Piper plays with Audrie

Audrie and Abbie came up to meet Piper Jane on Friday. As usual, Pip was curious with her new little friend and spent the visit trying to poke her in the eye and pull the buttons off of her shirt. I kept pointing out Audrie’s amazing patience with Pippy and how I couldn’t believe it, but then Abbie reminded me that Audrie has an older brother. I was all “ahhhh, that explains it” and Pip and Auds carried on with the poking and pulling for the next few hours. Piper Jane was just being a good hostess, and trying to make audrie feel at home.

Pipsqueak is almost exactly one year older than Audrie. Just when I think Pip is catching up in size, I realize how tiny she still is. They had similar interests in toys though, I mean, mostly Pipster would try and snatch away any toys Audrie had just picked up to play with. Audrie kept lining the princesses up in a row on the seat of the white chair, and Pip would  scurry over to sweep them off. Then she’d go back to whatever she had been playing with before. Like a mini-giant causing a ruckus on a village of princesses.

I wanted to get some pictures of Audrie and P-nut sitting in these chairs together, but Audrie kept getting distracted and Piper was just completely mesmorized by her. Audrie thought it was so funny that Abbie and I were trying to get her to hold still for a picture, that she then got even more wiggly and wild. Piper and Audrie both thought it was hilarious. And I guess it sorta was.

here are the two goofs tag teaming the silly-ness…

can you handle the mess of princesses on the floor?

Miss audrie below, belly laughing.

audrie just removing herself from the shot.

Pip and Auds just deciding together to blow this Popsicle stand.

Good bye.

Questions. All Pip and nothing but the Pip.

How can I find your old blog?
Jake found it for me! It isn’t everything, but it is as much as we have. The stuff that I used to do on microsoft frontpage is likely gone for good. http://jakenreag.com/reagansblob.html

Also, want to know something funny? When I first met Jake in 2005, he told me that he had a blog. I thought he said “blob” and asked what he meant by that. He explained what a blog is and then talked me into starting one a few months later. I blobbed for a few years before I knew anyone else was doing it, and I had never read a single other blog until 2 years ago when I suddenly found out half my friends had blogs. I almost felt like I needed to take a week off from work to stay at home and process it all. “you mean I didn’t invent blogging?” I thought to myself. I still call it a blob to this day…

Does Pip ever cry?
Hardly ever. And when she does, it is because she is in pain or she has had enough of being messed with. Crying just to cry has literally never happened. If you have heard my Piper cry then you know what the saddest thing on earth sounds like. It’s quiet and much like a little kitten meowing, but with a sad face and tears.

What is Piper passionate about?
Hahahaha. This is my favorite question. Her passions evolve with her age and wisdom. Right now she is most passionate about tapping and monkey cards. In fact, tapping has been a consistent passion of Piper’s for many years. We’ll take a picture of the front of the monkey card this weekend so you can get a peek into her passions.

Can I send Piper Jane a present?
That’s nice of you! Send me an email!

What does Piper eat?
She has a gastrostomy tube that goes into her belly. She has a little button called a Mickey that you can take the tube out of and close up so she has a little freedom from her feeding pump. She gets formula and a little rice cereal mixed in. She is on continuous feeds that are slowly pumped throughout the day with a few hours of breaks a couple times a day. She used to vomit a lot and this seems to be the best way for her to tolerate her feeds. She doesn’t eat any food orally. Speech therapy tries to get Piper to taste food (whipped cream, apple sauce, disolving crackers) but Pip doesn’t have any interest and freaks out if you try to put anything in her mouth. I think that is from all the intubating and deep suctioning she got at such a young age.

What does Piper do when you aren’t there? What is her school like?
She goes to school for a few hours, she gets three kinds of therapy, she gets played with by nurses and read to by volunteers. I feel bad that there are three days per week that I can’t be there, but they actually keep her pretty busy on the weekdays. She loves attention from the nurses and they completely dote on her.

Her little school is about 10ish kids. Most of them are outpatient. They play with toys, eat snacks (the ones who can eat) and listen to music. A wonderful volunteer named Judy comes in with a guitar and sings little songs with them. She walks around and lets each child strum the guitar while singing a song with their name in it….”Piper Jane is going swimming in the wattttter, swimming in the watttter, swimming in the wattter”. In case you’re wondering, I’m pretty sure Judy is going to heaven guaranteed.

