Wednesday, July 30, 2008

Grow babies grow! (4 Weeks old)




Everyone keeps asking me for an update on the babies weights. So, as of this morning the weights are:

Josiah: 4 lbs. 5 ounces
Alana: 2 lbs. 10 ounces
Alexa: 2 lbs. 15 ounces

Josiah has become our little "chunky monkey" and seems to wake up just for us every time we are there to see him. Alana is still the smallest but the feistiest! One of the nurses was so excited when we got there yesterday because he said he had taken the cutest pictures of the girls on his iphone. He said they both were awake for about 30 mins. and were totally "playing" together. He said Alana kept trying to pull Alexa's feeding tube and nasal cannula out. Alexa, he said kept sucking on Alana's arm. He was really excited and said he'd send us the pictures. It's great to see the nurses having so much fun with them! They have all changed so much already and are all very responsive. They definitely recognize us and respond to us when we are are there! They've been opening their eyes widely and looking at us and "checking us out". They definitely smile a lot and even the nurses have said that they are very "smiley". So sweet!
Alexa is almost 3 pounds and she is trying to catch up to her brother! The doctors have said that they are no longer considered ICU status and that they are very stable and now only have 1 nurse taking care of all 3 of them. They are calling them "feeders and growers" because all they really need to do is to eat and get bigger and stronger. They still all require a small amount of oxygen and the doctors say that they should outgrow that. Their lungs are still quite immature and so we are praying that their lungs would continue to develop fully and that they'd be able to get off the oxygen, hopefully soon!
We are so thankful that they are all doing so incredibly well! We definitely can't wait to bring them home! I am ready to start taking care of them! They will likely be in the hospital for at least another 4 weeks. So, we are trying to be patient! It's difficult, but we are just so thankful that they are doing so well! Grow babies grow!

Saturday, July 26, 2008

Wednesday, July 23, 2008

Alana & Alexa are Roomies Again!!





This evening we were thrilled to discover that Alana & Alexa are now able to co-bed because their PIC lines (IV's) are out! So, we were able to be there when they moved in together. I think we were more excited than they were. They slept through the whole thing and hadn't quite noticed each other yet. We are excited to see when they re-discover each other. It wasn't until they put them together that we realized how much they really do look alike. We knew they were "identical" but, holy cow, I think they are going to pull some fast ones on us once they are a little older. I suggested putting a freckle "tattoo" on one of them so that they could never fool us!
Josiah should be getting his PIC line out, hopefully, on Saturday. Then, he can potentially join the girls and the trio will all be together again! Yeh, how exciting! Josiah has all the nurses enamored with how cute he is and especially his blond "highlights". He seems to have blond hair right at the front of his hairline and it gets darker as you go back...very cute, if I may say so!
Eric has nicknamed Alexa "Smiley" because she seems to crack quite a few smiles when she sleeps. He asked me, "What do you think she is dreaming about?" I said, "Hmmm...I dunno...puppies!" We had a good laugh at that one, but whatever they are dreaming about must be pretty nice because both girls tend to grin in their sleep. It's even more noticeable now that they are sleeping right next to each other!

Sunday, July 20, 2008

Home Sweet Home (for Rebecca)




Rebecca has now returned back home again and this time we hope it is for good. She is still dealing with quite a bit of pain from the c-section and it supposedly takes about six to eight weeks to fully recover. Thankfully, the infection was caught early enough that she recovered quickly and was let loose on Saturday at 4pm. It was a 3 day stay and thankfully she got to visit the babies about two times a day. Hopefully, that will be the last time in my life that my entire family is in the hospital.

I got to hold Josiah (3rd picture) yesterday and he is getting big! He is still needing a bit of lung support but it is really mild. Yesterday as we were leaving he was awake and interactive as ever. Eyes wide open and moving his hands about. He actually is starting to look like a normal baby with thick legs and a strong head!

Tomorrow, Alana (2nd picture) will be eating 100% breast milk and will no longer be getting the fat & protein nutrition via IV that they have slowly been weaning her from. This is pretty cool as the pic IV line is in the top of her head! She was the smallest at birth but is progressing rapidly and could be the first to sleep in an open air crib outside of the controlled isolette environement. The Dr mentioned her fly catcher stance during their rounds on Saturday and we have had a good laugh at the picture ever since.

Alexa or Lexi as I call her is doing well. One of the nurses has nicknamed her little bunny. As many of you know, her PDA did not close immediately after the medication but since then the doctors believe that it is almost closed. She will surely be a roller in her sleep later in life. The bottom picture is of her looking like a banana!

Friday, July 18, 2008

Back in the Hospital...


