Monday, June 24, 2013

Intensive Phase - Day 1

The past few days of hunger induction have been very challenging. Despite cutting the volume of food through the tube by 40%, Joy still showed no signs of hunger and also did not eat more to compensate. But I realize that this is a process and that Joy needs to re-establish her relationship with food in her timing, not mine.  

Today we started the 1st day of the intensive phase of the tube weaning process. As I predicted, the therapists decided to not give Joy any formula or water through the feeding tube all day.  We have never done this before.  She was cranky, less playful, and easily irritable, which are definitely signs of hunger. She also took more naps during the day, possibly because she had less energy.

Our first feeding session went fine.  Joy seemed interested in eating (sweet peas, formula) and kept opening her mouth and at times, leaned forward to eat.  We also changed the setting and format with no high chair and bibs.  
1st Feeding Session
The 2nd feeding attempt was up and down.  The therapists tried to feed her but she seemed uninterested (probably because she just woke up).  So we let her play for a bit and then tried again.  This time, Joy ate fairly well with sweet potatoes and formula.  We also experimented with mum mums and puffs.  

On the 3rd feeding attempt, Joy was not interested in eating (she also just woke up) so we waited another 1 1/2 hours and I fed her with carrots and formula.  She seemed very interested and kept opening for more.
Joy After Her Last Meal Today
At the end of the day, we decided as a team to give her some food/water through the tube tonight and then to remove the feeding tube in the middle of the night.  Everyone wants to see how well she'll do without the tube tomorrow. This is a big step to take and we don't know what to expect.  Your prayers would be appreciated!

7 comments:

  1. Good luck Joy, mommy, & daddy! The Fleming clan will continue to pray for u all.

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  2. wow...praying for even more progress :0)

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  3. Nancy Kluge-StarrettJune 25, 2013 at 11:25 AM

    Good job! Thank you for sharing on this blog! Love & prayers to Mom & Dad & adorable Joy! :) xo

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  4. Thanks for the progress report. Keep your chins up.

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  5. hello joy's mom & dad your story motivated me to go forward with my weaning program i am at least thinking about it now as i was reading your belog. there is so much in common between my son and joy's symptoms, medical diagnose and so on. he is will be 7 month old i a bout a week, we are still using ng tube, we refused to go on to get G-tube just keeping it positive that he will eventually take more calories by mouth. right now he is only taking an oz three times a day and the rest goes to his tube. since its not bolus feeding i think his tommy is only used to getting or feeling hunger for lesser amount. i think he needs to be on bulus feeding for me to atleast encourage him to drink more. i feel like his stomach needs to stretch a bit to handle more volume. any suggestion on how i can have him drink more?

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    Replies
    1. Hi Rahma,

      I'm sorry for not replying sooner. All my notifications are going into my spam folder. Has your son participated in a weaning program? If so, how is he doing? I'd be happy to talk to you in person if you have more questions.

      Thomas

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