Yesterday school called and said "what should we do if her oxygen is at 58?". I repeated back incredulously" FIFTY-eight???" They said yes 58.
I asked if they had the heartrate and oxygen mixed up. They said no.
I asked if her chest was rising and falling, they said yes.
I said to call 911.
I was just walking into my college class and had to ride the shuttle back to my car so it took me about 20 minutes to get to Ellie's school.
I called several times along the way to see how she was doing. After the initial 58, her oxygen was trending in the 70's or 80's. Not quite as concerning. But still low.
As I was still on my way I spoke with the EMT and asked if they had suction because I figured that she probably just needed to be suctioned. They said yes.
Once I got there the EMT's had oxygen on her and her sats were in the low 90's (which is good). I suctioned her out good and made her cough a few times and her oxygen popped up into the high 90's.
She did fine the rest of the day after coughing up some stuff with the suctioning.
They did not need to transport her to a hospital. She stayed at school and was great.
The night before she had a PERFECT night. Niether Jason or I got up even once with her (which is really unusual). Lately she has needed to be suctioned at least twice per night to keep her oxygen up. She seems to do better when she is awake during the day. But during the night with the sleeping pill depressing her breathing and the bi-pap pushing the junk into her lungs, she needs a little more support. The pnemonia doesn't seem to have fully cleared yet.
So when I woke up and realized she had a PERFECT night I was relieved. But I think this is what caused her problems during the day. I think she hadn't coughed up her junk at night, so then it blocked her airways that morning.
Today she was good at school. They didn't even have to call 911 or anything...Now that is what I call a successful day at school...wouldn't you?
Friday, November 15, 2013
Wednesday, November 13, 2013
2 more weeks
Her congestion was basically gone on the meropenum, but as soon as they switched back to the ertapenum (Nov 1) she has been congested more and her left ear was draining, etc... She is still junky 13 days later. But it does not seem to be getting worse.
Infectious disease wants to do 2 more weeks of the IV antibioitcs then switch to oral (g-tube) for 4.5 months. Her bloodwork is not stellar, but not terrible either.
Infectious disease wants to do 2 more weeks of the IV antibioitcs then switch to oral (g-tube) for 4.5 months. Her bloodwork is not stellar, but not terrible either.
Tuesday, October 29, 2013
Catch up
We came home last Saturday night after 3 weeks and 5 days. It was a long stay, longer than her usual, but not her longest.
She is doing baclofen 3 times a day (and no valium). The doses need to be 8 hours apart, so we are doing 6 AM, 2 PM, 10 PM. It means getting up a little early and going to bed a little late. But it is better than 6 hours apart and getting up in the middle of the night. She is doing well. She has been awake and alert. Yes her tone is tight, and tighter than I would like...but it is the best we can do and still maintain her alertness. They will not replace the baclofen pump for a minimum of 6 months.
Through Halloween she is also doing the IV antibioitcs 3 times a day (at the same time as the baclofen). Then the plan is to switch to twice a day (12 hours apart). That will be easier, because then we can do either 6 AM and 6 PM, or 7 AM and 7 PM. Much easier times to do meds. (although the baclofen will still be 3 times a day...we we still end up doing meds 5 times per day instead of 2.)
Her congestion is pretty much completely gone. With no additional oxygen needed. Hooray!
We are now doing an in-dwelling foley cathedar at night (meaning we leave a cathedar in to drain her bladder through the whole night.) So far so good. She just produces too much urine during the night and always has. I think she is sleeping better and so are Mom and Dad. I am worried that we are increasing her risk of infection...but I just can't come up with a better option. One of the NTU nurses said that she sees increased urine output at night in spinal cord injury patients. I am fairly certain her spinal cord was damaged when she had her rods placed. I asked the nurse what they do and she said they just cath more frequently at night. Not what I wanted to hear. The only suggestion the Dr. could come up with was to feed her less at night. We tried that a few months ago to no avail. But it may be worth another shot.
I am planning on sending her back to school Thurs (Halloween). I could probably have sent her today or tomorrow. But she has a Dr. appt tomorrow (Wed) so I'll just keep her home until the day after that.
She is doing great clinically (everything you can see or measure). I am still SUPER worried about these "super bugs" that she has. I think we will make it through this infection...but if she gets another bad one...I don't even want to think of the consequences if they are unable to treat it.