Everything was going well and I (Rebecca) was feeling a bit better each day and then on Tuesday evening I started to get alternating chills and night sweats. I took my temperature and it was 102 F and my entire body started to ache. I was also having extreme abdominal pain. So, the next day we called my doctor and he said to come in. After examining me, he concluded that I have a uterine infection. Oh joy! He said it can be potentially very serious and that he was going to readmit me to the hospital right away and start me on IV Antibiotics. So, back to the hospital we go. The doctors aren't exactly sure but they say I will be here for at least 2-3 days probably release on Saturday. They took a CT Scan Wednesday night to rule out any abscess or other problems, since it's rare to develop an infection 2 weeks after surgery. It came back negative or no problems. Needless to say, we are quite bummed about being back in the hospital. I say "we" because my wonderful husband has stayed with me and slept in my hospital room! He's so great! I know it's not the most comfortable place to sleep and especially with nurses and doctors coming in all throughout the night. But, he truly is a trooper and I couldn't do it without him!
I must admit we are physically and emotionally exhausted! Having 3 babies in the NICU is stressful enough. But, we are glad to at least be in the same hospital as the babies and so now we can see them more often! :) Please keep the prayers coming!

Tuesday, July 15, 2008

Good News!




The official word is that Josiah and Alana's PDA (artery in the heart) has completely closed! Alexa's is still a bit open, but the head doc said that it is so small and there is no backflow or wrong flow of blood. Therefore, he wants to just wait and monitor it for now. Yeh! That means that they are not recommending heart surgery at this time! That is a huge relief! We were very scared of our 2 pd. preemie having to have heart surgery. So, we are incredibly thankful that we don't have to make a decision on that right now. There is still a chance that it could close on its own (which is what we are continuing to pray for) or it may just stay "insignificant". They are going to monitor it closely and if it happens to get worse or bigger than we may need to talk more about surgery. So, keep those prayers coming! No no no surgery!!!
They are all continuing to do well. We are realizing that we need to just take it one day at a time. Each day is scary in that new possible problems and concerns can arise. We are realizing what it means to be parents. It's hard to explain, but we have an overwhelming desire to protect them and to keep them safe. It's painful to not be able to do anything to help them, but we continue to look towards God whose got all 3 of these little munchkins in the palm of His hand. And He says, "Do not fear!" So, we are trusting Him to keep carrying these three and to see them and us through this difficult and yet joyful time...
The top two pictures are Eric getting some "kangaroo" time with Alexa. The bottom picture is Alana sleeping on her tummy looking like a little elf with her big hat on.

Saturday, July 12, 2008

Kangaroo Care


Rebecca Holding Alexa on 7/10/08




























Eric holding Josiah













Rebecca holding Alana on 7/11

Friday, July 11, 2008

Am I cute or what?


All parents think that their own children are the cute and adorable. Even an ugly baby is cute to their family. However, little Alana is turning to be quite adorable even from an unbiased opinion. She had a Kangaroo care session with Rebecca today which is basically the baby lying on the chest, skin to skin. It is very calming to both parent and child. Literally, you can watch their heartrate drop from 190 to 160 in just moments.

After the Kangaroo care, she was wide awake and playing. I was able to snap the most adorable picture of Alana with her eyes wide open and starting to crack a smile (bottom picture). Let me know, but I think she is cute even if you take away my biased parental opinion.

Thursday, July 10, 2008

The Babies are back in SF!!!

Yah! We are so excited to have all 3 of the babies back in SF! They are only a 10 min. drive away rather than an hour. This is my first post (Rebecca) since all this craziness began. I am back home resting and trying to recover. Each day I am growing stronger and stronger and seem be getting better slowly but surely. I just want to thank everyone for all of your prayers, visits, phone calls, emails, texts, and thoughts. This has been an overwhelmingly scary experience but God has been right there with us the whole time. He is so good and Eric and I are in complete awe of these amazing gifts that God has given us (or shall I say "loaned us"). They are so precious and it truly is an indescribable joy! When we first found out that we were having triplets my first reaction was, "God, why me?" I felt like I was being punished. But, last night Eric and I were realizing that now our reaction is, "God, why me? Why have you chosen to bless us so incredibly much?" We are so undeserving. We truly are in love with each one of these 3 precious miracles.
We also know that everyone wants to come and see the babies. Santa Clara Kaiser had big windows that you could come and look through and actually see the babies. However, SF Kaiser doesn't have any windows and they do not allow visitors, other than parents. So, as much as I know everybody desires to come and visit the babies in the hospital, it really isn't possible at this time. They are all in the NICU (Neonatal Intensive Care Unit) and are still under very intense care. So, if anyone wants to come visit me (Rebecca), that would be super! I know I am not as exciting to visit now that the babies are here, but I would still love company! :) Once the babies are home and strong enough we will be ecstatic to have you all come over and visit. Trust me, you will not be able to come by without holding, feeding, and changing a baby! :) We will need lots of help at that time!
FYI, the babies are all doing really well. They did an ultrasound of their hearts yesterday and they all have a slight "heart murmur", which means they are putting them on some medication to help close a valve in their heart that didn't close before they were born. So, please pray that the medication works and the valves all close. They also are getting a head scan today to hopefully rule out any brain bleeding that may have occurred due to them being born so early. So, please pray that they would all come back with excellent reports. Prayer is our best and only defense! We have realized that this is all so out of our control and that it's only by God's grace that we have come this far. So, keep those prayers coming!!!

