The last 36-48 hours have been stable in NICU land. Actually, the whole weekend was pretty uneventful. We are very thankful for that.
Maisie is increasing her feedings and is working her way up to 20ml every 3 hours, and is now off of IV nutrition. James is still recovering from last week, but there are definitely signs that he is feeling better. He has a long way to go, but he is definitely rearing to go. Nurse P got a dose of his feistiness last night, but it took a lot out of him. Look out, world! Surgeon/Dr K said she was happy with James' healing after the two surgeries and they are anticipating taking the chest tube out soon. Both babies are weighing in at just under 2lbs.
There's no easy way to put this: I've seen more than my fair share of doctors in my less than thirty years - most of them in the last five. I finally got my medical stuff under control thanks to many of them and suddenly we were pregnant with twins. Our pregancy was high-risk to begin with, and thankfully we had been seeing one of the top Maternal-Fetal Medicine doctors, or Perinatologists when the membranes ruptured for James at only 12 weeks gestation.
It's difficult to know whether you have made the right decision with regards to your healthcare provider. With our Perinatologist, Dr Heyborne, and his entire staff at the Swedish Perinatal Center, we couldn't have been more satisfied and sure that we were in the best hands. They were 100% on board with saving our twins from day one, and never gave us anything but optimism and hope. We often heard "this never happens", and "I've never seen this before", and if I'd thought of it earlier I would have started a jar to collect quarters and dollars for these babies' college funds. Because, yes, this does happen, and it happened to us.
When we were suddenly in NICU land, we were dealing with unknowns all over again. It was so difficult to convince these doctors and nurses, that "yes, this does happen, and it happened to us" - and more difficult to convince them that James had survived against all odds and would continue to prove his willingness to survive. Some of our nurses have said that James is the longest and earliest ruptured membranes or PPROM case they've ever seen. I'm sure the doctors would echo this.
I happened to read an article over the weekend from an issue of last year's 5280 Magazine, Top Doctors of 2011. Incidentally several of our doctors made the cut. This made me feel so much better, especially on the NICU side of things. Dr Heyborne is there, and so is Dr L who was on-call the night of 6/26 and delivered the twins. Dr Hawkeye, who took in James the first night at PSL and happens to be the director of the PSL NICU, is listed. Dr R, the head of Rocky Mountain Hospital for Children's Minimally Invasive Surgery Center is there too (he performed the iliostomy and his counterpart Dr K did our other 3 surgeries, although none were minimally invasive due to scope and babies' size).
I've posted a link to a great article about Dr R and several other doctors and the amazing things they accomplish - thus their inclusion into the Top Docs list of 5280 Magazine. It's a peer nominated award, and definitely something to look for if you are in the Denver area and looking for a new doctor.