I remember

I remember and I also don’t remember much from when we were first told that our son had suffered a bleed in the brain. I reflect on it often when thinking about where Thomas is now from his very first beginnings that started with the brain hemorrhage. I was home alone, in Thomas’ bedroom when I took the call. My husband was at work. I called him immediately. After I called him, I cried.

I remember being in shock. Holding back tears. Confusion. I prepared for the reality that Thomas would die, or remain in a severe comatose like state. The specialists were thrown into fairly unknown territory needing to call on Starship for advise. Thomas was only 10 days old when I was first introduced to epilepsy when seizures became as regular as every few minutes.

I learnt how to do CARES (temperature check, nappy change, wipe nose, mouth and eyes) through the incubator holes. The sounds of the many different monitors. All of which terrified me. I watched my son, motionless. Intubated because the medications slowed his breathing. Pumping milk became a regular slot in the day that led to me storing unused milk because Thomas was no longer tolerating feeds. I remember feeling a mix of hope and a sense of loss as to whether the milk would ever be needed again.

Nurses became friends. Friends kept a distance. Doctors rounds were a regular event each day, not to be missed.

I visited Google regularly in desperation for information on anything related to brain injuries, specifically a Grade iii hemorrhage. Not much, it turned out at the time.

I remember seeing quite a few babies come and go through the NICU and thinking, will we be able to leave with our son one day?

When Thomas started to move a limb and open his eyes. I remember these moments too. I felt like I was witnessing a real miracle. That the seizure medications worked and the seizures ceased.

Thomas was very drowsy for quite some time and he would need time to heal and adjust. That from now on, he was experiencing his world, post injury, for the first time. Celebrating that he could pee again. Tolerate feeds. Move out of the intensive unit. Able to regulate his temperature. Learn to breastfeed. I remember thinking how amazing it is that he would wake and cry. That he could communicate by crying. After so much silence, it was lovely to hear him cry!

Thomas came home after 7 weeks in the NICU. He was born 6 weeks early. We were told he would come home on a feeding tube. Instead, he came home fully breastfed and this continued up until 13 months old. We were told that Thomas might have cerebral palsy and this I had accepted. I was just so thankful that he was still with us.

Thomas is nearing 3 years old and gearing up for kindergarten. Thomas has come a long way since then. He has had a lot of challenges, which still continue every day. But, he is a mostly happy boy who gives and receives love. He is able to communicate in his own way the basic needs like being tired, hungry, thirsty, bored, scared, happy, angry and excited. He smiles, giggles and gives kisses. He comprehends words and follows instructions. He finds ways to move around on his back using his legs and feet. He has a cheeky personality and he loves attention. He loves music and playing.

If there is one thing that every parent/caregiver/family member/friend should know about brain injuries in babies is that every brain injury is different regardless of the grade (1-4) and it’s resulting prognosis. It takes time, a lot of time. Time to grieve, to find one’s way through acceptance and that the grieving cycle runs on repeat every time there is a new diagnosis, event or trigger. It can be very lonely at times simply because it is not a common event and when it does happen, you realize that you may or may not know anything about it or anyone who can walk/talk you through it. Again, there is no way to know how things will unfold. We were told again and again to ‘wait and see’. That was pretty much it, besides having Home Care nurses on board, a developmental therapist and to expect seizures. Having a really understanding GP helped get us fast tracked through certain scenarios. There are plenty of Facebook support groups that are private. There are a lot of blogs out there too. Just find the ones that you can relate to.

It takes courage to reach out when you so desperately want others to reach you. 💕

Spoonfuls of sugar

Drugs, drugs, drugs!

At first, the thought of taking Thomas home and being responsible for administering his medications was quite scary. He had spent a total of 7 weeks in NICU and I’d become used to the idea of NICU nurses taking care of this side of things. I was responsible for feeding him and CARES and that was pretty much it. So I was thankful when they weaned him off his anti convulsant while he was in NICU so that he could be closely monitored in a safe environment. The idea of weaning him off it at home was frightening so one less drug was a relief.

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This is just the morning lot of meds alone!

Fast forward a few months and now preparing and administering drugs is a regular part of our routine. In fact, that’s usually how I start my mornings. Thomas wakes for his morning feed, nappy change and medications. He’s usually very good at taking his meds but as he progresses he is showing a distinct awareness of which ones he prefers (the sweet tasting ones of course!) and the ones he does not prefer whatsoever (mashed up pills mixed with water or expressed milk). We are now starting to see him try to spit it or gag it. 

Medication is very much a big part of our daily routine with me trying to ensure that it is prepared and administered routinely.I have become so used to it and it isn’t until a new drug is introduced that I get a little anxious. The anxiety for me is ensuring I give the correct amount and whether there are going to be side effects or interactions with other drugs. Side effects are an unfortunate thing but I’ve found that sometimes you have very little choice. 

Most recently, we have delved into using a range of sedatives such as Midazolam, Melatonin (blimey expensive non-subsidised!) and Chloral Hydrate. These, to me, are the scariest because, well, they sedate my wee man. Midazolam is now only used when Thomas has a seizure (infantile spasm seizure) lasting longer than 10 minutes. Melatonin was used to help Thomas drift off to sleep due to the sleep deprivation side effect of the Prednisone. Unfortunately, he would sleep from 20 minutes to 2 hours so it was not so good at ensuring Thomas remained asleep for an appropriate length of time so we moved onto something much, much stronger.Enter Chloral Hydrate. He needed to be hospitalised while they trialed dosage amounts and to ensure that he was monitored as Chloral Hydrate can slow the breathing down a little. Thomas responded well to the sedative and so we were able to take a little home to see him through for the week. Unfortunately, you can build an immunity to it so that story ended quickly. Thankfully, Thomas finished the Prednisone treatment and is now sleeping much better as you already know as per my last post. 🙂

Big picture wise, for us, at the moment, it is about managing Thomas’ seizures so that they do not cause him discomfort, anxiety or further cognitive delays/regressions. We want to make sure Thomas is comfortable and happy. 

Thomas working hard.

Thomas working hard.