Feeds are up again and a head ultrasound

Jac's feeds are up again! This time to 3.5 ml / hour. They are going to start adding a breast milk fortifier to my breast milk to increase its caloric content and to add some other extra stuff. They will probably start doing that tonight or tomorrow. Sometimes this can cause some diarrhea or tummy problems so they will watch him closely after they start it. Hopefully he will tolerate the fortifier. Normal breast milk is considered to have 20 kcal / ounce and with the fortifier they will increase it to 22 kcal / ounce. If he tolerates that they will slowly increase the caloric content - up to 26 kcal / ounce is the max in my understanding (this would happen over a period of days). They had to wait until his total fluid intake was up to around 100 ml / day before they could add the fortifier.

He had a little bout of reflux induced fussiness this afternoon. They have not written for meds for the reflux but I am going to ask about it again. The medication is an oral and can be given by his OG tube directly into his stomach. (I just asked and the resident is going to write for it)

Jac had a head ultrasound around 2:30 pm today. The technician came rolling in with a big ultrasound machine. Jac had just had his reflux fussines so I was worried he would have a hard time with the ultrasound but he handled it very well.

His nurse is off with a another baby having a test in another part of the hospital so I am in charge! D'oh! I have gotten pretty good at doing his cares but it still makes me nervous to change his position. He is currently on his left side and I have a hard time changing his diaper when he is on his side. This means that I have to rotate him onto his back - moving his head and his body - without bring him out of a stable position! Challenging!