letdown

*Today I felt my milk letdown for the first time. I was snuggling my little baby and oh there it was. I forgot what that feeling was like. Since I do not have a baby to hear cry or want to eat, it’s just me and the pump...I wished for a minute I could just nurse him right then and there, tube in throat and all. Just to feel close to him, feel like he is my baby and not some little stranger we visit in the hospital.

*The tube in throat leads to the next letdown. Pierce was extubated Friday morning and made it until Monday night. After periods of apnea, some more severe than others, Pierce showed us he cannot maintain his own breathing. This is heart wrenching. You think "oh 4th try, he has to be able to do it" but it is not so. Monday the Doc had called us with the warning that intubation lie in the future. If he had one more severe episode they would put him back on.

Phil and I dropped the kiddos off with his family and arrived at the hospital about 8PM. We arrived to a familiar face, NNP Sharon Kelly, letting us know that we had come on her first night shift and that she had Pierce for the night. She told us of Dr Bloom's instructions, which we said we were aware of. Nurse Linda asked if I wanted to hold him. Of course. Only moments after setting him in my arms she walked back around to the side of the bed where her monitors are and said "oh what's his color doing?" to the RT standing next to me, still adjusting some cords. I replied "he is blue." They started bagging him there in my arms. I asked "Is he going to die right here in my arms?" They replied "no" and moved him to the bed to prepare him to be intubated. It took a very long hour and a half to intubate him (7 tries, and the neonatologist ended up having to do it) and get an IV in. We just sat there watching as they worked on our precious baby. Once he was stable, again on life support, we left with tear filled eyes and heavy hearts. 

He has been doing well on the vent, but why wouldn't he? He can’t breathe on his own and that does it for him. Phil was able to hold him yesterday and I today. We love that sweet little boy so much and wish he could get better and come home, but just aren't sure that is going to be able to happen. With still no answers, and very few possible tests left to run, we are between a rock and a hard place. 

One month old

Whoops!

5 years I have been cutting little boys hair, FIVE YEARS. It has never been a problem minus a few long stray hairs now and again...until tonight. Let me just show you....

Isn't that the saddest thing? I am so sorry little B man. Luckily he is to young to know or care. I guess the attachment wasn't on all the way and slipped off...on my first stroke. I called Phil and asked him if I should bic the whole thing, he said to just cut it short and then we can cut it again in a week or so. Needless to say I made sure it was on all the way when I cut Koen's. Love a nice shaved head for summer.

Update on P:
Pretty much the same with the little man today. They up'd his feeds again today so he is now at 80cc's/kilo per day. The gave him his first dose of steroids at 5 PM, preparatory to extubation around 5 AM tomorrow. Doctor Bloom reiterated today the high possibility we will go home with no diagnosis. I reiterated to him that I can handle no diagnosis if the kid can breath...with a few tears. ;) So we shall see what the next few days bring and if the apnea returns. This is it, don't get scared now!

More results more things ruled out‏

Phil wrote this as an email to the fam...I thought it summed things up well, so I just copied it. 

Pierce has been doing very well the last few days.  He is a lot more active and alert.  He is breathing over the low settings on the ventilator.  The medication he is on to help with his breathing has helped his respiratory rate and is helping him take deeper breaths.  

His nurse Lynette is amazing.  She is so interactive with Pierce and is very good at keeping him happy.  Like Nana has said she is helping with little exercises with his arms and legs.  They mentioned they'll get a therapist to work on this once he progresses a little more and is off the ventilator.  We are so grateful for her and hope she is with Pierce for everyone of her shifts.  

Pierce's entire life is one big mystery.  Instead of learning what he has, we are learning what he doesn't have.  Each time they are doing a test or are considering something he may have, the test comes back normal.  What a roller coaster!  On Sunday his new physician at rounds asked me to summarize what I understand about my son and why he is here.  He said there is no wrong answer I just want to get a feel for you knowledge base.  I gave him a brief overview of what has gone on and I saw him write a couple of things down.  It was sad but almost funny that all I could say is a certain thing happened and they thought it was this and then this was ruled out.  During our conversation I was able to ask what he thought about all this and assess his thoughts on Pierce's apnea and basically we don't know what is going on yet. 

