Toby had more frequent vomiting yesterday and last night. He has been switched back to 100% pedialyte. His nurse just hooked him up to a pump so that his feedings can drip in slowly and continuously through his ng tube instead of hitting his stomach all at once. The doctors hope he will tolerate this better. They suspect the continued vomiting is a combination of the virus and the ongoing reflux problem. He is starting out with a small amount of pedialyte. This will be gradually increased until he is receiving the normal volume of his feedings. (He eats 3 ounces every 3 hours, so that would be 1 ounce per hour.) Then they will try to begin the switch back to milk. I have no idea how long this will take, but it sounds like a slow process.

The other cycle of fluid retention-fast breathing-diuretics-electrolyte imbalances-and doses of potassium also continues. I guess it's just something they have to manage while they try to keep him hydrated without letting his lungs get too "wet".

Toby throughout all of this has managed to remain a smiley baby. But today he is quite fussy, so I know he really is not feeling well.

No more sick kids at home, though!