Wednesday, January 9, 2013

Vaccines and Vacays

This was another huge week of firsts for our little guy!

We started out our long weekend with a trip to the pediatrician for his "two month" check up.  Our pediatrician opts to do this appointment at 6 weeks to get the first round of vaccines on board before mommy goes back to work.  Since the CDC says the vaccines are safe and effective at 6 weeks, mommy is okay with it.  This was mommy's first time "flying solo" with Gideon at an office visit, and he did such a great job!  Our big boy is now 10 lb 12 oz and 23 inches long, making him 50th percentile for weight and 75th percentile for length.  I was very pleased with the nurse who administered all of Gideon's immunizations- she went very fast and laid all of her equipment to the side so that I could pick him up as soon as she was done.  There were just a few tears from the initial shock of the vaccines (which was still hard for mommy), but then he stopped crying as soon as I picked him up.  I gave him some prophylactic acetaminophen before the appointment to help with soreness and fever, and we continued the APAP around the clock for 48 hours.  This mommy LOVES infant acetaminophen; I had a different baby once it kicked in.

Speaking of acetaminophen, a brief pharmacist rant...

There used to be two types of children's acetaminophen liquids, infant drops (80 mg/ 0.8 mL) and children's suspension (160 mg/5 mL).  With the old infant drops, two droppersful (1.6 mL) would equal the same acetaminophen dose as one teaspoonful (5 mL) of children's suspension.  The problem with two concentrations on the shelf is the risk of accidental overdose for children.  Say a mommy calls her pediatrician to get an acetaminophen dose for her child and is told to give one teaspoonful (5 mL).  Mommy goes home, grabs infant drops, and measures out one teaspoonful- accidentally giving her child 500 mg of acetaminophen (the equivalent of an adult extra-strength Tylenol!), instead of the intended 160 mg.  Children can't metabolize acetaminophen as well as adults, so this is a very dangerous problem.  To combat this, the manufacturers discontinued the infant drops and began marketing infant acetaminophen concentrated the same as children's acetaminophen, 160 mg/5 mL.  This is great news- standardized concentrations across the board.  However, this pharmacist has a problem with the new packaging- there is a complete lack of dosing recommendations on the bottle for a child under 2 years old.

Now this mommy knows how to dose acetaminophen, but most mommies don't.  What concerns me is a mom who has multiple children who thinks "well with my older child I just gave a full dropper," and doses her new baby the same way- giving her child a full dropper of the new infant suspension- the appropriate dose of acetaminophen for a 30+ pound child.  See the problem?

So, a brief pharmacy PSA- always ask your pharmacist the appropriate dose of acetaminophen for your child, based on your child's weight.  If you have any of the old infant drops in your medicine cabinet, throw them away! (They're probably close to expired, anyway).

Rant over, thanks for listening :)

After our MD visit, we took a weekend trip to Demopolis to visit with some sweet friends and to give the men a chance to go hunting.  Our friends in Demopolis have many animals mounted on their walls, and Gideon LOVED looking at their fish.  (Someone is going to have a great time in Ft. Myers in a few years!)  Gideon also did great sleeping in his pack-n-play, and even slept from 11 to 6 one night!  He handled the long car rides like a champ as well.  We're blessed to have such a good car seat sleeper.

Before church on Sunday we took a family photo- check out my handsome men!

We're looking forward to many more adventures with our little guy!



Wednesday, January 2, 2013

2012 Year In Review

2012 was a pretty amazing year for the Gallahair family!  Here are a few highlights from our whirlwind year.

January
-We visited with some sweet friends in Demopolis, as we do every year.

February
-We assisted with Glo weekend at church (a Disciple Now weekend).  I led the Jr High girls while Keith led the youth guys.


March
-I celebrated my birthday week
-Keith led a group of 10th grade guys at a Disciple Now weekend in Peachtree City, GA
-Keith served as an usher in a fraternity brother's wedding, while I spent the weekend wondering why I wasn't feeling well.

April
-We're having a baby!  We decide to keep the news a secret until I graduate pharmacy school.

