Guest guest Posted February 24, 2004 Report Share Posted February 24, 2004 We're home! We came home on Thursday night after 15 loooong days in the hospital. He had a fundoplacation, which is where they wrap the top of the stomach around the bottom of the esophagus so that he can't vomit anymore. Then he had a permanent feeding tube placed in his stomach. There was a lot of debate between all of his Drs. about doing this surgery..they all agreed he needed it, but because he was so small and had lost even more weight since being admitted, there were a lot more risks with the surgery. They tried to get him to gain weight first by putting in an NG tube down his nose into his stomach to bypass him having to swallow anything, but he still threw up even with that and all the medications he was on to prevent him from vomiting. It came to the point where the Drs. could not tell us for sure if he was going to make it because he was so malnourished at that point, and had NO energy. He just laid there all day and couldn't move. He went a week on nothing but IV fluids. They wanted to keep trying with the NG tube, but I refused to consent to it because farting around with it was making him worse..I got the surgeon to agree with me that the risk of surgery before he gained some weight was better than the risk of letting him get worse, (duh) and we argued with the other Drs. till we got our way. I have to admit though, the day he went for surgery, I was really freakin scared..if things went wrong, it was all on me, since I'm the one who made the decision. We were told that he would take much longer to recover from the surgery because he had no muscle to help repair the wounds, (his body was breaking down his muscles for energy at that point) and it would be 7-12 days before he would be able to try and eat, as opposed to the 24-48 hrs that it normally takes. However, after surgery, he rebounded much quicker than that, and was trying clear liquids through his G tube in 24 hours...stumped us all! He moved on to formula later that night, again much sooner than planned, and did great. We did have a scare the third day, as he started pooping uncontrollably, which is a sign of not tolerating his feeds, but luckily he had just contracted rotovirus, (causes stomach problems, lots of kids get it, especially in the hospital) so that set us back a few days. But, as soon as he got over that, he reached his goal volume and calories and was able to go home! He has gained almost half a kilo, (a little over a pound) which for him is incredible, as he will go 6 months without gaining an ounce. He is improving in leaps and bounds. He wants to eat now, and will grab his spoon out of the baby food jar and try and feed himself. He is not miserable anymore, even his skin is clearing up. His energy level is way up and he is doing more age appropriate things. And it's been less than a week since he started using the tube! The mixed blessing of being in the hospital was that we had every test he needed done in about 3 days, and got established with all of the specialists that he needed to get in with..which would have taken us months to do as an outpatient. The Drs. were all very receptive to listening to me about RSS and everyone agrees that this is what he has. He just also has the 18th chromosome abnormality on top of it. All of his test results were encouraging, but puzzling, as most everything was NORMAL! He had several gastric tests to find out the reason for his vomiting, and physically he is fine..swallows fine, (once it gets there, he had no interest in doing the work at first, but has overcome that..he is even chewing now, and I was told that getting to that point would take months of therapy, and he has done it himself in a matter of a week) does not aspirate anything into his lungs. His stomach empties a little slow, but no big deal. His echo of his heart showed what we already knew, a small functional hole. His EEG showed no seizures. With his MRI, (this is the most incredible part) the neurologist came in before she looked at his films to check him out, and to talk to me about the MRI he had had done in OK and what it meant..basically that he would be retarded and that he would never catch up developmentally. He had a delay in the normal maturation of his brain. Bad news. Then she came in the next morning and told me that she had looked at his new MRI and that it showed a normal brain for a 15 month old..no abnormal delay at all...it caught up. Which is amazing considering the lack of nourishment he was getting from throwing up all of the time. So his brain is normal. And in evaluations, he does not appear to be retarded, in fact, the opposite. He is at the right spot as far as curiosity and socialization are concerned, and his physical limitations are very obviously due to the feeding problems. He has shown already that he can overcome those with the proper feeding. His only delays that cannot be fixed are attributed to his deafness, and that's easily explained. (the reason he doesn't speak, et.) He also has vision problems, so he has an apt. with a pediatric ophthalmologist to work on that. It's so incredible. Since I was pregnant, we were told nothing but horror stories about him, and how it would be. In evaluations, we were told he was retarded because of the severe physical/mental delays. However, now we are seeing the real Xavier, who is intelligent, (pulled out his NG tube with his toes when we immobilized his arms curious, frustrated, (good thing) and willing to work. He's hooked up with 9 different specialists, physical therapy, occupational therapy, speech therapy and feeding therapy. He eats a high calorie (27cal) formula in a small