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Tuesday, April 22, 2008

Pulmonology Visit

Lily had two appointments in the Medical Center yesterday. One for her Tiny Tots High Risk Follow-Up, which is really more for the doctors' research than it is for Lily, and her visit with Dr. Jon in pulmonology.
Dr. Jon surprised me yesterday. I had expected her to be very concerned about Lily's continued aspiration, as shown in her Swallow Study on Friday; but she said sometimes it just takes a long time for a preemie to figure out the whole swallowing function with thin liquids. Since Lily is doing fine with nectar, Dr. Jon is comfortable just waiting and watching. I really thought she was going to insist on a g-tube, but I was wrong. This seems to be happening frequently with my pessimism lately; perhaps I should try optimism for a change, instead of being such a worry-wart. Might be better for my blood pressure, too! hahaha
I forgot to bring the x-ray film from last Monday to the appointment, and Dr. Jon said it's ok, we're going to get another x-ray in a few weeks. She wants to wait until there's no way Lily's cold from last week could have an impact on her lungs anymore, before we get the x-ray to see how she's doing now. We'll wait until then to decide whether to adjust the diuretic doses for weight or let Lily outgrow them.
Dr. Jon is happy with Lily's growth and supportive of switching to whole milk with Carnation Instant Breakfast, so long as we continue thickening, of course.
We'll repeat the sleep study and the swallow study, both, in about 3 months. Dr. Jon is very comfortable being conservative in treating and protecting Lily's lungs right now. She expects Lily to outgrow these lingering issues, but she agrees that visiting neurology is a good idea right now, just in case.

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