1008 Days Ago.
1008 days ago, it was a typical day with our family at home juggling care for a newborn and her older siblings; Mason was three years old and Maddi was two years old. We knew that Ava was not gaining weight well, but we had no idea what was preventing appropriate weight gain or what was in store for us. Late in the night on May 10, 2011, Ava developed a high fever and we rushed her to the emergency department. Ava’s oxygen saturation was low and they admitted us for flu observation and oxygen support. Six days later, Ava would fail her first swallow study, we would discover she had aspiration pneumonia - not the flu, she would receive her first NG tube to prevent aspiration, start genetic testing, and not eat or drink by mouth until December 19, 2011 when she was cleared for nectar thick foods and liquids.
1002 Days Ago…
1008 days ago, it was a typical day with our family at home juggling care for a newborn and her older siblings; Mason was three years old and Maddi was two years old. We knew that Ava was not gaining weight well, but we had no idea what was preventing appropriate weight gain or what was in store for us. Late in the night on May 10, 2011, Ava developed a high fever and we rushed her to the emergency department. Ava’s oxygen saturation was low and they admitted us for flu observation and oxygen support. Six days later, Ava would fail her first swallow study, we would discover she had aspiration pneumonia - not the flu, she would receive her first NG tube to prevent aspiration, start genetic testing, and not eat or drink by mouth until December 19, 2011 when she was cleared for nectar thick foods and liquids.
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| Ava all dressed up for the Royal wedding, 11 days before admission, this dress was swimming on her! - April 2011 |
Is when life, as we knew it, changed and we entered the world of tube-feeding with all of the struggles and blessings it holds. 1002 days ago, Ava had been in the hospital for six days while the doctors and nurses tried to figure out why this tiny ten-week old baby girl was not gaining weight and needed oxygen to keep her breathing at a normal level.
2 years, 8 months, and 26 days...
Is a long time to live with a feeding tube and to parent a child who is fed with a tube. Especially when the initial assessment was that she would have an NG tube for one week and then reassess (which in my mind meant she would pass the reassessment and we would be tube-free in seven days). It is also a long time to emotionally grow and thrive as parents, while our child physically grew and thrived with her tube feeds. |
| Ava after 4 days of NG feeds - May 2011 |
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| Maddi and Ava in May 2013 Photo Credit: Jenn Clark Photography |
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| Annual visit to the peony garden, June 2011, shortly after discharge |
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| Super Daddy with Ava, the feeding pump, and oxygen tank - June 2011 |
For the two weeks that Ava was inpatient, we kept Mason and Maddi at home and in daycare to keep their daily lives as normal as possible. I primarily stayed in the hospital with Ava since it was the end of my maternity leave, while my husband juggled work and Mason and Maddi. We switched places a couple times during those two weeks to give each other a break and for each of us to see the other children.
After two weeks in the hospital, we went home with Ava still using oxygen 24 hours a day and still feeding through her NG tube 24 hours a day. I remember the day we went home like it was yesterday. Mason and Maddi had not come to the hospital and so they had not seen Ava with her NG tube and oxygen cannula. I was worried about what they might think or say; sometimes kids have a way of being very innocent and honest, but say things that adults may not be ready to hear. I was sitting on the couch with Ava in my lap and just staring at her tubes…at her tubes…not at her.
Mason, in his three year old wisdom, came over and lovingly patted Ava’s head and said in his sweet little voice, “awweeee….she’s so cute”, and walked away. I froze...and realized that my heart was pounding because I was afraid he would say something about her tubes and I hadn’t yet figured out how I felt about them, much less how I would explain them to a three year old little boy. But in that moment, seeing Ava through Mason’s eyes, I was forever changed. I no longer saw the tubes on Ava’s face…I only saw Ava. And I knew that Nothing Would Hold Us Back.
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| Mason and Ava in May 2011 |
That is when our lives changed again. From that day forward, the way I felt about and viewed tube feeding was in a positive way and not with fear. Tube feeding does not define Ava, it is merely the way she receives her nutrition.
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| Ava on the beach, July 2011 Photo Credit: Chad Button |
Where are we 1002 days after May 16, 2011? Ava now has a g-tube and is successfully fed a blenderized diet over four meals a day. She is also cleared to eat or drink all consistencies of food and liquid. Ava’s oral muscles are still weaker and so she is primarily fed via g-tube, but she enjoys oral eating and is orally eating more and more. Mason and Maddi help carry Ava’s food backpack and have still never questioned Ava’s feeding tube. If people ask about it they simply say that’s how Ava gets her food. Ava has played in the ocean and swims in pools. We bike, camp, hike, run, and enjoy all the activities in life we can handle with three children aged six and under. One just happens to be primarily fed through a tube.
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| Ava
and the kids hiking in the Hocking Hills. Ava was simultaneously tube
feeding and hiking. The Danger was for the cliffs, not for the tube
feeding! - August 2013 Photo Credit: Stacey Thomson |
How do we feel about our child having a feeding tube? Thankful. The feeding tube not only SAVED Ava’s life, but it allows us to LIVE life. Without her feeding tube, Ava would not be here. I don’t say that dramatically, but rather factually. Ava aspirated fluid into her lungs. If we had to continue feeding her orally before her muscles were ready, she would not have survived.
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| Photo Credit: Renee Tarmoom |
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