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We used to revel in the "new perfect" that was our life. Raising a beautiful girl with multiple special needs showed us that "perfect" is all in our minds. Emily's life was perfect. It was happy, it was brilliant. She was social, outgoing, silly, and ticklish. Now we are learning to get through life without our "Perfect Peanut" in it. This is most certainly NOT a new kind of perfect.
She *CAN* eat by mouth. She can open her lips, she can chew, and she swallows normally. But she will not do it. She is so orally aversive that we are considered feeding therapy drop-outs. She simply can not be fed by mouth. Reflux is a HORRID thing!
Due to her metabolic disorder, she cannot go more than 3-4 hours without fluids. During the morning and day time she gets Pedialyte every 3 hours. Then she is hooked up to her feeding pump (Zevex Infinity for those in the know) from 3:30pm-7:00am. It is such an inconvenience. The reason she is hooked up for SO long is that she has never tolerated more than 50 cc's an hour. That is sloooooow for pump feeding. To give you an idea of how much it is, 60 cc's is 2 ounces. She tolerates less than 2 ounces an hour, by a slow drip. When she wakes up in the morning, she always chokes and gags and retches until she throws up. Then she always throws up her morning Pedialyte.
The GI had this thought that perhaps it was the Beneprotein that was making her throw up. He said that many patients don't tolerate it. My Peanut has always been a retchy girl, but this is worse than ever before. Her formula is a mixture of Neocate Infant, Beneprotein, and Polycose. So we are doing a trial right now. We are ONLY giving her Neocate Infant. She stopped throwing up! We tried it for 5 days, with NO throwing up. She still retches and gags, but no actual vomit. So I added back in the Beneprotein to see what would happen .. and the next morning, she threw up. I took it back out, no more vomit.
AH HA! An answer perhaps! Even better, is that on just Neocate Infant I have been able to get her feedings up to 65 cc's an hour so far. For every cc that I can increase her, it lowers the time she has to be hooked up. It is much easier in the afternoon when she's awake to NOT have her connected.
So that's where we are. I don't think she can stay on just Neocate Infant forever, because we have to lower the volume of formula per water due to her metabolic disorder. She is not getting the full fat of the formula, so we need to add in supplements. I am waiting to hear from the metabolic dietician to see what to do next. In the meantime, we haven't had puke in almost two weeks!!
Peanut is in the same classroom she's been in for two years, since she turned 3. The class she's in goes from age 3 through the end of 8th grade. It's the only severely handicapped class in the district that goes through junior high. There are about 8 kids, and 6 adults (Teacher and aides). I wasn't happy about her going back to this classroom, as prior to now it wasn't kid friendly. Peanut is the highest functioning kid in her class. Most of the other kids are not able to crawl or play with toys or interact in any way. The classroom was dedicated to that type of child, and Peanut had outgrown it. I wanted her transferred to the same school Monkey goes to, and put in a regular special ed class. I also wanted her mainstreamed for a portion of the day.
Turns out that they have a new teacher in her class this year. She's incredible! The classroom is TOTALLY kid friendly, desks at wheelchair height, etc. Centers are set up, it just looks great. I know the teacher from the past, and I am thrilled with her being the teacher. So for now we are going to stay there. Also, I talked to the Director of Special Ed, and Peanut will be mainstreamed for half of the day every day, starting in October!!!
I am so relieved that everything fell into place. I was really geared up for a big fight against the school district, and have even already contacted an advocate! Now I won't need all that, thank goodness.