Strip It Down

Turn for the Worse

The next day I woke up and Kelly was sitting there feeding Dallas. I got up and kissed her head.

"Mmm did you wash your hair?" I asked her.
"Yeah."
"What time is it and what time did you get up?" I asked since she was getting showers but she made them quick and wasn't washing her hair with her shampoo but the dry shampoo stuff  form the hospital.
"I got up at his 5 o'clock feed. It's 815 now. I figured they used his tube all night I want him to eat every chance he gets and then I went and showered... it hurt but I did it... then I came back in and had a cup off coffee and read to Savannah and they took her down around 730. And then I started is 8 o'clock feed." She said. I smiled.

"Where's Savannah?" I asked confused when she said they took her and then I looked to see her gone.
"They went to do another Echo."
"Is she okay?" I asked worried.
"Yeah just making sure yesterday wasn't a mistake."

I sat in the chair next to her. The curtain was pulled.  I heard them rolling stuff in. I peaked around.

"Ahh Mr Bryan you're awake." The  resident Keith said. He's been awesome throughout this.
"Yes is everything okay?" I asked.
"Is Mrs Bryan still feeding? I knew Dallas ate at 8." He said. That's how good he was he remembered every little thing.
"Yes I am." Kelly said. He smiled.
"Perfect. Everything went well. I will come back in about 20-25 mins to go over everything with y'all." He said.
"Thank you." I replied and he left.

The nurse was putting her back over to the non travel vent and putting her stuff away.

"Can I help you with anything?" I asked her.
"No sir but thank you. Can I help you two with anything?" She asked.
"No I think we are okay."
"Perfect, I'm going to give Savannah her feed. Then Mrs Bryan." She said a little louder.
"Yes?" Kelly said.
"Whenever yo are done feeding him hit the button and we will weigh him again to see how much he took."
"Okay thank you."

The nurse finished up and left. I went behind the curtain.

"Weigh him?" I asked confused.
"Yeah I asked if they could weigh him before and after feeds to see if he was latching good and getting enough. I knew he was gaining but I didn't know if it was from the tube feeds or not." She said I smiled.
"I'm so proud of you darling everything you've been through and you still have all that medical knowledge and are using it to the fullest."

She smiled at me.

"So the boys want to visit..." I said as she was covering up.
"Luke..."
"Listen I know you didn't want them seeing them like this but they've seen pictures Kells.... they will be okay..."
" Can we wait to see what the doctors say about Savannah? "
"Of course."

She got Dallas all unwrapped and put him back in the isolette after they weighed him and put him in just his diaper. She walked over slowly to Savannah I could tell she was hurting. These pull out couches is not what she should be sleeping on.

A monitor started beeping. Kelly looked quick at Dallas.

"Nurse!!" She yelled. She got to Dallas. I ran over and looked at him he was blue. I looked at his monitor beeping and the top number was in the 50s.

Nurses and doctors came in and pushed her out of the way.

"Unequal breath sounds, his right lung collapsed. Get me the chest tube kit." A doctor yelled. Kelly was crying I held her tight.

They had him out of his isolette and laying on the crib. They had an ambu bag. The doctor cut a slit into his right side and slid a tube in.

"Stop breaths." The doctor said to the nurse.

I could see his color coming back. His stats went back up and stayed there even without the ambu bag.

"What...what...what did I do?" She asked. The doctor listened to his chest again.

"Sounds perfect now. I want to know who did his assessment this morning and all night!" He yelled.

Keith who was the doctor who did everything came over. Kelly was sitting down.

"Mrs Bryan you did nothing wrong someone missed something he is okay..." he said putting his hand on her shoulder.

"But I just fed him...." she said.

"It has nothing to do with you sweetie." He said. "We will look into it. We are going to get him down for a cheat x Ray okay." He said.

"Ma'am I know this isn't the time probably but he only took a little from the breast if any. He didn't gain at all..." the nurse said.

"Just leave...." kelly said to everyone. They got Dallas put back in. They left and kelly went over.

"I'm sorry buddy mama doesn't know what she did wrong....I just can't get this thing down right..." she said to Dallas...

I went over and wrapped my arms around her.

"Hey it's okay babe they will be fine...." I said to her.
"I can't do this Luke...."
"Kelly you were going to school to be a pediatrics doctor!"
"I know but it's my kids...." she was starting to say then the head cardiologist came in and then Keith and the head attending for the NICU came in.

"Mr. And Mrs. Bryan can we sit?" They asked.

Her and I sat on the couch, the rest of them sat in chairs.

"So let's start with Savannah... we would like to extubate her and keep her on oxygen. We feel she is ready. She is gaining rather well. We will keep her as a tube feed for now. Maybe in the next couple days we will let you breast feed..." Keith said.

"So her heart and ventricles, and valves they all work wonderful. We will start weaning her from some medicines. We don't want to shock her body with the extubation and all so we will start weaning tomorrow. I do want to do an echo every other day to make sure everything stays the same and the days we don't we will run an EKG. She will stay on the heart monitor. Any questions?" DR Ryan's asked.

"What about Dallas?" Kelly asked crying.

"So we will keep the chest tube in place. We need to run some test. We will keep a very close eye on him usually we have one nurse to twins but we will make
Sure they both have their own now."  Keith said.

"Also we want to move them to separate rooms..." the head attending started to say.
"No!" Kelly yelled. I held her hand tighter.
"Ma'am..." he started to say.
"Absolutely not! I don't care. They will stay together. " she said.

"Yes Mrs bryan." Dr Lloyd said.

Kelly sighed.

"Could he die...?" She asked.
"Ma'am..." dr Lloyd was saying.
"Yes or no!" She asked crying.
"Anything is possible we aren't going to rule anything out yet... he is very sick... we will intubate again if it gets worse..."

*************** *********