A Day in the Life

v22

Several people inquire about what life is like for one of the Vanderwall quints. Many have come to visit and have peered into the world of the V-5. Some are surprised at their cool, calm and collected nature. Others have witnessed the choir of screeching alley cats (aka all 5 crying at once), which is enough to scare anyone into abstinence. All have to take a moment to allow reality to settle in that there truly are five.

When I was pregnant I was searching long and hard for example schedules and routines for high order multiples. I found suggestions but nothing clear and concise, so I thought I would share with the world what a day in the life of the Vanderwall quints looks like.

The life of an infant is fairly plain and simple; it consists of eating, sleeping and pooping. But, as a child ages the time allocated to these changes.

Kali Mae is ready for lunch!
Kali Mae is ready for lunch!

When the kiddos first arrived home at 2 ½ months, or a gestational age of 40 weeks, they ate every 3 hours and slept for the majority of the 3 hours between feedings. We inherited their care time schedule from the hospital, which was 12am, 3am, 6am, 9am, 12pm, 3pm, 6pm, and 9pm.

Aunt Cindy feeding Kali
Aunt Cindy feeding Kali

About a month ago we consolidated the evening so, there was only one evening shift: 1am, 5am, 9am, 12pm, 3pm, 6pm, 9pm.

Cousin Guy feeding Ellie
Cousin Guy feeding Ellie
Grandpa George burping Ellie
Grandpa George burping Ellie

More recently, we decided to challenge the quints to sleep through the night and. they did it! According to the research literature, “sleeping through the night” is 5 hours, however most, including any sleep-deprived parent or caregiver, would agree that that simply is not enough. However, it’s a start. The quints care times are now 5-6am, 9am, 12pm, 4pm, 7pm, and 10pm. It continues to amaze me at how adaptable they truly are. We are very grateful!

Those who have visited know the in’s and out’s of the quint’s cares, but I’ll give you the rundown for those of you watching from home. The sequence of care times mimics that of the hospital. We tried to maintain patterns that the kids knew.

“Cares” begin with whoever is awake, which is typically Ellie and Theo, but on some occasions everyone wakes up at the same time. Most of the time half of them wake up on the hour and then 2-3 wake up at the half hour. This works out perfectly for our feeding sequence.  We start by changing their diapers and then feed them one-by-one. It will be a glorious day when they can hold their own bottles, but for right now each one takes 8-45 minutes to feed depending on how cooperative they’re feeling. That means that one “care” session can last 45 minutes to over 2 hours. When I’m running this ship solo, the average care session takes 90 minutes, but Frank and I can cut that time in half.

Lily catching some p;oct-meal zzz's
Lily catching some post-meal zzz’s

After everyone is fed, they lay back down for a nap, some quiet-alert time, or play-time. We try to rotate their positions from lying on their back, to tummy time, to sitting upright in the swing or bouncy seat, or to a slight incline in a boppy.

Kali & Theo relaxing
Kali & Theo relaxing

We believe its important to vary the positions and locations of the room.

In between care sessions, we spend time documenting their “I’s & O’s” or “In’s & Out’s,” making bottles, and doing the laundry. It is important for us to track their care sessions because when we go to the doctor they always ask how many “voids” and “stools” they have each day, and there’s no way I could recall that for each one without writing it down. A sample of our tracker is below:

Date: Care Time
    Feeding (mL) Void Spit-up Stool
Percent of Daily Goal Total mL    

So, a day in the life of the V-5 consists of 6 feedings, 90 ounces of breast milk, about 6 scoops of Neosure, 18 teaspoons of rice cereal, at least 50 diapers, an abundance of boogers, drool, stinky butts and spit-up, and a whole lot of love!

Quiet and alert Bella
Quiet and alert Bella

Five Little Angels

A special thank you to Hayley for the beautiful photos that she took of our children at 3 months. She is a very talented photographer. Her patience over the five-hour shoot was divine!

Be sure to check back at her homepage for more Photos by Hayley.

We have a few photos to share below, and are excited for the rest!

