Nicholas has a GJ feeding tube which means there are two ports or openings. One goes directly to his stomach while the other feeds into his intestine. Since he refluxes his food, we feed him into his intestines therefore bypassing his stomach and then no reflux. He recently had his Nissen redone, in hopes of being able to feed him by stomach, only to find out a few months ago that they think it once again has come undone. If his Nissen was intact then we could feed him by stomach and he would not throw up his food. We've tried this and he throws up therefore we know, for now, we need to stick with the J port and feed him through his intestine. Make sense so far??? (probably not!)
Okay, so his feeding tube has been clogging lately. We have had it replaced, which requires a trip to radiology, 4 times since August. It should only be replaced twice a year. NO ONE CAN FIGURE OUT WHAT KEEPS MAKING IT CLOG! So frustrating! We try feeding him, the pumps stops working because it clogs, which equals no food for Nicholas. See why we have to get this figured out! We have an AWESOME GI doctor who has been working hard to figure this out but still no solution. One of his options is a surgical j tube. I'll explain this is a minute.
Our nurse suggested a GI doctor from Chapel Hill so off we went today. He was very nice, listened to us and offered these words. 1. We can try feeding him by his stomach again to see how that works (risking pneumonia!) 2. We can get another gj tube and pray that it works this time. 3. Get a surgical j tube placed. There's those words again...surgical j tube.
SURGICAL j tube. That means surgery for Nicholas. What do you think my response was to that!?!?!? NO WAY! I don't know the exact details of the surgical j tube but the end result would be that he now has two tubes on him. One being a g tube (which feeds into his stomach) and the other would be the j tube which would be surgically put in. The surgery is very invasive and painful to recover from. Did I mention he has another hiatel hernia too? So he said once they're in there he could fix the hernia as well. This would make the surgery even worse. We could have 1. a rough surgery that comes with complications by placing the j tube. Then a year or so later have another rough surgery and fix the hernia or 2. have a even worse surgery by placing the j tube and fixing the hernia with even worse complication all at once.
Our prayer for Nicholas would be that the g tube would work and we could feed him by stomach or that the clogging would resolve for the gj tube. We do not want Nicholas to have surgery again and will do every possible in our power to prevent this. Thankfully we have an awesome medical staff that feels the same way!
Off we went to appointment number two at Brenner to the Kids Eat Program. This is a place of therapists that help kids learn to eat again by mouth. We didn't go in there too enthusiastic after that last appointment. These people are so good and knowledgeable. They get updated on everything and say "OK, let's forget about the hernia for now. That is not an issue at the moment and let's keep rolling with the gj and see whats happens." Love those people. Just the encouragement we need but.....it gets better!
They pull out the spoon and applesauce....


As you can see by his face he wasn't sure what to make of it. They fed him, listened for his swallow, and then waited for gagging. He did everything perfectly. We were floored. Nicholas ate food, swallowed, and did not gag! They are now going to try and get a specialist to come to the house to work with us and Nicholas to better train him how to eat. Once we get him to two ounces of food we will then go in for a swallow study to see if he can eat more!!!! DO YOU KNOW HOW HUGE THIS IS!!?!?!?!?!?
Never give up hope...ever. There is always hope through Jesus Christ. He has done so much more in our son than we could have ever even imagined. Praising Him....