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Hi Barb,

I've got a lot going on right now and have been quiet for some time, but I

have been reading and wanted to respond to your zevex post.

I do use a zevex enteralite. I have many of the same issues that you

identify. Some of them I deal with having my PCA set up my tube feedings in

the a.m. (I run 24 hours a day at 55ml/hr so it is a very slow process). I

do not use the zevex backpack or waistpack system as we found them too

difficult to deal with. Instead I purchased a camelback hydration backpack.

The pump and my 1200ml bag fit nicely into the insulated compartment and

offer much easier access if I have an alarm. I do use a power wheelchair

full time and my zevex hangs on the back of my wheelchair along with my

curlin pump and hydration. There is no way I could handle the weight even

for transfers. As far as the buttons on the zevex go they are difficult.

When I first got my power chair they brought me these little hard sticky

dots to place over the buttons I was having a hard time pressing. They are

clear. I did not need them on my wheelchair, but they are invaluable on my

pumps! I find they give me just enough ability to get the buttons pressed

and hold them for the time needed. I'm sure an OT would know what they are

called. Another thought would be to use the eraser end of a pencil which

I've had to do a few times. About the tubing and bags: Do your bags have

blue or teal tops? The reason I ask is because zevex changed over to the

teal ones about 6 months ago (a very good thing), but occasionally the blue

ones are still floating around. My PCA and I had terrible times with those

blue bags and the lines kinking. It is much better with the teal ones. In

terms of the stretching of the line around the wheel: I'm not sure what to

suggest there, but one piece of advice. Don't over-stretch it. I found my

PCA was doing this and as a result we were having many more alarms and

wasted pump sets than we needed to. Also, one final thought.at night I

hook my pumps up to an IV pole is there anyway you could have them connected

to the pole throughout the day and have the pole bear the weight of the pump

and fluids? Good luck.

Kristie

Message: 6

Date: Wed, 6 Jul 2005 11:56:19 -0500

Subject: Zevex pump users--long

I think there are several people in Mitoldies who use the Zevex pump. Last

week I switched my Kangaroo for a Zevex to enable ambulatory fluid drip in

the daytime and we are having several problems that we did not anticipate.

In fact, we were quite discouraged when the Option Care person came to the

house and did the demo, as we realized it was going to be

difficult-to-impossible for me to use the Zevex pump myself. I am wondering

whether others have encountered these problems and if so, how you have

solved them.

1. Threading the tube through the Zevex is very difficult for me even on a

good day and impossible on a bad day. That's because you have to manually

stretch the tube around the wheel, pulling it out a good 2 " longer to clip

the other end into place. When the rep was here, I tried several times and

could not stretch the tube far enough to snap it in place, and that was an

average day as far as arm strength goes. On the Kangaroo, all you had to do

was lay the tube in the track and the mechanical arm did all the stretching

when it snapped shut. I had not heard any patients mention this feature on

the Zevex, therefore had no idea the threading would require manual

stretching.

2. Even if I could get it threaded, I have a lot of difficulty getting any

of the touch buttons to work. They require simultaneous pushing and holding

for 2 seconds to activate, which was not true of the Kangaroo. Sometimes I

couldn't push the Kangaroo buttons, but the problem is much bigger with the

Zevex. I push and push until my finger is bent backwards, and the button

does not respond. (Yes, I also have trouble with microwave buttons, etc.)

For the rep and my husband, it looks so simple. A light touch and voila! The

buttons work.

3. When the pump is in the carrying case (which it would be during the day

when I am alone), you have to push the buttons through the soft plastic

window, which is even harder. So even if my husband did the threading and

loading before he left for work, I would have trouble with the buttons if

the pump beeps (which it did whenever the tube got crimped in the case). To

have even a chance of getting the buttons to work, I would have to take both

the bag and pump out of the carrier and try to get the buttons to respond

directly. Then reload the carrying case which is not simple for me. There

are elastic straps, Velcro holders, etc.

3. The weight of the pump and bag feels much heavier than I had anticipated.

I am using the Zevex Sportpack carrier, which is much smaller than the

standard Zevex belt/backpack carrier. The pump and little 500 ml bag total

only 2.5 pounds, but it feels like a pile of bricks when I try to get up and

move. I had no idea it would feel that heavy. The weight alone would really

discourage me from moving around, and adds further to balance problems. This

inflated weight perception, I realize, is a function of weakness. That's one

of the features of weakness, in fact, that the objects themselves--shoes, a

glass of water, a book--feel like they're full of cement. As if the problem

is with the object and not my body.

4. I had thought I could wear the Sportpack like a shoulder bag, but with

the weight it slips off. If I put the strap over my head and wear it

crosswise, the weight pulls on my neck and aggravates long-standing neck

problems. I can't wear a belt, and a backpack has to be taken off every time

you sit down and put back on every time you get up. That too, would

discourage movement, which I do not want to do. I want to keep moving.

5. At night the Zevex is beeping a lot more than the Kangaroo, apparently

because it is more sensitive to tube crimps than the Kangaroo. True, the

Zevex does not beep with any tilting of the pump as the Kangaroo does.

However, in our experience, the Zevex is more sensitive to tube crimping.

With the Kangaroo we had worked out a way to tape the tube to my belly so it

rarely beeped at night, even if I turned on my side. With the Zevex, I

cannot turn on my side without triggering beeping. Once it beeps, I cannot

get the buttons to work (of course!) so I have to wake my husband to push

the buttons. He sleeps through the beeps and goes back to sleep quickly, but

I do not. Add sleep disruption to the list of problems!

My doctors want me to pump daytime fluids for several reasons, in addition

to nighttime formula, so we got the Zevex just for this purpose. Everyone we

had talked too had only praise for the pump and said it was great, easy to

use, etc. I realize the " problem " is with my particular physical limitations

and not the pump. Thus we are trying to think creatively and figure out ways

to make it work. My only idea at this point is to ask my PCP about a consult

with an occupational therapist to see if they have any mechanical devices

that would enable me to stretch the tube and make the buttons work. I have

no idea if such devices even exist.

Of course, I could go to a power chair around the house and park the weight

of the bag and pump on the chair. That would solve the weight problem, but

not the button problem. For several reasons I have been putting off using a

power chair in the house for a long time and hope to do so longer.

I will post my questions to the tube feeding support group, but there are

only one or two adults in that group who use the Zevex and they do not have

muscle disease.

Suggestions?

Thanks.

Barbara

Love and Hugs,

Kristie

www.caringbridge.org/pa/kristie

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Barb,

I've done more creative things with cable ties, caribiners and Velcro

straps. I'm sure your hubby can come up with something that will work with

your walker.

Kristie

Message: 8

Date: Wed, 6 Jul 2005 12:40:57 -0500

Subject: RE: Zevex pump users--long

Yes, I need a creative OT person. We have an IV pole that we use at night,

but I've tried pushing that around the house and know I can't. The walker is

a good idea. I have one, but I'd have to think about exactly how that might

work to hang the pump on it. Probably Hubby can figure that one out. I have

a tray that clips on it so I can move food and myself at the same time but

no other accessories.

Love and Hugs,

Kristie

www.caringbridge.org/pa/kristie

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Kristie, my lifesaver! Thank you so much for taking the time and effort to

respond. Definitely you understand where I am. I will print and save to show

to the OT. The clear sticky button thingy sounds great. I will inquire.

