Tag Archives: NG tube

Countdown to Cornwall

This time last year I had holiday-planned to within an inch of my life and had experienced amazing support from the folks at Virgin Atlantic. We had arrived at Disneyworld Florida, were impressed by the positive approach to M’s restricted diet shown by all and were loving our days in the sun. It really was a trip of a lifetime and we’ve all been reminiscing a lot about where we were and what we were doing this time last year.

Our plans this year have been much less grandiose and much closer to home. When we first started thinking about our summer holiday plans back in November, all we knew was that M was going to be going elemental sometime soon and would have a NG-tube in place. We didn’t know if it would still be there by the time this summer rolled around and had no idea what he’d be able to eat or how we’d all be coping with the change. We toyed with the idea of a holiday in Portugal, a favourite destination of us all, but just weren’t sure how confident we would be if we needed to travel abroad with a tube in place. Of course, with the benefit of hindsight and nearly 9 months experience, I am sure we would have coped just fine, but the uncertainty of all we’d be dealing with meant that instead we opted for staying in the UK and so we are now on our countdown to Cornwall.

Our front hallway currently resembles a storage facility as I pull out ready for packing, not just clothes and beach essentials, but safe food supplies for both G and M and, of course, everything we’ll need for M’s tube feeds. We have each chosen a day-trip we’d like to do whilst we’re there as well as researching the beaches surrounding Fowey, our base for the week. Mike has spent time looking at various “wet-weather” options as there’s no guarantee of sun in the UK, even in August, and we have been able to pencil in a day with G’s godmother, Godmama C and her lovely family as they will be holidaying there too. We might be staying in a self-catering apartment, but we’re also hoping to venture out to eat and my time has been spent trawling the internet looking for allergy-friendly restaurants and emailing to find out whether they will be able to accommodate M’s current food needs. The great news is that a couple have already replied to tell me that they are up for the challenge and I can’t wait to try them out and share our reviews of just how well they did for both M and G with you all. Even better, thanks to timely posts from fellow bloggers such as The Intolerant Gourmand and dedicated websites like Can I eat there?, I’ve been given some great top tips for making this a holiday to remember.

Yet another chicken recipe!

Quick update

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With 2 weeks left to the end of term, there’s so much going on that I’ve barely got time to sit down and commit any useful thoughts to paper, so I’m afraid this post is just going to be a quick update. We’ve just had our first appointment in the new “Complex gastro and nutrition” clinic that our consultant and lovely specialist dietician have started at GOSH. The thinking behind this new clinic is that for children like M, who have a chronic gastro condition such as EGID as well as significant, complex and multiple food allergies, there needs to be regular meetings with both a gastro consultant and a dietician to ensure that everyone is singing from the same song sheet when it comes to treating the health of that child.

Hospital appointments always induce mild nerves in me, but this time round I felt more apprehensive than usual. We are now into month 8 of the NG-tube, when the initial plans were that M would have it for no more than 3 months at most and I was concerned that there might be discussion about removing the tube in the near future. M’s health has been so significantly improved since we went elemental in December that I don’t want to rock the boat any more than is necessary until we have a huge improvement with his diet. With only 4 foods on our “safe” list out of 12 tried so far, it has been a much longer process to reintroduce foods back than any of the medics expected, although, to be honest, Mike and I had always anticipated it taking a full year, if not longer. At the moment, M is coping well with his tube and is keen to keep trying new foods, so there are no concerns that the presence of the tube is having a detrimental effect on him in any way.

So, in a snapshot, the outcome of our appointment was this: that on almost every level, his health is remarkably stable right now and even his hay fever isn’t causing too many issues this year; but the area of most concern continues to be his ever-growing list of multiple food allergies. Our dietician is very worried that M is struggling to tolerate so many foods and now refers to him as one of her “biggest, but loveliest challenges”. The process of reintroduction has been so slow that until we have at least another 2 or 3 back in his diet, we cannot change the amount of E028 he’s having via his tube and so the tube obviously needs to stay in place. We have chosen the next 5 foods to try – white fish, pear, GF oats, venison and coconut – and will also be doing some mini-challenges to see if we can have some more spices and flavourings to add into my recipes. I will continue to remain in regular phone contact with her throughout these trials and we will keep persevering with the food challenges until our next scheduled appointment in around 4 months time.

Another food and an unexpected insight

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This moment has been an awfully long time coming, over 4 months and 7 food fails in a row in fact, but finally we have a fourth safe food to add to M’s repertoire: apple. The last few months have been emotionally tiring as we’ve worked our way down the list of food challenges agreed with our dietitian and M has systematically, and sometimes dramatically, failed each and every one. It has felt as if that elusive fourth food was our personal Holy Grail and there were times when Mike and I both began to wonder when we would ever achieve it.

