Sunday may potentially have been a big day. Maria was ordered completely off her CPAP! We're hoping that she can breathe consistently well on her cannula. She was also ordered off the Nystatin!! Hopefully that rash will completely disappear so that she can get that diaper back on.
Maria is still gaining and losing grams at a time, and has been hovering around 2lbs 10oz for about 4 days. The fluctuating weight could simply be a result of heavy diapers (hold the comments, PK!). Rapid weight gain is not healthy, as it can be a sign of fluid retention. However, we are both concerned about her weight. Dr. Gilmour (one of the neonatalogists) said that it is typical for preemies to "plateau" at a certain point in their weight gain.
Today will also be the big day when Dr. Gilmour looks at Maria's red blood cell count. Depending upon how low her numbers are, Maria could be transfused today. I was initially quite resistant to this idea, but now that I've seen Maria take a few setbacks, I see how a transfusion may help her in many ways beyond the anemia, which itself needs to be treated. The good news with transfusing preemies is that they only take in approx 10cc's of blood at a time. That's not alot (about half a feeding), and if she were to need more, she could use the same donor several times.
I'm still working on getting the videos posted...
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