We have ruled out sepsis, meningitis, UTI, necrotizing enterocolitis, bowel obstruction, deficiencies in electrolytes, brain bleeds, structural brain abnormalities, seizures, and metabolic disorders that show up in blood, urine, and brain CSF.  Today we are very grateful to report that the mircoarray SNP genetic test came back normal.  This rules out a lot of genetic issues that have been thrown at us during the last 4 weeks.  Some of these genetic disorders that got ruled out today were very scary and would have been challenging.  We are happy it is normal, but at the same time want improvement or a diagnosis.  If he keeps getting better we are okay not knowing why all of this happened.  They have been telling us they may never get a diagnosis and he may have deficits similar to other disorders or he may just snap out it.  Fingers crossed!

We are so grateful for such a great family.  Thank you so much for your support during this whole thing.  We can't believe that it has been 4 weeks and we are almost in the same position except for the things we know it's not.  

The plan is to let the theophylline get to therapeutic levels tonight and start steroids.  If he continues to do well tonight, they are going to try to extubate tomorrow afternoon.  They will most likely go to CPAP which gives more support than the high flow nasal cannula.  We are hoping he doesn't have any episodes of apnea and low heart rate.  If he does it is back to the drawing boards. 

Now for a small side note from me:

On Wednesdays they have a parent lunch. You go and they talk about something applicable to us ie: shaken baby, talking to your doctors, music therapy, medical librarian. After we eat and have the presentation we go around the circle and give a little information about our baby and us, unless you dont want to. 

We have been to each one since we have been there. Today was the first time that it was pretty emotional during the sharing portion. Some people have been there for months, others have months to go and some only a few days. It is really humbling to hear everyone's stories. One lady was even crying because she is there with her baby who has jaundice and she felt like that was such an insignificant thing. She said "I shouldn't even be at this table with all of you people, my baby only has jaundice and we will be going home soon." I remember thinking the same thing our first week. "whoa these people's babies all have to have surgery, all my baby needs is for his lungs to get a little stronger"....little did we know we would still be there 4 weeks later. I love going to the parent lunches. It is nice to get to know some of the other people you see on a daily basis. We met one lady who actually lives in a neighboring neighborhood. I see some of these people more than my family, and it is nice to learn more about them.. 

Father's and Son's Campout

Phil took Koen to the Father and Son campout last weeked. They have been talking about this for months. I think it pretty well lived up to all the hype. Koen loves being outside and hanging out with his dad, so what could be better? Koen keeps asking me questions about when I go to girls camp, trying to assess the similarities and differences. I sure love that kid. When I asked Phil if he took some pictures he said "not very many." I would say he was right, I dont qualify 1 as many either. haha

Enjoying New Toys!!!

My parents bought the boys fishing poles for their birthdays. Koen casted all around the house and the yard for at least 3 days. They cant wait to go fishing in Lava. Guess their dad better get a license and pole of his own. :)

Brigs also got a strider pre bike for his birthday. It is a bike with no training wheels and no peddles. It helps them learn how to balance. He is pretty excited about it but HATES his helmet. I of course will not let him ride with out it which is causing him a little grief.

Not a lot to report...and happy about it!

Today was a fine day for Mr P. Just hanging out and nothing too huge to report on. He is tolerating his feeds and so they doubled them today.The started him on the the theophylline today and ended the antibiotics. The last of his umbilical cord fell off today, he is just looking so big! As of sunday he was 20 inches and 7 lbs 6 oz. Still breathing well above the vent, lets hope that continues! He was so wide awake today. Koen came with me and I think it was kinda fun for him to see Pierce so alert. He keep saying 'hey buddy" and rubbing his head and "no no dont grab that tube little guy" I love seeing little kids interact with babies He kept grabbing the breathing tube, his NJ tube and gagging. I think he wants that thing out. . So cute! We also ran in to Nana Joan while we were there. Pierce looked right over to her when he heard her talking. He is gonna have some Nana Joan withdrawls when he comes home! :)

