The day started out surprisingly well. (Usually when I have a doctors visit with the kids I get stressed and frantic.) Not today. I got up around 7, when Emma came into my room. The kids watched tv in my bed while I got ready to face the day.
I dressed the kids and gave them a bite to eat before we hit the road. We were on schedule and despite a high number of detoured roads (what's that about?) we arrived at the hospital with time to spare.
On the way into the city Toby was exclaming about the tall buildings (we're talking 8 floors, not the 50+ floors in the center!). Emma looked out at one and said "Look at that one, it's humungous!" and of the VA hospital she said "look at that one, it's the most beautifullest!" She really sees alot through rose-colored glasses!
We were scheduled for a routine check-up with the GI doctor and nutritionist, nothing more, nothing less. I had emailed the nutritionist prior to our appointment with my concerns about the battle we have with Emma over drinking her water. We don't want her to have issues because she is forced to drink when she does not want to!
We waited for several minutes in the main waiting room, which was actually fine. Emma and Toby played around, watched TV and I actually played with them. (Usually I get impatient or frustrated with the kids.)
Emma got weighed in (32 lbs) while Toby and I scoured the waiting room for the tiny Ariel figure Emma had brought with her - and subsequently hidden behind the vertical blinds!
Once in the exam room Emma and Toby sat on the bed while the nurse came in to talk to me and examine Emma. While she was talking to Emma, the doctor (a particularly jokey and informal guy) popped is head in and (after taking a picture of Emma on his iPhone to send to her original surgeon - as usual) he said "So, are we yanking that thing?" (Translation: Are we removing her g-tube today?)
I immediately panicked and said "I am not emotionally prepared for that today!" He laughed.
We had so many unanswered questions - we still vent her occasionally, she doesn't drink spontaneously often enough etc.
The nurse told him she hadn't had time to evaluate yet and he left. I talked to the nurse and as we discussed our concerns it became clear that they were not something the medical team worried about and they felt it was fine to take the tube out.
Then the nutritionist came in and told me that we can allow Emma a little more freedom in how much she drinks. We need to ensure that she does not become dehydrated, but fighting with her is not necessary. But keeping some sort of routine will help it become habit for her to drink throughout her day.
That was reassuring, knowing we shouldn't need to tube feed her water at some point! Whether I was emotionally prepared or not, did not change the fact that Emma is ready to move on. She did not see it like that though.
Stupidly, I had promised her that the doctors would not hurt her today. And as I told her they were going to take the tube out, she got really upset and grabbed her tube saying she wanted to keep it.
Bye-bye tube!!
It took the nurse a while to get it out because Emma was crying and tensing her stomach muscles. Once out, the hole was pretty small and the nurse taped a wad of gauze over the hole.
The hole could close-up by itself over the next few weeks, and we just need to keep the gauze in place to absorb any leaks and change it so any acid does not damage the skin on her belly. (Only fluid will leak, not food!)
If the hole does not heal properly, they may need to close it surgically (boo!), and if it leaks profusely, we may have to re-insert a smaller tube to plug it until then. Please join us in praying that the hole will heal up miraculously fast.
After all, the tube (placed February 8, 2008) has been removed in under 4 years and I am sure none of us expected that.
Emma was inconsolable after the procedure - until I offered to take her to Target for a new toy! She calmed down, but did say that she didn't want to "tell Daddy because he won't like it" and that she's "sad my tube is gone". On the flipside, she has also said she is happy she had her tube out and seems to be looking for reassurance from me.
It must be like losing a body part, that g-tube has been so much in focus and use over the years.
Neverthless, this is one giant step forward to Emma becoming "de-medicalized"! And di you notice that I was calm and peaceful through the whole thing?
And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus. Phillipians 4:7