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Saturday, January 15, 2005
On this day:

Update Sat Morning....

Changes:

1. Nurse forgot to write down her weight last night. Night before was 4 lb, 10.something oz. She seems to be gaining an ounce a day....good job Anna!!

2. She'll be coming home later today (probably).

3. She failed her pneumogram yesterday. She had 2 "significant" apnea spells during a 12 hour monitoring for her pneumogram. Neither one required manual intervention to get her breathing again. Apnea may be related to SIDS, but it's not proven yet. She'll be going home "on the monitor", which means that her breathing and heartrate will be monitored to ensure they are within acceptable limits. If she quits breathing for 15 secs, it will alarm. If her heartrate drops below 80 or rises above 300 it will also alarm. She'll probably remain on the monitor for 3 months or so, and then will be re-evaluated.

A 'well-seasoned' nurse made us feel better about it all. She said it's actually a good thing that she failed it, because they've sent home babies that have passed their pneumogram only to die of SIDS a couple of weeks later. Since Anna failed, our insurance company now pays for the monitoring equipment. If she were to have passed, we wouldn't have known to use a monitor, let alone have it paid for. So it's a mixed blessing...the monitor won't prevent apnea from happening, but at least it will let us know when it does (hopefully), so that we can intervene.

The doctor seems to indicate that this will be a temporary thing....it's all about her maturation. She'll also be sent home on Theophylline and Reglan.



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