1 step forward 3 steps back :-(

The roller coaster ride continues, Zane was unable to maintain his oxygen saturation on CPAP and we were called at 3 in the morning and notified that he had been reintubated and placed back on the conventional ventilator.  This is not unusual as he is still so small (630 grams) but the news is never easy to receive.  His xray shows cystic changes in his lungs (from being on the ventilator, prematurity and steroids).

Zane received platelets yesterday as his count was only 13, a normal count is between 150-400, even after the transfusion his platelet count still remains low at 43.  Another septic work up was done,  although he remains on vancomycin, gentamicin and fluconazole from his first septic work up 4 days ago his bands have increased. 
An increase in bands( immature/young neutrophils (a left shift) usually indicates an infection, the fact that his body is using up platelets also indicates a infection, perhaps this new blood culture will show what organism Zane is fighting so that the right antibiotics can be prescribed.

Zane continues to receive TPN and lipids along with oral gastric feeds.  He is getting 3.5mg/kg/d of protein,  the  hope is that he will start to show consistent weight gain of 20 grams a day, once he shows  consistent weight gain they will extubate him again to CPAP.