February 26th, 2017 1000

Arlyn did well overnight and received more calcium repletion, her foley was taken out and she maintained of the paralytics. This morning she is at a peak for edema (swelling) which is expected. Arlyns hemoglobin dropped a little bit overnight so the medical team feels she would benefit from another blood transfusion. Neonates blood volume is only about 200 ml so it doesn't take much in reguards to lab draws and output from her chest tube, along with dilution from fluid maintance to justify why she had a drop. They will also give her diuretics as expected today to help get some of the fluid off. Throughout the day she may get re-dosed depending on how she responds and her lab work later on. The medical team turned down the fentenyl to promote her movement. She opens her eyes frequently and definitely knows mommy and daddy's voice. I know she just wants to be picked up but for now we are trying to give her as much contact as allowed. (face and head rubbing, kisses and gentle touch to her legs and arms)

If she gets the fluid off then tomorrow we hope her chest closure will happen although it is not uncommon to need a few days. Fingers crossed, prayers and love we will keep the positive steps forward and slowly make progress.