More Withdrawal

Lynnea had a rough morning again -- she spiked another fever and showed symptoms of withdrawal again, especially irritability.  This afternoon went better though; her mood improved, and she was happy and playful, which is always nice to see.  Last night we tried changing her feeds a little bit as a step towards switching her to bolus feeds, but she didn't tolerate it (lots of gagging overnight), so we went back to the continuous schedule that she had been on.  We'll try again at some point, but we will probably wait until we are completely done taking her off from the narcotics she's on, and we'll go super slow with our changes.  Her medication schedules are continuing to be adjusted so that it is manageable when we are at home.  Some final labs were drawn this evening and her PICC line will be removed sometime before we go home.  We are also planning on having her GJ-tube taken out and replaced with just the G-tube like she came into the hospital with because that is much more convenient than the GJ-tube.  She did not require any extra oxygen support today, though her SATs were on the lower end of things.