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#51684 From: "Eleanor" <eleanordyne@...>
Date: Fri Aug 1, 2008 9:39 pm
Subject: Thomas Update
eleanormdyne
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Well, we saw the GP yesterday – no weight change and she was off with her last height measurements by a cm so there’s only a possible increase of half a cm – which tallies with my impression of his clothes fitting a bit better but still not anywhere actually growing out of them J

 

However – we got the prilosec solution and started him on it last night. Even mostly asleep he managed to spit out almost all of the dose – despite the fact that the chemist added something to make it a little sweeter (it’s really bitter!). This morning we filled a syringe with fruit juice and prilosec and probably got ¾ of the dose in – but it’s still a 2 person job!

 

The wonderful news was that the GP discovered the special authority number we need to get the Neocate Advance is covered in his current one to get the Pepti-Junior so she was able to just write a script for it – we get it today!! That’s 100cal per 100 mls instead of 67 cal per 100 mls!

 

She agreed that we need to know where Thomas is at nutritionally and how long we’ve actually got before his eating is affecting him and his development. So now I’ve got a list of 17 different things to do blood tests for! We’ll have all of those results before we see the paed so we can map out where to go from here with all that information. She also told me that in terms of Thomas reflux, weight, eating etc her hands are largely tied because it’s the paed’s job – so now we know who to hassle!

 

We will get the surgeon’s email and email him with the questions we’ve thought of since our appointment because like me, the GP can’t see why, if reducing the acid in Thomas will help, that surgery to prevent it getting where it shouldn’t won’t – if you follow me. The GP still thinks the surgery is probably the right way forward – but we want to find out why the surgeon thinks surgery isn’t the best option.

 

The GP is also going to call the feeding therapist to see where to from here and find out what she can offer exactly, as am I – the therapist said she’d call the day after Thomas’ surgeon appointment but hasn’t yet…

The GP has suggested that we get a psychologist involved because of the learnt behaviour aspect of Thomas’ eating but since Peter has been saying for ages that too many people are involved with Thomas’ care I don’t want to throw another into the mix just yet! So we’re going to hold off on that until we see what exactly the feeding therapist has to offer – it may be she gets psychologist involvement in the course of her work. We haven’t even started with her yet and I feel we need to at least find out what she has to offer! And once we get the blood work back we’ll know how urgent his nutritional status is and so whether we’ve got time to mess around a bit or if we need to do something now to fix his nutrition so we do have the time for this long term project of sorting Thomas’ eating.

 

I feel like we’ve actually got a bit of a map now, we will get the much needed info on Thomas’ health (the GP has said he will be suffering some degree of malnutrition by now – while I knew that, it’s the first time I’ve heard it from a medical person so not fun!), and we know who the key person is in Thomas’ care. We see the paed in 25 days and by then we should have a whole lot more info to go to the paed with to insist something is done!

 

I hate the fact that she’s said he will be suffering malnutrition. The dietician’s said he’d be suffering it if it weren’t for his formula so it’s a bit different when they say he IS. I know logically he would be but still – malnutrition happens in the 3rd world, not MY kids!

 

In terms of any worries about questioning our care of Thomas the GP suggested that we go back to seeing the paed privately so we could see her more often, more easily. I explained that because of those accusations Thomas had to stay in the public system, but the GP said that it’s been so long now we should be able to move back privately – so I’d guess she’s not thinking we’re neglecting Thomas! We know from the surgeon’s letters he’s not thinking that way, and the paed has asked us often enough if we’re happy with her care and trust her etc – not something you ask if you are about to go behind the parents and dob them in!

 

So I think we’re getting somewhere! Oh and _I_ won the cornflakes battle with Thomas where Peter failed and he’s eaten it for breakfast 2 days in a row – minimal amounts but still it’s better than a total refusal which was all Peter got from him J

Eleanor, mummy to -
William, 33 weeker 10 years,
Nicholas, 36 weeker 7 years,
Thomas, 36 weeker now 3.

 


#51683 From: Courtney Murrell <CourtneyNTrey@...>
Date: Fri Aug 1, 2008 2:58 am
Subject: RE: Gracie/Aaron update
murrell.cour...
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I hope that Aaron starts to improve. He has been in my prayers and I have kept up with his caringbridge site. I know things look bad, but God can do all things.
May God Bless you and Keep you Aaron!
I know this is so hard on Gracie watching him go through this. She is in my prayers as well
Courtney




To: feeding@yahoogroups.com
From: itsnopicnic@...
Date: Thu, 31 Jul 2008 22:57:23 +0000
Subject: [feeding] Gracie/Aaron update


Gracie said Aaron is holding his own, but it doesn't sound good. They
are trying to avoid a chest tube because he now has an infection of the
large incision they had to make for the second surgery :-( He's also
lost so much blood that they are planning on doing a transfusion either
tonight or tomorrow, but because of his IgA deficiency it may make him
sicker. He's lost so much blood that he's on what they call the blood
conservation program meaning that if they need blood all the tests have
to be run with only one vial a day.

Gracie also said that he's very constipated and has bile coming from
his button drain. He's a very sick little boy so if you're the praying
type please do. His name on caringbridge.org is aaronczup, but she
hasn't been able to do an update in awhile.

Thanks,
Michelle-AKA Zombie Mommy
www.caringbridge.org carissamaya




Stay in touch when you're away with Windows Live Messenger. IM anytime you're online.

#51682 From: "itsnopicnic" <itsnopicnic@...>
Date: Thu Jul 31, 2008 10:57 pm
Subject: Gracie/Aaron update
itsnopicnic
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Gracie said Aaron is holding his own, but it doesn't sound good. They
are trying to avoid a chest tube because he now has an infection of the
large incision they had to make for the second surgery :-( He's also
lost so much blood that they are planning on doing a transfusion either
tonight or tomorrow, but because of his IgA deficiency it may make him
sicker. He's lost so much blood that he's on what they call the blood
conservation program meaning that if they need blood all the tests have
to be run with only one vial a day.

Gracie also said that he's very constipated and has bile coming from
his button drain. He's a very sick little boy so if you're the praying
type please do. His name on caringbridge.org is aaronczup, but she
hasn't been able to do an update in awhile.

Thanks,
Michelle-AKA Zombie Mommy
www.caringbridge.org carissamaya

#51681 From: "itsnopicnic" <itsnopicnic@...>
Date: Thu Jul 31, 2008 2:33 pm
Subject: Re: Saw Surgeon
itsnopicnic
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Eleanor,

((((((HUGS))))))girl!!!!! You sound just like me with Carissa and it does sound like you are in for a long battle :-( I hate to say it, but it sounds like you won't get anywhere until you get to the major hospital route. I fought with all of Carissa's docs and tried to nail them down on a gameplan and they got so frustrated that they actually sent me to the other hospital!!!!!!!! They even put in her records that they couldn't treat her because we weren't satisfied with their care!!!! Long story, but it all turned out for the better.

I think it's horrible that we constantly have to worry over the care of our kids and then that the government will come in and snatch them up at will. It's too much and simply ridiculous, but I think most of us on this board have dealt with the same thing :-( It sounds like you're doing a wonderful job and CYA so try not to worry to much about that part of it.

I definitely agree on the pedi and GP, get them to draw as many bloods as you can think of for whatever sounds like it fits. That's an easy enough request and test that they should be able to at least accomodate that. Our pedi will do this for me if I have the research/reasons behind my request and they make sense :-) She's only turned me down once or twice which is nothing in the grand scheme of things!

Which doctor is considered his main care provider Gp or pedi? That person has a very strong vested interest in his care. That is the person that you need to really nail down with a plan for care. I would tell them EVERYTHING going on and even mix in the other two to an extent (who knows it may be genetic like mito). Make sure your next appointment with that doc will allow the time necessary as it will need to be a long visit. Ask them to be as specific as possible and mention ALL of your concerns and thoughts. Ask about the inpatient feeding clinic as well as second opinions. I understand what your dh is saying about all the doctors. Mine did the same thing!!!!!! I had to override him though in that we went for second opinion (not much choice after the first GI yelled at me (literally) in her hospital room and put that remark about their care in her chart!!!!! again long story, ask me later!) and it turned our world around!!!!

I don't remember if you were on the group yet then, but I was REALLY STRESSED about it then. Everyone here knew that I was pushing for a tube and I got scared when pedi called the second GI and called me to tell me that he knew the first one well. I was terrified that the trip would be in vain, but like she pointed out they would have to know each other and just because he knows him well doesn't mean they practice the same! The second GI really surprised us and did EVERYTHING I had asked first GI to do!!!!! He did see her struggling to eat while we were there though, but he reviewed her records before we ever arrived and already had a gameplan if I was willing. With a second opinion you're not getting another doc involved in that sense that your dh may be thinking. I had to point this out to mine as well. When you get a second opinion it is just that. You get their opinion and then you decide which doctor to continue on with never messing with the other doctor again :-) It was a Godsend for us. We now have a GI we love:-) I don't know how it is there, but here in the states the pedi told me not to worry, because she felt at the time we were fighting, that a g button was probably necessary. She told me not to worry about it because we could always find her a doc that would be willing to do it. Technically she probably could have sent us to a surgeon and had it done herself, but I think she was hoping for confirmation of her thoughts first. Either way we fought this battle for 6 months!!!!! but finally won. Now the other docs can eat crow!!!!

Hang in there! if he needs the button he'll get it. I'm just kind of confused why they would deny the button but not the fundo. Fundo has more inherent risk and they could do away with both problems by making the button a J button. You might want to ask the pedi or GP if that might be a better option.....have him take the meds and eat as much as possible ny mouth (since he's probably regulating himself on comfort) and then the rest of his missing calories/nutrition you could tube.

Just a few thoughts for you. I'm definitely praying for and thinking about you. I know all too well what you are going through. I felt your despair not all that long ago :-(

(((HUGS)))

