NICU Days/Nights

Baby (“Luigi”) spent 2 weeks in the NICU, mostly learning to stay warm and gain weight. It was a very exhausting time because after I was discharged I had to split my time between my other 3 kids (“Mario”, “Peach”, “Rosalina”) and “Luigi”.

Hormones, stress, and lack of sleep all contributed to odd eating patterns and ketones that stayed low.

I’m hoping by 4-6 weeks post-partum things will even out and stabilize.

Keto in the Hospital

Trying to eat keep while in the hospital wasn’t easy.  Even the “carb-controlled” menu was full of high carb things.  The only good thing about it was that it have carb counts for the menu items.

Most of the time I would order a cheeseburger with no bun.  Breakfast was difficult because I don’t like eggs.  However, I was able to get meal voucher, and was able to custom order food from the cafeteria!

One thing I noticed was that my post-partum glucose and ketones were much different than when I was pregnant.  Glucose was a little higher, but nothing to stressed over, and ketones were much lower.  I’m guessing it was related to hormone being “out-of-wack” from just having a baby.

 

First PET Scan

IMPRESSION:
1. Left breast mass with right axillary and supraclavicular FDG avid
lymphadenopathy. Possible additional left internal mammary adenopathy is also noted.
2. Extensive FDG avid lesions involving the liver and skeleton as
described above.
3. Contralateral breast lesion (right breast) might represent
synchronous cancer, metastatic disease or a different breast pathology.
Correlation with mammography is recommended.
4. Lytic lesion in the right femoral neck with the possible subtle
fracture line seen at the posterior aspect. If there is clinical concern
dedicated femur CT should be obtained.
5. Several lesions in the vertebral bodies and posterior elements of
the spine may also be a risk for pathologic fracture. If there is concern
for cord compression, MRI is recommended for further evaluation.
6. Gravid uterus with grossly normal appearance of the fetus. FDG
activity noted within the fetal brain, heart, kidneys, and bladder, however, there is limited published literature concerning the normal distribution of FDG in a fetus.