Monday, February 7, 2011

I Heart a Tubie

This week (February 6 - February 12) is Feeding Tube Awareness Week.  I have a handful of friends whose children have or had feeding tubes, and my family has had its share of feeding issues.  Feeding tubes are the kind of thing that seem really weird at first, but then the more you're around them, the more normal they start to seem.

This is why my family is entirely comfortable around people with feeding tubes.  We're used to weirdness already.

Little Dude was on a prescription elemental formula for three years.  Ironically, our insurance company gave us extra hassle because Little Dude wasn't tube-fed.  The formula he used, Neocate, is so often associated with tube feeding, that we had to obtain it through a durable medical equipment provider.  Our insurer ended up covering 70 percent of the cost.  The remaining 30 percent, which still ran into the hundreds of dollars a month, put us into credit card debt. 

Regardless of the damage to our bank account, I am forever grateful to the makers of Neocate.  At one point, the only thing Little Dude could ingest was Neocate.  He was allergic to everything else. 

That is not an exaggeration.

I started out breastfeeding Little Dude, and gradually eliminated foods from my diet that seemed to be causing him gastrointestinal pain.  As his allergy tests came back, I would drop more foods.  Eventually, I was pretty much eating pork, potatoes, and lettuce, and he was still not healthy. 

Our pediatric allergist gently broke it to me that I had to stop breastfeeding.  Non-prescription "hypoallergenic" formula, like Alimentum, still had too many whole proteins in it.  We had to go down to the elements that form the proteins, which meant Neocate.

Little Dude thrived on Neocate.  You would never have known, to look at him, that he couldn't eat any foods.  What can I say?  We are grateful for the credit card debt.  Best money we ever spent.

It was hard, though.  I would try eat while he was sleeping, because I felt like it was cruel to eat in front of him.  For a while he would cry and try to grab food from us, but then he kind of gave up.  I don't know which was worse. 

In almost every culture, meals are the most important social activities.  Families revolve around mealtimes; a party isn't a party without food.  We skipped a lot of social events because they were food-focused, which meant they were both unsafe and depressing.  And holidays broke my heart.

None of my children has ever needed a feeding tube, so I can't speak for those parents.  What I'd like to say to my friends with "tubie" kids, though, is this:

  • Your child is beautiful.  The NG tube or the "extra belly button" does not change that one bit.
  •  Feeding your child is the most basic of maternal instincts.  You are feeding your child, even if it's not the most traditional route.
  •  Dude.  This is hard, and you're doing an awesome job.


Video courtesy of www.feedingtubeawareness.com.

16 comments:

  1. Thank you so much for sharing this, and holding the spotlight up to up the awareness week. No feeding tubes in our family, either, but as member of the special needs parenting community, I certainly know kids/families where this is part of their lives. Bravo and thanks.

    ReplyDelete
  2. After a while, "normal" seems...well, weird!

    My daughter got her tubey at 19 mos, so to her, it was "normal." When my 3YO was born, she was very concerned, because he didn't have a tubey -- "Mama, how is he going to EAT???" To her, they were standard issue, and the big boys didn't have them because they were "bigger enough" to not need them.

    When my now 6mo needed a ng tube (another "Must Wean to Elemental NOW" kid who was less than impressed with the flavor), THAT was weird. My kids were asking "When does he get a REAL tubey?" (IOW, a g-tube.)

    Thank you for spotlighting tubeys! Some kids eat with spoon, some use their hands. Mine eats with a tube, what's so weird about that?

    ReplyDelete
  3. Thank you SRMM....

    My oldest had a tube while he was in NICU. While all my other mommy friends were fighting over whether breastfeeding or formula was the best way to feed a baby, I was sitting next to an isolette making tough decisions like adding another IV, intubation, blood transfusions, and a long list of other HARD decisions.

    I didn't get to choose...my baby had a tube to be fed through....I didn't get to partake in that basic instinct to feed your child for weeks. It was like the elephant in to room....unavoidable....and a daily reminder of his fragile condition.

    Thank the Lord that he took a turn for the good and gradually came off the tube. He is healthy now, but I feel the pain....Thank God for these medical advancements and expensive things like Neocate.....without these things, we wouldn't have our babies in our arms today!!!

    ReplyDelete
  4. Damn. And I thought my kids had awful food allergies. Holy crap, can you imagine? To survive, kids need food. But eating it could make them sick.
    Hugs. Hugs and hugs.

    ReplyDelete
  5. I can SOOO relate to your post today. Food is such a part of our social lives and celebrations, and you don't realize it until someone in your family can't eat like everyone else. For our family it was was our daughter being diagnosed with type 1 diabetes at the age of 2 & 1/2. For the last three years we've tried to let her enjoy everything that everyone else gets to eat, but sometimes it's just impossible. Sometimes it is easier ( or necessary) to just avoid....

