Isaac:
He has tolerated a lower percentage of oxygen (70%-- which really translates to an inhaled percentage of about 50) in da 'hood for over 24 hours now. Turns out, not only did he have a pneumothorax (which is almost completely resolved), but he also had a recurrence of PIE (Pulmonary Intersititial Emphysema-- a serious condition which he had at 3 days old but which at that time resolved after 3 days on the jet ventilator). The CXRs over the last few days again show resolution of the PIE, although with some chronic changes which may lead to him requiring oxygen for up to 6 months.
They decided to give him another day of rest on the current oxygen level before attempting to wean down the level tomorrow. See, my theory is that Isaac is a curious lad. He apparently aspired to try out every oxygen delivery system available in the NICU: jet ventilator, regular ventilator, CPAP, SiPAP, Oxy Hood, high-flow nasal cannula. Now the only one he has yet to trial is the low-flow nasal cannula (which with any luck he will be sampling in a few days). See, he's just got his dad's curiosity, that's all :-).
On the infection front, it appears the medication is taking care of those nasty yeast (David, feel free to cease your protest... which, by the way, Isaac wholeheartedly endorsed). Isaac will need the "Amphoterrible" for another two weeks, but at least we know the infection is responding. Also, he doesn't have pneumonia (Yay! One infection that he HASN'T actually picked up!). He is growing like a champ. He weighs half a pound more than the other two rugrats... he is now over 4 lbs!
Emery and Parker:
What more can I say? They are doing fabulous. Emery has been off all oxygen for a few days, so the two of them are flying on "room air". They are learning to "feed". When you are still less than 35 weeks, the whole suck-swallow-and-breathe-at-the-same-time thing can be a bit confusing (a fact which both of them clearly show on their faces). But they are learning quickly.
We are hoping for more good news tomorrow...
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4 comments:
Looks like a good day on the NICU front. Glad to hear. Now, we just need some current pictures of these chunks LOL
It's so good to hear the latest on the Vannah trips...
Hang in there!
OK, I must admit that have a bit of anxiety when I am about to read your post these days........so glad to hear that he is improving!! Praying that Isaac will continue to improve daily, and that his bro and sis keep on doing their thing!!
Poor little Isaac! I am glad he is doing better though! He is a trooper! Glad the other two are coming right along! Hang in there!
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