One of the complicating factors we’ve had to deal with during the food challenges has been the whole host of reactions that we’ve seen along the way. We were never told, as far as either of us can remember, that it was possible to see so many different allergic responses to the varying foods M was trialling and we were certainly not advised that he could experience some that he’d never had before. His severe oral reaction to sweet potato was, in many ways, the easiest one to identify, even though horrendous to see happen, as we knew immediately that it had to be an instant fail; but the others have not necessarily been so straight-forward.

Our main goal is to maintain the improved health and toileting that M has achieved since he first went elemental back in December and even though that has meant ruling out some foods that would have been great to have back in his diet, I remain firm that his well-being, both physical and psychological, is our primary concern. At our last appointment, we discussed with both M’s consultant and dietitian our approach to the food challenges and agreed that anything that causes a loss of bowel control, of any description, has to be considered an instant fail for the time-being. These foods are not ruled out permanently – well, sweet potato is as far as I’m concerned! – and we will, without a doubt, revisit them at some future point once we have more safe ones back.

Sadly he has reacted to some of his old favourites, but he has coped admirably well with accepting the outcomes. He still remains reluctant at times to acknowledge exactly how he is feeling and telling us about the aches and pains we know he must be experiencing, but 9 years of parenting M means that I have become highly attuned to his moods and can sense when he’s feeling under the weather. His willingness to lose a food again at times has indicated to us that he also identifies when it’s making him feel poorly, especially when he has been prepared to fight for those that he believes he can cope with.

Never was that so true as at the start of our apple challenge. During the first couple of days, his body reacted with hives and itchy skin, just as we saw when we first reintroduced rice and he also struggled a little with his bowel control. However, unlike with other foods where he has reluctantly agreed that it was likely a negative response to the challenge, this time round M insisted that the fault was his for not listening to his body and responding quickly enough and that he felt he was still in complete control.

10 days on and he has proved to be right, which is a valuable lesson for us all:

We have spent years fighting for our voice to be heard when it has come to M’s health and each step of the way have been shown to be right in our concerns and our thoughts for his ongoing treatment. It seems that now we need to start listening to what M has to say too and take into consideration his opinions and insights about his body. Of course, at 9 he is nowhere near old enough or responsible enough to make his own choices or sway our decisions unduly, but, just as I have spent a long time arguing my place as the expert on the subject of M because I’m his Mum, now as Mum I need to encourage him to be his own best advocate and take an active and involved role in his care. After all, that’s a key part of my parental role.

And whilst I ruminate on this latest insight into M’s development, I’m eagerly gathering ideas and recipes to incorporate apple, in all its glory, into his diet. So far, we’ve ventured little further than apple juice, apple slices and apple pancakes, but with the help of good friends, including one whose son is just a few steps further down the food challenge road than M, and great resources such as The Recipe Resource, then apple crumble, apple crisps and apple cakes are all on our horizon.

Sports Day success

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Sports Day conjures up so many memories for me: of races run, giggles with friends, frenzied cheering and the exhilaration of realising that your House has actually won the coveted cup. A day full of so many heightened emotions and today, for me, held more than any other in the past. Not surprisingly I wondered what the day had in store for M and worried a little about how he’d manage the races with his cumbersome pump pack strapped to his back and his tube taped to his face. And it was the end of an era for G. We’re in to the final stretch: May half-term is over, SATs have finished, the Year 6 production rehearsals are ramping up and in less than 6 weeks time, my first baby will have finished her Junior school years and “big school” beckons for September.

One of the very many things I love about the kids’ school is that they still hold a competitive Sports Day, where winning means something, but is not as important as team spirit, or encouragement, or taking part. or cheering for everyone in the race, whichever House they represent or whatever position they finish. I still remember the very first Sports Day I saw at this school, when G moved there half-way through her Year 4 year. I was instantly impressed by the support and encouragement given to, and by, every year group to each other. I saw Year 6 boys cheering their peers on, waiting by the finish line to welcome the last child in, however old they were and thumping them on the back for a job well done. When I saw that I knew that we had made the right decision in choosing this school for our pair and looked forward to them becoming a part of it.

Three years on from that first Sports Day and I stood proudly on the sidelines cheering both my children on. The first half of the morning was occupied with following M’s class around the circuit of team races and the occasional mad-dash removal of his pump pack when it suddenly became evident that neither skipping ropes or sacks were going to work with a heavy back-pack in situ. He took part in every activity and my heart swelled when his entire class chanted his name as he completed a second turn in the sack race for his House. For his lap in the family relay – a team consisting of one child from each year group – he and I agreed that he could race pump free and with his tube strapped down and, boy, was it worth it. He flew down the track at lightening speed, proving to all watching that his tube really doesn’t stand in his way, especially not when it comes to winning points for his House.

