Thursday, July 29, 2010

SIT-REP: Day 4 of our 20+ year mission

"Crash" drank five (5) cc's of mom's milk this morning, then eight (8) cc's of the 10 cc goal at "lunch" and did a pretty good job three hours later.

He's still in the NICU, but breathing ambient room air on his own and has been weaned off most the meds.

He appears to be geometrically improving/progressing on most parameters...

Aut viam inveniam aut faciam

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SIT-REP: End of Day 3/Start of Day 4

SWEET! First no ventilator and now no more oxygen--"Crash" is breathing ambient air for himself!


VI VERI VENIVERSUM VIVUS VICI


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Wednesday, July 28, 2010

"Dad's Life"

{Smirk}

SIT-REP: post rounds

11:53:12 EDT
"They" just "rounded" on him:

They want to start "Crash" on mother's milk in the morning.

Steady improvements on most parameters

Heart's improving.

Being weaned (sp?) a bunch of meds.


"Mon centre cède, impossible de me mouvoir, situation excellente, j'attaque"
--Ferdinand Foch, Marshall of France


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SIT-REP

09:42:07 EDT

Sweet! He's vocalizing and moving around!

Plus, they've stopped one med and are backing him off others.

Aut viam inveniam aut faciam
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SIT-REP

06:26:05 EDT

"Crash" is now in the NICU at Georgetown. Mein Liebchen is one floor below.

He's off ventilator and breathing on his own.

And, he has "The Kung Fu" grip ;-)

We're about to go see him.
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Tuesday, July 27, 2010

Day 2


Captain's blog, stardate blah, blah, blah...

The Code-Name/Working-Title "The Alien" is retired; he's now "Crash"--he made an early, exigent "hard landing" 03:13 EDT (07:13Z) 26 JUL 10--seven (7) weeks early.

So, Sunday (25 JUL 10) Mein Liebchen wasn't feeling well and we took a nap o/a 15:00 EDT. O/a 15:30 EDT "The Storm" rolled in and took out the power.

O/a 18:00 EDT bored, without power (or A/C) and the apartment getting hot and stuffy we decided to go out-n-about for a bit. At 18:30 EDT as we neared Pierce Mill "Pull over now--I need to stand up..."

Skipping a bunch of minutia, later when we got back to The Lair Mein Liebchen noticed blood when she went to the bathroom (in the dark, still no power--"thanks" PEPCO)...

Petal-to-the-metal and punching-lights we hit the doors of Sibley Labor & Delivery at 01:30 EDT...

Dr. Sartawi, who was on call for Drs. Reiter, Hill, Johnson & Nevin (Dr. Engel is our primary OB/GYN), at Sibley decided he wasn't moving enough and that she didn't like what she was seeing and delivered him by crash Caesarean section due to placental abruption. He had a low heart beat, 40, which disappeared--he was down for 11 minutes.

"Crash":
Male
03:13 EDT (07:13Z) 26 SEP 10
4 lbs 5.8 oz (1,979 grams)
18 inches (45.72 cm)

So Dr. Sartawi comes and tells me that Mein Liebchen is fine and that "Crash" made a "hard landing" and is on ventilator.

Dr. Sartawi: Blah, blah, blah
Me: "So, what I'm hearing is everyone's alive and breathing--correct?"
Me: "Kewl beans, then keep me informed."

Skipping forward a bit: about an hour later he was doing much better and though on a ventilator it was set to the lowest setting--meaning "Crash" was doing most of the work.

O/a 20:00 EDT the decision was taken to transfer "Crash" from Sibley, which is a Level II NICU*, to Georgetown NICU, which is a Level III NICU, to evaluate him for seizures and treat as required/appropriate. Georgetown NICU's Neonatal Transport Team arrived in short order to transfer "Crash" to his new digs. (Sibley and Georgetown are 3.2 miles apart).

[*: Neonatal Intensive Care Unit]

Talked to Dr. Mehta at Georgetown NICU this morning regarding "Crash" and the "global" and specific effects and possible effects of the placental abruption. They're going to, by now (14:50 EDT) probably have, give "Crash" an EEG.

Mein Liebchen is "climbing the walls" here at Sibley--she wants to be with "Crash". So after chin-wags with Dr. Sartawi, Dr. Mehta and Dr. Abraham (the attending on duty at Sibley)--and calls between the three of them--the decision has been taken to transfer her to Georgetown as well.

Gotta shout out to the teams in Sibley's Labor & Delivery, Special Care Nursery and 5-West units particularly and the staff in general.

BTW, Sibley has one of the best implementations of tech I've seen in the healthcare sector. Pictured at right is one of Mein Liebchen's nurses using a wireless tablet this morning to update her chart and records. Tia Aida says, "Max... it's called Nursing Informatics, and it's the wave of the future in maintaining & documenting care on electronic health records that are real time and more accurate. The goal is to prevent medical errors!"

Well, gotta distract Mein Liebchen 'til they get here to transfer her--she threatened to get dressed and go for a walk...

Wednesday, July 21, 2010

BRAVO SIERRA

02:15:40 EDT and:

1) Flood not cleand up
2) No bathroom
3) Chief engineer here w/no "back-up

Tuesday, July 20, 2010

T- 7 Weeks









Friends of ours were nice enough to Find this for us in preparation for The Alien making planet-fall.
Had a false-alarm last Thursday--would have been eight (8) weeks early.

Also, we picked this up Sunday from "Freecycle":