Yes, I had wondered about using a pencil or penpoint on the buttons. I

suppose my son could explain the physics of it, but something about

concentrating the point of effort. My husband is willing to load the pack

every morning, which would solve the loading problem. The big problem now is

the weight. I really don't see how I could pull a backpack on wheels by hand

all day, as some have suggested. I'm just not at a place physically where

that is possible. (My husband laughed when I offered this suggestion.) It

may mean that if they really want me to use the pump daytime I will have to

go to a chair.

I will check out the camelback hydration backpack. Thanks for that

suggestion. Yes, my bags have blue tops! No wonder we are having so much

trouble with beeps. We will ask Option Care to get the teal tops when we

order. And I will pass on your advice about not over-stretching the tubes to

my husband. That may be contributing to our beeps.

We do have an IV pole we use at night. We are still waiting for the zevex

pole clamp, so right now we're just hanging the bag on the pole. As for

daytime IV pole, I find it very difficult to push my IV pole on our carpet.

(I don't suppose my insurance wants to pay for hardwood floors!) But in some

ways the IV pole might be easier than wearing the weight or pulling a

backpack. Not sure.

Again, thanks a bunch. These are great suggestions. I hope things settle

down for you soon.

Take care,

Barbara

_____

From: [mailto: ] On Behalf

Of Kristie Palmer

Sent: Thursday, July 07, 2005 4:58 PM

To: Mitoldies

Subject: Zevex pump users--long

Hi Barb,

I've got a lot going on right now and have been quiet for some time, but I

have been reading and wanted to respond to your zevex post.

I do use a zevex enteralite. I have many of the same issues that you

identify. Some of them I deal with having my PCA set up my tube feedings in

the a.m. (I run 24 hours a day at 55ml/hr so it is a very slow process). I

do not use the zevex backpack or waistpack system as we found them too

difficult to deal with. Instead I purchased a camelback hydration backpack.

The pump and my 1200ml bag fit nicely into the insulated compartment and

offer much easier access if I have an alarm. I do use a power wheelchair

full time and my zevex hangs on the back of my wheelchair along with my

curlin pump and hydration. There is no way I could handle the weight even

for transfers. As far as the buttons on the zevex go they are difficult.

When I first got my power chair they brought me these little hard sticky

dots to place over the buttons I was having a hard time pressing. They are

clear. I did not need them on my wheelchair, but they are invaluable on my

pumps! I find they give me just enough ability to get the buttons pressed

and hold them for the time needed. I'm sure an OT would know what they are

called. Another thought would be to use the eraser end of a pencil which

I've had to do a few times. About the tubing and bags: Do your bags have

blue or teal tops? The reason I ask is because zevex changed over to the

teal ones about 6 months ago (a very good thing), but occasionally the blue

ones are still floating around. My PCA and I had terrible times with those

blue bags and the lines kinking. It is much better with the teal ones. In

terms of the stretching of the line around the wheel: I'm not sure what to

suggest there, but one piece of advice. Don't over-stretch it. I found my

PCA was doing this and as a result we were having many more alarms and

wasted pump sets than we needed to. Also, one final thought.at night I

hook my pumps up to an IV pole is there anyway you could have them connected

to the pole throughout the day and have the pole bear the weight of the pump

and fluids? Good luck.

Kristie

Message: 6

Date: Wed, 6 Jul 2005 11:56:19 -0500

Subject: Zevex pump users--long

I think there are several people in Mitoldies who use the Zevex pump. Last

week I switched my Kangaroo for a Zevex to enable ambulatory fluid drip in

the daytime and we are having several problems that we did not anticipate.

In fact, we were quite discouraged when the Option Care person came to the

house and did the demo, as we realized it was going to be

difficult-to-impossible for me to use the Zevex pump myself. I am wondering

whether others have encountered these problems and if so, how you have

solved them.

1. Threading the tube through the Zevex is very difficult for me even on a

good day and impossible on a bad day. That's because you have to manually

stretch the tube around the wheel, pulling it out a good 2 " longer to clip

the other end into place. When the rep was here, I tried several times and

could not stretch the tube far enough to snap it in place, and that was an

average day as far as arm strength goes. On the Kangaroo, all you had to do

was lay the tube in the track and the mechanical arm did all the stretching

when it snapped shut. I had not heard any patients mention this feature on

the Zevex, therefore had no idea the threading would require manual

stretching.

2. Even if I could get it threaded, I have a lot of difficulty getting any

of the touch buttons to work. They require simultaneous pushing and holding

for 2 seconds to activate, which was not true of the Kangaroo. Sometimes I

couldn't push the Kangaroo buttons, but the problem is much bigger with the

Zevex. I push and push until my finger is bent backwards, and the button

does not respond. (Yes, I also have trouble with microwave buttons, etc.)

For the rep and my husband, it looks so simple. A light touch and voila! The

buttons work.

3. When the pump is in the carrying case (which it would be during the day

when I am alone), you have to push the buttons through the soft plastic

window, which is even harder. So even if my husband did the threading and

loading before he left for work, I would have trouble with the buttons if

the pump beeps (which it did whenever the tube got crimped in the case). To

have even a chance of getting the buttons to work, I would have to take both

the bag and pump out of the carrier and try to get the buttons to respond

directly. Then reload the carrying case which is not simple for me. There

are elastic straps, Velcro holders, etc.

3. The weight of the pump and bag feels much heavier than I had anticipated.

I am using the Zevex Sportpack carrier, which is much smaller than the

standard Zevex belt/backpack carrier. The pump and little 500 ml bag total

only 2.5 pounds, but it feels like a pile of bricks when I try to get up and

move. I had no idea it would feel that heavy. The weight alone would really

discourage me from moving around, and adds further to balance problems. This

inflated weight perception, I realize, is a function of weakness. That's one

of the features of weakness, in fact, that the objects themselves--shoes, a

glass of water, a book--feel like they're full of cement. As if the problem

is with the object and not my body.

4. I had thought I could wear the Sportpack like a shoulder bag, but with

the weight it slips off. If I put the strap over my head and wear it

crosswise, the weight pulls on my neck and aggravates long-standing neck

problems. I can't wear a belt, and a backpack has to be taken off every time

you sit down and put back on every time you get up. That too, would

discourage movement, which I do not want to do. I want to keep moving.

5. At night the Zevex is beeping a lot more than the Kangaroo, apparently

because it is more sensitive to tube crimps than the Kangaroo. True, the

Zevex does not beep with any tilting of the pump as the Kangaroo does.

However, in our experience, the Zevex is more sensitive to tube crimping.

With the Kangaroo we had worked out a way to tape the tube to my belly so it

rarely beeped at night, even if I turned on my side. With the Zevex, I

cannot turn on my side without triggering beeping. Once it beeps, I cannot

get the buttons to work (of course!) so I have to wake my husband to push

the buttons. He sleeps through the beeps and goes back to sleep quickly, but

I do not. Add sleep disruption to the list of problems!

My doctors want me to pump daytime fluids for several reasons, in addition

to nighttime formula, so we got the Zevex just for this purpose. Everyone we

had talked too had only praise for the pump and said it was great, easy to

use, etc. I realize the " problem " is with my particular physical limitations

and not the pump. Thus we are trying to think creatively and figure out ways

to make it work. My only idea at this point is to ask my PCP about a consult

with an occupational therapist to see if they have any mechanical devices

that would enable me to stretch the tube and make the buttons work. I have

no idea if such devices even exist.