Michelle-AKA Zombie Mommy

www.caringbridge.org carissamaya


--- In feeding@yahoogroups.com, "Eleanor" <eleanordyne@...> wrote:
>
> Thanks Michelle!
>
>
>
> Since Peter thinks we've got too many docs on Thomas' case and that's why
> they can hand off from one to the other second opinions probably wouldn't be
> worth it until we screw them to the ground on him to start with.
>
>
>
> My parents are overseas at the moment but I talked to my mother this morning
> and she voiced the concern that they might either put Thomas in hospital or
> take him from us. We get copied in with correspondence from the surgeon so
> I'm fairly confident that no trouble is going to come from there. If I have
> the courage I'm going to ask the GP if there are any rumours wandering in
> that direction. The paed rescued us from the hospital paed and has always
> given us the impression she trusts us so hopefully there won't be a problem
> from that end.
>
>
>
> Typically, I've now thought of lots of questions we should have asked the
> surgeon – why, if suppressing the acid and retraining Thomas to eat is going
> to work, then why is surgery – to stop the acid getting into the wrong
> places not going to?
>
> I should have thought and pointed out, as I have now done to Peter, that the
> terrible state Thomas was in at 3 months old and ng tube fed, was ON liquid
> losec and at that stage he didn't have the psychological feeding issues to
> contend with, so why's it going to work now? I might see if it's possible to
> email him with questions to get further information.
>
>
>
> At least Peter doesn't think we should leave it 6 months like the surgeon
> suggested and I've discovered that we should be able to get the liquid losec
> so I'll get the GP to prescribe it tomorrow so we can start that battle and
> have more to tell the paed on the 26th.
>
>
>
> I'm going to insist that we do the FTT bloods and see if his biochemistry is
> in balance or whether his persistent undernutrition is having impacts there
> too. Again that will give us more info for the paed. I'll also get the GP to
> ask the paed to fill in the forms for Thomas to get the Neocate Advance
> (that process will take a while) so at least he'll be getting 100 cal per
> 100ml instead of 67 cal per 100 ml! It also has more carbs, protein and
> calcium.
>
>
>
> I have spent since he was a few months old being told that if he doesn't get
> enough to eat then all sorts of terrible things will happen to him, his
> development and his brain. So I'm going to ask how close to that line he is,
> how urgent is this really? Maybe I'm worrying for nothing, but I doubt it,
> why would the doc have set up 2 weekly weighs? But I'm going to stick with
> the regular weighs – I'm NOT being blamed for anything going wrong this
> time. As soon as he starts to lose weight then it's their problem to respond
> to.
>
>
>
> We'll have to try this medical route at least until we see the paed, not too
> far away now. Then we have to ask the hard questions of HOW THEY think he's
> going to eat, thrive and grow, and what kind of cut off point they have for
> action in terms of alternative feeding and or surgery. No one is giving us
> any kind of steady ground rules here and we just keep struggling on and not
> succeeding. The surgeon said first off no tube, then next appointment said
> if weight doesn't improve he'd seriously consider a tube, then last
> appointment no tube unless not keeping to some kind of curve – which he's
> not! I don't know!
>
>
>
> The paed appointment is going to be a `fun' one I think and hopefully Peter
> will do his bit and actually speak up this time! He only has breakfast and
> dinner with Thomas – and only dinner on nights he doesn't have rehearsals –
> and he's about to launch into some intensive rehearsals shortly. So it's
> easy to forget how bad Thomas actually is when you only have one meal a day
> with him.
>
>
>
> Last night Peter got all excited because Thomas ate about 3 serving
> spoonfuls of rice and a teaspoonful of chilli. I'd only served Thomas 2
> spoonfuls of rice and Thomas asked for more! It's fantastic but it has to be
> seen in the context of 1/3 of a slice of plain bread for breakfast, about a
> 2 x 3x2 cm bit of choc brownie for morning tea. 1/3 of a slice of bread for
> lunch with 2 tiny bits of cold roast pork, afternoon tea refused and only
> 400mls of formula over the day. So yes, he ate, yes he was hungry, yes he
> asked for more – but over a day that's not enough to survive or thrive!
> Often he refuses the brownie too and often he can muck around with breakfast
> even after eating a teaspoonful of rice for dinner – surely he's hungry
> then! Besides, there aren't very many calories in boiled rice!!
>
>
>
> It's depressing really – with Nicholas still mucking round with food as well
> I have food battles 10 times a day at the moment!
>
>
>
> I think we've actually got to chase the real root of the problem – why does
> he not like to eat, is it pain, is it a learnt behaviour, is there some
> underlying condition causing the on going problems – an endocrine problem, a
> metabolic problem, does he have mitochondrial disease? Some of the reading
> I've done suggests that could be a possibility.
>
>
>
> He's been tested for cystic fibrosis, we'll get him tested for celiac
> disease but that's unlikely I'd think. I remember when we were really
> struggling with William they tested for CF, celiac's and talked about
> testing for growth hormone. Since Thomas is having problems with his hair
> maybe it's a thyroid problem – that could be tested for in a simple blood
> test too. His nappies tend to be really smelly – is it maybe a kidney
> problem – or is it just that he doesn't drink enough and he's slightly
> dehydrated all the time? A urine sample – never fun to try and get in a
> child who isn't toilet trained – can give us answers on that one.
>
>
>
> Thomas is a maze which has to be sorted through slowly, calmly and
> logically – but we need to know what time we have to do it in and if
> necessary do something to ensure we have that time for the trek! We need to
> look at the whole picture of Thomas – he has a speech delay which the speech
> therapist is now saying points to a processing disorder (yay, that spells a
> fun future with reading and writing…), his gross motor skills are a bit
> delayed too – is that due to lack of energy and coming back to his nutrition
> or is it a sign of the bigger problem?
>
>
>
> But we need to have a clear and absolute plan that no one is going to muck
> around with – if he does x, loses y amount, or doesn't gain anything by z
> then a happens. We have a time line to try the losec and if he isn't
> improving at all by m time then w happens. That's what we need now and I
> think by asking both the GP and the paed how close Thomas' undernutrition is
> running to the line of doing harm to him then they might have to stop and
> think. Having to state an opinion other than `he'll be fine, don't worry
> about it' will require them to stop blowing everything off so totally.
>
>
>
> Maybe we need to go to Auckland, to Starship, the major paeds hospital in
> the country (there are only 2!). They have all sorts of experts there in all
> sorts of fields, including having the only in patient feeding program in the
> country. But first we have to exhaust the possibilities of what the paed and
> GP are prepared to give us.
>
>
>
> Eleanor, mummy to -
> William, 33 weeker 10 years,
> Nicholas, 36 weeker 7 years,
> Thomas, 36 weeker now 3.
>
>
>
> _____
>
> From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf Of
> itsnopicnic
> Sent: Wednesday, 30 July 2008 3:34 p.m.
> To: feeding@yahoogroups.com
> Subject: [feeding] Re: Saw Surgeon
>
>
>
> Oh Eleanor, GOOD GRIEF!!!!!! I wish there was something I could do. I know
> how hard it is when they sit there and tell you well you just need to make
> it happen, you need to make them eat XYZ and if they don't they'll just
> wither up on you. We had the same problem with Carissa. She aspirates!!!!!!
> BAD, and all they did for awhile was tell me to figure it out on my
> own!!!!!! What do some of these dumb docs think? That we can just open there
> mouth and pour it in.....even if I could it wouldn't have worked with
> Carissa now would it!?!?!?!?!?!?!?!?
>
> Are second opinions an option where you live? It took much screaming,
> crying, and traveling to get other opinions to find a doc that would give
> her the button and he agreed with me that it should have been done instead
> of the NG when they did the NG. Long story, but I still have a lot of
> regrets about how her first hospital visit played out. I just keep reminding
> myself that it could have ended up worse and that she may have died if they
> did transfer her. You have to keep fighting!!!
>
> See if you can get second opinions as soon as possible and thirds even if
> necessary and yes your DH REALLY needs to step up to the plate now. You can
> tell him I said that. My dh doesn't usually get involved but boy when he
> does!!!!!! We discovered a fraudulent charge on a credit card that I paid
> off months ago and we got a letter in the mail saying we owe money now
> because I was behind 3 months payments. When I proved to my dh that I had
> paid it off and not used it and what was wrong he called to take care of it.
> I thought the person on the other line was going to quit their job before he
> finished!!!!! He's good when he has to be :-)
>
> At the same time he does need some serious testing it sounds like, but if
> it's going to take that long I don't understand why they wouldn't do a
> button to be on the safe side to hold him until the results get back. If
> that happened here in the states and anything happened to him it would be a
> lawsuit. I do think from reading your posts that they are being careless and
> negligent by not having a solid gameplan for you. Their plan seems full of
> holes. I'm soooo sorry you have to fight so hard for your baby :-( I agree
> with your weigh ins too. CYA is best right now for sure. Let it be a
> constant reminder for them too!!!! Maybe if it gets bad enough someone else
> will step in or someone will get their head out of their $%^ long enough to
> take care of him. I'm praying for you that it doesn't get that bad before he
> gets the help he needs and deserves though!
>
> ((((((HUGS))))))
>
> Michelle-AKA Zombie Mommy
>
> www.caringbridge. <http://www.caringbridge.org> org carissamaya
>
>
> --- In feeding@yahoogroups.com, "Eleanor" eleanordyne@ wrote:
> >
> > Thanks Michelle,
> >
> >
> >
> > It's a wet and miserable day here so I need to get the kids off the
> computer
> > long enough to do some research!
> >
> >
> >
> > The thing that gets to me is that Thomas was on the liquid losec when he
> was
> > 3 months old and so thin, he was on the losec granules when he got
> referred
> > to the dietician because he wasn't eating enough – why is this going to be
> > any different this time?
> >
> >
> >
> > I don't want to endanger Thomas' health with a major weight loss by doing
> > the nissen, but as far as I can see he's failed medical therapy! Still we
> > want to have tried everything before jumping to something like that which
> > may well not work any way. So, I'm going to make Peter help to give Thomas
> > his losec because I know it's going to be a screaming battle and going to
> be
> > horrible. I've discovered that they have relaxed the criteria on the
> liquid
> > losec and he should be able to get it – so I'll get the GP to write a
> script
> > on Friday so we can start the battles and have been trying for a good
> while
> > before we see the paed on 27 August.
> >
> >
> >
> > The surgeon reckons that within 6 months of ppi therapy he'll be eating
> just
> > fine, the feeding therapist says it's a really long term project – how
> many
> > kids has the surgeon helped to eat? Both the surgeon and the paed have had
> > the view reflux kids come right quickly once you sort the reflux. They
> > clearly have no real understanding of feeding difficulties!
> >
> >
> >
> > I've had it thumped into me since he was about 3 months old that if you
> > can't get enough calories in then dreadful things are going to happen to
> him
> > and his brain – so how long has he got? How long is a piece of string? If
> we
> > leave it all 6 months am I going to have an almost 4 year old weighing
> less
> > than a 1 year old? Is he still going to be 11.5kg?
> >
> >
> >
> > I've told Peter he has to step up and ask the questions about what Thomas
> > needs to eat and how people actually think it's going to be achieved
> because
> > I'm not getting anywhere. He was supposed to do that last appointment with
> > the paed but she had a student with her and spent ¾ of the time explaining
> > things to the student instead of talking to us.
> >
> >
> >
> > In the meantime – breakfast used to be Thomas' best meal – he's stopped
> > eating a handful of cornflakes and now only eats about a third of a slice
> of
> > plain bread…
> >
> >
> >
> >
> >
> > Eleanor, mummy to -
> > William, 33 weeker 10 years,
> > Nicholas, 36 weeker 7 years,
> > Thomas, 36 weeker now 3.
> >
> >
> >
> > _____
> >
> > From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf
> Of
> > itsnopicnic
> > Sent: Wednesday, 30 July 2008 1:57 a.m.
> > To: feeding@yahoogroups.com
> > Subject: [feeding] Re: Saw Surgeon
> >
> >
> >
> > Eleanor,
> >
> > ((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
> > button. I really don't understand it. I do however understand not
> > doing the fundo. With everything Gracie is going through with Aaron
> > I'm glad it was never done on Carissa. It really should only be done
> > after all meds are proven ineffective and reflux is severe. It just
> > stinks that you can't readily get the same drugs we can and that you
> > have to wait so long and fight so hard to try all the drugs!
> >
> > I'm so sorry, but it seems like you may have been thrown into my
> > world of the undiagnosed. Let me know if you want any links on that.
> > Your statement of him losing his hair jumped out at me like a flaming
> > arrow because I knew I had read it somewhere before when I was
> > researching things. Your surgeon is partially right. I just can't
> > believe the GP or pedi didn't pick up on these things and test for
> > them before sending you to surgeon since it's so hard to get in to
> > see him :-( Here's a link that will take you to a site that has
> > several links on possibilities of what may be wrong with him based on
> > stomach pain, poor growth, and hair falling out. There are several
> > types of celiac listed and maybe you telling him the hair bit was
> > like a flaming arrow for him too. I don't know. Check out this info
> > and let me know what you think he fits into if any. Depending what
> > they find he has you may have an answer for Nathan too.
> >
> > http://symptoms.
> > <http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair->
> > wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
> > loss/poor-growth.htm
> >
> > I don't know how things are in your country, but maybe the surgeon
> > was afraid to do the surgery without a proper diagnosis or maybe a
> > proper diagnosis would lead to a better non-surgical treatment. I
> > don't know. All I know is that all surgery has risks and the button
> > is less risk than the fundo. Hope I've helped you some. I know I had
> > to really fight long and hard for Carissa's button. Remember it took
> > me about 6 months from the time I actually started fighting, but
> > technically she should have gotten hers when she was only 5 weeks old
> > meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))
> >
> > Michelle-AKA Zombie Mommy
> > www.caringbridge.org carissamaya
> >
> >
> >
> > __________ NOD32 3304 (20080728) Information __________
> >
> > This message was checked by NOD32 antivirus system.
> > http://www.eset.com
> >
>
>
>
> __________ NOD32 3311 (20080730) Information __________
>
> This message was checked by NOD32 antivirus system.
> http://www.eset.com
>


#51680 From: Gregory Buckley <buckley_gmba@...>
Date: Thu Jul 31, 2008 6:41 am
Subject: Re: Natalie had her surgery
buckley_gmba
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Donna,

 

Sounds to me like Natalie takes after her mother in her strength and determination.  I have read about you and Natalie's journey over the past couple years and have been in awe of your ability to get what's needed for your daughter (ie, telling the doctors).   Natalie not only takes after her mother in her determined nature, but she also sees daily examples of how to use her strengths.  Hats off to you and prayers for a restful and full recovery for Natalie.

 

Michelle

--- On Wed, 7/30/08, Wolf-Zeolla, Donna <dwolf@...> wrote:

From: Wolf-Zeolla, Donna <dwolf@...>
Subject: [feeding] Natalie had her surgery
To: preemie-list@yahoogroups.com, feeding@yahoogroups.com
Date: Wednesday, July 30, 2008, 1:15 PM

Today Natalie had her surgery to close her leaking g-tube hole. I was up most of the night and she fought very hard to not go under. I finally had to wrap her strong arm behind me and restrain her weaker arm and legs so they can put the mask on her face. She has a very strong will and fight in her. She carried on for a good hour before falling asleep and then have night terrors while napping at the hospital.

Part of me is happy for her strong will because that is what made her survive her prematurity, but another part of me is so upset to have to see a child go through so much at such a young age. It really makes me wonder why. It is so unfair that she has to go through all this stuff and others don't. Not that I wish they did. I just wish my daughter didn't have to.  Thankfully she is now home and sleeping and I am just an emotional mess from it all. I hope this is the end to all these procedures. She will be staying home for a week to recover, so the stitches don't open and she heals. I am tired of going through all of this.

Thanks for listening and your support. I am glad I have this place to go to talk about it, because others around me just don't understand.

Donna
Mom to Michael and Natalie



#51679 From: "Eleanor" <eleanordyne@...>
Date: Thu Jul 31, 2008 4:30 am
Subject: RE: Re: Saw Surgeon
eleanormdyne
Offline Offline
Send Email Send Email
 

Thanks Michelle!

 

Since Peter thinks we’ve got too many docs on Thomas’ case and that’s why they can hand off from one to the other second opinions probably wouldn’t be worth it until we screw them to the ground on him to start with.

 

My parents are overseas at the moment but I talked to my mother this morning and she voiced the concern that they might either put Thomas in hospital or take him from us. We get copied in with correspondence from the surgeon so I’m fairly confident that no trouble is going to come from there. If I have the courage I’m going to ask the GP if there are any rumours wandering in that direction. The paed rescued us from the hospital paed and has always given us the impression she trusts us so hopefully there won’t be a problem from that end.

 

Typically, I’ve now thought of lots of questions we should have asked the surgeon – why, if suppressing the acid and retraining Thomas to eat is going to work, then why is surgery – to stop the acid getting into the wrong places not going to?

I should have thought and pointed out, as I have now done to Peter, that the terrible state Thomas was in at 3 months old and ng tube fed, was ON liquid losec and at that stage he didn’t have the psychological feeding issues to contend with, so why’s it going to work now? I might see if it’s possible to email him with questions to get further information.

 

At least Peter doesn’t think we should leave it 6 months like the surgeon suggested and I’ve discovered that we should be able to get the liquid losec so I’ll get the GP to prescribe it tomorrow so we can start that battle and have more to tell the paed on the 26th.

 

I’m going to insist that we do the FTT bloods and see if his biochemistry is in balance or whether his persistent undernutrition is having impacts there too. Again that will give us more info for the paed. I’ll also get the GP to ask the paed to fill in the forms for Thomas to get the Neocate Advance (that process will take a while) so at least he’ll be getting 100 cal per 100ml instead of 67 cal per 100 ml! It also has more carbs, protein and calcium.

 

I have spent since he was a few months old being told that if he doesn’t get enough to eat then all sorts of terrible things will happen to him, his development and his brain. So I’m going to ask how close to that line he is, how urgent is this really? Maybe I’m worrying for nothing, but I doubt it, why would the doc have set up 2 weekly weighs? But I’m going to stick with the regular weighs – I’m NOT being blamed for anything going wrong this time. As soon as he starts to lose weight then it’s their problem to respond to.

 

We’ll have to try this medical route at least until we see the paed, not too far away now. Then we have to ask the hard questions of HOW THEY think he’s going to eat, thrive and grow, and what kind of cut off point they have for action in terms of alternative feeding and or surgery. No one is giving us any kind of steady ground rules here and we just keep struggling on and not succeeding. The surgeon said first off no tube, then next appointment said if weight doesn’t improve he’d seriously consider a tube, then last appointment no tube unless not keeping to some kind of curve – which he’s not! I don’t know!

 

The paed appointment is going to be a ‘fun’ one I think and hopefully Peter will do his bit and actually speak up this time! He only has breakfast and dinner with Thomas – and only dinner on nights he doesn’t have rehearsals – and he’s about to launch into some intensive rehearsals shortly. So it’s easy to forget how bad Thomas actually is when you only have one meal a day with him.

 

Last night Peter got all excited because Thomas ate about 3 serving spoonfuls of rice and a teaspoonful of chilli. I’d only served Thomas 2 spoonfuls of rice and Thomas asked for more! It’s fantastic but it has to be seen in the context of 1/3 of a slice of plain bread for breakfast, about a 2 x 3x2 cm bit of choc brownie for morning tea. 1/3 of a slice of bread for lunch with 2 tiny bits of cold roast pork, afternoon tea refused and only 400mls of formula over the day. So yes, he ate, yes he was hungry, yes he asked for more – but over a day that’s not enough to survive or thrive! Often he refuses the brownie too and often he can muck around with breakfast even after eating a teaspoonful of rice for dinner – surely he’s hungry then! Besides, there aren’t very many calories in boiled rice!!

 

It’s depressing really – with Nicholas still mucking round with food as well I have food battles 10 times a day at the moment!

 

 I think we’ve actually got to chase the real root of the problem – why does he not like to eat, is it pain, is it a learnt behaviour, is there some underlying condition causing the on going problems – an endocrine problem, a metabolic problem, does he have mitochondrial disease? Some of the reading I’ve done suggests that could be a possibility.

 

 He’s been tested for cystic fibrosis, we’ll get him tested for celiac disease but that’s unlikely I’d think. I remember when we were really struggling with William they tested for CF, celiac’s and talked about testing for growth hormone. Since Thomas is having problems with his hair maybe it’s a thyroid problem – that could be tested for in a simple blood test too. His nappies tend to be really smelly – is it maybe a kidney problem – or is it just that he doesn’t drink enough and he’s slightly dehydrated all the time? A urine sample – never fun to try and get in a child who isn’t toilet trained – can give us answers on that one.

 

 Thomas is a maze which has to be sorted through slowly, calmly and logically – but we need to know what time we have to do it in and if necessary do something to ensure we have that time for the trek! We need to look at the whole picture of Thomas – he has a speech delay which the speech therapist is now saying points to a processing disorder (yay, that spells a fun future with reading and writing…), his gross motor skills are a bit delayed too – is that due to lack of energy and coming back to his nutrition or is it a sign of the bigger problem?

 

But we need to have a clear and absolute plan that no one is going to muck around with – if he does x, loses y amount, or doesn’t gain anything by z then a happens. We have a time line to try the losec and if he isn’t improving at all by m time then w happens. That’s what we need now and I think by asking both the GP and the paed how close Thomas’ undernutrition is running to the line of doing harm to him then they might have to stop and think. Having to state an opinion other than ‘he’ll be fine, don’t worry about it’ will require them to stop blowing everything off so totally.

 

Maybe we need to go to Auckland, to Starship, the major paeds hospital in the country (there are only 2!). They have all sorts of experts there in all sorts of fields, including having the only in patient feeding program in the country. But first we have to exhaust the possibilities of what the paed and GP are prepared to give us.

 

Eleanor, mummy to -
William, 33 weeker 10 years,
Nicholas, 36 weeker 7 years,
Thomas, 36 weeker now 3.

 


From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf Of itsnopicnic
Sent: Wednesday, 30 July 2008 3:34 p.m.
To: feeding@yahoogroups.com
Subject: [feeding] Re: Saw Surgeon

 

Oh Eleanor, GOOD GRIEF!!!!!! I wish there was something I could do. I know how hard it is when they sit there and tell you well you just need to make it happen, you need to make them eat XYZ and if they don't they'll just wither up on you. We had the same problem with Carissa. She aspirates!!!!!! BAD, and all they did for awhile was tell me to figure it out on my own!!!!!! What do some of these dumb docs think? That we can just open there mouth and pour it in.....even if I could it wouldn't have worked with Carissa now would it!?!?!?!?!?!?!?!?

Are second opinions an option where you live? It took much screaming, crying, and traveling to get other opinions to find a doc that would give her the button and he agreed with me that it should have been done instead of the NG when they did the NG. Long story, but I still have a lot of regrets about how her first hospital visit played out. I just keep reminding myself that it could have ended up worse and that she may have died if they did transfer her. You have to keep fighting!!!

See if you can get second opinions as soon as possible and thirds even if necessary and yes your DH REALLY needs to step up to the plate now. You can tell him I said that. My dh doesn't usually get involved but boy when he does!!!!!! We discovered a fraudulent charge on a credit card that I paid off months ago and we got a letter in the mail saying we owe money now because I was behind 3 months payments. When I proved to my dh that I had paid it off and not used it and what was wrong he called to take care of it. I thought the person on the other line was going to quit their job before he finished!!!!! He's good when he has to be :-)

At the same time he does need some serious testing it sounds like, but if it's going to take that long I don't understand why they wouldn't do a button to be on the safe side to hold him until the results get back. If that happened here in the states and anything happened to him it would be a lawsuit. I do think from reading your posts that they are being careless and negligent by not having a solid gameplan for you. Their plan seems full of holes. I'm soooo sorry you have to fight so hard for your baby :-( I agree with your weigh ins too. CYA is best right now for sure. Let it be a constant reminder for them too!!!! Maybe if it gets bad enough someone else will step in or someone will get their head out of their $%^ long enough to take care of him. I'm praying for you that it doesn't get that bad before he gets the help he needs and deserves though!