bolus through his tube four times during the day, and is on a continous feed all night long via a pump. We are so busy right now, usually I have 2 apts a day, all week long. But it's better than where we were! Before, the peds I would take him to would not know what I was talking about, treat what he was there for, (shots, his eczema, whatever) and send us on our way, because there was nothing " wrong " with him except that he was small. Thank god we got in to the hospital so that he could have a real workup. Now I have drs. -asking- to be his dr! I actually had several of them come in and make a case on why they should be his new pediatrician! I was cracking up inside, since I have been sent on my merry way so many times before..and now I can't get them off my back! The only thing I can think of is that Xavier has one HELL of a guardian angel in my brother. None of this was happening before Joe died. No drs. would even look at him, trying to get him into any of these specialists meant months on a waiting list. Xavier should not have recovered the way he did, as fast as he did. He had every single thing stacked up against him, and not only did he overcome them, but he did it faster than a healthy child is expected to do. Xavier is strong, but I have no doubt in my mind that Joe was helping him along, helping him to stay strong and fight. It hurts me that Xavier will never know Joey, but maybe he knows him better than any of us think he does. Anyway, this is long and took me a looonger time to write, (a little here, a little there...) but I wanted to let everyone know how he is doing and to apologize that I have been so out of touch, I have just been so busy! We went home and got Emerald and Wyatt from Arizona, so we are trying to get back into a schedule around here. They were so excited to see Xavier, and they are not afraid of his tube at all. They are so matter of fact about it..they want to " feed his tube " with me all the time, and they are very keen on explaining it to other people. If we are in public and have to feed him, some people stare. Emerald and Wyatt are very quick to pick this up and explain to them what it is and why he has it and how great he is...they are too cool. okay, so, time to feed the monkeys! Thanks to everyone, we love you! Jen, Lance, Emerald, Wyatt, and Xavier Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2004 Report Share Posted February 24, 2004 What a wonderful story!!!! I am so uplifted by your spirits and how everything turned out. I am so happy for you - and for Xavier. I love it when doctors are wrong and our kids just shine! Jodi Z. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2004 Report Share Posted February 24, 2004 This is absolutely superb news!!! After everything you have gone through! I am so proud of you I could just spit!!! HA! You took the bull by the horns, you recognized your parental gut instinct, and you stood up for what you knew was right for your son. I am very proud of you!!! I sure hope we get the chance to meet you this summer!!! Stay in touch with me privately with regards to the convention, OK? > > We're home! > We came home on Thursday night after 15 loooong days in the hospital. He had > a fundoplacation, which is where they wrap the top of the stomach around the > bottom of the esophagus so that he can't vomit anymore. Then he had a > permanent feeding tube placed in his stomach. There was a lot of debate between all > of his Drs. about doing this surgery..they all agreed he needed it, but > because he was so small and had lost even more weight since being admitted, there > were a lot more risks with the surgery. They tried to get him to gain weight > first by putting in an NG tube down his nose into his stomach to bypass him > having to swallow anything, but he still threw up even with that and all the > medications he was on to prevent him from vomiting. It came to the point where the > Drs. could not tell us for sure if he was going to make it because he was so > malnourished at that point, and had NO energy. He just laid there all day and > couldn't move. He went a week on nothing but IV fluids. They wanted to keep > trying with the NG tube, but I refused to consent to it because farting > around with it was making him worse..I got the surgeon to agree with me that the > risk of surgery before he gained some weight was better than the risk of letting > him get worse, (duh) and we argued with the other Drs. till we got our way. > I have to admit though, the day he went for surgery, I was really freakin > scared..if things went wrong, it was all on me, since I'm the one who made the > decision. We were told that he would take much longer to recover from the > surgery because he had no muscle to help repair the wounds, (his body was > breaking down his muscles for energy at that point) and it would be 7-12 days before > he would be able to try and eat, as opposed to the 24-48 hrs that it normally > takes. However, after surgery, he rebounded much quicker than that, and was > trying clear liquids through his G tube in 24 hours...stumped us all! He moved > on to formula later that night, again much sooner than planned, and did > great. We did have a scare the third day, as he started pooping uncontrollably, > which is a sign of not tolerating his feeds, but luckily he had just contracted > rotovirus, (causes stomach problems, lots of kids get it, especially in the > hospital) so that set us back a few days. But, as soon as he got over that, he > reached his goal volume and calories and was able to go home! He has gained > almost half a kilo, (a little over a pound) which for him is incredible, as he > will go 6 months without gaining an ounce. He