Family, Friends, Prayer Warriors,
Jordan has just been brought back from her surgery. From Sheri and I talking to one of the managers, the surgery went very well. Currently, she is back in the pod being put into the warmer bed, and all the IV's, lines and monitors are being put in place. The manager explained that Jordan is temporarily paralyzed (a side effect of the anesthesia) but this will wear off, and then once Jordan starts to breathe on her own again well, she could transition off the ventilator to the CPAP (or skip this step altogether) and go back to the nasal cannula. Jordan also did well in surgery prep with her ventilator and IV being put in. For feeds tonight, she will be getting IV fluids only; the doctors and nurses plan to begin to re-introduce mother's milk starting tomorrow morning through the feeding tube depending on her readings.
Now it's up to her to set her progressive trend. We will be praying for her to take off running, please keep her in your thoughts and prayers too.
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
Friday, April 2, 2010
Jordan PDA surgery Update 4-2-10
Family, Friends, Prayer Warriors,
Just a quick update...I took off work from the church today to be here with Sheri and Jordan. It's about 7:47 am right now, and Sheri and I are waiting for Jordan to go back for her PDA surgery (she'll depart from the pod, and return to the same pod [sheep pod A, where we have been since we were moved] once the surgery is finished, whereby she will be placed in a warmer bed for a little while. Sheri is holding Jordan right now. In the meantime, Jacob will keep the crib warm (and enjoy stretching out for a little bit, before his sister returns!)
Mom and Dad are on their way (they actually just pulled up into the parking garage), and Sheri's older brother Robby will be up here soon as well. Sheri's mom, Rae, will be up here as soon as she can; she has some things to take care of at home for her roof. So we will have family with us for this big day for baby girl Jordan (lets all wish her the best of luck and great results)
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
Just a quick update...I took off work from the church today to be here with Sheri and Jordan. It's about 7:47 am right now, and Sheri and I are waiting for Jordan to go back for her PDA surgery (she'll depart from the pod, and return to the same pod [sheep pod A, where we have been since we were moved] once the surgery is finished, whereby she will be placed in a warmer bed for a little while. Sheri is holding Jordan right now. In the meantime, Jacob will keep the crib warm (and enjoy stretching out for a little bit, before his sister returns!)
Mom and Dad are on their way (they actually just pulled up into the parking garage), and Sheri's older brother Robby will be up here soon as well. Sheri's mom, Rae, will be up here as soon as she can; she has some things to take care of at home for her roof. So we will have family with us for this big day for baby girl Jordan (lets all wish her the best of luck and great results)
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
Jacob & Jordan Update 4-1-10
Family, Friends, Prayer Warriors,
It was decided this evening that Jordan would have the surgery on her PDA tomorrow morning instead of next week. We don't know as to what time that will be yet, but it will be sometime after 7:30 a.m. While I am still sure the procedure will go off without a hitch, please pray for Jordan to have a successful procedure and quick recovery (never hurts to have a little extra prayer).
For the twins' official report for the day:
Jacob's official report for the day:
3 lbs. 15 oz. (so close to 4 lbs, just one more oz. baby boy!)
0 brady episodes
0 desats
21% Room Air on the nasal cannula, with .5 liter flow
37 CC's of 24 calorie fortified milk, with 4 bottles a day
6 dirty diapers (the poopin' machine strikes again! ;) )
6 wet diapers
0 CC's residuals
Jordan's official report for the day:
4 lbs. 8 oz
21-25% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk, with 2 bottles a day
0 dirty diaper
6 wet diapers
2 brady episodes
2 desats
0 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
1 Throw up (wait, what's up with that baby girl? I know that formula the hospital is feeding you can't taste that great, but don't spit it up! You need that nasty stuff to grow big and strong!)
Nothing new on the primary additions just yet. We'll fill you in as soon as we know something.
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
It was decided this evening that Jordan would have the surgery on her PDA tomorrow morning instead of next week. We don't know as to what time that will be yet, but it will be sometime after 7:30 a.m. While I am still sure the procedure will go off without a hitch, please pray for Jordan to have a successful procedure and quick recovery (never hurts to have a little extra prayer).
For the twins' official report for the day:
Jacob's official report for the day:
3 lbs. 15 oz. (so close to 4 lbs, just one more oz. baby boy!)
