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	<description>H &#38; R Blog</description>
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		<title>Finally an update! and a little venting&#8230;</title>
		<link>http://thedickens.tv/blog/?p=339</link>
		<comments>http://thedickens.tv/blog/?p=339#comments</comments>
		<pubDate>Fri, 29 Oct 2010 08:29:32 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=339</guid>
		<description><![CDATA[I&#8217;m sorry that I&#8217;ve taken so long to add a post. We&#8217;ve been pretty busy with the boys and work. It&#8217;s been way too long. I&#8217;m sorry.
Also, I&#8217;ve been a little disheartened over a recent betrayal from some people that we used to consider very close friends. They shocked us when they revealed that they [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m sorry that I&#8217;ve taken so long to add a post. We&#8217;ve been pretty busy with the boys and work. It&#8217;s been way too long. I&#8217;m sorry.</p>
<p>Also, I&#8217;ve been a little disheartened over a recent betrayal from some people that we used to consider very close friends. They shocked us when they revealed that they were never actually our friends but they used us to feed their greed and avarice. It was a complete blindside and left me confused, angry, hurt and disillusioned. What a shame! There was a time that I would have done just about anything for these people but now I feel nothing but disdain for them. Ugh. I&#8217;m sorry to vent that. On to happier, actually worthwhile things, the twins!</p>
<p>The boys turned 3 months old on October 15. They celebrated that day by traveling to Utah to visit with Heather to visit her parents. They will return Saturday. I&#8217;ve definitely missed them! The boys have begun to smile and make cooing noises when they are played with! The attached photo is from today when they were in one of those moods. So cute!</p>
<p>Drew visited with his cardiologist on 10/15. He weighed in at 10 pounds 8 ounces! Dylan was not weighed but he has usually been only a couple ounces behind. Drew&#8217;s heart was looking good; however, the doctor still felt that he needs to have another valuloplasty in December. The specific date has not been set yet. They expect him to be in the hospital anywhere from 6 to 24 hours. The doctor is optimistic that this could be the final heart procedure that he ever needs. Wouldn&#8217;t that be wonderful!</p>
<p>The boys are a lot of work, but we are having fun. Heather has been a trooper and continues to breast feed them. She is a great mother!</p>
<p>I will try to add more photos soon from the past couple months. For now just enjoy this cute one of their smiles! I&#8217;ll have to have Heather fix the red eye that they seem to get in every photo.</p>
<p><img class="aligncenter size-large wp-image-340" title="Smiling boys 10-28-2010" src="http://thedickens.tv/blog/wp-content/uploads/2010/10/Smiling-boys-10-28-2010-1024x577.jpg" alt="Smiling boys 10-28-2010" width="900" height="507" /></p>
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		<title>The boys have been reunited!</title>
		<link>http://thedickens.tv/blog/?p=327</link>
		<comments>http://thedickens.tv/blog/?p=327#comments</comments>
		<pubDate>Sun, 29 Aug 2010 15:55:18 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=327</guid>
		<description><![CDATA[Drew came home this afternoon after 45 days in the NICU! There was no fanfare between them but they seem to be happy with it. To make the introduction we laid them next to each other in the crib. Dylan began to fuss and quickly rolled over towards Drew. They touched arms and settled down. [...]]]></description>
			<content:encoded><![CDATA[<p>Drew came home this afternoon after 45 days in the NICU! There was no fanfare between them but they seem to be happy with it. To make the introduction we laid them next to each other in the crib. Dylan began to fuss and quickly rolled over towards Drew. They touched arms and settled down. It was cute. They were very content for a while until it was time to eat. This is a photo of how Dylan settled in about 40 seconds after they were reunited. Dylan is on the left.</p>
<p style="text-align: center;"><img class="aligncenter size-full wp-image-328" title="SAM_0008 - Copy" src="http://thedickens.tv/blog/wp-content/uploads/2010/08/SAM_0008-Copy.JPG" alt="SAM_0008 - Copy" width="487" height="452" /></p>
