Day 51 Doctor: Jamie Jones Nurses: Jeremy (night), James (day) RT: Charles/Mike (night), Amy/Pauline (day) Gestational age: 36 1/7 weeks Weight: 2354 g or 5 lbs. 1.0 oz. Length: 45 cm (5/28/14) FiO2: 23% Flow: 1.5 LPM on NC Feeding: 47 ml Q 3 hr. (24 cal breast milk) through NG tube. PO multivitamin with iron (0.25 mg q 12 hr). Bottle feeding q 6 hr. (night: 46 ml @ 2300, 46 ml @ 0500. day: 47 ml @ 1100, 47 ml @ 1700). New orders: HemoCue tomorrow, increase feeds to 47ml q 3 hr. Other issues: little to no residuals, elimination good, ongoing A/B/D mostly self-resolved Enzo had another good day today. Overnight, Jeremy was Enzo’s nurse, and they enjoyed a quiet evening. Early this morning, Enzo had another bradycardia episode, which sets the 5 day clock back again. We expect that these episodes will decrease in frequency and duration as Enzo grows. Today, James had Enzo again. When Dr. Jamie dropped by to do his daily checkup, he suggested that we will probably increase to bottle feeding 3x per shift tomorrow, if approved by the occupational therapist. Enzo is not having difficulty with the bottle (He only slows down for the last 10 ml or so.), so this is probably a good time to add another couple “rounds” of nippling to his day. Other good news – Enzo maintained his blood oxygen saturation on 22% FiO2 all afternoon. Every step we take towards weaning Enzo off of supplemental oxygen is positive one. Like the Bradycardia episodes, the need for supplemental oxygen will disappear as Enzo continues growing and adding new lung tissue. Enzo is now sleeping in a flat crib. It may be difficult to tell, but previously he was surrounded by a “U-Shaped” bumper. This bumper helps preemies feel like they are still in the womb (or so the theory goes). By pressing gently against them and restricting their movement, it helps to keep them calm and resting, as well as aiding their cognitive development. Once the babies reach 36 weeks, and if they are over 2 kg, they are swapped to a flat sleeping surface. It’s too early to tell, but so far, Enzo seems to be doing fine without his “virtual womb” surrounding him. Of course, now Enzo spends more time swaddled (Dad calls it the “infant straitjacket”), so the bumper is not as critical as when he slept with just a blanket.