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TomSlick

(11,097 posts)
Mon Jan 17, 2022, 08:37 PM Jan 2022

I need any medics out there to talk me off the ledge.

My newborn granddaughter has been in the NICU for a week. She was placed in the NICU due to early breathing concerns.

She's off O2. She's eating more and weighs more than her twin sister at home. (The pediatrician tells us the child at home is thriving.) The NICU docs will not (or at least have not) talked to the parents in days. The nurses (the only people with whom the parents can speak) keep providing different metrics for her release. The parents are convinced she is being held in the NICU until her calculated due date - in two more weeks. (It's probably a good thing that her G-Dad can't get through the door due to Covid restrictions.)

At some point, laying in an NICU bed instead of being held by her parents and grandparents - especially her G-Dad - has to be bad for her development.

I get it, my degree is in law and not medicine and obviously don't know what I'm talking about. Someone out there who does know, please tell me that everything is fine.

31 replies = new reply since forum marked as read
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I need any medics out there to talk me off the ledge. (Original Post) TomSlick Jan 2022 OP
IDK, but I've been there & positive thoughts got me through it... wishin you all the best. InAbLuEsTaTe Jan 2022 #1
My grandson spent almost 200 days in NICU. Ptah Jan 2022 #2
I'm sure she's fine - and will be great. TomSlick Jan 2022 #5
I would absolutely not tolerate them ignoring parents! SheltieLover Jan 2022 #3
Hell, I would be thankful for a first opinion. TomSlick Jan 2022 #10
I know exactly what you mean! SheltieLover Jan 2022 #17
I suspect that we are a ways from a discharge against medical advice. TomSlick Jan 2022 #19
Good ideaas well SheltieLover Jan 2022 #21
I'm unclear who is the PCP. TomSlick Jan 2022 #23
They canalso call the Charge Nurse SheltieLover Jan 2022 #24
One of my great-nieces spent a few weeks in NICU, had no problems later. highplainsdem Jan 2022 #4
The doctors will speak to the parents, your kids need to ask the nurses on duty Wingus Dingus Jan 2022 #6
I agree the doctors should speak to the parents but it's not happened in days. TomSlick Jan 2022 #14
Yes, there definitely needs to be more communication here. Wingus Dingus Jan 2022 #27
That's reasonable. Will pass along. TomSlick Jan 2022 #28
You're asking for an explanation of her treatment plan and what they want Wingus Dingus Jan 2022 #30
Have mom and dad chosen a pediatrician yet? MontanaMama Jan 2022 #7
THIS! That pediatrician will be the baby's PCP yellowdogintexas Jan 2022 #13
I buy that. I'll make that suggestion. TomSlick Jan 2022 #15
Hang in Tom...those doctors and nurses love every single child in their care... Enter stage left Jan 2022 #8
You are, of course, correct. TomSlick Jan 2022 #16
Trust the nurses...many times they have all or more of the info the doctors have... Enter stage left Jan 2022 #20
Both of my great grands were in the hospital after birth for a few weeks (Twins) Srkdqltr Jan 2022 #9
Miracle Workers work in NICUs. FeelingBlue Jan 2022 #11
I'm the calm one. TomSlick Jan 2022 #18
My best friends MFM008 Jan 2022 #12
The parents take turns going to the hospital to hold and feed the baby. TomSlick Jan 2022 #26
My Grandson was in the NICU for more than 6 months. TygrBright Jan 2022 #22
Thanks. TomSlick Jan 2022 #25
Perhaps the parents should contact someone in... 3catwoman3 Jan 2022 #29
Reasonable. TomSlick Jan 2022 #31

Ptah

(33,024 posts)
2. My grandson spent almost 200 days in NICU.
Mon Jan 17, 2022, 08:42 PM
Jan 2022

He's a loving, intelligent and healthy 3 and a half years old.

SheltieLover

(57,073 posts)
3. I would absolutely not tolerate them ignoring parents!
Mon Jan 17, 2022, 08:44 PM
Jan 2022

Call for 2nd opinion or something?



