Welcome to Tyler and Parker Thompson's Blog

Tyler and Parker Thompson arrived on June 23, 2008 at only 26 weeks and 4 days old, weighing 1 pound 6 ounces (Parker) and 1 pound 10 ounces (Tyler). Parker spent 129 days (home 10/30/08) in the NICU, while brother Tyler spent 143 (home 11/13/08). We are thrilled to have our family complete with both boys home!

This blog was created by John (the daddy) to inform family and friends (and now new acquaintances) of the twins progression. Below is the blog archive dating back to the week Heather (the mommy) was admitted to the hospital. We try to post weekly updates, but on occasion the week gets the best of us.




Sunday, July 25, 2010

Marine World!


Looking at the last posted blog, I mentioned that next entry would include pictures of water fun and Marine World. Since then we traveled up to Oregon and Washington and continued gathering pictures and memories! BUT...I promised Marine World and posted those first! Next water fun, and THEN wedding in Oregon and lastly, our trip to Washington where Tyler saw his first ever live "bawk bawks"!

I love this picture because it's so "Tyler" with his burp cloth hanging out of his mouth!


Here is mommy and the Bubbie taking a jeep ride ONCE around the jungle track. After a hot half-hour wait, could they at least compromise with another lap?
Family in the butterfly grotto! The Bubbie LOVED the butterflies - it had to be one of my favorite parts of the trip!
After our first day at Marine World, the Bubbies were exhausted...look at those sleepy heads!

Marine World visit #2 kicked off with Uncle Mikey and Auntie Velear at the Tiger show!
Grrrrr......
Look! Tigers can swim!
Uncle Mikey and John took the Bubbies down for a personal and close up look at the tigers after the show. As Auntie Velear and I clueless chatted outside of the arena, they had an intimate viewing of one of the tigers - doh! Figures - and mommy wasn't there to take pictures! Grrr...


Daddy and Tyler enjoying the shows!


Auntie Velear, Uncle Mikey and Parker!

Of course we had to check out the butterfly grotto again!


Mommy and Parker on his first 'up in the air' ride - the helicopter!


Tyler on his first 'up in the air' ride with daddy!


Waiting for a VERY special train....


...Thomas The Train!


Tyler visits a friendly bat!


Thursday, July 1, 2010

Becoming 2 Over and Over Again!

The celebration never ends, if you're a Bubbie! The boys have been celebrating their second birthdays non-stop with a visit from Grandpa Schrupp and a visit from their Grandma Thompson, Uncle Bob and Auntie Kristin. Below are some highlights on the continued birthday extravaganzas!

A quick update on Bubbie health: Tyler's stomach x-ray showed blockage in his small intestine so we put him on a two-day regimen of magnesium citrate to clean out his system. After two days of massive diapers, Tyler's daily throw ups improved drastically. He also started a new steroid, Entocort, a couple of weeks ago so we're not sure if it's the resolved blockage, the new drug, or combination of the two. Either way, Tyler is improving (we think). Of course that doesn't mean he'll miraculously begin eating any time soon. Tyler's oral aversion is thickly ingrained into his being - this is a looooong journey folks!

Parker continues to eat on his own but not without bribes, patience and continued use of his appetite stimulant. Right now we are only gavaging water and medications into him during the day and hand gavaging one bolus of formula before he goes to bed at night (if he didn't meet his calorie minimum). We've come so far with him, I really can't complain about our tactics!

Coming soon are pictures of Bubbie water fun and Marine World trip! Until then, enjoy some more 2nd Bubbie birthday snaps!

Wow...look at the HUGE balloon from Grandma Thompson!

The boys can't get enough of this balloon - in fact, Parker tried to take it outside yesterday! Thankfully I caught it just before it traveled off to another two-year old in the next county!

Tyler got a ball...one of his all time favorite things!


We know what Parker likes...books!


Here's Auntie Kristin showing the boys their new tiger bubble blower! Quite the Cinderella moment...I should hand her a bucket and dish rag to clean my floors!


Little chocolate decedance cakes were enjoyed by the Bubbies (hum...well, maybe mommy and daddy)! Ha ha!

Okay Parker, if I HAVE to take a bite I will! Tough job...licking chocolate and cool whip out of the baby's hands!


