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September 30, 2002 - Armand Ben-Arthur Trammell, Jr. arrives on the scene
on Monday September 30, 2002 at 2:58 p.m. He weighed 2 1/2 lbs. He was 14 1/4
inches, skinny (like a lot of preemies) and light skinned! Since I barely saw
the tip of his nose after the delivery, I had to ask my sister if she was sure
that was the same baby that came out of me when I saw him for the first time in
the NICU! He sure didn't look like Mommy and Daddy. But that was o.k. our son
had finally arrived ;-) For the first 12 days of his life he did very well. He
only stayed on oxygen for the first three days and he was getting 22 cc's of
breast milk every 4 hours. Our son was doing extremely well for a 29 week
premature baby. The day I was discharged from the hospital and I was ready to
say my goodbyes, Armand, Jr. opened his eyes and cried for the first time for
me. He knew that I was leaving! My heart flutters every time I think of this
moment. This truly was a honeymoon period for us and Armand as we didn't know
what the next couple of months would entail. October 12, 2002 - I got a call from the doctor on call over at Alta Bates NICU
informing me that our baby was being transferred to Children's
Hospital in Oakland, CA because he is passing some bloody stools. It turns out
that our little one has Necrotizing Enterocolitis (NEC) a very serious bowel
disorder in which a portion of the bowel wall is damaged or dies. He was
scheduled for surgery that same afternoon. The surgeon told us that his
intestines where very inflamed and part of his intestines where brought to the
surface of his abdomen so that rest of his intestines could heal. This is known
as a stoma or ileostomy. Until he is bigger and healthier Armand would
have to stool into a bag attached to his abdomen. October 18, 2002 - Armand, Jr. has been stable all week. After the surgery he
was put on a ventilator to help him breathe. He hasn't improved nor has he
gotten any better. At this point I don't think I could handle losing another
child with out having a serious nervous breakdown. Our son was really in a grave
situation and he needed a lot of prayers and love (which he got plenty of) from
family and friends. This afternoon Dr. Mickas informs us that our son would
require another surgery on his heart for a condition known as Patent (Open)
Ductus Arteriosus (PDA). Thus, our son is not getting enough oxygenated
blood, pumped through his heart. If the opening to his heart was not
closed up it could cause serious damage to his heart and lungs. Like NEC, a PDA
is a common condition among premature babies. One good thing that Dr. Mickas did
mention was that we should actually start seeing an improvement in Armand, Jr.'s
overall condition after the surgery to close up this PDA.. November 9, 2002 - Our Scooter Booter has
improved a lot and he finally got off the ventilator (extubated). However about 5 days later he had to go back on
the ventilator again. I wasn't too surprised because he was really starting to
breathe extremely hard and I think his lungs just had enough. November 20, 2002 - Armand is still on the ventilator and desaturating a lot.
He is also retaining fluid which might indicate that he may be getting sick with
some type of infection again. However they taken numerous test and culture and
everything is coming up negative.
He hasn't been gaining a lot of weight, so today he will start getting fed
breast milk through his NG tube. Also because he is still desaturating he may
possibly be given a steroid to help with his lung disease. One of the side
effects of the steroid drug is that it may cause intestinal bleeding! My
goodness
his intestines are already fragile and I can only imagine the effects that this
would have on his intestines. November 21, 2002 - Hooray! The power of prayer works. I was already
apprehensive about Armand taking the steroid drug for his lungs. I went home and
prayed and miraculously his desaturation levels have come down a bit.. Or maybe
he just needed some breast milk. Whatever the case something is going right!
And he didn't have to take any of the steroids. His primary nurse Renda Reynolds
will be so happy when she returns on Monday! November 22, 2002 - Armand is still continuing to keep his desaturation
levels down and they've also increased his feedings to 4 cc's every 4 hours!
Let's see he is already weighing in at 5 lbs. 7 oz.... so I guess all the
preemie clothes that I've purchased can go back to the store. :-) November 24, 2002 - I went t the hospital this afternoon along with Dad and
his brothers Osiris and Mizzell. When we got there it was nice to see Dr.