0 brady episodes
0 desats
21% Room Air on the nasal cannula, with .5 liter flow
37 CC's of 24 calorie fortified milk, with 4 bottles a day
6 dirty diapers (the poopin' machine strikes again! ;) )
6 wet diapers
0 CC's residuals
Jordan's official report for the day:
4 lbs. 8 oz
21-25% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk, with 2 bottles a day
0 dirty diaper
6 wet diapers
2 brady episodes
2 desats
0 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
1 Throw up (wait, what's up with that baby girl? I know that formula the hospital is feeding you can't taste that great, but don't spit it up! You need that nasty stuff to grow big and strong!)
Nothing new on the primary additions just yet. We'll fill you in as soon as we know something.
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
Thursday, April 1, 2010
Jacob & Jordan Update 3-31-10
Family, Friends, Prayer Warriors,
For our long standing followers of this blog, and to our recent visitors (welcome), our daughter Jordan has undergone increasing difficulties since her birth with her PDA and bottle feedings. Even though the two items are related (one inadvertently affects the other), as Jordan has had a successful progressive history for weight and tube feeding CC's despite her rapid breathing, the condition has now caused enough of a hindrance to the point that it is impacting her increasing her bottle feeds and transition off of the nasal cannula. This poses a hiccup on going home with little to no assistance as we would like to happen and would be better for her; as long as Jordan is not able to take the hospital's requirements for adequate and sustaining feeds, and cannot go for seven days without brady cardia or desat episodes, she will not be able to be released from the hospital. The doctor's, cardiologist, and Sheri and I have agreed that we must now allow for more internal means of closing this PDA, i.e. surgery. I had a chance to finally speak with the Cardiologist who is on rotation this month for March, Dr. Denktaf, today.
Dr. Denktaf explained that the issues that Jordan is having with faster breathing, which is now impacting how many CC's of mother's milk and/or formula, and how many bottles she can consume in a day, is directly affected by her PDA. The mild stenosis on Jordan's Aortic Valve does not impact her breathing and feeding difficulties and will not be be addressed at this point (it will continue to be watched, even into Jordan's later years. For a detailed description of Jordan's stenosis and PDA, see the March 19, 2010 update on the blog).
As Jordan's condition is right now, the PDA still has not closed. When the PDA issue was first brought to our attention, the doctors had these courses of action to correct it (preferably before Jordan reached the 6 month marker):
* medicine given intravenously to close the PDA (usually given within the first few weeks of life on babies with more severe breathing issues, not the case with Jordan); Jordan has continued to do well with increased feeds and weight gain in spite of the PDA issue, and has outgrown the medicine option.
* duretics and conservative restriction of fluids (Jordan has been on this for a while now, and has flushed out excess fluids in her body thereby promoting healthy weight gain [no fluids on her lungs or heart thankfully] since receiving), but her PDA still remains open.
* coil procedure (catheter is inserted in Jordan's groin area, and winding through other blood vessels to plug up the PDA vessel and close it from the inside out); Jordan is not old enough, nor large enough weight-wise to have this done. She would have to be released from the hospital, at least 6 mos. of age and have stronger blood vessels (preemies tend to have weaker blood vessels because of their size) before this would be an option. I had previously reported this procedure to all of you before as a clip would be inserted to close off the PDA vessel, and this was clarified for me by the twins' doctor today that it is actually closed off internally by putting a small surgical knot inside the vessel.
* surgery (performed by a cardiovascular surgeon, not the cardiologist). Jordan would be put under anesthetic and inebated, a moderate incision would be made in the left side of her chest in between her ribs (not open heart surgery where they would have to open her chest), and the cardiovascular surgeon would go in and surgically disconnect the PDA vessel by putting a surgical clip on or tying off the vessel to permanently close it. The cardiologist recommends that the vessel be clipped and sealed, if it was tied off, it could possibly re-open. It is estimated that the surgery would take about twenty to thirty minutes once Jordan was properly prepared.
Jordan's recovery rate would be entirely up to her, and when her breathing normalized (again, up to her) and her feeds resumed and met the hospital requirements for her breathing, milk and/or formula consumption and weight, Jordan could go home.
As today was her last day on this month before a new cardiologist came on for April, Dr. Denktaf would have to brief the new cardiologist, Dr. Arnold, and the cardiovascular surgeon coming on shift for April on her recommendation, and then Dr. Arnold would have another consult with Sheri and I prior to any decisions and surgery times scheduled. Dr. Denktaf also let me know that this surgery which she is recommending (and is also recommended by Dr. Arnold), would be a safe and very routine procedure with a high success rate, and is usually suggested when premature babies with PDA issues come along, after other non-evasive or much less evasive methods are attempted.