<p>Heather took the opportunity to do skin to skin contact with both boys at the same time. They were very content and looked at each other. Drew is on the right.</p>
<p style="text-align: center;"><img class="aligncenter size-full wp-image-329" title="SAM_0015 - Copy" src="http://thedickens.tv/blog/wp-content/uploads/2010/08/SAM_0015-Copy.JPG" alt="SAM_0015 - Copy" width="458" height="414" /></p>
<p>I&#8217;m sure that we&#8217;ll have endless numbers of photos but there are only a few right now. Drew is on the right in both photos.</p>
<p style="text-align: center;"><img class="aligncenter size-full wp-image-330" title="SAM_0017 - Copy" src="http://thedickens.tv/blog/wp-content/uploads/2010/08/SAM_0017-Copy.JPG" alt="SAM_0017 - Copy" width="552" height="341" /></p>
<p style="text-align: center;"><img class="aligncenter size-full wp-image-331" title="SAM_0021 - Copy" src="http://thedickens.tv/blog/wp-content/uploads/2010/08/SAM_0021-Copy.JPG" alt="SAM_0021 - Copy" width="552" height="414" /></p>
<p style="text-align: center;">&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;</p>
<p>OK&#8230; so this continued my strange 15-day trend.</p>
<p>July 15 &#8211; Drew &amp; Dylan were born</p>
<p>July 30 (15 days later) - My grandpa died</p>
<p>August 14 (15 days later) &#8211; My brother, Aaron, got married</p>
<p>August 29 (15 days later) &#8211; Drew came home from the hospital</p>
<p>September 13 (15 days later) &#8211; ???</p>
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		<title>15 days</title>
		<link>http://thedickens.tv/blog/?p=324</link>
		<comments>http://thedickens.tv/blog/?p=324#comments</comments>
		<pubDate>Fri, 27 Aug 2010 02:29:10 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=324</guid>
		<description><![CDATA[I&#8217;m not sure if you would call it superstitious or something else but I&#8217;ve had my eye of August 29th since July 31 when I realized that there was an interesting trend of significant life events going on.
July 15 &#8211; Drew &#38; Dylan were born
July 30 (15 days later) - My grandpa died
August 14 (15 days later) [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m not sure if you would call it superstitious or something else but I&#8217;ve had my eye of August 29th since July 31 when I realized that there was an interesting trend of significant life events going on.</p>
<p>July 15 &#8211; Drew &amp; Dylan were born</p>
<p>July 30 (15 days later) - My grandpa died</p>
<p>August 14 (15 days later) &#8211; My brother, Aaron, got married</p>
<p>August 29 (15 days later) &#8211; ???</p>
<p>Interesting, huh? Well, we just learned this morning that Drew is scheduled to come home on Sunday&#8230; August 29! I&#8217;d call that a significant life event. This would be exciting; however, then I&#8217;m going to have to look ahead to September 13 to see if the trend continues. Anyway, Drew might be home on Sunday! His last brady episode, that required assistance to bring him back, was on Tuesday. If he goes 5 days without needing further assistance then he can come home.</p>
<p>On Tuesday the doctors ran a 24-hour test to measure his acid reflux. They sent a tube with a monitor through his nose down his esophagus. The results showed that he has &#8220;moderate&#8221; levels of reflux. They are likely going to put him back on Zantac and send him home with that. We&#8217;ll then see if his pediatrician wants to keep him on it.</p>
<p>Drew has been doing well. So has Dylan. Oh, I forgot to provide an update on their weights. As of Monday, Drew was 5 pounds 12 ounces. Dylan was 5 pounds 6 ounces!!! That is up from 4 pounds 10 ounces from just 5 days before! The concerns about him not gaining weight is behind us. Whew!</p>
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		<title>Another setback for Drew</title>
		<link>http://thedickens.tv/blog/?p=320</link>
		<comments>http://thedickens.tv/blog/?p=320#comments</comments>
		<pubDate>Sat, 21 Aug 2010 02:20:52 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=320</guid>
		<description><![CDATA[Drew was on track to be discharged tomorrow but his 5-day clock got reset yesterday when he had five bradycardia episodes (&#8221;brady&#8217;s) during a single feeding. Normally they don&#8217;t count brady&#8217;s during feedings but one was so bad that they were about to start compressions before he pulled out of it.
