Theo has entered the why phase and it may be the death of me. 

Why did you go that way?

Why did you say that?

Why is that man sitting there?

Why does that duck have feet???

The questions never end and are often so obscure I have no idea how to even answer them. If I give him an ambiguous answer like “because” he’ll respond with “why because?” If I say “I don’t know,” he wants to know why I don’t know. 

I’m told all these questions are a good thing developmentally and that an inquisitive mind is a sign of intelligence. 

If you need me I’ll be hiding in the pantry with a bottle of wine. 

4 months old

I had drafted the following post weeks ago – on his actual 4 month birthday- but never got around to finishing it until now. You could say life has been a little busy. 

I can’t even describe how good it feels to be writing this update from home. I know I keep saying this, but the NICU really does feel worlds away, and life at home is pretty normal for a newborn, if he were an actual newborn, that is. I go back and forth on how detailed I get on the “how old is he” questions when out in public. I’ve never been more aware of just how often this question gets asked! I’ve kind of fallen into a habit of quickly triaging the situation: what’s the likelihood I’ll see or interact with the person again? If slim, I just tell them his adjusted age. If I’m likely to see them again or we have friends in common, I say he’s four months old but was born three months early, so he’s more like a one month-old. Of course, this usually prompts a million questions. Some days I feel like a bit of a freak show with all the questions and shocked expressions. Other days I don’t mind telling the story. And some days I even feel downright proud. Why yes, he is a miracle! Yes, I am superwoman!

With that, here’s what our little miracle is up to at four months…

Adjusted age: One month.

Stats: 8 lbs 13 oz and 20 inches long.

Milestones: E lifts his head up and shows pretty good neck control for the most part — though he will occasionally slam his face into us or throw his head back while we’re holding him, usually when we least expect it. I’m terrified he’s going to backflip out of our arms.

Sleeping: He wakes pretty consistently every three hours to eat but has given us a few four-hour stretches. We’re still dealing with some reflux, which prevents him from falling back asleep sometimes, and for about a week there he was regularly awake and fussing between 3 and 6 a.m. Just in time for Theo to wake for the day. We have learned keeping him upright or inclined for a bit after eating helps some, so we’ve fallen into a routine where D will give him a bottle at night while I pump, and then since he usually finishes before I’m done, he’ll prop him up on a pillow in front of me while I finish pumping. By the time I’m done and have rinsed out all my parts, he’s usually sound asleep and his tummy has settled enough for us to put him down. During the day he mostly naps in his swing, which is inclined. We borrowed a Rock n Play from some friends, thinking he might like to sleep in that at night, but for some reason he hates it. He’s back on Prevacid, which seems to help some. 

Eating: We’re still struggling a bit here. After the pediatrician had us increase the number of fortified bottles from four to six, we were given permission to drop down to five after he had some better gains. So I’m getting to breastfeed two to three times per day and then pumping and bottle feeding for the rest. It’s pretty time consuming. He still isn’t a great nurser and with us having to give so many bottles doesn’t give us much opportunity to practice. I’ve seen a lactation consultant and have started attending a weekly breastfeeding group where I can weigh him before and after nursing so I can see how much he’s getting. He is slowly getting better. It’s really an uphill battle, though, and I’ve been tempted to throw in the towel on nursing on numerous occasions.

Personality: He is still very snuggly. He’s also starting to show a bit more of his spunky side. When he’s hungry, he doesn’t usually cry; he yells! He really sounds quite demanding. I’m looking forward to seeing his personality develop more as he gets older.

Likes: Snuggles with mom, the sound of big brother’s voice.

Dislikes: Reflux and gas. This baby is like a whoopie cushion with the impressive amount of gas he can produce. It’s not just a little toot; it just keeeeeps going. I swear he farts out twice his body volume. No wonder he gets so agitated.

Mama: I’m feeling pretty good, though I’m still shedding hair like crazy, which is really annoying. My hair is longer than it’s been in a while but it’s permanently in a top knot so I don’t have to deal with pulling hair off my clothes all day. Washing my hair is frightening and I’m always surprised I have anything left by the time I’m done. The weight is still falling off, thanks to breastfeeding. Other than that, I’m beyond tired, but not feeling too overwhelmed.

I’ll wrap this with a few photos from the past month and will feebly vow to be more timely with his five-month update. How do I almost have a five month-old?!

Squishy snuggles.

Brother helper.

So tired.

Meanwhile, back at the ranch…

Hello? Is this thing on?

We’ve been home now for about a week and a half and things are going well. I’ve had a lot of people tell me they miss the daily Emmett posts so I thought I’d give a quick update on how things are going. I definitely don’t plan to blog every day again — there just really isn’t enough to talk about — but I do hope to keep writing regularly to capture memories, much like I did before Emmett came along.