((((((HUGS))))))

Michelle-AKA Zombie Mommy

www.caringbridge.org carissamaya


--- In feeding@yahoogroups.com, "Eleanor" <eleanordyne@...> wrote:
>
> Thanks Michelle,
>
>
>
> It's a wet and miserable day here so I need to get the kids off the computer
> long enough to do some research!
>
>
>
> The thing that gets to me is that Thomas was on the liquid losec when he was
> 3 months old and so thin, he was on the losec granules when he got referred
> to the dietician because he wasn't eating enough – why is this going to be
> any different this time?
>
>
>
> I don't want to endanger Thomas' health with a major weight loss by doing
> the nissen, but as far as I can see he's failed medical therapy! Still we
> want to have tried everything before jumping to something like that which
> may well not work any way. So, I'm going to make Peter help to give Thomas
> his losec because I know it's going to be a screaming battle and going to be
> horrible. I've discovered that they have relaxed the criteria on the liquid
> losec and he should be able to get it – so I'll get the GP to write a script
> on Friday so we can start the battles and have been trying for a good while
> before we see the paed on 27 August.
>
>
>
> The surgeon reckons that within 6 months of ppi therapy he'll be eating just
> fine, the feeding therapist says it's a really long term project – how many
> kids has the surgeon helped to eat? Both the surgeon and the paed have had
> the view reflux kids come right quickly once you sort the reflux. They
> clearly have no real understanding of feeding difficulties!
>
>
>
> I've had it thumped into me since he was about 3 months old that if you
> can't get enough calories in then dreadful things are going to happen to him
> and his brain – so how long has he got? How long is a piece of string? If we
> leave it all 6 months am I going to have an almost 4 year old weighing less
> than a 1 year old? Is he still going to be 11.5kg?
>
>
>
> I've told Peter he has to step up and ask the questions about what Thomas
> needs to eat and how people actually think it's going to be achieved because
> I'm not getting anywhere. He was supposed to do that last appointment with
> the paed but she had a student with her and spent ¾ of the time explaining
> things to the student instead of talking to us.
>
>
>
> In the meantime – breakfast used to be Thomas' best meal – he's stopped
> eating a handful of cornflakes and now only eats about a third of a slice of
> plain bread…
>
>
>
>
>
> Eleanor, mummy to -
> William, 33 weeker 10 years,
> Nicholas, 36 weeker 7 years,
> Thomas, 36 weeker now 3.
>
>
>
> _____
>
> From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf Of
> itsnopicnic
> Sent: Wednesday, 30 July 2008 1:57 a.m.
> To: feeding@yahoogroups.com
> Subject: [feeding] Re: Saw Surgeon
>
>
>
> Eleanor,
>
> ((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
> button. I really don't understand it. I do however understand not
> doing the fundo. With everything Gracie is going through with Aaron
> I'm glad it was never done on Carissa. It really should only be done
> after all meds are proven ineffective and reflux is severe. It just
> stinks that you can't readily get the same drugs we can and that you
> have to wait so long and fight so hard to try all the drugs!
>
> I'm so sorry, but it seems like you may have been thrown into my
> world of the undiagnosed. Let me know if you want any links on that.
> Your statement of him losing his hair jumped out at me like a flaming
> arrow because I knew I had read it somewhere before when I was
> researching things. Your surgeon is partially right. I just can't
> believe the GP or pedi didn't pick up on these things and test for
> them before sending you to surgeon since it's so hard to get in to
> see him :-( Here's a link that will take you to a site that has
> several links on possibilities of what may be wrong with him based on
> stomach pain, poor growth, and hair falling out. There are several
> types of celiac listed and maybe you telling him the hair bit was
> like a flaming arrow for him too. I don't know. Check out this info
> and let me know what you think he fits into if any. Depending what
> they find he has you may have an answer for Nathan too.
>
> http://symptoms.
> <http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair->
> wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
> loss/poor-growth.htm
>
> I don't know how things are in your country, but maybe the surgeon
> was afraid to do the surgery without a proper diagnosis or maybe a
> proper diagnosis would lead to a better non-surgical treatment. I
> don't know. All I know is that all surgery has risks and the button
> is less risk than the fundo. Hope I've helped you some. I know I had
> to really fight long and hard for Carissa's button. Remember it took
> me about 6 months from the time I actually started fighting, but
> technically she should have gotten hers when she was only 5 weeks old
> meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))
>
> Michelle-AKA Zombie Mommy
> www.caringbridge.org carissamaya
>
>
>
> __________ NOD32 3304 (20080728) Information __________
>
> This message was checked by NOD32 antivirus system.
> http://www.eset.com
>


__________ NOD32 3311 (20080730) Information __________

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#51678 From: "rachaelblakeley" <rachaelblakeley@...>
Date: Thu Jul 31, 2008 4:17 am
Subject: Latest Freebies (30th July)
rachaelblakeley
Offline Offline
Send Email Send Email
 
I was sent another excellent link by my friend. This is a link to a NEW
FREEBIE PAGE for this week so I thought I would,  share it with the
group...enjoy!

The link goes to a web page where you can collect TONS of items for
FREE! There is so much on offer that its definately worth the visit.
Keep your eyes open for new freebie pages, they post them each week!

http://www.freebietelegraph.com/?page=8

When you have had your freebies, be nice to your family and friends and
pass on the link above, like I did!

Take care and have a great week!

#51677 From: preemiemom0703@...
Date: Thu Jul 31, 2008 3:45 am
Subject: Re: Natalie had her surgery
preemiemom0703
Offline Offline
Send Email Send Email
 
Hi Donna,
 
I'll keep you and Natalie in my prayers.  We know what you mean.
 
Along the same lines (well, sort of), my son is very, very persistent, insistent, strong-willed and stubborn.  He's also very impatient.  I believe it's these personality traits that allowed him to survive his prematurity.  But it's also these traits that drive me up the wall!
 
Hang in there!
Dana C.
 
-------------- Original message --------------
From: "Wolf-Zeolla, Donna" <dwolf@...>

Today Natalie had her surgery to close her leaking g-tube hole. I was up most of the night and she fought very hard to not go under. I finally had to wrap her strong arm behind me and restrain her weaker arm and legs so they can put the mask on her face. She has a very strong will and fight in her. She carried on for a good hour before falling asleep and then have night terrors while napping at the hospital.

Part of me is happy for her strong will because that is what made her survive her prematurity, but another part of me is so upset to have to see a child go through so much at such a young age. It really makes me wonder why. It is so unfair that she has to go through all this stuff and others don't. Not that I wish they did. I just wish my daughter didn't have to.  Thankfully she is now home and sleeping and I am just an emotional mess from it all. I hope this is the end to all these procedures. She will be staying home for a week to recover, so the stitches don't open and she heals. I am tired of going through all of this.

Thanks for listening and your support. I am glad I have this place to go to talk about it, because others around me just don't understand.

Donna
Mom to Michael and Natalie


#51676 From: preemiemom0703@...
Date: Wed Jul 30, 2008 11:10 pm
Subject: Re: Gracie and Aaron
preemiemom0703
Offline Offline
Send Email Send Email
 
Hi Michelle,
 
I'm so glad to hear Aaron's doing better.  Poor guy!  Do you know if the chest tube would be temporary for the remainder of his hospital stay?
 
I've been praying for them and will continue to do so.  Please keep us up to speed if you learn more.
 
Dana
 
-------------- Original message --------------
From: "itsnopicnic" <itsnopicnic@...>

I talked to Gracie today :-) Aaron was in surgery yesterday getting his
PIC line. They came in to explain things yesterday to Gracie and it
turns out that his fundo didn't truly rupture, but that it was leaking
through the holes of the stitches because it stretched a little since
his tissues are so thin with the mito.

They are now talking about the possibility of needing a chest tube
because he has plural effusion, pneumonia, and his left lung is
partially collapsed. It sounds like his pain is under better control
this time. For those of you wondering he did finally pee!!!! He's also
been peeing and pooping since his surgery yesterday which is great
news, because his bowels were still asleep from the very first surgery.
This is the first time since then!!! She said she was trying to get her
friend Erin to update his site today.

Michelle-AKA Zombie Mommy
www.caringbridge.org carissamaya


#51675 From: "Wolf-Zeolla, Donna" <dwolf@...>
Date: Wed Jul 30, 2008 7:15 pm
Subject: Natalie had her surgery
dwolf23
Offline Offline
Send Email Send Email
 

Today Natalie had her surgery to close her leaking g-tube hole. I was up most of the night and she fought very hard to not go under. I finally had to wrap her strong arm behind me and restrain her weaker arm and legs so they can put the mask on her face. She has a very strong will and fight in her. She carried on for a good hour before falling asleep and then have night terrors while napping at the hospital.

Part of me is happy for her strong will because that is what made her survive her prematurity, but another part of me is so upset to have to see a child go through so much at such a young age. It really makes me wonder why. It is so unfair that she has to go through all this stuff and others don't. Not that I wish they did. I just wish my daughter didn't have to.  Thankfully she is now home and sleeping and I am just an emotional mess from it all. I hope this is the end to all these procedures. She will be staying home for a week to recover, so the stitches don't open and she heals. I am tired of going through all of this.

Thanks for listening and your support. I am glad I have this place to go to talk about it, because others around me just don't understand.

Donna
Mom to Michael and Natalie


#51674 From: "itsnopicnic" <itsnopicnic@...>
Date: Wed Jul 30, 2008 2:04 pm
Subject: Gracie and Aaron
itsnopicnic
Offline Offline
Send Email Send Email
 
I talked to Gracie today :-) Aaron was in surgery yesterday getting his
PIC line. They came in to explain things yesterday to Gracie and it
turns out that his fundo didn't truly rupture, but that it was leaking
through the holes of the stitches because it stretched a little since
his tissues are so thin with the mito.

They are now talking about the possibility of needing a chest tube
because he has plural effusion, pneumonia, and his left lung is
partially collapsed. It sounds like his pain is under better control
this time. For those of you wondering he did finally pee!!!! He's also
been peeing and pooping since his surgery yesterday which is great
news, because his bowels were still asleep from the very first surgery.
This is the first time since then!!! She said she was trying to get her
friend Erin to update his site today.

Michelle-AKA Zombie Mommy
www.caringbridge.org carissamaya

#51673 From: Kirstin Dahm <kirstindahm@...>
Date: Wed Jul 30, 2008 1:26 pm
Subject: Dualcal
happymom2haley
Offline Offline
Send Email Send Email
 
Be sure you monitor hydration.  It can dehydrate.

#51672 From: "itsnopicnic" <itsnopicnic@...>
Date: Wed Jul 30, 2008 3:33 am
Subject: Re: Saw Surgeon
itsnopicnic
Offline Offline
Send Email Send Email
 

Oh Eleanor, GOOD GRIEF!!!!!! I wish there was something I could do. I know how hard it is when they sit there and tell you well you just need to make it happen, you need to make them eat XYZ and if they don't they'll just wither up on you. We had the same problem with Carissa. She aspirates!!!!!! BAD, and all they did for awhile was tell me to figure it out on my own!!!!!! What do some of these dumb docs think? That we can just open there mouth and pour it in.....even if I could it wouldn't have worked with Carissa now would it!?!?!?!?!?!?!?!?

Are second opinions an option where you live? It took much screaming, crying, and traveling to get other opinions to find a doc that would give her the button and he agreed with me that it should have been done instead of the NG when they did the NG. Long story, but I still have a lot of regrets about how her first hospital visit played out. I just keep reminding myself that it could have ended up worse and that she may have died if they did transfer her. You have to keep fighting!!!

See if you can get second opinions as soon as possible and thirds even if necessary and yes your DH REALLY needs to step up to the plate now. You can tell him I said that. My dh doesn't usually get involved but boy when he does!!!!!! We discovered a fraudulent charge on a credit card that I paid off months ago and we got a letter in the mail saying we owe money now because I was behind 3 months payments. When I proved to my dh that I had paid it off and not used it and what was wrong he called to take care of it. I thought the person on the other line was going to quit their job before he finished!!!!! He's good when he has to be :-)

At the same time he does need some serious testing it sounds like, but if it's going to take that long I don't understand why they wouldn't do a button to be on the safe side to hold him until the results get back. If that happened here in the states and anything happened to him it would be a lawsuit. I do think from reading your posts that they are being careless and negligent by not having a solid gameplan for you. Their plan seems full of holes. I'm soooo sorry you have to fight so hard for your baby :-( I agree with your weigh ins too. CYA is best right now for sure. Let it be a constant reminder for them too!!!! Maybe if it gets bad enough someone else will step in or someone will get their head out of their $%^ long enough to take care of him. I'm praying for you that it doesn't get that bad before he gets the help he needs and deserves though!