Disappointingly, I couldn’t watch as much of G as I would have liked, but despite only being able to watch her complete one of the initial team races, I was able to cheer her on during what I was thought was her only other event, the over-and-under race. To my surprise, as she and I stood side-by-side watching M run his relay, surrounded by their House, she announced that she was also running in the Year 6 girls’ relay, a race I would have never anticipated her taking part in as she’s really not a runner at heart. And so, this year’s Sports Day experience finished in fine fashion with M taking G’s place next to me, cheering his big sister on as she competed in her final race of her Junior school days.

At the heart of the matter

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Sometimes in life you encounter a small bump in the road that makes things just a little more complicated than you were expecting; that’s something that’s true even for families already dealing with an array of medical issues. Our most recent hurdle was completely unexpected and fortunately had a far better outcome than could have been the case.

We have long been aware that M suffers from a low heart rate and blood pressure, something that has reared its head each time he’s had to have an anaesthetic, whatever the reason. Various medics have commented on it, left him a little longer in recovery and then we’ve just got on with life as we know it, without a second thought. Last December however, things changed and we had to face this issue head-on. During M’s GOSH stay, it quickly became clear that both his heart rate and blood pressure were a little lower than the nurses were happy with and the ward doctors, after much discussion, decided to adjust the parameters as they felt this was perhaps just his normal – I wasn’t so sure. By the time he had started experiencing dizzy spells, had ended up lying in bed with his head lowered and having his blood sugars tested to rule out hypoglycemia as the root cause, I was concerned that it was something more and determined that further investigations were necessary.

Fast forward a few months, M continued to experience dizzy spells, though fortunately he never fainted outright despite a couple of close-calls and we had a referral to a paediatric cardiologist from our GP. M and I headed off bright and early for an 8am appointment and met the charming Dr S, who listened carefully and made copious, comprehensive notes about M’s extensive medical history before starting his examination. He began with an ECG to examine the rhythm and electrical activity of M’s heart and then did an echocardiogram to look at its structure. M was fascinated by the whole procedure and questioned Dr S every step of the way, not least as he was performing the echo. What impressed me most was the calm approach this doctor adopted to my inquisitive boy. He didn’t ignore his questions, nor did he ask him to be quiet, but instead explained each and every thing he was looking at, telling M what he could see, what each part of the heart was supposed to be doing and uttered the words that M has since repeated ad infinitum, that he has a “Waitrose-quality heart”.

However, the ECG did show a problem with the electrical impulses in M’s heart, namely that they do not start in the right place. Dr S reassured me that this was not anything to be overly concerned about as many people live perfectly active and normal lives completely unaware they have this condition, but the complicating factor was that M had been experiencing periods of dizziness, which needed examining further to determine whether any medical intervention was needed at this point. So, we headed into 5 days of testing and poor M had to survive the permanent fixture of a portable ECG monitor for 24-hours a day as well as his feeding tube and pump.

There is no doubt about it, they were a tense 5 days, but M made his way through it with his usual indomitable spirit. He had to push the green button every time he felt dizzy whilst the monitor was attached, so that the cardio team could examine the ECG results to see what was going on with his heart when these episodes happened. He also suffered an allergic reaction to the sensors that were stuck, day and night, to his body, and which left his torso itchy, red and raw for weeks afterward. We experienced more beeping alarms in those 5 days than we had in a long time and I became adept at changing sensors and resetting monitors whenever and wherever necessary. M and I were also able to find some humour in the situation and he agreed to leave further health problems for someone else to experience for the foreseeable future!

Fortunately, we didn’t have to wait too long to review the results with Dr S and the answers were encouraging. M has mild sinus node dysfunction and what is known as a junctional rhythm. At the moment, he is having regular episodes of dizziness due to these problems, but as he has never fainted, they are not considered serious enough to require any treatment. There is a strong likelihood that his NG-tube is a contributing factor to these symptoms as it is known that tubes can trigger a response in the body causing his heart to slow down and so it may well be that when his tube is removed, he will become asymptomatic once again. Dr S will see him in a couple of years to monitor what happens as he heads into puberty as this is considered a key time for potential changes to occur and in the meantime, we will keep a watchful eye to make sure our boy stays as healthy as possible.

Flatbreads and Fajitas

An unexpected day off!

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As a parent of a child with a chronic illness, one of the unexpected challenges you have to cope with is finding people you trust to take on their care, even for a short while. It can be difficult to entrust your child and their needs to anyone other than immediate family and, for Mums in particular I suspect, that may mean you end up doing almost all of their care by yourself. The opportunities to have that much-talked about and desired “me-time” are often few and far between and, to be frank, if you do manage to grab some, it’s usually at the cost of not spending it with your significant other at a point when time together is most needed. In the 6 months since M had his tube, Mike and I have become like those proverbial “ships that pass in the night” as we juggle work commitments, school timetables, extra-curricular activities and those few social events that have helped keep us sane. Any time we have managed to spend together has revolved around appointments or meetings about M and the constraints of school hours.