Of course, I could go to a power chair around the house and park the weight

of the bag and pump on the chair. That would solve the weight problem, but

not the button problem. For several reasons I have been putting off using a

power chair in the house for a long time and hope to do so longer.

I will post my questions to the tube feeding support group, but there are

only one or two adults in that group who use the Zevex and they do not have

muscle disease.

Suggestions?

Thanks.

Barbara

Love and Hugs,

Kristie

www.caringbridge.org/pa/kristie

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Button pushing devices for people with arthritis might help you, here

are some examples:

http://www.lifehome.com/products/7443.asp

http://www.grovergear.com/hand-aids.html

For pushing more than one button, you could improvise starting with

one of the above devices, or build something with lego (I know,

sounds crazy but might work) or a wire hanger. I wonder if someone

at the manufacturer might have some ideas to help you push the

buttons...

And if you use the clear dots to raise up the surfaces of the

buttons, you might be able to use a stick or bar to push the buttons

together.

This might be a stupid question, but have you tried pushing buttons

with your knuckle instead of fingertip? This enables me to push

difficult buttons easier.

I studied bioengineering at one point, so I'm always thinking about

ergonomic/accessibility type issues LOL.

Take care,

RH

> Kristie, my lifesaver! Thank you so much for taking the time and

effort to

> respond. Definitely you understand where I am. I will print and

save to show

> to the OT. The clear sticky button thingy sounds great. I will

inquire.

> Yes, I had wondered about using a pencil or penpoint on the

buttons. I

> suppose my son could explain the physics of it, but something about

> concentrating the point of effort. My husband is willing to load

the pack

> every morning, which would solve the loading problem. The big

problem now is

> the weight. I really don't see how I could pull a backpack on

wheels by hand

> all day, as some have suggested. I'm just not at a place physically

where

> that is possible. (My husband laughed when I offered this

suggestion.) It

> may mean that if they really want me to use the pump daytime I will

have to

> go to a chair.

>

>

>

> I will check out the camelback hydration backpack. Thanks for that

> suggestion. Yes, my bags have blue tops! No wonder we are having so

much

> trouble with beeps. We will ask Option Care to get the teal tops

when we

> order. And I will pass on your advice about not over-stretching the

tubes to

> my husband. That may be contributing to our beeps.

>

>

>

> We do have an IV pole we use at night. We are still waiting for

the zevex

> pole clamp, so right now we're just hanging the bag on the pole. As

for

> daytime IV pole, I find it very difficult to push my IV pole on our

carpet.

> (I don't suppose my insurance wants to pay for hardwood floors!)

But in some

> ways the IV pole might be easier than wearing the weight or pulling

a

> backpack. Not sure.

>

>

>

> Again, thanks a bunch. These are great suggestions. I hope things

settle

> down for you soon.

>

>

>

> Take care,

>

> Barbara

>

>

>

>

>

> _____

>

> From: [mailto: ]

On Behalf

> Of Kristie Palmer

> Sent: Thursday, July 07, 2005 4:58 PM

> To: Mitoldies

> Subject: Zevex pump users--long

>

>

>

> Hi Barb,

>

>

>

> I've got a lot going on right now and have been quiet for some

time, but I

> have been reading and wanted to respond to your zevex post.

>

>

>

> I do use a zevex enteralite. I have many of the same issues that

you

> identify. Some of them I deal with having my PCA set up my tube

feedings in

> the a.m. (I run 24 hours a day at 55ml/hr so it is a very slow

process). I

> do not use the zevex backpack or waistpack system as we found them

too

> difficult to deal with. Instead I purchased a camelback hydration

backpack.

> The pump and my 1200ml bag fit nicely into the insulated

compartment and

> offer much easier access if I have an alarm. I do use a power

wheelchair

> full time and my zevex hangs on the back of my wheelchair along

with my

> curlin pump and hydration. There is no way I could handle the

weight even

> for transfers. As far as the buttons on the zevex go they are

difficult.

> When I first got my power chair they brought me these little hard

sticky

> dots to place over the buttons I was having a hard time pressing.

They are

> clear. I did not need them on my wheelchair, but they are

invaluable on my

> pumps! I find they give me just enough ability to get the buttons

pressed

> and hold them for the time needed. I'm sure an OT would know what

they are

> called. Another thought would be to use the eraser end of a pencil

which

> I've had to do a few times. About the tubing and bags: Do your

bags have

> blue or teal tops? The reason I ask is because zevex changed over

to the

> teal ones about 6 months ago (a very good thing), but occasionally

the blue

> ones are still floating around. My PCA and I had terrible times

with those

> blue bags and the lines kinking. It is much better with the teal

ones. In

> terms of the stretching of the line around the wheel: I'm not sure

what to

> suggest there, but one piece of advice. Don't over-stretch it. I

found my

> PCA was doing this and as a result we were having many more alarms

and

> wasted pump sets than we needed to. Also, one final thought.at

night I

> hook my pumps up to an IV pole is there anyway you could have them

connected

> to the pole throughout the day and have the pole bear the weight of

the pump

> and fluids? Good luck.

>

> Kristie

>

>

>

>

>

> Message: 6

>

> Date: Wed, 6 Jul 2005 11:56:19 -0500

>

> From: " Barbara Seaman "

>

> Subject: Zevex pump users--long

>

>

>

> I think there are several people in Mitoldies who use the Zevex

pump. Last

>

> week I switched my Kangaroo for a Zevex to enable ambulatory fluid

drip in

>

> the daytime and we are having several problems that we did not

anticipate.

>

> In fact, we were quite discouraged when the Option Care person came

to the

>

> house and did the demo, as we realized it was going to be

>

> difficult-to-impossible for me to use the Zevex pump myself. I am

wondering

>

> whether others have encountered these problems and if so, how you

have

>

> solved them.

>

>

>

> 1. Threading the tube through the Zevex is very difficult for me

even on a

>

> good day and impossible on a bad day. That's because you have to

manually

>

> stretch the tube around the wheel, pulling it out a good 2 " longer

to clip

>

> the other end into place. When the rep was here, I tried several

times and

>

> could not stretch the tube far enough to snap it in place, and that

was an

>

> average day as far as arm strength goes. On the Kangaroo, all you

had to do

>

> was lay the tube in the track and the mechanical arm did all the

stretching

>

> when it snapped shut. I had not heard any patients mention this

feature on

>

> the Zevex, therefore had no idea the threading would require manual

>

> stretching.

>

>

>

> 2. Even if I could get it threaded, I have a lot of difficulty

getting any

>

> of the touch buttons to work. They require simultaneous pushing and

holding

>

> for 2 seconds to activate, which was not true of the Kangaroo.

Sometimes I

>

> couldn't push the Kangaroo buttons, but the problem is much bigger

with the

>

> Zevex. I push and push until my finger is bent backwards, and the

button

>

> does not respond. (Yes, I also have trouble with microwave buttons,

etc.)

>

> For the rep and my husband, it looks so simple. A light touch and

voila! The

>

> buttons work.

