- Dr. Cox wanted to let us know that he felt the Decadron worked on Nicholas because they were able to try Nicholas off of the ventilator. Dr. Cox also said he could tell the steroid worked because Nicholas hasn't had any Deacdron since Thursday and that was a small amount (as it was tapered over 6 days) and that Nicholas was still on low settings on the ventilator.
- Nicholas will be tried on either the Nasal IMV or SIPAP in the next 24-48 hours. Dr. Cox said he can't really say for certain but he thinks Nicholas had spells due to apnea. He also stated apnea is common and the only thing that can cure that is time and that Nicholas is close to the point where that would rarely happen (about 34 weeks gestation). Nicholas' x-rays look much better too.
- If Nicholas is not able to stay on SIPAP or the Nasal IMV it will all depend on the reason why as to what their next step will be. If it's apnea they will just give him a few days rest and try again. If Nicholas needs more oxygen on the ventilator (that's what he'll go back to if it doesn't work on SIPAP or the Nasal IMV) then they will talk to us about possibly using a steroid.
- The best news yet: Dr. Cox thinks, barring any setback such as an infection, there is no reason to think that Nicholas won't be completely off of the ventilator for good within the next 2 weeks and should be over in the intermediate area in about 3 weeks.
Dr. Cox also stated that Nicholas is doing well considering how sick he was when he was born and given that he was so premature. Dr. Cox said Nicholas is improving and continues to grow and there is a very good chance that he will be home, possibly with some oxygen but can't tell that for sure, by the middle or end of January (his due date was January 27).
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