Here he is during our morning visit:
|Hi! I'm cute even asleep!|
|Notice a difference?|
|Look at me!|
Of course, with Andrew these changes can never be easy. In fact, just like with his move from the ventilator to the CPAP machine, the change basically occurred after some difficulties. This morning, J had a nice long holding session with Andrew and things were going great. He desatted a bit, but nothing he couldn't bring himself out of. Well, then there was a change. Andrew began to have difficulties breathing, and even began to turn blue! Of course, the nurses were right there to help, but they did have to use the bag on him to get him back up. He's had a bunch of these severe desats lately "sporadic, but severe" is the way the doctor put it. They are not sure really why they happen...it could be excess secretions causing issues or just a preemie issue (or a host of other things). It is horrible to witness, but once he recovers he is fine. After today's episode he laid there just looking up at us with these eyes that said, "What? I'm fine. Why are you so upset?" And he was...oxygen back at 30% and high-satting away.
Well, J and I left soon after that episode. The whole thing really freaked J out (understandably), it was the first time he's been there when they've had to bag him. I was actually out of the room pumping when it happened, but still was a bit shaken by it all. It's so hard when he is fine one minute, and not breathing the next. Scary. We went home and did some more work in the nursery and got a phone call from the hospital around 5:00.
It was Nurse M. She said she and Dr. B had a long chat, and they wanted to get the replogle (tube into the stomach) out. You remember that it causes him a lot of secretions, he tends to pull it out, and it seems to irritate him. So...they decided to give the high flow nasal cannula a try (and take out the replogle)! She told us to not be surprised if he tires and needs to go back on CPAP, but we'll see. Last night when we visited he was doing great. Hopefully it will last! And, if he would stop having episodes, that would be great too! (Nurses have warned us that if it is just a "preemie thing" that they will continue for several more weeks as his brain continues to mature. Grrrreaaat. Can we at least not need the bag again? Please, Andrew?)