Friday, January 29, 2010
Weeks 24&25...Changes Changes
So during my last post I explained Ayden's complications with feeds and coping with enzymes. This past week has given no relief to these issues. The enzymes gave him issues again and again. Attempts to mix enzymes and place them down the NG tube seemed to prove problematic and so the type of enzyme he is being given was changed from a powder to a more of a pellet form of enzyme. In addition to the change in medicine the dosage was changed as well. Instead of having enzymes every 4 hours, he now only has to have them every 8 hours. These changes seem to make him much happier and seems to break up the monotony of it all for him.
In addition to these changes they have been working on getting Ayden fully transitioned onto formula. At the beginning of this week he was at 30% Progestimil and 70% Donor Breastmilk, as of today(Friday) he is now at 100% Progestimil. This was such a fast transition this week and we have been on pins & needles the entire time. So far he seems to be tolerating it but seems to hate the taste of it. Before they figured out the enzymes he was having major difficulties gaining weight but that all seems to be under control.
Meanwhile, this week Aydens broviac began to have issues. It seems as though it grew out of place and began to infiltrate when they would hep lock it. The morning after they realized this they removed it. They had always told me he would need to go down to the OR to get it removed but to my surprise they were able to take it out at bedside and did not even need to put him under any anesthesia. They put a peripheral iv into his scalp(the nurses seem to like this spot for IVs and to draw labs b/c its so squeaky clean & the veins are so easy to see because of his lil bald head) for his fentanol and he was a happy camper. When it concerns feeds, he has went from eating 60% of his bottles to only eating about 30% within the past week and a half...The doctors seem to be clueless as to why he doesnt want to eat. Some are blaming it on his chronic lung disease and some are saying it may be his pvl....who knows, but he has been started on a 7 day countdown (he is on day 2 or 3) and if he doesn't start taking all of his bottles they are going to schedule the surgery for "g-tube" placement. I don't see him improving this much within the next 4-5 days so I am trying to prepare myself for all of this. The good news we did hear about all of this is that his feeding issues are the only things keeping him in the hospital. On Monday the doctors are going to put in for a surgical consult and start making plans for the procedures. We are expecting to get his two hernias repaired and his g tube placed all on the same day. The nurse practitioner told us today that after all that is taken care of all we need to do is order our home health care equipment and he is free to come home!...We are crossing our fingers in hopes of no more setbacks!
So this week has brought some good news and some bad but overall we are excited to be given an action plan that gives us hope that our precious 'lil' man will be coming home soon!
Another happy fact!....Ayden now weighs 6lb 15oz as of tonight!...almost 7lbs!...we never thought it would happen!
...here are some pix of my lil man from my phone...he doesnt like to stay awake or calm if i take the time to use my other cameras so these are some cute ones of him just bein him!...so yeah, he sleeps a lot
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What a little miracle! Not so little anymore! My son Michael (a former mio-preemie) pray for Ayden in his bedtime prayers. God bless you all and keep up the great work!
ReplyDeleteAw Ayden is looking really good. Funny about the Broviac line. They said the same thing when they were going to remove Braden's. The week they scheduled removal Braden decided to pull it out himself. He was about the same size as Ayden. ;-) Braden was also on Pregestimil and did fairly well on it. He has a G-tube too. We actually went home before Braden got his... they didn't realize he had severe reflux and he lost alot of weight really fast. I had to take him to the ER before anyone would pay attention. So glad Ayden is getting his Gtube before going home. It's not so bad once you get use to it. Don't be surprised if Ayden stops drinking the bottle all together. That's the down side of a gtube. :-( But it's a neccesary thing and you just have to take the lesser of the two evils. Praying you'll get to go home soon.
ReplyDeleteHe sure is a beautiful little trouble-making miracle! Anxious to find out about the g-tube. They seem fairly common. At least I hear about them all the time.
ReplyDeleteMy word verification on this is "Anden" LOL!
P.S. love the new blog background!!!
ReplyDeleteHey honey! That stinks about the enzymes giving him problems. I sure hope this new format works better for him! I know you're anxious about the G-Tube, too, but hopefully it will help him. It sounds like it will help get him home to you more quickly, anyway. I can't believe they're talking about going home already. What happened to June/July?!? This faster timeline sounds great! I know you're anxious to get your little man home. Thinking about you all the time!
ReplyDeleteOmg, he is soooo cute!!!!
ReplyDeletehey im a mom of two preemie one former preemie and one present preemie if anyone could tell me how long after the broviac comes out can i expect my baby home she's 4lbs 8.1 oz was born 2lbs 1.7oz just concerned and i will have you and yours in my prayers
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