INSOMNIACS place to talk in the wee hours

sas-schatzi

What worries me is the fracking and aquifiers after that mess the EPA caused on the river. Mess up the aquifiers and then what?

Smaarty

any of you RNs work with premies? They moved Evie to the Roseville facility, apparently they have a better nicu. A little scary. Still haven't talked to my DD so donthave a clear pic of what's going on.

sas-schatzi

Smarrty, Itty bit. How many weeks? Gestation is 38-40 weeks. You said 5 weeks early. 33-35. Each week is important.

sas-schatzi

Generally, a move is concerning. Ask when reasonable about heart sounds. It's the quickest diagnosed that would lend toward a move. What's a positive is that she had great care to begin with i.e whatever the problem it was picked up right away and she was moved to the next highest level of care. Guessing a level 4 NICU. Most community hospitals are at least a level 3. If I'm right and she's at a level 4. That's the best. Neonatologist on duty 24/7. Regional care unit.

She's got her weight going for her. Great. Ask what her Apgar was at birth and five minutes. How long before she was moved.

Nicu's are very special places. God's gift to babies with troubles. Well trained people. Have faith.

sas-schatzi

Roseville's a level 3 great description. Don't worry about what I said about level 3 to level 4. I came from a different system in a different time.

http://www.sutterroseville.org/services/nicu.php

defines NICU levels of care and that the differences between a 3 and a 4 aren't that much different

http://pediatrics.aappublications.org/content/130/3/587

Smaarty

35 weeks. Just talked to DD. Said that the other Kaiser has a modern up to date nicu. The south is old. They are not giving her the drugs for her lungs, letting her do her own healing with help of cpak. They will ventilate if she doesn't start improving. GD will be discharged tomorrow. Can't see it here but she has a feeding tube in her navel

Loveroflife

Just talked to my SIL who is an RN at Kaiser Roseville. Evie is in good hands. Thank God for modern technology and better knowledge in caring for premies.

sas-schatzi

Smarrty, sounds odd, sounds impossible, not sure I could do it. BUT, she is in good hands take a deep breath and blow it out. Nicu folks are the most highly evolved of all the subspecialties. The drugs for the lungs are indicated under 28 weeks. I don't know if they're is an indication for them at a gestational age > 28weeks. Surfactant is present at 28 weeks.

The tube into her navel is not a feeding tube. It is an IV access

http://www.health.vic.gov.au/neonatalhandbook/procedures/umbilical-vein-catheterisation.htm

sas-schatzi

Come on back?

Smaarty

I'm up but will be going to bed soon. So should you. Thanks for the info. I'm sure she'll be fine. It's been 40 years since we've had a baby that was earlier. No one has ever lost a child in our family. Don't want to start now.

sas-schatzi

Okay, will keep watch............

Smaarty

go to bed sassy! It's 11 here, 2 where you are.

Loveroflife

Ms. Sas, the frog pic doesn't represent supervising, although it does kind of look like one. Haha Too much responsibility with managing. Work is slow and I am trying hardto be productive.

sas-schatzi

Chit the adrenaline hit and I've had some wine. Like Loverly said, will write a book........somewhere.

Smaarty

so we won't hear from you u till noon your time tomorrow? Haha

I'm pooped and was up late last night. One of Evies grandmas didn't get to see her. She wasn't happy. I'm sure she'll be out to the hospital tomorrow too. Evie has about 5 grandmas. Not counting great grandmas. When she is better and my momis too, we'll get a 5 generation pic.

sas-schatzi

Adrenaline and wine...........................................Can't say enough about NICU's . Never worked in one b/c it's a whole subspecialty of nursing that takes lot's of learning. It's not a place to float into. I could float into ICU and function fine, but I also had lots of training that a standard floor nurse didn't. I'd volunteer to go to ICU b/c the other nurses feared it.

NICU no. A universe unto it's own. Only other place that is comparable is a burn unit. SO, very specialized. My students had to rotate in each unit for 8hours. Just to get an idea of the complexity and engender a thought of future work as a paramedic for transport.

sas-schatzi

Hey Smarrty, got my number. Like my wine. Not every day, but when I do, I do.

sas-schatzi

Loverly, are you in a Pharmacy, hospital? What's the setting?

Smaarty

whatever floats your boat, as long as you don't sink your boat. Night. You too LOL

sas-schatzi

Shut up sassy.........................

Posted over the top of each other............The shut up was for me b/c I have lot's of questions and they don't mean anything, because unlike us where they're is a great divergence in care. In a NICU they do have it down to a science.

