Monday, March 14, 2011

Videos now on youtube.com

Dear all of our friends and family. Thank you so much for all of your support, love, and prayers. Reese is doing amazing. She is over 7lbs and growing so fast. Since the scary part is over and now we have more time to personally talk to you all, I won't be updating the blog anymore. It really did serve its purpose. It was a lifesaver during those days when I could not talk to everyone. I have posted videos online on youtube.com, and I will constantly be adding videos. Just go to youtube.com and search for "Reese Capron" to see the latest videos of our little angel. I will also post pics and links to videos on facebook. Thanks again, and we can't wait for you all to meet Reese.

Monday, February 7, 2011

Almost 5 pounds

Reese went to the doctor today for her checkup. She has gained weight very fast. She eats every 3 hours, and takes about 2oz per feeding. She is almost 5 lbs. She weighed in at 4lbs 15oz. By tonight or tomorrow she will be 5 pounds. Doc said she looks perfect, but we already knew that. Tara is back to normal. Everything is great! We are just enjoying every second with our little angel.

Friday, February 4, 2011

Reese is home!

Reese got her RSV and Hepatitis shots today, and she was discharged from the hospital. She met Dammit (our cat) and promptly went to bed. She had a light meal, and she is sleeping now. We are watching her on our baby video monitor, which is connected to our living room TV. So we have REESE TV airing 24/7. It's really a great channel.

Thursday, February 3, 2011

Coming Home

Our sweet baby Reese is coming home tomorrow.

Over 2000 grams

Reese is over 2000 grams. She went up 40 grams from yesterday, up to 2010 grams from 1970. She is about 4lbs 7oz. She is eating around 55 to 60 ml per feeding, around 2 ounces. She loves to poop and pee after you take the diaper off. So now I have learned to wait a minute or two after opening up the old diaper before throwing it out. We are thinking that she will be good to go home soon. Tara is doing great. Doctor said her blood pressure is normal. Her blood pressure meds were cut in half, and should be eliminated soon. Reese's room is just about ready for her! Reese may be home in time for the super bowl! We are getting excited!!

Wednesday, February 2, 2011

Closing in on 2000 grams

Well, Reese weighed in at 1970 grams tonight (almost 4lbs 6oz). That's up 45 from 1925. The eating frenzy continues. Tonight she scarfed down 60 ml (around 2 ounces) in about 11 minutes. Insane. She is doing better on the breathing while she eats also. Doctor Graham wanted to see her get to 2000 grams before she would go home, and she could reach that goal tomorrow. We still don't know when Reese is coming home. I've been telling her all about her room, and she is very excited. Tonight she rested on my chest and smiled over and over again. Seeing this little angel smile is the most wonderful feeling in the world. It makes you forget that there is any bad in the world, even if just for a moment.

Monday, January 31, 2011

Umbilical cord off

Today Reese lost her umbilical cord. She has a cute little belly button now. She also weighed in with another increase. She is now at 1925 grams. She continues to be a strong eater. All-you-can-eat buffets be warned. I changed her poopy diaper, and took her temp, which was 36.9. She is asleep on my chest as I write this entry on my phone. I pat her lightly on her back as she sleeps on me because if I don't she constantly opens her eyes to check that I am still there. This girl already has Daddy wrapped around her little finger. The little boy in the bed next door is making a lot of noise, trying to get Reese's attention, but she is having none of it. She is not into grunters. Beside that we have already agreed that Reese is not dating until age 35.

Packing on the pounds

Reese gained weight again. She gained 26 grams, bringing her to a total of 1896 grams (about 4 lbs 3 oz). She is eating great. Today Tara spent the day with her, and tonight I am spending the night with her. I just changed her poopy diaper and took her temperature. She was 37.1 degrees celsius, which is about 98.7 F. We have a little routine going... I take her temp, change diaper, feed her, burp her, and then cuddle with her. After that it is almost time to start all over. I hold a mirror up so I can see her while we cuddle. It is so sweet to see her smile at me as I talk softly to her. She is an angel. I'm off to the cafeteria for a midnight snack, and then back for the 2:30am feeding. Can't wait!!!!

