Guest guest Posted October 17, 2006 Report Share Posted October 17, 2006 So, 's pneumatosis is completely gone. Last Monday they started slowly working him back into his tube feeds. Pedialyte the first few days started slow and working to his full rate. Then half Pedialyte half Peptamin half rate up to full rate. Then full Peptamin half rate up to full rate. At the same time the weaned back the TPN. By yesterday morning he was full rate full strength tube feeds and no TPN. He was also back to belly ache, vomitting, and miserable. I walked out in the hall and started crying. What the h*ll is a mother supposed to do? He's had four weeks of feeling GREAT, even with that pneumatosis which should have had him in pain, because of no tube feeds. He was acting like before he got sick. But, if we don't run the tube feeds, then it's TPN. And we all know how good that isn't for his already shot to sh*t liver. Anyway, the GI attending that's on now (all the GI attendings, in fact) finally got to see the real over the past few weeks. So when she came in yesterday morning and saw how miserable he was (which is how he is with his feeds), so decided that was not acceptable, put him back on half strentgth Peptamin (with half Pedialyte) running at half rate, and half TPN. Within a couple hours he felt a fair bit better. HOWEVER, by 8:30 last night his temp was 101. Line cultures, of course. But his LFT's are up, also. Bili isn't bad (1.4) for him. But ALT and AST are 111 and 130 (don't remember which was which) and his Alk Phos is 596. Here's the kicker . . . I know the fever is because he's getting clogged up again. I mean, look at that Alk Phos and tell me he's not obstructed. Two more days will be FIVE WEEKS since his last ERCP (which, as you guys know, is the longest 's ever gone without one). But the GI's don't want him to have it done until absolutely necessary anymore, because they think the last one had something to do with him developing that pneumatosis. I'm so frustrated right now I could spit. One thing Dr. Sharp said when he was on last week is that, since doing the frequent ERCP's was the only thing keeping 's numbers down, he should be able to get him bumped up on the list higher and hopefully get him tx'd sooner. And I guess that's about all I have to say. Other than I want to cry. Ami Ami mom to - 8 yrs - Double Lung Tx 2/26/2006, PSC - Pre-Liver Tx, Central DI, Steroid Induced Diabetes, HypoT, GERD, High BP, ADD, Anemia, Malabsorption, No Motility http://www.caringbridge.com/visit/seanfox mom to Emma - 12 yrs - Migraines, otherwise healthy stepmom to - 13 yrs - ADD, RAD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. Quote Link to comment Share on other sites More sharing options...
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