2 unusual things...the last 3 mornings her temperature has been elevated. When I take her temp at night it is low, so I put 1 warm blanket on her, but then by morning her temp is elevated. Not super high, but over her norm. I take the blanket off and she cools down with no med and no other interventions. And her temperature has been perfect for the rest of the day. So I don't think it's a true fever. But I don't really know what to do about it except get up in the middle of the night and take her blanket off. They still never checked her cortisol (which goes up in the morning). Maybe I need to have them check that. I should probably also check her blood sugar then too. I suppose it could be pain (her heartrate is also slightly elevated)...needing baclofen or something. But she is not acting like she is in pain. Maybe we need to give a larger dose at night. What would be great is if there were a self-regulating blanket that could sense if you were hot or cold and adjust accordingly. I would pay A LOT of money for something like that. (If I had a lot of money). Let me rephrase that...I would get INSURANCE to pay a lot of money for something like that.
The other unusual thing is she has been lolling her tongue out. I can't tell if it is communication or involuntary. Yesterday when she did it, I fed her some applesauce (which she hasn't eaten for a LONG LONG time orally, but she used to love it). She really really liked the applesauce. I was nervous feeding her since it has been so long, but she does really well with her secretions (swallowing her saliva) and has passed every swallow study she has ever taken (even though it's been a while since she had one). (A swallow study is where they have the person swallow food that has barium in it. The food will be a variety if thicknesses. The barium will show up on x-ray, so they watch with x-ray as she swallows to make sure she doesn't aspirate (food going into her lungs) any of the food.) Another sign of aspiration is coughing or gagging when you eat and she didn't do any of that. I'm still not sure that the tongue lolling meant that she wanted to eat, but she enjoyed it nonetheless.
I cannot tell you how astronomically grateful I am for insurance. We just got our statement for her July hospitalization (which was 15 days long and 3 Operating room visits plus a myriad of other tests). It was $103,000.00. That is more than we owe on our house! And this is just one of her hospitalizations, not to mention meds, Dr.'s appts, equipment and therapy. So, so, so, so, so grateful!
She is doing baclofen 3 times a day (and no valium). The doses need to be 8 hours apart, so we are doing 6 AM, 2 PM, 10 PM. It means getting up a little early and going to bed a little late. But it is better than 6 hours apart and getting up in the middle of the night. She is doing well. She has been awake and alert. Yes her tone is tight, and tighter than I would like...but it is the best we can do and still maintain her alertness. They will not replace the baclofen pump for a minimum of 6 months.
Through Halloween she is also doing the IV antibioitcs 3 times a day (at the same time as the baclofen). Then the plan is to switch to twice a day (12 hours apart). That will be easier, because then we can do either 6 AM and 6 PM, or 7 AM and 7 PM. Much easier times to do meds. (although the baclofen will still be 3 times a day...we we still end up doing meds 5 times per day instead of 2.)
Her congestion is pretty much completely gone. With no additional oxygen needed. Hooray!
We are now doing an in-dwelling foley cathedar at night (meaning we leave a cathedar in to drain her bladder through the whole night.) So far so good. She just produces too much urine during the night and always has. I think she is sleeping better and so are Mom and Dad. I am worried that we are increasing her risk of infection...but I just can't come up with a better option. One of the NTU nurses said that she sees increased urine output at night in spinal cord injury patients. I am fairly certain her spinal cord was damaged when she had her rods placed. I asked the nurse what they do and she said they just cath more frequently at night. Not what I wanted to hear. The only suggestion the Dr. could come up with was to feed her less at night. We tried that a few months ago to no avail. But it may be worth another shot.
I am planning on sending her back to school Thurs (Halloween). I could probably have sent her today or tomorrow. But she has a Dr. appt tomorrow (Wed) so I'll just keep her home until the day after that.
She is doing great clinically (everything you can see or measure). I am still SUPER worried about these "super bugs" that she has. I think we will make it through this infection...but if she gets another bad one...I don't even want to think of the consequences if they are unable to treat it.
