Will had a great night! He gained weight!!!!! He currently weighs 3lbs 5oz or 1500 grams. He is 15 1/4 inches long. Dr Darling has taken over Will today and the only change today is to nurse or bottle feed him once a shift and also if he is showing signs of wanting to be fed twice a shift then it is up to the nurse to decide. He had his eyes checked today. He has Stage 2 ROP which is a moderate form of ROP characterized by the development of a three-dimensional "ridge" at the vascular-avascular junction. There are 4 Stages with 4 being the worse and 0 being the best. Will is at a Stage 2 which is just means Dr Brawner will check his eyes in two weeks but keep a close eye on the "ridge". If for some case, he moves to a Stage 4, which is describes a partial retinal detachment then it is treatable with medication. We are praying that Will's ROP never reaches Stage 4 and that the "ridge" will clear up and go back to Stage 0 which means normal, incomplete retinal vascularization or no ROP present on examination.
He is a little bit behind on his growth chart. Around this time, he needs to be about 1700 grams and we are about 200 grams behind. There was talk last night about taking away the prolacta but he will continue to keep that going to add more protein and calories and try to bump up his growth just a bit.
He will get a chest xray and another blood gas on Friday and then make a decision on whether to turn the flow down to 1.5 or 1. Just an FYI: If Will's flow goes down to 1 and he is on less than 40% oxygen (which he has been on about 26-32% oxygen) then that means we will move to the "step down" care or intermediate care which means CLOSER TO GOING HOME SIDE!!!!!!!!!!! But we will probably take a step back because Will needs to have hernia surgery and they don't think about doing that until he is around 4lbs 4oz. When he does have hernia surgery he will be put to sleep and then back on the ventilator and eventually taken off again.
So all in all Will is doing good! Keep praying!
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