Day of life 27

Today I went up to the hospital in time to be there for rounds. I wanted to be in the loop. It seems like you get so much more information if you are there when they are all bouncing ideas off each other rather than just getting the simplified version from the NNP later.
I sat with him for a good hour and a half before rounds. I did his cares, held his hand and talked to him. He was in and out. When I would talk he would open his eyes and then when I stopped he would drift off. When they came to round I got to meet our new doctor Phil meet yesterday, Dr Bloom. He is an older really cute man. He is also very nice.
The RT said he is breathing above the vent. Dr Bloom looked at it and replied "that is the most I have seen him do" He said it doesn't make him want to extubate, but hopes it will continue. They are no longer worried about his bowel because all x rays have come back good. They resumed his feeds today but started smaller. Dr Bloom says he thinks the rise in white blood cells was because of the steroid he received and the diarrhea a fluke. He wants to start slow in case that isn't the case though. They are giving him previcaid with his feeds in case reflux is an issue. Nothing has grown on the cultures so as long as that is still the case tomorrow they will discontinue the antibiotics. The also plan on giving him Theophylline again starting Wed to prepare him for extubation around then given that he keeps working above the vent. 
Cute nurse Lynette was working with him today. She is so loving. She was working his muscles and talking to him. She said "I think he just needs some more stimulation" She is the perfect nurse to give him that. :)

Saturday was intense!

The past few days had been pretty chill. They were just letting him relax and gain strength while intubated. The plan was to extubate yesterday(Saturday) morning.  I called at midnight friday night and checked up on him. The nurse Rachelle(one of his primary's) said he was doing good. They had weaned his rate down to 15 (breaths per min) and she was just looking for his first dose of steroids. They had decided to give him another steroid burst to help with the swelling in his throat and also with extubation. Great. Phil was on the Father's and sons camp out for the night, so I curled up with my book until I fell asleep.

Then started Saturday...I got a call around 8ish in the morning. They said he had a bad night. He wasn't breathing much above the vent, he had some bowel loops and a lot of watery diarrhea. They were not going to extuabte considering all of this. Phil and I headed up for our daily visit around 1. He was actually very alert for us and other than looking a little pale seemed pretty normal. While there I noticed he had a tube in his nose he didn't have before. The nurse asked us if he had it yesterday and I told her no. She said they like to have a tube into the stomach when a baby is on a ventilator in case some air gets into the stomach it has a place to get out. He has been on a ventilator for 3 days and we are just now doing this?!?! No wonder the kid has a distended bowel, he has a bunch of gas in there! URGH! I was a little bugged about this and hopping that this was the cause for the bowel issues. They were still running some tests and such to make sure he didn't have an infection.

Later that night they called Phil with some results of his blood work. His white blood cell count was at 30,000 (15,000 + is a sign of infection) and his bands at 24 (sign of inflammation) They were really worried because these number were so high and had Phil give permission for them to do a lumbar puncture to check his Cerebral Spinal Fluid (CSF) for meningitis. EEK. We were both so nervous. The called just before midnight and let us know the fluid was clear so that was most likely not the case. They are checking for any other infection. They have done a blood and a urine culture.

Poor kid just cant seem to catch a break. He cant breath, he has poor tone and now an infection. Wow.

Just a side note, while at the hospital on Friday the little man full on squirted poop on me! haha just breakin me in huh buddy?

Brigy boo turns two!!

Boo turned two last week and we had a big bash to celebrate. It was a combined party for both of them with some family and friends. Poor kids with 3 birthdays in 3 weeks the odds of them getting there own family party is slim to none. :) We rented out the clubhouse because originally I was thinking I wouldn't want all the germs in my house, but was still glad I had when it came. Even though I wasn't so worried about germs....who wants to clean their house with as busy as things are right now?!? No one was really wanting to swim since it was a wind storm, and I think some of the kiddos were bummed about that. At least there is the theater room and game room! Good times! We opted for the cars theme considering the new movie comes out soon! I also took the easy route on my cakes this year. It is something I look forward to, home made birthday cakes. However with all the craziness I decided to let them slide. :(

Another workless, emotional day

It has been 3 weeks today since little P was born. In those 3 weeks Phil has worked a wompin 2 days. Today he was supposed to work, but after calling to check on the babe last night around 11 Phil had a sleepless night. When he talked to the nurse she said he "wasn't doing very well" and had had "a lot of episodes" Phil asked if they had to assist him in any of the recoveries. Her answer was "I had to have the respiratory therapist come and revive him" WTH!?!?

So pretty much he tried to die on us again last night. Phil called them about 6 this morning and the NNP said she had been "bagging" (breathing for him) him all night long. Phil woke me up at 7 and told me he was headed to work for and hour or two until they could get his shift covered and that he wanted me to be ready to go to the hospital by 10 so we could be there for rounds.