Jordan's Aortic Valve
-----------------------
I also received a further detailed explanation on Jordan's Aortic Valve stenosis (I mention this only for your information; keep in mind, Jordan has a mild case of stenosis and this does not impact her PDA issue, or her feeding issue, and will be watched for now. There is a very good chance that she could go through life with this and still be able to do everything a normal kid/adult can do (we will continue to pray for that)).
Normally, an Aortic Valve has three leaflets (envision in your mind a Fleur-De-Li, or a three leaf clover). In Jordan's case, she has two leaflets that have grown together, and one of them is somewhat smaller, which is causing the stenosis. As I mentioned before in the blog entry dated March 19, 2010, Jordan could have a balloon procedure performed on her later (where a catheter would be inserted in her groin area, and routed up to her valve to expand it [like a stint procedure on an adult], or if blood flow from her heart was severely restricted enough in later years, Jordan would have to have the valve replaced. There have been many cases though where people have mild stenosis and are still able to fully perform all sorts of tasks (running, jumping, playing, etc.)
For the twins' official report for the day:
Jacob's official report for the day:
3 lbs. 14 oz.
3 brady episodes
1 desats
21-30% FIO2 on the nasal cannula, with .5 liter flow
35 CC's of 24 calorie fortified milk, with 4 bottles a day
3 dirty diaper
5 wet diapers
0 CC's residuals
Jordan's official report for the day:
4 lbs. 7 oz
21-30% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk, with 2 bottles a day
2 dirty diaper
6 wet diapers
3 brady episodes
3 desats
1.6 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
Sheri and I have also made inquires to the nurse's manager tonight, as well as individually talking to some regular night shift nurses in efforts to have more consistent coverage in the evenings with the twins. While we have met a lot of very accommodating, knowledgeable, and friendly nurses and staff along the way since the twins arrived at Children's Memorial Hermann, it is our feeling (which is also supported by the staff there as well, and are very thankful and appreciative of that), to have a steady presence of nurses who can really get to know the In's and outs of both our babies and us. This reinforces a comfort and thriving level for the babies by giving them a few additional familiar faces to work with, and allows us to rest a little easier and gives us some flexibility to do we what we need to do for a short while and get back up there to be there for them as quickly as possible. We are pretty close to getting that squared away, and will let you know who the new additions will be very soon!
Both babies have done extremely well, even with all the issues presented to them thus far thanks to your continued prayers and wishes. Please continue to pray for both of the twins, and we are sure Jordan will come through this bump in the road with flying colors a healthy and happy little girl!
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
For our long standing followers of this blog, and to our recent visitors (welcome), our daughter Jordan has undergone increasing difficulties since her birth with her PDA and bottle feedings. Even though the two items are related (one inadvertently affects the other), as Jordan has had a successful progressive history for weight and tube feeding CC's despite her rapid breathing, the condition has now caused enough of a hindrance to the point that it is impacting her increasing her bottle feeds and transition off of the nasal cannula. This poses a hiccup on going home with little to no assistance as we would like to happen and would be better for her; as long as Jordan is not able to take the hospital's requirements for adequate and sustaining feeds, and cannot go for seven days without brady cardia or desat episodes, she will not be able to be released from the hospital. The doctor's, cardiologist, and Sheri and I have agreed that we must now allow for more internal means of closing this PDA, i.e. surgery. I had a chance to finally speak with the Cardiologist who is on rotation this month for March, Dr. Denktaf, today.
Dr. Denktaf explained that the issues that Jordan is having with faster breathing, which is now impacting how many CC's of mother's milk and/or formula, and how many bottles she can consume in a day, is directly affected by her PDA. The mild stenosis on Jordan's Aortic Valve does not impact her breathing and feeding difficulties and will not be be addressed at this point (it will continue to be watched, even into Jordan's later years. For a detailed description of Jordan's stenosis and PDA, see the March 19, 2010 update on the blog).
As Jordan's condition is right now, the PDA still has not closed. When the PDA issue was first brought to our attention, the doctors had these courses of action to correct it (preferably before Jordan reached the 6 month marker):
* medicine given intravenously to close the PDA (usually given within the first few weeks of life on babies with more severe breathing issues, not the case with Jordan); Jordan has continued to do well with increased feeds and weight gain in spite of the PDA issue, and has outgrown the medicine option.
