We started this blog shortly before LA was born to share with our family and friends what was going on with LA when we discovered that things were not as they should be. As I shared with you back then, it is easier at times to write about what is going on than to talk about it. Now, that still holds true, but apparently
LA's fan club has MANY members, so it is also a quick way to tell everyone what is going on.
We are back in the hospital with LA. But for a reason NONE of us expected.
Let me back up a little. Since mid August, LA has been struggling in the mornings. Like clockwork, she will heave, gag, and ultimately vomit at 5-5:15 every morning. It is a mix of bile and mucous. We have discussed this with our GI and our pediatrician and have been trying several medications to help. She even had an MRI done at the beginning of the month to see if there was pressure building in her brain causing the vomiting.
The other part of the situation is that LA has always had trouble eating. She does not laterally move her tongue with food, but just lets it slide to the back of her tongue and swallow. Because of that, we have been working with an OT and, more recently, a Speech/Language Therapist (specializing in feeding therapy). We were making progress. LA could drink from an open cup and was actually showing an increase in the amount of food she could consume. Knowing about our vomit issue and that LA has been congested a lot lately, our
SLP suggested getting a swallow study done to see if any of the liquid was going up into her nose instead of just down her throat.
On Thursday, we went to get the swallow study done. They put LA in a chair similar to a car seat next to an x-ray machine with a video monitor attached. The process involved me feeding small amounts of barium laced liquids (of different thicknesses) and purees to LA. She failed. And by failed, I mean, she FAILED MISERABLY. Basically, she is aspirating some of anything that goes into her mouth. That means that a small amount of liquid/food is going into her airway every time she swallows. This should not happen. Not even a little bit.
It has been determined that it is very unsafe for LA to consume anything by mouth. Because of this, she was immediately admitted into the hospital and had an
NG tube put in. Yep, remember that awful nose tube she had when she was born? It's back. Temporarily.
With the team of doctors that we are working with, we have decided to move ahead and have a more "permanent" feeding tube put in to her stomach. I say "permanent" because, if one day she is able to eat by mouth again, the tube can be removed. The crappy news is that this is not a problem that doctors can fix. Instead, this swallowing issue is only something that can be bypassed. She might outgrow it, but chances are this is neurological and one of the "lovely" complications of her
ACC.
Anyhow, the news hit us pretty hard yesterday and today we are slowly coming to terms with what needs to be done. It is not anything that I would ever want for my child, but there are worse things. The helipad for the hospital is right outside our window and I have already heard it land twice this evening. I have to keep that in mind. When you are in a hospital and hear "Code Blues" and know that some kids won't leave, at least mine will.
The surgery is scheduled for Monday as long as everything goes as it should this weekend. She has to have enough bowel movements to move the contrast out of her system for an upper GI to be done. To have an upper GI, she cannot eat for some time before it. No food means no poo. Fun times...
Of course, the BIGGEST issue right now is how to keep a 20 month old who feels GREAT entertained in a hospital. We have met every single nurse on the floor and most of the other parents...yes, we have taken that many laps around our floor. LA loves to walk and just keeps on going! We are all tired---except LA!
So that is what is going on...