It’s Friday night. Luke is sleeping on the couch next to me, so Mom can grab a couple hours of sleep upstairs. It’s been a more active first few days than we’d hoped for. Luke and Kerri came home on Wednesday afternoon in fine health, but the in-home nurse visit on Thursday revealed an elevated bilirubin level. It had jumped from ten on Wednesday to 16 on Thursday.
Layman’s Medical Background
Bilirubin is a red bile pigment derived from the degradation of hemoglobin during the normal and abnormal destruction of red blood cells. Elevated bilirubin levels cause what is commonly known as jaundice, characterized by a yellowing of the skin. Other indications of jaundice are a yellowing of the eyes and lethargy.
Bilirubin usually excreted in stool, and since a newborn’s digestive system is still “warming up,” bilirubin can accumulate faster than the body can excrete it. The possibility for jaundice is slightly greater for a breast fed baby than for a formula fed baby. A mother’s milk doesn’t come in for a few days, so the digestive system takes longer to come up to speed than if the baby were taking in formula right from the beginning.
Bilirubin is tested for in the blood. A level of 15 is a warning threshold, and levels of 20 and higher are cause for some concern. UV light, helps to body to reabsorb or breakdown the bilirubin, buying time until the bowels can do their thing.
Luke’s First Travels
Luke’s pediatrician wanted to be pro-active, and nip things in the butt before we had any serious problems. Plan A was to get an in-home UV light, but none were available. We could only get a “bili-blanket,” which is a small flat UV light that the baby can lay on. Dr. K. doesn’t put much stock in a bili-blanket on its own, so she moved to Plan B, which was to admit Luke to the local children’s hospital where more intense UV treatment could occur.
Of course, the doctor must physically examine a patient before he or she can be admitted, presumably for insurance reasons. So, we quickly called Kerri’s sister to watch Samantha and Jake, who were in the middle of their naps. We rushed to the pediatrician’s office, which was about to close in order to get the examination which would allow us to turn around and head over to the hospital. By six in the evening, Luke was settled in and glowing under the blue lights.
Kerri stayed the night, while I tended to the home front. This means the woman who recently gave birth is now going on about eight hours of sleep for the week. <sarcasm>At least she was in one of those “oh-so-comfortable” hospital futons last night.</sarcasm>
I suppose it’s all worth the inconvenience. Luke’s bilirubin levels were back down to ten after 24 hours in his tanning booth. Everyone’s home and with the exception of me asleep. If this is Luke’s newborn scare, it’s a pretty easy one to deal with. God be with those who are facing so much worse.
Last thing: I added a photo album with some photos of Luke’s first day.
I lost my built in photo album when I switched to WordPress. But, I’ve added them to flickr here: Luke Patrick.