09:31 – Max had more fresh blood in his stomach again last night. However, it may have been due to a miscommunication of feeding orders between his daytime (primary) physician and the night shift physician. When we called his nurse this morning, she mentioned that after noticing some blood in his residual, the night physician stopped his formula feeding and switched him to fluids only. Melanie is on her way to the hospital now, so she'll probably post more details about this when she gets additional first hand information.
We've been talking about "residuals", but it's been a while since we explained what that is. Before each feeding via his feeding tube, his nurse first pulls his existing stomach contents by using a syringe to pull out and examine his stomach contents. This way his physicians can evaluate his previous feeding. Yes, it looks just as icky as you would imagine.
I forgot to mention yesterday that Dr. D noted that the heart murmur was almost inaudible when he examined Max on Sunday. He cautioned us that a single reading is not an absolute diagnosis. The murmur may well be back and fully audible again today. We need to see several readings in a row with reduced murmur to have more surety that his PDA is actually getting better.
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