Tuesday, July 08, 2008

Feeding and Caring for the Jardines

FOAAJ:
(Friends of Alexa, Alana & Josiah)

Many of you have asked how you can help Eric & Rebecca. Great, because they are going to need it! I'm coordinating meals and other helps. For now, Eric's Mom is in town until Thursday night, so she can help this week. When she leaves, we'll begin coordinating some meals, and also a carpool. Rebecca can't drive while she recovers from her C-section, and Eric is trying to put in some days at work, so she'll need rides to and from the hospital to see the babies, and some assistance with errands, etc. Please email me at susan.kostal@gmail.com, and I'll let you know what needs to be done. I'll post unmet meal and ride needs here as they arise, but don't feel like you need to wait to see it on the blog to offer! We'll need all the FOAAJs we can get!

Monday, July 07, 2008

Josiah, Lexi and Alana

The girls are doing incredible. Lexi & Alana are off the respirator and only on a small oxygen support. They are starting to take to small amounts of feedings. They still have IV pic lines to provide fluids and protein. The babies are right around their birth weights which is normal. The top picture is Alexa with Rebecca's hands helping cradle her. She was sleeping just like me with her hand under her cheek. Alana is the next picture with her little bum poking up in the air and a big diaper.




Josiah is still in need of the most support. He is off in the intubation respirator but is still on a mini respirator that keeps him breathing with regularity. The risk is that he forgets to breathe for a few seconds. Thankfully, he is the biggest of the three. Premie boys also always have the more trouble than premie girls. Keep him in your thoughts and prayers. He is in the bottom picture with my hand on his head.

Rebecca came home from the hospital today and she has recovered very well. She is not supposed to drive for two weeks so she might need some shuttling around. Let Susan or Rebecca know if you want to help. With my mom in town, we are pretty good for this week.

My Mom came into town Sunday morning and is pretty excited to offer help which we are grateful for. She is now a pro at navigating SF streets and even getting good with the San Jose area too!

I am already reaping the benefits of three babies!! Bill and I went to buy a camcorder at Best Buy and the sales rep gave me a great deal on a price match that he normally would not have done. I got a Newegg.com price at Best Buy which equates to almost 25% off! We got into Costco after they closed b/c we said that we had triplets just a few days ago. I can't wait to take them to church, work and down Irving street and show them off. Going to be a few months for that but it sure will be fun then..

Sunday, July 06, 2008

More Pictures



Alana is in the one holding my finger. Alexa is in the one with my hand in the background. Both are on July 2nd, day 1.

PS I just sneaked a quick 5 am visit to the nicu.. Was going to just deliver some milk but ended up visiting the kids for a short while. SHH, don't tell anyone...

Saturday, July 05, 2008

Personalities

We love them so much already and are still in awe of the blessing of three babies.
All babies were baked by the blue Jaundice light yesterday and two are already off it. It is pretty common for premies. They all got their first hint of breast milk today. They are still getting nearly 100% of fluids and nutrition via the IV pic line but the milk is a good start. Today, they are injecting the kids caffeine. The nurses joked that they are getting a Starbucks at only a few days old! The pictures are only of Alana. I am having trouble getting the pictures off my camera but should be able to get more online later tonight.

Josiah, Little Joe is our little monkey. He has my(Eric's) arms. We got a picture of him laying down and it looks like his arm is almost longer down to his knee! He still requires the most ventilator assistance but looks great. He is strong and HUGE, especially in comparison to his sisters.

Alana is the most active and feisty. Here is a pic of her only a few hours old reaching out for my finger and Rebecca playing with her little foot. I am scared to think if she is kicking this much now she is going to be a handful once I am chasing her around the house in a few years. Her soccer skills might help pay for her college at the rate she is going!

