Yet another NEC vent :(

So this kid I mentioned in the other post... she was a 29 week twin... full feeds and 10 days old on NP. Had a little poochy belly all night, small residuals... nothing super worrisome. Bam. 6 hours later... no viable bowel. Took her off. That was last saturday.

Last night I had her twin. Was told she looked odd and had 7 severe brady/desats that shift. First assessment had a huge loopy belly, not so soft, 7ml residual, and a huge normal stool. Of course MD didn't care and thought I was being paranoid. Next cares, looked a ton better, but was still sickly looking... pale and mottled, and just not right. She was still having spells. Small residual...fed again. By 2 I let the MD know she had 5 spells already. He didn't really seem to care and attributed it to prematurity and apnea. He wouldn't look at her... So no significant change by morning except a total of 7 spells. I asked if I could increase her NP from 0.5L to 1L to see if it helped... then I went home.

She slowly got worse on days. They even did an x-ray which was not conclusive and kept feeding. Finally made her NPO around 12 because of persistent apnea. X-ray showed tons of pneumatosis. When I got back they were intubating. Her sugar was over 400 and she had portal air. They sent her to Children's. Who wants to bet she dies?

Ugh. This sucks. I should have been more persistent, even though I am 99.9% sure I wouldn't have gotten my way.

I'm depressed....