>

>

>

> 3. When the pump is in the carrying case (which it would be during

the day

>

> when I am alone), you have to push the buttons through the soft

plastic

>

> window, which is even harder. So even if my husband did the

threading and

>

> loading before he left for work, I would have trouble with the

buttons if

>

> the pump beeps (which it did whenever the tube got crimped in the

case). To

>

> have even a chance of getting the buttons to work, I would have to

take both

>

> the bag and pump out of the carrier and try to get the buttons to

respond

>

> directly. Then reload the carrying case which is not simple for me.

There

>

> are elastic straps, Velcro holders, etc.

>

>

>

> 3. The weight of the pump and bag feels much heavier than I had

anticipated.

>

> I am using the Zevex Sportpack carrier, which is much smaller than

the

>

> standard Zevex belt/backpack carrier. The pump and little 500 ml

bag total

>

> only 2.5 pounds, but it feels like a pile of bricks when I try to

get up and

>

> move. I had no idea it would feel that heavy. The weight alone

would really

>

> discourage me from moving around, and adds further to balance

problems. This

>

> inflated weight perception, I realize, is a function of weakness.

That's one

>

> of the features of weakness, in fact, that the objects themselves--

shoes, a

>

> glass of water, a book--feel like they're full of cement. As if the

problem

>

> is with the object and not my body.

>

>

>

> 4. I had thought I could wear the Sportpack like a shoulder bag,

but with

>

> the weight it slips off. If I put the strap over my head and wear it

>

> crosswise, the weight pulls on my neck and aggravates long-standing

neck

>

> problems. I can't wear a belt, and a backpack has to be taken off

every time

>

> you sit down and put back on every time you get up. That too, would

>

> discourage movement, which I do not want to do. I want to keep

moving.

>

>

>

> 5. At night the Zevex is beeping a lot more than the Kangaroo,

apparently

>

> because it is more sensitive to tube crimps than the Kangaroo.

True, the

>

> Zevex does not beep with any tilting of the pump as the Kangaroo

does.

>

> However, in our experience, the Zevex is more sensitive to tube

crimping.

>

> With the Kangaroo we had worked out a way to tape the tube to my

belly so it

>

> rarely beeped at night, even if I turned on my side. With the

Zevex, I

>

> cannot turn on my side without triggering beeping. Once it beeps, I

cannot

>

> get the buttons to work (of course!) so I have to wake my husband

to push

>

> the buttons. He sleeps through the beeps and goes back to sleep

quickly, but

>

> I do not. Add sleep disruption to the list of problems!

>

>

>

> My doctors want me to pump daytime fluids for several reasons, in

addition

>

> to nighttime formula, so we got the Zevex just for this purpose.

Everyone we

>

> had talked too had only praise for the pump and said it was great,

easy to

>

> use, etc. I realize the " problem " is with my particular physical

limitations

>

> and not the pump. Thus we are trying to think creatively and figure

out ways

>

> to make it work. My only idea at this point is to ask my PCP about

a consult

>

> with an occupational therapist to see if they have any mechanical

devices

>

> that would enable me to stretch the tube and make the buttons work.

I have

>

> no idea if such devices even exist.

>

>

>

> Of course, I could go to a power chair around the house and park

the weight

>

> of the bag and pump on the chair. That would solve the weight

problem, but

>

> not the button problem. For several reasons I have been putting off

using a

>

> power chair in the house for a long time and hope to do so longer.

>

>

>

> I will post my questions to the tube feeding support group, but

there are

>

> only one or two adults in that group who use the Zevex and they do

not have

>

> muscle disease.

>

>

>

> Suggestions?

>

>

>

> Thanks.

>

> Barbara

>

>

>

> Love and Hugs,

>

> Kristie

>

> www.caringbridge.org/pa/kristie

>

>

>

>

>

>

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Guest guest

Thanks a lot for the details, Sunny. Very helpful. I will send hubby out to the

local dept stores and see what he can find.

What would I do without this group? You always help me think outside the box.

B

_____

From: [mailto: ] On Behalf Of

z39z@...

Sent: Thursday, July 07, 2005 5:20 PM

To:

Subject: Re: Zevex pump users--long

HI, Barbara

This old back sufferer is going to put her $0.02 in here. Three

cheers for small rolling luggage! It has been a real life saver for

me. Forgive me if I am missing the point for your needs. I just want

to tell you there is a variety of small " carry on " type of luggage,

some of which also may function as back packs, with wheels. The way

they open varries, and the ease of handles, etc, also varries. I

believe the thought would be for you to keep it on the ground and roll

it, exclusively; at least that is how I interpreted it. It seemed like

such a neat solution! Yet, I do not know the needs you have, and maybe

I am all wrong. I do know when I went out recently to buy one for

traveling I was pleased to see the great variety in shapes, how they

roll and how they open. No longer just the old flat little suitcase

with wheels that the airline attendants had. Some are like large

satchels, others like a large purse, with the zipper down the middle,

but all having the handle and wheels. That apparatus does add weight

to them, so the only approach is to keeping it on the ground. I found

different ones, at good prices, in some of the major " reasonable "

stores like TJMaxx, and Marshals. I would guess they could be found

online also. I will try to look, to see if I can find some examples

online, if you like. Again, if I have missed the point, sorry. I just

want to encourage you to look at them, because they are just so darned

handy and clever, and one might help a little.

Best regards to you always, Barbara.

Sunny

> The backpack seems to be a good option for many people. The main

> disadvantage is that you can't sit comfortably with it on. I need

> back and

> neck support from a chair, so I would have to take it off. I don't

> walk much

> and when I do it's short distances, often from chair to chair, so

> putting

> the backpack off and on whenever I get up or sit down would be not be

> practical for me. I am looking for something that does not discourage

> getting up and moving around.

>

>

>

> A person in my tubefeeding group suggested trying a " frontpack " that

> would

> not have to be removed when sitting. This sounds like the best idea

> yet for

> my particular limitations. I am going to try my small sportpack this

> way

> with the strap shortened and worn like a " necklace. " The weight may

> still be

> too much for my neck, but I'm going to try it. Had I known the weight

> of the

> pump and bag alone would be a problem for me, I might have tried to

> get

> approval for the lighter Infinity. I don't know if they would have

> accepted

> that, given the extra expense, but it might have been worth a try. We

> had to

> work hard to get approval to switch to the Zevex, because it does

> cost more

> than the Kangaroo. I'm also going to see if the tube-pulling gizmo

> that

> comes with the Infinity can be purchased separately and used with the

> Enteralite.

>

>

>

> Barbara

>

>

>

> _____

>

> From: [mailto: ] On

> Behalf

> Of Ann-Marie Mc

> Sent: Thursday, July 07, 2005 2:14 PM

> To:

> Subject: Re: Zevex pump users--long

>

>

>

>

> RH,

>

> This is exactly what I was thinking of for Barbara, and what I

> planned to

> use also. I see the kids using different sizes of the wheel backpacks

> as

> they walk home from school.

>

> I am following this tread very closely because I will also be getting

> a

> pump. I was looking at the Zevex pump, but will make sure that I can

> properly use it before I submit to it for long term. I heard this

> kind of

> pump doesn't have to stay in an upright position and can be carried

> almost

> any way without it getting bubbles in it, or it setting of the beeper

> system. I sure hope it is true.

>

> My doctor is setting me up to start TPN while I wait for my J tube

> surgery.

> I will stay on the TPN for probably 3 months along with my J feeds.

