Tuesday, March 27, 2012

Hit me with your best Crock!

So it seems I have been dubbed the Crock Queen. That's name callin' I'm okay with. I'm going to try and share a crock recipe here on a regular basis. If it helps other people eat a healthier dinner than easy, fast take out, I'll do some extra typing. Often times, crocking takes only a little prep. Most of the time, prep is 5-10min. If you are cooking for more than 4, you may want to double the recipe. If you are cooking for 1-2, cut it in half. Enjoy! :)


This one is pretty simple. It's a Dump and Walk kinda prep. This is called:
Chipotle Chicken Casserole

Photobucket

You will need:

  • 1lb boneless skinless chicken thighs, cut into cubes
  • 1tsp salt
  • 1tsp ground cumin
  • 1 bay leaf
  • 1 chipotle pepper in adobo sauce, minced
  • 1 medium onion, diced
  • 1 can(15oz) navy beans, rinsed and drained
  • 1 can(15oz) black beans, rinsed and drained
  • 1 can(14.5oz) crushed tomatoes, undrained
  • 1.5cups chicken broth
  • 1/2 cup orange juice
  • 1/4 cup chopped fresh cilantro (optional)



Combine chicken, salt, cumin, bay leaf, chipotle pepper, onion, beans, tomatoes with juice, broth and orange juice in a 3.5 quart crock pot slow cooker. Cover; cook on LOW for 7-8hrs or on HIGH for 3.5-4hrs. Remove bay leaf before serving. Garnish with cilantro.

Tips from me: I could not find Navy beans at the store. I added extra black beans. No one noticed. I also did not garnish the bowls. My family doesn't require garnish :). Do note that while this is called a casserole, it is more of a soup. For extra filler, I tossed in some 5min rice as I was prepping the bowls. Do NOT put rice in at the beginning.

Tuesday, February 7, 2012

The Fabulous Life of...

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.

Monday, February 6, 2012

Feeding Tube Awareness Week

This week in February is National Feeding Tube Awareness(FTA) Week. As from the title, the purpose is to raise awareness not only to the devices themselves but to the kids and adults who have to use them for various reasons. Also, FTA is to debunk myths and misunderstanding about tube feeding. Everyday this week, I will write about something about tubes. If you have a question, please feel free to ask.


Today's Topic: Why I have/my child has the tube they have now - a highlight on the medical conditions that require tube feeding. 




As many of you know, Hayden just got his G tube a few weeks ago. Hayden got a tube for several reasons. Hayden has documented oral difficulties due to his low muscle tone. His jaw muscles are weak and tire easily. His throat muscles are still weak and can be uncoordinated. This makes the simple act of chewing exhausting for Hayden. He has to put a lot of effort into simply taking a bite, chewing and swallowing. He simply doesn't take in enough on his own to grow. This has caused him to fall down the charts. He's currently at about 15% for weight and about 23% for height. That is a huge drop from his 95/75% that he used to be. He has been slowly going down over the past few years. He also has problems staying hydrated since he doesn't drink enough fluids. Since Hayden got his tube, we have learned a lot that answers the questions on why he wouldn't eat. It appears that he has a very small stomach and can't handle volume. We can't get him above 100ml/hr without him becoming painfully bloated and distended and stomach contents pouring out around the tube. He also seems to have been refluxing all this time. Now, we feed him under 100ml/hr and added Prevacid back to his meds and it's made a huge difference. Hayden loves his tube. He still eats at the table for Breakfast, lunch and dinner. While we definitely have days where it's not perfect and it definitely is a lot of work for us as parents, we all feel like this was a great decision for him. 


Tomorrow will be another topic. :) 

Friday, January 27, 2012

I wouldn't change him/her for the world!

I hear this phrase uttered a lot in the SN community, even with other disorders. My son has Aspergers, CP, Asthma and a few other things. Sometimes, I ask myself, would I change this if I could. Honestly, I don't know. If I took away his "issues," would I be doing it for me or for him? Am i taking them away because The World doesn't accept him? Am I making him conform just because of what others expect? If I take it away, how would it change him? Would he no longer be in love with Star Trek? Would he not obsess over Mario so much that he has no interest in playing anymore? Would he not be happy sitting under me on the couch playing video games on Saturday morning? He probably wouldn't be a complete nerd like me. Would he enjoy symphonies and nature sounds or Star Wars? He was the only one of my 3 who wanted to go to the Navy Band Concert with me, even Jeremy wouldn't go with me. I would miss all the Haydenisms and one-liners. I would miss the matter-of-fact statements when someone does or says something stupid. Will I miss laughing as I watch him eat boiled eggs with sour cream? Would he give me the elaborate story telling when telling me a dream to the point that I'm convinced he's making this up as he goes? What would I lose about him? Would he be as good at math and science as he is now? Would he watch Sci-fi with me? Of my three kids, he's my only nerd. lol. He may not have a ton of friends but he has 1 or 2 that understand him. Isn't that all we need in life? Yeah, the emabarassing sensory overloads in public would stop. Yeah, he'd eat the food on his plate without gagging from texture. There would be no more ABA. No running back and forth to therapies. He would have been able to participate in T-ball and actually finish a game. I would know when he's in pain or sick. He would be able to play outside for more than 5min. But would he still be the same kid? I would miss having someone see the world from the same point of view I do.

I never utter this statement cause I don't know if I would or wouldn't. He's fine who he is. I'm fine who I am. I have accepted our life and moved on. In fact, i wouldn't change him or me. I would change society that says HE must conform.