The Journey of James Weston

Tuesday, August 3rd, 2021 RT woke James up at 2am trying to switch the CO2 sensor so Mom woke up and showed her how to use the wedge to disconnect the circuit. Then changed his diaper and vented. Back to sleep at 2:45am, 4:30am James desated but they just turned off the alarm remotely from the desk without coming in. Mom got up to see that James was drowning from water collecting in his circuit from the humidifier. James is never just desating in his sleep for no reason. Mom SDVed (suction, diaper, vent) and he went right back to sleep at 4:45am. The doctor decided that if he was still doing well at 4am, they would extend until 6am. At 5:15am he was drowning again and needed to be suctioned and vented. Again they were just silencing the alarm from the desk and not even checking on him. At 5:30am they switched him back to servo because he was agitated (or was it because he was upset from drowning?). Mom let the RN know that when he is desating at night it's because he needs help, an...

Monday, August 2nd, 2021 Weight : 7140 grams (15lb 11oz) Height: 22.5 inches Couple of upsetting things overnight: Alarms going off and nurse is not coming in to check on him We wasted a ton more breast milk again I just dumping full bottles into the feed bag without measuring. At one point there was 8 hours worth of milk in the bag. Breastmilk isn't supposed to be out more than 4 hours. Trying to do x-rays in the middle of the night even though mom has already communicated that James is a hands off during the night. He actually text said "oh yeah I said the order says 8:00 a.m." 🤦🏻‍♀️ We had a new nurse today, new to us and new to nursing. She was nice. So James ended up getting an x-ray of both wrist and his lungs during Day Shift. Wrist x-ray results:   FINDINGS:  Zone of provisional calcification in the distal ulna and radius is less well-defined than 1 months ago and distal radial ulnar metaphysis appears slightly frayed. No cupping or fracture. Slight deformity of...

Sunday, August 1st, 2021 It's August?!? Here we are, James is 7 months old. Mom loves when the night nurses comment about how "he was so good last night and that he didn't wake up at all". 🙄 Are you not charting the pile of diapers laid out for you on the scale? Mom let her know that is very inaccurate, Mom got up every single time to every alarm, suctioning his trach, changing his diaper, venting his G-tube. She's like "oh well we're not supposed to be Hands-On at night". Really? Just let the vent alarm? We asked for them to be hands off at night which meant no unnecessary blood work, no x-rays, no blood pressures, no temperatures from like 10pm until 6am. No reason to wake up James who were trying to get on a good sleeping schedule! James vomited at 6:30am, right before shift change. The nurse says, "He almost made it the whole night without me having to come in the room". Oh boy! James woke up at 1am, 4am, 5:15am, 5:45am, 6am, 6:30am. A...

Saturday, July 31st, 2021 What the setup is like to hold your baby. Last night ended up giving him a glycerin and a Tylenol. At evening rounds the doctor was pretty certain that the ventilator was not irritating him but it was the gas built up in his belly. However the nurses thought he was struggling with the ventilator. Overall we're all just guessing. James seemed pretty agitated towards the end of the night last night. He did his trial from 9:00am to 9:00pm. The Tylenol was given around 9:00pm so it was hard to tell if the medication had helped or if it was putting him back on the servo. This situation repeats itself tonight.  Kind of a stressful night in fact that Mom had to get up with every single alarm, anytime James made a sound, and to make sure we stayed on top of suctioning. We think that a lot of the nurses here just figure that since Mom is here she needs the practice of being a full-time nurse so they do not jump in and assist. The thing is it will not be helpful to ...

Friday, July 30th, 2021 Rough night! James also projectile vomited at 5:30am, it took 2 hours to get him settled after that.  Today did a trial from 9:00a to 9:00p, 12 hours. Increase lactose from 5 ml twice a day to 7.5 ml twice a day, increased erythromycin from Q12 to Q8. We gave him a glycerin last night and he immediately had a bowel movement within like a minute. He was pretty irritated the majority of the day. Mom did a wipe down bath with trach care changing out his trach ties. Mom was constantly venting, suctioning, changing diapers. Mom tried to console him by holding him in the chair. It's a really huge ordeal to hold him in this PICU room, because there's very little room and also with the LTV vent we don't have a lot of ways to maneuver with moving the bed, moving the chairs around, moving the feeding pump, rearranging all the cords, getting the ambu bag ready (since last time he went lifeless) and also getting the emergency call bell in reach. We finally got i...