Since our return home on the 23rd Carly has been increasingly fussy when eating or nursing. Most of the day she was doing pretty well and she seemed to be recovering from her last hospital stay, but every feeding session brought a lot of screaming. This made it increasingly tough to get fluids in, and through the weekend we were concerned that her sodium level was becoming elevated. We took Carly in for a blood lab Monday afternoon, and as expected her serum sodium was very high. The only solution was to head to the emergency room to help hydrate her.
They attempted to place an IV but most of Carly's veins, which are hard to find through her cute baby fat, were bruised up from her last stay at the hospital. The best option was to place an NG tube (nasogastric tube) which is a small tube that is inserted down a nostril and into the stomach allowing fluids to be pushed down the tube whenever needed. The tube was placed while we were in the ER and around midnight we were admitted to the hospital for overnight observation. Carly could clearly tell that we were back in the hospital and she did not like it one bit, but fortunately it was a short stay. By 2pm yesterday Carly's sodium was back to a safe level and the endocrine team was comfortable sending us home to continue to rehydrate Carly. We were trained on how to place an NG tube and Carly was sent home with one in place that we will continue to use until she is reliably eating on her own again. Christa and I had discussed getting trained on placing an NG tube earlier, thinking it would be good to have a way to get fluids into Carly in case of an emergency, so that is a positive that came from this latest trip to UCSF (which is hopefully the last trip for 2009!)