2 unusual things...the last 3 mornings her temperature has been elevated. When I take her temp at night it is low, so I put 1 warm blanket on her, but then by morning her temp is elevated. Not super high, but over her norm. I take the blanket off and she cools down with no med and no other interventions. And her temperature has been perfect for the rest of the day. So I don't think it's a true fever. But I don't really know what to do about it except get up in the middle of the night and take her blanket off. They still never checked her cortisol (which goes up in the morning). Maybe I need to have them check that. I should probably also check her blood sugar then too. I suppose it could be pain (her heartrate is also slightly elevated)...needing baclofen or something. But she is not acting like she is in pain. Maybe we need to give a larger dose at night. What would be great is if there were a self-regulating blanket that could sense if you were hot or cold and adjust accordingly. I would pay A LOT of money for something like that. (If I had a lot of money). Let me rephrase that...I would get INSURANCE to pay a lot of money for something like that.
The other unusual thing is she has been lolling her tongue out. I can't tell if it is communication or involuntary. Yesterday when she did it, I fed her some applesauce (which she hasn't eaten for a LONG LONG time orally, but she used to love it). She really really liked the applesauce. I was nervous feeding her since it has been so long, but she does really well with her secretions (swallowing her saliva) and has passed every swallow study she has ever taken (even though it's been a while since she had one). (A swallow study is where they have the person swallow food that has barium in it. The food will be a variety if thicknesses. The barium will show up on x-ray, so they watch with x-ray as she swallows to make sure she doesn't aspirate (food going into her lungs) any of the food.) Another sign of aspiration is coughing or gagging when you eat and she didn't do any of that. I'm still not sure that the tongue lolling meant that she wanted to eat, but she enjoyed it nonetheless.
I cannot tell you how astronomically grateful I am for insurance. We just got our statement for her July hospitalization (which was 15 days long and 3 Operating room visits plus a myriad of other tests). It was $103,000.00. That is more than we owe on our house! And this is just one of her hospitalizations, not to mention meds, Dr.'s appts, equipment and therapy. So, so, so, so, so grateful!
Saturday, October 26, 2013
Home
We are home. We are soooooooo glad. We were in for 3 weeks and 5 days.
I will try to remember to post more later.
I am always so wiped out when we get home. So I don't feel like posting right now.
I will try to remember to post more later.
I am always so wiped out when we get home. So I don't feel like posting right now.
Last night and this morning
No high BP last night.
This morning awake and no oxygen from 6:30-11:00. Then she needed oxygen when she fell asleep. Back awake at 12:00.
As far as the meropenum versus ertapenum...they are fine for her to finish out her 10 day course of meropenum and then switch her to ertapenum. Even though they don't think the meropenum really helped the pneumonia.
She is off the valium.
Her oral baclofen switched from 4 times a day to 3 times a day. Which is also a lower daily dose (since they just took one dose off and didn't raise any of the doses.)
Lungs sound a course. Coughed up a lot of stuff this morning.
I have not talked with her Dr.'s yet.
We tried cathing her at 2 AM instead of 4 AM to try and get a lesser amount. That worked, but then her 6 AM cath was huge. We can work it out at home though.
I am hoping for home today or tomorrow.
This morning awake and no oxygen from 6:30-11:00. Then she needed oxygen when she fell asleep. Back awake at 12:00.
As far as the meropenum versus ertapenum...they are fine for her to finish out her 10 day course of meropenum and then switch her to ertapenum. Even though they don't think the meropenum really helped the pneumonia.
She is off the valium.
Her oral baclofen switched from 4 times a day to 3 times a day. Which is also a lower daily dose (since they just took one dose off and didn't raise any of the doses.)
Lungs sound a course. Coughed up a lot of stuff this morning.
I have not talked with her Dr.'s yet.
We tried cathing her at 2 AM instead of 4 AM to try and get a lesser amount. That worked, but then her 6 AM cath was huge. We can work it out at home though.
I am hoping for home today or tomorrow.
Friday, October 25, 2013
Now what?!?!?!
No going home today. They said maybe tomorrow. I doubt it. I think a few more days.
The pseudomonas that they cultured from her lungs (from the pneumonia) was resistant to meropenum and all other antibiotics they tested on it. So they think that her getting better was coincidence and not due to the meropenum. So they want to switch her back to ertapenum. I don't think it is coincidence. She did good on meropenum, bad on ertapenum, good on meropenum and now they want to switch her back to ertapenum. It sounds like a bad idea to me. The primary team is going to check with infectious disease 1 more time to make sure this is what they want to do.
