Tuesday, May 24, 2011

Inpatient Feeding Clinic

After Allie's feeding session today, my original thoughts about putting Allie through an inpatient feeding clinic were reassured.  Allie's therapist does not feel that her therapy is enough for Allie.  She suggests that we get Allie enrolled in a feeding clinic sooner rather than later.

Of course the goal of the feeding clinic is going to be to wean Allie off the tube but I am not setting our goals too high or making unrealistic expectations with our first wean attempt.  I have been in contact with the Children's Hospital of Wisconsin and talked to Dr. Fisher (our previous doctor) about their 2 week inpatient program.  Their program focuses on behavior and it will be similar to the outpatient feeding intervention we went through in October 2009.  Since we stopped receiving medical services at the Children's Hospital of Wisconsin a year ago, (our choice to leave)  we will be set up with a new team of doctors (feeding team) and Allie will need to be evaluated and approved for the feeding clinic.  I'm hesitant to go back there but we will not be moving her primary care there it will strictly be for the feeding clinic.

I have also been in contact with Marcus Wilken.  He is originally from Australia but is now collaborating in the US with Spectrum Pediatrics in Virgina.  He seems interested in Allie's case and I'm waiting to get more detailed information from the owner of Spectrum Pediatrics.  I'm very interested in their program because Marcus actually comes to our home and helps wean Allie off the tube.  He stays as long as needed and his program is based on the fact that every child feels hunger.

I have looked into other clinics as well but right now, I feel that these are our two best choices.  I won't be making a decision until I finish getting information from both places.  Like I said previously, I'm not setting our expectations too high and if our first attempt at weaning Allie from the tube doesn't work, that is okay.  I know Allie is very stubborn and strong willed and I think she will put up a very good fight or just give in.  Not sure what path she will take but we won't know until we try.

The decision to send Allie to an inpatient feeding program is going to be a hard decision.  I know these feeding clinics can be brutal on children especially strong willed children.  I have spent my whole life protecting her and once she's at the inpatient feeding clinic, I have to follow their rules.  When Allie went through the outpatient feeding intervention at Children's in October 2009, it was one of the hardest things on me.  Allie was not force fed but damn near close to it.  Her intervention at that time was outpatient and it was a week long so I know this next intervention is going to be even more intense.  I know a feeding intervention is exactly what Allie "might" need in order to eat orally. I also know a feeding intervention could take a turn for the worse and her behavior and feeding habits go downhill even more.  Big decisions we need to make and I'm not sure how we are going to know what the right decision is.....

Look daddy is teaching the girls how to wear makeup - lol. 


Yes, Allie is really this tan or orangish color (not sure why but her carotene level is very elevated)



No, Chloe is not a ghost she just looks very pale in this picture.



Monday, May 23, 2011

Today's Weight Check

Allie had a weight check this afternoon and everything went well.  She weighed 26.3 pounds.  That's a 6 oz gain since May 2nd - yeah Allie.  

Looking back, Allie hadn't gained any weight from August 2010 to December 2010.  She remained 24 pounds for a long time.  Part of the reason was all her vomiting and our continuous struggle to get enough calories into her.  Her weight gain since January is just another reminder of how well she is doing on a blenderized diet.

No matter how miraculous her weight gain is now, I'm still concerned about her height.  Her height isn't inching up at all and I'm hoping one day she just have a growing spurt.  I just keep telling myself she cannot continue to gain weight but not height or she'll be waddling around :)  I'm not stressing about anything right now - Allie looks great and I know one day she will outgrow her 2T cloths - lol!

Here are my two princesses.......