Friday, February 17, 2012

2-1 (ish)

(by Jonathan (who takes forever to write these things... from http://jonathan-chu.blogspot.com)

Yesterday ended up being a rough day more so at the end than at the beginning.  

Penelope 1160grams (2lbs 8.91oz)       Lydia - 1510grams (3lbs 5.26oz)

Yesterday was a Penelope day.  She wanted everyone to be around her, helping her out.  She has been nicknamed the "drama queen" because of her big swings with her vitals.  Whenever she begins to alarm, either high or low, we get to machine to turn off the alarm and it stops right before we hit the button.  Also when she has a fit, she'll throw the biggest one she can.  For example, she hasn't had a big bradycardia (not a good thing) in a while but just an hour ago she had a real big one, turned a horrible shade of blue and scared the living daylights out of us.  But as soon as she came back, she was wide awake, looking around, in our minds saying "so...what's going on guys?" That type of drama queen.  So, we know already that we've got ourselves a handful of crazy coming when they get older.  Other stressful things yesterday, Penny alarmed almost all day and I mean almost all day.  If it wasn't too high, it was too low or she'd be clamping down on her vent tube or at the same time her infusion would be done or IV fluid pump making noise.  It was a very ruckus type of day in the alarm world.  

Penny got started on her steroids yesterday to help combat her BPD (bronchial pulmonary displasia), another name for chronic lung disease.  The Lasix was stopped today and was replaced by another diuretic called Aldactazide because the Lasix has the potential to pull calcium out of her bones which she needs desperately right now!  She's still being given some sedatives to help calm her and to keep her from burning too many calories or extubating herself.  So far her second day with the steroids has been much calmer.  Her overall neediness has been much lower and her fighting fits have been better.  She did have to have a dose of Fenotynal and Ativan tonight to help her out of one of her unexplained super, albeit sadly quiet, fits where she just scrunches her forehead and holds her mouth wide open for a long time.  Bethany sat with her, trying to comfort her but to no avail which is when the nurse decided it was time to help her calm down.  She has been tolerating 2cc continuous feeds and pooping it back well.  She's still getting her TPN and lipids to help supplement her while she's going through this phase.  

Lydia continues to grow like a weed.  It's really one of the hardest things about this situation.  One well daughter and one not so well daughter, literally with a turn of the head.  Lydia is taking 30 minute bolus feeds of 31cc's fortified milk.  Today, though, she started bottle feeding!  At 2pm Bethany fed her her first bottle and she took 6cc's of her 31 like a champ!  Still learning the suck, swallow, breath concept, she did have a few forgetful moments where she got "greedy" and continued to swallow without breathing, causing a few desats that were easily remedied by the ole bottle removal and gentle nudges to take some breaths.  She continues to make nice smelly diapers with her largest output yet being a 50cc diaper!  (that's HUGE and I was the lucky one to get it!)  I did get to feed her the evening bottle and she did about the same with even fewer desats!  That's a fast learner!  The nurses are proud and impressed with her capabilities!  She's also starting to get, by PO, her poly-vi-sol (a really smelly liquid multi vitamin) since she doesn't have a TPN going IV anymore.  Her goals are just to sleep, eat, and grow! 

Specific prayer requests:
  • Penny to handle the steroids well (no brain bleeds or brain damage - only long term will tell).
  • Penny to continue to ween off the vent.
  • Penny and Lydia to continue tolerating feeds with no NEC issues.
  • Lydia to continue learning the suck, swallow, breath technique.
  • For Bethany and I to continue taking these days in stride.
  • For all of you to be immensely blessed by your continued, faithful prayers and follow-ups with us!  Thank you! 


On other, non baby news, we had a tweetup (slang for when people who use the social media format called Twitter, get together) with the cool PR people Amanda and Melissa yesterday.  For those that don't follow the crazy world of social media, Twitter is a short form, "micro-blogging" tool.  Through my tweeting about it, Amanda (@lebonheurchild) started to keep up with what was going on here in the NICU and wanted to stop by to put Twitter name with family.  We had met Melissa previously when the girls first got here together so it was nice to get to meet up with other folks that help get the LeBonheur name out and about.  If you're on Facebook, you can "Like" them here. Amanda also brought us these cool heart luggage tags that are currently room accessories until the girls have their own rolling bags.  Thank you Amanda and Melissa!


                           

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