Evan had a follow-up appointment at the Children's Multi-Specialty Clinic in Tucson. We thought we would be seeing Dr. Morgan, but it was a different doctor (I think it was Dr. Brown). Our appointment was at 8:30am and we hoped we wouldn't have to wait as long as we did at the last appointment.
The nurse called us back to do his stats...he weighed 10 pounds 5 ounces; was 22 inches long; and his head circumference was 39 cm. I plotted his latest stats on that image, so you can click on it to see a bigger view. He's still just below average, but that's o.k.!
The doctor suggested we increase his amount to 4 ounces every feeding. He's been taking about 3 ounces every time. We have to get him to about 28+ ounces a day in order to plump him up more.
The nurse came in with the "magic" pulse oximeter. Of course Evan maxed out on the pulse ox while on the oxygen. Now, the moment of truth...we turned off the oxygen flow. He did great! He averaged about 96-97%. That was a big improvement from two months ago when he was averaging the low 90s.
We were hoping to hear the great news that he could come off the oxygen...um...didn't happen. At least we can stop the Lasix in two weeks. The doctor didn't want to make too many changes at once since he's wanting us to increase the amount of his feeds. When he comes off the Lasix, we have to watch for any major changes in his breathing. While he's sleeping, we have to do periodic respiration counts to make sure he's not laboring harder to breathe. He should be breathing between 30-40 respirations per minute. If he is breathing more rapidly, it's a sign that there may be moisture build-up in his lungs and we have to start the Lasix again.
We have to come back (again) for follow-up in about 5 weeks. The doctor anticipates that he will get the green light to stop the oxygen. The next time we take him to see Dr. Ettinger, we need to get a pulse oximeter reading on him to see what his true oxygen saturation is at our altitude.
So, we continue with the oxygen! Bummer!
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**Weight Check: 10 lbs. 5 oz.
**Height check: 22 inches
Chronological age: 21 weeks and 4 days
Adjusted/developmental age: 2 months, 3 weeks and 5 days
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