Thursday, May 23, 2013

HC_chronicles of event 3:Home Phototherapy

Next day, we go to Dr Koe's clinic. As usual, the wait is really long, think for 2 hours, just to take the blood sample. Later in the afternoon, I am informed that the level has gone up to as high as 276.6umol/L, ie indicated for phototherapy again. Dr Koe recommend to start the home phototherapy instead, hence she contact bluelite company. For 3 days therapy, it cost about RM445, our is RM475 due to confirmation of service after office hour. Around 9pm, the unit is set up on top on the cot. As I can't subject to fan yet and need to on aircond, we put mattress and sarong surrounding the area so that he wont get too cold. We have to set the aircond temerature to 26-27 degree celcius too, which is actually still hot to me. 
HC dont like the eye shield, in fact he scream upon touching it! Hence we have to resort to using head shield instead. However, I can't really well but having to check on him from time to time as HC is able to knock the shield with his hand and the light could harm his eyes. Another challenge is to let him able to sleep inside the kit, I have to feed him, put down, if he can't settle, then repeat again and again. Its indeed tiring




Next day, we go to Dr Koe clinic to repeat blood test again. The bilirubin count is 268umol/L only reduce a bit. Hence for the next 3 days, HC sleep inside the kit. Indeed, this is much better than having to stay in hospital and I can have more rest with confinement lady and mom in law help.
After 3 days, the bilirubin has dropped to 243.9umol/L, as its still not low enough, and its likely due to the cephalohaematoma. Hence Dr Koe ask to continue for further 3-4 days till HC is 14 days old. When we go back to the clinic, Dr Koe review and dont see HC need another blood test and dont need to cont the home phototherapy anymore. Despite the positive review, I still have my concern and worry that it will rebound

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