Sunday, January 13, 2013

Happy Birthday, Tubey!

www.FeedingTubeAwareness.org

Seven years ago today, Celia had her feeding tube placed.


I think there have been two days in my life I never want to relive. The first was when I was pregnant with Luke - I had a blood clot, and they thought a piece may have gone to my lungs. I had to have a nuclear scan, and sign a release form saying basically "We don't know what this will do to the baby, and you're saying if something does, we're not responsible." The second was the day Celia got her tube. As if setting up a date for surgery on your child wasn't bad enough, the day the doc wanted to schedule it was Friday, January 13th. On that same date, my late grandmother had had a stroke about 15 years before; 10 years before, my then 13 year old cousin died of an inherited blood condition.  That was NOT a good day, historically.  I do believe that they put in a good word for us with God -- everything went as close to perfectly as possible.  Thank the Lord, third time lucky. 

Deciding to place the tube was scary. Actually, it was downright terrifying, and Neal will tell you the thought process was nearly crippling for me.   I'm usually the "put one foot in front of the other and march" person.  I couldn't move.  I didn't march into the surgery-- Neal pretty much propelled me.  I knew we needed to do it -- we were out of options. We had tried playing with the formula; we had tried medications to make her hungry and want more formula.  Nothing worked.  Another of her doctors forbade a ng-tube, so while we weren't really keen on that idea (Luke was more petrified of an NG than we were of a "plain" G), we didn't have a "let's see if a tube helps" option like we had for Damien last spring.   It was "surgery and place the g-tube and hope it works," or "do nothing and know we will continue to watch her get sicker."  Of course, we were nervous just because it was surgery, but placing it also meant we were *admitting* that she truly was *that sick* and we had run out of other options.  I think that was the worst part--realizing that we could no longer control her condition with what we were doing.  It was starting to control us -- we were chasing her pushing the formula, spending hours doing the math to determine "how much more" do we have to get into her by bedtime, worrying as every time we went to a doc appt the scale was either not budging or going down, etc.  Of course, it affected the boys; it's hard to sit and play games when you're chasing their sister with a bottle.  The doctors felt that before we started Neocate in the first place, she was slowly starving to death.  It was a shock, but we truly didn't realize how sick she was, so moving on from that summer really just felt like starting over.  Watching her not drink was worse, because then we were very aware she wasn't getting in enough.  So that really increased the urgency/panic over "You HAVE to drink this."  We kept saying, "Not yet...not yet..." I now counsel other new-to-feeding-tube families: if feeding your child is controlling your life, it's time.


Celia & Daddy
Tubey Day
Agreeing to the tube was not an easy decision, but we didn't have any other left.   We had tried everything else we possibly could.  Honestly, it was Celia who made the decision for us.  It was not easy to sign the release forms--it was probably one of the hardest things we've ever done.   In fact, I could not sign them.  I handed the forms over and made Neal do it.  I held it together until they wheeled her out - I didn't want to cry in front of her.  I would hardly let Neal hold her--I was too afraid to give her up. I'd let him hold her, but my hand was still on her. Finally he just handed her over and sat with his arm around us.  The fear made *no* sense--she'd had anesthesia and endoscopies before, and Luke had had two surgeries, and I wasn't this much of a wreck. Comparatively, I was "perfectly fine." This one just did me in.  Once they wheeled her away, I lost it. I sat the entire time she was in surgery in a panic--I couldn't do anything but cry.  (I'm not sure what the other people in the waiting room thought our kid was having done, but I bet they weren't thinking "just" a feeding tube.)  As soon as they called us to recovery and said I could pick her up, I did, and held her until my arms went numb.  Neal slid my coat under my arms to prop them up.  I even held her when they wheeled her up to her room--I sat on the gurney holding her.  I just wasn't letting her go.  Looking back, I know it seems extreme--but that's how petrified and relieved I was during that day.