>

> Thanks for thoughts and suggestions, as I am sure the backpacks would

> work.

>

> Hugs,

> Ann-Marie

>

>

>

>

>

>

>

> At 10:28 AM 7/7/2005, you wrote:

> >To:

> >

> >Subject: Re: Zevex pump users--long

> >

> >

> >They have smaller versions of the " suitcase with wheels " , that are

> >essentially backpacks with wheels for kids to take to school. I'm

> >sure there are different sizes, as my son is in grammar school, and

> >there are some that have bags smaller than a regular size backpack

> >(much smaller than luggage).

>

>

> --

> No virus found in this outgoing message.

> Checked by AVG Anti-Virus.

> Version: 7.0.323 / Virus Database: 267.8.10/43 - Release Date:

> 7/6/2005

>

>

>

>

>

> Medical advice, information, opinions, data and statements contained

> herein

> are not necessarily those of the list moderators. The author of this

> e mail

> is entirely responsible for its content. List members are reminded of

> their

> responsibility to evaluate the content of the postings and consult

> with

> their physicians regarding changes in their own treatment.

>

> Personal attacks are not permitted on the list and anyone who sends

> one is

> automatically moderated or removed depending on the severity of the

> attack.

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>

>

>

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>

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Guest guest

Thanks, RH. Much appreciated. Knuckles don't work any better in my case, but

I will check out these button links. Maybe I need to enlist my mechanical

engineering son. He's the one who dreamed up the mirror on my bookstand for

watching tv when lying down.

Take care,

Barbara

_____

From: [mailto: ] On Behalf

Of ohgminion

Sent: Friday, July 08, 2005 11:47 AM

To:

Subject: Re: Zevex pump users--long

Button pushing devices for people with arthritis might help you, here

are some examples:

http://www.lifehome.com/products/7443.asp

http://www.grovergear.com/hand-aids.html

For pushing more than one button, you could improvise starting with

one of the above devices, or build something with lego (I know,

sounds crazy but might work) or a wire hanger. I wonder if someone

at the manufacturer might have some ideas to help you push the

buttons...

And if you use the clear dots to raise up the surfaces of the

buttons, you might be able to use a stick or bar to push the buttons

together.

This might be a stupid question, but have you tried pushing buttons

with your knuckle instead of fingertip? This enables me to push

difficult buttons easier.

I studied bioengineering at one point, so I'm always thinking about

ergonomic/accessibility type issues LOL.

Take care,

RH

> Kristie, my lifesaver! Thank you so much for taking the time and

effort to

> respond. Definitely you understand where I am. I will print and

save to show

> to the OT. The clear sticky button thingy sounds great. I will

inquire.

> Yes, I had wondered about using a pencil or penpoint on the

buttons. I

> suppose my son could explain the physics of it, but something about

> concentrating the point of effort. My husband is willing to load

the pack

> every morning, which would solve the loading problem. The big

problem now is

> the weight. I really don't see how I could pull a backpack on

wheels by hand

> all day, as some have suggested. I'm just not at a place physically

where

> that is possible. (My husband laughed when I offered this

suggestion.) It

> may mean that if they really want me to use the pump daytime I will

have to

> go to a chair.

>

>

>

> I will check out the camelback hydration backpack. Thanks for that

> suggestion. Yes, my bags have blue tops! No wonder we are having so

much

> trouble with beeps. We will ask Option Care to get the teal tops

when we

> order. And I will pass on your advice about not over-stretching the

tubes to

> my husband. That may be contributing to our beeps.

>

>

>

> We do have an IV pole we use at night. We are still waiting for

the zevex

> pole clamp, so right now we're just hanging the bag on the pole. As

for

> daytime IV pole, I find it very difficult to push my IV pole on our

carpet.

> (I don't suppose my insurance wants to pay for hardwood floors!)

But in some

> ways the IV pole might be easier than wearing the weight or pulling

a

> backpack. Not sure.

>

>

>

> Again, thanks a bunch. These are great suggestions. I hope things

settle

> down for you soon.

>

>

>

> Take care,

>

> Barbara

>

>

>

>

>

> _____

>

> From: [mailto: ]

On Behalf

> Of Kristie Palmer

> Sent: Thursday, July 07, 2005 4:58 PM

> To: Mitoldies

> Subject: Zevex pump users--long

>

>

>

> Hi Barb,

>

>

>

> I've got a lot going on right now and have been quiet for some

time, but I

> have been reading and wanted to respond to your zevex post.

>

>

>

> I do use a zevex enteralite. I have many of the same issues that

you

> identify. Some of them I deal with having my PCA set up my tube

feedings in

> the a.m. (I run 24 hours a day at 55ml/hr so it is a very slow

process). I

> do not use the zevex backpack or waistpack system as we found them

too

> difficult to deal with. Instead I purchased a camelback hydration

backpack.

> The pump and my 1200ml bag fit nicely into the insulated

compartment and

> offer much easier access if I have an alarm. I do use a power

wheelchair

> full time and my zevex hangs on the back of my wheelchair along

with my

> curlin pump and hydration. There is no way I could handle the

weight even

> for transfers. As far as the buttons on the zevex go they are

difficult.

> When I first got my power chair they brought me these little hard

sticky

> dots to place over the buttons I was having a hard time pressing.

They are

> clear. I did not need them on my wheelchair, but they are

invaluable on my

> pumps! I find they give me just enough ability to get the buttons

pressed

> and hold them for the time needed. I'm sure an OT would know what

they are

> called. Another thought would be to use the eraser end of a pencil

which

> I've had to do a few times. About the tubing and bags: Do your

bags have

> blue or teal tops? The reason I ask is because zevex changed over

to the

> teal ones about 6 months ago (a very good thing), but occasionally

the blue

> ones are still floating around. My PCA and I had terrible times

with those

> blue bags and the lines kinking. It is much better with the teal

ones. In

> terms of the stretching of the line around the wheel: I'm not sure

what to

> suggest there, but one piece of advice. Don't over-stretch it. I

found my

> PCA was doing this and as a result we were having many more alarms

and

> wasted pump sets than we needed to. Also, one final thought.at

night I

> hook my pumps up to an IV pole is there anyway you could have them

connected

> to the pole throughout the day and have the pole bear the weight of

the pump

> and fluids? Good luck.

>

> Kristie

>

>

>

>

>

> Message: 6

>

> Date: Wed, 6 Jul 2005 11:56:19 -0500

>

> From: " Barbara Seaman "

>

> Subject: Zevex pump users--long

>

>

>

> I think there are several people in Mitoldies who use the Zevex

pump. Last

>

> week I switched my Kangaroo for a Zevex to enable ambulatory fluid

drip in

>

> the daytime and we are having several problems that we did not

anticipate.

>

> In fact, we were quite discouraged when the Option Care person came

to the

>

> house and did the demo, as we realized it was going to be

>

> difficult-to-impossible for me to use the Zevex pump myself. I am

wondering

>

> whether others have encountered these problems and if so, how you

have

>

> solved them.

>

>

>

> 1. Threading the tube through the Zevex is very difficult for me

even on a

>

> good day and impossible on a bad day. That's because you have to

manually

>

> stretch the tube around the wheel, pulling it out a good 2 " longer

to clip

>

> the other end into place. When the rep was here, I tried several

times and

>

> could not stretch the tube far enough to snap it in place, and that

was an

>

> average day as far as arm strength goes. On the Kangaroo, all you

had to do

>

> was lay the tube in the track and the mechanical arm did all the

stretching

>

> when it snapped shut. I had not heard any patients mention this

feature on

>

> the Zevex, therefore had no idea the threading would require manual

>

> stretching.