We are extremely blessed that we do have an amazing support network surrounding us, which pulls together to ensure that we are able to keep going to work and can even occasionally both be out on the same evening, albeit often at separate events. My days are made easier by the fact that M’s school have so willingly shared my burden and responsibility by ensuring there are members of staff who know how to take care of his feeding pump and tube, meaning that I don’t have to be there every minute of every day. Without a doubt, their decision was made easier by the fact that I work less than 5 minutes away and they know they can call whenever they need to, but those phone-calls have been few and far between. My Mum lives close enough that she has been able to continue the routine of picking G and M up from school a couple of times a week, allowing me to work my hours and has been willing to provide some invaluable school holiday care for us too. We even have a babysitter who was willing to learn about the tube and whose GP parents, less than 5 minutes away, were an added bonus for the couple of hours we’ve needed once or twice.

Last week, we had an amazing offer from good friends – in fact, those GP parents I’ve just mentioned – which astounded us and gave us a break from routine that we haven’t enjoyed since last December. It all started at the beginning of half-term, when an unexpected text arrived on my phone as I was in the middle of convincing M to help me clear out and clean the pit he calls his bedroom:

“Hi, we wondered if we could look after the kids for you on Bank Holiday Monday so that you can have a bit of time for yourselves. Let us know what you think. O x”

Then there was a flurry of messages between us as I sat on M’s floor, overwhelmed and close to tears at the kindness of these friends. Not only were they offering to take G and M for a couple of hours, as I originally thought, but in fact wanted to look after them for the whole day and take them to a local wildlife park that I knew my 2 would love. They sorted out food, were not phased by the pump and tube and even claimed to be excited at the prospect of having G and M as their guests for the day. What was even better was that the children were as thrilled as their hosts at having a day out too; and what a day they had! For the rest of the week, it’s been endless tales of marble-run competitions, playing in the hay barn, seeing the animals and the zip-wire in their back garden.

As for Mike and me, well, we had our day together and enjoyed every moment. It may not have been the adrenalin-filled adventure experienced by our children, but we had time to buy some much-needed bits and pieces for the house, enjoy coffee and cake mid-shopping trip and lingered over a late lunch not constrained by complex food allergies and a restaurant of our choice. We didn’t get to the cinema as we had originally hoped we might, but thanks to my Mum, we got our night out at the theatre the following weekend instead – I know, two dates in one week, unheard of! Most importantly, we were able to spend precious time with each other without worrying what G and M were up to and without waiting anxiously for my phone to ring.

NEAW 2015 – The Round-up

NEAW 2015 – The final day

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This has been the hardest day’s blog to write. Inspiration has been lacking and I just couldn’t think of what to write about on the subject of “Engage“. In an attempt to stir my creative juices, I looked again at the many daily updates, photos, videos and statistics I’ve been seeing, reading and “liking” all week, posted by many fellow EGID families on their FB pages, all in an attempt to raise awareness of the illness. It was as I was browsing that I started to notice that many of them began, almost apologetically, with words to the effect that they were sorry to be bombarding their FB friends with these regular informational posts on the subject, but that it would be for this one week only.

That’s when it struck me. This week, 7 days from May 17th to 23rd, I and tens of other EGID families here in the UK and across the world have been fighting hard to raise awareness of this illness that impacts our lives; and we’ve been apologising for it. We’ve been grateful that we have been able to engage with our audience this week and we’ve almost promised to give it a rest until NEAW 2016 rolls around. BUT the reality of EGID for us is that we don’t get that break. We don’t get the chance to focus on it for one week only and then go back to the daily grind of school runs, workloads and running the home. This is it. It’s not even just a year-long commitment, but a life-long one and there’s no escape. I can’t shut down my computer and ignore the posts. I can’t groan inwardly, grit my teeth and ride the week out, thankful that the 24th will soon be here and then breathe a huge sigh of relief that that’s it done for another year. I don’t have that privilege.

The reason the EGID community has been trying so hard to engage with you this week is the people in our lives who struggle with this rare condition on a daily basis: our superheroes. Their strength and courage in facing adversity is awesome and their brave smiles bring inspiration at the most difficult of times.

My reasons for engagement are summed up beautifully here by my 2 amazing children:

and with that, there really is nothing more to say.

7 years to diagnosis

Searching for an answer

Tag Archives: NG tube

Countdown to Cornwall

Yet another chicken recipe!

Quick update

Another food and an unexpected insight

Sports Day success

At the heart of the matter

Flatbreads and Fajitas

An unexpected day off!

NEAW 2015 – The Round-up

NEAW 2015 – The final day