Sunday, January 30, 2011

New labs and weigh-in

Reese gained 45 grams yesterday. Amazing! She is eating over 50ml per feeding, which is every 3 hours. Also, her labs came in this morning, and her bilirubin is still a little high, but coming down. It measured at 8.2, so no action will be taken. She is still having issues with breathing during feeds, but again for her age that is common. That is really the final issue. Once she gets a little better at that, she is going home. We don't have a discharge date yet, but anticipate that it might be this week. We could possibly have Reese home for the Superbowl. She told me last night that she wants to watch it. She also said she wants the Packers to win. Tara is with her today at the NICU, and I will be with her tonight.

Friday, January 28, 2011

Reese over 4 pounds !

Reese is rocking the milk! She is over 4 pounds for the first time!! She just weighed in at 1825 grams. She is doing very well. No apnea for 4 days. We are not sure when she will be discharged. It is possible that it could happen at any time. So we are furiously putting together her bedroom. Thank you so much for all your gifts. We were not ready at all, and everyone has helped so much! Tara is feeling better today, and even I am getting better. This is a much better day for everyone! We will keep you posted!

Thursday, January 27, 2011

Reese has officially surpassed her birth weight

Reese weighed in at 1804 grams today, and she was 1785 at birth. The girl is an eating machine! It only took her a week to pass her birth weight, very good for a preemie. She is having heartrate drops while she is eating still, but that is to be expected from a baby her age. It simply a matter of learning to coordinate sucking, swallowing, and breathing. Tara spent the day with Reese today at the NICU. I'm still home sick. I cleaned the house and prepared the nursury. Each day is getting better. I really miss Reese. I haven't seen her for two days.

Bilirubin labs are good

The bilirubin labs for Reese came in, and she is still right at 10. That means that they have most likely peaked. As such no more phototherapy for our girl! Nice!!! She is doing great, hanging with Mom today in the NICU, while I am at home trying to get better. I miss Reese so much I can't stand it. I just want to get better so I can go see her and give her a kiss! Tara is feeling much better, and that is the most important thing, because I was more worried about her than Reese. She was in bad shape there for a while.

Wednesday, January 26, 2011

Big girl !!!!

Reese just weighed in at a whopping 1775 grams. She was 1785 grams at birth, so she is almost back to her birth weight in six days. That is amazing considering that many babies take up to 2 weeks to get back to their birth weight. This girl is an eater. She just ate 45ml 20 minutes early! Tara is not feeling great and is trying to get some rest for the long day tomorrow. I'm doing the same, but I will again miss my little girl tomorrow because I am sick. I am not going to take a chance of getting little Reese sick, as badly as I want to see her. Bilirubin labs come back in the morning. If they are above 12 she will probably go back under the light for phototherapy, which would probably not last long. Time for Mommy and Daddy to rest. Good night.

Bilirubin lab results

Reese's bilirubin count went up slightly to just over 9. However, since the bilirubin count peaks at day 3-5 she is fine and won't need the phototherapy. Plus she is eating and pooping on a regular basis so that helps lower it as well. Her count will come down over time. Now it is time for Reese to keep gaining weight. Tara is feeling a bit better today, but now I'm sick and cannot go into the NICU.

Tuesday, January 25, 2011

Good news, bad news

Well, the good news is that Reese gained weight again. She was just weighed and she gained 15 grams (half an ounce). So that is two days in a row of weight gain. She now weighs 1750 grams (about 3lbs 13.5oz). The bad news is that Dr. Graham thinks Reese needs to stay in the NICU until she is closer to 2kg. That could take a week or longer to get there. So the Saturday discharge is looking like a pipe dream. We are ok with it because we don't want to take any chances. We are going to finish feeding Reese now and go to our house for the first time to sleep. Bilirubin count comes back in the morning. Tara is feeling a little worse. Overall it's been a mixed day. It feels like there is no end in sight. Very frustrating.

Reese is a big eater!

Reese is eating over 40ml per feeding now, which is above average for her size. At this rate she will continue to gain weight. I know that she is watching her figure, but we want her to put on some pounds. She has not had an apnea event today, so we still have a target discharge for this Saturday, assuming she has no further apnea issues. Reese's bilirubin will be checked again in the morning. Tara is resting right now. She is exhausted from getting up every 3 hours to feed and/or pump. Plus she needs to help keep her blood pressure down. I am taking a CPR course in about an hour. It is offered by the hospital for free. We have checked out of our room and we are now basically living in the NICU. I'm just sitting next to my little angel, working on my laptop and thought I would give you all a quick update. The nurses here are so amazing. There are no words to express how grateful we are to them. The cafeteria food sucks most of the time, but I did have a really good sandwich today! Can't wait for the next weigh in to see if Little Reese gained again. Will update you after I find out.

