Wednesday, October 22, 2014

Welcome Ava Jane!!!


Welcome to the daily blog/update site for the well-being of the newest addition to the Hemenover family – Ava Jane.  Before we get into any details we would like to thank all of our friends and family who may be reading this.  We have had an over whelming out pouring of support, thoughts, and prayers.  For this we cannot be grateful enough to have each and every one of you here to support us and help us along what we hope is a very short-lived journey.

We have decided to use this mode of communication to provide regular updates and to post pictures.  We did not want all of this information to be posted to Facebook for the world to see and comment on, so we felt this is a bit more private and personal.  Feel free to share this information with anyone whom may be interested in updates on Ava and our family.  Please respect our privacy by not posting any of this information to any other form of social media. 

Some may know the details already, but we thought it would help to give everyone an insight to how we ended up here at Comer Children’s Hospital in Chicago.

We had an appointment at 8:00 am on the morning of the 17th – on Ava’a actual due date - to begin the induction process.  Mason and Ryan stayed with Mimi and Papa the night of the 16th and I do believe Ava wanted us to know she was calling the shots on this one as I actually went into active labor Thursday night.  Contractions began about 11:30 pm Thursday and progressed quickly over the next hour and half.  At 1:15 am we decided it was time to take a ride to Riverside.  Oh yea I forgot to mention we were test driving minivans until about 9:00 on the 16th as well.  Matthew until the day he dies will stand by the fact that Ava simply was telling us that she WILL NEVER drive or ride in a minivan.  Or at least this is his last ploy to get us NOT to buy one. 

We arrived at Riverside about 1:30 AM.  With the contractions I was experiencing, the intervals between them, and with a little motivation from Matthew (because I am pretty sure he was not at all interested in taking me home in my current state) they quickly admitted me.  Progress came fast, by 2:45 AM my water broke and I quickly dialed to 5cm and had the epidural in place – so for the time being -- life was good….

The nurses mentioned when my water broke that they had noticed some meconium present, but did not make any major concern about it.  Meconium is essentially when the baby poops inside of you before it is born.  Really gross and puts the baby under additional stress – but for the most part common. 

Resting now and not feeling my legs from the waist down I began to feel nauseous.  Tried to fight it off for about an hour or two, but they finally gave me some meds to cut the nausea which knocked me out like a light.  At about 6 AM, I was just past 8cm.  With only having to push for a short time with my previous pregnancies they called the doc in stat! 

When Dr. Taylor arrived he was his normal jovial self and said “Let’s have a baby!”  As I awoke from my sleep I agreed.  The anti-nausea meds still kicking my tail I began pushing and with 5 hard pushes and a ton of great encouragement from Matthew, including him having to wake me up every time to push, Ava Jane was born at 6:56 AM.         

Knowing there was meconium present the pediatrician Dr. Garcia and her nurse were in the room waiting for Ava to arrive.  They immediately began suctioning her mouth and nose which is very typical.  Then they began to suction her stomach, and at this point approx. 5-6 minutes after delivery Ava had only made a couple very short and small cries.  They took her to the nursery where they began to work on her more extensively.  I not knowing the extent of her well-being and under the trance of the anti-nausea meds could not keep my eyes open so I fell back asleep.

Matthew went to visit her in the nursery soon after they left and quickly noticed the amount of commotion happening around her.  Dr. Garcia came out and spoke to him and said they would need to get a chest X-ray to see how extensive the damage was in her lungs, in the mean time they had put her on a ventilator to help her breath. 

About 20 mins later Dr. Garcia came to the room and told us that Ava had extensive blockage in her lungs and that she had aspirated some of the meconium while she was still inside the womb. Due to the aspiration she was now extremely worried about her blood “gas” numbers.  She also told us that Riverside’s nursery is not a Level 3 (Neo-Natal Intensive Care Unit – NICU) and are simply not equipped to handle as case like Ava’s and that she had already called University of Chicago and the helicopter is already in route to Riverside to pick her up.

The helicopter picked her up at 9:30 AM and flew her directly to the UofC NICU.  They allowed me to be in the nursery with her until the helicopter crew took her – which could have possibly been some of the hardest 2 hours of my life thus far…  Matthew and his mom left immediately to go be with Ava and my mom stayed with me in Kankakee.  He released me from the hospital exactly three and a half hours after my delivery, so my mom and I left for Chicago.  We met Matthew and Claudie at Comer Children’s Hospital about 11:30 on Friday the 17th.

Shortly after our arrival we met with the Attending doctor who gave us a full download on Ava’s status.  She talked about all the different options and steps which they would try first before they tried others.  She mentioned that the next 24 hours were the more critical for her and that our worst case scenario would be that Ava would have to be hooked to an external lung and heart bypass machine while her lungs heal. 

Now there are scary things that happen with kids, they fall down and cut their leg, they tip over their bike and scrape their knee, but when a doctor tells you that we may have to hook your 6-hour old daughter to a machine that will drain all the blood out of her body, run it through a machine to add oxygen to it, and then pump it back into her 6-hour old body – it got very real.

For the next several hours there were at least 6-10 nurses, doctors, cardiologists, lung specialists, pediatricians, etc… at her bedside monitoring every last detail and every blimp on the radar screen.  We began to learn some of the lingo that they are using like, blood gasses, PO2’s, CO2’s – all of which was foreign language to us but not one of the nurses, doctors or specialists ever overlooked our questions, or inquiries.  We learned that blood gasses are the key to her entire puzzle.  These numbers which were tested every hour on the hour are the key indicator of how much oxygen is being allowed into her lungs and how much carbon dioxide is being let out. 

After the first 10 hours of her being at Comer’s we met with the doctor doing her fellowship in the NCIU who was on for the night shift.  Up to this point they had run through and tried options 1-4 that the Attending doctor had informed us about as soon as we arrived.  Option five being the heart and lung bypass machine.  As we sat with the doctor in the family waiting room at 10:30 pm on the 17th Matthew questioned the amount treatment options we were throwing at her.  Wondering if we needed to give her some time to adapt to each.  By this time we had an opportunity to really get our heads wrapped around what the bypass machine worked and how invasive it is.  The doctor agreed and said “Yes have been moving fast, but it is because your daughter is very sick and because she is so sick we need to make sure that if something is not working the way it should immediately, we need to make a change immediately to offer her the best chance to come out of this.”

There was a moment when the gurney rolled out of the nursery at Riverside to the helicopter that we were very scared of what the outcome may be.  As we sat in the waiting room 12 hours later and had the doctor tell us basically some things are working and others are not – it was time to start praying.

 

    

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