Friday, November 28, 2008

All in a Night

It's been over two weeks since we were introduced to Lucy's new feeding system , I thought I would give an update on how things are going. The calculations for figuring out how much to put in the IV bag are getting easier now that we have learned what the best rate is for Lucy to receive her feeds. We have learned that the "Joey"pump has a 10% error in its run time, that explains her discomfort and vomiting last week when we were ramping up to the maximum rate. It's never good when you go to pick your baby up and she looks as though she is going to throw up all over you. So sorry Lucy that it took Mommy and Daddy a few days to figure out the system, we now know that anything above 45ml/hr is too much for her! As long as I am on the subject of bodily fluids, we are dealing with the exact opposite issue Lucy had before, diarrhea. For a baby who only went two to three times a month to now three to four times a day it has been a shock, not only to her but to us as well. Lucy is waking in the night with blow out diapers, the kind where you need to wash the baby, all her clothes, and the bedding not just once a night but several times in the night! Oh, I miss sleeping! When I spoke with the nutritionist and her metabolic doctor about this they were hesitant to switch Lucy's formula because they really like to give it several weeks to see if things don't improve. As her parents, we feel that this is related to her formula, as she is having these diapers only when the tube is running and not during the day when she is just nursing. Our pediatrician feels as though Lucy may be having malabsorption issues, perhaps it's the rate at which the food is going into her. What ever the issue, I know that she does better with just breast milk, so I am trying my best to build up my supply so that I can put more in her tube at night. This issue has created quite a backup in our laundry room! I would just like to say how thankful I am for Oxi Clean, that stuff works wonders! We have tried bigger diapers but they only make it worse as she has the skinniest legs and they just leave a gap for more fluids to escape. I have joked with Drew saying that I think we should wrap Lucy in plastic wrap after we diaper her, maybe it would contain the mess. For those of you who are new to my sense of humor, we would never really try this; but think it, I can't help it. As for our night time routine, we are getting better. We have a system down now that appears to be working, although it is constantly up for evaluation. Lucy is still waking in the night out of habit or because of a dirty diaper. I am waking every three to four hours to pump so that I can keep up my milk supply for her feedings. She seems to know when I am doing this because she is waking around the same time. I will nurse her back to sleep or change her if need be, then I go back to sleep for a few hours. We are setting the alarm clock for sometime in the middle of the night so that either Drew or I wake to add the formula to her bag when the breast milk runs out. We can not mix the two milks because breast milk can only stay at room temperature for four hours. Lucy's pump has an alarm bell that sounds when there is a problem with the feeds or the food runs out. The other night while setting the pump, I accidentally set it to go off after receiving so many mls of food. As a result the alarm kept going off every hour! We tried to fix the problem all night but with no success. We learned the next night while setting the pump what I had done wrong the night before. With that fixed, we thought that we would get a better night sleep the next night, wrong. For various reasons the tube kept clogging and the alarm kept sounding. On top of that Drew's pager for work kept going off due to low battery! Tonight we had to place another tube as Lucy pulled it out again. This is all in a night at our house!

No comments: