Our first week with our 28 week triplets seemed to go so well, and for the most part I think it still is. On Friday, however things started to get a little bit nerve wracking. First, we were told that Niklas has a Level II IVH (Intraventricular Hemorrhage) which is essentially a brain bleed. The good news is that most Level IIs clear themselves up with no problems, they will do a follow up next week to make sure that everything is okay with it. Saturday was a relatively calm day, and everyone made a little bit of improvement, Niklas and Lukas were both fed breastmilk through their feeding tubes for the first time and they both tolerated it well. Sunday, things got scary again when we were told that Niklas has developed pulmonary interstitial emphysema. The way that I understand this condition is that one of his lungs doesn't release all of the air, so with each inhalation the lungs progressively expand. He was put back on the ventilator and they attempted to deliver less air to the side that was over inflated. Throughout the day, Niklas's ventilator requirements kept rising, so to avoid further lung injury he was placed on the oscillating ventilator once again.
Sunday, we got to the NICU around noon, and started asking the doctor some questions. She described his condition as "critically ill" which really rattled Greta and I. We anxiously awaited his next chest X-Ray at 2:00 and blood gas test at 3:00. The doctor told us that she did see some improvement in the last X-Ray and was hoping to see more with this one. The 2:00 X-Ray came back showing much improvement and the blood gas test was excellent. They were able to move Niklas down a couple of settings on his ventilator. We felt a sense of relief as we left the hospital and went home to get some rest.
Around 10:00 p.m. we received another call from the NICU, apparently Niklas had another air leak in his other lung and they had to put a chest tube back in. The doctor on the phone seemed to think that he was doing well, but honestly its hard to interpret news from these different doctors who all have different personalities. Please pray that Niklas starts to make some progress and gets back on track making progress with his brother and sister.