Alexa or Lexi is chill for the most part but has some of her twin sister's activity. Last night she was moving around her arm which has a big pic and splint attached to it. Considering her mass, this is like me waiving a fifty pound dumbbell over my head. She is strong as well.

We are hoping to hold the kids soon. Rebecca has only had the opportunity to hold Josiah when he was only 12 hours old. The babies are all back to their birth-weights which is another positive sign as they normally loose weight in the first couple days. Please continue to pray for them. On Wednesday, the Dr will do a scan for spinal chord bleeding. This is the next major test for our kids as it will highlight any potential brain problems.

Rebecca might get discharged from the hospital on Sunday or Monday. She is doing well but fatigues very easily. She is so strong and so determined to recover quickly. She is already an incredible mother and her connection with the kids has been a blessing to just watch. It is going to be tough to leave the hospital because the kids will stay here for some time after we leave.

Help, yes we need some but don't really know what or how. Eventually, once the babies come home from the hospital, we can use help with feedings and meals. I'll get info on who will coordinate that soon. We will be at Santa Clara for at least a week, maybe more. The facility here is incredible, new and even has free valet parking! It makes rotating cars on O'farrell look like madness in comparison. The babies will go back to SF eventually. That is going to be the doctors call. We do have some friends in San Jose that we can stay with and Rebecca's sister is in Gilroy which is not too far away.

Thanks to everyone for visiting and calling. Don't be afraid to email, text or call. Since the babies are in the NICU, we can show you them through the windows but might not able to take you into the room. They are cute, even from the Window distance.

Thursday, July 03, 2008

And Babies Make 5: OUR BIRTH STORY!

Our birth story reconfirms God's hand in our babies’ lives. He has worked beyond our best expectations in the last 48 hours.

We got to Kaiser around 7:30 PM July 1. The whole way there, I was joking with Rebecca that this was just a dress rehearsal. Just practice. We were both a little nervous. I nearly missed the turn to the hospital; I hadn’t planned out the route. You’d think an expectant father would be more prepared! I thought, of course, we’d have more time to work out such details.

They admitted Rebecca, and I took a picture of her in the hospital bed. Hey, I joked, this will be a practice picture, and a great joke for the blog. The staff began to monitor the babies, who were fine. While we came in because Rebecca had been having contractions, the staff conducted some blood tests on Rebecca, and took her blood pressure. Her blood pressure was high, and her blood work was off; she’d had a decline in her platelets. This raised some red flags. “We’re gonna want to keep you for a few hours” they told us.

About midnight, they did more blood work, and took her blood pressure, hoping both would have improved. They didn’t. In fact, things were getting worse, on both counts. “You’re going to stay the night,” they said, and so we settled in. Rebecca was suffering from HEELP syndrom which is a severe form of pre-eclampsia, a serious complication that includes high blood pressure, protein in your urine, and damage to the mother’s kidneys, liver and other vital organs. They gave Rebecca a shot of steroids to help the babies develop faster in her womb. The plan was to wait and watch, and give her another steroid shot in 24 hours.

Looking back, we did not have a full appreciation of what was happening behind the scenes that night. A full squadron of medical professionals were assembling. Around 5 AM, just as Rebecca had gotten somewhat comfortable and started to doze off, the medical team came in. “We want to do an emergency C-section,” they said. When, we asked? I had thought we might have these babies in 24 hours; at least they’d wait for the morning shift to come on in a few hours! “15 minutes.” As it turns out, Rebecca’s blood count was moving in a very negative direction, quickly. We didn’t have much choice. Rebecca’s parents were at the hospital. Folks had already been praying for us. Rebecca’s mantra, as she went into surgery, was “Peace--I can do all things through God who gives me strength.” She kept repeating this over and over, until the general anesthesia took over.

The babies were delivered at 6:19, 6:20, and 6:21 AM. I was in the waiting room with Rebecca’s parents. We heard a call go out for more blood for the OR, which made Rebecca’s Mom nervous. Soon, we saw the babies go by on their way to the neonatal intensive care unit (NICU). Still no word on Rebecca. We were calling and texting people to pray. There was still no word. This was getting scary. We had asked twice about her condition, and had heard nothing. As it turns out, Rebecca’s low platelets meant her blood couldn’t clot, and she was hemorrhaging in surgery. She was given 6 units of blood (the average human has about 10 pints or 14 units). I said to everyone, we need to pray... Bill and Glenda(Rebecca's parents) Edwin(Pastor) and Mary were in the room and we prayed, Lord, be with her, help her, save her. Thirty seconds later, there was a knock at the door. She was doing all right, but there were other complications that made it difficult to close her. We were able to go see the babies in the NICU, but still Rebecca was not out of surgery. A normal c section takes 45 minutes and she had been in surgery for nearly 3 hours! Things were a bit of a nerve-wracking blur. For instance, I couldn’t remember which baby girl got which middle name! Luckily, Bill had them stored on his mobile phone, and we later confirmed with Rebecca we’d gotten it right.

