Coping, Heart Defects, Hospital Stays

Six Truths of a Long-Term Hospital Stay with your Little One

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During the first year of Maddie’s life we spent close to two months in the hospital. At different times, we were in the NICU, the cardiac ICU, on the neurology and cardiac inpatient floors, and we did an inpatient and outpatient stent for two different surgeries. Those days were some of the most challenging, confusing, exhausting days of my life. But we made it through, and we even managed to find moments of levity between the moments of stress and terror.

You learn the routine

We spent most our time at Cincinnati Children’s Hospital Medical Center (CCHMC). Like most hospitals, the doctors begin rounding early in the morning. CCHMC takes a multidisciplinary approach to care, and depending on your child’s condition, the team that rounds may have up to six clinicians or more. For instance, in the NICU each morning there was an attending physician, a nutritionist, a cardiologist, etc. Most days we would know what time the team started rounding, but we would never know exactly when they were coming to see us. Although we were always eager to speak with the doctors, we quickly learned that the later in the morning the team stopped by (and the smaller the team), the less serious the patient’s condition. For instance, on our first day on the neurology floor after
Maddie’s seizures began, we had a huge team of doctors who showed up around 7:30 a.m. On the day we were discharged we only saw one physician, and he did not stop by until close to noon.

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Rounding on the Neuro unit. Maddie had bronchiolitis, so every clinician who entered the room had to garb up to reduce the risk of infection in other patients. 

Lunch time is the best time

The days at the hospital can be very long, so it’s helpful to find a way to break up the hours and find something to look forward to. For Nate and I, that was lunch time. Especially while we were in the ICU, we looked forward to an excuse to escape for a little while. Soon after breakfast we’d begin talking about what we wanted for lunch. Would it be pizza, something from the grill, or (our favorite) the salad bar? Not only did we look forward to the food, but it was a chance to see other people, and even sit outside if the weather allowed. And we didn’t feel guilty about leaving for a little while. After all, we had to eat to keep up our strength for Maddie’s sake 🙂

Your child’s room will become your home…

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Dad and Mads passing time by catching a little TV. 
Aside from our time in the NICU, we were able to stay overnight with Maddie. The rooms at CCHMC have a chair that folds out into a bed. There’s closet space for overnight bags, and a bathroom with shower. We would stay there for days at a time without going home. So naturally, it began to feel more like a hotel room. And bringing a few familiar items from home can make the stay seem a little bit more bearable. I remember the best night was when Nate brought Maddie’s favorite bouncy seat to the hospital. I pulled her, along with all her wires and tubes, out of her hospital bed and placed her in the chair. Then I turned on some Taylor Swift jams and danced around her until she couldn’t stop giggling. Of course, our time was interpreted by a nurse coming to give her meds. But those brief moments were healing for me, and made the hospital room feel a little bit more like our living room.

… And eventually the clinicians will seem like unwelcome guests

A friend of mine used to work as a child life specialist at the hospital. If you’re not familiar, child life specialists are wonderful people who help families to feel more comfortable in the foreign setting of the hospital. They’re part counselor, part navigator, part playmate. She shared that sometimes the parents of her patients were difficult to

work with. One mother even accused my friend of flirting with her husband after only a few words were exchanged. My first response was to think how crazy that mother must have been. But after I thought about it a little more, I understood. Since the room begins to feel like your home, you start to feel like every clinician who walks through the door is intruding- especially because they come at all hours of the day and night. Imagine how a mother would feel if another woman popped by her home late in the evening and started playing with her children and engaging her husband in conversation. She might feel defensive and a little jealous. Now, I realize it’s far-fetched to think a clinician is hitting on your husband- but in the sleep-deprived, stressed out, deeply frazzled brain, I can see how this thinking could occur.

You will sleep an ugly sleep in front of highly-educated strangers

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Nate and I shared this bed most nights.

Sleep is an allusive activity when you’re staying at the hospital. The bed is uncomfortable, there is constant and unpredictable beeping from the monitors, bright lights from the hallway and a near constant stream of clinicians who stop by throughout the night (and that doesn’t even include the nightmare that is staying in the ICU). But no matter how miserable and interrupted the stay, eventually, you will crash- hard. You will fall asleep strewn across the chair of a bed, mouth wide open, snoring and drooling. And then you will wake up to multiple doctors in your room, who all seem cleaner, more awake and more ‘normal’ than you ever remember being. It will be at that moment that you will be expected to have a meaningful and intelligent conversation about your child’s plan of care. And you will be so incredibly exhausted that you won’t even care about your unkempt appearance or morning breath. Like yesterday and all the days before, all that really matters is that your little one is receiving the care they need.

When you leave you won’t know how to act

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“Go Home Day” from the Cardiac unit- O2 tank in-tow.
Time seems to stand still when you’re at the hospital. And if you’re lucky, eventually
you’ll receive the news that it’s “Go home day.” Upon discharge, I had to resist the urge to run to the car lest someone catch us and drag us back to the room. Leaving the parking ramp with your child in the car feels surreal. And if you’re like me, you’re glad you’re not the one driving because, honestly, you can’t really remember how to operate a car or follow the rules of the road. The fact that you have freedom to stop at a drive-through or pick up a Redbox is sheer ecstasy.  And placing your baby in their own bed that night will make you feel overjoyed and terrified at the same time. Once again, you and your partner are the sole protectors of this beautiful child, and the world is as it should be.

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