Wednesday, January 1, 2014

Happy New Year

Max is continuing to improve. Today he was off CPAP and on a hi-flow nasal canula. He was only at 1 liter flow, 50% oxygen so it isn't giving him too much pressure. His oxygen saturations have been excellent and his nurse said she wouldn't be surprised if he is on a regular nasal canula tomorrow.
They took out his UAC, which was the line that went into his umbilical cord and into an artery. His UVC, which is the line to a vein isn't sutured in anymore and his nurse said it will probably be out tonight or tomorrow. There is great and bad to that- the great is, we will get to hold him when it is out, the bad is he will have to get an IV put in to get his TPN, Lipids and antibiotics and they will have to poke him to draw blood.
His CRP level in his blood that is an indicator of inflamation that they have been watching did not come down today, which isn't good- but, the inflamation could be caused by a number of things other than the infection. He was intubated for quite a while, which can inflame the throat, the CPAP went into the back of the nose and can iritate that. He has had a urinary catheter, so they didn't even have to change his diaper when he was very sick, and he has had that in since Dec 24 and that can cause inflamation as can the UAC and UVC. By eliminating all those lines running into him, they can tell if the inflamation is still from the infection or from one of those irritants.
Max was resting very peacefully both times I was there today

We get to see more and more of his face every day

But he likes to sleep with his face covered up!

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