Always 17 In Your Hometown

Had my music on shuffle today and 17 by Cross Canadian Ragweed (written by Cody Canada & Jason Boland) came on. I forget how much I really love this song and how much joy it brings me to listen to it. I didn’t sing as loudly as I usually do, having a sleeping baby & a nurse in the house will do that to you.

This was the song we played as I pulled away from my parents house, Uhaul packed with all my worldly possessions & pulling my car, moving to Texas. It would be the first time I ever lived more then 10 miles from the house I grew up in. Leaving my hometown was hard. Harder then I ever imagined, and so many changes in the four years since.

Near the end of my CoMO years, I felt like was 17 again. I had moved back home, hanging out with a few people I knew at 17, seeing people at the bars that I knew when I 17. Had anyone left? Yes, I knew they had, it was all over Facebook. I was still in the job I had gotten right out of college (located right there in my hometown).

Looking back, I was afraid to take risks in my hometown, whether it be leaving a relationship or a job or doing out of my comfort zone. And then I just knew I had to get out of there to get on with my life, so late one Sunday night, I applied for a job in Dallas. A month later, a friend, who later became my husband, drove me and that Uhaul to Lewisville, Texas.

Now, I can return to my hometown, maybe act like 17 year old Rachel for a bit, go to the bars I consider my Cheers, see my friends and return to my life, happy with where I am now.

But really, aren’t we all always 17 in our hometowns?

Today And Everyday

Today, we had a really great day. Mae had clinic, meaning we drove to Children’s and spent the day meeting with therapists, dietitians, pulmonology, ENT and GI doctors. We stay in one room and they come to us. It took about four and a half hours, including a blood draw.

We are almost thru this cold & flu season without a hospitalization, but some of our friends haven’t been as lucky. I got word today that one of our trach friends was admitted to the PICU in respiratory distress. Unfortunately, I hear this news almost everyday in this trach world.

Everyday, I worry about who we’ve been in contact with, who our nurses have been in contact with and who the kid sitting across from us at therapy has been in contact with. I worry if all the hand washing and sanitizing is enough. I worry if Mae coughs one too many times. I worry that one wrong move could send us to the hospital for an extended stay. I’m sure I’m not alone in my worries.

Please, please, don’t leave your house if you are sick. That person you walk past at the store or talk to at work could be parent of a medically fragile child, who worries that any contact with someone who has the common cold or flu, could get us checked into the hospital.

This is what I worry about today and everyday.

Mae’s Arrival

December 29, 2016 was a nice, sunny winter day. My parents were in town for the day and I went to work, thinking I would leave a little early to spend some time with them. Around 8:45, after discovering some blood, I drove myself to hospital, where I was admitted to L&D. After many hours of waiting and a few long ultrasounds, they took me back for an emergency C-Section. I was 25 weeks along.

Mae arrived at 4:52 pm. She weighed 1 pound, 12 ounces and was 12 1/2 inches long. She was tiny and perfect, even with a hundred wires attached to her and a tube & vent helping her breathe.

When she was three days old, a nurse discovered a skin irritation on her right side, thinking it was caused by one of the sensors attached to her. It continued to get worse, it was biopsied and experts around the country were consulted.

The morning of January 11 our doctors at the hospital said Mae would be transferred to Children’s, about an hour away. My husband left work and my mom went back to our house to pack me a bag (putting fresh meat in freezer in the process, I never would have remembered to do that). By 3 pm, we were in the smallest NICU room watching as numerous teams came to look at Mae and her wound. I’m almost certain more then 50 people came in her room that day. Surgery was scheduled for 9 pm that evening. My childhood minister & family friend baptized Mae by phone late that evening, with Justin, sprinkling water on her isolette from a sterile water bullet. The admitting doctor gave Mae a less then 20% chance of surviving. Her surgery was the scariest hours of my life. That surgery included removing two infected ribs and left her chest wall open. Two days later, the surgeons went back in to do another debridement and remove another partial rib. Zygomycosis was the name of her fungal infection and is usually found in cancer patients due to their compromised immune systems. There was no research on how to treat someone as young & tiny as Mae. A course of two anti fungal meds were given for the next five months. She got daily visits from both the surgical & infectious disease teams. She will most likely require additional surgeries as she grows to reconstruct her chest wall.