>

>

>

> 2. Even if I could get it threaded, I have a lot of difficulty

getting any

>

> of the touch buttons to work. They require simultaneous pushing and

holding

>

> for 2 seconds to activate, which was not true of the Kangaroo.

Sometimes I

>

> couldn't push the Kangaroo buttons, but the problem is much bigger

with the

>

> Zevex. I push and push until my finger is bent backwards, and the

button

>

> does not respond. (Yes, I also have trouble with microwave buttons,

etc.)

>

> For the rep and my husband, it looks so simple. A light touch and

voila! The

>

> buttons work.

>

>

>

> 3. When the pump is in the carrying case (which it would be during

the day

>

> when I am alone), you have to push the buttons through the soft

plastic

>

> window, which is even harder. So even if my husband did the

threading and

>

> loading before he left for work, I would have trouble with the

buttons if

>

> the pump beeps (which it did whenever the tube got crimped in the

case). To

>

> have even a chance of getting the buttons to work, I would have to

take both

>

> the bag and pump out of the carrier and try to get the buttons to

respond

>

> directly. Then reload the carrying case which is not simple for me.

There

>

> are elastic straps, Velcro holders, etc.

>

>

>

> 3. The weight of the pump and bag feels much heavier than I had

anticipated.

>

> I am using the Zevex Sportpack carrier, which is much smaller than

the

>

> standard Zevex belt/backpack carrier. The pump and little 500 ml

bag total

>

> only 2.5 pounds, but it feels like a pile of bricks when I try to

get up and

>

> move. I had no idea it would feel that heavy. The weight alone

would really

>

> discourage me from moving around, and adds further to balance

problems. This

>

> inflated weight perception, I realize, is a function of weakness.

That's one

>

> of the features of weakness, in fact, that the objects themselves--

shoes, a

>

> glass of water, a book--feel like they're full of cement. As if the

problem

>

> is with the object and not my body.

>

>

>

> 4. I had thought I could wear the Sportpack like a shoulder bag,

but with

>

> the weight it slips off. If I put the strap over my head and wear it

>

> crosswise, the weight pulls on my neck and aggravates long-standing

neck

>

> problems. I can't wear a belt, and a backpack has to be taken off

every time

>

> you sit down and put back on every time you get up. That too, would

>

> discourage movement, which I do not want to do. I want to keep

moving.

>

>

>

> 5. At night the Zevex is beeping a lot more than the Kangaroo,

apparently

>

> because it is more sensitive to tube crimps than the Kangaroo.

True, the

>

> Zevex does not beep with any tilting of the pump as the Kangaroo

does.

>

> However, in our experience, the Zevex is more sensitive to tube

crimping.

>

> With the Kangaroo we had worked out a way to tape the tube to my

belly so it

>

> rarely beeped at night, even if I turned on my side. With the

Zevex, I

>

> cannot turn on my side without triggering beeping. Once it beeps, I

cannot

>

> get the buttons to work (of course!) so I have to wake my husband

to push

>

> the buttons. He sleeps through the beeps and goes back to sleep

quickly, but

>

> I do not. Add sleep disruption to the list of problems!

>

>

>

> My doctors want me to pump daytime fluids for several reasons, in

addition

>

> to nighttime formula, so we got the Zevex just for this purpose.

Everyone we

>

> had talked too had only praise for the pump and said it was great,

easy to

>

> use, etc. I realize the " problem " is with my particular physical

limitations

>

> and not the pump. Thus we are trying to think creatively and figure

out ways

>

> to make it work. My only idea at this point is to ask my PCP about

a consult

>

> with an occupational therapist to see if they have any mechanical

devices

>

> that would enable me to stretch the tube and make the buttons work.

I have

>

> no idea if such devices even exist.

>

>

>

> Of course, I could go to a power chair around the house and park

the weight

>

> of the bag and pump on the chair. That would solve the weight

problem, but

>

> not the button problem. For several reasons I have been putting off

using a

>

> power chair in the house for a long time and hope to do so longer.

>

>

>

> I will post my questions to the tube feeding support group, but

there are

>

> only one or two adults in that group who use the Zevex and they do

not have

>

> muscle disease.

>

>

>

> Suggestions?

>

>

>

> Thanks.

>

> Barbara

>

>

>

> Love and Hugs,

>

> Kristie

>

> www.caringbridge.org/pa/kristie

>

>

>

>

>

>

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Guest guest

Yes, he definitely seems like someone who would help put together a

few gizmos to help you out. Sometimes things to help us are right

under our noses - I use my bed for a changing table, so I can sit and

control the baby better. I couldn't stand up to use a regular

changing table, and for a time, I was looking into changing tables

that were strong enough to lean on, but finally figured out that the

bed (with a changing pad on it LOL) makes it easy to sit down and

change a diaper. And it's lower than a changing table, so less fear

of the baby falling off if I'm too busy trying to stand up myself.

I also use a walker for leaning on when sitting, and one of

those " grabbers " to pull the sheet or blanket over me in bed.

Take care,

RH

> > Kristie, my lifesaver! Thank you so much for taking the time and

> effort to

> > respond. Definitely you understand where I am. I will print and

> save to show

> > to the OT. The clear sticky button thingy sounds great. I will

> inquire.

> > Yes, I had wondered about using a pencil or penpoint on the

> buttons. I

> > suppose my son could explain the physics of it, but something

about

> > concentrating the point of effort. My husband is willing to load

> the pack

> > every morning, which would solve the loading problem. The big

> problem now is

> > the weight. I really don't see how I could pull a backpack on

> wheels by hand

> > all day, as some have suggested. I'm just not at a place

physically

> where

> > that is possible. (My husband laughed when I offered this

> suggestion.) It

> > may mean that if they really want me to use the pump daytime I

will

> have to

> > go to a chair.

> >

> >

> >

> > I will check out the camelback hydration backpack. Thanks for that

> > suggestion. Yes, my bags have blue tops! No wonder we are having

so

> much

> > trouble with beeps. We will ask Option Care to get the teal tops

> when we

> > order. And I will pass on your advice about not over-stretching

the

> tubes to

> > my husband. That may be contributing to our beeps.

> >

> >

> >

> > We do have an IV pole we use at night. We are still waiting for

> the zevex

> > pole clamp, so right now we're just hanging the bag on the pole.

As

> for

> > daytime IV pole, I find it very difficult to push my IV pole on

our

> carpet.

> > (I don't suppose my insurance wants to pay for hardwood floors!)

> But in some

> > ways the IV pole might be easier than wearing the weight or

pulling

> a

> > backpack. Not sure.

> >

> >

> >

> > Again, thanks a bunch. These are great suggestions. I hope things

> settle

> > down for you soon.

> >

> >

> >

> > Take care,

> >

> > Barbara

> >

> >

> >

> >

> >

> > _____

> >

> > From:

[mailto: ]

> On Behalf

> > Of Kristie Palmer

> > Sent: Thursday, July 07, 2005 4:58 PM

> > To: Mitoldies

> > Subject: Zevex pump users--long

> >

> >

> >

> > Hi Barb,

> >

> >

> >

> > I've got a lot going on right now and have been quiet for some

> time, but I

> > have been reading and wanted to respond to your zevex post.

