[Enzo] Day 51 report - the world is flat.

  • From: "Phillip Koken" <phil@xxxxxxxxx>
  • To: <enzo@xxxxxxxxxxxxx>
  • Date: Sun, 1 Jun 2014 21:36:38 -0700

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.

 



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