The next few weeks were long, as all we could do was wait for Mae to grow & heal. March 19, she was extubated for the first time and we got to hear her tiny voice. Due to her long intubation & poor lung development, Mae developed BPD & pulmonary hypertension. After four weeks of no movement on vent settings, one more intubation and an extubation, the decision was made for Mae to get a Trach and g-tube on April 21. Justin & I jumped right in, learning the trach life. The home vent was tried, with no success. One of the doctors described it as going from a BMW to a Ford. Finally, the first week of June, Mae got on the home vent and liked it. We also go to try bottle feeding & breastfeeding for the first time. A care conference was held to discuss the next steps.

The next step was a move back to our hometown to a Rehabilitation Hospital on June 27. Mae was 180 days old. Leaving the NICU was bittersweet, we wanted to leave, but we were leaving an amazing, loving, caring team of nurses, doctors & therapists.

I decided to go home & sleep in my own bed the night of June 29. At 2:17 am, the hospital called us, Mae’s trach had somehow come out and it took 10 minutes of CPR to get her back. We met Mae at the closest ER, where she was awake, just a little miffed at getting an IV in her head. After consulting her doctors at Children’s, Mae went back to her rehab hospital.

Over the next few months, Mae worked so hard during all 3 plus hours of therapy a day. Justin & I were anxious to take our little girl home, but we needed night nursing. Somehow, the stars aligned & prayers were answered in late September; home nursing had been found! Equipment & supplies started arriving.

Finally, on November 1, at 307 days old, Mae got to come home!

Garlic Butter Tilapia

Cooking fish for the first time can be a little intimidating; I’d probably been on my own a few years before I tried any sort of fish recipe. This garlic butter tilapia is an easy, flavorful recipe that can be used on a weeknight for a quick dinner or a special dinner. Tilapia is a very mild fish and not very fishy tasting.

Total time – 25 minutes (10 min Prep + 15 bake)

  1. Preheat oven to 450.
  2. Melt butter in small sauce pan. Add garlic & sauté for 1-2 min on low.
  3. Add white wine & 1 TBSP lemon juice. Stir to combine and remove from heat.
  4. Spray pan with cooking spray & drizzle with lemon juice.
  5. Arrange fish in pan. Sprinkle with Italian seasonings, add salt & pepper to taste. I prefer to use freshly ground pepper & coarse sea salt.
  6. Drizzle garlic butter over fish & into the pan.
  7. Bake 15 min or until done. As soon as you pull the fish out of the oven sprinkle with a bit of Parmesan cheese.
  8. Serve with brown rice and a vegetable.

Garlic Butter Tilapia

  • 3-4 Tilapia filets
  • 2 1/2 TBSP Butter
  • 8 cloves minced garlic
  • 1 TBSP Lemon Juice + juice for drizzling
  • 1 TBSP White Wine
  • 1 TBSP Italian Seasonings
  • Salt & Pepper to taste
  • Parmesan cheese

Independence Day #TX182

I spent two and a half years living in north Texas and if I learned anything during those years, it is that Texans take great pride in their state and its history. March 2 is Independence Day, this year marked 182 years of independence from Mexico. Remember the Alamo?

We moved away from Texas and make our home in The Good Life, but that doesn’t stop us from celebrating. My husband is native to Texas, March 2 is more of a religious holiday for him.

We hosted our first party for this historic day, inviting native Nebraskans for Tacos, Blue Bell ice cream floats and Texas Sheet Cake Cupcakes. Mae even enjoyed part of the festivities before we did her bedtime routine. Independence Day can wear a girl out.

