Wednesday, August 19, 2009

First Texas ECI Visit:: "Uniquely flexible"

Yesterday was our first visit with our new case manager through Early Childhood Intervention. This is like what Jeanette with Infant-Toddler did with us back in Manhattan. Two ladies came and caught up on the life of Ellie. Melissa will be the one meeting with us weekly (for starters) and then Kelly, a RN, came and did a nursing evaluation. She got all the stats on Ellie. Drum roll please....Ellie weighed 16 lbs. 15 oz. (30th percentile for her adjusted age; 3rd percentile on the real growth chart) - so that's about a pound and a half gain from her 9 month check two months ago. Her length was 68 cm = 26.77 inches (50th percentile for adjusted; 3rd percentile for real growth chart); head circumference was 46 cm (95th percentile for adjusted; 70th percentile on the real growth chart)

They asked a lot of questions about what Ellie's doing these days, which to be honest is a lot now compared to before! They also caught up and did the 6 month evaluation and the DAYC (which is the screening they use here). They looked at the areas of: communication, cognitive, motor, social emotional and adaptive/self help. So based on what they observed and asked, Ellie's charting as follows (remember she's 11 months real age, between 8-9 months adjusted): adaptive= 13 months; cognitive= 9 months; fine and gross motor= 7 month; language (expressive/receptive)= 8 month; Personal/social=10 months. So as you can see there are some areas where there is a delay (to be expected), but some areas where she's ahead.

I really don't get hung up on where Ellie's ratings fall, even every full-term kiddo is different developmentally! However, I really do enjoy these types of services for the educational component and so I can look for things to help her development. They watched her crawl and noticed that her feet turn in a little bit. They also just watched her when she goes from laying, to sitting, and then to pulling up on her knees and the quote of the day was, "Ellie is uniquely flexible!" So funny, I had kindof thought she might be double jointed because seriously she can touch her wrists behind her back with her arms straight....and she does sit in the cheerleader/hurdler pose quite often. But yeah, Ellie apparently has some flexibility! Too bad her parents don't anymore! Now, that I think about it, remember "tripod"...Ellie's been testing her flexibility from very early on! They both recommended a consult with OT/PT to just take a look at her hips/feet. Sounds good to me! She also, with her prematurity, is a high risk for her vision and hearing, so they're going to follow up with that as well (which we already also have been through our pediatrician). Oh, and they're also going to have a nutrition consult to help me with Ellie's nutrition intake goals. I really liked Melissa and am looking forward to her coming back next week to see what the little Miss Ellie is up to next!

Here's a pic of daddy and squeaky clean Ellie.....so happy together!

Ronald McDonald Fundraiser: Team Gramkow Family Story

Well, I did want to post this on the blog not only to share with those who couldn't be there, but also because I am after Ellie's First Birthday going to convert this blog to a book (I think I can do it through thecutestblogontheblock.com). I want Ellie to know her story and the ways in which we shared about it too.

Ronald McDonald House Charities of Northeast Kansas
Denim to Diamonds 7th Annual Dinner and Auction
Saturday, August 15, 2009
Capitol Plaza Hotel in Topeka, Kansas

My name is Mandy Gramkow, this is my husband Ben, and this is our daughter Ellie. I’m here to share with you our story, the story of Team Gramkow.

September 3, 2008, is a day that my husband and I will never forget as our world was turned upside down. I had a rough week physically with my pregnancy leading up to that day and decided to move my doctor’s appointment up. My doctor’s visit lasted short of what seemed to be 5 minutes as my doctor hurriedly told us to get to the hospital where I would be life-flighted to Topeka. Laboring at 28 weeks, I was 5 cm dilated and 100% effaced.

When I got to Stormont Vail, the accepting physician said that he wasn’t going to wait for me to deliver in the room. So much was happening so fas and he called for an emergency C-section. They gave me general anesthesic (which I was quite thankful for after the morning events!) and when I came too, I learned that we had a little girl. I thought for sure that it was a little boy causing all this drama.

Ben had followed our little 2 pound, 7.5 oz. baby girl, Ellie Jo, to the Neonatal Intensive Care Unit. I knew a NICU probably existed, and had heard about premature babies, but boy, the first few days at the hospital learning about our little Ellie’s condition – I had no idea how fragile this little life was. Ellie’s eyes were both still sealed shut, she had severe bruising on her head and face, and was immediately placed in an isolette to keep her warm. Her skin was sticky. Her little ears were thin like paper and plastered to her head. Ben and I are life-long students, but this was a course like none before.

