Well, Abby continues to struggle with her breathing and vent. She is on the rapid-breathing vent which is more gentle on her lungs. But she still is needing oxygen support between 50% and 70%. This is much higher than we'd like to see. Her lungs are still quite wet and she doesn't seem to be able to pee enough to get rid of the fluid. Today the doctor spoke to us about putting her on a round of anti-inflammatory steroids to help the assumed inflammation in her lungs. It would be a minimum dose for 2-3 weeks. There are potential side effects. Some studies (although with higher doses for a longer period of time) showed increased risk of developing Cerebral Palsy and other neurological issues. On the other hand, remaining on a vent for so long also has effects. It can cause long term lung damage leading to chronic lung disease or respiratory issues. Plus, needing such high levels of oxygen support can affect her eyesight.
It's a rock and a hard place. The doctor we spoke to believes the steroids are the best course for now. He was going to consult again with the other attendings to make a final decision. If they go with the steroids, we should see results in 48 hours. We should know more tomorrow.
On the other hand, Natalie is doing quite well. Her vents setting are low - mostly between 23% and 30%. She is completely off her dopamine and we are hoping they can begin feeds tomorrow. She is doing well and we've been telling her to send her sister vibes to get better.
We will likely call the NICU later tonight, and may post again late tonight. If not, look for an update tomorrow.
Please pray for God to heal Abby's little lungs, and give praise that Natalie is doing well.
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