Update: January 3, 2007
ADJUSTED AGE: 4 WEEKS, 1 DAY
Truman's diaper rash finally appears to be getting better. Perhaps the paste we mixed of Calmoseptine (calomine and zinc oxide) and stoma adhesive powder created enough of a waterproof barrier to do the trick or it could be the blowdrying of his little bum after all diaper cleanings. Blowdryers aren't usually a changing table accessory, but it seems to work, and he seems to really like it.
He had another appointment with the pediatric opthamologist on Monday. He eyes still appear to be progressing even though the Retinopathy of Prematurity (ROP) is still present at this point. There is a ridge on his left eye where the vessels will have trouble growing past, but the opthamologist thinks that his vessels will ultimately grow past the ridge and that he will likely have normal vision. ROP is something almost all preemies, particularly micropreemies, suffer from because the retina does not develop until later in gestation. Basically, the blood vessels of the eye grow out from the center and must reach the edges of the eye to ensure full peripheral vision. It just takes longer for a preemie because the vessels do not grow well exposed to light, oxygen, and other external factors. Truman goes back in a month for another exam.
On the feeding front, it turns out that the special formula that was prescribed is available only to hospitals as of this past October. Even the pediatric clinic can't order it other than as samples. So, Truman's nutritionist team (he has three nutritionists) has recommended adding Human Milk Fortifier to his breast milk bottles. So, it turns out that he will be exclusively on breastmilk after all. We are just going a different route to beef it up to make sure it has all the ingredients he needs.
In addition to rolling over, Truman has started actually hitting some of the things he swings at on his playmat. His case worker from Early Childhood Intervention is making her first visit on Friday. Once that evaluation process begins, we will have a better idea of where Truman is developmentally and where he will need additional help.