Do you give her baths?
If she needs one while I’m there! She usually gets one around 5 or 6 in the evening, and I’m there mornings/days. You probably already knew this but Piper is a tub splasher.

What size is Piper? Why is she so small?
Pip only recently graduated to size 3 diapers (hello, little butt!) and is otherwise about the size of a one year old. She is skinny and long and impossible to shop for. That is one reason why she usually wears dresses. Also because she just likes being fancy.

Kids with CCMS are small (yes, there are others!). I know of a young adult male weighing about 75 lbs. I’m not sure exactly why this is, but when Pip was really young, many of her precious calories were being burned just working hard to breathe.

How old were you when you had Pip?
I was 23. Just a little bitty baby myself.

How do you pay for Piper’s care?
I feel a little weird with this question, and I know Jake probably feels weird, and I know for sure everyone who asked felt weird….but you also know how astronomical hospital related stuff is and I don’t blame your curiosity. Well, we have really really really great insurance through Jake’s work. We are very fortunate for that. So far everything has worked out, I hope I’m not jinxing anything.

Does Piper really just hold still while you do her hair?
Yes! She really does! I can’t believe it either! But her hair easily will just explode out of any grand creation I’ve made the second she gets a bright idea…..much like a mad scientist.

~There are still a lot of really great questions, but I’ll probably only do a few more posts because I feel like this might be starting to get boring. It’s not at all boring for me and I’m still getting weird and funny questions about Jake. Example: after the last post someone’s question was “It’s true, your husband really is hot”. Also, “does Jake only smile with his mouth closed?”, “why does he wear his hat sideways”….Believe me, they’re all good. I want everyone to make a formspring so I can start asking awesome questions too.

Round two of formspring. (kids and shoes and clothes and stuff)

Where do you get Piper Jane’s shoes? and clothes?
I get most of Piper’s shoes at Seekairun.com and piperlime.com
Her clothes are mostly from Target, Old Navy, Etsy, thrift shops, American Apparel, H&M, Polarn O. Pyret and smallconcept.com. Also random boutiques here in New York.

Do you and Jake want more kids?
We’re not really sure. There are times that I think we will, there are times that we can’t decide and there are times where I think about how hard my pregnancy/delivery was and I never want to risk going there again. I don’t know. But I would say, probably yes. There are a lot of things to factor in. Like how will I have time to spend with Piper? Also, maybe Piper will get jeal of another baby in my lap and completely lose her ****.

There is also genetic testing and the risk of having more sick kids. No one knows what to expect for any future pregnancies (although they think it’s probably safe), but the thought alone stresses me out. Not to mention I don’t know that I could deal with the questions for the first few months. Questions that I would have myself and questions that others might ask. Scary.

If I decide to, it will be because it feels right!

Have you ever thought about writing a book?
I haven’t! I don’t know, it’s just has never really crossed my mind. I’d be open to it, though. Hooray.

Can Piper Talk?
No. When Piper Jane was 3 months old and we were having the pre-surgery consultation with her ENT, he warned us that speech delay is one of the biggest side-effects for children with trachs. If she can get off the ventilator, she’ll be able to have a speech valve put on that can allow her to talk. The trach blocks her vocal cords for the most part, but if she contorts a little, she can get a leak from the vent and squeeze some squeaks out. Just like the little pipsqueak that she is.

How do you pronounce Pip?
Someone asked in a comment if it was like “Sip”. Yes! It’s like Sip! And pippy is like sippy! Naming Piper-Piper was basically the best decision I ever made. She has more nicknames than you can dance a jig with. Anything with a ”P” is a candidate. PIPsqueak, P-body, Pippin, Pipsey, Pippet, Pipster….A million. Pip, Pip, Hooray!

How did you come up with the name Piper Jane?
I heard the name Piper when I was in high school from the TV show “charmed”. I was flipping through the channels and didn’t actually watch that show, but just caught enough of to hear the name. I never forgot it. When I was pregnant I told my mom I like that name and she told me about the actress, Piper Laurie, and I looked her up. I named my daughter after her. She is so beautiful and that name is just spunk-city. I was still throwing around names up until Pip was born, but after she came (and was rushed out of the room before I got to see her) my doctor peeked around the curtain and asked what her name was. I told her Piper Jane and it just happened to come right out of my mouth like it was never a question. My doctor said “I like it! It’s upbeat!”, which is exactly the kind of name Piper needed. When Jake arrived at the hospital I was in the recovery room and sheepishly confessed that I had accidentally named our child without him, but that her middle name was after his sister, Sarah Jane. He was happy and I was happy and pip was happy and our family was happy. It’s like this, every once in a while you do something so dang smart, and on May 21st 2007, I did something dang smart…