This is bad news because every really bad pnemonia she has ever had (which has been 2 of them...and she almost died both times...LITERALLY...they were very severe) have been pseudomonas. So if she gets another bad pnemonia, and now if her pseudomonas is resistant to all of the antibiotics they tried...I don't even want to think about it. They said that it doesn't mean there aren't any antibiotics that won't kill it, just that they will have to look harder to find an effective antibiotic.
They now seem more concerned about her blood pressure because it happened 2 nights in a row. They said most people think of blood pressure being related to the heart, but it is really closely related with the kidney. So they are going to do blood and urine to look at her kidneys. They will also look at her electrolytes.
She has had her last dose of valium.
Tomorrow they may switch her baclofen from 4 times a day (every 6 hours) to every 3 times a day (every 8 hours).
She was awake for 4 hours this morning (which is more than previous mornings). And so far she has needed no oxygen all day today (and it is Noon). That is great. That means her lungs are doing better.
We have been tracking the mount she is getting out when we cath her. Her 4 AM cathing is always HUGE! And the majority of her daytime caths are small. We have been cathing every 4 hours during the day and every 6 hours at night. Logically you would think switching to 6 hours during the day and every 4 hours at night. But then you realize that Mom or Dad would be getting up every 4 hours all night and that we would be waking Ellie up every 4 hours during the night and everyone agrees this would not be a good plan either. So we are looking more closely at putting in a foley (a cathedar that would stay in) overnight. This does raise her risk of infection by alot. So I don't really want to do it. But if the large volume of urine is what is affecting her high blood pressure, then the risk may be worth it. And we can't really think of any other options. If we don't want to try the foley I was thinking of doing 7AM, 1 PM, 7 PM, 1 AM. If that doesn't work then 7AM, 1 PM, 7 PM, 1 AM, 4 AM. She usually wakes up around 1:00-2:30 anyway... for a bit, then she will go back to sleep. It really just depends on what time this huge volume is produced.
She is doing well overall. All vitals look good (except BP). No oxygen yet today. More awake. There are just a few issues to work out.
The pseudomonas that they cultured from her lungs (from the pneumonia) was resistant to meropenum and all other antibiotics they tested on it. So they think that her getting better was coincidence and not due to the meropenum. So they want to switch her back to ertapenum. I don't think it is coincidence. She did good on meropenum, bad on ertapenum, good on meropenum and now they want to switch her back to ertapenum. It sounds like a bad idea to me. The primary team is going to check with infectious disease 1 more time to make sure this is what they want to do.
This is bad news because every really bad pnemonia she has ever had (which has been 2 of them...and she almost died both times...LITERALLY...they were very severe) have been pseudomonas. So if she gets another bad pnemonia, and now if her pseudomonas is resistant to all of the antibiotics they tried...I don't even want to think about it. They said that it doesn't mean there aren't any antibiotics that won't kill it, just that they will have to look harder to find an effective antibiotic.
They now seem more concerned about her blood pressure because it happened 2 nights in a row. They said most people think of blood pressure being related to the heart, but it is really closely related with the kidney. So they are going to do blood and urine to look at her kidneys. They will also look at her electrolytes.
She has had her last dose of valium.
Tomorrow they may switch her baclofen from 4 times a day (every 6 hours) to every 3 times a day (every 8 hours).
She was awake for 4 hours this morning (which is more than previous mornings). And so far she has needed no oxygen all day today (and it is Noon). That is great. That means her lungs are doing better.
We have been tracking the mount she is getting out when we cath her. Her 4 AM cathing is always HUGE! And the majority of her daytime caths are small. We have been cathing every 4 hours during the day and every 6 hours at night. Logically you would think switching to 6 hours during the day and every 4 hours at night. But then you realize that Mom or Dad would be getting up every 4 hours all night and that we would be waking Ellie up every 4 hours during the night and everyone agrees this would not be a good plan either. So we are looking more closely at putting in a foley (a cathedar that would stay in) overnight. This does raise her risk of infection by alot. So I don't really want to do it. But if the large volume of urine is what is affecting her high blood pressure, then the risk may be worth it. And we can't really think of any other options. If we don't want to try the foley I was thinking of doing 7AM, 1 PM, 7 PM, 1 AM. If that doesn't work then 7AM, 1 PM, 7 PM, 1 AM, 4 AM. She usually wakes up around 1:00-2:30 anyway... for a bit, then she will go back to sleep. It really just depends on what time this huge volume is produced.