is improving in leaps and > bounds. He wants to eat now, and will grab his spoon out of the baby food jar and > try and feed himself. He is not miserable anymore, even his skin is clearing > up. His energy level is way up and he is doing more age appropriate things. > And it's been less than a week since he started using the tube! > The mixed blessing of being in the hospital was that we had every test he > needed done in about 3 days, and got established with all of the specialists that > he needed to get in with..which would have taken us months to do as an > outpatient. The Drs. were all very receptive to listening to me about RSS and > everyone agrees that this is what he has. He just also has the 18th chromosome > abnormality on top of it. All of his test results were encouraging, but > puzzling, as most everything was NORMAL! He had several gastric tests to find out the > reason for his vomiting, and physically he is fine..swallows fine, (once it > gets there, he had no interest in doing the work at first, but has overcome > that..he is even chewing now, and I was told that getting to that point would > take months of therapy, and he has done it himself in a matter of a week) does > not aspirate anything into his lungs. His stomach empties a little slow, but no > big deal. His echo of his heart showed what we already knew, a small > functional hole. His EEG showed no seizures. With his MRI, (this is the most > incredible part) the neurologist came in before she looked at his films to check him > out, and to talk to me about the MRI he had had done in OK and what it > meant..basically that he would be retarded and that he would never catch up > developmentally. He had a delay in the normal maturation of his brain. Bad news. > Then she came in the next morning and told me that she had looked at his new MRI > and that it showed a normal brain for a 15 month old..no abnormal delay at > all...it caught up. Which is amazing considering the lack of nourishment he was > getting from throwing up all of the time. So his brain is normal. And in > evaluations, he does not appear to be retarded, in fact, the opposite. He is at > the right spot as far as curiosity and socialization are concerned, and his > physical limitations are very obviously due to the feeding problems. He has > shown already that he can overcome those with the proper feeding. His only delays > that cannot be fixed are attributed to his deafness, and that's easily > explained. (the reason he doesn't speak, et.) He also has vision problems, so he > has an apt. with a pediatric ophthalmologist to work on that. > It's so incredible. Since I was pregnant, we were told nothing but horror > stories about him, and how it would be. In evaluations, we were told he was > retarded because of the severe physical/mental delays. However, now we are > seeing the real Xavier, who is intelligent, (pulled out his NG tube with his toes > when we immobilized his arms curious, frustrated, (good thing) and willing > to work. > He's hooked up with 9 different specialists, physical therapy, occupational > therapy, speech therapy and feeding therapy. He eats a high calorie (27cal) > formula in a small bolus through his tube four times during the day, and is on a > continous feed all night long via a pump. We are so busy right now, usually > I have 2 apts a day, all week long. But it's better than where we were! > Before, the peds I would take him to would not know what I was talking about, > treat what he was there for, (shots, his eczema, whatever) and send us on our > way, because there was nothing " wrong " with him except that he was small. Thank > god we got in to the hospital so that he could have a real workup. Now I have > drs. -asking- to be his dr! I actually had several of them come in and make > a case on why they should be his new pediatrician! I was cracking up inside, > since I have been sent on my merry way so many times before..and now I can't > get them off my back! > The only thing I can think of is that Xavier has one HELL of a guardian angel > in my brother. None of this was happening before Joe died. No drs. would > even look at him, trying to get him into any of these specialists meant months > on a waiting list. Xavier should not have recovered the way he did, as fast as > he did. He had every single thing stacked up against him, and not only did > he overcome them, but he did it faster than a healthy child is expected to do. > Xavier is strong, but I have no doubt in my mind that Joe was helping him > along, helping him to stay strong and fight. It hurts me that Xavier will never > know Joey, but maybe he knows him better than any of us think he does. > Anyway, this is long and took me a looonger time to write, (a little here, a > little there...) but I wanted to let everyone know how he is doing and to > apologize that I have been so out of touch, I have just been so busy! We went home > and got Emerald and Wyatt from Arizona, so we are trying to get back into a > schedule around here. They were so excited to see Xavier, and they are not > afraid of his tube at all. They are so matter of fact about it..they want to > " feed his tube " with me all the time, and they are very keen on explaining it to > other people. If we are in public and have to feed him, some people stare. > Emerald and Wyatt are very quick to pick this up and explain to them what it is > and why he has it and how great he is...they are too cool. > okay, so, time to feed the monkeys! > Thanks to everyone, we love you! > Jen, Lance, Emerald, Wyatt, and Xavier > > > > Quote Link to comment Share on other sites More sharing options...
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