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Jaspenelle's Twitter
- I would have loved to be on Bourbon Street last night... » 21 hours ago
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- I love The Who but what the heck with their halftime show? » 2010/02/07
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Sub-blog: Raising Children
Hemangioma Followup

Ivy had her specialist appointment yesterday for her hemangioma. We went to the Spokane Eye Clinic to see Dr Maher. I was really pleased with both the staff and doctor. Granted, a two month old with a big ol’ band-aid on her face elicits pity from just about anyone!
Ivy’s hemangioma was about half the size for her appointment yesterday as it was for the pediatrician last week because she somehow managed to scratch half of it off on Saturday. Lots of blood and skin, gross, I won’t go into detail, she is fine though. Hemangiomas don’t have nerves (thank goodness for small miracles!) I mention this since Dr Kincaid, her pediatrician, said last week that Ivy’s hemangioma was growing faster then he has ever seen, which is why it probably keeps bleeding. It is growing so fast in fact he called in another doctor in his practice (whom Ivy had an appointment with last time) to confirm. Because of the rate of it’s growth, Dr Kincaid thinks it should be removed and told me that if the eye specialist couldn’t do anything about it he would sent us to a pediatric dermatologist. (In happier news the tumor is not the only thing that is growing rapidly, Ivy is in the 95th percentile for both height and weight.)
Dr Maher is willing to remove the hemangioma though. He does not believe it goes deep, which is a good thing since that reduces the risk of it affecting her eye’s growth, and it is also on a pedestal, which means it is growing from a small area rather then spreading across her skin. Both those factors make it a smaller area to excise and since hemangiomas are very vascular, that is a very good thing. The bad news? Ivy will have to be put under for the procedure, which carries it’s own risk, especially since she is so young. Dr Maher recommended we wait another few weeks before we will make our final decision so he can assess how it growth between now and then.
So another waiting game, Ivy’s next appointment is on March 1st, but at least we have a lot more information now and some decisions to make. And time to consider getting a second opinion too, I do not take the thought of my daughter being sedated for surgery, minor as it might be, lightly.
Snow

Last week I said that I was thinking of throwing some things in my garden because we have been having an unusually long January thaw. So of course it snowed today, just a reminder that the January thaw cannot be trusted. Within an hour we had a couple inches, then it switched to rain and melted away. It is teasing me…
Thoughts of Spring planting aside, today was fun. It is the second week in a row Damian’s 2 1/2 year old cousin Emily came over to play. Damian loved it. Emily seemed uncertain but I think she had fun too. Damian’s hugs are more like tackles at the moment which can be a little overwhelming. Ginanne (Emily’s mom) came over too of course, it is nice talking to another adult… She gave us over a booster seat with clip on tray for Damian, it is the kind that straps onto a kitchen chair. Finally I can put his high chair in storage.
Mommy Advice Moment: Do not buy a special high chair for your baby, just buy the kind that straps onto a kitchen chair. It saves a ton of space and you can easily take it with you when you go visit friends.
In other news, I’m going to be a bridesmaid in July at my friends’ wedding. So exciting! This is the first wedding I will ever attend (unless my handfasting counts) so it’s a little nerve wracking too. I’ve settled on my dress though, which will be emerald green; my mother-in-law is going to make it. She is also making Andrea’s gown, which I can’t wait to see!
Which means I have a goal to work towards as far as my postpartum get-in-shape plan goes. I work better with goals. My father sent us some money for Christmas/my birthday which we used to buy a wii and wii fit plus with balance board. I cannot say with certainty if it is helping me work on getting back in shape, but it is certainly helping me drive away the winter blahs and move more. Damian loves it too.
Video evidence of that love, just in case you’ve ever wondered what a toddler looks like playing a wii. If you have played wii fit plus, Damian is doing the obstacle course here. He loves when the wrecking ball hits his mii.
Fridge

As someone who once had a relatively empty fridge door, it has gotten pretty cluttered up since Damian was born. Damian’s latest art, our daily schedule, a developmental milestone chart, a nutrition chart and a tantrum coping checklist. Lists helps me tremendously, the tantrum one is new today because I know that I need to start being more consistent with the power struggle which has arisen recently between toddler and mom.
I’m the first to admit that, even though I love him to pieces, I am sometimes left wondering, Who are you and what have you done with my fun-loving little boy?! Then I breath deeply and repeat what must be a universal parental mantra “it is only a phase…” Though sometimes it is more of a question then mantra.
Nothing is more stressful than…
…taking your child to the ER for the first time.
I had just set Ivy down in her swing last night and walked into the kitchen so I could give Damian his dinner when I heard her starting to fuss. I clipped Damian’s tray on and went to check on her only to see this:

(Technically I took this photo a little later. When I first saw her, the blood was smeared and flowing and dripping in her eye and I cleaned that up instantly.)
I admit, my initial reaction was to snatch her up and have a moment of oh-my-god-I-cannot-breath panic. A few minutes earlier Michael had gone out to the store for me and so it was just me and a mysteriously bleeding baby who was getting progressively more upset. After my moment I grabbed a washcloth, wet it and wiped the blood away. I then noticed her hemangioma had started bleeding. This was kind of relieving, I had read this could happen, though they normally are much much larger at that point.
I took that picture in the time it took me to set down the wipe and pick up my camera, it was bleeding that fast. I wanted the picture to take to her appointment with the specialist, something can be hard to explain. Then I put pressure in it, not so easy with an angry hurting newborn, I had no idea she could thrash so much. I nursed her at one point which calmed her down but the blood was still soaking through the cloth. After 15 minutes (eternity…) I checked it, the bleeding had no slowed.
I called Michael and told him to check out and come home and then reapplied pressure again. When Michael got home (15 minutes later) it was still really flowing. t was getting close to 20:00 so he called the nurse hotline our pediatrician gave us for after hours and gave them the information, they said they would call us back in a few minutes (wtf?) 15 minutes or so later they called back, Ivy was still soaking through the washcloth though it seemed to be slowing a little. They told us to bring her into Sacred Heart’s ER. I had a feeling this was going to happen so I already had packed the diaper bag and gotten Damian ready.
Then I called Andrea and Shannon, I left the both voicemails. I had held it together till this point but telling my best friends that we needed their help… I couldn’t even finish the messages. Andrea later told me all she hear was ER Ivy and Call Back before calling me (just a couple minutes after I left the message.) I asked if she would come help us take care of Damian in the ER. She said she would with Peter (her fiance, he also officiated our handfasting for those who were there!)
We have the Best Friends Ever.
In the car Ivy started to calm down and, of course, stopped bleeding. Though it was still weeping a bit. We decided to go anyways since the nurses had recommended it and were expecting us. Andrea and Peter met us at the ER (the emergency room on a Friday night, fun…) We were shortly moved to the children’s ER were we waited… and waited… Andrea texted Shannon to give her and update and let her know she didn’t need to come. I was expecting the long wait, not my first time I have been in the emergency room. My mom was right though, she told me when I was little and in the ER that I would not understand some things until I became a parent. In that moment I completely understood how my parents felt when something was wrong with me. My children were not even born in a hospital, this was literally the first time I have had to go to one with them!
Eventually the nurse came and took Ivy’s vitals and then we waited some more, then we were moved to a private room and a doctor came and checked on Ivy. While washing off her face she started bleeding again so she gave me some gauze to apply pressure and said she would be back in a few minutes. She gave Damian a popsicle and a nurse put Lilo and Stitch on for him. Between them checking on us and Ivy’s bleeding stopping it took about 2 hours, the gauze kept pulling off her scab so they gave us non-adhesive gauze (which still did but not as much.) Good thing because they were considering putting silver nitrate on it when it did.
I just wanted to say that the staff at Sacred Heart was awesome though at the time I didn’t feel they were doing enough (I figure this is a pretty common reaction) I was impressed with them. Not as impressed as I was with Andrea and Peter though! They stayed with us the whole time keeping our spirits up (and our eyes open) and helping care for Damian (who refused to sleep of course, too many interesting things!) Again, we have the Best Friends Ever.
Then we left, it was 12:04. I know this because I was waiting for my birthday to start! Now that the stress has passed and we know she is okay, I admit I am dreading the ER bill. However I am glad we went. The best birthday gift is knowing my baby will be okay.
So in a nutshell, what happened? Her hemangioma opened (she may have scratched it) and since it is a tumor made up of blood vessels it had issues stopping bleeding. We know how to stop it in the future at home (time and pressure.) This does increase the likelihood it will need to be removed but Ivy’s appointment is not until February 1st. Let’s hope this doesn’t happen again between now and then.