Grandpa Schrupp attempting to read to BOTH Bubbies - good try grandpa!

Daddy and Tyler check out new Dr. Suess board books - fun fun!


Parker is intrigued with new books. Go Dog Go! is already a favorite book - a dog party in a tree? Can it get any better than that?

Thursday, June 24, 2010

Happy 2nd Birthday and Bubbie Update

Has it really been a month since I’ve updated this blog? Where did the time go? So MUCH happened in May and June but first I must recognize the most important thing about today: HAPPY BIRTHDAY TYLER AND PARKER!

It was two years ago today that my little angels were whisked into this world, earlier than they should have. I remember how scared we were and what “lack of control” really meant. I was grateful for my family and unsure about our future. The physical pain was piercing but temporary, the emotional pain was indescribable. The day will forever be seared into my brain. The following 4 ½ months in the NICU will always be remembered as a foggy journey through machines, wires, tubes, tests, alarms, hand sanitizer, the pumping station, and life and death moments. Some memories are filled with joy, hope, and laughter, while other moments brought shear terror and heart-stopping panic that you want to forget, but just can’t. The saving grace is that these memories are slowly being pushed aside with new, relevant and more important topics like the boy’s obsession - Yo Gabba Gabba, their new manipulation tactics, or their love of bath time.

So where are we NOW, two years later? We’ve come a long way baby!

Our 1lb, 10oz, and 12.75” long first born (by less than one minute mind you) Tyler Johnathon is now 26lbs, 12oz and 33.5” tall. He has been running around like a track star for quit a while now and climbs better than most monkeys. He climbed into his highchair the other day and can climb out of his crib but doesn’t because he’s actually obeying our request, which is odd. Tyler’s speech has improved tremendously in the past couple of months and he is expressing a number of words and sounds. His imitation skills are amazing and when he pays attention (that’s key, he also has the ability to get distracted) he is able to repeat what you say to him. Tyler has been spending more time sitting and reading books lately – in fact at bedtime, Tyler sits on my lap to read books with me. He used to run around and explore during book time, or just didn’t stay still long enough to finish a story. It’s been nice sharing stories with him. For his birthday he received a key board from our So CA family that plays cat music – yes, it’s shaped like a cat, sings cat songs, the keys even sing “meow meow” if you like. It’s enough to drive a mom CRAZY (btw: Thanks Brian, Christine, Lindsey & Alyssa)! Well, Tyler loves this thing and it is able to capture and keep his attention for half an hour at a time! A few months ago I’m not sure he could’ve found an activity to do that – so whether it’s a maturity “thing” or toy “thing”, it’s a great “thing”!

Our 1lb, 6oz, and 13” long Parker Duran is now 27lbs, 2oz and 33” tall. Parker’s physical abilities have grown in leaps and bounds. A few months ago we purchased a play structure for the backyard that includes a couple of small slides. As the boys began climbing all over the furniture this winter, I knew we needed to find something outside that allowed the boys to use their amazing climbing abilities (oh yeah, and keep mommy’s sanity intact). The structure has really enhanced Parker’s strength, fear of heights and lack of control. He is able to climb up and down the structure with ease and slide down without fear. It’s done wonders for him! Speech continues to be a challenge for Parker but his verbal initiative has increased immensely. In fact yesterday John slid Parker down a slide that led into a new water toy the boys got from our Bay Area family (btw: Thanks Mikey and Velear) and Parker was so mad at John that after he got out, he stood outside of the toy, pointed his finger at John at just yelled gibberish at him for a while. He was clearly giving John a piece of his mind. The interesting change in Parker is that he’s become very independent and exploratory. While he continues to read books and “tinker” with the mechanics of objects, he’s currently not engaged in sitting down with mommy and reading stories on her lap like he used to be. Instead he will listen from a distance or pick one book, read a story with me and then continue on his way. Our multiple book marathons are just not happening any more. Change is in the air!

EATING & GI
Eating is such a HUGE topic in our lives that it really needs its own title. And because the boys GI issues are cause for said eating “issues”, it too shares this title!
I will begin with Parker this time!

