Jacob continues to perform well with now 7 full days of no brady cardia or desaturation episodes as of today. Technically, he could go home, however the doctors and nurses have opted to keep him in for a few more days just to make sure that all is working as it should be. We still have the car seat test to run on him; he will have to sit in a car seat (endorsed by the hospital) for an hour without any brady cardia or desaturation episodes, one night of care-by-parent assessment(where Sheri and I are in one of the Ronald McDonald houses and take care of him on our own, but still have the nurse staff checking in on us to help if needed), and Sheri and I will need to take and pass a child CPR class (which Mom and Dad and Sheri's mom will be taking also). As long as he keeps on track, and we pass all of our tests, he will still be released to go home on Monday.
Although Jordan's respiratory rate has drastically improved since her PDA surgery last week, she is still struggling with the suck swallow breathe reflex which she needs to master in order to bottle feed to the hospital's requirements to allow her to be released with no support backup (i.e., oxygen, feeding tubes, etc). The goal is to get Jordan completely off of the feeding tube in her nose, and use the bottle entirely. Earlier this week she was taken down for some routine tests and another echo cardiogram to monitor her progress. Upon being put in the transport box, she freaked out and her saturation levels dropped significantly, which caused the nurses to have to crank up her oxygen to calm her down. Then she failed her swallow test by aspirating violently during the exam, which sent up a red flag to the doctors.
Despite all the difficulties Jordan is experiencing, the doctors and Sheri and I are still confidient that Jordan will be able to overcome this, given her progressional history to date. After tonight's assessment by the doctors, which range from the doctor's hypothesis' for her swallowing issues being chalked up to her surgical procedure on her PDA (which required her to be put under anesthesia and a ventilator and could be causing strain), prematurity to her vocal cords, to cerbal palsy, Jordan will begin physical therapy tomorrow to work on improving the suck swallow breathe reflex to allow her to effectively bottle feed so she will not have to be released from the hospital with oxygen and a feeding tube in her stomach. This assessment and physical therapy should go on for about two to three weeks.
Please pray that Jacob continues to stay on track to departure home on Monday, and that Jordan's issues will correct themselves and she will be able to come home with her brother and mom and dad with no issues other than being a preemie.
Jacob's official report for the day:
4 lbs. 4.6 oz.
0 brady episodes
0 desats
55 CC's of 24 calorie fortified milk, with now 8 bottles a day!
1 dirty diapers
5 wet diapers
0 CC's residuals
Jordan's official numbers for the day are:
4 lbs. 9.4 oz
2 dirty diaper
5 wet diapers
0 brady episodes
0 desats
daily dose Lasix diuretics cancelled as of today
Potassium 4 x day cancelled as of today
21% Room Air, with 1 Liter flow
38 CC's fortified milk 24 cal.
The official word on my condition by my podiatrist is: my right ankle is in between moderate to severely sprained.
As shown on the diagram, the top picture shows the outer side of the human foot. The three lines that are circled represent tendons which provide support and movement. As it was explained to me, because of the way our feet are designed, this is where 99 % of all the injuries occur (hairline fractures, compound fractures, sprains, etc) due to the design. The second diagram is the inner side of the human foot. This side has a triangular tendon that is much more durable and can withstand a lot more activity. In my case, with my fall and rolling my ankle under, there is probably a good chance that I tore the first tendon on the left side. However, since the swelling is confined to my ankle, and I don't have any blood or bruising under my skin or further down along my foot or heel, it is probable that the second tendon is just strained and not torn. The podiatrist took x-rays which did not show any hairline fractures, or broken bones. Tonight at 9:30, I had a MRI, which the results should be transmitted to the doctor's office by tomorrow or Friday to determine the full extent of the injury. In the meantime, I am wearing a prosthetic boot to allow for support and mobility (at a much slower pace than my normal walk, but at least I can stand and walk again) which I will need to wear for at least a month. Once the MRI results get back to the doctor, we will determine the next course of action of any.
More as it develops! Thank you for all of your love, prayers and thoughts! More progress reports soon!
Kind regards,
The Cordova Family (Andy, Sheri, Jacob & Jordan)
cell - 281-300-6212
email - maverick2601@hotmail.com
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