What is the next weird meal you’ll make for dinner? What other weird food have you made?
I don’t really know. It will most definitely have a superfluous amount of cheese smothered in every nook of it though. -Other weird food I’ve made is the burger melt (look it up in my June 2010 archives)…and when Jake and I were first married I’d make him crazy food that we had on hand. Like Pop tarts and Ramen Noodles together.

Where are 3 places you shop for clothes?
Modcloth.com, Urban outfitters and Anthropologie. Can I throw in Madewell too?

What is your tattoo of?
It’s a cute little flower on my foot. I think it’s pretty, and I like where it is, but I wish I had put some thought into it, being that it is a permanent thing on my body. I’m not anti tattoos, but I never really thought about getting one. When I was 20 my friend asked me to go with her to get her tattoo touched up, and I ended up getting one out of no where. Basically my flower-pants-tat was a total impulse. If I could redo it, I’d probably get my favorite music lyrics or a Peanut Butter and Jelly sandwich. PB and J are my two loves. (Piper Breinholt and Jake).

I’ll answer some more questions pretty soon!

*I’m addicted to formspring. I love the questions I’m getting. I’ll call Jake and be like “Jake some-one’s question was “Your husband is Hot” and that is all they said! and then we laugh and laugh! And then some of the questions I can tell are from my family or friends and those are awesome too. So many of you are the funniest people ever and I will just laugh out loud (I don’t write LOL because for some reason I always think it’s a lie. If you write LOL to me I automatically assume that you didn’t really laugh out loud. I don’t know why…) at what I’m reading and then look crazy for laughing out loud in a public place by myself.

Also, really, the longer questions and statements are getting cut off like I said before. So if I don’t respond, it is most likely that I don’t know what your whole question is…

Thanks for the questions guys. It has been really fun!

Round one of formspring.

So the most popular questions by a landslide are along the lines of “Why can’t Piper come home?” and “will she always be on a ventilator?”.

I think I kind of made the mistake in my last post of making it sound like we have the option of bringing her home and we just choose not to. That isn’t the case at all. Having Piper Jane at home isn’t even possible at all right now, not because we have chosen that, but because it is much too dangerous and risky to have her out of an acute care situation. Her doctor wont even let us, and we trust that it is in Piper’s best interest to not argue with that decision. We wish we could, but we can’t.

Piper is missing half of her ribs, she has severe scoliosis and kyphosis. The majority of business going on in her chest/spine area is a little jumbly and funky, causing a lot of problems with her breathing. Her lungs can’t expand all of the way, so she can never take a deep breath. The ventilator gives her a higher percentage of oxygen (normal room O2 percent is 21%, and she gets 28%), and a higher volume as well to make up for the short/quick breaths she has to take. She used to have extremely high vent settings, her O2% was around 60, but was weened significantly when she was about a year and a half old. Unfortunately, since then she hasn’t budged at all with the weening. Absolutely no progress at all. Sucky.

Until she turned one, she was on a gigantic Ventilator called the Servo i. It was huge and not portable, so we couldn’t take walks or bring her out of her room. If she was still on that, she wouldn’t be able to go to school or be taken out for therapy. Switching from the servo to the portable vent was a huge deal for Piper Jane. We were very excited.

Yes, sometimes people live at home on ventilators, but they are obviously not as sick as Piper. She is doing great, really great, but easily will still turn blue if she is disconnected from the vent for any amount of time. She is so dependant on the support she gets from the ventilator, that it is just very dangerous to have her away from a hospital.

And next. We have no idea if or when she will come home. No idea. Neither do her doctors. No idea.

We’ll have a better idea If/When Piper Jane can get off the ventilator. When it happens, we’ll let you know and then we’ll have a party.

With the vent, like I said, she is completely stagnant with her settings. CCMS is so rare, and Piper’s case seems to be the most severe of any cases still living, by a lot….so the doctors don’t really have much to go by. With a more common disease, they might be able to compare cases and see when progress can be expected, but with Piper Jane (and you all know this by now….and love her to pieces for it) she is her own spunky/unique/individual Pip that can’t be figured out. She has made us all very VERY aware that she is doing everything on her own watch. Just when we think we have her number, we are completely thrown for a loop. Way to go Pip.

I hope this answer is thorough and that you will stop asking me when she is coming home, haha! (I guess I don’t really blame you)

For the record, you all asked nicely :)

I made a formspring account.

I decided to make a formspring account because I get question sometimes about Piper Jane and her condition. Usually the person asking apologizes for being nosey, so I thought this would be a good way to help with that. One time a friend of mine, one that I consider pretty close, said she felt timid asking about Piper’s syndrome because she felt like we had been friends for too long for her to not know everything. I have been saving a lot of these topics for later so that they aren’t just randomly thrown into a post about Piper wearing a cute dress or wiping snot on my face.

Honestly, and I’m not saying this to scare you off, but sometimes questions do hurt my feelings. Sometimes people point out that parents can have kids at home on ventilators, so why don’t we, and that one seems to really make me feel bad every time. I am pretty sure it is 100% asked with intentions to give me hope, but for some reason, it hurts a lot. So I hope if you do have a question, you’ll be gentle with the way you ask it. And I hope you don’t feel bad if I choose not to respond to something. Maybe I wont even get asked a single blinkin’ question anyway.

If you want to ask about me and Jake and our life or why we eat weird food for dinner, you can. Although we are not nearly as interesting as that Pip…

It just occurred to me that maybe I’m too open. I am one of those people who never shuts up at a dinner party and often people are shaking there head like “too much, Reagan….too much”. Maybe I should be more private. Can someone teach me how to be more private?

NOTE:longer questions are being cut off. I think there is a limit to how many characters you can use. Kind of lame that they don’t specify and end up just cutting it off in the middle. but all you long question askers maybe want to retype it in a summed up version? Please, because I’m curious!

Pip goes for round two.

Here is a little (large-ish) taste of our Sunday visit with that Pipsqueak. With Jake as my husband, I’m always yesterday’s news, he is basically the best blogger ever. Our blogs have pretty similar topics except I make up my own words and he uses spell check. Enjoy these adorb-worthy piptures. Sorry for everyone who melted yesterday….we had melting in three continents.

This picture above makes me want to sing dunna dunna dunna, she’s a maniac MAN-i-ac on the floooorrr.

This pipture below makes me sing everything for no reason. We play together. Hooray.

The frizz apple doesn’t fall far from the frizz tree. We’re just two frizzy blonds. I like it, but I don’t think Piper gives two shakes of a lamb’s tail.

Pip is making sure I untangle her wire from her shoe properly. And just so you know, she judges those who don’t have a fresh manicure. I’ve learned my lesson.

Jake said we match. I didn’t plan it I swear, but you probably don’t believe me since I dressed myself and her too.

Piper Jane smiled non stop the whole visit. Except for all the times she stopped when we snapped a photo. Yeah, nonstop except for all those times. It is like this wonderfully stupid phenomenon where she’ll be gleaming with smiles and then I pick up the camera and she is 100% straight faced. Anyway, I got her! I got her below with a smile and there’s nothing she can do about it now! muhaha.

I wish you could have been there, Family, friends and strangers. I do. It was a good visit. We laid in the grass. I looked up at some trees. We’ve never done that before. Piper Jane is three and we’ve never done that before. Take your kids outside, lay in the grass with them and look up at some trees. Do it every day this week. Breath in some fresh air and let a bug crawl on your leg. Do it for Pip. Please?

Yesterday was the 4th time in over three years that we have taken Piper Jane outside by ourselves. The first time was against the rules because we didn’t have vent care formally signed off and we got yelled at (for good reason). We didn’t know. Anyway, I don’t want to be pitied…but 4 times isn’t enough. And I hope the world can take advantage of the happiness that is taking your child outside for some fresh air. Do it even if you don’t want to. If going outside could run for president I’d vote for it. Seriously, do it and cry for joy that you can. Please?

Tomorrow is Tuesday. Hooray.

Also, Jake’s cousin Tiff just sent me this random email with an attachment of a new blob header for me. She was like “oh I just threw this together in like a second”. Who does that kind of nice crap for people out of no where? She came here a few months ago and I begged her to be my best friend. I think I came on too strong. This is weird, she might read this…..

I love my new blob header. A lot.

I cook weird food for dinner.

