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