((((((HUGS))))))

Michelle-AKA Zombie Mommy

www.caringbridge.org carissamaya


--- In feeding@yahoogroups.com, "Eleanor" <eleanordyne@...> wrote:
>
> Thanks Michelle,
>
>
>
> It's a wet and miserable day here so I need to get the kids off the computer
> long enough to do some research!
>
>
>
> The thing that gets to me is that Thomas was on the liquid losec when he was
> 3 months old and so thin, he was on the losec granules when he got referred
> to the dietician because he wasn't eating enough – why is this going to be
> any different this time?
>
>
>
> I don't want to endanger Thomas' health with a major weight loss by doing
> the nissen, but as far as I can see he's failed medical therapy! Still we
> want to have tried everything before jumping to something like that which
> may well not work any way. So, I'm going to make Peter help to give Thomas
> his losec because I know it's going to be a screaming battle and going to be
> horrible. I've discovered that they have relaxed the criteria on the liquid
> losec and he should be able to get it – so I'll get the GP to write a script
> on Friday so we can start the battles and have been trying for a good while
> before we see the paed on 27 August.
>
>
>
> The surgeon reckons that within 6 months of ppi therapy he'll be eating just
> fine, the feeding therapist says it's a really long term project – how many
> kids has the surgeon helped to eat? Both the surgeon and the paed have had
> the view reflux kids come right quickly once you sort the reflux. They
> clearly have no real understanding of feeding difficulties!
>
>
>
> I've had it thumped into me since he was about 3 months old that if you
> can't get enough calories in then dreadful things are going to happen to him
> and his brain – so how long has he got? How long is a piece of string? If we
> leave it all 6 months am I going to have an almost 4 year old weighing less
> than a 1 year old? Is he still going to be 11.5kg?
>
>
>
> I've told Peter he has to step up and ask the questions about what Thomas
> needs to eat and how people actually think it's going to be achieved because
> I'm not getting anywhere. He was supposed to do that last appointment with
> the paed but she had a student with her and spent ¾ of the time explaining
> things to the student instead of talking to us.
>
>
>
> In the meantime – breakfast used to be Thomas' best meal – he's stopped
> eating a handful of cornflakes and now only eats about a third of a slice of
> plain bread…
>
>
>
>
>
> Eleanor, mummy to -
> William, 33 weeker 10 years,
> Nicholas, 36 weeker 7 years,
> Thomas, 36 weeker now 3.
>
>
>
> _____
>
> From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf Of
> itsnopicnic
> Sent: Wednesday, 30 July 2008 1:57 a.m.
> To: feeding@yahoogroups.com
> Subject: [feeding] Re: Saw Surgeon
>
>
>
> Eleanor,
>
> ((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
> button. I really don't understand it. I do however understand not
> doing the fundo. With everything Gracie is going through with Aaron
> I'm glad it was never done on Carissa. It really should only be done
> after all meds are proven ineffective and reflux is severe. It just
> stinks that you can't readily get the same drugs we can and that you
> have to wait so long and fight so hard to try all the drugs!
>
> I'm so sorry, but it seems like you may have been thrown into my
> world of the undiagnosed. Let me know if you want any links on that.
> Your statement of him losing his hair jumped out at me like a flaming
> arrow because I knew I had read it somewhere before when I was
> researching things. Your surgeon is partially right. I just can't
> believe the GP or pedi didn't pick up on these things and test for
> them before sending you to surgeon since it's so hard to get in to
> see him :-( Here's a link that will take you to a site that has
> several links on possibilities of what may be wrong with him based on
> stomach pain, poor growth, and hair falling out. There are several
> types of celiac listed and maybe you telling him the hair bit was
> like a flaming arrow for him too. I don't know. Check out this info
> and let me know what you think he fits into if any. Depending what
> they find he has you may have an answer for Nathan too.
>
> http://symptoms.
> <http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair->
> wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
> loss/poor-growth.htm
>
> I don't know how things are in your country, but maybe the surgeon
> was afraid to do the surgery without a proper diagnosis or maybe a
> proper diagnosis would lead to a better non-surgical treatment. I
> don't know. All I know is that all surgery has risks and the button
> is less risk than the fundo. Hope I've helped you some. I know I had
> to really fight long and hard for Carissa's button. Remember it took
> me about 6 months from the time I actually started fighting, but
> technically she should have gotten hers when she was only 5 weeks old
> meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))
>
> Michelle-AKA Zombie Mommy
> www.caringbridge.org carissamaya
>
>
>
> __________ NOD32 3304 (20080728) Information __________
>
> This message was checked by NOD32 antivirus system.
> http://www.eset.com
>


#51671 From: "Eleanor" <eleanordyne@...>
Date: Wed Jul 30, 2008 1:22 am
Subject: RE: Re: Saw Surgeon
eleanormdyne
Offline Offline
Send Email Send Email
 

Thanks Michelle,

 

It’s a wet and miserable day here so I need to get the kids off the computer long enough to do some research!

 

The thing that gets to me is that Thomas was on the liquid losec when he was 3 months old and so thin, he was on the losec granules when he got referred to the dietician because he wasn’t eating enough – why is this going to be any different this time?

 

I don’t want to endanger Thomas’ health with a major weight loss by doing the nissen, but as far as I can see he’s failed medical therapy! Still we want to have tried everything before jumping to something like that which may well not work any way. So, I’m going to make Peter help to give Thomas his losec because I know it’s going to be a screaming battle and going to be horrible. I’ve discovered that they have relaxed the criteria on the liquid losec and he should be able to get it – so I’ll get the GP to write a script on Friday so we can start the battles and have been trying for a good while before we see the paed on 27 August.

 

The surgeon reckons that within 6 months of ppi therapy he’ll be eating just fine, the feeding therapist says it’s a really long term project – how many kids has the surgeon helped to eat? Both the surgeon and the paed have had the view reflux kids come right quickly once you sort the reflux. They clearly have no real understanding of feeding difficulties!

 

I’ve had it thumped into me since he was about 3 months old that if you can’t get enough calories in then dreadful things are going to happen to him and his brain – so how long has he got? How long is a piece of string? If we leave it all 6 months am I going to have an almost 4 year old weighing less than a 1 year old? Is he still going to be 11.5kg?

 

I’ve told Peter he has to step up and ask the questions about what Thomas needs to eat and how people actually think it’s going to be achieved because I’m not getting anywhere. He was supposed to do that last appointment with the paed but she had a student with her and spent ¾ of the time explaining things to the student instead of talking to us.

 

In the meantime – breakfast used to be Thomas’ best meal – he’s stopped eating a handful of cornflakes and now only eats about a third of a slice of plain bread…

 

 

Eleanor, mummy to -
William, 33 weeker 10 years,
Nicholas, 36 weeker 7 years,
Thomas, 36 weeker now 3.

 


From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf Of itsnopicnic
Sent: Wednesday, 30 July 2008 1:57 a.m.
To: feeding@yahoogroups.com
Subject: [feeding] Re: Saw Surgeon

 

Eleanor,

((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
button. I really don't understand it. I do however understand not
doing the fundo. With everything Gracie is going through with Aaron
I'm glad it was never done on Carissa. It really should only be done
after all meds are proven ineffective and reflux is severe. It just
stinks that you can't readily get the same drugs we can and that you
have to wait so long and fight so hard to try all the drugs!

I'm so sorry, but it seems like you may have been thrown into my
world of the undiagnosed. Let me know if you want any links on that.
Your statement of him losing his hair jumped out at me like a flaming
arrow because I knew I had read it somewhere before when I was
researching things. Your surgeon is partially right. I just can't
believe the GP or pedi didn't pick up on these things and test for
them before sending you to surgeon since it's so hard to get in to
see him :-( Here's a link that will take you to a site that has
several links on possibilities of what may be wrong with him based on
stomach pain, poor growth, and hair falling out. There are several
types of celiac listed and maybe you telling him the hair bit was
like a flaming arrow for him too. I don't know. Check out this info
and let me know what you think he fits into if any. Depending what
they find he has you may have an answer for Nathan too.

http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
loss/poor-growth.htm

I don't know how things are in your country, but maybe the surgeon
was afraid to do the surgery without a proper diagnosis or maybe a
proper diagnosis would lead to a better non-surgical treatment. I
don't know. All I know is that all surgery has risks and the button
is less risk than the fundo. Hope I've helped you some. I know I had
to really fight long and hard for Carissa's button. Remember it took
me about 6 months from the time I actually started fighting, but
technically she should have gotten hers when she was only 5 weeks old
meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))

Michelle-AKA Zombie Mommy
www.caringbridge.org carissamaya


__________ NOD32 3304 (20080728) Information __________

This message was checked by NOD32 antivirus system.
http://www.eset.com


#51670 From: "Eleanor" <eleanordyne@...>
Date: Wed Jul 30, 2008 1:17 am
Subject: RE: Saw the surgeon
eleanormdyne
Offline Offline
Send Email Send Email
 

Thanks Jennifer,

 

The surgeon said he would offer to do a nissen for Thomas but he’s really not sure it’s going to work properly – so there doesn’t seem much point in doing it. The nissen has worked wonders for Nicholas and even the surgeon can see he’s much happier and better than he was! It’s such a major thing that it’s hard to decide to do it if it won’t necessarily work. So the surgeon suggested management with meds and my husband thinks that’s the way to go. We have always worked as a team so although I don’t see any point in trying something we’ve already done and had no aid in Thomas’ eating again I guess if we are to be together on these major decisions then it’s worth a try. So I’ll organise the meds and get my husband involved in the medication battle well before we see the paed on the 27th of August so hopefully he can see the futility in it all then too. But surgery seems off the cards for the foreseeable future.

 

I’m going to push the GP to do the FTT bloods and any other checks for malnutrition. If we’ve got to keep on this crazy treadmill then I want my bases covered. I’m also going to keep taking him in for 2 weekly weight checks because if/when he starts to lose weight I’m not going to be blamed for it again! They don’t want to help him so they can $%^& well monitor him! The dietician has said if it weren’t for Thomas’ formula he would be suffering from malnutrition – I’m not sure how you test for it but I think that some assessments of the effects his nutritional status is having on his body needs to be done.

 

Thomas went through a stage of having an ng tube (yes, when he was on a proper dose of prilosec for his reflux!) but no one seems to want to do that again. At 3 I’d guess he’ll just keep ripping it out and it was hard enough to put the wretched thing in when he was 3 months old. If we have to go the tube feeding route I want it to be less traumatic and easier for all of us and go the g-tube route. Besides with reflux you don’t want a tube holding the sphincter open and aggravating the reflux even more.

 

He may well have delayed gastric emptying – the older two definitely seemed to – but he’s on cisapride (prepulsid) and that’s a motility drug so that should be helping that.

 

Here we have to get a special form filled out by the paed to buy Duocal and she, for some reason, isn’t too concerned about his weight! So she won’t prescribe it for him, so that’s not an option. He was on it and did beautifully for a number of months – even almost to the 20th centile!

 

Because Thomas is on cisapride he’s had an ECG done and that didn’t show any problems. They haven’t done an echo but he’s been listened to a lot of times so I’d guess they’d have picked up any possible issues by now.

 

I’d say his situation is pretty simple – he’s not getting enough nutrition, it’s having an over all effect on his development and health, he is experiencing some pain with his reflux which, because it’s been going for so long, has taught him not to eat and so he doesn’t.

How to get this through to the docs…ah now, that’s the question…

 

Eleanor, mummy to -
William, 33 weeker 10 years,
Nicholas, 36 weeker 7 years,
Thomas, 36 weeker now 3.

 


From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf Of jennifer flynn
Sent: Wednesday, 30 July 2008 11:56 a.m.
To: feeding@yahoogroups.com
Subject: Re: [feeding] Saw the surgeon

 

 

 

 

 

 

If your son's hair is falling out that could be a sign of malnutrition. That is scary to me. Can you ask them to put a ng tube in until they either do the surgery or he starts to drink/eat better. My daughter has reflux as well as many more and i have to say she used to eat /drink, that she stopped and i had to feed her by an oral syringe until i found a doctor to do something. She now has a ng tube and since december has gained almost 7 pounds. Of course no one wants a feeding tube but at least i know i can give her all the nutrients she needs, and lets face it it is keeping her alive. if she drinks 1 ounce of water a day than it is a good day. If he wakes up crying and in pain i am wondering has he ever been tested for delayed gastric emptying? If not you might want to rule that out. Have you put duocal into his bottles to try to give him more calories so he can gain some weight?

I wouild be really worried about the hair loss i think you need a second opinion asap. At least if you get a ng tube you have the means to give your son the amount he needs and the g surgery could wait until they figure things out.