They&#8217;ve taken him completely off of the [...]]]></description>
			<content:encoded><![CDATA[<p>Drew was on track to be discharged tomorrow but his 5-day clock got reset yesterday when he had five bradycardia episodes (&#8221;brady&#8217;s) during a single feeding. Normally they don&#8217;t count brady&#8217;s during feedings but one was so bad that they were about to start compressions before he pulled out of it.</p>
<p>They&#8217;ve taken him completely off of the beta blocker for now in case that is what&#8217;s causinghis episodes. They&#8217;ll likely put him back on either in two months or when he is two months old (not sure which). The beta blocker is kind of a double edge sword. On the one hand it may be causing his brady&#8217;s but, on the other, it&#8217;s helping to reduce or at least slow the thickening of his pulmonary valve.</p>
<p>Drew is improving on his bottle feedings and even had a successful breastfeeding today. Last night he weighed in at 5 pounds 8 ounces.</p>
<p>Dylan will check his weight again on Monday at his next pediatrician visit. He&#8217;s been eating well so I expect that he&#8217;ll be up at least an ounce. He&#8217;ll join us briefly for a Dickens family photo before my brother, Aaron&#8217;s, wedding reception. We had hoped for Drew to get to be a part of it but that is not going to happen. It&#8217;ll happen soon enough though.</p>
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		<title>Further clarification of the echo</title>
		<link>http://thedickens.tv/blog/?p=316</link>
		<comments>http://thedickens.tv/blog/?p=316#comments</comments>
		<pubDate>Thu, 19 Aug 2010 17:38:15 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=316</guid>
		<description><![CDATA[A doctor called just now to give us further clarification of Drew&#8217;s echo-cardiogram that was done on Tuesday. Dr. Dannon, the cardiologist that performed the valvuloplasty, is still comfortable with discharging Drew whenever the NICU feels that he is ready. The echo showed thickening of the pulmonary valve. They grade his stenosis as &#8220;moderate&#8221; but [...]]]></description>
			<content:encoded><![CDATA[<p>A doctor called just now to give us further clarification of Drew&#8217;s echo-cardiogram that was done on Tuesday. Dr. Dannon, the cardiologist that performed the valvuloplasty, is still comfortable with discharging Drew whenever the NICU feels that he is ready. The echo showed thickening of the pulmonary valve. They grade his stenosis as &#8220;moderate&#8221; but not to the level of &#8220;severe.&#8221; There is a good chance that he will have at least another valvuloplasty in the next few months. The positive news from the scan is that there was less blue blood shunting between the two arterial chambers than on the last scan. This means that more blood is passing through the pulmonary valve than before.</p>
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		<title>&#8220;The next few days&#8221;</title>
		<link>http://thedickens.tv/blog/?p=311</link>
		<comments>http://thedickens.tv/blog/?p=311#comments</comments>
		<pubDate>Thu, 19 Aug 2010 05:44:25 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=311</guid>
		<description><![CDATA[The nurse said tonight, &#8220;the rumor around here is that Drew will be going home in the next few days if he continues to do what he&#8217;s doing!&#8221; He hasn&#8217;t required oxygen for his bradycardia episodes since Sunday. He pulled out his feeding tube by himself today!!! The doctors decided that was OK and left it out. [...]]]></description>
			<content:encoded><![CDATA[<p>The nurse said tonight, &#8220;the rumor around here is that Drew will be going home in the next few days if he continues to do what he&#8217;s doing!&#8221; He hasn&#8217;t required oxygen for his bradycardia episodes since Sunday. He pulled out his feeding tube by himself today!!! The doctors decided that was OK and left it out. He is taking all of his feeds by bottle now. His weekly echo-cardiogram was satisfactory enough for cardiology to feel comfortable to send him home. They haven&#8217;t ruled out further heart procedures or surgery but there are no plans for it at this point. The blood transfusion on Saturday increased his hemoglobin to 12.3 which is satisfactory even though it is short of the 14 that they were hoping for. His last weight, on Sunday, was 5 pounds 5 ounces.</p>
<p>Dylan had his third visit with the pediatrician today. He is doing well besides the fact that he didn&#8217;t gain anymore weight. He is still 4 pounds 10 ounces. It&#8217;s strange because he eats really well and has plenty of dirty/wet diapers. The doctor suggested that we give him an extra ounce or two of pumped breast milk via a bottle after he takes however much he can get in 30 minutes directly from the breast.</p>