* duretics and conservative restriction of fluids (Jordan has been on this for a while now, and has flushed out excess fluids in her body thereby promoting healthy weight gain [no fluids on her lungs or heart thankfully] since receiving), but her PDA still remains open.
* coil procedure (catheter is inserted in Jordan's groin area, and winding through other blood vessels to plug up the PDA vessel and close it from the inside out); Jordan is not old enough, nor large enough weight-wise to have this done. She would have to be released from the hospital, at least 6 mos. of age and have stronger blood vessels (preemies tend to have weaker blood vessels because of their size) before this would be an option. I had previously reported this procedure to all of you before as a clip would be inserted to close off the PDA vessel, and this was clarified for me by the twins' doctor today that it is actually closed off internally by putting a small surgical knot inside the vessel.
* surgery (performed by a cardiovascular surgeon, not the cardiologist). Jordan would be put under anesthetic and inebated, a moderate incision would be made in the left side of her chest in between her ribs (not open heart surgery where they would have to open her chest), and the cardiovascular surgeon would go in and surgically disconnect the PDA vessel by putting a surgical clip on or tying off the vessel to permanently close it. The cardiologist recommends that the vessel be clipped and sealed, if it was tied off, it could possibly re-open. It is estimated that the surgery would take about twenty to thirty minutes once Jordan was properly prepared.
Jordan's recovery rate would be entirely up to her, and when her breathing normalized (again, up to her) and her feeds resumed and met the hospital requirements for her breathing, milk and/or formula consumption and weight, Jordan could go home.
As today was her last day on this month before a new cardiologist came on for April, Dr. Denktaf would have to brief the new cardiologist, Dr. Arnold, and the cardiovascular surgeon coming on shift for April on her recommendation, and then Dr. Arnold would have another consult with Sheri and I prior to any decisions and surgery times scheduled. Dr. Denktaf also let me know that this surgery which she is recommending (and is also recommended by Dr. Arnold), would be a safe and very routine procedure with a high success rate, and is usually suggested when premature babies with PDA issues come along, after other non-evasive or much less evasive methods are attempted.
Jordan's Aortic Valve
-----------------------
I also received a further detailed explanation on Jordan's Aortic Valve stenosis (I mention this only for your information; keep in mind, Jordan has a mild case of stenosis and this does not impact her PDA issue, or her feeding issue, and will be watched for now. There is a very good chance that she could go through life with this and still be able to do everything a normal kid/adult can do (we will continue to pray for that)).
Normally, an Aortic Valve has three leaflets (envision in your mind a Fleur-De-Li, or a three leaf clover). In Jordan's case, she has two leaflets that have grown together, and one of them is somewhat smaller, which is causing the stenosis. As I mentioned before in the blog entry dated March 19, 2010, Jordan could have a balloon procedure performed on her later (where a catheter would be inserted in her groin area, and routed up to her valve to expand it [like a stint procedure on an adult], or if blood flow from her heart was severely restricted enough in later years, Jordan would have to have the valve replaced. There have been many cases though where people have mild stenosis and are still able to fully perform all sorts of tasks (running, jumping, playing, etc.)
For the twins' official report for the day:
Jacob's official report for the day:
3 lbs. 14 oz.
3 brady episodes
1 desats
21-30% FIO2 on the nasal cannula, with .5 liter flow
35 CC's of 24 calorie fortified milk, with 4 bottles a day
3 dirty diaper
5 wet diapers
0 CC's residuals
Jordan's official report for the day:
4 lbs. 7 oz
21-30% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk, with 2 bottles a day
2 dirty diaper
6 wet diapers
3 brady episodes
3 desats
1.6 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
Sheri and I have also made inquires to the nurse's manager tonight, as well as individually talking to some regular night shift nurses in efforts to have more consistent coverage in the evenings with the twins. While we have met a lot of very accommodating, knowledgeable, and friendly nurses and staff along the way since the twins arrived at Children's Memorial Hermann, it is our feeling (which is also supported by the staff there as well, and are very thankful and appreciative of that), to have a steady presence of nurses who can really get to know the In's and outs of both our babies and us. This reinforces a comfort and thriving level for the babies by giving them a few additional familiar faces to work with, and allows us to rest a little easier and gives us some flexibility to do we what we need to do for a short while and get back up there to be there for them as quickly as possible. We are pretty close to getting that squared away, and will let you know who the new additions will be very soon!