Neal was a rock that day, thank God.  About a week before, we had a huge fight.  Obviously, it was a really stressful time, and in hindsight, the stress was getting to us.   We were almost at a "pick a daily fight just because" point.  That day was "pick a smackdown." Knock-down, drag-out, all-out screaming brawl at bedtime.   THAT was when he admitted he was petrified, too. I had been going along for 6 months, trying to put on a happy face, and he seemed to behave as if he was thinking "Ok, let's just do what the doctor says and all will be fine." I thought I was the only one worried--as upset even as I was that day, knowing that *he* was worried too made a big difference.  Moral of that story: communication is crucial.  (And magically -- knowing we each weren't alone -- the fighting stopped.)

We had a visiting nurse come out for the first month. I remember jumping in my kitchen at the end, whirling Celia around -- with the tube in, she hit TEN kilos (22 lbs). She'd been stuck at seven for so long I wondered if she COULD hit 10. We were getting somewhere.

We have had our ups and downs - we've had to play with her formula, and she's had to have different tubes at different times. For two years she had a special tube that bypassed her stomach and fed her  directly into her intestine; thankfully she has outgrown the need for that.  

When she started school, she was only on night feeds - she got the difference between what she was supposed to have and what she did drink overnight.  As time when on and she couldn't drink enough during the day and the night feeds were taking over, we had to switch to day feeds.  Our school has been wonderful.  Last year, once got over the initial shock of the news that Notre Dame was closing, my first thought was "Who will take a child with a tubey?"  Every day, Celia goes to school with her pump running, and I am grateful that Edgarton Christian Academy came into being, with the teachers and staff who know her, love her, and turn a deaf ear to the beeping.

Thanks to how much she has blossomed with her tubey, when Damien needed his, we were not afraid.  When he first needed a tube at four months old, the hard part was just learning how to place it; feeding him was a breeze.  We were so used to Celia's tube, that the big kids sneered and said, "So when does he get a REAL tube?"  My friend Ahuva had a son with a feeding tube, and she told me when Celia's was placed that it would soon become "our" normal.  How right she was!  When Damien got his, Celia took it hardest, but she's been his idol.  He watches her and tries to imitate her.  He has a long way to go, too, and while a two-tubey family is not something we ever envisioned, I'm so happy they have each other for support.

Celia & Daddy
Disney 2012
Happy Birthday, Tubey!  We never envisioned we'd have you this long, and we have no idea how much longer you'll be around.  But thanks to you, we have a little girl who has been allowed to turn into a big girl.  

Monday, December 31, 2012

Our 2012

Blessings


Living Stations

God bless Benjamin Luke John

First Penance
First Communion


School


Really good:  Luke registered for Sacred Heart.  It took until May for the verdict to come down, but they got a reprieve from closure.


Really, really ugly:  Notre Dame did not and closed.



Incredibly awesome answer to prayer:

First day of school

Jude took to homeschooling like a groundhog to Februrary.

No shadow!  Spring soon!

Hard work pays off:


News headline:
Cumberland County College hosts 24th annual Science Fair
Luke Falciani of Notre Dame Regional won first prize overall
among entries from students in grades six to eight

Luke, Class of 2012


Fun times


Wildwood Days

Girl's Day in NYC
Primping for the pool

First snow of the season


Family

 
 


 Looking forward to 2013...may it be the best year ever!






Photobucket

Thursday, December 20, 2012

Super Stuffed Strawberries

The hardest part of being the parent of a food-allergic kid (POFAK, for short), is constantly feeling like I'm in the kitchen.  There are a lot of great ready-to-eat options out there if you're only dealing with one or two allergens.  For example, Neal has recently had some testing done and as a result needs to consume a gluten-free diet.  Sure, not all products are equal, but since that is all he is officially avoiding (for now), there are nearly as many options as for gluten-based products.  As we go through the family, the product list gets smaller; avoiding milk or soy or nuts knocks a lot of things out for the bigger boys.  And then we get to Celia, who can only safely eat two foods: pork and strawberries.  Other than fresh strawberries or pork rinds, it's into the kitchen we go.

