The Dr. called

When your child is in the NICU you never want to get a call from the doctor.  They don't call to celebrate birthdays (at least not yet).  Today the doctor called to tell us that they had performed another echocardiogram and the PDA is wider than it ever has been.  When Calder was born the PDA was 3mm, after the first course of indomethacin his PDA shrank to 2mm and 1mm the following day.  The doctors informed us that it often "relapses" or reopens but I guess hope is an easier course than reality.  The latest echocardiogram puts the PDA at 4mm and there is evidence that it's placing strain on Calder's left atrium, which in turn has decreased the quality of his breathing and blood gases.  He's now back on the jet ventilator. In an effort to gain a better understanding I ran through this peach of an article.  Hopefully this course of treatment will be effective and Calder can get back into his groove.