Mon 19th October
Day 42
| Today Nathan is 1,300g (2lbs 14oz).
That means he is now on 22ml of milk every two hours.
When we visit in the evening, Nathan makes 100% oxygen saturation
on atmospheric air. It's only for a short time, but hopefully the
CPAP's days are numbered.
After being returned to his incubator following a cuddle, Nathan
really woke up. We noticed that his eyes now track together, so
he's now denying any chameleon ancestry. He's also just about, but
not quite worked out how to get his fingers into his mouth. He just
hasn't worked out how he can keep them there.
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Sun 18th October
Day 41
| Nathan's back in the west ward, the big boys' ward, and
in fact, the part of the ward that he's in is a complete boy zone.
Still off the CPAP for 10 out of 12 hours, Nathan got two cuddles
today. For the second, we got to take Nathan out of the incubator
ourselves, which was a first. It's a gentle introduction to handling
your own baby, but that head of his is so wobbly, that it really
seems like it's going to come off on your hands. Still, he didn't
seem to mind. Oh yes, we're going to have to get a tape of nursery
rhymes. Dad only knows about three, one of which was taught to him
yesterday by mum, and we suspect that Nathan won't be crying "again"
for much longer unless some variety is introduced.
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Sat 17th October
Day 40
| Nathan is now off the CPAP for 10 hours and on for two.
He still struggles with it but the thing is that when he does manage
to shake loose of it, it's not that serious as he gets more and more
used to breathing air.
Nathan's oxygen is now around 27-30 percent both when he's on the
CPAP, and when he's on oxygen rich air in his incubator.
I discovered that not all incubators are made the same. Nathan
is in an 8000SC, but when he first arrived on the scene he was in
a 8000IC. The I stands for intensive, as in Intensive Care
vs Special Care. The difference between intensive and special in
this case is the presence or absense of a ventilator. The "go faster"
IC model also sports a device that regulates the level of oxygen
in the incubator, so you can open the doors, and the oxygen level
is automatically maintained. For me, the difference is the presence
or absence of a small sqaure of perspex that I taped Nathan's "dust
bin" bag to when changing his nappy, and I've only just learned
what the real difference was.
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Fri 16th October
Day 39
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Nathan's been a good boy today. He's been yumming up his 19ml every
2 hours (something wrong with my calculation, obviously) and doesn't
seem so hungry between feeds, either.
Those gurgles weren't a mirage either. He's definately trying to
say something [I'd plump for daddy - Simon].
He's been out of his incubator for more than two hours today, for
cuddles with both mum and dad, and seemed very calm, budda-like.
Nathan has also moved house. He's now across the way, on the wall
adjacent to the west room. It's the same position he held just before
they last moved him on to the west room, so that's another good
sign.
Only one piece of news to break the roll. He's got a hernia low
down on his abdomen, although, as usual, this is common in premies.
Our new Neonatal Handbook says that these are usually operated on
before the baby leaves the baby unit.
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Thu 15th October
Day 38
| The big news for today is that Nathan weighs in at
1180g (2lbs 9.5oz). He is also being readied for a feed every
two hours, rather than every one hour. The calculation goes like this...
- 200g per 1kg bodyweight
- 1180 / 1000 = 1.18
- 1.18 * 200 = 236ml of milk per day
- 236 / 24 = 10ml per hour.
So this evening, instead of feeding him 10ml every hour, they will
feed him 10ml...11ml...9ml...12ml...8ml...13ml... until he's getting
20ml every two hours. I'm not quite sure why yet, but really big
babies seem to get fed every three hours.
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Wed 14th October
Day 37
| Still pretty much the same, for which we are grateful.
We were working out a list of things we know about the boy Nathan.
- The boy can eat.
- He's still not too sure if there's anyone in the world apart
from himself.
- He likes having his bottom patted.
- Having his nappy changed is a signal to (in order of appearance)
stretch, kick, wriggle, cry.
- He could suck-start a Harley Davidson
- He likes the sound of mummy and daddy
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Tue 13th October
Day 36
| Still on 9ml fortified (extra calories) milk (genteely
referred to as "MBM") plus Sodium and Potassium Chloride plus Dexamethazone,
Nathan is the picture of health. All this extra stuff is taken with
the milk, so Nathan is without lines (needles) at the moment. Only
the CPAP and various probes obstruct the view.
All this extra milk means that when Nathan gets the chance to dine
au naturel he's not hungry, but the spirit is willing. He'll
get the hang of it, I'm sure.
Nathan is now off (the CPAP) for eight hours and on for six. He
only fights the CPAP occasionally, and sometimes forgets
what he was doing before he manages to knock it off. I refer to
these as rhino boy
incidents, but I don't think anyone else sees the joke. I'm sure
our son will be endlessly fascinated as we relate his days at the
SCBU to him as he grows up...
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