Morgan Kate's blood work from yesterday came back and the results were not what the doctor wanted. I'm not really sure what they were testing for or the "correct terms". I have not been as "medically savvy" since leaving the NICU. My brain just can't hold much more. I do know they were checking her electrolytes and one other thing - something nutritional. One of her electrolytes was elevated and the nutritional number was much lower than they wanted meaning she is not getting the calories she needs. So, we went back for more blood work. Yesterday they pricked her heel and today they drew blood from her arm which is supposed to be more accurate. For any of you that know me, I HATE having blood drawn. Really. It makes me nauseous and I get really pale and usually I like having my mom right there so I can squeeze the life out of her hand. While I was not having blood drawn today, I was holding my precious little daughter who was screaming bloody murder and trying with everything she has to wiggle out of my grip. After thoroughly inspecting both arms to find anything that resembled a vein we were on our way. The blood work came back this afternoon and her electrolytes were fine. The other test, the "nutritional" one, will be done again in a few days.
Our game plan after meeting with Dr. G this morning is to continue the two hour feeds for the next few days. Wow. My eyes hurt just typing that. She has been tolerating those feeds very well. We have also changed her reflux meds. She was taking Omeprazole (sister to Prevacid) and today they switched her to Prevacid. We are trying everything we can. She also going to take a med to assist with the motility of her stomach - basically moving "things" through. It's possible that her stomach is not emptying quick enough. If things don't improve in the next few days then they will do a PH probe. This involves running a tube down her nose, through her esophagus and into her stomach. It will stay there for 24 hours and measure the amount of reflux and how high/low the reflux is. Hopefully, the meds will do the trick. I am just glad we have a game plan and know what to expect next.
This afternoon we met with a speech-pathologist (I told you it was a busy day) and she gave us some great tips regarding her oral aversion, as well as the reflux. She watched me feed Morgan Kate and she attempted to feed her as well. She thinks that MK does have an oral aversion, but that more of her issues are from the reflux.
Well, I am now on duty and another bottle is waiting...