid food, but he has yet to master the pincer grasp to bring food to his mouth. He had a lot of gifts to open, with help, and ended the day by Skyping with his grandparents while in a rambunctious mood. 

Archer had his shots updated by the pediatrician and is also keeping up with his monthly RSV shots. He paid another visit to the plastic surgeon for a follow-up appointment regarding the mild ridge in his skull. The doctor said it is not worth putting him through surgery to fix something that is only cosmetic, and his skull will change over the next several years as he grows. He did say that it would be a good idea to have Archer wear a head band to keep his ears from growing outward so much; though his ears seem to have super powers that double in strength when being bound. 

Archer's top two front teeth are now coming in. This has not made Archer, Mom, or Dad very happy. They are swollen and often cause Archer to wake up at night (at least this is a possible cause). He is now moving around in his crib and he often bangs his head on the sides and wakes himself up too.

Once again we would like to thank everyone who made this first birthday possible. From doctors to nurses, family, and friends. One year ago it was hard to imagine that Archer's first birthday would come with great health and happy expressions. We couldn't be more enthused about Archer's progress and we can't wait to see what future birthdays will bring.

Someone doesn't belong in here.

On the move!

I like the boxes the gifts came in!

Cake decorated by Mom.

Cake decorated by Dad.

Party time!

Meeting cousin Gloria!

I need help with this one.

This is a book about me and my cousin Max! Everyone should buy one: click here to buy
I am totally going to be hyper later.

Hi

He keeps a beat better than Mom.

Banging two objects (Legos) together.

He loves anything that spins.

Pull me behind the lawnmower in my new sled, Dad!

I'm pulling myself up and getting into things. My head will suffer bruises on a daily basis. Deal with it.

Sunday, November 17, 2013

All I want for Christmas... (and RSV/Cold/Flu Season precautions)

Our best attempt at capturing a photo of Archer's teeth
Apparently Santa decided to bring Archer’s Christmas gift a little early this year…his bottom two front teeth! That, or we jinxed ourselves by praising Archer’s happy, easygoing nature and progress in sleeping through the night in our last update! The signs were apparent that those teeth were going to appear soon, the tenfold increase in drool and chewing on anything within hands’ reach, but we were hoping Archer would be one of those babies who breezes through teething with a smile on his face. Nope! The constant smiles and giggles are now occasionally interrupted by periods of crankiness and tears, and those 10-12 hour stretches of sleep have become less frequent. Archer does look pretty cute with those teeth popping up though!

Doing push-ups
Archer’s menu has expanded, and he has been trying out some soft table foods. He is drinking from a sippy cup with help as well. Archer continues to LOVE the Jumperoo and has made a lot of improvement in sitting up on his own for longer periods and rolling over. He still prefers to stand, but he is doing well with kneeling, creeping, and is dangerously (for the cat) close to crawling! He is able to crawl backwards, and he did make some great forward pushes this morning!

Archer enjoys playing peek-a-boo, listening to songs, clapping others’ hands, and grabbing anything within reach. He also giggles through a game of “catch” with a small beach ball.

Archer had another visit with his pulmonologist on Friday, and he is now over 15 pounds and 26 inches long. His doctor is very pleased with his growth and said his lungs sounded great. We will continue to give Pulmicort (an inhaled steroid that prevents swelling in the lungs) through the nebulizer once a day as a preventative measure for now, although we will try a second attempt at discontinuing Archer’s reflux medicine.

The main topic of our visit with the pulmonologist was RSV season, which coincides with cold and flu season. RSV (Respiratory Syncytial Virus) is pretty common among children, and most will develop it by age 2. In healthy, full-term babies, RSV generally isn’t a big deal and just appears like a common cold (congestion, runny nose, sore throat, dry cough) that goes away in a week or two. In premature babies who did not benefit from the boost of antibodies from mom in the last trimester and whose lungs are not fully developed, RSV can lead to serious lung infections like pneumonia. Because Archer was born just as his lungs were beginning to develop, his lungs are still very fragile, and infections can cause breathing problems that would likely land him back in the hospital and on oxygen support.  The pictures show how a preemie’s lung capacity is drastically smaller than a full-term baby’s and why respiratory illnesses can be severe.

Just like colds and the flu, RSV can be caught at anytime during the year and is passed through the air when someone coughs or sneezes. The virus can live for 6 hours or more on surfaces as well. RSV is much more prevalent during Fall through Spring, so many families with young preemies go on “lockdown,” which basically means avoiding public areas (stores, church, crowded gatherings), people who may be sick, and young children. Archer will also receive a shot once a month, from November through April, which will provide some of the antibodies Archer missed out on. While these antibodies cannot totally prevent RSV, they can help lessen the severity of symptoms and hopefully keep him out of the hospital (which is why the insurance company pays A LOT of money to provide the shots)!

We share this information with our loved ones because we need your help in keeping Archer healthy! So we have a few requests if you plan to visit Archer:
  1.   Postpone your visit if you or someone you’re close to has been sick in the past week (runny nose, cough, fever, diarrhea, vomiting, etc).
  2. If you are a smoker, shower and change your clothes before visiting. Even third-hand smoke can be harmful to Archer’s fragile lungs.
  3. Take off your shoes when coming in; they can spread germs throughout Archer’s play area.
  4. Wash your hands when you arrive, each time prior to touching Archer, after using the bathroom, eating, and blowing your nose. The virus can live on counters, door handles, steering wheels, pens, cell phones, keys, etc. for 6 hours, so frequent hand washing is important!
  5. Save kisses for the forehead.

