Tag Archives: g-tube

hospital

Three times lucky (excerpt)

Twice this procedure has been rescheduled. Which was extra disappointing because once I decided to move ahead I was focused and eager. This time, so far so good. We are in the waiting room as instructed – gown and booties on, fasting since last night. Owen is first on the list for the day’s surgeries – a new life awaits!

The surgery itself will be simple. Poke a hole, insert the tube, throw in a stitch. The hard part will be Owen’s body adjusting to the tube, likely causing irritation and possible infection. I will also need training in feeding. So 2-3 days in the hospital to adjust. Three times now I have packed an overnight bag.

“Owen?” The orderly has a clipboard and is reading from a list.

That’s us! Over here! I start to gather our things.

“There’s a bit of a delay. We’re going to move you to second on the list. We’re looking for your file.”

His ‘file’ is 6 inches thick contained in two separate folders, held with a big rubber band. How does something like that go missing?

“We only have the request form. The anesthesiologist wants to see the whole file.”

I look at the clock. 9:20 am. We’ve been here since 6:30. I guess we can wait a bit longer.

________________________

10:50. Another orderly with a clipboard enters.

Finally! I look around for my bag as I pull the wheelchair closer to me with my foot. Owen has fallen asleep on my lap and it is hard to move.

He looks around the room. “Alex? Is Alex here?”

Who? No, his name is Owen…

“Sorry, we’re still moving down the list. No file yet. We’ll let you know.”

________________________

With Sallyanne, waiting again. Different procedure, 6 years later.

I’m getting really hungry – and poor Owen! No food or water since last night. This was all supposed to be finished by now. I would have already had a helping from the salad bar and a second tall mild from Starbucks. It’s almost 1…

“Owen’s mom?” Why do they never bother to find out my name?

I know this game by now. I don’t get up or fumble around. I barely look up from my magazine, but I raise my hand.

“Here.”

A man in scrubs picks his way through the legs, strollers and toys. It’s the surgeon. This can’t be good.

“The physician who ordered the g-tube procedure signed out your son’s file and may have left it in his office. Unfortunately, he’s not reachable. The anesthesiologist won’t give Owen the general anesthetic without a full history. We will have to reschedule.”

I close my eyes. This can’t be happening. We have been waiting for this for weeks and now we’re BOTH hungry.

Breathe. Open eyes. “Can I sign a waiver? Nothing bad will happen. I promise. He’s been under before. ”

I know it doesn’t work like that. But I will say anything.

“The only other option is to do the surgery without the anesthetic. Might be safer in the long run anyway. We can freeze the skin. But he will feel the incision through the muscle and his stomach wall.”

My mind is agile, I can course-correct on a dime, I am grace under pressure, I am completely unflappable. But this doesn’t compute. Surgery while conscious? I become dramatic, imagining a knife carving into the belly. He won’t have me for support. He can’t hear what’s going on. He doesn’t even know that he’s going in for surgery. They will have to hold him down. I’m mad he even suggested it.

“Absolutely not!”

The emotions are frothy and bubbling and taking up space and demanding attention, yet a quiet voice of reason and detached observation seeks to be heard from the depths. Something is dawning on me as my primal brain wants to fight and run at the same time.

I’ve been here before. HE’s been here before. We’ve both been poked with a sharp straw without pain relief or sleeping minds. It wasn’t that bad, was it? And we survived. The upside of Owen is he doesn’t anticipate, doesn’t rehearse. It will be over quickly. All this waiting will be over and we will move on and Owen will finally get enough food.

What’s at stake?

“Wait…”

The doctor, his message delivered and his body halfway out of his seat, pauses mid-air then slowly sits back down. He looks at me expectantly.

“I mean yes. Just do it. Please tell them to do it quickly.”

owen

Filed under: decisions that don’t come easy (excerpt)

“What do you think Owen wants?”

What does he want?  That’s easy.  I know what he wants. He wants to eat like a normal kid and I’m sure he would NOT want that tube thing stuck inside of him!

“Maybe you’re right. But maybe he’s hungry.”

I picture my sweet boy. Not quite five years old, big wobbly head and gangly limbs. Sagging skin.  Is he even 20 pounds? He’s naturally skinny, that’s all.

I reposition myself on the puffy floor cushion. It’s getting uncomfortable.

“You said feeding is a struggle. That he cries all the time. That he doesn’t swallow well and he chokes. That it’s hard to find people who know how to feed him.”

Yes, yes I said that. It’s all true. But that’s how it is with a boy like mine. Feeding is difficult, sure. But I can’t give up. He needs me to feed him.

“That last thing. Say it again.”

He needs me to feed him! I feel tears welling. Confusion and anger. Why do these interventions always feel like a trick?

“Does he?”

My logic is floundering and I know it. One last effort to save my ego: Okay fine maybe he doesn’t but this is how people eat!

I feel exposed. Like a fraud of a mother who can’t see that her child is starving.