Loveroflife

Have technical difficulty with my neck and back...so I am going to hit the sack. Chat to u tomorrow

Best wishes on your doc visit tomorrow,Deb.

sas-schatzi

Loverly, so, funny. I live in NASA's backyard. My town is a bedroom community for the space center. Great for the schools b/c the parents were highly motivated and wanted highly motivated schools. High motivation around kids with exposure to lot's of great stuff------causes great stuff. Sounds terrible but when the last shuttle blew up, anyone wanting the latest info just had to be sitting with the soccer parents. Not the football parents. Soccer parents.

sas-schatzi

Well just had a very odd thing happen with the last post.. Went to a blue screen and said Clock Watchdog timeout. Never had that happen since first computer in1996.. No way to close it., cntrl atl delete didn't close it, finally had to turn it off. Yet, post was there about NASA. Hmmmmm. Hitting submit to see if same thing happens. If it does, it will get real interesting.

Blessings2011

Oh, CHEVY! The Phenergan suppositories were for nausea and vomiting, not constipation! (And they were just in the fridge, as recommended, not frozen, although THAT would have been an even bigger surprise!) Fortunately, DH did not need any – he didn't throw up. (THANK you, God!)

Thanks, HOLEINONE!

JWOO – New Year's Eve was just our speed…. LOL

FEELINGFELINE - love your avatar; love that you are in Ireland…

Good to see you, TEKA!

SMAARTY – having worked in an NICU, that is one BIG preemie! She is gorgeous and fat, and I mean that in the nicest way possible. At one time we had the smallest baby ever born – way less than 2 pounds, and they look like tiny birds that have fallen out of the nest. Science has advanced so far they are keeping babies alive who weigh just a few ounces at birth now. Evelyn is beautiful. Congratulations to the family. (Just read where they moved her; Sassy's answer is great.) Just better and more modern tools…. For example, who would have guessed they'd put a newborn on a CPAP? Brilliant! BTW, I did "float" in and out of the NICU – I wasn't a nurse; I was testing newborns for hearing loss. If you have ANY questions at all, feel free to ask an NICU nurse. They are a special breed of wonderful.

Thanks, MISS SASSYPANTS. I am a good nurse for about 24 hours, then you're on your own! I turn into Nurse Ratchet! I've also been in touch with 2^nd TIMEAROUND. Life has been a roller coaster for her, and without going into detail, she could use some prayers.

Well, thought I'd make it to bed before midnight, but nooooooo! HUGE rainstorm gonna hit before dawn, and nothing on my calendar tomorrow. Whoopee! Nighty-night, all! xoxoxo

feelingfeline

Hi Blessings miaow to you too

Smaarty hoping Evie is well.

Spookiesmom

When Vulfie, my Aussie, was a pup, first vet visit, asked vet what he fed his dogs. He had Yorkies, showed them. Science Diet. My mom pretty much raised and fed my previous dogs. I really didn't have a clue. He was a very healthy dog. His fur always looked good, had lots of energy, small poops. If the poo is big, that's a sign there is a lot of wasted fillers in the food, poor nutrition, not getting all nutrients.

He was allergic to spring pollen, always got a hot spot. He developed spondylitis in his entire spine. That was from agility, not his food.

You can spend outrageous $$ on dog food, make yourself crazy, and not be as well off. I saw that on Spoiled Maltese forum. There is a freeze dried raw food Spookie adores. At $13 for 6 oz, not in my budget, not sure it's worth it. In her picky pup days it helped to get the kibble down.

Both get Science Diet now, both healthy. She had her first ear infection, what a mess.

Spookiesmom

this is my boy. ❤️

susan3

smarty, beautiful baby...enjoy:)

Didn't know about dunes:(

Heard from Rosie posie, she says hi. She is in as good of a place that you could be considering

Morning all

Mamma Ray, glad to hear you are feeling a bit better :

sas-schatzi

Spookie, GREAT pic. Gorgeous dog. Thanks on the science diet.

glennie19

Smaarty: Hard not to worry, but it's good that they transferred her to a place with better equipment. Before my place upgraded their NICU, babies were transferred to Shands at UF. Not a bad thing,, good hospital. And Evelyn is big for a preemie. Goes in her favor. Hang in there and do keep us posted.

Spooks: I feed Ava Canidae,,,, that's what the rescue group had her on, so I've just kept her on it. It is a good product,, highly rated. But there's only one place in town where I can buy it.