From day one, we had to remind ourselves that this was part of God’s plan and Ellie just couldn’t wait to meet us. Not everyone gets to see on the outside the amazing miracle of life and the development of a baby during the last trimester. We had to wait three days just to hold our little girl for 6 minutes because she couldn’t tolerate too much stimulation. What a hard lesson to learn too – when you can see your baby lying there, but can’t do the things that parents are supposed to get to do. We couldn’t do anything but stand by our little girl’s side and watch her continue to fight for her life. Ellie was off the ventilator after day 2. Her first feeding of breast milk was 2.5 mL on day 3. (there are 30 ml in one ounce and I will forever that!) Each day she amazed us more and more. God protected Ellie from infection and some potentially major bowel diseases. It’s a lot to ask a little premature baby to start eating, using her bowels, using her lungs – all things that were supposed to mature in the womb that last trimester.

Why me? Why us – this is our first baby, we’re both busy graduate students at K-State…a perfect pregnancy would have been nice, please……this just wasn’t the way it was supposed to happen. I had everything planned. This didn’t go according to plan. This baby came three months too early!

I’m sure every parent who has a premature baby or even a sick child can empathize with our feelings of the “unknown.” The emotions of worry if my child is going to make it too tomorrow are not pleasant. Those emotions are absolutely exhausting.

I remember the night before I was going to be released from my post-partum floor. I asked Ben where we were going to stay while Ellie was in the NICU. We found out about the Ronald McDonald House (which I shortened and call Ronnie’s) and went to check it out. They said it was just a few blocks from the hospital and that they had a room for us. I so did not want to leave that hospital and didn’t check out until the latest time I could. I didn’t want to leave Ellie. When we got there, I remember my eyes filling with tears. It looked like a beautiful house and when we got inside, I started crying even more. In the entry way, Ben showed me a cupboard of tiny hats and dresses that we could pick out and take one for Ellie. A huge kitchen had wonderful snacks and baked goods on the counter. There was a fridge for us to store our own food in and a fridge with food to share (gotta love those papa murphy’s pizzas).

Ben showed me the comfortable living room, the scrapbooking table where I could make a little sign for Ellie to put up on the baby board in the kitchen, a computer to check e-mail, update our blog with how our little princess is doing, oh yeah, and to work from a distance and do homework…the tears just kept a flowing. He showed me downstairs where we could do laundry and the family room where we could watch TV for a break. He showed me upstairs to our room (even with sleep number beds) where my dad and Ben had already unpacked our stuff. He showed me the breastmilk freezer….yes, that’s right a freezer just for breastmilk. They also had two hospital grade breastpumps for us to use. What a blessing. Now I’m sorry if that was too much information for some of you…but hey, especially to a NICU baby, that stuff is liquid gold! Plus, for me, that aspect was very important because it was something only “mommy mandy” could do for little Ellie. I couldn’t hold her 24 hours a day like most mom’s get to right after their little ones are born, I couldn’t take her home after a few days stay, but I could produce her food to for her little fragile belly to learn to eat and digest, even if it did only start out at 2.5 milliliters. I was able to use the pumps at Ronnie’s and freeze the milk to take into the NICU the next morning. Wow – the Ronald McDonald House was too good to be true, such a perfect place to meet our basic physical needs and be our home away from home – so we could truly be where we needed to be – with our little princess.

The first couple weeks Ellie was in the hospital were the hardest. But, we noticed we weren’t the only ones in this “boat.” There were other NICU mom and dads that we met at Ronnie’s. We would literally spend all day at the NICU and come home just exhausted. We’d ask each other how the “day” was because really…we all learned that we had to just take it a day at a time. The scene usually looked something like this – we’d see each other in passing at the NICU as we went in and out of our little one’s rooms, we’d see each other at lunch maybe in the cafeteria, and we’d see each other hovering the NICU door waiting to get back into the NICU after the half-hour the doctors and nurses needed with our babies. We’d all get back to Ronnie’s at oh, maybe 10 or 11 pm and would raid the fridges and have our late night talks and updates. We were able to support each other because we all were going through it together. I will always remember and even still keep in touch with the parents I met through Ronnie’s.

We were blessed to have an amazing medical staff at Stormont-Vail care for our little princess as she spent 71 days with her NICU family. I think we spent around 60 of those nights at the Ronald McDonald House. We celebrated on November 13 as we got to take our little Ellie to her home in Manhattan, all 6 lbs. and 7 oz. of her! One week before her due date of November 27. Needless to say Thanksgiving had a whole different meaning.