You can bet my ass would be parked 24/7 at that nurses' station until doctor addressed my concerns.

TomSlick

(11,097 posts)
10. Hell, I would be thankful for a first opinion.
Mon Jan 17, 2022, 08:50 PM
Jan 2022

I can't get through the door, much less to the nurses' station.

Failing to keep the client informed is a primary cause for lawyers being sued for malpractice. These doctors seem to think that as far as new parents are concerned, ignorance is bliss.

Sorry. I'm not angry with you - just angry.

SheltieLover

(57,073 posts)
17. I know exactly what you mean!
Mon Jan 17, 2022, 08:57 PM
Jan 2022

And, if allowed inside, I bet you would follow my "I'm a permanent resident until I get answers."

How about mom &/or dad?

Have they contacted the pres of the hospital yet?

So sorry you folks are having this stress when you should be in blissful babyland!

They could also just check baby out & take to (different) peds doc for check up. 👍

TomSlick

(11,097 posts)
19. I suspect that we are a ways from a discharge against medical advice.
Mon Jan 17, 2022, 09:04 PM
Jan 2022

I will encourage the parents to ask their pediatrician to ask for an update as the child's PCP.

TomSlick

(11,097 posts)
23. I'm unclear who is the PCP.
Mon Jan 17, 2022, 09:13 PM
Jan 2022

My hope is that a call or e-mail from the baby's pediatrician for a consult would not be ignored. So far, it's the best idea I've seen.

Not to worry. If I run to DU to vent, I will also go to DU to update. My parents are too elderly and mentally infirm to listen to me without freaking out. I am grateful to DU for hearing me out.

Wingus Dingus

(8,052 posts)
6. The doctors will speak to the parents, your kids need to ask the nurses on duty
Mon Jan 17, 2022, 08:46 PM
Jan 2022

to have the doctor please contact them with an explanation of why she is unable to be released and what the plan of care and goals are. Sometimes it takes a little forthrightness and persistence but the docs should ABSOLUTELY be communicating with the family about the treatment plan, expectations, etc. From a former RN (but not a NICU nurse). Don't worry too much, this baby will bond and be well even if she needs extra time!

TomSlick

(11,097 posts)
14. I agree the doctors should speak to the parents but it's not happened in days.
Mon Jan 17, 2022, 08:54 PM
Jan 2022

The parents have asked to speak to the doctor but nothing so far.

My worry is that we don't know if she needs extra time or, if so, why. It shouldn't be difficult to tell the parents the metrics for her release.

Wingus Dingus

(8,052 posts)
27. Yes, there definitely needs to be more communication here.
Mon Jan 17, 2022, 09:26 PM
Jan 2022

Ask the RN's each shift to please message the MD's that the parents are confused about aspects of the treatment and are requesting to please have direct discussion about her care--phrased like that it should compel a response. I'm sure they're busy, but one of the docs should get back to you or parents to explain things. Speaking to the RN's is helpful for day-to-day questions but they don't decide her care.

TomSlick

(11,097 posts)
28. That's reasonable. Will pass along.
Mon Jan 17, 2022, 09:30 PM
Jan 2022

Thanks.

The docs and nurses have their hands full with the children of "covid moms" in the NICU. (I don't want to think about how that is being handled.) We are really trying not to be jerks but....

Wingus Dingus

(8,052 posts)
30. You're asking for an explanation of her treatment plan and what they want
Mon Jan 17, 2022, 09:34 PM
Jan 2022

to see happen with the baby before they can discharge her. That's not being demanding or jerky, you're not asking for a conference every day, just a brief touch-base with the docs.

MontanaMama

(23,312 posts)
7. Have mom and dad chosen a pediatrician yet?
Mon Jan 17, 2022, 08:46 PM
Jan 2022

Usually that choice is made before leaving the hospital…could your daughter/son-in-law ask that the pediatrician touch base with the NICU team? Every hospital has different policies…I’m just curious.

