Guys, I have to admit something. I am not as tough, strong, or as optimistic as I aim to present myself here as a blogger. In a lot of ways, our family has been dealt a crap hand. But even before I can finish thinking that thought, I feel the need to caveat it with something like, “it could have been so much worse! We are so lucky! Look at D!” But lately I’ve been more prone to metaphorically shake my fist at the sky and wonder, why us?

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A typical morning scene – D quietly destroying his pump set up…

I think these feelings are bubbling up more because D’s closer to being 2 than he is to being 1, and 2 was supposed to be the magic age. It sounds so stupid now, but I remember hearing the anecdote that most preemies will catch up to their peers in everything by the time they’re 2, and feeling like D would beat that. When D got his G tube and everyone was asking when he would get it out, I would say, “oh I think by the time he’s 2.” Not going to happen; I’m afraid to even make another guess. Again, I have to say that all things considered, he’s doing so great. But he still has a long way to go, and I’m starting to make myself picture him going to Kindergarten with his G tube. Of course there’s no guarantee that he will still be reliant on it at that time (3ish years from now), but so far all signs are pointing to yes. And even admitting that feels like defeat, or like I’m giving up on him or something.

D had an appointment with his GI docs shortly after passing his last swallow study. I was so excited for that appointment, and it went pretty well. Of course his GI team was thrilled about the swallow study and also happy to see him walking around so steadily, and he had gained an appropriate amount of weight. I proudly told them how I had been giving him some of his 3 daily 10oz of ORS by mouth now that he could drink it, which allowed us to skip 1-2 daytime tube feedings. My plan was to get him to take enough in by mouth so that he could be off of his feeding tube during the bulk of the day and perhaps even go to preschool or daycare without the teachers having to use it.

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Although the GI team agrees in theory with this plan, they don’t have any of the same motivations I have for getting him off the tube for any substantial period of time. They instead took the news that he would willingly drink the ORS as an opportunity to further increase his fluid intake, so now little D has to drink about 7 oz of ORS by mouth before we can start subtracting anything from the three (now increased to 12oz) tube feedings of ORS! I just feel so defeated – how can I possibly convince a toddler to willingly take in 42oz of ORS by mouth (which tastes like salt water) on top of the 36oz of concentrated formula he gets overnight, which I don’t even dare to dream about trying to reduce. I know many adults who struggle to drink 36oz of water a day!

I thought I had found a way around it all. I figured that at least we could keep his feeding tube and related issues outside of a school or daycare setting. The sheer volume his doctors want him to take in is making me admit that it is impossible. And accepting that means accepting that for real, this is a chronic condition. It is really not going to just disappear as a concern one day. It will be years and years and years before D and I sort out a way for him not to need to use his feeding tube.

The unfairness of it all is that if he just had to overcome prematurity, he’d be all set by now. After passing the swallow study, if he just had to overcome his brain injury, he’d at least be on the road to being all set. It’s the bout with NEC and the resulting short gut syndrome which will be the thorn in our sides forever. It’s not fair that he (all of us really) have to do this, but such is life. Mr T and I have put off the tube logistics in the near term and have started talking about how we can handle D’s sugar intolerance in the long-term. Sugar isn’t really an accepted allergen or anything. I don’t know how people will react when I tell them that he can’t have fruit, juice, baked goods… Will we still keep things with sugar in the house? If we don’t, is that fair to K to be deprived? Lots of things to still work out.

This post is a step towards the road of acceptance for me. Have you had to do course correction on your expectations for your LO or your LO’s development? For me it’s a continuing process, and seems to sneak up on me especially when I feel like I have a handle on it!