May 8 2010

11 Weeks

Yesterday was the 11 week mark!! We are coming towards the end of the first trimester.  Jess had an appointment for a  checkup at the OB, so we headed on over there in the morning.  The appointment was just another followup on the Hyperemesis Gravidarum debacle.  The doc tried to find the heart beat with the doppler but couldn’t.  He squeezed us in for a quick ultrasound, so we didn’t leave worried.  The ultrasound tech found Choochie immediately, and measured the heart beat at 166bpm.  The exact same as last Saturday.  Choochie was frisky today.  Lot’s of leg movements, and arm movements!!  The tech took the pic a second too late, because the little bugger flipped over, and as you can see in the picture above, that is a wonderful shot of Choochie’s back!!  I was really surprised at how much more it looks like a baby now, than it did last ultrasound. 

Little Choochie, (almost two inches long) has been pretty busy this week, growing hair follicles, and fingernails.  There are distinct human characteristics now, with hands and feet in front of the body, ears nearly in their final shape, open nasal passages on the tip of the nose, a tongue, and palate in the mouth.   The hands and feet have individual fingers and toes!!  The picture below is a visual representation of the approximate size

  

On to Jess.  The past week has been touch and go.  The Hyperemesis Gravidarum has really taken a toll on her.  We have been able to stop the weight loss, but we still have not really gained much back.  We were able to discontinue the IV fluids (Lactated Ringers solution).  It wasn’t by choice at first, but the nurses said as long as she stays hydrated, and gets some food down it is OK.  Jess had some sort of reaction to the IV site, which is the original reason for removing it!

 

She is still using the micro infusion pump, with mixed results.  Some times she feels great, and sometimes, not so great.  The main complaint with pump is that Jess feels really out of it if she has it on for the entire day. 

She is definitely eating much more than she did at the beginning of the week.  The nausea and diarrhea are still pretty bad, but there hasn’t been much action on the puking front.  Weight Loss has ceased for now, I would just like to see her gain some of what she lost back.  That will put us back on the right track.


May 4 2010

Late Update

Last Friday, was our 10 week mark.  I never got to post about it because of the Hyperemesis Gravidarum debacle.  Jess had a checkup with the OB on Friday, and they wanted to check for the heartbeat with the doppler.  The doc wasn’t able to find it, so they wanted Jess back on Saturday for an ultrasound.  The nursing service set up a delivery and visit for Saturday as well.  Jess headed out to the ultrasound with her mom, while I sat home and waited for our delivery.  The ultrasound showed a healthy and twitchy little Choochie!!  The CRL measurement was 3.0cm , and heartbeat was 166bpm.

While Jess was out, the delivery arrived.  I was a little mad because the Fed Ex driver, said that there was no need for a signature.  I could have been there to see the little movements.  😥  Oh well, I’m sure there will be plenty more opportunities to for me.  The delivery was 4 big boxes.

Everything came in the boxes except the micro-infusion pump.  The nurse contacted us and said she had it.  Along with the pump, she brought her own big box of stuff as well.  It was more supplies, and mountains of paperwork.  When she arrived, she immediately got into the paperwork.  As soon as she was done with that, she hooked up the micro-infusion pump, to deliver the anti-nausea med, Zofran.

The nurse said the best place to hook this up would be the stomach.  She said it would be absorbed better in the stomach than it would in the leg.  That is of course, if Jess could tolerate it.  Tolerate it she did!!

The pump delivers the meds subcutaneously for 20 hours.  Jess said she didn’t even really feel it.  The only pain in the butt, was that she had to carry the little pump around like a purse.  It even had it’s own stylish black case with a strap. 

When the nurse was finished with the micro-infusion pump, she went back to the paperwork, and finished that up.  This was the start of stab fest 2010.  Jess was so dehydrated that the nurse had a real hard time getting the IV attached.  It took 7 or 8 different tries to get the IV started.  The nurse finally had to use a pediatric IV thingy to finally get it in.

The IV was hooked up to 1000ml Lactaded Ringers Solution bags.  The prescription was for Jess to get 3000ml a day.  Along with this, Jess had to check her Ketones with pee sticks.  The first one she used truly showed how dehydrated she really was!! It was the darkest color the bottle had on it.  (Dark=Bad)

After the nurse was finished, she packed up her stuff and left Jess and I to our new home hospital suite.  The rest of night went well, and we adjusted to numerous lines, and pole attached to Jess.  I had to work on Sunday, so Jess was on her own.  She did well, and was finally starting to feel better.  She was even able to get a bunch of food down.  This brings us to Monday, and today.  There were a couple developments, but I’ll save them for another post.  I just realized this one was getting really long!!

 

 


Apr 29 2010

Hyperemesis Gravidarum

Yep, that’s what Jess has!!  Hyperemesis gravidarum (HG) is a severe form of morning sickness, with unrelenting, excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids.  The percentage of pregnant women afflicted range from 0.3% to 2.0%!!  I figure since we only had a minute chance of even getting pregnant with my sperm, that it is only right that we fit into that 2%!!!!! 

Yesterday began completely normal.  We both headed to work, and I got the phone call around 9am.  Jess said she wasn’t feeling good, and she had put a call into the doctor.  Now, I knew she hadn’t been 100 percent for a couple of days, but I had no idea it was this bad.  Jess spent most of her morning in the bathroom (TMI ALERT!!!!!!) with it coming out of both ends!!!!  Her OB sent her directly to the emergency room.  I left work early, but not early enough to catch the first sounds of the heartbeat from our little Choochie.  The ER wanted to check Choochie, and make sure everything was OK.  They told Jess they would try with the doppler, and if they couldn’t find the heartbeat, they would go directly to the ultrasound to make sure everything is OK.  The Docs said not to worry if they didn’t hear anything from the doppler, because it might be a little too early to hear it.  They poked around a bit with no luck until the nurse decided she would give one last try and check higher.  As soon as she moved the probe up, Jess said Choochie was loud and clear, beating at a cool 160bpm’s!!!

They hooked Jess up to IV fluids, and gave her a couple of anti-nasuea shots to even things out.  When they felt she was stable (and not completely pale anymore), they sent us on our way with orders to follow up with the OB today. 

To make a long story short, we headed to the OB today, and were given our marching orders.  They ordered at home IV therapy, and scheduled another checkup for tomorrow.  The company that does the at home therapy called tonight and explained the course of action we would take.  They ordered her continuous IV fluids (IV in the arm) through the weekend as well as a pump for anti-nausea medicine (some kind of port they will put in her thigh).  We don’t have all the details, as they said they would contact us tomorrow, to iron things out.  All I have to say, is this weekend should be very interesting!!  I will definitely keep you all up to speed!!

To Be Continued……..