a tube feeder.
Today's topic: what is a typical day like.
Well, we are still adjusting to life with a tube. This is our typical day:
0730- Time to rise and shine for school! Hayden's night feed is usually still running. He takes his pole to the bathroom to brush his teeth and back to his room to get dressed.
0800-By this point, we are downstairs. Usually, there is about 100-200ml of formula left in his bag. I stop his pump, clamp his tube, and give him a flush of about 60ml. This goes towards his daily total of water. I add his daytime total feed to his bag. I load his bag, pump and tubing into a backpack to get ready for school.
0810- Hayden is on the bus and off to school.
Hayden gets a total of 1475ml of formula a day. Hayden can only handle a rate of 100ml/hr during the day, though, and 65ml/hr at night. Do the math. He's on his pump for about 16hrs a day. Now, of that 16hrs, about 9 of those are while he's sleeping. While he's at school, his bag is either on his shoulders or hanging off his chair. The pump only weighs about 1.5oz so it's really light. He doesn't even notices it most of the time. Periodically, during the day, the school nurse checks on him to make sure everything is still pumping and ok.
1550- Hayden gets off the bus. He's usually still pumping.
1625- His daytime feed finishes. I turn his pump off, clamp the tube, unplug him and flush him again with 60mls. At this time, I have to do his post op tube care. For him, this means spraying a soapy water solution on his belly. This not only provides antiseptic, it loosens and softens any build up or crust. I use clean q-tips to softly remove these. I, then, use gauze to dry everything. Once that's done, I rotate the whole tube and reapply tape. I also put a bit of neosporin on him. He gets the remainder of the evening off the pump.
2000- bedtime! I give him one more quick look over to make sure his tape is good and that no build up has come back, give him his meds, and he's off to bed.
22-2300- Whenever I go to bed, I take his night feed up. I take a clean bag, add a 4ft extension and pour in approx 720ml for night time. I take his pump and feed upstairs. Once in his room, the bag gets hung on the pole, the pump attached to the pole and it's plugged into him. I lower his rate to 65ml/hr and he's good to go. Now, if he rolls onto the tubing, we get alarms through the night saying NO FLOW OUT. We have to go in and roll him over and find the kink. Most nights, we get no alarms. Some nights, we get 6+ alarms. Other nights, he comes unplugged and we "feed the bed." This means that the feed went into the bed instead of the kid. This makes for a nasty mess. Not only is the bed full of milk, since there's nothing plugged in or clamping the tube, there's nothing to stop the stomach contents from coming out. So, yeah, I wake up to the smell of sickly sweet vanilla and stomach acid. Bleh! Thankfully, this has only happened once. It's amazing how fast stomach acid can flow out of that sucker. lol. It's like an open hydrant.
Now that we are settling into a routine, it's not that bad. Hayden definitely feels better about mealtimes because there's no stress or pressure. Now that we know that a) he wasn't eating due to slow motility, a very small stomach and reflux and b) he's getting his calories no matter what, there's no stress for us at meal times.