So my little 23 week primary that I've only had the privilege of taking care of twice has a grade IV IVH. Typical... does well for a few days, then the body systems start dumping. Kept having high sugars then all of a sudden in 2 hours' time they dump to 50 and the CBC starts to suggest sepsis. She was born Friday night and I had her Saturday. Then I get her back Sunday and her fontanelle was SO very tense and we keep transfusing her but we can't get her H/H up for long. I just KNEW as I left work this morning that she had a bleed. I called the day nurse to check on her and a HUS had confirmed what I already knew. So sad when it's really nice parents and an unexpectedly quick delivery...