Saturday, April 28, 2007

A Good Feeding - Progress!

This is Chris - Victoria is having a much-needed rest on a fold-out chair bed next to Maya's crib.

Maya just woke up enough to gulp down 4 oz. of milk, with much less discomfort than last night. She is back to sleeping now. Her drain is starting to leak fluid around the outside of it, and not draining on the inside, so it possibly is clogged. Air is not accumulating near her lungs in X-rays however, so the docs are not concerned. The plan is to do one more X-ray this evening, and if all looks good, remove her tube. This will leave an open wound that they will cover with gauze. This wound should close up within a day.

We had an observant resident dr. notice her abdominal distension (which she has always had). They did an abdoninal x-ray and discovered a weak area of muscle wall near her belly button. They are not overly concerned, but this could lead to a hernia and will also need to be followed. It is amazing how the other doctors, who were so focused on her CCAM, missed other things going on. I love seeing a resident doctor come by, because they are so observant and pick up on things that more experienced doctors overlook. An astute resident in Hartford, present when Victoria was induced, noticed an intermittant murmur in Maya's heart, but that info was never followed up on by other doctors. That was most likely the "PDA" that they discovered on this visit.

So experience is best for operations, but for diagnoses, I recommend letting a medical resident examine a patient. They have all the conditions fresh in their minds and are open to new info.

I will be pulling Maya duty tonight while Victoria stays with Ronald. She may update www.flickr.com/photos/gorskipics from my laptop back in the RMH room. To contact her try her cell or e-mail Victoria.Gorski@gmail.com. Also videos are posted at http://video.google.com/videosearch?q=Chris+Gorski&num=10&so=1&start=0

-Chris

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