Theodore Joseph
Theodore Joseph
Isabella Marie
Isabella Marie
Lillian Grace
Lillian Grace
Kali Mae
Kali Mae
Elliott Rose
Elliott Rose

It Takes a Village

The African proverb, “It takes a village to raise a child” is holding true for the V-5. It simply takes more than one person to not only teach a child the ways of life, but to care for their physical needs. Consider Maslow’s hierarchy of needs, if a child is unable to satisfy the lower needs, physiological & safety, then it will be that much more difficult to achieve the more advanced needs of love, belonging and esteem.

HeirarchyOfNeeds

In the last few weeks, we have been blessed by our own village of family and friends who have paid the quints a visit and helped Mom and Dad not only care for the kiddos, but care for themselves, too!  It has been such a blessing to have regular volunteers. Now, the majority of the quints care times have someone here to offer another hand. I must admit I do cherish my one-on-one time with the kiddos.  Sometimes it is nice when we get to have cares with just them and I. Yes, it does get a little crazy at times, but I have found if I turn on oldies and sing and dance with them; they love it! A fave is “Baby,  I’m Yours” by none other than Mama Cass!

Many, many thanks to our family who has made the trek up from Northern IL many times to help and visit.

Uncle JD with Ellie & Kali
Uncle JD with Ellie & Bella

Thank you to our church family who have come over at all hours of the day, including 3am, and at the drop of a hat to help us. Thank you to the Madison Area Mom’s of Multiples for yummy meals and snacks. Thank you to our new friends and co-workers who have also been there for us in the last month.

Kristy, Nana & the Kiddos
Kristy, Nana & the Kiddos
Teresa & Bella
Teresa & Bella

We truly could not do it without you!

Baby Central: The V-5’s Domain

The Vanderwall home has quickly transformed into baby central with pack and plays, bouncy seats, burp cloths and pacifiers abounding. Everywhere you look you see signs of our little ones. We are also trying hard to create an environment at home that is conducive to growth and development.

Theo is home!
Theo staking out in the Pack N Play

We hope that the V-5’s domain will:

  • Help them differentiate between night and day.

During the day the kiddos stay on the main level in well-lit areas. Here they are exposed to the sounds and hustle and bustle of day time. At night we keep them upstairs in their nursery where it is dark and quiet. We also are intentional about not talking or playing with them during their night-time care times. We are down to business at 12am and 3 am. This has proven to be very helpful in getting them on their care schedule.

  • Practice good nutrition.

All of the quints enjoy breastmilk for all their meals. However, since they were premature it is common practice to fortify their milk for additional calories, protein, vitamins and minerals (sodium, calcium, phosphorus to name a few).  Their calorie goals vary quite a bit and like adults are based on their weight, ranging from 108-120 Calories per kilogram body weight. On average breastmilk has 20 calories per ounce, whereas the quints require 24 to 26 calories per ounce to grow at the desired rate. Therefore, we are adding Similac Neosure to their milk. We also are sure that they get their multivitamin (poly-vi-sol) daily.

Rare Occurrence- Ellie is quiet and alert, awaiting lunch.
Rare Occurrence- Ellie is quiet and alert, awaiting lunch.
Mommy & Lily
Mommy & Lily
  • Exercise their Mind.

Lots of time and attention is poured into identifying strategies to develop baby’s brains. There are an assortment of toys, books, apps, programs, etc. that promise to make your baby a genius. However, I’m a firm believer in simplicity and believes that attention, bonding and communication, or ABC’s, develop the brain just as efficiently as any of these other tools. I have actually learned that some toys touted for brain development can actually over-stimulate the child and increase the risk of ADHD/ADD.

left_right_brain

Currently, the V-5 enjoy tracking exercises where we use a black and white images or toys and move the image from left to right. This activity strengthens communication between the left and right hemispheres of the brain, or communication across the corpus callosum. We also love to chat and sing with our little ones. An ideal time to chat is when we are changing them, because we are 12-14 inches away from their little faces and are able to maintain their attention.

  • Massage for Emotional Well-being. 

There are many benefits of baby massage, including stress management. Massage can help to foster emotional health and promote self-soothing.  Touch via gentle strokes stimulates the central nervous system to produce more serotonin, the happy hormone, and create less cortisol, a stress hormone. Typically, as a result the infants breathing and heart rate will slow and they become more relaxed. Often times, this relaxed state does not result in sleep but rather a quiet, alert state perfect for play-time, snuggle-time, or positive feeding interactions.

