So much has been going on in the last month or so, so I'm going to recap June and July up to this point. Here's the dish on feeding...
After Sofie's surgery at the end of April/beginning of May, she really took off with feedings. She was sucking down 6+ oz bottles like never before and getting back on the solids bandwagon. For the month of May we were experiencing feeding bliss. And after the many many months of struggling with feedings, it was WONDERFUL!!! It was like we'd finally made it to the promised land.
Then as May ended and June began, feedings started to go South again very slowly. It was like one day she just decided she might like to refuse a bottle again for old time's sake. Then the next day she wanted to squirrel around and would take her bottles better while asleep. Yes, the old sleep feeding habit was creeping it's way back in to our routine.
She'd get a little worse with feedings then would level off, then a little worse again, and so on until she went from 28-30 oz/day to 20-23 oz/day. And solids were hot and cold. This change happened slowly over the entire month of June. Toward the end of June we did notice her bottom gums were swollen on both sides and it looked like she may be trying to get some molars. So that looked like the prime culprit, but we were still very nervous, since Sofie's main sign of rehernation has always been feeding difficulty.
The other thing that really concerned me was that I can no longer hear the crisp, clear lung sounds in her lower left lobe like I could the month after surgery. Her breath sounds are slightly muffled in the lower left lobe, which combined with her feeding change was really stressing me out. Despite the change in breath sounds, she hasn't had any change in respiratory status. Her sats are still the same (upper 90's all the time), and her respiratory rate is still in the 30's with no increased work of breathing.
When the feeding situation wasn't any better by the first week of July, despite pain meds for teething, I decided I wasn't messing around and took her in for an xray and an appointment with her surgeon, Dr. S.P. Her xray looked "stable", but it did look different than her post op xray two months prior. This xray showed her left diaphragm slightly higher (hence me not hearing crisp breath sounds there anymore), but still appeared intact with nothing in the chest that shouldn't be.
I was looking for peace of mind by taking her in for this xray and with any change at all, I just don't have that peace of mind I was looking for. Given the fact that reherniation hasn't shown up on several of her previous xrays when she was actually reherniated, I just don't trust anything but a CT if
anything seems off. But I really, really hate subjecting her to that much radiation unless it's absolutely necessary. She's already been exposed to Lord knows how many millions of rads, I'm surprised she doesn't glow in the dark.
Dr. S.P. said that since she's now two months post op, she is just getting to the point where everything is healed internally, so it's not a huge surprise that she looks slightly different on xray now than she did two months ago. Also her new diaphragm is now an actual native muscle (her latissimus dorsi flap), and it has the ability to stretch and give a little, whereas the patches she had before held taut and stayed in the same position - or should have, had they not failed. Her diaphragm may have just now settled into the place it's going to be. I explained the current teething situation as well. He decided that given the teething factor and that she hasn't had ANY respiratory changes at all, it would be best to wait and see if things got better before proceeding on to a CT for a closer look, and I agreed.
That first week of July her first molar popped through on the bottom right and the bottom left molar is close behind. We are really hoping that after these molars rear their ugly heads, her eating habits will return to the way they were in May, and we can breathe a little easier.
Her weight had gotten up to 19 lbs, 5 oz. on July 1st. By the following Wednesday she was down to 18-13, so we decided to restart her Periactin. This was the appetite stimulant we started toward the end of Peetie Unplugged. She took it from Jan 15th-April 15th. We restarted it July 8th. The first day of taking it, her intake spiked up to 29.5 oz and has continued between 28-31.5 oz/day. She gained 15 oz in the first week of restarting her Periactin - almost a whole pount in just 1 week! I weighed her Tuesday night, and she was 20 lbs even!!!!! Woohoo Periactin!
She's also eating solids more consistently the last couple of weeks. She loves plums and peaches right now and will eat a whole days worth of fruit in one sitting easily. Still not a fan of veggies, but I'm not giving up. So for now we're trying to get through this molars speedbump and hope everything returns to normal soon.