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Abdel Latif was born 1000 gm when his mother could not keep the pregnancy because of rupture membrane The baby's lungs were premature and ha needed to be put on ventilator and given servanta 3 dose with lungs still in bad shape He had a heart problem as his Ductus Arteriosus that suppose to close after birth stayed open His immune system was compromized and he had sever infection that was successfully treated He had apnea of prematurity that his respiratory regylation center was immature and ha was developing 4-8 attacks a day of stopping breathing He was very difficult to start NG feeding and was not tolerating feeding through the nadogastric tube When he tolerated feeding it was very difficult for him to coordinate sucking , swalowing and breathing in the same time Finally after 52 days of continous stuggle he was discharged Now he is healthy happy no brain damage