  • Massage for their Tummies.

Our quints are a gassy bunch. It is no joke that post-feeding sounds much like a barnyard. Therefore, anything we can do to ease their gas pains and help their digestion is a must. Frank loves to take them on bicycle rides all over “town,” moving their little legs in a circular fashion. They have also come to enjoy this and almost do it on their own when you lay them on their backs. Frank tends to take them to the Candy Shoppe, where Mom prefers a trip to the Puzzle Place. We also practice the “I Love You” strokes on their bellies, which can help to stimulate movement throughout the digestive tract. A fool-proof method for gas relief is to place them on their tummies with rounded shoulders and knees tucked up and to glide your hands down their back while supporting their bottoms.

  • Stretch their Bodies.

Since sleep is one of their favorite past times, these little ones can get awful stiff. We continue to try to prevent flattening of their heads and promote good neck mobility. Moving their limbs up and down and inward and outward can help to preven

t these little hedgehogs from staying all bound up. We also like “windshield wipers” with their bent knees to help open up their hips.

Tummy time is also a great way foster good motor development and upper body strength.  It is best done when the infant is alert. Some of the quints love tummy time and others are still learning to like it. It can be quite a frustrating position for them, so we are sure to keep the sessions short and sweet.

Ellie Lays
Elliott is prepping for her calisthenics
  • Encourage Good Coordination.

Newborns are able to open and close their hands, but often times these movements are reflexive. During the first three months of life grasping becomes more intentional and an ideal time for developing foundational skills for hand-eye coordination. The quints are already starting to show signs of good coordination as they reach and grab items from their mobiles, as well as, objects near their face…including mommy’s hair.

Quints circled up for Yoshi Calisthenics
Quints circled up for Yoshi Calisthenics on Halloween
Yoshi egg line-up
Now it’s time for Follow-the-Lily.

All of these activities certainly add up for a full day, but there’s nowhere else we’d rather be!

Hail, Hail, The Gang’s All Here

On Saturday, October 20, we welcomed home the last, but certainly not least, of the V-5- Lillian Grace. It was a very happy homecoming and exciting to know that we are beginning the next chapter of our family’s life together.  We are truly overjoyed every time we look to our living to room to see all of the bouncy seats, previously filled with their teddy bears, now filled with our beautiful children; It is quite a surreal moment.

The picture of all 5 Quints together in the same frame!
The first picture of all 5 quints together in the same frame! From left to right: Bella, Theo, Ellie, Kali, Lily.

It has been quite the past few weeks getting everything ready around the house for all the little ones and finally transporting them home. Here’s a quick look at how it all went down:

Mommy and Daddy build the babies a beautiful new nursery.
Mommy and Daddy build the V5 a beautiful new nursery
Bella prays to Jesus, asking him to bring her and her brother and all her sisters home.
Bella prays to Jesus, asking Him to bring her, her brother, and all her sisters home very soon
v5 Diplomas
Bella’s prayers are answered and NICU diplomas for all five babies appear on the counter of the nurse’s station
Then, Kali and Ellie join him.
One by one, the quints pass their car seat test and are cleared to go home from the hospital
Now the dishwasher is full of bottles...
Now, the dishwasher at the Vanderwall residence is always filled with baby bottles…

Mommy and Lily

and mommy and daddy's arms are full of babies. The end.
and mommy & daddy’s arms are always filled with babies

Indeed, getting the opportunity to be with the quints 24/7 has opened our eyes to their little quirks and deepened our understanding of their budding personalities. There were some assumptions we made about these little ones early on, which are proving to be a bit off, and some that were and still are spot on. Here’s the latest update on each of the quints, in the order they appear in the group photo above.

Isabella Marie

Our Sleeping Beauty, would much rather spend her day catching some zzzz’s than anything else. She is a tough one to arouse, which is good and bad. It’s a struggle at meal times, but a joy when everyone is wound up and she is just relaxing. But, when she does wake up and join the party she can be quite the happy little girl.

Bella Beauty
Sleeping Bella
Bella Role Call
Excitable Bella

Theodore Joseph

Tutti Frutti, leads this Barnyard bunch in their animal chorus with his manly toots. Theo is definitely a little boy, but also our little cutie. He has the most precious face, and loves to lock eyes with you. He continues to be a champ when it comes to downing milk and apparently has shared this skill with his sisters because their feeding skills are getting much better.

