Last week was very possibly our LAST Dysphagia visit!!! It seems so weird to think that 8 months ago they were all set to install a G-tube and then Ammon had a miraculous turn around and now we are totally tube free (as long as he maintains his weight, that is). Just in the last two weeks his appetite has greatly improved and he seems to WANT to eat - yay! We have started praying more for him to eat well and it seems to be working. Why do we forget to do these things?
The Dysphagia team kept it pretty simple this time. Really, I might have canceled the appointment if I didn't need them for a perscription :) The gastroenterologist, Dr. Ogorman (who is AMAZING) was very pleased with how Ammon looks and gave him perfect marks :) I told her I took him off of his appetite stimulating medicine and she was fine with my decision. I hate that he takes so many medicines that cause dizziness, especially if they aren't working any miracles anyway :) We saw a new speech pathologist/ OT and she was almost shocked. She played with Ammon for a few minutes (checking his cognitive skills) and then said, "You have yourself a little miracle baby, don't you?" I asked her why and she covered up his scar and said, "If this weren't here, I would have no idea this kid is a heart baby." That was nice to hear :)
The dietician was happy as well. She said Ammon is still low on his weight and not gaining quite as fast as they would like him to, but as long as he is on the charts she's happy. She helped me with a few new options for milk. He needs extra calories because his heart works so hard all the time (she said its like he's running a low key marathon that never ends) and the formula he is currently on was made to go through a feeding tube so it doesn't taste very good. We spent the weekend trying different flavors of pediasure, but so far the absolute winner is whole milk fortified with Carnation instant breakfast- which is a total bummer because the insurance doesn't pay for that. Pbbt. I guess as long as he will eat it, I should be happy with that :)
I asked about taking him off of the bottle and they pretty much said no. Really, it was more like, "NO!!!!". They told me how to start working toward it - slowly - but they don't want him to loose interest in the bottle. They said most kids don't drink nearly as much from a sippy as they do a bottle and it is so crucial for Ammon to take in as many calories as he will. They are afraid that if he switches to a sippy and decides he no longer wants a bottle, he will lose too many calories from intake volume and then we would be back to the tube. That is a little frustrating because he is approaching two years and I hoped to have him off of it by then, but I understand their reasoning and I DEFINITELY don't want to go back to the tube.
So that's it. As long as he maintains his weight and continues making progress in eating we get to turn his eating stuff over to the pediatrician - THAT makes me SUPER happy!
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