 

Has he ever had an echocardiogram to check his heart. Sometimes lack of eating, tiredness can be caused by heart issues. I do not want to panic you just trying to give you suggestions.And of course i am  just going by some things  from my daughter's experiences.
--- On Tue, 7/29/08, Eleanor <eleanordyne@xtra.co.nz> wrote:

From: Eleanor <eleanordyne@xtra.co.nz>
Subject: [feeding] Saw the surgeon
To: feeding@yahoogroups.com
Date: Tuesday, July 29, 2008, 12:28 AM

 

We saw the surgeon today and I don’t know where we’re going to from here. Yes, he has reflux to the point of it being called heart burn – not normal but not major. He wonders if maybe the reflux is causing oesophageal spasms and that’s what’s causing him pain.

 

 He seems to think it’s more of a learnt thing not to eat and that if we can reduce the acid we can stop the pain and he’ll start to eat again. But because the reflux is not that major he’s not certain doing surgery will fix it. He said he’d certainly offer surgery because there is some evidence of reflux but not offering any big hopes of it fixing things. He said right at the start he wouldn’t offer a feeding tube in the first instance. I didn’t want to tackle him on that then and it didn’t work out that I could ask him why not later. He did say later that if Thomas wasn’t tracking along some kind of curve then it would be something to consider – I pointed out Thomas’ weight is already a flat line and has been for 4 months.

 

Peter asked him what he’d do if he were in our position and he said he really felt that if we could control the acid then things would come right in 6 months or so – but also said we could do surgery at any time and that wasn’t closed.

 

Thomas won’t eat food with the losec granules in so he asked about liquid. I was able to tell him that there is liquid but that Pharmac restrict it to the under 6 month age group because anyone else can take the capsules sprinkled in food. So he asked about paying for it and I said if it wasn’t covered by Pharmac then insurance wouldn’t pay – we already pay for the cisapride on that basis. So he’s going to write to the paed to fill her in on where we’re at and ask her to apply for special authority numbers for the liquid losec. He’s going to write a letter to our insurance and ask them to pay for the liquid losec on the basis that if they don’t then they’ll be up for thousands for the nissen which they could otherwise avoid – he said we’ll get it one way or the other.

 

He’s also going to suggest that the paed get the celiac blood test done (we really don’t think that’s the issue but it’s another box to tick) and suggest some kind of endocrinology work up to see if there’s anything else going on.

 

Peter and I are agreed that we don’t want to put him through the surgery if it’s not going to help but I really now don’t know where to turn.

He needs to eat, he needs to grow. We HAVE to feed his brain somehow. He is clinically classed as Failure To Thrive.

 I don’t have any tricks left here to help him and I don’t know how long he can go without gaining and essentially suffering malnutrition before it has long term effects on him. He is drinking the Neocate, which is a total nutrition formula but only about 500mls a day. That’s 500 calories from the formula. He needs around 1300 calories a day (average for his age). He sure as hell isn’t getting that from his food. If he could drink 1.3 litres of the stuff a day then he’d be getting everything he needs but 1 – over 650mls and he usually wakes crying and in pain and 2 – if he drank that much there’d be no way he’d eat! He’s never drunk a litre even – best ever is about 900mls.

 

We see the GP for his weigh in again this Friday and we see the paed in late August. I’m going to ask both the GP and paed how long he can go on so few calories and an unbalanced diet before something goes wrong – maybe I’m over worried, but I don’t think so. I’m going to ask the GP to do the FTT blood tests which will see if things are in balance in his body – why’s the kid losing his hair?

 

But I don’t know – yes, we can work through this but it’s not going to be a 6 month effort, Nicholas still isn’t eating properly, this is going to be a really really long term project and how do we get him to thrive in the meantime – because I can’t get him to eat! Don’t know what I’m doing wrong but I can’t make him do it, and all the ‘experts’ can say is I’m going everything right – so why won’t he eat? The child doesn’t have enough energy to go to a playgroup, walk around the block or go to the park. The surgeon says don’t take too much notice of his behaviour but he hasn’t seen Thomas lie at the bottom of a slide and go to sleep! Thomas did one of his ‘I’m tired and going to cry’ things at the appointment and the surgeon said that because he sat and listened he didn’t think Thomas was really tired – but within 5 minutes in the car on the way back he was asleep! It was nap time after all J

 

So that’s where we’re at!

 

Eleanor, mummy to -
William, 33 weeker 10 years,
Nicholas, 36 weeker 7 years,
Thomas, 36 weeker now 3.

 

 


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#51669 From: jennifer flynn <thismomoffive@...>
Date: Tue Jul 29, 2008 11:55 pm
Subject: Re: Saw the surgeon
thismomoffive
Offline Offline
Send Email Send Email
 

 

 

 

 

 

If your son's hair is falling out that could be a sign of malnutrition. That is scary to me. Can you ask them to put a ng tube in until they either do the surgery or he starts to drink/eat better. My daughter has reflux as well as many more and i have to say she used to eat /drink, that she stopped and i had to feed her by an oral syringe until i found a doctor to do something. She now has a ng tube and since december has gained almost 7 pounds. Of course no one wants a feeding tube but at least i know i can give her all the nutrients she needs, and lets face it it is keeping her alive. if she drinks 1 ounce of water a day than it is a good day. If he wakes up crying and in pain i am wondering has he ever been tested for delayed gastric emptying? If not you might want to rule that out. Have you put duocal into his bottles to try to give him more calories so he can gain some weight?

I wouild be really worried about the hair loss i think you need a second opinion asap. At least if you get a ng tube you have the means to give your son the amount he needs and the g surgery could wait until they figure things out.

 

Has he ever had an echocardiogram to check his heart. Sometimes lack of eating, tiredness can be caused by heart issues. I do not want to panic you just trying to give you suggestions.And of course i am  just going by some things  from my daughter's experiences.
--- On Tue, 7/29/08, Eleanor <eleanordyne@...> wrote:

From: Eleanor <eleanordyne@...>
Subject: [feeding] Saw the surgeon
To: feeding@yahoogroups.com
Date: Tuesday, July 29, 2008, 12:28 AM

 

We saw the surgeon today and I don’t know where we’re going to from here. Yes, he has reflux to the point of it being called heart burn – not normal but not major. He wonders if maybe the reflux is causing oesophageal spasms and that’s what’s causing him pain.

 

 He seems to think it’s more of a learnt thing not to eat and that if we can reduce the acid we can stop the pain and he’ll start to eat again. But because the reflux is not that major he’s not certain doing surgery will fix it. He said he’d certainly offer surgery because there is some evidence of reflux but not offering any big hopes of it fixing things. He said right at the start he wouldn’t offer a feeding tube in the first instance. I didn’t want to tackle him on that then and it didn’t work out that I could ask him why not later. He did say later that if Thomas wasn’t tracking along some kind of curve then it would be something to consider – I pointed out Thomas’ weight is already a flat line and has been for 4 months.

 

Peter asked him what he’d do if he were in our position and he said he really felt that if we could control the acid then things would come right in 6 months or so – but also said we could do surgery at any time and that wasn’t closed.

 

Thomas won’t eat food with the losec granules in so he asked about liquid. I was able to tell him that there is liquid but that Pharmac restrict it to the under 6 month age group because anyone else can take the capsules sprinkled in food. So he asked about paying for it and I said if it wasn’t covered by Pharmac then insurance wouldn’t pay – we already pay for the cisapride on that basis. So he’s going to write to the paed to fill her in on where we’re at and ask her to apply for special authority numbers for the liquid losec. He’s going to write a letter to our insurance and ask them to pay for the liquid losec on the basis that if they don’t then they’ll be up for thousands for the nissen which they could otherwise avoid – he said we’ll get it one way or the other.

 

He’s also going to suggest that the paed get the celiac blood test done (we really don’t think that’s the issue but it’s another box to tick) and suggest some kind of endocrinology work up to see if there’s anything else going on.

 

Peter and I are agreed that we don’t want to put him through the surgery if it’s not going to help but I really now don’t know where to turn.

He needs to eat, he needs to grow. We HAVE to feed his brain somehow. He is clinically classed as Failure To Thrive.

 I don’t have any tricks left here to help him and I don’t know how long he can go without gaining and essentially suffering malnutrition before it has long term effects on him. He is drinking the Neocate, which is a total nutrition formula but only about 500mls a day. That’s 500 calories from the formula. He needs around 1300 calories a day (average for his age). He sure as hell isn’t getting that from his food. If he could drink 1.3 litres of the stuff a day then he’d be getting everything he needs but 1 – over 650mls and he usually wakes crying and in pain and 2 – if he drank that much there’d be no way he’d eat! He’s never drunk a litre even – best ever is about 900mls.

 

We see the GP for his weigh in again this Friday and we see the paed in late August. I’m going to ask both the GP and paed how long he can go on so few calories and an unbalanced diet before something goes wrong – maybe I’m over worried, but I don’t think so. I’m going to ask the GP to do the FTT blood tests which will see if things are in balance in his body – why’s the kid losing his hair?

 

But I don’t know – yes, we can work through this but it’s not going to be a 6 month effort, Nicholas still isn’t eating properly, this is going to be a really really long term project and how do we get him to thrive in the meantime – because I can’t get him to eat! Don’t know what I’m doing wrong but I can’t make him do it, and all the ‘experts’ can say is I’m going everything right – so why won’t he eat? The child doesn’t have enough energy to go to a playgroup, walk around the block or go to the park. The surgeon says don’t take too much notice of his behaviour but he hasn’t seen Thomas lie at the bottom of a slide and go to sleep! Thomas did one of his ‘I’m tired and going to cry’ things at the appointment and the surgeon said that because he sat and listened he didn’t think Thomas was really tired – but within 5 minutes in the car on the way back he was asleep! It was nap time after all J

 

So that’s where we’re at!

 

Eleanor, mummy to -
William, 33 weeker 10 years,
Nicholas, 36 weeker 7 years,
Thomas, 36 weeker now 3.

 



#51668 From: jennifer flynn <thismomoffive@...>
Date: Tue Jul 29, 2008 11:42 pm
Subject: Re: Duocal
thismomoffive
Offline Offline
Send Email Send Email
 


 

 

 

 

Yes it works very good in baby food. Just stir it well. You can also put it into anything he drinks. They say it is flavorless. But i have found there is a slight taste to it and in water it changes it a milky white. But in formula and foods you can not tell the difference. I  hope it works well.

 

 


--- On Tue, 7/29/08, maia381@... <maia381@...> wrote:

From: maia381@... <maia381@...>
Subject: Re: [feeding] Duocal
To: feeding@yahoogroups.com
Date: Tuesday, July 29, 2008, 10:39 AM

Thanks for telling me.  Benny has no allergies.  Can you use it in baby food?


-----Original Message-----
From: jennifer flynn <thismomoffive@ yahoo.com>
To: feeding@yahoogroups .com
Sent: Mon, 28 Jul 2008 7:04 pm
Subject: Re: [feeding] Duocal


 
 
 
 
 
Hi,
Duocal comes in a powder form and easily mixes into liquids or foods that are like baby food consistency.
 
 
It is made by Nutricia
Phone #  1800-365-7354 Rockville Maryland
 
 
 
My daughter has used it to help her gain weight and for her it has worked very well.
Does your child have any allergies? If so let me know if you want me to post the ingredients for you.
--- On Mon, 7/28/08, maia381@aol. com <maia381@aol. com> wrote:
From: maia381@aol. com <maia381@aol. com>
Subject: [feeding] Duocal
To: feeding@yahoogroups .com
Date: Monday, July 28, 2008, 3:13 PM

Hi All,
Havent posted in awhile.  Benny went to Gastro today and gained 1 1/2 pounds (Yeah!!)  Was sad that he didn't hit the 50 pound mark yet, gastro suggested DuoCal, has anyone had any success with this?  Give me lots of suggestions how to use in foods.  Thanks so much.
 
maia mom to benjy 8 yo, failure to thrive, gerd, delayed gastric emptying, CP with spastic diplegia, autistic features, microcephaly, and my guiding light.