-We find out baby is coming sooner than we thought, so we travel to tell the family early.
-Keith got accepted to seminary at The Southern Baptist Theological Seminary, pursuing a Master of Arts in Church Ministries.

May
-After 8 long years of college, I achieve my goal and officially become Bethany G, Pharm.D.  (Why yes, you can call me "Doctor.")
-I travelled to Orlando to train for my new role at work.
-My little sister graduated high school.

June
-Keith is hired at The Brook.
-I was a bridesmaid (brides-matron?) in my college roommate's wedding.  She picked a forgiving dress to accommodate my growing belly.
July
-We purchase a new vehicle to transport our growing family.  It's not a minivan.
-I pass the NAPLEX and MPJE and appear before the Alabama Board of Pharmacy to petition for licensure.
-I begin working as a pharmacist
-We officially find out that we're having a boy.

August
-We started house shopping and put an offer on our first home.  After some back-and-forth with the owners, we decided to walk away from house #1.  We placed an offer on another house, which is accepted.
-Keith went on a work retreat and got adopted by a stray puppy who is obviously malnourished and recovering from injuries.  We named her Lucy and welcomed her into our family.
 
September
-We closed on our first house.
October
-I got in a car wreck on the way home from work (not my fault) and spent the night in Labor and Delivery for monitoring.  Gideon stayed put.

November
-Our lives changed forever after a traumatic morning, and we are a family of three.
-We came home from the hospital on Thanksgiving Day, and enjoyed Thanksgiving dinner with family.
-Keith celebrated his birthday.

December
-We took Gideon to church for the first time and celebrated Christmas at home with family.

We're looking forward to this coming year and seeing what God has in store for us!

Wednesday, December 26, 2012

First Christmas

In some ways, I almost feel like I missed Christmas this year.  I spent almost all of the holiday season confined to my house due to C-section recovery driving restrictions and fear of exposing G to germs.  The extreme sleep deprivation didn't help me get into the Christmas spirit, either.  However, we did manage to have a lovely Christmas at home this year.  Some notable events included...

-Mom going to the Ladies Christmas Brunch at church.  This was my second time away from G (the first time was a short trip to Wal-Mart), and it was wonderful.  It was so nice to fellowship with the ladies at church, eat some amazing food, and not be tethered to a feeding schedule for a morning.  I was surprised by the number of people who expected me to have little man with me, though.  He was three weeks old at the time; three week olds have no business in public, especially during this year's terrible flu season.  (Think I'm overreacting?  You wouldn't if you worked in retail pharmacy :) )

-Taking a Christmas light tour of Madison.  To get me out of the house one day, my sweet husband loaded us in the car, took me through the drive thru at Starbucks for a Holiday beverage, and then drove me around town to look at all of the pretty Christmas lights.  I got several great ideas for exterior decorating for next year, and look forward to having some Christmas lights outside my home.  G was immediately asleep in his car seat, so I got to enjoy quality time and conversation with my husband.  Conversations are more fun when they don't revolve around feeding and diapers.

-Doing some light Christmas baking.  I had to break in my new kitchen!  I love having pretty appliances and nice countertops, and I had a great time making some family favorites.  I was thinking that baking will be even more fun in a few years when little man can help me cut out sugar cookies or unwrap Reese's cups for his daddy's favorite Christmas goodie.

-Seeing lots of family.  Almost all of G's extended family has stopped by at some time or other during the holiday season.  We've had visits from all three grandmothers and grandfathers, two great-grandfathers, two great-grandmothers, two aunts and uncles, a cousin, and two great aunts.  

-G's first trip to church.  Our ped recommended G not go to church until he was at least 2 months old due to risk of cold, flu, and RSV.  We did "cheat" for the Christmas candlelight service at church, and G went with me in his Moby wrap.  I sat on the back row in case we needed to make a quick exit, but G loves being snuggled in his Moby, and slept the whole time.  I loved being able to attend church for the first time in over a month.

-Getting to fill G's stocking.  Since G is so little, there wasn't much under the tree this year.  However, he did have his stocking filled with a few toys from mom and dad.  He even smiled in response to one of his new toys, which was fun.  