Reese gained weight !!!!

After losing weight for the first 4 days, Reese is finally making a comeback. In the last 3 days she lost 2 grams, 3 grams, and 2 grams, respectively. So she was basically breaking even. However, because of her outstanding eating skills (and Tara's great feeding skills) Reese gained 33 grams last night. She is AWESOME! Usually babies lose weight for the first week. Reese is on a roll! She is on schedule to move home on Saturday if she has no more apnea events. Cross your fingers. Reese is opening her eyes much more right before feedings. And now she stares into our eyes when we feed her. I can't put the feelings into words. For those of you who have children you know what I mean. For those of you who don't I hope you get to experience the joy someday. Tara is also doing better. She was feeling pretty rotten most of the day, but improved later in the evening. We are staying at the Mary Birch "hotel" tonight. They let you stay here for free one night after you are discharged. We feed our princess every three hours, and try to mix in a little nap once in a while. It is difficult and we are exhausted, but it is certainly worth it.

Monday, January 24, 2011

Reese is off the bilirubin light and in a crib

Reese was only under the bili light for a day, and her level came down so far that we were able to take her out today. Also, she is doing a good job of holding her own temperature, so she was placed in a crib today, just like a big girl! She is now dressed in some fine threads given to her by Steve & Melinda! I will post a picture of her in her crib soon. Reese is eating GREAT! She is eating about 40ml of breastmilk per feeding every 3 hours. Tara's neck is feeling a bit better, and her staples are coming out soon.

5 more days (at least)

This morning Reese had an apneic event. That means she forgot to breath for 30 seconds or so. This is common in premature babies. Because of this, the mandatory 5-day clock was reset. Babies can't go home until they have been apnea free for 5 days. Other than that, Reese is doing wonderful. She is eating wonderfully, both from breast and bottle. Her labs came back today for bilirubin and it is down to 7.6, so she may come off the bilirubin light today, or tomorrow at the latest. Also they did check her magnesium level and it is down to 2.7, which is basically a normal level. Hopefully Reese can avoid apnea from here on out, and if so our target date for her to go home is Saturday. Tara is being discharged today. However, we will pretty much be at the hospital all the time anyway, so not much will change except that we will lose our room. She is still dealing with intermittent high blood pressure, which she is taking medication for. Now she is also having some pretty bad neck pains from constantly looking down to breast feed & pump. Tara is also having her staples from the incision site removed today. Right now Tara is holding Reese to her chest as she sleeps. It is very precious. We are just excited to get Tara discharged and at least get one of the girls out. It has been extremely stressful seeing my entire family in the hospital. We are dreaming of having Reese at home in our own quiet house. Thank you so much for all of you that were at Tara's shower. She was overwhelmed by your generousity. And thank you so much for all of your calls, texts, emails, and offers of help and support. We have the most amazing friends and family.

Sunday, January 23, 2011

Things are looking very good

Reese is doing AMAZING. She is eating wonderfully. She eats 33ml each feeding, which was enough to have her IV removed. We were so happy to have that needle out of her. We are probably going to feed her more than 33ml for her next feeding. She is eating every 3 hours. She is under the bilirubin light because she is jaundice. However it is not bad. In fact the nurses said it was a close call as to whether she even needed it. Since there is no downside to using the light, we decided to do it. There are no more labs being drawn on Reese (other than the bilirubin), so that is a great sign of how well she is doing. She has not had an apnea event all day, so if everything stays the way it is, she will be discharged in 4 days (one week after we came in). She is so precious and sweet. She even smiled at Mamo a couple times (Tara's Mom) today. Tara is also doing great. Of course she is very tired since sleep is rare. There are no more labs on Tara at this time. The only concern is her blood pressure, but she is on medication to control that. It is generally ok, but there are times when it jumps up a little. She has never had problems with it in the past. It is just part of the preeclampsia. Tara is resting now. We can't wait for everyone to meet this beautiful little girl. She was the most perfect birthday gift I could have ever received.

Saturday, January 22, 2011

The girls are improving!