In May, both Ben and I graduated with our Master’s from K-State, which was a joyous day because we really wondered if we’d get everything caught up after Ellie’s early arrival. In June, Ben started his job in Fort Worth, Texas while I stay at home to care for Ellie. Last week, Ellie started crawling and we couldn’t be more proud. She’ll celebrate her First Birthday in THREE WEEKS! I can’t believe how fast the time has gone, although when Ellie was in the NICU it seemed like time stood still!

We forever will be thankful to the Ronald McDonald House for allowing us to have a home away from home during Ellie’s NICU stay. We can’t wait until we can pay it forward and help other families in need through the great work of the Ronald McDonald House. However, Ronnie’s here in Topeka, Kansas will always hold a special place in our heart and we thank you for that.

Tuesday, August 18, 2009

Ronald McDonald Fundraiser Weekend

Well, I finally have some time to set down and write about our WONDERFUL quick trip to Kansas this past weekend. Ellie and I both spent time catching up on our rest yesterday. Ellie was a trooper on the trip, but exhausted when we got home! Poor Ben had to go right back to work, early Monday morning, and we appreciate him for that! Where do I start? Oh, it was just such and amazing weekend that I wish it could have been a week longer...or wait, I wish we still LIVED in Kansas! Friday morning we left at the peak of morn to catch our early 7:50 flight. The way there, we had to take a detour because of an accident (of course, big city traffic has accidents) and then also when we got there our gate changed. We made it there luckily as they were starting to board. Aunt Audrie (not to be confused with NICU Nurse Cousin Audrie) picked us up at the airport and then we of course had to stop and visit our NICU family.
From August 2009
It was so great to see so many of them. Then we got to go eat at Bobo's only to fellow NICU mom, Brooke's persuasion, which we were grateful because we were in Topeka HOW long and never went there! Pretty good. So good to catch up with Brooke and Ellie's NICU buddy, Liam.
From August 2009
Friday afternoon we went to Ronnie's and got to help out with orgainizing the silent auction items and help Cousin Audrey who was in charge of that part. So good to spend some time with Cuz Audrey and to be at Ronnie's again too! Of course I cried when we got there too!
From August 2009
Friday night we spent at Alisha and Josh's house in Lawrence and had a WONDERFUL time catching up and doing lots of laughing! This was good for mommy as she has really missed her good friend, Leesha! Saturday morning we took a quick trip to Manhattan to see Uncle Wade and Aunt Caryn and family. Ellie got to show off her crawling skills and watch her cousins for entertainment. We also got to see Lori (Ellie's 1st babysitter) and Tonya (Mandy's supervisor at Jardine) and eat Houlihan's for lunch. We got to see the FABULOUS new office building at Jardine and Ellie even crawled around on the new sunflower glass floor!
From August 2009
SO nice! But sure made us Gramkow miss Manhattan like CRAZY! Yesterday, I actually found myself telling Ben he could go ahead and get his PhD if we can move back to Manhattan! Saturday night brought on a lot of emotions as we got to read our story and also share how much the Ronald McDonald House meant to us during Ellie's NICU stay. It was also great to see more of our NICU family and then also some family and friends join us at our table too! (David, Audrie, Anna, Alisha, Josh and one of my grad girlfriends, Dana)
From August 2009
So great to be there to show support to an AMAZING organization. It was funny because Melissa Brunner, I think is her name...she remember Ellie from when they did a Medical Segment on the news when Ellie was in the NICU! :)
From August 2009
Too funny. I thought I was going to be ok and hold off the tears, but when I was reading in front of all those people, the emotions came back, the memories came back and I did cry about three times during the speech where I had to pause. So glad that Ellie and Ben were up on stage with me and Ellie even babbled some during the speech which made me laugh. It was so amazing to be there and to be able to share with people how Ronnie's touched our lives by being our home away from home. That house will always hold a special place in our hearts. Sure got me motivated to get my paperwork turned in to be a volunteer at the Ronnie's here in Fort Worth! We went back to Kansas City after the Ronnie's fundraiser and stayed with Audrie and David, went to church with them in the morning, lunch at an amazing Mexican restaurant where we met up with Anna and Fred and then back to the airport....BOO! It was SOOOOOOOOOOOOOO hard to come back this time. We had such a wonderful time. We got in at about 5 pm and then decided spontaneously to go to a "new to Trinity Chapel Church BBQ" that started at 6 pm. We were all exhausted, but thought it'd be good to go and meet some more people from church. We had a good time there and did make some connections with some people, another stay at home mom, YAY! Although I cried the entire ride back home because it's just different. I'm still having a hard time being so far away from family, close friends, and the comfortable. Oh, and if you haven't already noticed, the link on the photos now goes to TEAM GRAMKOW - I had to get another account because I filled up my photo storage - Imagine that!