We're looking forward to starting Christmas traditions with our little guy in the future.  I'd imagine Christmases are going to get much louder around here in the next few years; what fun that will be! 


Wednesday, December 19, 2012

One Month Old

My sweet boy is a month old today; time really does fly with a little one.  A few highlights from the past month include-

Firsts?- Everything was a first this month!  Some of the more memorable firsts included your first bath (complete with lots of pictures to show your first date one day), first trips out of the house to somewhere other than the pediatrician's office (my district office and Panera Bread), and first big smile.

Sizes? Newborn clothes, but I don't think for much longer, and size 1 diapers.

Eating?  Exclusively nursing for now around every 3 hours, with some longer intervals in the evenings.  You aren't picky, and will happily take a bottle from daddy.

Sleeping?  You sleep for a significant part of every day right now, but are becoming more alert during the day.  At night you usually sleep at least one good 5 to 6 hour stretch at some point.

Favorite things?  You love anything that plays music, so your swing is one of your favorite places.  You are rarely without your pacifier and get very upset if you spit it out and can't find it again.  Your favorite pacifier is your WubbaNub, as you can somewhat hold on to it.

Like mommy? Your red hair and chin dimple

Like daddy? Your upper lip and the expression you wear when you're trying to figure something out.

Sunday, November 25, 2012

GIdeon's Birth Story

Precious Gideon is here, and we are so blessed to have this amazing gift from God!

I apologize for the lengthiness of this post.  I've had many issues with Gideon's birth that I've needed to process, and I feel like writing them down will help.

During this pregnancy, I made several statements repeatedly regarding what I would like for Gideon's arrival.  Up until about 37 weeks, I was adamantly against being induced for fear of having a C-section due to "failure to progress."  I always knew I wanted an epidural, in the "highly unlikely event that Gideon has to come via an emergency C-section, I'll be ready and all they'll have to do is cut."  I think God laughs at our plans, sometimes.

At my 38 week appointment, I was feeling very large.  My OB had some concerns about the size of my child relative to my size, so we opted to schedule an induction for the following week, with me coming in to the hospital on Sunday night for Cytotec, and starting Pitocin early Monday morning.  I expected a rather lengthy affair, and even asked family to please not be at the hospital early, since there would be such a long day of waiting.

Keith and I went on a last date as a family of two on Sunday evening, with a wonderful dinner at Conner's, followed by getting Keith an early birthday present at the Fossil store, and me a new book to read in the hospital.  After all, we'd be there a while, just waiting.

I promptly got called back and signed in by my L&D nurse.  I got hooked up to two monitors, started Cytotec just fine, and I didn't seem to have any troubles.  Out of nerves and excitement, I had a headache, and got some Tylenol about 11 at night to help.  Around 1:30 in the morning I noticed contractions that were waking me up from sleep, so I requested something for pain.  After handing my phone over to Keith for fear of drug-induced texting or Facebooking, I got a dose of Stadol.  While I was grateful for the pain relief, the side effects were ridiculous.  I had the most abnormal/vivid dreams I've ever had.  I wanted to tell Keith what I was seeing in my dreams, but knew he would just laugh at me and say that I was stoned ("um...yeah, Bethany, you were").

During the night, I noticed something was a little off.  My L&D nurse kept coming in to adjust the monitor on Gideon's heart.  When I was admitted for my wreck, he kept kicking the monitor off, so at first I thought that's what was going on.  However, in our case this time, it was much more serious.

At this point my details get a little blurry.  I remember a lot of things, but it was such a swirl of activity that I had a hard time keeping track.

