Rounds

Back at the NICU after staying away for a couple days because of my cold.
Little Rygg's blood sugar was higher last night, from the mid-250s up to 400s.  We were here for rounds this morning as they discussed what to do about this.  One of the doctors pointed out that the insulin he's getting every 6 hours will be completely gone from his body by 4 hours.  Typically it's not recommended to give it more often than six but Dr. Z, the fellow (her name is long and Polish-sounding, and I can't spell it) said she would watch him closely today and possibly order insulin every 4h.  For now they just increased his next dose (right now) by 10%.
Dr. Chan, the neonatologist, added that they'd be presenting his case at a meeting of doctors and professors from the university at 3 this afternoon to see if anyone has any useful suggestions.  After that Dr. Z has another meeting at 4, but we should be able to grab her in the evening to see if anything came from that.
I have to say that, having seen the rounds process, where the fellow and nurse consulted their three-ring binders frequently, I'm a little surprised at how low-tech a lot of the NICU is.  The vital signs monitors are electronic but everything else is just a paper record.  While the doctors were trying to correlate insulin times with blood sugar readings and feeding times in their heads I couldn't believe there wasn't a way to just chart those numbers on a graph on the station's computer.  It would be trivial if these records were digital but apparently they are not.  To someone in my line of work that's a little scandalous.  Not to mention that there's just that much more of a factor for human error that could be avoided with modern tools.