Wednesday, August 12, 2009

Diamonds and Toes

Well, so far this afternoon Ellie has been quite the little risk taker! Now she's trying to pull herself on things. Sad news is, the diaper champ isn't so sturdy and she went boom. Mom wasn't quick enough. Scared her quite a bit. Then as you can see from the photos, she's now discovered the dishwasher door. Hmm...it's funny how she will respond to "no" and she'll check me out to see what kind of reaction I am going to give. I think you'll see some of that in the photos too. Another couple things I thought that were random and worth mentioning, is that she loves diamonds. Watch out future husband! She seriously will see my wedding ring and dive for it to put in her mouth. Today I made the mistake of putting in earrings (of course, fake diamonds) and she wants to grab them too. And the other thing...we're sitting on the floor and she dive bombs for my toes. I have them painted red and apparently they are quite attractive to the eye. Ha. Yeah right! So yep, that's her latest infatuation - diamonds and toes. Weird. Oh well, I still love her!

Monday, August 10, 2009

Ellie's CRAWLING!

Watch out! Miss Ellie has learned to crawl! We are so excited and SO proud! Last night we went to Sophie's 1st Birthday party (Isabel and Nathan are friends we met that live in our apartment complex) and there on their living room floor, Ellie was playing when all the sudden...she made a mad dash for Ben's cup of pop that was sitting on the floor next to his feet! Yep, she got to it and spilled it all over the floor. And then everyone there cheered! She kind of scooted, but I did see some air between her butt and the floor, so we'll call it legal. :) Then this morning, she just took off again. The lightbulb has come on now, even as I write this, I see her moving, moving, moving! So really, developmentally she's between 8 and 9 months! We're thrilled that she's crawling! Ellie, once again...you are AMAZING!

Monday, August 3, 2009

Happy 11 Month Birthday Princess!

I can't believe that next month, our little Princess will be ONE! Some of Ellie's NICU buddies are one this month. Happy Birthday to Tristen and Liam!

And what is Ellie up to these days:
1. She has 4 teeth, and finally the top front left one is starting to cut through, so that will make 5!
2. She still scoots, but uses her hands more a lot to scoot. She also is a lot better at using her hands to scoot. Still goes backwards. The latest new thing we noticed was that when she's on all fours, she bounces and rocks.
3. She loves to eat banana puffs and still favors feeding herself with her left hand.
4. She shakes her head "no" and likes to get a reaction from mom and dad - which of course she always does!
5. She did say "daddy" the other day when Ben was changing her diaper. I was in the room and quickly turned around to ask Ben if that was what he thought she said. We're pretty sure she won't do it again though...one time wonder Ellie :)
6. She likes to pat-pat her bare belly when we're changing her diaper. I think she likes the sound!
7. I think she's going through stranger anxiety. Mommy and Ellie do spend a lot of time together cuddling, playing, reading, cooking and cleaning! We're buds.
8. She did eat meat - some beef and gravy - pureed of course (babyfood) and sure made a funny face. Still a tad thick for her, but she's practicing! She still refused to each rice cereal plain. She watches mom try almost every morning to trick her, but she is a smart cookie and purses her lips pretty tight. She watches me add fruit and then is like a little bird. She eats 3 times a day at the table like a big girl with mommy and daddy.
9. Speaking of birds, she likes to sit up and flap her arms like she's going to fly somewhere.
10. She's getting spooked more by loud noises. The vacuum this morning made her cry pretty good.
11. She's still in 6-9 mo. clothes - but the 9 mo. ones fit her better since she's so long!
12. My "blondie"'s hair is getting longer, but still really hard to get it in a spikey pony tail on top!
13. She doesn't like napping. She doesn't want to miss out on anything. Could be genetic :)
14. She did battle her first diaper rash. Thank goodness for Butt Paste.
15. She's still drinking mommy milk....although the deep freeze is cleaning out nicely. :) About oh, 20-24 oz. a day maybe.
16. Happy 11 month birthday baby girl. You are amazing!

Saturday, August 1, 2009

Left or Right?

We think it's funny how Ellie has been favoring her left hand when feeding herself. We're a little worried we won't know how to teach her things! We'll have to call on Aunt Anna, Uncle David, Aunt Wendy and Uncle Greg to help us out. We'll see if it actually proves to be true....our Ellie...a lefty...hmmmm? two fisting in the tub...but the one in the mouth...left hand. (the "little feeder" filled with Watermelon...she seemed to like it) see...left hand. reach with the left hand. and in with the left hand.