About 8:30 the same NNP called and told me that they had intubated him. When the attending came in P was still having episodes that were intense and was completely exhausted. At that point I felt better about the tube then the constant desats and bradys. She mentioned last night that his heart rate had got down in the 50's, scary.

Phil and I got there in time for rounds, where I was a hot mess. haha I couldn't help but bawl my little eyes out. After the attending that is on came up to me and put her arm around me and said "I apologize in the name of science that we dont have more answers for you, I know as a mom that must be heartbreaking" Believe me, it is.

The results of the EEG are in and he is NOT having seizures. Thank heavens. I dont think that is something I want to deal with. When they intubated him this morning they said his esophagus and throat are really swollen and red. This is making them think he may have a bad case of reflux. They switched his NG tube to a NJ tube which bypasses the stomach and goes straight to the small intestine. This will not allow for much reflux, if any. They also started him on Zantac. They are going to leave him intubated for a few days to rest and recover.

At this point we have received all test results from the geneticist except one and all were normal. We also dont have any thing else to do with neurology as of now. Possibly could see a neuro muscular doc but that wouldn't be until he was a little bigger.

Off to bed for us...its been an emotional and exhausting day.

Sibling Class and EEG

Today was filled with many things before we made our daily trip to the hospital. Yard work(parents), playing in the sunshine(kids), lunch at Chick fil A and more yard work. We didn't head up to the hospital until 4, but we needed to get there by 5 because Koen had a big event...sibling class.

I for sure knew I wanted Koen to have a chance to go to sibling class. For those of you who dont know Koen he loves to learn and has an amazing imagination. When he sees something new on a show or in life we get to hear about it for at least the remainder of the day. ie...Curious George builds a scare crow for The Man with the Yellow Hat's garden, we are definitely building one for our garden too or Max and Ruby have a lemonade stand...you can guess what's outside our house later in the day. You get the point.

So for Sibling class they show pictures of all the different places and things inside the NICU and then talk about all the wires, monitors and/or tubes their sibling may be attached too. Koen got a "little guy," as he calls it, that he was able to give an iv to, hook leads on, put oxygen on and even draw a face on. Ever since we got home Koen has been doing everything for his "little guy" He gives him medicine through his iv, reads to him and has even made him his own little incubator bed for the night. Perfect thing for this kid!
Brigs was too little to go but Koen being the good big brother he is brought him home his own little buddy.

Today Pierce is having an EEG. They want to check if his apnea(stop breathing) and bradycardia(drop in heart rate) could be linked to seizures. He is supposed to be on this for 24 hours and he started it at 4 PM. They said sometimes it can be less time if they see what they need to sooner. Here he is with his huge head bandage on. Gotta hold all those little wires on there I guess.

 Over the night they lowered him to 1.5 L per minute on his high flow nasal cannula and it is at 30% oxygen. They haven't really seen his number of episodes increasing with the flow down so they have been weaning it. They originally wanted him to do a sleep study and in order to do that in the NICU he has to be on a regular nasal cannula. They may still have him do this depending on if there are any findings from the EEG.
The little man has gained 6 oz. As of Sunday he weighed 7 lbs 3 oz. This is the longest he has been on full feeds...almost a week. So I am sure he will start packing on the lbs...haha. He looks so much bigger every time we go. They also stopped his theophylline today, because they weren't seeing any improvement with it.

NICU week 3 June 8-13

Wednesday: His blood gases were not as good as they wanted them through out the night so not only were they not able to extubate but had actually gone up on his rate  I had my two week DR appt this morning and think I balled the whole way from there to the hospital. Days like this make me question whether or not he will make it or not and some times that is just too much to think about. When we got there he was still intubated. My mom met us there. She and I sat there with the little guy and talked to the respiratory therapist Kyle. He told us his CO2 was still high so they would either have to go up on the rate or the volume. I could not hold the tears back. This felt like a giant step back. Kyle helped Phil give Pierce a blessing. When the team came to round on Pierce the RT and NNP suggested going up on his rate and Dr Beserga said "No, we aren't going to get better gases on this little guy. Wean his rate and extuabute in the next couple of hours. He did it yesterday he can do it today." I was so happy. I wasn't sure if he was totally ready but I knew it was what I needed to hear. The geneticist stopped by and took a little evaluation of him. She couldn't really see anything except that maybe he has a small chin which could mean he has an obstruction with his breathing. They extuabted that afternoon and started him at 5L on the high flow. So far so good. 


