Today was a good day overall for Noah. He is now at 16 ml per feeding and is tolerating it well. The volume has been so much so fast that he started to have a small amount of reflux. To combat that, the nurses have placed his feedings on a pump and he eats over 30 minutes. Noah was placed back on siPAP because his work of breathing was placing an unsafe demand on his little lungs. SiPAP will allow Noah's lungs time to grow more without stress and the muscles that assist in breathing will grow also. Noah does well on the siPAP and this is not the worst thing in the world. It is quite common for preemies to go back and forth between siPAP and C-PAP.
Noah is no longer on any supplemental feedings. Gone are the days of TPN (baby Gatorade) and there is no more lipid solution infusion. Noah has had the PICC line removed and now has no IV access! This makes Kangaroo care less difficult for Katie, as there is one less line to deal with.
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