Day 112 - New Big Boy Crib

Wednesday, April 22nd, 2021

James was upgraded to a Big Boy Crib from an isolette (open neonatal incubator).

Right before the change we gave him a bath. Basically that consisted of just wiping him down with a wet washcloth. 

He did tummy time on his boppy. At first he wasn't sure if he liked it and then he slept on his arm for about 3.5 hours.

12am update: James had an episode from about 12am to 1:30am. 

Cause: Possibly dirty diaper and he had been sitting up all day, so he needed a position change.

Resolution: Changing to a clean diaper, changing position to a tight swaddle with arms tucked and laying him on his side. Also the wet wash cloth on his head helped a little for a brief moment. Also increasing his PEEP to 14 while having an episode immediately calmed him but he kept retracting heavily. 🤷

2:30am - Might as well pump now!

3:30am-4am update: James had a pretty bad BPD episode. 

Cause: Dirty diaper?

Resolution: Increasing PEEP to 14

4am: Trach care

4:30am - PEAK alarm going off too often. Mom found that he had completely turned from being swaddled on his left side to laying on his back with his head slightly to the right unswaddled. This is his flat spot. He would not let us move his head supine or back to the left. This is a problem.

5am: Mom trying to get in 2 hours of sleep before shift change. 😩

5:30am: Nope! Continuous Feed alarm going off. Button needs to be pressed. Mom needed to let the nurse know. 🚨 (Sitting right outside the door, the nurse couldn't hear it over her chatting about her first time home buyer loan). 🙄 

P.S. You can email James your love and support as often as you’d like. Mom and Dad read these email to James as they come in. We all love them! JamesWestonAbramowitz@gmail.com