Thursday: Phil went to work today. I headed up there early to see if I could happen to be there when the Neurologist stopped by. When I got there they asked if I wanted to hold him. Nana had been there up until a few minutes before and so he was all bundled and waiting. Of course I did. I sat there and rocked him for a good hour. He was wide awake and cooing!!! He also was taking the pacifier like a champ. I had to put him in the bed when the neurologists came. I say it plural because there wasn't 1 but 5, 2 students 2 doctors and a fellow. The fellow examined him, did some reflexes and even asked me to show her some of mine. It was kinda funny. After I asked "did I pass?" haha The attending Dr said he did look a little hypotonic but didn't seem overly worried about it. He said he would look over the MRI again, but basically there isn't much you can do about such a thing in such a young baby so we would re-evaluate in a couple of months, if need be.


Friday: Lucky little dude is being held by his Nana Joan daily now. He definitely has some voice recognition. He seems to always wake up for her and for us. We didn't go up until the evening today. Phil worked a shorter shift and we headed up there after. We talked with the NNP for a few minutes before they kick you out for shift change. He was great. He said he didn't think his tone was unreasonable. He has had some periods of desaturations and bradycardia. Those are definitely the bigger concern. Missy met us up there with some dinner. Her and Phil were able to see him get his bath. The geneticist stopped by today also and ordered a bunch of metabolic and genetic tests.     

Saturday: Today while we were there Pierce kept having desats and bradys. It was rather stressful. He had one while Phil was holding him and I think it kinda freaked him out. One episode got so bad last night they almost had to call a code blue, but instead were able to bag him and breathe for him until he recovered.  To help with these episodes they are keeping him on his sides rather than his back, in case these are happening from obstruction.  


Sunday: Phil and I took Koen up with us after church. Phil took him around to see some of the cool things there, while I held the baby.  He didn't have any episodes while I was holding him which was nice. I just want to be able to hold him all day long, whenever I want. 

Monday: They started him on a drug last night called Theophylline which is converted to caffeine in the body. This will stimulate breathing and open his airway. They said he had less episodes last night, and none he had to be bagged for. They are thinking of doing a sleep study to see if it is obstructive or central sleep apnea. They are lowering his settings on the HFNC to see if they can get him down to 1 so they can do the study in the NICU. If they cant then they will have to send him to the sleep study lab to do it. They went down to 2 L today. All metabolic labs have come back normal. We still have a few genetic ones we are waiting on. They are also saying they would like to do a swallow study before the try feeding him orally. Dr Beserga said last week he has a week gag, and the last thing we need is for him to aspirate. Our pediatrician recommended requesting this. She has been beyond amazing calling every day since his MRI. Helping us be more informed. 

NICU week 2 June 1-June 7

Wednesday: One week old today little man...and still here. Still not close to coming home. :( I thought by this point we would be working on feeds and getting ready to head home. They removed the catheter today. YAHOO! One less thing coming in and out of your little body. The also put in a PIC line. The line in the belly button is only good for about 10 days. They have put the PIC line in to replace that one. I almost got to hold him today. Almost. Even though intubated he can still be held, it just takes more work. As we were about to get to that work, our room of 6 babies got rather occupied with many visitors. Nurse Chris did not feel comfortable with all the people there and neither did I. My arms ache to hold that little baby.  


 Thursday: the breathing tube was removed for the 2nd try. He was moved to Cpap a device the can be monitored to assist their breathing but much less invasive than the tube. So far so good. They have continued each day to go up on his feeds 20 cc/kilo per day. Soon he will be up to the full amount for his weight, 150-160 cc's/kilo (about 15-16 oz a day) I was glad they decided to extuabte to CPAP. It gives a little more support than the high flow because they can set a rate with it still. I got to hold my little baby for the first time today. One week and one day I have been waiting for this. I wish I could have just snuggled him in like I wanted to but it is still a slight bit awkward with all those cords. At this point I will take what I can get. :)

Friday: Today he is still going strong on CPAP. With this his lips get really goopy and crusty. They started doing some oral care...a little sticj with a wet sponge on the end. He seems to like it. He is still under a bili light for his jaundice.  