Theo 2
Looks like our cute Mr. Tutti has something brewing
Theo is home 3
Theo passed out after one of his trademark high-volume feedings

Elliott Rose

Ellie has earned the nickname, “Cray Cray” for her recent frantic antics. Our experience living near Cabrini Green tells us this little one is proving to be quite the little gangster, rolling around the west-side of Madison with her hat pulled up, or down, and we swear she’s throwing signs, too. She also is learning how to play her parents and can turn on and off the tears like a light switch. She is still our little doll face, but definitely not the saving grace we thought she would be. She is our feisty little peanut.

Quintessential Ellie
Quintessential Ellie
Ellie be rollin
Ellie is dancing to the beat of her own drum

Kali Mae

Our little screecher monkey, still can hit the high “C” with the best of them. But, she has proven to be more mild mannered than we thought and is turning into a fair self soother. She still has the most definitive features with her dark, thick hair and darker complexion. She also has a smile that can melt anyone’s heart.

Sleepy time Kali
Sleepy time Kali
Kali
Kali Mae will make you an offer you can’t refuse

Lillian Grace

Our silly Lily, tends to still be our quiet observer. During her alert times of day, she will sit and just look around for hours. She also loves to be spoken to, and truly appears to be listening empathetically.  I often think she will be a counselor one day due to these budding listening skills. She is also our silly one with the most adorable smile. She will smile in any circumstance, which is a wonderful reminder to smile, too.

The alert lil' Lily Bug
Our alert lil’ Lily Bug
"Tell me more," says Lily.
“Tell me more,” says Lily.

We are cherishing each and every moment with these little ones. Now that we are all home we are excited for our family time spent reading books, checking out black and white baby flash cards and laughing our way through the feeding frenzy which comes around every 2-3 hours. It’s a riot!

7 weeks old

Time is flying by here in the Madison NICU. The V-5 are now 7 weeks old, and a corrected gestational age of 36 weeks, or 9 months.

Our family has been very busy the last few weeks. The quints spend their days learning to eat by mouth, snoozing and growing. They are all approaching the 10th percentile for weight-for-age with an increasing trajectory. The ladies and Theo are at or near 5lbs:

Bella is
Bella is 5lbs 1oz
Lily is
Lily is 4lbs 15.5oz
Kali is 4lbs 14oz
Kali is 4lbs 14oz
Ellie is
Ellie is 4lbs 10oz
Theo is
Theo is 5lbs 3oz!

We are so excited to watch their progress as they learn how to take a bottle and breastfeed. Theo takes the cake…literally, for being the bottle and breastfeeding champ! We are fairly certain that if we let him, he would chug his bottle down in 3 seconds flat. The ladies are also progressing in their pre-feeding and feeding skills. Lily is by far the most interested, followed closely by Bella. Ellie and Kali are still quite content with having their food trickle into their bellies.  The quints have to be able to meet 80% or more of their nutritional needs by mouth before they can have their feeding tubes pulled. They also have to be able to sustain their weight and continue to grow appropriately on p.o. (by mouth) feeds before they can come home.

There are other goals that they must meet prior to coming home. They must outgrow their apnea and bradycardia of prematurity, or their “A’s and B’s”. Currently, they are all attached to monitors that measure their heart and respiration rates, as well as, their oxygen saturation. All of the kids continue to have moments when their heart rates drop (bradycardia) and their respiration rates continue to fluctuate. The only quint that is truly struggling with this task is Kali.

Daddy and his Kali Monkey
Daddy and his Kali Monkey

The medical team has assured us that this is due to her GERD (Gastrointestinal Esophageal Reflux Disease) and not lung or heart disease. We did find out via an ECHO last week that Kali does have a small PDA (Patent ductus arteriosis) and a muscular Ventricular Septal Defect (VSD), but again they have told us that these are unrelated to her difficulties maintaining her oxygen saturation and that both will close as she ages.

