Today, Quinlan woke up full of energy and feeling well. Unfortunately he had a lot of visits from doctors in the morning, so he was unable to spend time with mom or dad till after lunch. The surgical team rounded on him first (no, our Little Man is not having surgery. Apparently the team asked for both a surgical and infectious disease consult when they first noticed the cellulitis that developed under his diaper) followed by the NICU team.
Quinlan was taken off the caffeine and upped to full feeds (his prior level of food intake, without the calorie fortification he was receiving). He was also cleared to attempt breast feeding, and a plan was made with nurse Jen to try it during one of his scheduled feeds today.
This plan got delayed as the team decided to try again to insert a
PICC line to administer his IV antibiotics, which the team was now saying he needed for 6-10 more days. This took up most of the morning and then our Little Man was too tired to try and breast feed until the 3pm feeding. When we tried initially he was having trouble keeping the latch, so the lactation consultant decided to try a
nipple shield with good results. We are unsure how much milk he ingested, as we did not weigh him before and after, but good swallow sounds were heard. He was so exhausted afterward that he feel right asleep.
We will try again tomorrow and after a few good sessions they will start him on a bottle feed with
fortified breast milk.
This is such a good step as Quinlan needs to be able to ingest all food orally as a prerequisite to going home.
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