I hope you get your hands on that grand baby very soon. ❤️

yellowdogintexas

(22,250 posts)
13. THIS! That pediatrician will be the baby's PCP
Mon Jan 17, 2022, 08:53 PM
Jan 2022

or Primary Care Physician and should be able to help out.

If that dr has privileges and that hospital so much the better

Enter stage left

(3,395 posts)
8. Hang in Tom...those doctors and nurses love every single child in their care...
Mon Jan 17, 2022, 08:47 PM
Jan 2022

My grand-daughter worked at U of U Hospital in the NICU, and would come home to her mother laughing about changing stinky, smelly diapers.

If we're going to trust doctors with Covid, we need to trust them with our children and lives.

Enter stage left

(3,395 posts)
20. Trust the nurses...many times they have all or more of the info the doctors have...
Mon Jan 17, 2022, 09:07 PM
Jan 2022

because they're with those kids 6-10 hours a day. Nurses are special, they do it because they love it, not because of their pay.



If your feel like the doctors aren't communicating with you like you want, request a conference with them, but be aware, they don't have much time to spare. They're trying to save multiple lives every day. Doctors are special also, let's support them every chance we get.



Srkdqltr

(6,273 posts)
9. Both of my great grands were in the hospital after birth for a few weeks (Twins)
Mon Jan 17, 2022, 08:50 PM
Jan 2022

They are now very active lovely noisy 4 year olds. They had breathing and heart probs common to premature babies. In the days of covid everything is awful. we have to learn again to moderate. I wish I could post a vid from Christmas of them jumping off the steps in our family room, rolling on the floor and laughing like crazy. Be a little patient.

FeelingBlue

(679 posts)
11. Miracle Workers work in NICUs.
Mon Jan 17, 2022, 08:52 PM
Jan 2022

If your grandchild is off of 02, that’s huge. How much does the baby weigh?? Sounds like they are just looking after her so they can send her home at a decent weight and ready to wear out her parents and grandparents. Twins! Adorable but a challenge.

Furthermore, get off that ledge right now. The last thing your family needs is a crisis. Persevere with courage so you can be there for your family. The parents will need you. It’s your turn to be a hero!!

MFM008

(19,806 posts)
12. My best friends
Mon Jan 17, 2022, 08:52 PM
Jan 2022

Daughters baby , when he was born, spent a lot of time in the ICU because he kept quitting breathing but while he was in there at least they allowed then to see him and they allowed his mom to feed him by bottle but that was twenty years ago..

TomSlick

(11,097 posts)
26. The parents take turns going to the hospital to hold and feed the baby.
Mon Jan 17, 2022, 09:20 PM
Jan 2022

The nurses are great but it is unclear they know why the child is still in the NICU.

TygrBright

(20,758 posts)
22. My Grandson was in the NICU for more than 6 months.
Mon Jan 17, 2022, 09:11 PM
Jan 2022

He was born very premature - at the time they had never saved a baby so premature.

He's all over the pulmonary aftereffects, he's smart, kind, funny, and imaginative. He'll be 15 next Spring.

I don't know the medical details of your granddaughter's case, but NICU isn't going to do her any harm.

helpfully,
Bright

TomSlick

(11,097 posts)
25. Thanks.
Mon Jan 17, 2022, 09:16 PM
Jan 2022

She'll be fine. It's the adults are the ones freaking out - and it's really not about the adults. Still....

3catwoman3

(23,975 posts)
29. Perhaps the parents should contact someone in...
Mon Jan 17, 2022, 09:32 PM
Jan 2022

…whatever department would fall under the public relations/patient representative umbrella and complain vociferously about lack of communication. There should also be a discharge planning team, typically headed up by nurses and social workers.

Perhaps also contacting the insurance company.

I spent 45 years as a pediatric nurse practitioner, and communication with parents was essential.

Sadly, I am hearing more and more stories like yours - no contact from the doctors. I consider this completely unacceptable.

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