Parker is officially eating and drinking 65-72% of his daily calories! Wooooo hoooo! AND Parker is no longer on overnight gavages! He is getting all of his calories during the day – no pump at night. We saw the GI yesterday and officially discontinued his last two hours of pumping at night. Our GI was thrilled to see the progress Parker has made in less than two months. She says this is certainly an exception. I’d like to say that Parker is eating with ease, but I can’t. In fact most of time we are using bribes to get the heavy calories into him – I’m sure he’s sick of avocados, but a tablespoon is 42 calories. So we play the “one bite of cracker for a bite of avocado” trick, the “pause Yo Gabba Gabba until you take another bite” trick, the “I’ll turn the page if you drink more” trick. Not ideal but we’d spend ALL of our time feeding Parker if we didn’t do something. The therapists tend to think that when his calorie intake is at 100% and he’s completely on track, we’ll be able to pull back on his manipulation and break the habit without too many consequences. Does it make it better knowing that he’s the one manipulating us? Ha ha!

Now Tyler – just get ready by opening hand, slapping forehead with said hand and yelling “doh”! So last time I blogged about Tyler’s GI issues he was having a reflux test. Well, the test results were inconclusive because it was supposed to be taken after a 72 hour break from the patient’s reflux medication. We weren’t told this and Tyler had had his medication 48 hours prior. So…all of that for not. Doh! The endoscopy results came back showing that the ulcers were gone but swelling had continued in the duodenum area. The GI put Tyler on a 5-day regimen of Prednisone, a steroid. This stuff made Tyler CRAZY, making mommy crazy with him! It clearly worked its magic and Tyler’s throw ups cleared up, but a week or so after discontinuing the drug his symptoms came back. We’ve since put Tyler on another steroid called Entocort which doesn’t seem to make much difference to his throwing up. At yesterday’s appointment the doctor suggested a stomach x-ray and possibly changing Tyler’s reflux medication. The only other option should these things not help, a G-J tube – a stomach tube that sends food directly to the intestine, completely bypassing the stomach altogether. This would allow us to feed Tyler at a higher rate at night so we wouldn’t have to gavage him during the day, when he’s throwing up (mainly a volume issue – he isn’t able to handle volume). Then we would only focus on oral feeds during the day. We’re just not sure if this is what we want to do though, it’s another risky alternative. So, right now we are waiting for the doctor to get back to us with the results of Tyler’s stomach x-rays from yesterday and give us the green light for this new reflux medication. We’ll go from there…that’s all we can do! Until then, Tyler sits in his highchair and takes licks of purees and other liquidy foods. If he gets an unexpected crumb or chunk…look out, here comes a vomit volcano!

Saturday we had an intimate Yo Gabba Gabba birthday party for the boy’s second birthday with my family. I promised John that this celebration wouldn’t include the 70+ guests that came to their first “Celebration of Life”. But come on, that was a special one – they’d only been off oxygen for six months at that time! My challenge was creating a Yo Gabba Gabba good time – har har! I think the boys were totally confused about what was going on but had a blast! Here are some pictures of the day, enjoy!

Wednesday, June 23, 2010

Happy 2nd Birthday Tyler and Parker!

On the door as people entered.



I made this for the refreshments and for our party favors - sugary cookies with cookie cutters attached.



John and I made the bold decision to go to Marine World the day before the party rather than prepare. So these Muno cakes were made at midnight! I decided to go with a variety of desserts rather than one big cake.


Are these the funniest cakes you've ever seen? You should have seen me trying to figure out where to stick bumps. My only reference was the cover of the Yo Gabba Gabba video - pretty funny! I'm not sure what the boys made of them!



Because you can't buy Yo Gabba Gabba stuff in the store I pretty much created most of it. These are picks I made to stick in the cupcakes - and ended up sticking everything I could get my hands on. If the toilet paper wasn't so "sturdy", it would've been "picked"!


Here's our food table complete with corn dogs and mac & cheese to compliment the roasted chicken and salad. Funny thing, the corn dogs and mac & cheese were wiped out, chicken and salad...not so much! What happened to everyone's diets?




Tyler was having sooo much fun!



