Today has been a great day so far. We came into his room this AM and his oxygen saturation was 92% on 61% of oxygen. He is a bit puffy today because they had given him 2 saline boluses overnight to bring up his blood pressure and he also received another blood transfusion. They are thinking that with all the blood draws through his arterial line and umbilical venous line that that is contributing to the low hemaglobin (red blood cells). Last night before we left, they started him on dobutamin to help with his blood pressure and perfusion to his extremities. They had to since the viagra does have the side effect of dropping your blood pressure even in babies just like the commercials say. During rounds today, Dr. Segar said that we're just going to continue doing what we're doing because he must be responding to something. The plan is to try and wean his oxygen concentration through the vent today based on the arterial blood gases (ABG's) results they take every 6 hours. Today I can actually say I saw him on 46% oxygen with his oxygen saturation (SPO2) at 92%. To put in in perspective for you, the normal air we breathe is 21% oxygen so he is doing very well. They ended up turning it up soon after since they removed his eye shields briefly so we could see his face and take more pictures. We got to see him squint his eyes open and I saw his left eye. It is dark colored but cannot tell what color it is. He is the cutest baby in the world even though he hasn't had a bath since he was born!!! I may be a little partial though. He is still under the stress precautions so no unnecessary things like bathing, weighing him, or anything extra that would stimulate him and cause him extra work. They are working on decreasing the oxygen concentration slowly throughout today. His right upper lung as also stayed inflated and today you can actually see 9 ribs on the right and we could only see 8 yesterday on the chest x-ray so there is more air perfusing the lung.
Oliver had many visitors today including his Great Grandma Mary, Great Uncle Jim and Great Aunt Lisa. As well as my coworker Michelle Keppler. When we left tonight to go for supper he was still at 46% oxygen concentrations with his SPO2 90-93%. I'm so proud of my little man! If he stays still with no stimulation his SPO2 stays good but with any stimulation it tends to fall. That will be the next battle to overcome for Oliver. We're pretty excited that Shawn comes back tonight even though he was only gone for a little over 24 hours.
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