Becky and I visited the babies tonight. Jim and Sue came to visit and were already there. Sue held Lily for a few minutes and Becky nursed Juliette. Once again Juliette ate well and didn't get any supplemental feeding via her tube.
According to the nurses, Lily did very well with her oxygen last night and was on 21% (room air) for a while. She got her cannula volume turned down to 3/4 of a liter/minute and was doing well on that. Her oxygen levels bumped back up to the high 20s. Hopefully she'll adapt well to the lower volume and continue to progress well.
The girls have a follow-up eye exam tomorrow to check their retinal development. Hopefully that goes well--the last one was good.
We're starting to finally put together our thoughts and plans for what to do when the girls come home. It's very tricky. The more we talk about it, the more confused and frustrated we get.
First: Maia and daycare... The nurses at Children's have been saying we shouldn't have Maia in daycare when the girls come home because they can't handle the viruses Maia would bring home. Oh, but Becky will need to be available at Children's so she can continue to nurse Juliette before she comes home. Oh, but Children's sibling daycare won't take kids under two years old without someone (family, friend, etc) to supervise. Huh. How do we make that work? Becky is going to talk to the "going home coordinators" tomorrow to see what they say.
Second: Becky and work... This is tough. Becky likes to work. She also wants to be a mom. Becky's FMLA time expires at the end of the month. Will her work let her extend her leave? If so and she goes back, we'd have to look at a nanny since the girls can't be in daycare. You can imagine how much that would cost. It looks like Becky is going to have to talk to her bosses and make some tough decisions.
Third: Coming home... Juliette will probably come home in the next couple of weeks. If Maia is home, how do we take care of both of them at the same time? Maia is not used to being home. She's not used to sharing our attention. I'll probably need to take a few days off work to support Becky during those first few days and to help Maia transition. Then what do we do when Lily comes home? We're thinking about hiring a local teenager or college student as a "mother's helper" to keep Maia entertained and help out with some light housework... at least until the twins are a bit older and have their feeding/sleeping routines established. It took Maia until about 10 weeks before she was at that point. Being in the NICU and ICC has helped to already establish regular feeding/sleep patterns for the twins so maybe they'll adjust to home much faster than Maia did. We'll see.
Fourth: The van... It's ten years old and has 120k+ miles on it. It's doing fine but isn't the best vehicle for loading a toddler and two infant carriers. We've talked about getting a replacement van that will better handle the twins. I'm not eager to pick up a car payment. Maybe we should just try to find a way to make it work with the current van as long as possible. Another tough decision.
Fifth: Becky's office... err.. the twins' room... Ok, so Becky got to keep her office when Maia came home and I got punted to the basement. Well now we need to put her office somewhere else so the girls can have a room. Thankfully it's big enough to hold two cribs, a dresser, chair, etc. Well, where do we put Becky's stuff? Probably the basement. Argh. The house is quickly going to feel small.
So many tough decisions... at least we're finally starting to put together some plans.