When you only have two foods to work with, you are forced to be seriously creative.   It amazes me what we have been able to come up with for her.  Sometimes, it's just presentation -- strawberry puree frozen in letter shaped ice cube trays instead of the ice cream machine.  Sometimes, it's a twist on a basic recipe -- like adding baking soda to lollipop syrup to make "Hokey Pokey." But the hard part is making her feel "normal" -- parties can be hard for her.  She wants a special treat, too, and I don't blame her.  For her birthday last year, we had a big bonfire and roasted marshmallows.  Pork means gelatin, and gelatin plus sugar equals marshmallows!  (The recipe is simple enough -- but the reality is I spent two weeks online hunting down safe brands and getting safe powdered sugar imported from England.)  Tomorrow is ECA's Christmas Party Day, and she wanted know -- since I was making Matthew's class a fruit tray and dip,  could I make "her kind" of dip to go with strawberries.

Uh...ok.

So me and my buddy Google got down to business. Most marshmallow fluff recipes call for eggs. They are something she has "normal" allergies to -- they can trigger anaphylaxis and kill her.  Not gonna work.  Searching for "Vegan Marshmallow Fluff" (inherently egg free) got lots of ideas, but all containing foods she can't have, especially soy.  That "only" triggers GI bleeding...yeah, I think we'll skip that too.  I was starting to give up hope.  One last search and I was going to have to tell her that she might have to choose one or the other.   I entered "Egg Free Marshmallow Fluff recipe" and found this.  It wasn't "fluff" -- it is a whoopie pie filling.  But it was a workable recipe.  Cue the choir of Christmas angels! 


Thanks to my friends at the Kids with Food Allergies Foundation, I could start subbing in my head as I read the ingredient list.  Gelatin -- Pork-based gelatin (Knox brand) is safe for us.  Water, check.  Maple syrup...not safe, but we can use Lyle's Golden Syrup instead.  Vanilla isn't a safe flavoring, but plain rum is, as is Crystal Diamond Kosher salt.  We could make this work.  Or destroy the kitchen trying.

Faux Fluff:

1 envelope gelatin
1/4 cup water

Mix together and microwave for 30 seconds.  Pour to mixer bowl.  Add:

1/2 c. golden syrup
1/2 tsp rum
1/4 tsp salt

Start mixing.  Mix on high speed for 10-12 minutes to create the marshmallow.




After 2-3 minutes, you can see the sugar turning fluffy.


By golly...after 12 minutes, we have a soft marshmallow-type thing going.  This may work after all!


Celia came wandering in at this point.  She decided it needed inspection by a "Quality Control" officer.  She deemed it "perfect."


Ok, now for the real test. Everybody's seen the whipped cream-and-strawberry Santas making the rounds on Pinterest.  Could I make THOSE happen??  I scooped some of our wannabe fluff into a zip-top bag, snipped the corner, and started filling cored strawberries.  (Cut the green/tops off a strawberry, slice of a little bottom so they stand up, and core out a little of the berry to stuff with fluff.  If you're making Santas, use the lopped-off point for your hat.  If you're not, put them in a bowl and snack.)

Verdict: they sort of are possible.  I think if I was filling them and serving immediately, yes.  But the few test ones I made started to have the tops slip-siding from the marshmallow setting and the berry being juicy, and I didn't think they'd hold overnight.  In the end, I made filled strawberries, they just didn't have caps on them.  Celia's good with that.


She decided she wanted to fill a couple. (And decorate the sides. The more marshmallow, the merrier!)  And eat them on the spot, of course.























See that face??  Yeah, it's worth the work.  Rumpelstiltskin ain't got NOTHING on a POFAK.


We're sharing our recipe over at:





Thursday, November 22, 2012

A Month of Thankful: Day 22

Thankful for the Falciani Family.














































And now, bless the God of all,
who has done wondrous things on earth;
Who fosters people's growth from their mother's womb,
and fashions them according to his will!
May he grant you joy of heart
and may peace abide among you;
May his goodness toward us endure in Israel
to deliver us in our days.
Sir. 50: 20-24

 Our family wishes you a blessed Thanksgiving!