Other things you can do: get a flu shot and Pertussis vaccine, and, if you don’t already, keep yourself healthy by making a habit of washing and sanitizing your hands, especially after being in public and around children!

If you’d like to learn more about RSV and keeping preemies healthy, check out these links:



Archer's 1st finger painting experience
Archer playing with the activity board Grandpa made 








Thursday, October 17, 2013

You know you’ve spent WAY TOO MUCH time in the NICU when…

Archer has been a pretty busy boy lately, and we are overdue for an update, so we’ll start with the basics. He is now 10 ½ months old, or about 6 ½ months adjusted, and is over 14 lbs.! Archer’s therapists and early intervention specialist continue to be impressed with his progress so far, and he has been rolling from back to front and from front to back with much more ease and frequency lately. He is able to sit up unassisted for a bit longer now, although he much prefers to stand and grab for anything within reach (faces, hair, paper, blankets, etc…). Archer enjoys tummy-time, and once he develops some stronger arm and trunk muscles, he will be on his way to crawling. He is able to push off with his feet a little now while on his tummy and loves to bat and chase balls. His other favorites: the Jumperoo, being lifted in the air, scooting off the changing pad, babbling, and smacking his tray or table with his hands, spoon, or cup. He has recently begun to take notice of our cat too. Archer has started to sleep through the night more often in the past few weeks, although he is still inconsistent, and daytime naps rarely last more than 45 minutes at a time. He usually eats solids for lunch and dinner, and his repertoire now consists of: carrots, peas, avocados, bananas, applesauce, and sweet potatoes. He also likes toast occasionally and enjoyed some puffs for the first time today. Many seem to comment on his happy nature, and, yes, he is generally a smiley guy who loves to laugh. He loves to be around people, although he does seem to be entering the “stranger danger” phase, much to the chagrin of a few family members and his EI specialist. Other than that, he is usually only fussy when he is tired or hungry, which is a very welcome change from the first couple of months of colic and uncontrolled reflux! He is very distractible and doesn’t like to stop to eat or sleep if there is someone or something else interesting to see.
Having fun before bedtime
Tummy-time


Smiley boy 
Archer trying to be friendly to the cat

Highlights from the past month:
  • We took Archer to an appointment with a plastic surgeon upon the recommendation of his neurologist. The surgeon pretty much told us what we expected to hear: Archer’s metopic ridge is pretty mild and should not require any intervention. The nurse took some measurements, and we will return in a couple of months to see if there are any changes, but we do not anticipate any further appointments.
  • Now, back to the title. You know when you’ve spent too much time in the NICU when you go back to visit 6 months later and the valet not only recognizes you but is as excited to see you and your baby as the NICU nurses and doctors! While the hospital offered this convenient service, we never actually utilized it during the 5-day stay prior to Archer’s birth or his 131-day NICU stay, although we did receive a nice greeting and smile each time we entered or exited the hospital doors. This particular valet also kindly helped us stuff our car full on Archer’s graduation and homecoming day. It’s amazing the amount of stuff the nurses send you home with, in addition to our awesome collection of Kate’s Kart books! *Kate’s Kart has a fundraiser this weekend; if you are interested in supporting them, check out the link! 
  • Archer attended his first BGSU tailgate!

Sleepy, cuddle time
In BGSU gear at the tailgate
At the NICU Reunion
  • The week after that hospital visit was Archer’s first chance to attend the annual NICU Reunion. We were able to catch up with even more nurses and staff that we had not seen in awhile, as well as some of the NICU parents and babies that were down the hall from Archer. The party had a Halloween theme, and it was fun to see all of the little ones and the NICU staff all dressed up and out of scrubs!

  • Archer also enjoyed his first trip to Cincinnati this past weekend! He got to visit his birthday buddy, Max, and experienced his first trip to the zoo and Ikea. Archer also slyly managed to stay up way past his bedtime to hang out with the adults!
    Max & Archer




Archer & Max










Archer helping Daddy put together his Ikea bookshelf for all of his Kate's Kart books


The Cincinnati Zoo





Monday, September 16, 2013

Yum!

Archer had been off all medications (except for his nightly breathing treatment) for about one week's time. Although, once he stopped his reflux medication, he began coughing and eventually was wheezing, as if he was out of breath all the time. The pulmonologist recommended putting him back on a reflux medication, which was changed from Prilosec to Prevacid. This is in the form of a pill, which is better than using a syringe since Archer learned how to refuse medication that he does not like by clamping his mouth shut. He has been healthy since the medication change, and the wheezing has not come back.
Archer has been rapidly progressing in several ways during the last few weeks. He is over 24 inches long and is closing in on 13 pounds! He had an appointment with the pediatrician to update his vaccinations. He had to receive five individual shots because the combination shot was not available. He was not a very happy boy following the shots but was only a little fussy once he returned home.
Archer's fortifier that is added to his milk has recently been decreased from 25 calories to 22. He has also started eating some solid foods, though it took him a few days to warm up to the idea. He had no interest in rice cereal, but after a few tries he now enjoys eating applesauce, bananas, and avocados, all while throwing cups and spoons onto the floor. He can also be quite impatient if he has to wait for another spoonful.
Archer's therapists are still impressed by his progress. His muscles are getting stronger by the day. He has recently started standing straight with assistance, and he also rolled over from his back to his belly all on his own for the first time today! He has been extremely close to rolling all the way over for the past few weeks but would opt to scoot on his butt to reach his toys instead. He often motions to try to sit up on his own, and his balance is much improved. He likes to grab faces and hair, and he enjoys jabbering, smiling, and giggling. Mom and Dad have found several ticklish spots and enjoy playing some silly games with him.






Working on his biceps with the Boppy