Call me and Nurse Denise crazy but we were convinced that Rudy was teething today. Although it’s a bit early, he was showing the “typical” symptoms of a teething baby and the only thing that would calm him down was gnawing on my finger. Denise and I were both amazed at how vigorous he “latched” on to the pacifier that Denise custom fit around his ventilator tube…he’s a strong sucker and I sure pray that what we saw today translates smoothly when it comes time to introduce nursing!! Check out the powerhouse below:
Rudy had a good day in general. He held steady at 10bpm for most of the day. During the whole “teething?” episode, he did get himself worked up into a frenzy from which he couldn’t calm down and at that point they bumped the vent up to 24bpm for a couple of hours. Before long, he was back down to 10bpm and even tolerated two one-hour sprints!!! It’s 10pm and he just finished another sprint – his third one today. He’s doing really well. The plan is to continue with the sprints this week – increasing them gradually with the goal of possibly attempting extubation early next week! Currently, Rudy is fluid- and infection-free so everyone feels we have a positive window of opportunity right now!
The team has decided to continue to hold off on his feeds until after he is extubated. In the past, feeds to his gut seemed to add to the fluid issue. Although Dr. Robert said everyone is anxious get going on the feeds again, the consensus is to focus on extubation and give the lymphatic system a little more time to heal and strengthen. As of this morning’s xray, Rudy’s left side was completely clear of fluid and the right side had just a small pocket of fluid that was unchanged from previous xrays. This is encouraging news and I’m praying in advance that when feeds do start back up again, Rudy’s lymphatic AND digestive systems will work GREAT!!!
What strikes me about today is the “normal” baby things that happened for Rudy…time sucking on a pacifier, sleeping in mommy’s arms for almost FIVE hours, crying and being fussy while maintaining good sats and blood pressure… While the unit was packed and buzzing with activity today, Rudy and I relished the moments of normalcy that we’ve not experienced yet. Simple moments I hope never to take for granted!!!!