Remember the burger melt? I made it’s little sister, the fried cheese melt for dinner on Friday. Jake sent me a link to this new dish at denny’s asking me to make it for him. So of course I did! I wifed it up on Friday night! Here is how I did it!

Cut string cheese in half, then dip in egg and then in bread crumbs. repeat and repeat to make it a nice, thick, crispy crunch. Then fry them.

Then put inbetween two slabs of buttered bread with lots of sliced cheddar cheese and pan fry until golden brown. (and then don’t judge the girl who calls herself “a hairstylist” for her awful hair in these pictures)

Then serve with something at least kind of healthy, so that you don’t die. I invented my own little tomato and basil soup recipe for the dipping. (and don’t judge the girl who claims to have been “wifing it” for the soup all up the side of the bowl”

This was another one of those, fun to try, but I am not going to seriously make this meal regularly or probably ever again. I only ate half of my sandwich, and then proceeded to devour my tom/bas soup. I’m not much of a cook at all. But I can kind of bake and I can seriously nail making weird food, the kind that doesn’t even count as a meal. Like above. Cool right?

My soup was quick and easy, but I’ll do it again. I will probably spend more time on it, the focus for this meal was the sandwich, so next time I’ll probably add more to the soup.

Throw a finely chopped garlic clove into a big sauce pan with some olive oil and let simmer for about a minute.

Throw in a container of Pacific brand organic creamy tomato soup.

Throw in a can or two of diced tomatoes

Throw in a splash of heavy cream. (just a splash)

Throw in a few handfuls of sliced basil

Throw in an immersion blender and blend everything nice and smooth.

Make sure you throw everything in since then you have the excuse that “What? This old meal? I just threw it all together!”.

Pip’s new hat (going outside)

In an attempt to make going outside more pleasant for Pippy’s sensitive eyes, I bought her a little sunhat (thanks for the suggestion Kayla!). It backfired. Know why? I covered the Pip in sunscreen and she got some in her eyes while shielding the sun with her hands. It was so so so bright outside for little Piper Jane, even with the hat. She isn’t used to natural sunlight at all. She was miserable and I felt so terrible. She just curled into a ball and hid like a little hermit. After wiping her eyes with a washcloth, we finally gave up and came back inside. She was tired and not happy. We struck out.

The good news is that she looked like a freakin’ padington (pippington) bear in her little hat and we all melted. Every one of us at blythedale. Nurses, security guards, patients and parents melting out of no where. Because Piper Jane looking like a granny with her walker and a paddy with her hat is too much.

We came back to her room and she quickly found her monkey card, blanket and took a mean nap. It was about time.

ps, stay tuned, because we took her out again today and it went much much MUCH better. Bye!

Pippy and venty

Piper Jane has become very curious with all of her equipment lately. She has gotten especially good at moving herself around with her tubes and it kind of surprises me when she untangles them on her own. Something she has started doing, is pulling out her trach. She has done this a few times in the last few months, and if any of you are familiar with trach care, you know this is very serious. She is such a stinky stinker! She rolls with laughter every time she pulls at it and loves to see us panic to make sure it is secure. Last week, Jake got a phone call that she had again gotten it all the way out, and then desatted immediately. There isn’t much we can do now that she is so strong and so curious.  She is too naughty for her own good.

Anyway, the point of me telling you all that, is because yesterday when she was at school, she wanted to play with her vent to whole time! So I took some pictures. Her vent is probably in the majority of her pictures,  it’s just in the back. We have a love/hate relationship with her vent. We hate you vent, but thanks for making it so our Pip can breathe! Love ya!

In case you were wondering, the bottom picture is my favorite. I like how she is lovingly smiling at venty.

pj in some pj’s

I saw Piper Jane on Friday, but other than that, Jake and I have pretty much stayed home this weekend. Jake is sick and we’ve been worried about bringing a bug to our little Pipsqueaker. Needless to say, I’m counting down for Tuesday. It’s going to be a smother-fest.

If you are like me and Tuesday might as well be next century, here is the Little P in her Jammie-jams. What’s cuter?

Piper Jane has this little Monkey birthday card from aunt Dojee that we keep underneath her crib. When we get on the floor, she knows exactly where it is and goes right for it. Every single time, without fail, she books it to the monkey card. It’s hilarious. She even puts it back where it goes when she is done with it!

Photos from last Sunday, taken by Jake.

I miss Piper, yes I do, I miss Piper, how ’bout you?