Saturday: Today the little man became free from his arterial line! He has had that little thing since he got here. I am sure his little right arm feels so free. Plus he cried when they took the tape off. This is not something we hear from him much. Nana Joan was there to hear it. I have only heard him "cry" if you can call it that 3 times...but it was more of a "whaa" one time each. No more Bili light as of today, probably because he is getting rid of that now that he is pooping! :)  He has done so well on CPAP that they moved him to the High Flow Nasal Cannula this afternoon. They have started him at 7 Liters. Phil was able to hold him for the first time today. Cute story: They offered Phil to hold him the night he was first extuabted (Sun May 29th) but he told them he wanted me to be the first one to hold him because I "did all the work" How sweet huh? I am sure when he said that he didn't realize it would be another week before he got the chance. 

Sunday: They have  weaned his flow all day and got him down to 2.5 Liters. He is now up to his full feeds(by tube) Which also lets them remove his PIC line because there is no longer a need for the TPN. They also moved his feeding tube from his mouth to his nose. All he has at this point is the feeding tube and the cannula. YAHOO! I got to hold the little man again today. I love holding him with less and less wires and tubes. I feel like I am missing out on my newborn time, and by the time I bring him home he's gonna be all big and less fun to hold. haha My mom and dad were able to come up today. This was the first time my dad had seen him since right after he was born.

Monday: He is still at 2.5 L today, they have tried to wean him down further (once he is at 2 we can try oral feedings) but he hasn't been able to tolerate it. His breaths are still very shallow. He also has random periods of desats (where is oxygen saturation levels go really low.) They aren't sure why these things are still happening with a baby as old as he is. Today they are also worried about the little man's tone, or lack there of. They say he doesn't move as much as most babies his age. He is "floppy" They have done a head ultrasound but want to do an MRI to check his brain more thoroughly. When we got there Missy met us. The two of us went in. They told us that he was still down getting his MRI. We waited and waited. Soon we saw nurse Chris come pushing his bed. She said "didn't get it" to another passing nurse. When we got back she said of course when they went down there to do it he was very active and mad. Well of course he was, they A. they wont let them eat before it and B. he had a messy diaper. I was a mess, and Chris had such a concerned look in her eyes. She has had our baby more than any other nurse and I have never seen her like that. She just said "you really want to figure things out before you take him home, you don't want him to be a SIDS baby" I just cried. That is just the thing Phil and I fear most. The NNP Sharon said they would try again tomorrow with some sedation. The worry of sedating him is that it labors your breathing. With him already struggling to keep that afloat we run the risk of possibly having to re-intubate him. 
Of course I want them to run whatever tests they feel necessary especially since he is already there racking up the bill. :) But I just hope we don't have to start over with intubation. Miss was able to snap a few pics of me doing his "cares" (diaper change, temp, change probe, girth etc)

Tuesday: Nurse Gail tried a bottle for the first time this morning. I am actually not sure why since they said we couldn't until he was a little lower in settings. It seems it would be hard to swallow with a constant flow of oxygen in your nose. He didn't do so hot, she said he "stopped breathing" NNP Sharon called after the MRI. She said she gave him one dose of versed, gave him a while to calm down, apparently he doesn't like it down there. Too loud I guess, probably just something different than his boring little same old same old area. They gave him another dose and then of course...he stopped breathing. She then bagged and intubated. As much as we were hoping to not have this, I think we were both expecting it. She said they gave him the reversal drug and would plan on extuabting him again in a couple hours. Good news is his MRI is normal. They now want him to meet with Neurology and Genetics.

The Power Ranger turns 5!!!

Our Koen literally thinks he is a Power Ranger right now. He is obsessed to say the least. In the mix of the craziness with his brother we were able to celebrate his 5th birthday a few time! The night before we went with Aunt Missy to Texas roadhouse where they gave him a big yehaw!

Koen couldn't possibly wait longer than 9:30 to open his presents. It is just too much excitement. He got a few things to work on his ninja moves, some paints and a scooter. I later found him outside beating down his punching bag! haha

Later in the day we went with some kids from the neighborhood to Chuck E Cheese. Yep, we took the easy route...no party at our house this year! Let me just say that was the easiest party I have done. No checking the time to see if it was over yet! haha Thanks to my friends who stayed to assist in keeping track of the kiddos!

Overall I think he had a great time. I dont even think he noticed we left to the hospital after because he was so enthralled with his new toys and the idea that Grandma and Grandpa Lovell were taking him to pick out his very own fishing pole! Happy Birthday buddy we sure love you!