Both babies have done extremely well, even with all the issues presented to them thus far thanks to your continued prayers and wishes. Please continue to pray for both of the twins, and we are sure Jordan will come through this bump in the road with flying colors a healthy and happy little girl!
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
Wednesday, March 31, 2010
Jacob & Jordan Update 3-30-10
Family, Friends, Prayer Warriors,
Jacob's official report for the day:
3 lbs. 12 oz. (almost there, grow baby grow...)
2 brady episodes
3 desats
21-25% FIO2 on the nasal cannula, with .5 liter flow
35 CC's of 24 calorie fortified milk, in 4 bottles a day
6 dirty diapers (dang boy! whatcha been eatin?!)
8 wet diapers
5 CC's residuals
Jordan's official report for the day:
4 lbs. 6 oz
21-30% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk, in 2 bottles a day (keep increasing those bottles sweet darlin', so we can get you home! We are very proud of all your progress!)
1 dirty diaper
8 wet diapers
4 brady episodes
4 desats
1 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
Sheri and I are still looking into getting an additional nightly primary or two for the evenings our nightly primary, Melinda, is unable to work. There are a lot of good candidates who are willing to help, and hopefully we can have new faces on our team real soon to add to the already awesome mix of professionals we have!
Update to Prayer Warriors:
In the March 29, 2010 post, I asked our prayer network to pray for one of the twins' former pod mates, a little girl who was dealing with the beginning stages of NEC. Sheri was updated this evening that it turned out to be a false alarm for the little girl, and now she is doing much better. Praise and thanks to God, and everyone who was praying for this little one!
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
Jacob's official report for the day:
3 lbs. 12 oz. (almost there, grow baby grow...)
2 brady episodes
3 desats
21-25% FIO2 on the nasal cannula, with .5 liter flow
35 CC's of 24 calorie fortified milk, in 4 bottles a day
6 dirty diapers (dang boy! whatcha been eatin?!)
8 wet diapers
5 CC's residuals
Jordan's official report for the day:
4 lbs. 6 oz
21-30% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk, in 2 bottles a day (keep increasing those bottles sweet darlin', so we can get you home! We are very proud of all your progress!)
1 dirty diaper
8 wet diapers
4 brady episodes
4 desats
1 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
Sheri and I are still looking into getting an additional nightly primary or two for the evenings our nightly primary, Melinda, is unable to work. There are a lot of good candidates who are willing to help, and hopefully we can have new faces on our team real soon to add to the already awesome mix of professionals we have!
Update to Prayer Warriors:
In the March 29, 2010 post, I asked our prayer network to pray for one of the twins' former pod mates, a little girl who was dealing with the beginning stages of NEC. Sheri was updated this evening that it turned out to be a false alarm for the little girl, and now she is doing much better. Praise and thanks to God, and everyone who was praying for this little one!
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
Tuesday, March 30, 2010
Jacob & Jordan Update 3-29-10
Family, Friends, Prayer Warriors,
Jacob's official report for the day:
3 lbs. 11 oz.
2 brady episodes
2 desats
21-28% FIO2 on the nasal cannula, with .5 liter flow
35 CC's of 24 calorie fortified milk
2 dirty diaper
8 wet diapers
4 CC's residuals
Jacob was also moved back into the crib with his sister today, as he is having a better time holding his temperature. Congrats little buddy (now play nice you two ;) )
Jordan's official report for the day:
4 lbs. 6 oz
21-29% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk 2
2 dirty diaper
8 wet diapers
3 brady episodes
4 desats
0 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
I'm sure everyone has noticed the delay in daily reporting lately for the blog. My apologies, but it is getting more difficult to get the numbers from the nurse staff we have on night shift (and it is getting more difficult to wait until midnight or sometimes 1 am to get the overall day assessments). This has never been a problem for our primarys; they understand that we report this to ya'll, so they give us the information as soon as they get in and can do their assessments, but right now there is a greater frequency that all of the nurse staff is being asked to take more personal days or shift to other floors due to the shortage of babies in each of their pods (I guess the slow economy is hitting more than just the job market). In the meantime, Sheri and I are looking into getting an additional nightly primary for the days Melinda is unable to work. I know you read this too Melinda, so please don't think that Sheri and I are unhappy with you in any way! We love having you, we just want to get someone in there to help you out when you get bumped! (Melinda, if you can recommend someone you trust, please let us know next time you are back)
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
Jacob's official report for the day:
3 lbs. 11 oz.