The quints have successfully accomplished the third task required for coming home- maintaining their temperatures outside of the isolette. All of V-wall 5 are in cribs! Ellie and Theo have larger cribs because they are in a larger room. The other ladies are in smaller tub-like cribs. Nevertheless, they are champs at regulating their temperature. This means they can come out to play more often!!

Bella with Uncle JD
Bella with Uncle JD
Grandpa T and Lily Bug
Grandpa T and Lily Bug
Whispering Sisters (Bella & Lily)
Whispering Sisters (Bella & Lily)

Daddy and Mommy have been busy, too. We have been finishing up their nursery with all five cribs, sorting and color-coding outfits and blankies, and cleaning and child-proofing the house. We also recently bought a 2012 Honda Odyssey from Zimbrick Honda, here in Madison. They were fantastic and met us at our price-point. We are very happy with our baby mobile; complete with 8 seats, and five of which have a LATCH for car-seat safety.  Many thanks to Justin and the Gurnee Police Department for helping us to install our seats!

2012-Honda-Odyssey-Exterior-Alabaster-Silver-Metallic

It will still be a few more weeks before anyone comes home for the reasons mentioned above. Ellie and Theo will have their bowel surgeries, anastomosis, the first week in October and then will have to stay in the hospital until they heal and can eat normally again. While we wait to welcome our five little miracles home, we spend our days at the NICU doing what we can to support their growth and development.

Kali Mae

ATTENTION WORLD: Watch out for this one.

Kali is far and away my pick for “most likely to get her own way”.  She possesses the lethal persuasion combination of a 10/10 rated puss-in-boots face and a 10/10 rated ability to throw an international-crisis-level temper-tantrum. With her ability to attack from any angle at a moments notice she will undoubtedly be a handful.

Speaking of handful, it was surreal the first time I held Kali, because she literally fit into one of my hands. I am in awe of life because of the incredible intricacies of the human body and how they are replicated to scale in infants. I could hold her in one hand, but she already had perfectly crafted fingernails (on her pinky too!), footprints, eyebrows, a heart, lungs, intestines, and even a little itty-bitty tongue! Absolutely incredible.

Ok. Enough from me. Pictures!!!

Quick Kali Status Update: Little Kali is doing very well right now and continues to grow. Currently she’s up to about 2.5 pounds. Please pray she continues to tolerate her feedings so she can gain weight, and that her lungs continue to strengthen so they can function on their own.

Until next time. Stay classy San Diego.

Who Loves Cute Pictures of Little Quintuplet Babies?!

Over the next week, we will be starting a “Meet the Quints” series on our blog! Each post will feature one of our little cuties with lots of pictures and commentary. As we referenced in our previous somber-toned post The Quint’s First Two Weeks there have been many moments of pure joy in addition to the bumps in the road we’ve experienced thus far. These upcoming posts are our chance to share those joyful moments with you!

One last thing to prep you for the next five posts. The V5 are collectively in the best health they have been since birth. Still, they are hooked up to all kinds of Medical Miracle Machines (technical term) that are helping them to develop and grow into normal healthy babies. To help quell any concerns about their condition when we post wire-laden photos, below is a brief visual introduction into the anatomy of a typical NICU infant. Mr. Theodore Joseph has been selected to help enlighten you on the purpose of the lines and tubes you’ll see in the upcoming week’s pictures:

Anatomy of a NICU Baby, featuring Theodore Joseph
Anatomy of a NICU Baby, featuring Theodore Joseph

A: Free Baby Oxygen Bar/Spa Treatment – AKA: Nasal Cannula used to provide a variety of respiratory therapies

B: Hands-Free Food and Beverage Dispenser – AKA: Oral-Gastric (OG) tube used to provide breast milk and to check their bellies for residuals from prior feedings. It also can help to remove excess air from their tummies.

C: Personal Fitness Monitors (e.g. Nike+) – AKA:  All of these wires are leads which are connected to a monitor which help to assess heart and respiratory rates.

D: Remote Thermostat Adjuster – AKA: The wire tucked under the heart sticker is a temperature probe which helps to identify the baby’s temperature and keep it in an ideal range.

E: Belly-Button Jewelry Clip – AKA: this is a clamp placed on the umbilical cords and is later removed.

F: Oxygen Bar/Spa Treatment Membership Card – AKA: This is a pulse oximeter which is used to assess and monitor the baby’s oxygen saturation.

