Friday, September 6th Update # 1
Yesterday was very overwhelming and an emotional day for me. After several notes placed on my door, I was able to sleep for a few hours. William is so perfect! I am still exhausted, catching up is really hard.
I slept from 3am to 5:30am today, pumped and Dan took milk down to William. His last two feedings, glucose checks were in low 70’s, so very good. (He’s been in 40-60 range) above 60 is good.
He appears to be improving, but well just have to see what the neonatologist says today. We’ve had talk about a g-tube being put in for feeding, hopefully we won’t get to that.
Jensen is getting over being sick with an antibiotic and Kathryn i think is really struggling with congestion and runny nose from allergies. Please pray for both of them to get better soon! Can’t bring William home to sick kids.
Thanks for continued prayers
Friday, September 6th Update #2
His glucose numbers were borderline low, but they did not raise any of the fluids, they kept them where they were. That is progress because typically if he did not need 60 then he would have to go back up on the fluids. He was at 58 with the last feeding.
His oxygen is still sporadic up-and-down.
He's having a hard time taking from the bottle, and he has to take the bottle in order to avoid needing a NG-tube while he is in the NICU. They have to measure everything that he eats.
I am doing well, I took a shower today for the first time and feel a bit more normal. I will be discharged on Sunday, however; there is a chance that we could be moved to a private room until he is ready to go home. If not I will have to find a place to stay nearby so that I can come and see him and stay for the day. In that case, Daniel would go home and take care of our children.
Friday, September 6th Update #3
The doctors made rounds this morning. I was able to visit with the pediatrician and the neonatologist.
After a really good 3AM and 6AM feeding, his glucose levels were really good with high numbers and the 9 AM feeding plummeted to 58,.we did not have to go down on fluids because it was borderline. Due to the drop in his numbers again, and the fact that his breathing is rapid, and to avoid aspiration, there is a chance that he would need an NG tube through the nose to get his milk. The doctors do not want to open up that route, they are really hoping that he will be able to just breathe well enough to take from a bottle.
There are 4 things the two doctors both agree on. In order to go home, MUST be able to
do the following...
1. Breathe on his own without rapid breathing and that the fluid would drain from his lungs enough that he would no longer need the assisted oxygen through his nose.
2. His glucose levels need to reach a normal range without fluctuating up and down so much.
3. His bilirubin level was borderline for jaundice and they needed to recheck the blood to see if his level has gotten better or worse.
4. He needs to drink through a bottle with milk and breathe well enough at the same time to complete a feeding without any difficulty.
The ultimate goal is for him to be well enough to do all the above and go home without any sign of complication.
Friday, September 6th Update #3
The 12 PM glucose level was 62. This means that he is borderline and that while the nurse is not going to reduce his fluid for glucose, she is going to have to put in the NG tube to ensure he is getting the correct amount of glucose from feeding. This also will ensure that his numbers are accurate when he is getting the correct amount of milk.
Around 1:30pm we left to go up to our room. I was able to pump 8ml of milk! My milk is coming i , praise the Lord! The nurse wants me to always bring milk for the start of his feeding. She also wants me to nurse initially for the first 15 minutes of the feed to get him on the breast, but also to increase my lactating. We do this every 3 hours.
We came in at 3pm to check glucose and it was 75!!! This boy is improving! I hope and pray that the numbers will continue to stay above 60, and 70’s is in the normal range. William nursed for about 20 minutes, then drank my milk and the donor milk. He drinks a total of 23ml or 0.7oz (3/4) at each feeding.
Friday, September 6th Update #4
Getting breathing, feeding and oxygen ready is the main goal. They doctors think based on everything they see, he most likely will be here until next week. Especially with nursing, they want him to be able to mimic here what he will have at home, maintaining the same glucose and oxygen levels.
The neonatologist told us to let our discharge nurse know that when I am discharged, we need to be put on the waiting list for the Ronald McDonald house so that I can stay close by to nurse and go back and sleep and do that every three hours while he is still in the NICU.
Friday, September 6th Update #5
Hallelujah!! Glucose was 75!!!!