Unlike in the NICU where things were constantly changing, life back at home is moving much more slowly and we’re settling into a busy but blissfully mundane routine. Our days and nights are filled with normal newborn stuff: Getting stuck under a sleeping baby while watching entirely too much HGTV. Getting peed on in the middle of the night because we were too slow with getting a new diaper on in our groggy state (rookie mistake!). Bouncing, rocking, swaying, shushing while trying to figure out what the heck it takes to get McScreamy back to sleep at 3 a.m. In just over a week, Emmett has suddenly become less like a sick patient and more like a typical newborn and I feel like we’re getting to know him all over again outside the rigid hospital setting, where everything is strictly measured and timed. While we’re trying to maintain some semblance of the routine already set in place, we’re following his lead more and letting him sleep and eat according to his cues and our needs.

Feeding continues to be a challenge for us. He takes a bottle pretty well now, but he seems to be getting worse, not better, at breastfeeding. When we left the hospital, his latch was good, but he simply lacked the stamina to nurse effectively for every feed. We were instructed to give him four bottles of expressed breastmilk per day, each fortified with a scoop of Neosure powder for extra calories, and were given the all-clear to nurse at his other feedings. With him eating an average of eight times per day, it meant we were doing about 50/50 nursing and bottles. We’ve had two weight checks with the pediatrician since, and while he’s gaining, he isn’t gaining as rapidly as he should, so we were recently instructed to bump it up to six “protein shakes” per day, which only leaves about two feedings to practice breastfeeding. His stamina is better, but all the bottle feedings have spoiled his good latch and he gets frustrated easily at the breast. We’re going to see a lactation specialist this week to see how we can improve our nursing sessions so we can hopefully start doing more nursing and fewer bottles. Trying to bottle feed and then pump with almost every feeding is pretty time-consuming. Not to mention our neverending dishes thanks to all the bottle and pump parts. D has been taking most of the middle of the night feeds so I can pump while he gives a bottle and we can both get back to sleep as fast as possible.

Theo has been amazing. I know we’re less than two weeks in and that this is probably the honeymoon phase, but seeing Theo’s nurturing side come out is probably my favorite part of having two kids. He loves to kiss and hug baby Emmett, and has been so gentle. He is also very proud of “his baby” and loves to introduce him to everyone. I’m handling taking care of two kids better than I thought I would too. We pulled T from daycare while I’m home on maternity leave to minimize the germ exposure to E while he’s so small. And while I had visions of chaos — either neglecting a screaming baby while tending to a needy toddler, or ignoring my firstborn while an infant consumes all my energy and attention — so far things have been going pretty well. Theo is usually happy to entertain himself while I’m dealing with Emmett, and even likes to help by grabbing my water or my phone for me if I’m stuck nursing E on the couch. He’s gotten pretty good at fetching himself a snack and he knows how to operate Netflix on his own (not sure if that’s more of a brag or a confession!). On more than one occasion I’ve let him crawl in bed with me in the mornings where he’ll play quietly on the iPad while I catch a few more Zs after being up with the baby most of the night. I’m not winning any mother of the year awards but everyone is clean, fed and happy. I’ll call that a win. 

Overall things are going well. I’m insanely tired, but I’m happy. I touched on this on my last post, but it really is amazing how long ago the NICU feels already. With all the typical newborn stuff we’re immersed in, it’s almost easy to forget that he’s not in fact, a newborn. He’s a three month-old, who spent a quarter of his first year in the hospital. It feels like years ago, not weeks ago. And while I still haven’t figured out how to gracefully answer the “how old is he?” question while out in public, life just feels normal right now. And that’s a pretty big deal.


NICU day 98 – HOME.

I never thought this day would come, but we are home. After E’s weight loss last night, they decided to check his weight again this morning. With his good feed volumes, a loss just didn’t make a lot of sense. Whether he managed to gain between last night and this morning or last night’s weight was off, he somehow managed to be up 22 grams this morning. So around 6 a.m. we got the official word from the doctor: we were free to go.

D came home and then I took him to work and T to daycare, and then I came back home to clean and get a few other things wrapped up. I spent the afternoon at the hospital, talked to the nurses and doctors (there were many tears involved), took some pictures, signed some papers, and then I went to go pick up D from work, and T from daycare (after nap), so we could all go back to the hospital and take E home as a family. It was an incredibly emotional experience.

It’s funny, everyone says the NICU days feel long while you’re there, but after you leave they feel like a distant memory. I couldn’t have understood while we were in the thick of things, but we’ve only been home about six hours and already I’m starting to see how that could be true. In many ways it feels like a bad dream that I just finally woke up from.

I’m going to cut this post short because I need to get to bed. And unlike in the hospital, there will be no nurses to feed him when he wakes up in a few hours. Now the real fun begins…

A final quiet moment in the hospital.

Headed home as a family of four!

Waiting for Daddy to bring the car around.

First car ride!

Fun in the swing.

My boys.


NICU day 97

We’re still here. We got news this morning that they would like to keep us another day to make sure we are set up for success on the eating front. But we were told if things went well today we could go home tomorrow! E had good feed volumes today, and I spent all day frantically tying up loose ends with work. I got to the bottom of my inbox and conquered my to-do list, checking off what I could, delegating what I couldn’t, and creating a comprehensive hand-off sheet for the contractor we’re bringing in to fill in for me. I also spent all evening doing laundry, cleaning and getting the house ready. After feeling a little panicked yesterday, like I had too much left to do, I actually feel really prepared now.

