This morning we were called by the Piper’s neonatologist and a surgeon. She had spontaneously perforated her bowel and was spilling air, bacteria, fluid, and stool into her abdominal cavity. They obtained our consent and proceeded with an emergent surgery to place a drain in her belly. From the time the doctors recognized the perforation to the time of surgery was approximately 20 minutes- they caught it early. As a result of the perforation though, Piper has developed an infection in her blood (likely E.coli, although this hasn’t yet been officially confirmed). She currently is on four antibiotics to help fight the infection. The infection has spread throughout her body and has made her “septic”, meaning the infection is affecting all of her internal organs including her blood vessels, heart, and kidneys. Because of this sepsis, her blood pressure has been dangerously low all day and she has not produced urine since very early this morning. The doctors have tried to bring up her blood pressure with pressors, or medications that clamp down the blood vessels and help the heart to pump blood more effectively. As of an hour ago, her blood pressure finally stabalized, but she is currently on four pressors to help with this. She has not yet made any urine, but we are hoping this will happen soon now that her kidneys will be getting more blood flow (now that her blood pressure is better). Because of the fluctuations in blood pressure and because of her serious infection, Piper’s doctor was very concerned that she may have developed a brain bleed today. They obtained another head ultrasound as of 2pm today and we are happy to say that no bleed was seen. In addition to the infection, blood pressure issues, and surgery today, we have also been working on how to best support Piper’s breathing. She is currently on a traditional ventilator, but her recent blood gases (a marker of how well she is breathing on the ventilator) were not good. They will likely switch her over to a different ventilator tonight called an oscillator. This will be a machine that breathes for her at approximately 200 breaths per minute and will hopefully be gentler on her lungs and help her to ventilate better too. This has been probably the most emotionally exhausting day of my life. Jordon and I were at Piper’s side for 9 hours today and we truly were scared we would lose her. Her doctor keeps saying she is a fighter and I know in my heart she is.