Both Tara and Reese are improving greatly. Labs came back this morning and Tara's Liver enzymes are going down platelets are going up which is good. Her blood pressure is still up and down, and is a concern. Reese is amazing. Labs great! She is eating 30ml of breast milk. Once she gets to 33ml the IV will be removed. Reese met her Godfather Steve today. Reese also found her thumb. She was sucking on it even though the IV was in the way. When it was removed from her mouth, she found it again. She is really a great eater. She is doing a lot of sleeping which is good. She held her weight very well last night, only losing 3 grams. Bilirubin count labs will be in tomorrow morning, and hopefully they are low. If not she will have to go under the bili light to clear up any jaundice. It's official... This baby girl owns us!!!!

Friday, January 21, 2011

Reese's first bath

We just got back from feeding Reese, and Tara also gave her a bath for the first time. She was not too happy about it either! However, she did seem to enjoy having her hair washed. Reese met her Uncle Steve and Aunt Melinda today. She met Aunt Tiffany, Mamo (Joann), and Papo (Vern) yesterday, so she is really getting to know her family. Reese also has a lot of fans in the NICU... All of Tara's co-workers come by to chat with Reese. Reese is also eating very well, and Tara is doing a GREAT job of breastfeeding. It is really amazing to see Reese sleeping on Tara while she is sleeping. There is a picture of them together to the right. Labs will be taken from Reese and Tara tomorrow, and we will be anxious to find out how both are doing. Time to try to get an hour's worth of sleep. (Yeah right!)

Good lab results

Tara: Tara's lab results today are improving. Her liver enzymes are coming down, but are still very high. Her platelets up to 60, which is an improvement. And her blood pressure is in the acceptable range, but she will probably be on blood pressure meds for a month. Tara is feeling much better today. She is like a different person. She was so miserable.

Reese: Reese's magnesium level dropped from 4.6 to 3.7 (low 2's is what we want). Her bilirubin count is 6.3, and will probably climb a bit. She may have to go under the bilirubin light for jaundice. Reese has lost a little weight, and that is to be expected. She is down to 3lbs 12oz. Reese is a doing a great job breastfeeding. She is doing really great, and her main job at this point is to learn how to eat. I posted 3 videos, and the html links are over to the right. You will have to copy and paste the code into your browser.

Thursday, January 20, 2011

Tara and Baby resting

The baby is doing great. She is still in the NICU, and probably will be for a few days at least because of the magnesium in her body. It makes her sluggish and unable to eat on her own. Reese is practicing breast feeding and is beginning to look around. She still sleeps a lot. Tara is still sick, and hopefully is turning the corner. The primary problem is her liver function due to the sever preeclampsia that she has. The last set of labs indicated a very slight improvement. So we are hoping that tomorrow morning's labs will bring good news and that she will feel better. We are both exausted, and are going to try to get some sleep, which there has not been much of, especially for Tara. Tara is doing great with the breast feeding. She got 18ml at one point today, which is amazing for the first day. Still trucking along, but I will say that we are totally and completely in love with our little baby Reese. She is so wonderful and beautiful and I don't think we will ever be the same.

Reese is doing well

Reese is resting in the NICU. The NICU nurses are swarming her to take great care of her! They are wonderful ! Tara is struggling with high blood pressure, and she is being given multiple medications to keep it down. It is borderline right now. She is also preparing to breastfeed for the first time. Tara is also having liver function issues. Will post more. Very overwhelmed.

Introducing Reese Mary Capron

Tara was rushed to the OR for an emergency C-section at 3 am because of preeclampsia complications. She gave birth to a healthy baby girl, Reese Mary Capron. 3 lbs 15 oz. She is in the NICU for observation. She is breathing on her own, and already had her first meal. Tara is doing great. This is from my cell phone so more details will follow.

Wednesday, January 19, 2011

8:40 pm - Waiting

The countdown is on, and we are both nervous and excited. In in 14 hours our lives will be forever changed. Tara is resting, trying to sleep. However she has bad heartburn. Also her blood pressure is high, so we are doing our best to keep her quiet and restful. On a positive note, her calcium level is still low, but not critically low anymore. Tara is such a trooper that I could never express it into words. She is amazing. I know that when she is complaining about heartburn or anything else, then it is bad. I can't wait for this ordeal to be over and to see Tara holding a beautiful healthy baby in her arms. We are so close to that reality. There will be occasional labs and vitals throughout the night. If anything eventful happens I will let you know. Please say a prayer for us. I know that you all are. We love you all.