I don't think any of the pictures show the boys shirts very well - rats! I created the design and John screened them - they have a faux Yo Gabba Gabba logo on top with Muno in the middle and their names on the bottom. We saved them for the party and the boys just love them!



Here's Parker giving the camera his usual "look"!




Look at that cute Parky face - couldn't you just squeeze it tight?



The excitement is brewing...



Yes, we had pinata fun! Actually I did not make this - it was actually given to us by someone who ordered one for her 2 year-old's birthday but received two instead - so she gave us her extra. Okay, we'll take it! And boy was it a blast! The boys didn't quite know what to do, but had a great time any way. I think the adults had a little more fun as they ended up taking turns! I think there is secret footage somewhere - uuuu hum!



Look at Tyler discussing his shot with daddy.




It's cake time and the Bubbies are just not sure about this cake stuff! For some reason I didn't get shots of the boys all cakey - but I know I got video!



After getting cleaned up the boys ended up in pajamas - oh well! Time for gift opening - Tyler loves balls!


I think this was a favorite thing of the boys - the musical Tigger card. Hum...maybe it was a favorite of mommy and daddy's! Ha ha! We were pretty excited to sing the song!


Here are some of the party animals!


Okay cousin Christopher...how did Muno get on a beer bottle and what preschool lesson are we learning here?


Thursday, May 20, 2010

Peek A Boo!

I love seeing and hearing the boys play together. The older they become, the more often these moments occur. Of course, moments of pushing, shoving and stealing have also become the norm with these two - ugh! Well, one day daddy caught a new one on tape - the boys having a spontaneous game of peek-a-boo. It's a little low-volume, but if you turn your speakers up, you'll hear outrageous baby boy laughter. I just love this sound! And it makes me ignore the fact that they are destroying my curtains - ha ha! Some things are just worth the sacrifice! ;o)

Enjoy!

Saturday, May 8, 2010

Eating Challenges and Reflux Tests!

What a week we had – full of eating challenges and medical procedures!

Last Wednesday kicked off the beginning of Parker’s feeding challenge. We quit his day time boluses of formula and gave him solid foods throughout the day. We also stopped his evening gavage at midnight, giving him only 4 hours (versus 8 hours) of formula gavaging. His over 1000 calorie/day diet was compromised by only forcing 340 calories of formula into his system – with the hope that he would suddenly feel hungry and begin eating ravenously!

Well, it didn’t quite go that way. Day one: 118 oral calories total. Day two: 146…yay he’s gaining! By day eight: barely 200 calories. Hum…he just wasn’t eating enough food to sustain his weight AT ALL! Knowing that Parker was losing weight over this lack of intake, we took him in for a weight check. Sure enough, Parker lost around 1 ½ pounds in only eight days! Eeek!
The nutritionist met with us and helped develop a new, higher calorie plan – WITH the addition of an appetite stimulant. We were happy to hear that Parker was now old enough to try a stimulant. His first day on this miracle drug was a bit trying! The drug acts similarly to Benadryl – can make you tired and sometimes hyper. Nice combo! Parker was a TOTAL grouch and slept for three hours that day! I guess I needed the break after dealing with his attitude for hours – ha ha! BUT the MAIN change was in his eating! He has eaten over 500 calories/day the past two days. I am absolutely hopeful that his "switch" has been turned on and soon we will discontinue his formula pump altogether! Happy day!

Now medical procedures with Mr. Tyler! Friday Tyler had another endoscopy to check on the status of his ulcers. Unfortunately the doctor said Tyler’s system looked fine – ulcers gone and a healthy pathway exists. I was hoping the doctor would come back with answers to why Tyler continues to wake up at night, screaming in pain – or why he can’t take more than 50 cc’s of liquid before throwing up (and sometimes throwing up with 50 cc’s). But no, nothing. Now it’s time to begin the process of elimination game where we test for anything that might cause these problems. Test 1#: reflux test. Before leaving the hospital Tyler was placed with an NG tube that tracks reflux and sends a message to an electronic tracking device. So Tyler came home from the hospital with an NG hooked up to a machine the size of his gavage pump. The memories came flooding back - I had visions of when Tyler had his NG tube. The tape used for the tube ripped off some of his facial skin – JUST like it would when we were feeding him through his NG. Déjà vu FOR SURE! Grrr...

This morning John ran the tracker back to the hospital where specialists will look at the results and determine the extent of Tyler’s reflux. Maybe this will tell us something – or not. All I know is that we have a LONG road to forge with Tyler. I think when it comes to his eating challenge, a simple stimulant will most likely NOT be the key his success. I have a feeling that ALL of mommy’s patience will be tested. But enough of that – right now I am focusing on the positive – I have ONE eating baby! Yippppppeeee!

Here are some pics and video of our adventures! Enjoy!


Parker was without brother Tyler on endoscopy day. Parker was having a cranky time - no brother, new medicine and mommy shoving food in his face every couple of hours. Attitude should have been the least of my worries!

Ugh, oxygen needs right after the endoscopy - makes my heart sink! No more oxygen please!

My first view of Tyler with his NG probe (via daddy's text). No more NG tubes - doh!


Both Tyler and daddy were a bit tired after their hospital adventures. They were ready to nap!

Tyler's face was ripped up from the tape - geez be careful when removing the tape people! Argh! Below is some video footage of Tyler and his equipment. We taped his mesh pack on him so he could move around. Can't keep an active kid down!

Tyler is in good spirits after not only having an endoscopy but coming home with tubes and monitors for 18 hour reflux monitoring. Good grief - poor little guy! He was actually is very good spirits, as always. Gotta love Tyler and his positive nature!

Tuesday, April 27, 2010

Parker with Monitor and Tyler with Song

Tyler immitates words and actions wonderfully. Here is Tyler with the Developmental Therapist acting out a song. Look at how well he "snaps" when she gets to that part of the song. Although you may not see it, he is actually acting the entire song!

Okay smarty pants Parker, how do you know that the cord plugs into the monitor? I'm not sure how Parker "got" this, but here he is trying to plug in the monitor (he unfortunately has the wrong cord). I think his brain is on overdrive sometimes!

Bubbie GI Update!

Cousin Alyssa from Southern CA visited during her spring break! The boys loved their cousin and wished they could have played with her ALL day!

I love this picture of Alyssa and Tyler - she cracks him up!


Grammie was a bit nervous with Parker standing on the back of the couch!

GI Update:
Today the boys had a very important appointment with our GI. This was the appointment to kick off their feeding trials! The last couple of months John and I have been packing calories into the boys to prepare for this challenge. Well, it worked! The boys are now 33” long and weigh 26 pounds, 8 ounces (Parker) and 26 pounds, 4 ounces. They are above 50 percentiles for weight to length. Yep, those G-tubes are doing the job!

The GI was pleased with their growth and gave us the green light to begin food trials with Parker. Tyler continues to have signs of reflux and is back on Nexium three-times daily. He also continues to throw up daily during some of his feeds. We made an appointment to have another endoscopy in a couple of weeks to look for unresolved ulcers or something else that could be causing issue with Tyler’s system. So we will remain at “status quo” with Tyler for now and begin trials after his medical issues are resolved. In the words of Winnie the Pooh, “Oh Bother!”

Parker’s food trial should be interesting. Our plan consists of discontinuing his formula gavage at midnight, then beginning a day of solids when he wakes up in the morning. He will ONLY get what he eats/drinks throughout the day (3 meals and 2 snacks) until late evening. I will also gavage water after each meal to ensure he remains hydrated. At the end of the day we will gavage one bolus of formula (100 cc’s) and put him on the pump to receive formula from 8pm to midnight. The plan is pretty aggressive and Parker will more than likely lose weight. BUT we’re hoping that he will begin to make the connection to eating and feeling full/better. Hopefully he will try more varied foods and practice his eating skills to decrease his choking. Right now he tends to choke on crackers/cookies or bites of food that he fails to fully chew. The OT and Feeding Therapist are working on improving his lateral chew. I have to remind him to chew, chew, chew, while he’s eating. I’m sure an audio tape of our eating sessions would amuse many!

So basically my life went from busy to busier! How is that possible? I will not just have ONE food tornado in my house, but FIVE? Doh! I look forward to warm weather when I can sit Parker in a little pool and feed him! Perfect right? He can get as messy as he likes and I’ll just hose him down! ;o)