Tuesday, September 25, 2012

Three Appointments


Dearest Angels~

Brrrrr .... what a chilly morning!  The deer don't seem to mind though since we saw them in the backyard again!  ;-)  We got ready early today.  I put Joshua in a 3T sized shirt since it had a truck on it and was long sleeve.  It was too big, but he liked it so I left it on him.  :-)

Joshua, you had two appointments this morning at Rex.  The first was at 10am with the Pulmonary team and follow up on your sleep study.  The second appointment was at 11am (easier to make them back to back) with the GI team. 

We had a bit of a rocky start since the pulmonary MD was running late.  We got there right in the nick of time at 9:55am and were called back around 10:10am.  The nurse took your blood pressure, temperature, height, weight (27.5 pounds) and your oxygen levels.  We were all in the exam room at 10:15am.  We didn't see the MD until .... ummm .... 11am!  Ugh!  Good thing I had brought you two some snacks!  Grace, you ate two purée fruit punches and Joshua ate his applesauce.  Of course, I neglected to bring anything for myself.  :-P

The MD had your results from the sleep study.  Everything came back normal except you had higher than normal carbon dioxide levels.  The higher levels are typically seen in patients who either had an obstruction in the airway, or who have asthma.  You have no evidence of an obstruction, so you're showing signs of being asthmatic.  Which, also is typical for premature children.  The MD wants to keep you on the Flovent inhaler until the Spring time to get you through the flu season and then recheck you in about 6 months.  We may be able to wean you off of the inhaler by then.  You also had your flu shot while there in your right leg.  I had to hold you for the nurse but then I hugged and hugged you gave you kisses!

The GI team came right in after since our appointments were crossing over.  Your weight since last time didn't decrease, but you didn't show signs of increasing either.  And, since you grew in height a little, your BMI actually went down.  You were in the 25th percentile, and now you're in the 10th-25th percentile.  So, she's keeping your medications the same and we're going to increase your calories a bit with an extra packet of 'instant breakfast' mix in your milk.  They want to check you again in a few months too so we can try to coordinate that with the pulmonary appointment.  We see Krista next week for another feeding appointment as well.

We were home for lunch late.  Grace was so whiny since she was tired.  You both ate well though and I managed to clean out the fridge a little for Penny tomorrow and make my lunches for work this week as you two played.

Once upstairs, you two picked out the same two books from yesterday for story time.  It took you all a while to fall asleep since you wanted to fight it.  But, you were snoozing by 2:30pm.  I had to wake you both at 4pm to get ready for speech therapy with Quinn at 4:30pm!  You did great with Quinn.  We worked on two sheets of words and she gave us more signs to work with.  Diane, from the preschool team, came to observe you.  She thought you worked so hard and did great too!  ;-)

You all had snack time after with cheese and apple pieces as I baked a pizza.  Grace, you ate a quarter of the pizza!  Joshua, you ate to slices of cheese toast!

Once daddy got home, we made a quick trip to the store for milk and apples so you all wouldn't run out with Penny.  Grace, you were full from all the pizza, but Joshua ate two cookies.  You all pushed a small shopping cart around .... it was so cute!  :-)  Once home, we relaxed briefly upstairs before bedtime. 

Sleep tight little ones!

I love you both so much!

~Mommy

No comments:

Post a Comment