Re-re-intubation

Ryder had a rough go last night...we were hoping to scoot him through without more interventions but Ryder's 02 sats were low, he was bradycardic and generally not doing well overnight.  A CXR showed now his entire right lung was down.  So, he was reintubated.  It took a while but his oxygen sats finally came up with less oxygen through the ventilator...

This morning he is back on a little milrinone, back on his sleepy meds, and getting a lot of aggressive pulmonary "hygeine" - various manuevers to help open/clear his airways.  Why did this happen, medically speaking?  Not sure yet, the attending thinks he may have bronchomalacia which is basically when the airways aren't sturdy enough - thus when he's on a lot of air pressure through them he does fine, but when he isn't they collapse down easily.  He will be getting a test tomorrow to see if that looks to be the case.  Not sure if it is, what the next step will be. 

For now he is supposed to be resting.  He is still fighting though...figuratively of course but also literally...boy are his little arms strong now - I put some basketball socks on his hands so he can't pull out his tubes and he is trying to work his way out of a swaddle...not fun to see him uncomfortable but am glad to see he wants to get out of this mess, too.

Hoping to see THIS version of the little warrior back soon...until then, please help us pray for stable airways and a strong baby boy.

Ryder last Thursday - starting him early - Ryder, can you say "Go cards?"

Congrats to Ross who won the Daniel Scagliotti Teaching Award (Educator of the Year) @ Children's Mercy today and Ryder, who of course won the Sweetest Baby on the Ventilator Award @ Children's Mercy (awarded by Mommy).  Love you both so much!