    ReplyDelete
  6. Thank you so much SRMM. As the Mom of a "tubey" I can relate to the crazy expense of special formula and hard decisions for my little one that I wouldn't wish on anyone. My son will be 2 this month and weights 20 lbs, 12 oz. Without his 'button' he wouldn't have made it off the organ transplant list. Now, he is thriving and doing better than any specialist would have predicted. Way to go Tubey Moms, you indeed ROCK! Thanks for the shout out SRMM you are the best!

    ReplyDelete
  7. My baby was a tubey for the first month of life.
    She was a Preemie and my heart goes out to all the dedication to the mommies and daddies, and other family members who support, encourage and raise these amazing kids!

    :-)

    ReplyDelete
  8. Love this! We are so glad to have avoided a tube with my son--like your son, he drank Neocate (still does) so insurance didn't pay for it until our state passed a law (hallelujah, that first year was insanely expensive). Of course being in the Eosinophilic community, we know tons of "tubies." Great video!

    ReplyDelete
  9. My daughter had an ng tube for the first several months of her life and is constantly teetering on the edge of getting a g-tube placed even now at almost 3. (Two weeks ago one of her specialists suggested it again.) We are not sure we will do it, but appreciate you bringing attention to children with feeding tubes. We are heart family and lots of our friends have feeding tubes (BTW, it is congenital heart defect awareness week too!). Contrary to what adult cardiologists say, pediatric cardiologists are always insisting on their patients gaining weight, which is why we too LOVE Neocate Jr. My daughter has been on an amnio-acid only formula since she stopped getting breast milk at 4 months old. Neocate has kept her weight where it is and for that we are grateful. Our next step is actually gaining weight, but we are getting there. Thank you for bringing this to light.

    ReplyDelete
  10. When I think about these things, whether a feeding tube or special formulas, it makes me think about mothers from 20, 50, 100 years ago. How many mothers watched their babies wither away because they couldn't provide nutrients that they could process. It makes you appreciate that second belly button, or high credit card bill, so much when you imagine how far we have come. (In this country any way.)

    ReplyDelete
  11. Yay Neocate! Our little monster is almost off the charts in height thanks to you. (Alimentum just rolls off the tongue, doesn't it? Almost as well as Nutramigen.)

    ReplyDelete
  12. Your story sounds so exactly like mine that it made me cry just reading it. I tried to make nursing work with my little man for 9 months before finally giving in and resorting to Neocate. Our son has never needed a feeding tube and I am very thankful for that, despite paying for Neocate out of pocket (with help from generous family members) and the crazy looks I get from bystanders when my 2 year old drinks his nutrition from a bottle (still). He can eat some foods, thankfully, and he's only just now starting to realize that people are eating things different from what he gets. Sometimes it breaks my heart to have to deny him, but your post made me realize that I have so many more options open to me than some moms have. I can at least make an effort to give him things that are *sort of* similar to what other kids are eating and for that I should be supremely grateful.

    ReplyDelete
  13. I had no idea. My daughters both had feeding tubes in the niccu. I can't imagine dealing with it for longer. These kids and parents are amazing!

    ReplyDelete
  14. Thanks for the post. It made me cry, too!
    My son still has a G-tube at a little over 2.5.And it definitely does get more normal at some point.
    Last week I had to explain to our HR dept why I had missed work when my son had pulled his tube overnight and the stoma had closed (a bad day!) and when I explained that my son had a feeding tube, his response was "Oh that's awful." I almost laughed "It's really not that big of a deal, but it is necessary.."

    And occasionally a mom-friend will ask about getting their child to take medicine, and I have to stop myself from saying "just put it in the tube." Oh yeah... they don't have one!

    ReplyDelete
  15. I just ran across this. My daughter's had a feeding tube since she was one month old; she's 10 1/2 now (she has severe cerebral palsy and just doesn't have the muscle coordination to eat more than small amounts of pureed food). I'm also very, very familiar with Neocate, because Laurel was instantly, spectacularly intolerant of cow's milk (I don't think the nurse had ever before dealt with such an explosion in an isolette) and developed an intolerance to soy at 3 months. I think she was on Neocate till she was 5 or 6, then miraculously, she was able to tolerate soy again. But meanwhile, we couldn't get our insurance company to pay for any of it because it was "not medically necessary." Threatening to place my projectile-vomiting daughter on their desks didn't cut any ice. So, what did I do for those 5 or 6 years? I haunted eBay. Turns out that on average, it's a little more than half-price there. I became the master of the last-minute swoop. I high-fived myself every time I scored a $60 case. And when I told people that we couldn't afford for me to be a SAHM, I really, really wasn't kidding. But thank heavens for the stuff. And ironically, NOW our insurance company is paying for the formula. Funny how it became medically necessary when it was half as expensive...

    ReplyDelete
  16. Oh, and one more thing. We adopted a (non-tube-fed) toddler last October, and I *still* keep checking the bottom left side of her shirts for formula stains and freaking out slightly when I don't feel the button. I wonder how much longer it's going to take my brain to adjust to what's normal to practically everyone else?

    ReplyDelete

Related Posts Plugin for WordPress, Blogger...