The Law of Diminishing Returns

The American Heritage dictionary states that the Law of Diminishing Returns is "the tendency for a continuing application of effort or skill toward a particular project or goal to decline in effectiveness after a certain level of result has been achieved."

Our application of effort is the injection of IV fluids into Randi. Our particular goal is to undo the reverse end diastolic flow in Wyatt and keep Randi "preggers." Our level of effectiveness on this curve is drawing close to zero. At our perinatologist appointment this afternoon, Wyatt has slipped back into reverse flow on the Doppler's after Randi received fluids on Saturday. It appears the treatments are having discounted efficacy in keeping the blood flow out of this dangerous condition. He looks so displaced on the ultrasound images. Parks looks like he's taking up 2/3's of Randi's uterus. On the plus side, he continues to have good reactive tracings on the heart rate monitors. These are important because they give us an extended window into their world, usually 1-3 hours, whereas the ultrasound Doppler's are more like a snapshot at any one point in time.

Randi will return, yet again, to Labor and Delivery tomorrow for more IV fluids and possibly scans. Thirty-two weeks and two days; everyday continues to count.