Having nine adults in our tiny house for dinner turned out better then I thought. We know what to do differently next year and have made those notes (too much rice & beans). We kept the pre party stage fairly simple: chips & salsa with sangria or beer. Dinner was a taco bar. We made the meat earlier and kept it warm in the crockpot. That made our tacos a bit spicer the usual. Taco topping were in bowls on the counter next to the meat & tortillas.

Dessert was Texas Sheet cake cupcakes. We also served a Texas staple of vanilla Blue Bell ice cream and Big Red cream soda. Side note: why is Big Red soda not more popular in Nebraska?!

I even kept our table decor easy. Our six flags of Texas & star center piece on top of a Texas printed towel. Chips & salsa next to that. It left space for guests to sit drinks & their plates.

Happy Independence Day from the Texas Embassy to Aksarben!

The Red Dirt Legend

Yesterday, a singer/songwriter died in Nashville after heart surgery a week ago. Brandon Jenkins was the Red Dirt Legend.

I’m not sure when I first heard his music for the first time or where I was. I do remember hearing My Feet Don’t Touch the Ground for the first time driving to HyVee. I fell in love with voice and the words and the music. I saw him play at Red Dirt Christmas (“Music Church”) at Cain’s Ballroom in Tulsa a few years ago. An amazing night with great music.

In my single girl days, my old blog featured lyrics and memories associated with the memories. Today, this song just makes me smile and remember the hours I spent listening to Red Dirt music.

With you by my side, I can do without the big city lights. I fly so high when you’re around, my feet don’t touch the ground.

If you need some new music this weekend, I encourage you to check out Brandon Jenkins.

Crying in the Car

After a rough night for Mae, today was a good day. She was firmly on #TeamNap and just enjoyed playing with us and with her new Toby Tracheasaurus that arrived. She’s now off in baby dreamland.

Today was also tough emotionally for me. For years, I listened to my hometown radio station do a radioathon for the local children’s hospital. The set people’s stories to songs and play them throughout the day, while asking people to donate money to the hospital. Today was the radioathon here and Mae’s story was featured. I was able to hold it together when they did the taping, but when I heard the final product today, I lost it. Our song was fittingly, Fight Song. You can listen to the song here.

I took the morning and ran long put off errands and heard many of these stories. I’ve heard similar ones before and might have teared up, but today, hearing these stories as a medical mom had me crying in my car driving across town. We spent 10 months, 307 days, inpatient with Mae and got to bring her home. I know way too many moms now that didn’t get that joy of bringing their child home from the hospital.

Tonight, Mae got extra squeezes as I think about a boy & his duck and Judebug, just two of the sweet boys who didn’t get to come home after the last trip to the hospital. I think about them and their amazing momma’s a lot.

A Day In The Life of Me

It’s Tuesday. When I had the wheels spinning to start a blog, I wanted to write about our life & living normally with a trach child. So Trach Tuesday was born.

Before our sweet girl arrived 15 weeks early (that’s a story for another day), I worked full time as a lending assistant. Now, 14 months later, my life is vastly different. Gone are the days of running errands after work or on my lunch hour. I don’t have a lunch hour anymore.

Today our day looked like this:

  • 5:30 am – Husband leaves for work
  • 6:15 am – Our night nurse wakes Mae & starts her morning respiratory treatments.
  • 6:30 – I wake up, do my morning stuff & get the end of shift report.
  • 7 – Our night nurse leaves. I get Mae’s feeding & morning meds ready to go.
  • 7:30 – Feed Mae via her G-Tube and catch the Today Show.
  • 8 – Our day nurse arrived! (We have day nursing or respite care 2-3 days a week). Mae took a 30 minute nap.
  • 8:30 – Mae & her nurse play, work on therapy. I go lay down.
  • 10:30 – Mae gets a spa day (bath, hair, nail & trach ties changed. I take a quick shower.
  • 11 – Mae lays down for a 45 minute nap. Her nurse & I eat lunch.
  • 11:30 – Mae is fed while sleeping.
  • 12:15 – Respiratory treatment for Mae (Grandma calls this her peace pipe)
  • 12:30 – We gather everything needs to take Mae out of the house. This includes a go bag (trach emergency), suction machine, oxygen tank, pulse ox machine, normal diaper bag and stroller.
  • 1 – Therapy sessions for Mae. This week she moved to two times a week from three. She has three, 30 minute sessions. Physical, Occupational & Feeding therapists work on a a variety of things with Mae to help her development.
  • 2:30 – Head home, Mae takes a 30 minute nap. Today we moved her 3:30 Feeding to 2:45.
  • 3:30 – In Home therapy for Mae. This is through the early development network with our public schools.
  • 4 – Our day nurse leaves.
  • 4:30 – Therapists leave, I try to get Mae to take a short nap since she was going all her ‘I’m tired’ signals. No such luck today.
  • 5 – Husband arrives home. I get dinner going while he entertains Mae.
  • 5:45 – Dinner
  • 6:15 – Start getting Mae ready for bed. (A little early tonight since we can tell she is exhausted) Mae gets more respiratory treatments.
  • 7 – Dinner for Mae. She receives all meals and medicine through her G- Tube.
  • 7:30 – Mae’s bedtime tonight! We read a story and move her into her room. We call moving her the Mae Train since we have a cart that holds her suction & pulse ox, trach supplies, respiratory treatments and diapers that moves with her from room to room.
  • 8 – I start a load of laundry, clean the kitchen & make lunch for the next day.
  • 8:30 – Husband goes to bed, he gets up at 4:30.
  • 11 – Our night nurse arrives. I give the daily report, letting them know of anything special to do in the morning or during the night. During their shift, they make sure Mae’s pulse ox numbers stay where they need to be, give feedings and respiratory treatments at 11:30 & 3:30, clean equipment & make formula for the next day.
  • 11:30 – I get in bed, usually falling asleep around 12:15.

And that’s our day in a nutshell. Throughout the day, we suction Mae to remove any secretions.

Pesto Chicken Pizza

Who doesn’t love pizza for dinner? While searching Pinterest one night for dinner inspiration, I came across a pesto pizza recipe. The problem, I didn’t have half of the 20+ ingredient list. A few nights later, I made this pizza and never went back to the Pinterest one.

A few months later, my brother was in town and I made it for him. He even said it was good. Even better, he called later and asked for the recipe!

Preheat Oven to 400

Prep time – 20 min (includes prebake & microwave time for bacon)

Bake time – 10 min

  1. Roll out pizza crust & sprinkle with Italian seasoning. Prebake for 8 min.
  2. Spread pesto on crust. I use the back of a spoon.
  3. Layer on bacon, chicken & cheese.
  4. Bake for 6-10 min.

Chicken Pesto Pizza

1 Refrigerated Pizza Crust (I like thin crust)

Italtion Seasonings to taste

1 cup prepared Pesto

1 cup cooked chicken (I buy precooked)

1-2 cups pizza cheese

Chopped red onion (optional)

Butter Biscuits

Moving into my first apartment many years ago, I missed my Dad’s biscuits. He made them maybe once a month and they were so good. Over the years, I’ve developed my own recipe, similar to his.

What great about my recipe, is that it’s easy, made with just Bisquick, milk & butter.

Preheat your oven to 450.

  1. Mix Bisquick and milk until dough forms. Turn out on floured (I just use more Bisquick) surface and knead 10 times.
  2. Roll dough to half inch thickness.
  3. Butter step – you can go about this two ways: Grate frozen butter or slice butter into thin slices.
  4. You will create a few layers. Once you butter, fold the dough in half and roll out again.
  5. Repeat butter step 2-4 times.
  6. Cut dough into biscuits. I use a wine glass for my perfect size.
  7. Bake for 8-10 minutes.
  8. Serve plain, with more butter, jelly or honey.

Butter Biscuits

2 1/2 cups Bisquick

2/3 cup Milk

Butter