Mickas there. Dr. Mickas was the first doctor that we met when Armand, Jr. was
first admitted to Children's Hospital. As far as dealing with parents and
explaining to us exactly what we could expect with our son's condition and being
nice and caring at the same time - Dr. Mickas is the man! Well anyway when he
came to our son's bedside he told me that they where going to take him off the
ventilator that afternoon. Yeeeaaaahhhhh! What a wonderful Sunday surprise. Now
I can pick up Armand, Jr. and hold him in my arms once again. Oh how I have
longed for this moment. December 14, 2002 - Wow a lot has happened since my last update. Armand, Jr.
is still off the ventilator. His feedings have been increased then decreased and
then held at 35 cc's. Unfortunately he wasn't absorbing all of his milk very
well which resulted in him outputting a lot of stool in his bag. Thus, for
almost two weeks he was getting his bag changed at least 4 times per day! And
I'm probably underestimating that figure. After experimenting with several
different bag types and adding something to his breast milk/formula we are
finally at a point where his bag is getting changed about once a day. Thank
goodness because I was even starting to lose it with his bag changes. I
didn't know how many more my baby could endure. Also after losing a little weight and then gaining again our
son is now weighing in at 6lbs., 10 oz. I JUST CAN'T BELIEVE HOW FAR WE'VE
COME.... HOORAY! January 3, 2003 - It's been a while since
my last update and a lot has happened since then. On Christmas Eve Armand, Jr.
fell ill and it turns out that he was battling two infections. A urinary tract
infection and a yeast infection. When I saw Armand on December 23rd I was
feeling a little weird myself and I though that I was catching a cold. You can
imagine my anxiety and guilt when I found out Armand was not feeling well, but
relieved that it wasn't something that I passed on to him. However I wasn't able
to send Christmas with him because on that day the doctors still did not know
what type of infection he was fighting. This was very sad for me because I
wanted to spend Christmas son put he was sick. Well today our son is doing a lot
better after being given some antibiotics, which he is still on. Armand also had
his first 'haircut" at the hospital, as the nurses had to insert his main I.V.
in through his scalp. There was a possibility that the one in his arm, which
he's had since he was 12 days old, was infected. It was hard seeing Armand with
his hair shaved off on each side, but I guess that it is small thing compared to
everything else that he's been through. Today he is weighing in at 8 lbs.,
2 oz. Yippee! January 15, 2003 - Today was a big day
for Armand, Jr.! The surgeons finally reconnected his intestines. His surgery
was scheduled for 10:40 a.m. so I went up there around 9:00 a.m. He is so funny!
When I walked in he was just squirming and moving around. I thought he was going
to wiggle his body of the warming table! It turns out that he was hungry because
he was NPO'd (feedings discontinued) at 12:00 a.m. because of his surgery later
that morning. Well, at least he was alert and very energetic because I was able
to play with him before he went to surgery. Of course I shed some tears because
my son didn't have a clue as to what he was about to go through. But, I must say
that I am a lot stronger than I was during his first surgery. The surgery, to
reconnect him took a little bit longer than expected. I was told that it would
take six hours but it went a little over, more like eight hours. After the sixth
hour you could only imagine what I was thinking... but I remained hopeful. I
left the hospital before Armand, Jr. got out of surgery. It was getting late and
I was starting to get a little edgy. However, Dr. Betts (the surgeon) called
last night to let us know that he was doing fine. Dr. Betts had to remove some
of his deaden intestine, reconnect his stoma, and remove his appendix. He would
pretty much look the same, lots of tubes running from various parts of his body,
heavily sedated, and puffy from the fluid retention. I was not prepared to see
my son the next morning. I was afraid that it would bring back feelings and
emotions of his first surgery. January 16, 2003 - As I was scrubbing up
to go into the nursery to see Armand, Jr. this morning you know the tears
started coming! However, I just went ahead and dashed right in there to see my
son. Surprisingly, he looked handsome. Swollen? Puffy? Yes! But, he just looked
like a cute, brown-skinned, 10 lbs. baby! He had a lot of tubes (I.V.'s,
catheter, etc.) hooked up to him but Armand, Jr. looked good! Renda combed his
hair and cleaned him up and it just made me forget all about what he had been
through. He looked comfortable (due to the morphine) and he actually responded
to sounds and touching. We still have a ways to go but today, was yet another
reminder that God is beside us. May 1, 2003