> >

> >

> >

> > I do use a zevex enteralite. I have many of the same issues that

> you

> > identify. Some of them I deal with having my PCA set up my tube

> feedings in

> > the a.m. (I run 24 hours a day at 55ml/hr so it is a very slow

> process). I

> > do not use the zevex backpack or waistpack system as we found

them

> too

> > difficult to deal with. Instead I purchased a camelback

hydration

> backpack.

> > The pump and my 1200ml bag fit nicely into the insulated

> compartment and

> > offer much easier access if I have an alarm. I do use a power

> wheelchair

> > full time and my zevex hangs on the back of my wheelchair along

> with my

> > curlin pump and hydration. There is no way I could handle the

> weight even

> > for transfers. As far as the buttons on the zevex go they are

> difficult.

> > When I first got my power chair they brought me these little hard

> sticky

> > dots to place over the buttons I was having a hard time

pressing.

> They are

> > clear. I did not need them on my wheelchair, but they are

> invaluable on my

> > pumps! I find they give me just enough ability to get the

buttons

> pressed

> > and hold them for the time needed. I'm sure an OT would know

what

> they are

> > called. Another thought would be to use the eraser end of a

pencil

> which

> > I've had to do a few times. About the tubing and bags: Do your

> bags have

> > blue or teal tops? The reason I ask is because zevex changed

over

> to the

> > teal ones about 6 months ago (a very good thing), but

occasionally

> the blue

> > ones are still floating around. My PCA and I had terrible times

> with those

> > blue bags and the lines kinking. It is much better with the teal

> ones. In

> > terms of the stretching of the line around the wheel: I'm not

sure

> what to

> > suggest there, but one piece of advice. Don't over-stretch it.

I

> found my

> > PCA was doing this and as a result we were having many more

alarms

> and

> > wasted pump sets than we needed to. Also, one final thought.at

> night I

> > hook my pumps up to an IV pole is there anyway you could have

them

> connected

> > to the pole throughout the day and have the pole bear the weight

of

> the pump

> > and fluids? Good luck.

> >

> > Kristie

> >

> >

> >

> >

> >

> > Message: 6

> >

> > Date: Wed, 6 Jul 2005 11:56:19 -0500

> >

> > From: " Barbara Seaman "

> >

> > Subject: Zevex pump users--long

> >

> >

> >

> > I think there are several people in Mitoldies who use the Zevex

> pump. Last

> >

> > week I switched my Kangaroo for a Zevex to enable ambulatory

fluid

> drip in

> >

> > the daytime and we are having several problems that we did not

> anticipate.

> >

> > In fact, we were quite discouraged when the Option Care person

came

> to the

> >

> > house and did the demo, as we realized it was going to be

> >

> > difficult-to-impossible for me to use the Zevex pump myself. I am

> wondering

> >

> > whether others have encountered these problems and if so, how you

> have

> >

> > solved them.

> >

> >

> >

> > 1. Threading the tube through the Zevex is very difficult for me

> even on a

> >

> > good day and impossible on a bad day. That's because you have to

> manually

> >

> > stretch the tube around the wheel, pulling it out a good 2 "

longer

> to clip

> >

> > the other end into place. When the rep was here, I tried several

> times and

> >

> > could not stretch the tube far enough to snap it in place, and

that

> was an

> >

> > average day as far as arm strength goes. On the Kangaroo, all you

> had to do

> >

> > was lay the tube in the track and the mechanical arm did all the

> stretching

> >

> > when it snapped shut. I had not heard any patients mention this

> feature on

> >

> > the Zevex, therefore had no idea the threading would require

manual

> >

> > stretching.

> >

> >

> >

> > 2. Even if I could get it threaded, I have a lot of difficulty

> getting any

> >

> > of the touch buttons to work. They require simultaneous pushing

and

> holding

> >

> > for 2 seconds to activate, which was not true of the Kangaroo.

> Sometimes I

> >

> > couldn't push the Kangaroo buttons, but the problem is much

bigger

> with the

> >

> > Zevex. I push and push until my finger is bent backwards, and the

> button

> >

> > does not respond. (Yes, I also have trouble with microwave

buttons,

> etc.)

> >

> > For the rep and my husband, it looks so simple. A light touch and

> voila! The

> >

> > buttons work.

> >

> >

> >

> > 3. When the pump is in the carrying case (which it would be

during

> the day

> >

> > when I am alone), you have to push the buttons through the soft

> plastic

> >

> > window, which is even harder. So even if my husband did the

> threading and

> >

> > loading before he left for work, I would have trouble with the

> buttons if

> >

> > the pump beeps (which it did whenever the tube got crimped in the

> case). To

> >

> > have even a chance of getting the buttons to work, I would have

to

> take both

> >

> > the bag and pump out of the carrier and try to get the buttons to

> respond

> >

> > directly. Then reload the carrying case which is not simple for

me.

> There

> >

> > are elastic straps, Velcro holders, etc.

> >

> >

> >

> > 3. The weight of the pump and bag feels much heavier than I had

> anticipated.

> >

> > I am using the Zevex Sportpack carrier, which is much smaller

than

> the

> >

> > standard Zevex belt/backpack carrier. The pump and little 500 ml

> bag total

> >

> > only 2.5 pounds, but it feels like a pile of bricks when I try to

> get up and

> >

> > move. I had no idea it would feel that heavy. The weight alone

> would really

> >

> > discourage me from moving around, and adds further to balance

> problems. This

> >

> > inflated weight perception, I realize, is a function of weakness.

> That's one

> >

> > of the features of weakness, in fact, that the objects themselves-

-

> shoes, a

> >

> > glass of water, a book--feel like they're full of cement. As if

the

> problem

> >

> > is with the object and not my body.

> >

> >

> >

> > 4. I had thought I could wear the Sportpack like a shoulder bag,

> but with

> >

> > the weight it slips off. If I put the strap over my head and wear

it

> >

> > crosswise, the weight pulls on my neck and aggravates long-

standing

> neck

> >

> > problems. I can't wear a belt, and a backpack has to be taken off

> every time

> >

> > you sit down and put back on every time you get up. That too,

would

> >

> > discourage movement, which I do not want to do. I want to keep

> moving.

> >

> >

> >

> > 5. At night the Zevex is beeping a lot more than the Kangaroo,

> apparently

> >

> > because it is more sensitive to tube crimps than the Kangaroo.

> True, the

> >

> > Zevex does not beep with any tilting of the pump as the Kangaroo

> does.

> >

> > However, in our experience, the Zevex is more sensitive to tube

> crimping.

> >

> > With the Kangaroo we had worked out a way to tape the tube to my

> belly so it

> >

> > rarely beeped at night, even if I turned on my side. With the

> Zevex, I

> >

> > cannot turn on my side without triggering beeping. Once it beeps,

I

> cannot

> >

> > get the buttons to work (of course!) so I have to wake my husband

> to push

> >

> > the buttons. He sleeps through the beeps and goes back to sleep

> quickly, but

> >

> > I do not. Add sleep disruption to the list of problems!