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#51667 From: maia381@...
Date: Tue Jul 29, 2008 3:16 pm
Subject: Re: I HATE dinner
maia381@...
Send Email Send Email
 
Dont give up.  I have been fighting with Benny about eating since day one.  I almost gave up 2000 times but gastro said no, no, no.  Try for a while not to fight him.  Maybe he's not hungry.  Does he like to play while eating.  Benny's teacher allows him to chose what he wants to eat maybe putting silas in control he'll be more willing to eat.
Im so glad that Benny's not tube fed.  Hes very small for his age but very healthy.  Try a 20 minute run first and put a timer on and say if you dont eat by the time the bell rings you can leave the table. Then  try again later.

Sorry and hope this helps. Maia mom to benny mr-severe/profound, CP-spastic diplegia, and my guiding light.


-----Original Message-----
From: Christine <mysticdragonus@...>
To: feeding@yahoogroups.com
Sent: Tue, 29 Jul 2008 10:45 am
Subject: Re: [feeding] I HATE dinner

How old is Silas?

--- On Mon, 7/28/08, Amanda Marshall <amandamarshall@shaw.ca> wrote:
From: Amanda Marshall <amandama rshall@shaw.ca>
Subject: [feeding] I HATE dinner
To: feeding@yahoogroups.com
Date: Monday, July 28, 2008, 6:09 PM

…urgh, I really hate dinner time!!! Silas just plain out refuses even if I offer him something I know he will generally go for. I’m at a point of do I even fight it, or do I just do a tube feed??
 
Amanda


#51666 From: "Amanda Marshall" <amandamarshall@...>
Date: Tue Jul 29, 2008 3:16 pm
Subject: RE: I HATE dinner
amandamarshall@...
Send Email Send Email
 

He is 3

 


From: feeding@yahoogroups.com [mailto:feeding@yahoogroups.com] On Behalf Of Christine
Sent: Tuesday, July 29, 2008 8:46 AM
To: feeding@yahoogroups.com
Subject: Re: [feeding] I HATE dinner

 

How old is Silas?

--- On Mon, 7/28/08, Amanda Marshall <amandamarshall@shaw.ca> wrote:

From: Amanda Marshall <amandamarshall@shaw.ca>
Subject: [feeding] I HATE dinner
To: feeding@yahoogroups.com
Date: Monday, July 28, 2008, 6:09 PM

…urgh, I really hate dinner time!!! Silas just plain out refuses even if I offer him something I know he will generally go for. I’m at a point of do I even fight it, or do I just do a tube feed??

 

Amanda

 


#51665 From: Christine <mysticdragonus@...>
Date: Tue Jul 29, 2008 2:48 pm
Subject: Re: I HATE dinner
mysticdragonus
Offline Offline
Send Email Send Email
 

I think that is a great idea to not force him to eat, but have it available for him. Make him feel like part of the dinner family.

 

Hope you get some progress soon also.

 

Christine



--- On Mon, 7/28/08, preemiemom0703@... <preemiemom0703@...> wrote:

From: preemiemom0703@... <preemiemom0703@...>
Subject: Re: [feeding] I HATE dinner
To: feeding@yahoogroups.com
Date: Monday, July 28, 2008, 11:27 PM

Hi Amanda,
 
You know what?  You're not alone.  I hate dinner too - or at least I did until about 3 weeks ago.  Before it was a struggle just to get Andrew to the table.  We had demonized the dining room, meals at the table, everything.  We abandoned the dining room for about 6 months and have just started back in there in the few weeks.  We told Andrew we were going to eat dinner and that he could either play with his toys or join us, but no TV.  He actually came to the table but left soon after.  We considered that a success.  Three weeks later he still comes to the table and now waits (usually) for us to finish dinner.  Other nights he wants to be excused after 5 minutes.
 
I continue to put food on a plate for Andrew and he continues not to eat it.  (Or to eat maybe 1 bite or -tonight- ONE piece of rice.)  After we've had dinner, we do a tube feeding.  Some people like to do tube feedings at the table but we do a blenderized diet and sometimes I have to fight the pump.  I prefer to do it this way.  I'm trying to give Andrew a sense of control AND become comfortable with food on his plate.  Either way, he knows the routine.  We're going to the table to eat dinner.  He will have a plate with a little bit of food on it.  I will ask and encourage him to touch, kiss or sample the food.  He decides he either will or won't but I refuse to battle with him.  After family dinner is tubey food.  I know he's happier now that we're not making an issue out of him eating at the table with us (or even sitting at the table with us) and I'm happier too.  Now if I could just get my 3 1/2 year old to stop saying "Yuck. I don't like that." to EVERYTHING on the table whether she actually likes it or not!
 
Hope this helps at least a little bit.
 
Dana C.
 
------------ -- Original message ------------ --
From: "Amanda Marshall" <amandamarshall@ shaw.ca>

…urgh, I really hate dinner time!!! Silas just plain out refuses even if I offer him something I know he will generally go for. I’m at a point of do I even fight it, or do I just do a tube feed??

Amanda



#51664 From: Christine <mysticdragonus@...>
Date: Tue Jul 29, 2008 2:45 pm
Subject: Re: I HATE dinner
mysticdragonus
Offline Offline
Send Email Send Email
 
How old is Silas?

--- On Mon, 7/28/08, Amanda Marshall <amandamarshall@...> wrote:
From: Amanda Marshall <amandamarshall@...>
Subject: [feeding] I HATE dinner
To: feeding@yahoogroups.com
Date: Monday, July 28, 2008, 6:09 PM

…urgh, I really hate dinner time!!! Silas just plain out refuses even if I offer him something I know he will generally go for. I’m at a point of do I even fight it, or do I just do a tube feed??

 

Amanda



#51663 From: Christine <mysticdragonus@...>
Date: Tue Jul 29, 2008 2:44 pm
Subject: Re: Gracie and Aaron
mysticdragonus
Offline Offline
Send Email Send Email
 
Hugs..hope he gets better soon.

--- On Sat, 7/26/08, itsnopicnic <itsnopicnic@...> wrote:
From: itsnopicnic <itsnopicnic@...>
Subject: [feeding] Gracie and Aaron
To: feeding@yahoogroups.com
Date: Saturday, July 26, 2008, 11:20 PM

I don't know if any of you follow Gracie and Aaron, but he's back in
the hospital as his fundo ruptured:-( He has a caringbridge site for
anyone interested in the details type in aaronczup. Poor guy didn't
even show any signs other than a 105 fever! Gracie and Aaron could
really use any prayers and encouragement right now. He is out of the
PICU now, but they are estimating at least another 7-10 days :-(



#51662 From: maia381@...
Date: Tue Jul 29, 2008 2:39 pm
Subject: Re: Duocal
maia381@...
Send Email Send Email
 
Thanks for telling me.  Benny has no allergies.  Can you use it in baby food?


-----Original Message-----
From: jennifer flynn <thismomoffive@...>
To: feeding@yahoogroups.com
Sent: Mon, 28 Jul 2008 7:04 pm
Subject: Re: [feeding] Duocal


 
 
 
 
 
Hi,
Duocal comes in a powder form and easily mixes into liquids or foods that are like baby food consistency.
 
 
It is made by Nutricia
Phone #  1800-365-7354 Rockville Maryland
 
 
 
My daughter has used it to help her gain weight and for her it has worked very well.
Does your child have any allergies? If so let me know if you want me to post the ingredients for you.
--- On Mon, 7/28/08, maia381@aol.com <maia381@aol.com> wrote:
From: maia381@aol.com <maia381@aol.com>
Subject: [feeding] Duocal
To: feeding@yahoogroups.com
Date: Monday, July 28, 2008, 3:13 PM

Hi All,
Havent posted in awhile.  Benny went to Gastro today and gained 1 1/2 pounds (Yeah!!)  Was sad that he didn't hit the 50 pound mark yet, gastro suggested DuoCal, has anyone had any success with this?  Give me lots of suggestions how to use in foods.  Thanks so much.
 
maia mom to benjy 8 yo, failure to thrive, gerd, delayed gastric emptying, CP with spastic diplegia, autistic features, microcephaly, and my guiding light.




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#51661 From: "itsnopicnic" <itsnopicnic@...>
Date: Tue Jul 29, 2008 2:17 pm
Subject: Re: Saw Surgeon
itsnopicnic
Offline Offline
Send Email Send Email
 
OK so you want to go about 1/4-1/3 of the way down on the page to where
it says Results: 39 causes
--- In feeding@yahoogroups.com, "itsnopicnic" <itsnopicnic@...> wrote:
>
>
> UUuuugggggghhhh let me try this again. I see the link didn't work.
>
>
>
>
http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-lo\
\
> ss/poor-growth.htm
>
<http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-l\
\
> oss/poor-growth.htm>
>
>
>
>
> --- In feeding@yahoogroups.com, "itsnopicnic" itsnopicnic@ wrote:
> >
> > Eleanor,
> >
> > ((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
> > button. I really don't understand it. I do however understand not
> > doing the fundo. With everything Gracie is going through with Aaron
> > I'm glad it was never done on Carissa. It really should only be done
> > after all meds are proven ineffective and reflux is severe. It just
> > stinks that you can't readily get the same drugs we can and that you
> > have to wait so long and fight so hard to try all the drugs!
> >
> > I'm so sorry, but it seems like you may have been thrown into my
> > world of the undiagnosed. Let me know if you want any links on that.
> > Your statement of him losing his hair jumped out at me like a
flaming
> > arrow because I knew I had read it somewhere before when I was
> > researching things. Your surgeon is partially right. I just can't
> > believe the GP or pedi didn't pick up on these things and test for
> > them before sending you to surgeon since it's so hard to get in to
> > see him :-( Here's a link that will take you to a site that has
> > several links on possibilities of what may be wrong with him based
on
> > stomach pain, poor growth, and hair falling out. There are several
> > types of celiac listed and maybe you telling him the hair bit was
> > like a flaming arrow for him too. I don't know. Check out this info
> > and let me know what you think he fits into if any. Depending what
> > they find he has you may have an answer for Nathan too.
> >
> >
http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
> > loss/poor-growth.htm
> >
> > I don't know how things are in your country, but maybe the surgeon
> > was afraid to do the surgery without a proper diagnosis or maybe a
> > proper diagnosis would lead to a better non-surgical treatment. I
> > don't know. All I know is that all surgery has risks and the button
> > is less risk than the fundo. Hope I've helped you some. I know I had
> > to really fight long and hard for Carissa's button. Remember it took
> > me about 6 months from the time I actually started fighting, but
> > technically she should have gotten hers when she was only 5 weeks
old
> > meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))
> >
> > Michelle-AKA Zombie Mommy
> > www.caringbridge.org carissamaya
> >
>

#51660 From: "itsnopicnic" <itsnopicnic@...>
Date: Tue Jul 29, 2008 2:17 pm
Subject: Re: Saw Surgeon
itsnopicnic
Offline Offline
Send Email Send Email
 
OK so you want to go about 1/4-1/3 of the way down on the page to where
it says Results: 39 causes
--- In feeding@yahoogroups.com, "itsnopicnic" <itsnopicnic@...> wrote:
>
>
> UUuuugggggghhhh let me try this again. I see the link didn't work.
>
>
>
>
http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-lo\
\
> ss/poor-growth.htm
>
<http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-l\
\
> oss/poor-growth.htm>
>
>
>
>
> --- In feeding@yahoogroups.com, "itsnopicnic" itsnopicnic@ wrote:
> >
> > Eleanor,
> >
> > ((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
> > button. I really don't understand it. I do however understand not
> > doing the fundo. With everything Gracie is going through with Aaron
> > I'm glad it was never done on Carissa. It really should only be done
> > after all meds are proven ineffective and reflux is severe. It just
> > stinks that you can't readily get the same drugs we can and that you
> > have to wait so long and fight so hard to try all the drugs!
> >
> > I'm so sorry, but it seems like you may have been thrown into my
> > world of the undiagnosed. Let me know if you want any links on that.
> > Your statement of him losing his hair jumped out at me like a
flaming
> > arrow because I knew I had read it somewhere before when I was
> > researching things. Your surgeon is partially right. I just can't
> > believe the GP or pedi didn't pick up on these things and test for
> > them before sending you to surgeon since it's so hard to get in to
> > see him :-( Here's a link that will take you to a site that has
> > several links on possibilities of what may be wrong with him based
on
> > stomach pain, poor growth, and hair falling out. There are several
> > types of celiac listed and maybe you telling him the hair bit was
> > like a flaming arrow for him too. I don't know. Check out this info
> > and let me know what you think he fits into if any. Depending what
> > they find he has you may have an answer for Nathan too.
> >
> >
http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
> > loss/poor-growth.htm
> >
> > I don't know how things are in your country, but maybe the surgeon
> > was afraid to do the surgery without a proper diagnosis or maybe a
> > proper diagnosis would lead to a better non-surgical treatment. I
> > don't know. All I know is that all surgery has risks and the button
> > is less risk than the fundo. Hope I've helped you some. I know I had
> > to really fight long and hard for Carissa's button. Remember it took
> > me about 6 months from the time I actually started fighting, but
> > technically she should have gotten hers when she was only 5 weeks
old
> > meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))
> >
> > Michelle-AKA Zombie Mommy
> > www.caringbridge.org carissamaya
> >
>

#51659 From: "itsnopicnic" <itsnopicnic@...>
Date: Tue Jul 29, 2008 2:14 pm
Subject: Re: Saw Surgeon
itsnopicnic
Offline Offline
Send Email Send Email
 

UUuuugggggghhhh let me try this again. I see the link didn't work.

