On Tuesday, Tobias returned to Toledo to allow the surgeon to admire his handiwork. It sounds like all should be well in that department; the chances of his hernias recurring are about four in a thousand. Hooray!
On Thursday, we saw the pulmonologist at the U of M. The doctor was pleased with how his lungs are doing. His latest x-rays showed improvement. But, Toby weighed in at 8 lbs 15 ounces, down two ounces from the week before. Even allowing for the possibility of a difference in scales, it was not good news. He has begun having problems with spitting up large amounts and this may be the problem- or at least the latest wrinkle in it. (He does continue to have higher caloric needs because of his extra work breathing.) He may be developing reflux issues, not uncommon with preemies.
The plan of attack is to begin with a relatively mild drug and see if it helps. The possibilities if that is not helpful range from minor to major interventions, so we will leave tomorrow's troubles in the future and let you know as things progress. For now, we are asking the Greatest Physician to give all involved wisdom to do what is best for Tobias. The doctors are wonderful, but we realise more and more how limited their knowledge really is.
Despite still being at the same weight he was two months ago, he has grown to be a little longer and a lot more fun.
One of his many daily medicines goes in:
A cheerful heart is good medicine:
With Zeke (now age 23 years, 7 months):
And yet another breathing treatment at the end of a long day:
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