Monday, June 30, 2014

Appointments, appointments, and more appointments...

Friday, June 6th
Today was mine and Mike's six-year anniversary!  I can't believe it's already been six years!  He took the day off to help me take Landon to his doctor appointment since hauling around all of his equipment is quite cumbersome.  We got Olive Garden take-out on the way home to celebrate our anniversary.
Hi Mom!
All fancy with the bow tie
Landon weighed 7lb 3.5oz at his appointment.  So, he has not gained quite as much as he should have, which would ideally be 1oz per day.  His pediatrician says he must have quite the metabolic fire.  We are supposed to increase his daily total to 460-470mL now to try and push him to gain better.  He measured 20 1/4 inches long.  
Getting sleepy....
His hernias are still about the same and able to retract.  He has been doing great on 1/32 LPM flow of oxygen, and we are just waiting on home health to get us a new regulator so that we can try weaning him to 1/64 LPM.  
Seriously a perfect little angel
The early intervention nurse and developmental therapist came and evaluated Landon at our home.  They said he is looking great and closing the developmental gap between his adjusted age (5 weeks) and his actual age (4 1/2 months).  He will still technically go by his adjusted age for developmental milestones.  They said his head looks great for a preemie, his eyes are tracking, he's turning his head side-to-side while on his belly, and he just started social smiling.  In fact, he grinned at both of the ladies the whole time they were assessing him!  He is starting to get quite the personality.  He loves snuggling on my chest, listening to people talk, staring at the ceiling fan, and taking baths. 
So sweet
Thursday, June 12th
Yesterday Landon weighed 7lb 8.5oz at his appointment.  He was right on track for gaining about an ounce a day.  He is eating five bottles of fortified breast milk and nursing 2-3 times each day now.  He is still on 1/32 LPM of oxygen as we are still waiting on a regulator that goes lower.  He is also still on the same doses of Diuril and Spirinolactone.  He has been spitting up a lot, especially after having his vitamins, and if we lay him flat for even a minute before the 30 minutes is up after eating he will reflux and throw up everywhere.  Sometimes it comes out of his nose too, which is really sad and his eyes get all watery.  We are so thankful for his progress and development and that he is gaining weight. 
Daddy and Landon's favorite activity
Max guarding his little bro
It is the strangest thing to see him sleeping with his hands in the air!

































We went to visit our NICU friends while waiting on a prescription yesterday, and all the ladies said he looks so good and is starting to look like Mike.
Skinny boy!
Again, with the hands in the air
Saturday, June 21st
Landon weighed 7lb 12oz at his appointment this week.  His reflux has been a lot worse this week, and he has been spitting up bigger quantities, like 15-20 mL.  The doc says reflux usually progressively gets worse until about 4 months then levels off until about 1 year.
Yay for bath time!
Daddy takes over for nap time
That lip!
We had to go to a consultation with a surgeon at Primary Children's Hospital on Tuesday to discuss Landon's inguinal hernias.  He said Landon should have the surgery soon to prevent the intestines from becoming trapped, which would be a medical emergency.  We scheduled the surgery for July 10th.  He will have to stay overnight, so I will stay with him.  On a lighter note, he has been smiling more and more this past week!

5 months old! (1 1/2 months adjusted)