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<p class=MsoNormal>Hi all,<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>I have taken the usual update I send the PDI folks and made
some modifications, so those who receive this twice, it is going to look
familiar!!<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Friday was a big, up and down day for the Harvey clan.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>On Friday the docs pulled Ryleigh’s breathing tube,
and put her on a CPAP that was attached to the ventilator. The CPAP was
administering breathes at a rate of 20 per minute through a cannula,
the little tubes that run in to the nose.<o:p></o:p></p>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal>She wasn't responding very well to the CPAP with breathing
assistance. Blood gas tests showed she had too much CO2 in her blood.
This meant she was not breathing off enough CO2. Also, her oxygen requirements
were much higher than they would like.<o:p></o:p></p>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal>The respiratory therapist (RT) and doc thought they
would have to intubate her again, but the RT wanted to try one more thing.
They actually turned off the CPAP breathing assistance, and only gave her O2
through the cannula, along with minor assistance whenever SHE initiated a
breath. They felt that the forced 20 breathes per minute might actually be too
irritating, and she was having trouble breathing against the machine.<o:p></o:p></p>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal>Once they turned off the forced breathes, she did a 180
degree turn. Her O2 requirement was down 50% within 15 minutes, and the next
blood gas a couple of hours later showed her CO2 to be perfect!!<o:p></o:p></p>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal>They kept her on the CPAP for the rest of the afternoon and
the night, but she pulled the apparatus out of her nose a few times, which
caused her O2 blood saturation to drop, heart rate to drop, etc. The RTs and
nurses were there to re-insert the cannula, but they thought it might be too
big and causing too much irritation.<o:p></o:p></p>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal>On Saturday the physician decided to make another change,
and actually took her off the CPAP entirely. They put her on a high flow nose
cannula that just provided a set amount of oxygen. Since they made the
change, she has done very very well. Her O2 requirement is basically down to
room air level (she is getting the same amount of oxygen via the cannula that
we get whenever we take a normal breath). Her last blood gas at 10:30 AM on
Saturday was as good as you can get, to the point that they are going to stop
monitoring the blood gas unless she looks in distress.<o:p></o:p></p>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal>She has been eating (via an eating tube) like a champ, and
has put on some weight, though not a lot. They up her feed amount 1 ml per day,
so right now she gets 10 ml of milk every 3 hours. The steroids they have given
her slows down the weight gain, so we are not as concerned about the slow
progression in this area.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Yesterday, Ryleigh was moved from her little room in to
“Gen Pop”, a big room with some of the other NICU babies. She still
hasn’t had a lot of interaction with the neighbors, but it is a big step,
since the staff feels she is stable enough to handle the environment.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>So, all in all, things are looking good. The doctors are
discussing weaning her off of the high flow nasal cannula in the next 10-14
days or so. They also hope in the next 10 days to have all of her nutrition
coming from Mom’s milk vs. the IV grub she gets right now.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Good things are happening, and prayers are being answered
every minute. Thanks to all of you who have kept us in your prayers and sent
positive thoughts. I can only attribute Ryleigh’s progress to the grace
granted from your actions.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>We are on our way!!<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Bo<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Comic Sans MS";
color:gray'>___________________________________<o:p></o:p></span></p>
<p class=MsoNormal><b><span style='font-size:9.0pt;color:#1F497D'><o:p> </o:p></span></b></p>
<p class=MsoNormal><b><span style='font-size:9.0pt;color:#1F497D'>Mathew 'Bo'
Harvey<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-size:9.0pt;color:#7F7F7F'>PDI<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;color:#7F7F7F'>3407 S. 31st St.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;color:#7F7F7F'>Temple,
Texas 76502<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;color:#7F7F7F'>Office:
254.771.7100 <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;color:#7F7F7F'>Cell:
254.541.0863<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;color:#3333FF'><a
href="www.profdata.com"><span style='color:#3333FF'>www.profdata.com</span></a><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:8.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><b><i><span style='font-size:8.0pt;font-family:"Arial","sans-serif";
color:#395889'>Do Business Electronically</span></i></b><b><span
style='font-size:8.0pt;font-family:"Arial","sans-serif";color:#395889'> with
PDI/Enterprise!</span></b><span style='font-size:8.0pt;font-family:"Arial","sans-serif"'>
<span style='color:#244061'><o:p></o:p></span></span></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><span style='color:#1F497D'><o:p> </o:p></span></p>
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