Day 55 Doctor: Anna Marie Salva Nurses: Leah (night), James (day) RT: Jeanie (night), Pauline/Amy (day) Gestational age: 36 5/7 weeks Weight: 2491 g or 5 lbs. 7.9 oz. Length: 45 cm (6/1/14) FiO2: 21% (room air) Flow: 1 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 every feeding, gavage QS (amount nippled: 47 ml @ 2000, 37 ml @ 2300 (apnea episode down to 60 bpm), 47 ml @ 0200, 47 ml @ 0500, 27 ml @ 0800, 30 ml @ 1100, 47 ml @ 1400, 47 ml @ 1700). New orders: n/a Other issues: ongoing A/B/D, mostly self-resolved. Last apnea with stim 6/4 11:30pm, during nippling. Enzo had another good day today! ***Disclaimer*** Today's note may be a bit briefer than normal. Alexander graduated from high school today, and between the ceremony and guests, we haven't had much time to write it. Nonetheless, we will include the pertinent information! Congratulations, Alexander!!! Last night, Leah took good care of Enzo (as always). He nippled every feed and consistently did well (though he did end up needing some extra "O"s during the early morning feeds). He still isn't eating from the bottle 100%, but we are steadily making progress in that direction. Unfortunately, he had a apnea episode in the early morning that required stimulation - setting back the 5-day clock once more. We aren't upset; we want our precious Enzo to be ready when he leaves the NICU. Enzo's oxygen has remained at 1 liter per minute at 21% (room air). Occasionally, we will go up during feeds to 23%, but it is becoming a rare event. Enzo started out strong for his 8 a.m. and 11 a.m. feeds, but then, he got angry or scared and decided not to take anymore after about half. He was back to normal after 2 p.m. Enzo's OT Lucy thinks that he is still perfecting his technique with the nipple, and we totally agree. Mike and Melinda came by to visit on their way to Alexander's graduation. Enzo was very happy to see them! Between Linda, Kelly, Phillip, Mike and Melinda. Enzo hardly had a moment in his crib today. He wasn't complaining! James was the perfect nurse through all this and was super supportive and present while still being focused on taking care of Enzo. Any time the monitor started alarming he was at our elbow, while still allowing us our time with our youngest family member. In closing, here's a video of Linda snuggling with her grandson: https://www.youtube.com/watch?v=1FCy6srp1FI We promise to be more detailed in tomorrow's report!