Hi I’ve not been on here in years (password issue) but something pulled me to it now. I am so sorry that O has gone through so much and hope this turns in better direction soon.
LOL! Baby steps. Today TPN. Tomorrow EEN. O's GI is in clinic on Fridays. Hoping he is working tomorrow and hoping he takes a few minutes to stop by. Will work him over on the other stuff.Tpn at home I consider that a win
I don't think she should be having any regular foods while on TPN and in need of gut rest and while you're already thinking about EEN after TPN....ate like a horse....
Abdo pain, waking up for a BM and the appearance of blood and liquid BM.
Oral
By far the most common route. The passage of drug from the gut into the blood is influenced by biologic and physicochemical factors (discussed in detail below), and by the dosage form. For most drugs, two- to five-fold differences in the rate or extent of gastrointestinal absorption can occur, depending on the dosage form. These two characteristics, rate and completeness of absorption, comprise bioavailability. Generally, the bioavailability of oral drugs follows the order: solution > suspension > capsule > tablet > coated tablet.
Thanks awmom! I honestly don't know what I would do without the committee! You guys understand in a way that no one else can and are all so giving of your time and support!I now always try, when presented with these suggestion, ask myself "what will I do with the results", but in O's case, they are already doing as much as possible (or should be)as far as treatment, and I don't think anything will change with the new information,
I think I see the problem here. In my opinion on TPN she should be having no food at all until she switches to formula only (elemental or polymeric, depending on absorption), as tolerated.Well she ate a bagel and had pain
As sad as it is, it's great to hear she cares and has an opinion now! I feel like just a few months, whenever the doctor asked her anything she'd say was fine and if he asked if she wanted to change things, she'd say she didn't know. So while I wish she didn't have to deal with all this and that it had never happened, but she has grown up so much and is becoming a great advocate for herself!O feels strongly that if they go in she wants them to look at colon. She wants to know if the steroids are working. It may not be something they want to do given the looks of things the last time and the concern over perforation. But they did say if her transverse colon is really bad it could also be causing this pain.
Wanted to add that placing an NG tube is uncomfortable but there is no way it's worse than a PICC line and a lot of the other stuff that she has dealt with. Just make sure it is a 6Fr (6 French is the smallest size) and that she drinks while it's being inserted - it slides right down. She might be uncomfortable at first but it shouldn't be terrible. M was terrified of inserting herself but found it surprisingly easy and actually more comfortable than when the nurse did it the first night she used it.No drip
Bolus large amounts through the tube at once
They still need to get it put in while awake if she is using it for prep
Vs placing it while under during scopes
My kiddo was quarantined for 8 days due to C.Diff! Drove us totally insane. After a while when her tests came back negative, they relaxed quarantine enough to let her walk around in the halls but she still wasn't allowed in the teen lounge or playrooms!Yeah, I am not feeling the C. Diff vibes but I will play nicely. The room is quarantined now. As if I wasn't climbing the walls already.
Oh this was during her recovery from her major jaw surgery...one night she had bad diarrhea and an accident, and then continued to have diarrhea, and because of her past history of C.Diff, they had to check. But once they checked, they still didn't relax the rules completely for reasons I don't really understand.Why on earth did they keep her for 8 days? I was thinking that after she gets a C. Diff dx we would get the meds and be on our way. M must have had to stay for other reasons also.
Why is she eating anything, or eating anything except formula? Food is part of the cause hereShe took it about a half hour after eating and it seemed to help.
This guy is very, very wrong and dangerous.He disagreed with EEN healing colons.