February 9-15th is National Feeding Tube Awareness Week....how appropriate considering the week we've had. Madilyn was doing awesome until a little over a week ago. She was up to 21 pounds 5 ounces and we were starting feeds into her stomach again and making really good, quick progress......and then she caught a slight cold. When I say slight I mean slight...low grade fever for 48 hours and some sneezing, that's it. No big deal....right? Think again.
We started Saturday suddenly puking up a few feeds and waking 3 to 4 hours after starting her night feed just screaming. Screaming like she was in unbearable pain and gagging and puking. We slowed and diluted the feeds for a few days and nothing seemed to help. Tuesday I weighed her and she was down to 20 pounds 7 ounces in less than a week so I called her GI doctor in Milwaukee and they feared that her feeding tube had either kinked or become displaced so it was an emergency trip to Milwaukee on Wednesday for a 15 minute appointment to check placement. Her tube was fine.......
I'm very thankful her tube was still in place but it still doesn't answer what's going on with her then. They have us slowing her feeds way down which means we are spending 18+ hours per day hooked up to the feeding pump again and she's still not gaining weight yet. There are times that we have no choice but to unhook her regardless of her much needed caloric intake as she begins to relentlessly gag herself. She crams that little fist all the way down into her throat and is digging at her throat...she used to do this before her stomach finally healed after her tube change surgery last August. Now the difference is she's older and does it with a vengeance because she needs some type of relief from whatever is bothering her internally. It scares me when she does it because she has made herself bleed and I fear that she will do damage to her throat or esophagus. It's times like this that I wish she had more of a vocabulary and could tell me what's wrong. When she's not feeding she's happy as can be which leaves me even more perplexed.
I cannot even begin to explain the frustration I feel after driving 7 hours one way for an emergency appointment and coming out with absolutely no answers. They instructed us to slow her feeds down even more and to call on Monday with an update and if she's still not gaining weight and tolerating better than it's back to Milwaukee to be inpatient so they can watch and observe and attempt to figure out what's going on.
It's crushing to realize just how quickly all the progress we've made with the feedings can so quickly be undone....and all from a minuscule little cold.....I can't even begin to explain the tremendous amount of grief it causes me.
I keep praying that she'll wake up and her feeds will suddenly go fine and her weight will jump up but I know the cold hard reality of it is that with a tube fed immune compromised child like Madilyn one bad day can undo months of progress.....I just pray we don't end up inpatient. I pray that all the recent gagging and vomiting will not completely undo all the progress we've made with her oral aversion. We finally had her putting food into her mouth for the first time in just over a year......
It's heartbreaking and frustrating and it's our life. With children like Madilyn we live with the unknown every single day. Unfortunately the doctor's not having any answers for us is more the norm than the rare occasion. So when you're healthy little one wants just one more cookie .....please give it to them and count your blessings to be able to do something so normal.....
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