She is doing well overall. All vitals look good (except BP). No oxygen yet today. More awake. There are just a few issues to work out.
Slooooowwww internet
The internet here at the hospital drives me crazy. It was so slow that it wouldn't let me post an update on Ellie yesterday.
So here goes...
Not last night, but the night before (does that make you want to start jumping rope?..."Not last night but the night before...24 robbers came knocking at my door...") she had an elevated bloodpressure, but no elevated heartrate. It is puzzling. Everything else looked good. In the morning it came back down and resolved itself.
Yesterday during the day she did good. She was awake for about 75% of the day. Her vitals looked good all day. She needed oxygen all day (about 1.5 liters). I went to school yesterday morning and when I came back the nurse said "How do you feel about gong home?" I said quizzically, "Today???!?!?!?!" She said "No, but maybe tomorrow". (Tomorrow would be today (Fri)).
Last night she coughed several times (maybe twice) requiring suction. Heartrate went up (not as high as the night before). It is now back to normal.
So far today she has been awake and has been off oxygen.
So, she may be coming home today, tomorrow or in the next few days.
I am not sure whether to be concerned with the blood pressure thing or not. It is not something I check regularly at home. I do have a manual blood pressure cuff, but when we previously needed to do it for a medication I never really got the hang of it. Perhaps I need to invest in an automatic one. However a child size one is over $100 http://www.amazon.com/Professional-Pressure-Trending-Software-Pediatric/dp/B009FOHPFU/ref=sr_1_12?ie=UTF8&qid=1382712324&sr=8-12&keywords=pediatric+blood+pressure+cuff
I could maybe try an adult one...but from what I understand it is really important to have the correct cuff size. I hate to spend $100 on something that is not one of her regular problems.
The only thing that may relate to the high blood pressure is attention in the bathroom department.
I do need to figure out a new cathing schedule anyway...we have been doing every 4 hours during the day and every 6 hours at night. But that is not working because she just has a lot more output during the night. And we are not getting enough during the day. We are supposed to get between 200 and 500 each time. I don't want to get up more often at night and Ellie doesn't want to be woken up more frequently during the night either. At one point they mentioned putting in a foley (a cathedar that stays in for a few hours or days) overnight...but it really really increases the risk of infection (like we need any more risk of that!!!).
So here goes...
Not last night, but the night before (does that make you want to start jumping rope?..."Not last night but the night before...24 robbers came knocking at my door...") she had an elevated bloodpressure, but no elevated heartrate. It is puzzling. Everything else looked good. In the morning it came back down and resolved itself.
Yesterday during the day she did good. She was awake for about 75% of the day. Her vitals looked good all day. She needed oxygen all day (about 1.5 liters). I went to school yesterday morning and when I came back the nurse said "How do you feel about gong home?" I said quizzically, "Today???!?!?!?!" She said "No, but maybe tomorrow". (Tomorrow would be today (Fri)).
Last night she coughed several times (maybe twice) requiring suction. Heartrate went up (not as high as the night before). It is now back to normal.
So far today she has been awake and has been off oxygen.
So, she may be coming home today, tomorrow or in the next few days.
I am not sure whether to be concerned with the blood pressure thing or not. It is not something I check regularly at home. I do have a manual blood pressure cuff, but when we previously needed to do it for a medication I never really got the hang of it. Perhaps I need to invest in an automatic one. However a child size one is over $100 http://www.amazon.com/Professional-Pressure-Trending-Software-Pediatric/dp/B009FOHPFU/ref=sr_1_12?ie=UTF8&qid=1382712324&sr=8-12&keywords=pediatric+blood+pressure+cuff
I could maybe try an adult one...but from what I understand it is really important to have the correct cuff size. I hate to spend $100 on something that is not one of her regular problems.
The only thing that may relate to the high blood pressure is attention in the bathroom department.
I do need to figure out a new cathing schedule anyway...we have been doing every 4 hours during the day and every 6 hours at night. But that is not working because she just has a lot more output during the night. And we are not getting enough during the day. We are supposed to get between 200 and 500 each time. I don't want to get up more often at night and Ellie doesn't want to be woken up more frequently during the night either. At one point they mentioned putting in a foley (a cathedar that stays in for a few hours or days) overnight...but it really really increases the risk of infection (like we need any more risk of that!!!).