Finally, the physicians were able to get a handle on things, the surgery was completed, and Rebecca was moved to a recovery room. God was just over us in so many ways. The support of everyone who was praying was just incredible. In particular, I want to thank our friend and prayer warrior, Marge. Rebecca lived with Marge for three years while she was in dental school. Marge has an amazing perception of the Holy Spirit moving her to pray. She may only call every 3-4 months, but it’s always at the right time. The day after Rebecca had her car accident three years ago, Marge called. “I was thinking about you and just wanted to see how you were.” The day after we found out we were having triplets, Marge called to see how Rebecca was doing. Rebecca's response that day was, it is funny that you called today.. And Tuesday, July 1, Marge had called. She had some food for Rebecca and I and wanted to see how she was doing. Marge was the first person, after my parents, that I called that night when things looked grim. If there was one person I wanted to have praying for Rebecca, it was Marge.

As you may know, Rebecca herself was a preemie. She was born in 1976, at 2 pounds 8 oz, when her own mother had a version of pre-eclampsia. Rebecca’s survival was so amazing, she even made the local paper as a miracle baby. That strength and fighting spirit serves her well now. She’s still in pain, but she’s so tough, so strong! The doctors are telling us she is doing great. While her blood pressure is not yet at a normal level yet, they expect it to be soon.

Rebecca didn’t get a chance to see the girls before their transfer to Santa Clara. But Josiah, “Joe,” our biggest baby, but also the one who seemed to need the most medical assistance, couldn’t be transferred until he was stabilized. This meant Rebecca got to go down to the NICU and hold him. It was so, so beautiful. She just immediately connected with her son, and was so at peace, even while holding this super, super-frail baby. Eventually, Joe was also transferred (each baby had their own ambulance and medical team onboard). Rebecca was transferred Thursday afternoon. I grabbed some clothes, and followed the family to Santa Clara, checking in with friends and family en route.

So, we’re in Santa Clara! Rebecca will be hospitalized here 2-3 more days. The babies will be hospitalized until at least August 20. (Had they been full term babies, they wouldn’t be due to arrive until September 21). Texting is the easiest way to communicate. We’ve got our iPhones with us, so phone and email works, too. We’re open for visitors, as long as the crowd’s not too large. The babies will have breathing tubes for a few more days but they are getting lower settings of air with each pasing day. The Docs continue to be optimistic.

Please continue to pray for the babies. They have many challenges ahead of them. But we give thanks for the peace of what we have, right now. God's hand has been consistent through this entire process. Romans 4:4-5 is the verse that has been in my head for the last two weeks. I truly feel like He has done more than I could have ever dreamed of. I am in awe of His work in three beautiful, precious children!

Special thanks to Susan Kostal for taking incredible notes from my phone call on the way to Santa Clara... This is her Ghost writing for me. More eloquence and detail than I ever could have included.

PS: we will be staying in Santa Clara for next couple days. They want to transfer the babies back to SF once space is available.

Wednesday, July 02, 2008

Details




This just in from Eric:
Pictures and details as:

Alana Ciara
1lb 15 oz
6:20am

Alexa Leona
2lb 2 oz
6:21am

Josiah Bryson
3lb
6:19am





Girls are en route to kaiser Santa Clara for space reasons.

Boy & Mom are at Kaiser San Francisco on O'Ffarrell & will transport to Santa Clara as soon as we can.

All are recovering.

Praise the Lord!!!

They're Here!

Alexa, Alana and Josiah were born on Wednesday, July 2 at 6:19, 6:20 and 6:21 AM. I don't have which weights belong to which baby, but they came in at 1 pound 15 oz, 2 pounds 2 oz, and 3 pounds even. Eric sounds good; Rebecca is still recovering from the delivery. They went to the hospital last night around 7 PM. Rebecca had been having pretty regular contractions for about two hours. Eric zipped home from work, grabbed some food, and they were off. We had our small group last night at their home in their absence, and had the opportunity to help pray the babies into the world (though we didn't know it at the time!).

The babies will be transferred to a Kaiser facility in Santa Clara, as apparently the San Francisco facility has no room at the moment. Eric says all the babies are doing well, considering. Praise God! And please continue to pray for the babies and Eric & Rebecca. I'll post photos ASAP.
--Susan Kostal