Friday, September 26, 2008
"Look, Mom- No Tubes!"
Monday, September 22, 2008
Just Add Baby
Sunday, September 21, 2008
2 Week Old Update
Weston has been making fantastic progress!! A couple people at the hospital again made the comment that they think it is remarkable he's doing so well and improving so quickly after going from being the sickest kid in the unit at first! Everyone at the hospital is so nice and I'm so grateful for their wonderful care!
Since my last post, Weston now:
Weighs 6 lbs 4.5 oz
No longer has any IV's!
Doesn't needs lights for jandice.
Started sucking on a binky.
Graduated from CPAP to the regular nasal canula (thinner oxygen tubes that are less invasive) and from one liter to 1/2 liter.
Since he's less attached to things and completely stable, we get to hold him any time!!! We've been spending a lot of time holding him.
Started to be awake and stir more often and opens his eyes more.
Started learning how to bottle feed. He still is tube fed the remaining portion. He actually does quite well he is just super exhausted as he's recovering from everything he's been through and getting stronger everyday so that he can eat more and more. It's a little tricky to be learning how to breathe and suck and swallow all at once, but he does well- for a few minutes and then poops out. They want him to continue to recover and get stronger and try eating on his own as much as possible but they are also being careful not to push him too much at this point, because they don't want any digression. He tries so hard when he eats from his bottle- we're so proud of him.
He graduated to being in a crib in the NBICU! (Is no longer in the very low birthweight center as well.)
We get to dress him in baby clothes! We've brought clothes to the hospital for him and the nurse even surprised him with some adorable outfits and Uof U paraphanelia!
The little frog looks a little suspicous of this whole bath idea, but it did keep him wide awake for much longer than usual!
Wednesday, September 17, 2008
Our Angel Baby
Tuesday, September 16, 2008
1 week old!
He got his last tube that was nourishing him through his belly button and where they would pull blood for his GAS tests pulled out as well since he's eating so nicely and his GAS's have all been okay. They thought he would have to be on the billyruben (sp?) lights for jondis (sp?) but he had some poopy diapers and was peeing good too, so he kept his levels below the level that you need lights and we'll see if he'll need them today.
Sorry no pictures, I forgot my camera yesterday when I went to the hospital.
Monday, September 15, 2008
The Weekend in Review
Mommy made him look like a little dinosaur with his mohawk...
We brought a brag book to show everyone pictures of the baby.
SUNDAY:
We got to HOLD Weston!!!
Precious Baby in Daddy's Safe Hands
A nice nurse brought in respiratory therapy and she, the nurse, and Brett maneuvered all the cords and things so that they were attached to me so that I could hold him! It was wonderful! It felt SO good to feel his warmth and his little body relaxe against mine when I got to hold him in the "kangaroo" hold on my chest. I just began to cry because it's been nearly a week and I've just ached to hold him. The night before we held him up while they quickly changed our sheets and we were stoked about that, but this was such a bonding moment and my heart felt as if it would explode with the love that I felt for him. It was by far one of the best moments of my life. The nurse said she could tell by the monitors that he was lovin' it too.
Sunday, September 14, 2008
What's a Pneumomediastinum? (For the Curious)
What are Pneumothorax, Pneumomediastinum and Pulmonary Interstitial Emphysema (PIE)?Normally the air that we breathe goes down the trachea (windpipe) to a series of branches of the windpipe called bronchi. The air then goes to the air sacs where oxygen is delivered to the blood and carbon dioxide is released. If the air sacs become overfilled with air, the air can break out of the air sacs and get into spaces where it should not be. This condition is sometimes referred to as air leak and includes the following:
Pneumothorax where the air is trapped inside the chest between the chest wall and the lung, causing the lung to collapse. [This did happen to Weston]
Pneumomediastinum where air is trapped in the middle part of the chest.
Pulmonary Interstitial Emphysema (PIE) where air is trapped between the tiny air sacs, encircling the smallest blood vessels and bronchi.
Less commonly, air can encircle the heart, (Pneumopericardium),[this is where Weston's was], get under the skin, (Subcutaneous Emphysema), leak into the abdomen (Pneumoperitoneum) or surround the kidneys (Pneumoretroperitoneum). A baby often has more than one form of air leak. For example, PIE can progress to pneumomediastinum and/or pneumothorax.
Which babies get air leak?Although air leak can happen in any baby, it is more common if:
the baby has underlying lung disease, the more severe the disease, the higher the risk for air leak.
the baby needs CPAP or mechanical ventilation for treatment of lung disease
Why do preemies get air leak?The lungs are not yet fully developed and the air sacs are more susceptible to rupture.If the baby has lung disease, some air sacs are open and others are closed. Like blowing up balloons, it is easier to put lots of air into an air sac that has been opened previously than it is to put a small amount of air into an air sac that has never been opened.There is more space between air sacs where leaking air can collect as interstitial emphysema.
What can be done to treat air leak?Some forms of air leak are more easily treated than others. Approaches to treatment include:
If the air leak is small, not increasing, and not causing significant problems, it may not need to be treated. The air gradually reabsorbs into the body.[Since Weston's was near his heart they went with this approach and it worked!]
Occasionally a pneumothorax can be treated by inserting a needle into the chest and sucking out the air with a syringe. Often, however, the air will recollect.
If a tube can be placed in the area where air is collecting, continuous suction on the tube can remove the air until the leak seals over. This is the most common treatment.
In a pneumopericardium a tube is placed between the heart and its covering, called a pericardial tube. [They wanted to leave this as a last resort because it can be quite dangerous]
In interstitial emphysema and in pneumomediastinum, the spaces containing the air are sponge-like and cannot be treated with tubes.
If your baby has interstitial emphysema and is on a ventilator (breathing machine), your baby's doctor may change to a different pattern of ventilation (breathing)[which they did]. This may mean giving more rapid, but smaller breaths or changing to a form of ventilation called high frequency ventilation.
Is air leak serious?Depending on the amount of air and the space where it is located, the symptoms and seriousness of air leak may vary from mild to catastrophic. A large pneumothorax or a pneumopericardium usually causes sudden and rapid deterioration. Interstitial emphysema usually occurs more gradually.
When will it get better?As your baby's underlying lung disease improves, the air leak also improves. However, babies who have had air leak often improve more slowly than babies who have not. When the tubes no longer drain air, they will be removed. Once the tubes are out for more than a day and the baby is off the breathing machine or CPAP, airleak usually does not recur.