We started Pitocin at 5:30 am, and I was looking forward to getting to meet my little man.  Yet around shift change, things started to get busy/scary in my room.  My nurse was mentioning how Gideon's heart rate kept decelerating, and they couldn't figure out why.  My OB came in to check me, and to break my water.  They made the decision to actually discontinue my Pitocin drip, as I started to progress incredibly quickly (2 cms to 7 cms over an hour). "I'm moving fast, Keith, get my mommy here."  Because I was progressing so fast, my contractions went from mild and manageable to almost unbearable over a span of about half an hour.  Anesthesia came in to administer my epidural, and I was grateful for some pain relief.  However, I noticed that my pain didn't get drastically better; it just dulled a little.  Before too much longer, I was contracting over the epidural.  All during this, there was a bustle of activity in the room.  Not just my day shift nurse, but other nurses, and the charge nurse were coming in to watch Gideon's monitor.  My nurse started to put compression stockings on me, and said "mommy, I'm not trying to scare you, but we might have to go to surgery.  I'm gonna get you ready just in case."  At this point, I was in so much pain that the thought of surgery didn't bother me at all.  I knew that would mean I wouldn't hurt as much anymore.

My day nurse had me try getting in multiple different positions to see if that would help Gideon's heart. I was placed on oxygen to try and help as well.  I heard my day nurse come back into the room with medicine and say to my OB on the phone "so if this doesn't work, we're going to section?"  I was given terbutaline, which is usually given to stop women in premature labor from contracting to see if that would help Gideon respond better.  It didn't.    My OB came in the room, assessed a few things, and then said "yes, we're going to the OR."

They quickly unplugged all the monitors from the wall and started running my bed down the hall. (They do that in real life, not just on tv.  Who knew?)  They wouldn't let me hold Keith's hand, because I had to keep my hands inside my bed.  I wanted to hold his hand; I knew he'd be scared, too.  I remember calling out to Jesus at this point for the safety of my child.   My OB came up alongside and started giving instructions- I remember them asking if I was wearing anything metal (my glasses and hair clips).  She told Keith to put on scrubs and said they'd come get him. (They never did.)  Then she asked if NICU was on board- I remember my heart sinking at this point.  Not NICU, please not NICU.

We got into the OR and I was moved to the operating table.  I remember thinking that I should thank the pain medicines in my system for my not feeling extremely panicked.  One member of the anesthesia team pointed out that you could hear Gideon on a heart monitor in the room, and that his heart rate sounded strong "that's your baby, mommy, hear how good he sounds?"  I felt them scrub my tummy, which sent me into a panic "I can feel that!  I can feel that!"  Another member of anesthesia (the same man who placed my epidural) said "don't worry mommy, we're putting you to sleep."  An oxygen mask was placed on my face ("take good deep breaths, mommy"), something was injected into my IV line ("you might feel stinging in your arm and a tickle in your throat"), my OB called a surgical "time out" ("this is a cesarean delivery for Bethany Gallahair"...), I took deep breaths, closed my eyes...

...

I woke up an hour and a half later.

I could see the clock on the wall across the room, so someone was sweet enough to put my glasses on me while I slept.  My nurse came to check on me, and told me I was done with my surgery.  I had a lot of questions, and tried to sound coherent under residual effects of medication.
-"Is my baby in NICU?"  (No mommy, he's in well baby nursery)
-"How is my husband?  Is he okay?" (yes mommy, he's doing fine).  I think I asked this more than once.  When my nurse was giving report to my mother/baby nurse she mentioned how concerned I was for my husband.
-"What were the APGARs?" (8 and 9)

I heard my OB come in a few minutes later and exclaim "Oh he came out wailing!  And he's adorable, too, head full of red hair!"  Red hair, just like his mommy.

The rolled me into the elevator and up to my mother/baby room.  I was so excited to see Keith and my mom, sister and Mr. Leslie.  Keith came up and told me that no one held Gideon until I could get there-  what an incredibly sweet thought.  As I was holding my son for the first time, and marveling over how precious he is, I found out the true reason for why my morning had been so crazy from Keith.  "Did they tell you what happened?  The cord was around his neck."

I grieve some of the things I missed from that hour I was asleep.  His first strong cry is a big one.  I grieve that due to general anesthesia my husband couldn't be present for his son's birth.  I grieve that I didn't know that I was a mommy until an hour and a half later. (For the people who wondered why we didn't update people the minute he was born, this is the reason why.  His own mommy didn't know he was born.)