 

http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-loss/poor-growth.htm

 


--- In feeding@yahoogroups.com, "itsnopicnic" <itsnopicnic@...> wrote:
>
> Eleanor,
>
> ((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
> button. I really don't understand it. I do however understand not
> doing the fundo. With everything Gracie is going through with Aaron
> I'm glad it was never done on Carissa. It really should only be done
> after all meds are proven ineffective and reflux is severe. It just
> stinks that you can't readily get the same drugs we can and that you
> have to wait so long and fight so hard to try all the drugs!
>
> I'm so sorry, but it seems like you may have been thrown into my
> world of the undiagnosed. Let me know if you want any links on that.
> Your statement of him losing his hair jumped out at me like a flaming
> arrow because I knew I had read it somewhere before when I was
> researching things. Your surgeon is partially right. I just can't
> believe the GP or pedi didn't pick up on these things and test for
> them before sending you to surgeon since it's so hard to get in to
> see him :-( Here's a link that will take you to a site that has
> several links on possibilities of what may be wrong with him based on
> stomach pain, poor growth, and hair falling out. There are several
> types of celiac listed and maybe you telling him the hair bit was
> like a flaming arrow for him too. I don't know. Check out this info
> and let me know what you think he fits into if any. Depending what
> they find he has you may have an answer for Nathan too.
>
> http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
> loss/poor-growth.htm
>
> I don't know how things are in your country, but maybe the surgeon
> was afraid to do the surgery without a proper diagnosis or maybe a
> proper diagnosis would lead to a better non-surgical treatment. I
> don't know. All I know is that all surgery has risks and the button
> is less risk than the fundo. Hope I've helped you some. I know I had
> to really fight long and hard for Carissa's button. Remember it took
> me about 6 months from the time I actually started fighting, but
> technically she should have gotten hers when she was only 5 weeks old
> meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))
>
> Michelle-AKA Zombie Mommy
> www.caringbridge.org carissamaya
>


#51658 From: "itsnopicnic" <itsnopicnic@...>
Date: Tue Jul 29, 2008 1:56 pm
Subject: Re: Saw Surgeon
itsnopicnic
Offline Offline
Send Email Send Email
 
Eleanor,

((((((((((HUGS)))))))))) dear. I'm sooooooo sorry he wouldn't do the
button. I really don't understand it. I do however understand not
doing the fundo. With everything Gracie is going through with Aaron
I'm glad it was never done on Carissa. It really should only be done
after all meds are proven ineffective and reflux is severe. It just
stinks that you can't readily get the same drugs we can and that you
have to wait so long and fight so hard to try all the drugs!

I'm so sorry, but it seems like you may have been thrown into my
world of the undiagnosed. Let me know if you want any links on that.
Your statement of him losing his hair jumped out at me like a flaming
arrow because I knew I had read it somewhere before when I was
researching things. Your surgeon is partially right. I just can't
believe the GP or pedi didn't pick up on these things and test for
them before sending you to surgeon since it's so hard to get in to
see him :-( Here's a link that will take you to a site that has
several links on possibilities of what may be wrong with him based on
stomach pain, poor growth, and hair falling out. There are several
types of celiac listed and maybe you telling him the hair bit was
like a flaming arrow for him too. I don't know. Check out this info
and let me know what you think he fits into if any. Depending what
they find he has you may have an answer for Nathan too.

http://symptoms.wrongdiagnosis.com/cosymptoms/digestive-symptoms/hair-
loss/poor-growth.htm

I don't know how things are in your country, but maybe the surgeon
was afraid to do the surgery without a proper diagnosis or maybe a
proper diagnosis would lead to a better non-surgical treatment. I
don't know. All I know is that all surgery has risks and the button
is less risk than the fundo. Hope I've helped you some. I know I had
to really fight long and hard for Carissa's button. Remember it took
me about 6 months from the time I actually started fighting, but
technically she should have gotten hers when she was only 5 weeks old
meaning she had to wait 8 months!!!!! Good luck and (((((HUGS)))))

Michelle-AKA Zombie Mommy
www.caringbridge.org carissamaya

#51657 From: Johelen Walker <johelenc1@...>
Date: Tue Jul 29, 2008 12:49 pm
Subject: Re:Duocal
johelenc1
Online Now Online Now
Send Email Send Email
 
We are using it.  I can't say it's made huge differences, but then again who knows where we'd be without it.  Plus, I can say my girls having been eating as much formula as before.  But, we mix it with everything - formula, yogurt, baby food, people food...

Definitely search the internet for the best price.  It was $35! at the pharmacy.  I found it for about $15 online.

Johelen

Join our Journey...
www.natandabby.blogspot.com


#51656 From: "Eleanor" <eleanordyne@...>
Date: Tue Jul 29, 2008 4:28 am
Subject: Saw the surgeon
eleanormdyne
Offline Offline
Send Email Send Email
 

 

We saw the surgeon today and I don’t know where we’re going to from here. Yes, he has reflux to the point of it being called heart burn – not normal but not major. He wonders if maybe the reflux is causing oesophageal spasms and that’s what’s causing him pain.

 

 He seems to think it’s more of a learnt thing not to eat and that if we can reduce the acid we can stop the pain and he’ll start to eat again. But because the reflux is not that major he’s not certain doing surgery will fix it. He said he’d certainly offer surgery because there is some evidence of reflux but not offering any big hopes of it fixing things. He said right at the start he wouldn’t offer a feeding tube in the first instance. I didn’t want to tackle him on that then and it didn’t work out that I could ask him why not later. He did say later that if Thomas wasn’t tracking along some kind of curve then it would be something to consider – I pointed out Thomas’ weight is already a flat line and has been for 4 months.

 

Peter asked him what he’d do if he were in our position and he said he really felt that if we could control the acid then things would come right in 6 months or so – but also said we could do surgery at any time and that wasn’t closed.

 

Thomas won’t eat food with the losec granules in so he asked about liquid. I was able to tell him that there is liquid but that Pharmac restrict it to the under 6 month age group because anyone else can take the capsules sprinkled in food. So he asked about paying for it and I said if it wasn’t covered by Pharmac then insurance wouldn’t pay – we already pay for the cisapride on that basis. So he’s going to write to the paed to fill her in on where we’re at and ask her to apply for special authority numbers for the liquid losec. He’s going to write a letter to our insurance and ask them to pay for the liquid losec on the basis that if they don’t then they’ll be up for thousands for the nissen which they could otherwise avoid – he said we’ll get it one way or the other.

 

He’s also going to suggest that the paed get the celiac blood test done (we really don’t think that’s the issue but it’s another box to tick) and suggest some kind of endocrinology work up to see if there’s anything else going on.

 

Peter and I are agreed that we don’t want to put him through the surgery if it’s not going to help but I really now don’t know where to turn.

He needs to eat, he needs to grow. We HAVE to feed his brain somehow. He is clinically classed as Failure To Thrive.

 I don’t have any tricks left here to help him and I don’t know how long he can go without gaining and essentially suffering malnutrition before it has long term effects on him. He is drinking the Neocate, which is a total nutrition formula but only about 500mls a day. That’s 500 calories from the formula. He needs around 1300 calories a day (average for his age). He sure as hell isn’t getting that from his food. If he could drink 1.3 litres of the stuff a day then he’d be getting everything he needs but 1 – over 650mls and he usually wakes crying and in pain and 2 – if he drank that much there’d be no way he’d eat! He’s never drunk a litre even – best ever is about 900mls.

 

We see the GP for his weigh in again this Friday and we see the paed in late August. I’m going to ask both the GP and paed how long he can go on so few calories and an unbalanced diet before something goes wrong – maybe I’m over worried, but I don’t think so. I’m going to ask the GP to do the FTT blood tests which will see if things are in balance in his body – why’s the kid losing his hair?

 

But I don’t know – yes, we can work through this but it’s not going to be a 6 month effort, Nicholas still isn’t eating properly, this is going to be a really really long term project and how do we get him to thrive in the meantime – because I can’t get him to eat! Don’t know what I’m doing wrong but I can’t make him do it, and all the ‘experts’ can say is I’m going everything right – so why won’t he eat? The child doesn’t have enough energy to go to a playgroup, walk around the block or go to the park. The surgeon says don’t take too much notice of his behaviour but he hasn’t seen Thomas lie at the bottom of a slide and go to sleep! Thomas did one of his ‘I’m tired and going to cry’ things at the appointment and the surgeon said that because he sat and listened he didn’t think Thomas was really tired – but within 5 minutes in the car on the way back he was asleep! It was nap time after all J

 

So that’s where we’re at!

 

Eleanor, mummy to -
William, 33 weeker 10 years,
Nicholas, 36 weeker 7 years,
Thomas, 36 weeker now 3.

 


#51655 From: preemiemom0703@...
Date: Tue Jul 29, 2008 4:27 am
Subject: Re: I HATE dinner
preemiemom0703
Offline Offline
Send Email Send Email
 
Hi Amanda,
 
You know what?  You're not alone.  I hate dinner too - or at least I did until about 3 weeks ago.  Before it was a struggle just to get Andrew to the table.  We had demonized the dining room, meals at the table, everything.  We abandoned the dining room for about 6 months and have just started back in there in the few weeks.  We told Andrew we were going to eat dinner and that he could either play with his toys or join us, but no TV.  He actually came to the table but left soon after.  We considered that a success.  Three weeks later he still comes to the table and now waits (usually) for us to finish dinner.  Other nights he wants to be excused after 5 minutes.
 
I continue to put food on a plate for Andrew and he continues not to eat it.  (Or to eat maybe 1 bite or -tonight- ONE piece of rice.)  After we've had dinner, we do a tube feeding.  Some people like to do tube feedings at the table but we do a blenderized diet and sometimes I have to fight the pump.  I prefer to do it this way.  I'm trying to give Andrew a sense of control AND become comfortable with food on his plate.  Either way, he knows the routine.  We're going to the table to eat dinner.  He will have a plate with a little bit of food on it.  I will ask and encourage him to touch, kiss or sample the food.  He decides he either will or won't but I refuse to battle with him.  After family dinner is tubey food.  I know he's happier now that we're not making an issue out of him eating at the table with us (or even sitting at the table with us) and I'm happier too.  Now if I could just get my 3 1/2 year old to stop saying "Yuck. I don't like that." to EVERYTHING on the table whether she actually likes it or not!
 
Hope this helps at least a little bit.
 
Dana C.
 
-------------- Original message --------------
From: "Amanda Marshall" <amandamarshall@...>

…urgh, I really hate dinner time!!! Silas just plain out refuses even if I offer him something I know he will generally go for. I’m at a point of do I even fight it, or do I just do a tube feed??

Amanda


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