There have been several ups and downs since the last post on Father's Day, but all-in-all, they have both made wonderful progress. Madison remains in contact isolation, but no lab tests have come back showing VRE presence. It's a tricky bug to understand, but most likely they will err on the side of caution and keep her in isolation until she goes home.
Both girls have had good developments with their breathing and moved from the ventilator to the nasal CPAP to the high-flow nasal cannula. The high-flow nasal cannula is another device to provide continuous positive airway pressure, but it requires the baby's lungs to be a little stronger where they are breathing on their own. With the nasal CPAP, it almost looks like a little viking helmet (and it doesn't look too comfortable). There is an adhesive over the babies nose which holds tight fitting plastic prongs in place in the baby's nose. With the nasal cannula, it is a less restricting fit, as it is just small rubber tubes placed in the nose.
Madison was put back on the ventilator for a couple days last week after some difficulty stabilizing her breathing after a night with several d-sats. Apparently she just needed a little rest, as within 2 days, she bypassed the CPAP and was moved straight back to the high-flow nasal cannula.
Both girls have continued to progress with their breast milk feedings. Just this week, Kaitlyn was finally taken off TPN.
Kaitlyn now weighs 2 lb 14 oz, and Madison still leads the race at a whopping 3 lb, 1 oz.
Nasal CPAP ("viking helmet")
High-flow nasal cannula
Daddy holds Madison
Mommy looks SO happy. :o)
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