However, through all of the grief and chaos, I thank God for the safety of my child, and the amazing medical staff who brought him safely into the world.  I'm so blessed to have a healthy son, and an incredibly supportive family to help me take care of him.


Sunday, November 4, 2012

Gideon's Baby Shower

A few weeks ago I was SO BLESSED by an amazing baby shower hosted by the youth group ladies.  Here are just a few highlights from a fantastic afternoon...

The TV screens in Building 4 were changed to welcome Gideon and to celebrate his upcoming arrival.


The centerpieces of the tables kept with the jungle theme, featuring stuffed jungle animals and delicious homemade mints.

Look at all of this food!  Our selections included cheese straws, fruit tarts, baby mints, and some adorable cupcakes designed to look like rattles, plus loads of other goodies.  The plates were even shaped like jungle animals!  In the background, you can see Gideon's blue punch with rubber ducks floating in it.  So adorable!

Here's a close up of the fruit.  A watermelon baby!  How precious!

These crafty ladies even made Gideon a diaper cake.  In front of the cake were diapers for guests to sign in on, in lieu of a guest book.  I'm sure those will provide some smiles during early morning diaper changes.
Speaking of diapers- the ladies organized a diaper game for us to play.  Inside each diaper was a melted chocolate bar, and the object was to see who could identify the most chocolate bars correctly by smell.  I came in a close second to my cousin.

The girls even got Gideon a basket full of clothes.  This piece was my favorite- a plaid shirt so Gideon can look just like his Daddy.  Now all he needs are some baby Toms.

I am so excited that Gideon has so many eager babysitters-to-be who are just as excited about his arrival as we are.  These ladies did such an amazing job, and I am so blessed to have them in my life.

A special "thank you" to Katrina H. for her amazing photography skills and use of her photos on my blog.  An additional "thank you" to all of the wonderful ladies who planned and executed the most precious baby shower I've ever seen!

Saturday, November 3, 2012

36 (almost 37) weeks...oops

I'm not very good at keeping up with my blog!  Oops.  I'm sure Gideon won't care.

Baby is as big as a? watermelon!  I believe it, too.  I feel like a hippo.

Wedding rings on or off?  Still on.  My hands haven't swollen too much; my ankles are more than making up for it.

Working?  Still full time, 13 hour days.  They're really not that bad; I just sleep all day on my off days.

Baby readiness?  The nursery is as finished as it will be before Gideon gets here.  Gideon's nursery furniture had to take a back seat to some car repairs/insurance deductibles, but we have a bassinet and a pack-n-play, so our little guy will have plenty of comfy places to sleep.  We also made a very important baby purchase yesterday, a new camera, ready to snap plenty of pictures of my sweet little man.

Hospital bags?  Packed and waiting.  I finished up mine this week, along with a list on top of last minute "don't forget!" items that I can't do without (like my glasses).  Gideon's bag is packed as well, with his baby book ready to have his little footprints stamped in, his going home outfit, and a beautiful afghan from his Nana.  I also finished my "Gideon binder" with all of my important delivery day paperwork organized and in one place- insurance card copies, my advance directive (Labor and Delivery asked me to bring this with me- let's pray that they don't need it!), short term disability paperwork, and our list of people to call.  I'm a little bit OCD.

Recent frustrations?  We got my car to the repair shop that will be fixing it, and found out the damage was much more than we could see from the outside.  They anticipate our repairs will take a month to complete.  Good thing Gideon won't care that he's coming home in a rental car.

Progression towards labor?  I'm starting to have some mild progress towards labor.  My OB seemed relieved when I told her I didn't want to be induced.  Apparently some mommies hit 36 weeks and want their babies right then, but I'm happy to let Gideon grow a little bit longer.

Appointments?  Every week now.  Our most recent appointment included an ultrasound that estimated Gideon's weight at about 7 lbs.  We also had a mix-up with the time of our ultrasound, so the tech threw in a few 4D pictures of Gideon's face for us.  Gideon is exceptionally handsome, and looks very much like his Daddy.