> >

> >

> >

> > My doctors want me to pump daytime fluids for several reasons, in

> addition

> >

> > to nighttime formula, so we got the Zevex just for this purpose.

> Everyone we

> >

> > had talked too had only praise for the pump and said it was

great,

> easy to

> >

> > use, etc. I realize the " problem " is with my particular physical

> limitations

> >

> > and not the pump. Thus we are trying to think creatively and

figure

> out ways

> >

> > to make it work. My only idea at this point is to ask my PCP

about

> a consult

> >

> > with an occupational therapist to see if they have any mechanical

> devices

> >

> > that would enable me to stretch the tube and make the buttons

work.

> I have

> >

> > no idea if such devices even exist.

> >

> >

> >

> > Of course, I could go to a power chair around the house and park

> the weight

> >

> > of the bag and pump on the chair. That would solve the weight

> problem, but

> >

> > not the button problem. For several reasons I have been putting

off

> using a

> >

> > power chair in the house for a long time and hope to do so

longer.

> >

> >

> >

> > I will post my questions to the tube feeding support group, but

> there are

> >

> > only one or two adults in that group who use the Zevex and they

do

> not have

> >

> > muscle disease.

> >

> >

> >

> > Suggestions?

> >

> >

> >

> > Thanks.

> >

> > Barbara

> >

> >

> >

> > Love and Hugs,

> >

> > Kristie

> >

> > www.caringbridge.org/pa/kristie

> >

> >

> >

> >

> >

> >

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Guest guest

Barbara,

I had a few other thoughts while lying awake in bed the other night. LOL.

Could you use a pair of 90 degree needle nose pliers to pull the plastic

block into place? The kind used by beaders (found in arts and crafts

stores)? They may give you more leverage (which is the word I couldn't

think of the other day).

With your IV pole my father replaced the wheels on mine with slightly larger

ones. This had made all the difference in the world when it comes to

rolling on carpet which we have only in my bedroom. He also flipped the

base unit around to give more ground clearance. It was a big help and a

relatively easy " fix " .

You may find that going to a chair offers you the ability to have more

energy in the long run to do other things . I am a lot more

independent with mine for sure. Just my humble opinion.

Also, don't hesitate to call the folks at zevex . They are most

helpful. I have had the most contact with Paola Guitierrez one of the

customer service representatives. She goes out of her way to resolve any

issues and is very GOOD at her job!

Good Luck,

Kristie

Message: 1

Date: Fri, 8 Jul 2005 08:32:14 -0500

Subject: RE: Zevex pump users--long

Kristie, my lifesaver! Thank you so much for taking the time and effort to

respond. Definitely you understand where I am. I will print and save to show

to the OT. The clear sticky button thingy sounds great. I will inquire.

Yes, I had wondered about using a pencil or penpoint on the buttons. I

suppose my son could explain the physics of it, but something about

concentrating the point of effort. My husband is willing to load the pack

every morning, which would solve the loading problem. The big problem now is

the weight. I really don't see how I could pull a backpack on wheels by hand

all day, as some have suggested. I'm just not at a place physically where

that is possible. (My husband laughed when I offered this suggestion.) It

may mean that if they really want me to use the pump daytime I will have to

go to a chair.

I will check out the camelback hydration backpack. Thanks for that

suggestion. Yes, my bags have blue tops! No wonder we are having so much

trouble with beeps. We will ask Option Care to get the teal tops when we

order. And I will pass on your advice about not over-stretching the tubes to

my husband. That may be contributing to our beeps.

We do have an IV pole we use at night. We are still waiting for the zevex

pole clamp, so right now we're just hanging the bag on the pole. As for

daytime IV pole, I find it very difficult to push my IV pole on our carpet.

(I don't suppose my insurance wants to pay for hardwood floors!) But in some

ways the IV pole might be easier than wearing the weight or pulling a

backpack. Not sure.

Again, thanks a bunch. These are great suggestions. I hope things settle

down for you soon.

Take care,

Barbara

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Guest guest

Oh, you have good thoughts in the night! (I get some of my best ideas in the

night too.) Yes, yes, the pliers make sense. Definitely worth a try. We will

check Hobby Lobby for this particular kind. I did order a " button pusher "

from the link that RH provided (thank you, RH!) and I am hopeful that will

at last make the buttons " work. " IV pole also makes sense. I think we could

manage that kind of fix. We own the pole anyway, so no problem making

changes. I hear you on the chair. I am more ready to think about it than my

family, but this is usually the case. I WANT more energy, and if the chair

could accomplish that, it would improve my life considerably. I have decided

to talk to my PCP about it when I see him in a couple of weeks. Also glad to

know the zevex people are helpful. The Option Care people have limited

experience with zevex pumps, so it's good to know more expert help is

available.

Thank you thank you!

Barbara

_____

From: [mailto: ] On Behalf

Of Kristie Palmer

Sent: Saturday, July 09, 2005 9:04 AM

To: Mitoldies

Subject: RE: Zevex pump users--long

Barbara,

I had a few other thoughts while lying awake in bed the other night. LOL.

Could you use a pair of 90 degree needle nose pliers to pull the plastic

block into place? The kind used by beaders (found in arts and crafts

stores)? They may give you more leverage (which is the word I couldn't

think of the other day).

With your IV pole my father replaced the wheels on mine with slightly larger

ones. This had made all the difference in the world when it comes to

rolling on carpet which we have only in my bedroom. He also flipped the

base unit around to give more ground clearance. It was a big help and a

relatively easy " fix " .

You may find that going to a chair offers you the ability to have more

energy in the long run to do other things . I am a lot more

independent with mine for sure. Just my humble opinion.

Also, don't hesitate to call the folks at zevex . They are most

helpful. I have had the most contact with Paola Guitierrez one of the

customer service representatives. She goes out of her way to resolve any

issues and is very GOOD at her job!

Good Luck,

Kristie

Message: 1

Date: Fri, 8 Jul 2005 08:32:14 -0500

Subject: RE: Zevex pump users--long

Kristie, my lifesaver! Thank you so much for taking the time and effort to

respond. Definitely you understand where I am. I will print and save to show

to the OT. The clear sticky button thingy sounds great. I will inquire.

Yes, I had wondered about using a pencil or penpoint on the buttons. I

suppose my son could explain the physics of it, but something about

concentrating the point of effort. My husband is willing to load the pack

every morning, which would solve the loading problem. The big problem now is

the weight. I really don't see how I could pull a backpack on wheels by hand

all day, as some have suggested. I'm just not at a place physically where

that is possible. (My husband laughed when I offered this suggestion.) It

may mean that if they really want me to use the pump daytime I will have to

go to a chair.

I will check out the camelback hydration backpack. Thanks for that

suggestion. Yes, my bags have blue tops! No wonder we are having so much

trouble with beeps. We will ask Option Care to get the teal tops when we

order. And I will pass on your advice about not over-stretching the tubes to

my husband. That may be contributing to our beeps.

We do have an IV pole we use at night. We are still waiting for the zevex

pole clamp, so right now we're just hanging the bag on the pole. As for

daytime IV pole, I find it very difficult to push my IV pole on our carpet.

(I don't suppose my insurance wants to pay for hardwood floors!) But in some

ways the IV pole might be easier than wearing the weight or pulling a

backpack. Not sure.

Again, thanks a bunch. These are great suggestions. I hope things settle

down for you soon.

Take care,

Barbara

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