11:40 am - Dr. Saffer confirmed for surgery

WE ARE SO EXCITED !!!  Dr. Saffer is confirmed to do our surgery tomorrow at 10am.  It is not even his day to do deliveries tomorrow, but he is doing it for us!  We cannot put into words how grateful we are.  It is only because of his skill in Tara's previous surgery that we can even have children.  He is a master and we are so lucky to have him!  Things are looking good!

10:15 am - Magnesium IV reduced

Tara's blood pressure is slightly elevated, 144/93.  The IV drip for magnesium was reduced again.  It is down to 1gram per hour.  This will help Tara to feel better, because the magnesium makes her feel terrible.  Also, it will make the baby more alert at birth.  Babies that have high amounts of magnesium in their body at birth are sluggish and have a hard time eating.  Tara is resting comfortably, trying to relax and keep the blood pressure down.  We have the c-section scheduled for 10am tomorrow.  We don't know who the surgeon will be, but we think it will be Dr. Saffer or Dr. Goodwin.  Both are great.  Dr. Saffer has a scheduled Da Vinci Robot surgery tomorrow morning, and is going to try to do our surgery as well.  We are very excited to meet our little baby.  We already love this baby so much and we don't even know the sex.  Thank you so much for all of your kind emails and comments.  We are so blessed to have such wonderful family and friends.

7:40 am - Calcium critically low

The nurse just added calcium to Tara's IV.  Apparently the magnesium throws off the calcium level in your body.  Tara's calcium level was critically low (which means way outside of acceptable range).  All other morning  labs were ok.  Protein in urine still. Platelets were up, which is good.

4am - Sleeping well !

Finally Tara is sleeping well.  It is 4am and we were awakened after about 4 good hours of sleep.  We are lying here in a dark room enjoying the sound of our baby's heartbeat on the monitor.  Later we are going to request that Dr. Saffer reduce the amount of magnesium.  Tara is feeling a bit better with the lower dose, and the baby will probably be more alert after birth with lower magnesium levels.  Labs a little later as a precaution.

Tuesday, January 18, 2011

MAJOR NEWS !

Dr. Saffer just left our room.  He broke it down to us.  Tara has moderate to severe preeclampsia.  We had to make a big decision, balancing the safety of Tara and the baby.  If we wait and try to hold off for a week or two, Tara's condition is only going to deteriorate and she is at risk for seizures or worse.  Generally the baby benefits by more time in the womb.  However, the baby can also suffer from preeclampsia.  The most important thing at this point is to make sure that both Tara and baby come out of this ok.  We also want to make sure that the steroids kick in, and they really need 48 hours after first dose to start effectively working.  48 hours from the first dose would be Wednesday evening, and they don't schedule surgeries for the evening, so we decided to schedule for delivery (c-section) on Thursday morning.  So as of now it appears that Baby Capron will be born on January 20th, at 34 weeks + 2 days (just under 6 weeks early).  In the meantime Dr. Saffer has reduced the amount of magnesium from 2 grams per hour to 1.5 grams per hour.  This should serve two purposes.  It will make Tara feel much better, and it will ween baby off of it so that baby does better at delivery.  They will be closely watching Tara's blood pressure overnight and all day tomorrow.  More labs will also be drawn tomorrow as a precaution.  WE ARE ALMOST THERE!  WE'RE HAVING A BABY!!!!!!!!!!!!!!!

1:30 pm - Update on Urine labs & blood work

We just had a nurse report to us that the urine lab work came back, and the protein levels in the urine are still high.  On a positive note we received word that the blood work shows improvement on platelets and liver function.  So we are still in a holding pattern, waiting to see Dr. Saffer.  Tara is trying to get some sleep, which is difficult, but at least she is resting.  The magnesium makes it very difficult to rest.

FYI: Tara's Baby Shower this Saturday

Sarah is over here at the hospital, and she and I are trying to get the word out to all shower guests that Tara's shower is going on as scheduled this Saturday at 11am.  Tara's Mom and sister have flown out for the shower and will be there.  If Tara can't be there in person, she will be there via Skype.  If you have any questions about the shower or need directions, please call Sarah Peterson at 832-221-5825 or email her at sarrn37@aol.com.

