Katie and Lacey are back today to take care of Kinley. This will be Katie's last day with Kinley and Kinley will miss her very much, as will Kevin and I. Katie was Kinley's first primary nurse and has done a wonderful job taking care of her. Katie and Lacey let me know that Kinley had two vomits last night. One was only 10 ccs, but the other one was around 40 ccs. Lacey gave Kinley her 8:00 am bottle and she took 77 ccs. Way to go Lacey and Kinley, what a combination!
Around 9:30 Kinley had her car seat screening and it went pretty well. No major fits. Overall, she enjoyed her time in her car seat and passed the test.
Kinley's 11 am feeding was a doozie. Kinley took 55 ccs for me and then tired out, so she got the remaining amount of milk through her NG tube. Everything was fine, Kinley had a few good burps and was just relaxing on my shoulder. Dr. P stopped by to see how everything was going, and I said just fine. Katie gave Kinley her multivitamin with iron and almost immediately after her dose she vomited about 30 ccs. The part of the feeding that was such a doozie is that since I was holding Kinley against my chest with Kinley's head up on my shoulder the vomit went straight down my shirt. Since there was a good amount of throw up not only did it go down my shirt, but also down into my pants a little. Keep in mind that I was already dressed for work since I usually go straight from the hospital to work. Dr. P decided that maybe Kinley doesn't need the multivitamin with iron and is going to switch the order to just straight iron to see if that will help at all since it will be a smaller dose. Katie called Kevin as he was on his way to the hospital from work to tell him what had happened, so he was able to turn around and stop by home to pick up a change of clothes for me. Kevin saves the day!
We were scheduled to have a meeting with someone from Apria at 1 pm to drop off some of the supplies that we will need for Kinley's tube feedings at home. The meeting was also supposed to include instructions on how to use the equipment. Unfortunately, a combination of the Apria guy being double booked and the feeding fiasco that we had with Kinley and me forced the meeting back to 1:50 pm. I had to leave for work at 2 pm, so I only received a quick crash course on the equipment use. Kevin got the full instruction session, so lets hope he remembers everything and can teach me later.
After training with the Apria guy, Kevin returned to Kinley. Katie had already gotten Kinley to take 70 ccs of her 2 pm bottle and then I took over and got Kinley to take another 15 ccs for a total of 85 ccs. Good job Kinley.
As soon as the NG portion of Kinley's feed was over, a hearing technician came by to try and do another hearing screen on Kinley. We were told that they had been by sometime earlier and Kinley had passed the test for 1 ear, but then kept waking up for the second ear, so she still needs that ear checked. We were hoping that since she had just eaten she would sleep a little, but that was not the case. Kinley just stared at the hearing technician and stayed wide awake. They will try to catch her asleep sometime tomorrow and will also have a technician on call for whenever she does decide to sleep a little. They can also try to do her test Saturday if they need to. Hopefully we can get this taken care of before we leave, but we have been told that if we can't get Kinley to pass her hearing screen that is not something that will keep us in the hospital. Kinley will just have to come back as an outpatient to try the test again. Hopefully we can get it taken care of while we are here though.
Later on in the afternoon Kevin went out to our car with a car seat specialist who showed him how to install Kinley's car seat properly. Kevin also put in his 2nd NG tube and that went really well.
Kinley's 5 pm feeding started out great, but didn't finish as well. Kinley took 47 ccs at the start without stopping and then she just fell asleep after burping. Kevin could not get her to wake up after that, so she had the have the remaining given through her NG tube.
Kevin decided to call it an early night at the hospital to go home and try to get things ready for Kinley's homecoming. He was able to put her swing and her bouncer chair together as well as some other tasks around the house.
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