Premature infants blooming, thanks to the UT Physicians Pediatric Center Neonatal High Risk Clinic


凯蒂·巴克利(Caitie Barkley)
2021年11月17日

Noah Ordaz and Asher Tate both came into this world extremely early, with each infant arriving just 23 weeks into his mother’s pregnancy.

Fatima Boricha, MD, (right) follows both Noah Ordaz (center) and Asher Tate at the UT Physicians Pediatric Center Neonatal High Risk Clinic. (Photo courtesy of Fatima Boricha, MD)

Fatima Boricha, MD, (right) follows both Noah Ordaz (center) and Asher Tate at the UT Physicians PediatricCenter Neonatal High Risk Clinic. (Photo courtesy of Fatima Boric

Each baby had his own medical complications. Noah, who was born weighing 1 pound and 2 ounces, spent nearly nine months in the neonatal intensive care unit (NICU) at Children’s Memorial Hermann Hospital with chronic lung disease, pulmonary hypertension, breathing difficulties, a congenital heart defect, brain bleeds, two abdominal hernias, rib fractures, and hypothyroidism. He also required a feeding tube.

Meanwhile, Asher, who was born with a 10% chance of survival, spent five months in the same NICU with chronic lung disease, pulmonary hypertension, one abdominal hernia, a potentially blinding eye disorder, a blockage and infection of the small intestine requiring surgical correction, and a feeding tube.

After each infant was discharged from the NICU – Noah in November 2020 and Asher in December 2020 – both were followed at theUT医师儿科中心新生儿高风险诊所为了他们的持续照顾。

该专科诊所为从NICU出院的婴儿提供了综合护理,提供了常规的一般儿科护理,并为NICU毕业生的所有复杂医疗需求提供了持续的护理。它是著名的新生儿研究网络的一部分,是德克萨斯州仅有的两个诊所之一。beplay苹果手机能用吗

在诊所,诺亚和阿舍都被交给儿科医生的护理Fatima Boricha, MD,德克萨斯大学健康科学中心的麦戈文医学院儿科助理教授(休斯敦UTHealth Houston)。

“当Noah和Asher出院后首次访问我时,他们只有几个月大,并且需要大量的护理和支持,因为它们正在使用氧气,进食管,并与专家进行了多次跟进。我们的诊所是为诺亚和阿舍(Noah)和阿瑟(Asher)等孩子设计的,我们的目标是为医学复杂的婴儿提供出色的护理,并为这一脆弱人群提供医疗住所。” Boricha说。“我们的大多数患者是在不到27周的妊娠不到27周的早产儿,但我们也看到了其他复杂的NICU毕业生。”

根据疾病控制和预防中心,当婴儿在怀孕37周之前出生时,出生时被认为是早产。但是,据世界卫生组织称,怀孕后不到32周出生的婴儿的死亡和残疾率特别高,由于早产并发症,每年约有100万儿童死亡。

博里卡(Boricha)和临床医生蒂娜·雷迪(Tina Reddy),医学博士蒂娜·雷迪(Tina Reddy)和PNP的珍妮丝·约翰(Janice John),他们为NICU毕业生提供了十多年的护理,训练有素,能够管理喂养管,氧气和其他设备,并提供连续的护理服务。以及正在进行的发展,行为和增长评估。

博里卡说,该诊所为照顾这些婴儿而感到自豪,提供者和员工看到患者蓬勃发展,父母微笑。

诺亚的母亲丽莎·奥达兹(Lisa Ordaz)无疑是那些父母之一。怀孕期间她的水破裂了18周,她在医院呆了五个星期,然后在2020年2月29日的leap日生下诺亚。

“He’s one of those kids who walks in and says, ‘Hello world, I’m here,’” Ordaz said of her bouncing baby boy. “He’s joyful, hard-headed, and hilarious, and he wants to be the center of attention.”

尽管如此,在诺亚出生时遇到的所有问题中,奥达斯感到迷失并转向祈祷。当诺亚被接纳去高风险诊所时,她觉得自己的肩膀似乎已经从肩膀上抬起了。医学博士Maria Caldas-Vasquezhis endocrinologist;医学博士里卡多·蚊子(Ricardo Mosquera),他的肺科医生;以及需要的其他专家,休斯顿的其他专家。

Today, Noah is eating by mouth and weaning off his oxygen tank. He’s also crawling and trying to walk and talk.

“我们从只去这两个小时clinic,” said Ordaz, who lives in Lufkin, Texas. “For moms going through the NICU, it’s so important to have a good support system. I don’t think I would’ve made it without my village behind me at Children’s Memorial Hermann. I feel like the staff at the high-risk clinic have become another village for me.”

Asher的母亲Tameka Tate也很高兴。泰特说,阿瑟(Asher)去诊所时从不哭泣,他继续以健康,稳定的剪辑成长。它使泰特能够看到儿子更多的明亮个性。

泰特说:“他真的很愚蠢 - 他的手在头后睡觉,他喜欢玩耍和笑。”“他也非常活跃和强大 - 他开始将自己拉到他不再在摇篮里睡觉的地步,因为他想站起来。”

Other than Boricha, his primary care physician, Asher sees Mosquera for pulmonology in the UT Physicians High Risk Children’s Clinic, along with other specialists at UTHealth Houston.

多亏了这支球队和Asher坚强的意志,这位1岁的孩子不再使用氧气,他慢慢开始用口吃。

泰特说:“考虑到一年前,这一切都非常令人兴奋,他们认为他无法搬家。”“我们称他为我们的小英雄。我的孩子对很多人都是祝福。”

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