Wednesday, October 23, 2013
Coughing
I think she is starting to feel better from the pneumonia. Last night she was coughing (on her own without me gagging her) up stuff from her lungs. This is good. She probably coughed on her own 5 times during the night, then I would get up and suction her. She usually does pretty well when she coughs on her own to swallow the junk and not choke on it. But I figured I would help her get rid of it by sucking it out and often I would stimulate some more coughs without really meaning too (which is still a good thing).
I think the antibiotics must be working and helping her get rid of the pneumonia.
I really think she took a turn for the better yesterday afternoon and last night. Here's hoping. Yesterday marked 3 weeks inpatient.
The coughing and the suctioning meant that she was awake for a lot of the night and that she didn't wear her mask for a lot of the night. This means she may be tired today and/or tomorrow.
Yesterday she got phenol injections in her arms and thumbs. They put a needle into her muscles that are tight and inject the phenol medicine, this helps relax tight muscles. They also use botox for this reason, and you can do both. But it is too soon to do more botox on her, so they only did phenol. It is always the most painful on days 2 and 3. So this morning she woke up with a slightly elevated heartrate and slightly elevated temp. And that was even with giving her ibuprofen and acetaminophen around the clock in anticipation.
They did another CRP this morning, but I have not heard the results.
I think the antibiotics must be working and helping her get rid of the pneumonia.
I really think she took a turn for the better yesterday afternoon and last night. Here's hoping. Yesterday marked 3 weeks inpatient.
The coughing and the suctioning meant that she was awake for a lot of the night and that she didn't wear her mask for a lot of the night. This means she may be tired today and/or tomorrow.
Yesterday she got phenol injections in her arms and thumbs. They put a needle into her muscles that are tight and inject the phenol medicine, this helps relax tight muscles. They also use botox for this reason, and you can do both. But it is too soon to do more botox on her, so they only did phenol. It is always the most painful on days 2 and 3. So this morning she woke up with a slightly elevated heartrate and slightly elevated temp. And that was even with giving her ibuprofen and acetaminophen around the clock in anticipation.
They did another CRP this morning, but I have not heard the results.
Tuesday, October 22, 2013
So funny
I did the craziest thing today...
I looked ahead at my calendar for the week and realized that Ellie's baclofen pump refill (where they put more medicine into her baclofen pump) was scheduled for tomorrow. I called and left a message with their office ans asked if they could come up to the room and do the refill up here.
I heard back from her a few hours later and they reminded me that she no longer had a baclofen pump.
Ha-Ha-Ha!
She actually did a little better today. She was a little more awake. She was coughing up a bunch of junk. And mostly maintained her oxygen sats on 1 liter for most of the day.
I looked ahead at my calendar for the week and realized that Ellie's baclofen pump refill (where they put more medicine into her baclofen pump) was scheduled for tomorrow. I called and left a message with their office ans asked if they could come up to the room and do the refill up here.
I heard back from her a few hours later and they reminded me that she no longer had a baclofen pump.
Ha-Ha-Ha!
She actually did a little better today. She was a little more awake. She was coughing up a bunch of junk. And mostly maintained her oxygen sats on 1 liter for most of the day.
Pseudomonas
The sputum (junk coughed up from lungs) grew out pseudomonas. This is the bug she typically has when she has pneumonia. So it is confirmed that she does have pneumonia.
The new antibiotic (meropenum) should cover both infections.
She is doing OK today. She still needs a little oxygen and some suctioning. She is awake a tiny bit here and there.
I told her that we were shooting to be home by Halloween because she has spent 2 Halloweens in the hospital already and we don't want to make it 3.
The new antibiotic (meropenum) should cover both infections.
She is doing OK today. She still needs a little oxygen and some suctioning. She is awake a tiny bit here and there.
I told her that we were shooting to be home by Halloween because she has spent 2 Halloweens in the hospital already and we don't want to make it 3.
Monday, October 21, 2013
Fairly good day
She had fairly good day today Most of the day she was on 1/2 a liter of o2 (not much).
She dipped her sats a few times but not too badly or for too long.
She needed some suctioning, but not a ton.
Tonight they start the meropenum and will not give the night dose of valium. We will see how she does. I think she will do fine.
She dipped her sats a few times but not too badly or for too long.
She needed some suctioning, but not a ton.
Tonight they start the meropenum and will not give the night dose of valium. We will see how she does. I think she will do fine.
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