In rounds, the doctor said to wean Joshua's flow to 0.5 at 100%. This is VERY close to an amount that Joshua could go home on. The doctor explained that we want to get him a little lower though just in case he were to get sick at home, then I could bump Joshua up without getting re-admitted to the hospital. Fair enough. So far he's handling the change well especially since he just got bumped to 1.0L yesterday! Two big improvements in two days!
We still have a ways to go on feeds though. He gets very, very tired and is too tired to take in the amount of calories he needs to grow. I spoke with the doctor at length about feeds and Joshua's growth chart, fortified calories and mL/Kilo, ad lib and on demand feeds...and I'm glad I was able to clarify and communicate some things - we seem to be more on the same page now...at least until the next doctor comes on Friday. Joshua has been taking on average half of his volume by mouth and half get gavaged through his NG tube. Joshua breastfed really well today though which was a relief after this past weekend. He's ending the year on a great note...Here's to a much better 2014!!!
Our nurse last night made a fun photo for us! |
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