And then D texted me from the hospital tonight and said E lost 22 grams at his weight check. 

Eff. We won’t get the official word from the doctor until tomorrow morning, but I have a feeling they’re going to keep us another day. 

Come on…

Milk drunk.

NICU day 96

There is a good possibility we are going home tomorrow. Emmett continued to average around 80 percent of his feed volume throughout the day, and even took 50 ml via breast this evening, which is better than he’s done at the breast in over a week. He did lose 4 grams tonight, though, so I’m not sure if that will prevent us from going home. The nurse tonight said they don’t count 4 grams as a loss and would label it no change, but she also didn’t seem to be aware of our potential discharge tomorrow, and she thought he was still on scheduled feedings. She also tried to get me to breastfeed when he was just calmly staring up at me and showing no hunger cues and had just eaten an hour before. I’ve never seen this nurse before and I must say I’m not impressed. She doesn’t seem like she knows what’s going on at all. Thankfully at this stage in the game, the nurses aren’t as critical anymore so I’ll just wait until I see the doctor or until the day nurse comes around 7 a.m. to figure out what’s next.

I will admit, I legitimately freaked out this evening after I got home from work, realizing that we could potentially have Emmett home this time tomorrow and I still haven’t installed the car seat base or even thought about a going home outfit for him yet. I also still feel like I have a million loose ends I need to wrap up at work and a ton of chores around the house I had hoped to finish before we bring him home. Amazing how I’ve had three months to prepare for this and it’s suddenly crept up and I have nothing finished. As much as I want him home, I would probably be okay if they wanted to hold us for just one more day!


NICU day 95

Note: I was just notified by my mom via text message that I did not post this last night. Oops! Lots of good news below, and this morning we just got the even better news that if the next 24 hours go as well as the previous, we can go home! 

Here’s the rest of what I wrote last night.


It’s been more than 24 hours on the no feeding tube trial and we’re doing well. E ended the day around 85 percent of feed volume and managed to gain 44 grams tonight, so that’s a huge win. He’s now 7 lbs 13.5 oz. I haven’t nursed him since yesterday, as I was gone for several hours today and he was sleepy the times I was there, so he’s just been getting pumped milk from a bottle. I feel like a little bit of a failure that I can’t seem to give him those numbers when I’m nursing, but I’m still determined to keep working on this. I know preemie moms who have left the hospital on bottles and fought their way back to breastfeeding and went on to have a successful time nursing. So it can be done. The most important thing is that he is eating, and minus the feeding tube. If he keeps this up we could be home very soon.

NICU day 94

Well, we’re doing another trial off the feeding tube. We aren’t quite at 80 percent due to the nurse gavaging him twice overnight (though if you ask me, sometimes I think they just gavage him when he could possibly wake up and eat), but he’s had several full feeds in the last couple days and when he pulled his feeding tube out again today the doctor suggested we just not put it back and see what happens again. This time around, the doctor suggested that we just do one or two breastfeeding sessions per day and make sure he is really awake, and bottle feed the rest. She thinks the one or two breastfeeds per day will give him the practice he needs so he doesn’t lose the skill, while allowing him to conserve some of his energy since he doesn’t have to work as hard for a bottle. We can work on gradually increasing the number of nursing sessions per day at home, but as long as we can maintain volume, the doctor said she sees no reason we need to stay here any longer. The next 48 hours will be very telling; we’ll either go home or go back on the feeding tube.

I spent most of the day at the hospital today, and went home late afternoon, and then D and I went out to dinner and a movie (T is with grandparents for the night). Then I came back to the hospital for the night. When I got here, E was wide awake and happy and the nurse reported he had taken two full bottles while I was gone. He then nursed and got about half of his feed volume from me, which is better than average. Since we aren’t gavaging after nursing now, the hope is that he can self-regulate and wake up again if he gets hungry sooner, or possibly take a bigger feed next time. I really hope this works, though I’m trying to be realistic since we’ve been through this before. 

NICU day 93

E had a good feeding day today. He hasn’t had to be straight gavaged since 3 p.m. yesterday and he took several full bottles today. I went into the office so I didn’t get to nurse him until 9 p.m. this evening, but he took about a half feed from me, which isn’t terrible. He definitely does better with the bottles. We ended our day at 72 percent of all feeds orally, which is great! Of course, since I’ll be here tonight and most of tomorrow, the breastfeeding will bring down our average. The analytical side of me hates to see those numbers plummet on a day where I nurse more than bottle feed, but the side of me that really wants breastfeeding to work wants to practice at every chance we get. Conflicting emotions, for sure.

Either way, it’s clear that E is starting to get stronger. He was very alert during his feeding tonight and I even put him back in his crib still awake. He very well may sleep through his midnight feeding, but it’s good to be making noticeable progress. Inching along…