2 brady episodes
2 desats
21-28% FIO2 on the nasal cannula, with .5 liter flow
35 CC's of 24 calorie fortified milk
2 dirty diaper
8 wet diapers
4 CC's residuals
Jacob was also moved back into the crib with his sister today, as he is having a better time holding his temperature. Congrats little buddy (now play nice you two ;) )
Jordan's official report for the day:
4 lbs. 6 oz
21-29% FIO2, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk 2
2 dirty diaper
8 wet diapers
3 brady episodes
4 desats
0 CC residuals
daily dose Lasix diuretics
Potassium 4 times a day
I'm sure everyone has noticed the delay in daily reporting lately for the blog. My apologies, but it is getting more difficult to get the numbers from the nurse staff we have on night shift (and it is getting more difficult to wait until midnight or sometimes 1 am to get the overall day assessments). This has never been a problem for our primarys; they understand that we report this to ya'll, so they give us the information as soon as they get in and can do their assessments, but right now there is a greater frequency that all of the nurse staff is being asked to take more personal days or shift to other floors due to the shortage of babies in each of their pods (I guess the slow economy is hitting more than just the job market). In the meantime, Sheri and I are looking into getting an additional nightly primary for the days Melinda is unable to work. I know you read this too Melinda, so please don't think that Sheri and I are unhappy with you in any way! We love having you, we just want to get someone in there to help you out when you get bumped! (Melinda, if you can recommend someone you trust, please let us know next time you are back)
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
Monday, March 29, 2010
Jacob & Jordan Update 3-28-10
Family, Friends, Prayer Warriors,
This weekend was a quiet one for the Cordova Family, with both of us observing, holding, bonding and enjoying being with the twins.
Jacob's official report for the day:
3 lbs. 12 1/2 oz.
0 brady episodes
0 desats
21% Room Air on the nasal cannula, with 1 liter flow
35 CC's of 24 calorie fortified milk
2 dirty diaper
4 wet diapers
0 CC's residuals
Jordan's official report for the day:
4 lbs. 5 oz
21% Room Air, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk
3 dirty diaper (a nice change for her given the Lasix she has been on)
4 wet diapers
0 brady episodes
1 desat
0 CC residuals
daily dose Lasix diuretics
4 times a day of Potassium
Request to Prayer Warriors:
Sheri received information tonight that one of the twins' previous podmates from Giraffe A (before we were moved to Sheep A), a little girl, was given the preliminary prognosis of NEC (Necrotizing Enteriocolitis; if you recall, Jacob dealt with this a while back). According to the explanation provided by the parents, the little girl had bubbles in her stomach and her doctors had pulled her feeds for a week, put her on heavy doses of antibiotics and were running tests with results coming tomorrow. Please pray that this is a mild and overcomeable case of NEC for this tiny miracle, and she will come through and beyond with flying colors.
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
This weekend was a quiet one for the Cordova Family, with both of us observing, holding, bonding and enjoying being with the twins.
Jacob's official report for the day:
3 lbs. 12 1/2 oz.
0 brady episodes
0 desats
21% Room Air on the nasal cannula, with 1 liter flow
35 CC's of 24 calorie fortified milk
2 dirty diaper
4 wet diapers
0 CC's residuals
Jordan's official report for the day:
4 lbs. 5 oz
21% Room Air, with .5 Liter flow nasal cannula
35 CC's of 27 calorie fortified milk
3 dirty diaper (a nice change for her given the Lasix she has been on)
4 wet diapers
0 brady episodes
1 desat
0 CC residuals
daily dose Lasix diuretics
4 times a day of Potassium
Request to Prayer Warriors:
Sheri received information tonight that one of the twins' previous podmates from Giraffe A (before we were moved to Sheep A), a little girl, was given the preliminary prognosis of NEC (Necrotizing Enteriocolitis; if you recall, Jacob dealt with this a while back). According to the explanation provided by the parents, the little girl had bubbles in her stomach and her doctors had pulled her feeds for a week, put her on heavy doses of antibiotics and were running tests with results coming tomorrow. Please pray that this is a mild and overcomeable case of NEC for this tiny miracle, and she will come through and beyond with flying colors.
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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