<p>The boys are 5 weeks old today. It is the day that Heather&#8217;s doctor had said that he wouldn&#8217;t have let her go past had she still been pregnant. Her 40 week due date is still two weeks away on September 2.</p>
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		<title>Photos</title>
		<link>http://thedickens.tv/blog/?p=306</link>
		<comments>http://thedickens.tv/blog/?p=306#comments</comments>
		<pubDate>Mon, 16 Aug 2010 07:05:23 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=306</guid>
		<description><![CDATA[
Drew has gone through a growth spurt! He is up to 5 pounds 5 ounces! I hadn&#8217;t seen him since Thursday and after seeing skinny little Dylan at home so much it was almost shocking to see Drew at CHOC tonight. His cheeks are so full and he looks so much bigger to me. Overall, he is [...]]]></description>
			<content:encoded><![CDATA[<p><img class="aligncenter size-full wp-image-307" title="2010-08-15_22-41-50_327" src="http://thedickens.tv/blog/wp-content/uploads/2010/08/2010-08-15_22-41-50_327.jpg" alt="2010-08-15_22-41-50_327" width="366" height="577" /></p>
<p>Drew has gone through a growth spurt! He is up to 5 pounds 5 ounces! I hadn&#8217;t seen him since Thursday and after seeing skinny little Dylan at home so much it was almost shocking to see Drew at CHOC tonight. His cheeks are so full and he looks so much bigger to me. Overall, he is still a tiny little guy.</p>
<p><img class="aligncenter size-full wp-image-308" title="2010-08-04_18-21-01_658" src="http://thedickens.tv/blog/wp-content/uploads/2010/08/2010-08-04_18-21-01_658.jpg" alt="2010-08-04_18-21-01_658" width="596" height="323" /></p>
<p>Dylan seemed so skinny to me when I got home.</p>
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		<title>Drew&#8217;s plan</title>
		<link>http://thedickens.tv/blog/?p=302</link>
		<comments>http://thedickens.tv/blog/?p=302#comments</comments>
		<pubDate>Mon, 16 Aug 2010 03:21:22 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=302</guid>
		<description><![CDATA[We questioned the doctor about what the plan of attack is to determine what is causing the heart rate drops and oxygen desaturations with Drew. By the way, he had several more today that required oxygen to bring him back. The doctor said that these things are multi faceted and somewhat slow to narrow isolate. [...]]]></description>
			<content:encoded><![CDATA[<p>We questioned the doctor about what the plan of attack is to determine what is causing the heart rate drops and oxygen desaturations with Drew. By the way, he had several more today that required oxygen to bring him back. The doctor said that these things are multi faceted and somewhat slow to narrow isolate. For now they are not ruling out acid reflux but do not want to rush into medication for it due to the side effects. On his next dose of Propanol (beta blocker for his heart) they will cut the amount in half from 1 to .5. I am not sure what the measurement is but I believe it is milligrams. It’s a fairly low dosage to begin with. He was previously receiving 1.4.</p>
<p> </p>
<p>Drew also received a second blood transfusion this afternoon. Actually, we think this is only his second. The hospital didn’t call us about this. It happened and then we learned about it when we called to check up on him. I’m guessing that our consent from July 16 was still valid. It’s not that we would have withheld consent if they had called us, it just would have been nice to know. The doctors are hoping to see his hemoglobin count go from the current 11.5 to at least 14. His white blood cell count is at a satisfactory 16. Again, I’m sorry for not knowing the units of measurement. I just hear the numbers and figure that it makes no difference to know more.</p>
<p>The results of the Propanol reduction and the blood transfusion will manifest within two to three days. They will decide what else is necessary at that point. They may begin adding back some bottle feedings in a day or so but that has not become official yet.</p>
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		<title>Progress/setback update</title>
		<link>http://thedickens.tv/blog/?p=299</link>
		<comments>http://thedickens.tv/blog/?p=299#comments</comments>
		<pubDate>Sun, 15 Aug 2010 06:41:09 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=299</guid>
		<description><![CDATA[The boys are 1-month old today! It’s been 31 days already. Wow!
Sorry for not updating the blog in a while. It seemed that the daily progress was not super significant and we were staying pretty busy. I’ve been amazed at how many people have been interested to get updates. We really do appreciate all the [...]]]></description>
			<content:encoded><![CDATA[<p>The boys are 1-month old today! It’s been 31 days already. Wow!</p>
<p>Sorry for not updating the blog in a while. It seemed that the daily progress was not super significant and we were staying pretty busy. I’ve been amazed at how many people have been interested to get updates. We really do appreciate all the support and love that everyone has expressed!</p>
<p>Dylan came home on the 3<sup>rd</sup>. I was wrong in my previous post. It had only been 19 days in the NICU, not 20. It’s been fun having him home and getting to experience all that he has to offer. The first night was a little rough because he was grunting and fussing most of it. He had received formula in the NICU prior to his discharge and his tummy was having trouble digesting it. Dylan is the poster child of breastfeeding. He just needs to get more of it. His weight hasn’t been increasing enough so Heather has had to increase the number of daytime feeds. On Thursday he weighed 4 pounds 10 ounces. He gets to determine when he’s hungry at night. Fortunately, on most nights this is about 5 hours. Heather has been a trooper through this whole process. She is producing enormous amounts of milk and we’re filling up an entire 2<sup>nd</sup> freezer in the garage, in addition to feeding Dylan and delivering milk to Drew. The nurses are amazed at the output. Her mom came down on the 4<sup>th</sup> to help out and has been here since.</p>
<p>With Dylan being so skinny, it has been difficult for him to maintain an adequate body temperature. Actually, he has been doing much better recently but there were a few days that he was measuring at or around 94 degrees! They want him between 97 and 99.</p>
<p>He’s a cute boy and we’ve enjoyed having him home. He continues to spray people during his diaper changes. Fortunately, I have not experienced this yet; however, it is probably just a matter of time.</p>
<p>Drew had a significant setback on Saturday. There had been talk this week that he might be going home yesterday. That was obviously not the case and now there is no date in sight. About a week ago, he began receiving 1 out of every 3 of his feedings by bottle. He has previously taken bottles and even breastfed but they scaled back due to his episodes of not breathing and his stats falling. Anyway, after 1 in 3 for a couple days they advance to every other, then 2 out of 3. Yesterday he began taking a bottle on every feed. He was still having episodes but he resolves them without nurse assistance. They were going to have him try to resume breastfeeding today and possibly even come home. Well, he never made it that far. He has an increased number of episodes and needed oxygen to resolve at least one. They’ve taken Drew off of all bottle feeds and gone back to the feeding tube. They don’t know what is causing the problems. They thought it might be acid reflux but the nurses have ruled out that option, the doctors haven’t though. They think it might be the beta blocker that he takes for his heart condition, but they aren’t sure of that either. So what now? We don’t know. My guess is that they’ll start running more tests now that they’ve backed off their fast track to sending him home. His weight is progressing nicely though. A couple days ago he was 5 pounds and 1 ounce!</p>
<p>It’s late. I hope this made sense.</p>
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		<title>Dylan is home! Drew is in a crib!</title>
		<link>http://thedickens.tv/blog/?p=285</link>
		<comments>http://thedickens.tv/blog/?p=285#comments</comments>
		<pubDate>Wed, 04 Aug 2010 08:44:28 +0000</pubDate>
		<dc:creator>Ryan</dc:creator>
				<category><![CDATA[Twins]]></category>

		<guid isPermaLink="false">http://thedickens.tv/blog/?p=285</guid>
		<description><![CDATA[Dylan got to come home this afternoon! He has taken all of his feedings 100% from the breast since 2pm. In the NICU he ate every 3 hours. He’s been stretching that to 3 ½ since coming home. Heather has loved it! She got to have the mommy moment that she thought she wouldn’t; taking [...]]]></description>
			<content:encoded><![CDATA[<p>Dylan got to come home this afternoon! He has taken all of his feedings 100% from the breast since 2pm. In the NICU he ate every 3 hours. He’s been stretching that to 3 ½ since coming home. Heather has loved it! She got to have the mommy moment that she thought she wouldn’t; taking the ride in a wheelchair with her baby out to the curb and into the car (we don’t have a photo though). My parents came by the house tonight and brought us dinner. It was quite yummy! We ate while they played with Dylan.</p>
<p>At 10:30 Heather went to CHOC to see Drew. I stayed with Dylan. My first solo babysitting assignment went well. Actually the cats were here to help. They’ve been quite cautiously interested. They creep up and sniff occasionally but they spend most of their time just watching a couple feet away. I think they’ll grow to be great friends.</p>
<p>Drew is now in an open air crib! His PICC line has been removed and he only has the monitor stickers on his chest and an oxygen saturation monitor on his foot. We’re very excited about him reaching this critical milestone. This means that he can come home soon! All he needs to do is learn to eat consistently. Last night Heather was able to bottle feed him 36 of his 40 cc’s. The remaining 4 cc’s was administered through his feeding tube. It was great progress.</p>
<p>Heather was pretty frustrated with the CHOC nursing staff because they have only been feeding him through the feeding tube and not with the bottle. It appeared that they were just being lazy. Well, we’ve changed that view after tonight. Heather attempted bottle feeding again. It didn’t go well. He “de-sat”ed twice in 10 minutes. His face and lips turned a dark blue. Heather was really scared! The nurse said that it’s not uncommon for preemies, especially if they have heart conditions and has reflux. They aren’t planning to give him any meds for the reflux because it isn’t consistent enough. They don’t want to risk the side effects. Other than this, Drew is doing well.</p>
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