4 weeks old on May 30

Madison and Kaitlyn hit the 4 week marker today (would have been the 28 week gestational milestone).

Madison had surgery around 1:30pm this afternoon, and a clamp was used to close her PDA valve. Her blood pressure dropped a bit low during recovery, so they are treating that with medication. She has a chest tube in which will help handle drainage, and it should be able to come out in a couple days. Mom and Dad were both at Mott during the surgery. Dad will stay in Ann Arbor, and Mom will return to Lansing tonight to check in on Kaitlyn.

Kaitlyn had a bit of a rough night last night with some 'dsat' and heart rate issues. After a blood transfusion (she and Madison both get these periodically), her levels stabilized. They did determine that there is an infection in her PIC line and were again concerned about infection elsewhere. They performed a lumbar puncture (aka: spinal tap) on her this afternoon. Initial results do not show anything concerning with the white blood cells, but they won't have final results for a few days. A heart echo was also performed on Kaitlyn, and this revealed that her PDA valve has now also re-opened. She only had one round of the medication (Indicin) to close hers after birth, but the doctors are still debating how best to approach this for Kaitlyn. With the existing infection (for which she is being treated with antibiotics), she is not a candidate for the surgical procedure at this time.