Fuzzy Wuzzy was a Baby

Thank you for everyone’s prayers for Baby E, Elle Rose, because God is answering every one of them. At today’s appointment we found out that her Doppler readings from her umbilical cord were in the normal range, with only one reading just above normal! She is our little fighter. I also shared with Dr. Elliott that we name little Elliott (Elle) Rose after him and I think I saw tears well up in his eyes. I love the heartfelt compassion of my doctor!

Baby E_Dopple

Additionally, at today’s visit we got to see almost everyone’s little face, and most of them have what looks to be a full head of hair! The sonographer asked me if I was having heart burn and nausea and I answered with a resounding yes! She said it is most likely due to the amount of hair on their little heads, because the hair protein can irritate the GI tract. Theo and Elle have the most hair and the rest are little fuzz balls at this point. I’ll let you see for yourself!

Chubby Cheeked Theo
Chubby Cheeked Theo
Baby C
Baby C
Baby C's Profile
Baby C’s Profile
Elle Rose
Elle Rose- I think she’s smiling!
Elle Rose's Profile
Elle Rose’s Profile

Baby B & D didn’t want to come out to play at the photo shoot, so unfortunately we don’t have any images of those two little ladies.  But, from what we saw today everyone remains on track with healthy hearts, brains, organs and blood flow.

My doctor also gave me a warning that this is the point where growth really picks up.  Amazingly, all of the babies have shifted to a transverse position with their heads to my left and little feet to the right.  Theo still has his little noggin tucked into my pelvis but his feet swing left. So, they are in ideal positions to bulk up…which of course Mama is going to need to find some XXXL shirts pretty soon! Muumuu’s here I come!

Again, thank you to everyone for your prayers! We appreciated every single one of them. We also want to send a special thanks to our friends at Culver’s who threw us a baby shower. Now our little ones can sport their little Culver’s onesies on their way home!

One Happy & Thankful Daddy!
One Happy & Thankful Daddy!

We are simply overwhelmed by everyone’s generosity and support. Please know we could not do this without you!

The Name Game

name

With about 9 weeks to go, Frank and I have decided to let the names be known!

Our little boy, previously known as “Baby A” will be Theodore Joseph. Both, Frank and I, believe that Theodore is a strong name, and acknowledge many Ted’s, Teddy’s and Theo’s who have made their marks on history. Also, I came to find out that Theodore is also a family name. Joseph is also a very significant name in the Turzy family and has been passed down for four generations. It is my dad’s middle name and my brother’s first name; two men who I am proud to name my son after. The meaning of his name is: God’s Gift (Theodore) and “He will add” (Joseph). There is no doubt that this little guy is a gift from God who will hopefully continue to add to history as his Theodore forefathers.

We are unable to assign names to our little girls (Babies B-E) since upon delivery the docs simply grab whoever is next in line and we won’t be able to tell who was who. So, we have preferenced the names:

The first girl will be Isabella Marie, which means “Devoted to God” (Isabella) and “Wished for child” (Marie).  Marie was also the name of my Grandma on dad’s side. Baby Bella has definitely been a wished for child who we devote to God.

The second girl will be Lillian Grace, which means, “Pure” (Lillian) and “Grace” after the mercy God has shown us in this process. She will be a reminder that each day can be a new day. I also found out that I had an Aunt Lillian who was married to my Uncle Ted.

The third girl will be Kali Mae, which we will pronounce like Kaylee, also means “Pure.” Mae is my middle name, as well as, my great Polish Grandmother’s name. Mae is a derivative of Marie and thus also means, “Wished for Child.”

The fourth girl will be Elliott Rose, which means, “Jehovah is God” (Elliott) and “Flower” (Rose). We chose Elliott after our current doctor, who has been so understanding, compassionate and supportive in this process. We found out after sharing this news that I also have a Great Aunt Rose, the sister of my Grandma Marie. Little Elle Rose will be a reminder that the Lord is God and He deserves the glory for leading us through these testing times to a beautiful testimony.

Naming these little miracles makes this experience all-the-more real. Also, I loved learning what each of the names meant and about our family history after we had unknowingly chose the names. It is even more evidence for me that God’s fingerprints are all over this story.