11:00 am - New labs ordered STAT

We are still waiting on the 12-hour urine results.  We expected those results hours ago.  Now they just came in and did new labs (same labs as before), but this time they ordered them STAT, so we are speculating as to why.  We are thinking that it could be a sign that the urine labs are not great, but we don't know yet.  Dr. Saffer is coming in to see us soon we have been told.  Hopefully I will have more news soon, but that's it for now.

6:45 am - 2nd steroid shot

Tara just got her 2nd steroid shot, which is given to help speed up the development of the baby's lungs in the event she has to deliver early.  This 2nd shot was given 12 hours after the first, which is unusual.  Usually the 2nd shot is given 24 hours after.  They decided to spead up the process because there is a good possibility that Tara is going to deliver early, and if so we want the baby's lungs working well.  The 12-hour urine is off to the lab, and we are anxiously awaiting those results, which will probably determine if we are going to meet Baby Capron today or not.  We also just got some GREAT news.  We just found out that Dr. Saffer is on duty today.  He is the surgeon that did Tara's endometriosis surgery and we have always hoped that he would deliver for us.  So at least if it has to happen today, we have the right guy on the job.

4:30 am - Good blood pressure

Tara had a good blood pressure at 4:30am.  It was 126/64.  The magnesium seems to be working.  The contractions are also down to 2 or 3 per hour, which is good.  The side effects of the magnesium are that Tara feels very hot and has a hard time sleeping.  It also causes her to have a headache and general achiness.  Also, the terbutaline (to stop contractions) causes a rapid heartbeat on Tara, up to 120 beats per minute.  This makes it difficult for her to sleep.  They have been collecting her urine all night and they are going to analyze 12 hours of urine to determine if she has preeclampsia.  That collection is ready to be picked up.  I will follow up when we have lab results on the urine.

1:30 am - Tara is trying to sleep

Tara is resting well.  The nurses are not coming in as much.  I think the next test or labwork is scheduled for 5 or 6am.  Until then, it's sleepy time.  I'm going to try to sleep on this bench/couch.

Monday, January 17, 2011

Tara is getting a terbutaline shot

Tara is getting a terbutaline shot right now.  This should stop, or at least slow down the contractions.  Tara is having around 9 contractions per hour, and this is too many.  She should not be having more than 6 per hour.  Tara is also enjoying her apple juice.  Tara also just had her 4-hour assessment, where the nurse checks her lungs, reflexes, and blood pressure.  Bood pressure is 132/89.

Final lab result in

LD (another liver function) lab result came in slightly worse than before.  However, since the other results were all slightly improved, the doctor ordered that Tara can have clear liquids.  She is very happy to be chewing on ice chips now.  It is looking as if Baby Capron will not meet us today, which is great news!  However, the wait continues.  Now we have to monitor the blood pressure and contractions for the next 12 hours. 

Partial lab results

Liver function labs showed slight improvement.  Still waiting on one more lab result.  Baby is doing great, kicking away.  Good heartrate.  Stay inside baby!!!

Blood pressure down a bit...

Tara's blood pressure was just taken.  It is down to 130/81.  Blood platelets are up a bit (improved).  Still waiting on labs.  Still having contractions.  I will put updates on here so I don't have to text and call so many people.  I am updating right after things happen.  Thanks for your support and prayers.

Labs drawn at 9:15 pm

New labs were drawn at 9:15.  We should get the results at around 10:15 or 10:30.  If these results are worse than previous labs we will have to deliver tonight.  The labs are looking at the liver function and platelets.

Baby Capron Status

Just to catch everyone up, we came to the doctor's office today at 1:45 for our 34 week checkup.  Tara's blood pressure was high and she had high levels of protein in her urine.  We were transferred to Triage where they did additional tests and ran labs.  In addition to the elevated blood pressure, the labs came back and showed low platelets.  We were then transfered to PSCU where Tara was admitted, and we will be here for at least a few days.  Tara's blood pressure spiked to dangerous levels, and they put her on Magnesium Sulfate to control the blood pressure.  In addition Tara has been having contractions.  At one point she had 4 contractions in a 15-minute period.  Tara also recieved a steroid shot to help the baby with lung development in case the baby has to be delivered early.  Monitoring continues.