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Day 439 - GI Appointment & James Has an Outing

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Monday, March 14th, 2022 James had a GI appointment in the afternoon. We received the OK 👌 to try some bolus feeds in his G-tube. This will be the start of transitioning him from 24 hour continuous in his J-tube to bolus feeds in his G-tube. We will start by doing 1 Bolus for 2 hours with a 2 hour break with the other 20 hours being continuous. Then if tolerating for a few weeks increasing to 2 Bolus feeds for 2 hours each with (2) 2 hour breaks, with 16 hours on continuous feeds. At this appointment, the doctor also said to make sure the prevacid (which James has been taking since July) is going through the G-tube.and being clamped for 40-60 mins after. We've been putting it through the J-tube because that is what the order was for AND Mom even brought this up to the Doctor several times about how she read acid reflux meds need to be in the G-tube, but he always confirmed the J was fine. Well now all of a sudden he changed his mind. 🤷🏻‍♀️ After the appointment we took James to ...

Day 438 - Easy Like a Sunday Morning 🌅

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Sunday, March 13th, 2022 Going into the work week with no nursing = No more "Sunday Scaries"! P.S. Do you follow James' journey? James would love to read an email from you. His email is JamesWestonAbramowitz@gmail.com. How heartwarming for him to receive these and fun for you to get a response from him in like 10 years...

Day 437 - Uncle Dr. David Visits & Mom Records Solo Trach Tie Change

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Saturday, March 12th, 2022 James got some snuggles and a nap with Dad.  You can see in some of the photos of James getting tangled in cords that he has a lot stacked against him even if he was just a full-term 1-year-old.  He is 14 ½ months but only 11 months adjusted. He was sedated for 9 of those months and was pretty much bedbound. Other full-term babies have been active since birth. James has only had about 5 ½ months of moving around. When he does want to do tummy time, roll over, and just be a one-year-old he has to battle cords, tubing, ad know what side his circuit is on so he can figure out which way to go so he does not get decannulated or disconnected from the ventilator. Even Mom is unsure of which way to flip over sometimes, so how can we expect James to figure it out. It's like American Ninja Warrior Baby. 🏋🏻‍♂️🇺🇲🦅 Uncle Dr. David stopped by for dinner before be left with Dad left for the comedy show. Mom was going to handle trach care herself tonight. Tomor...

Day 436 - Ballard Too Tight, Giving Us a Fight

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Friday, March 11th, 2022 We did the weekly trach change last night and we had the hardest time getting the trach apart from the ballard. Mom reached out to the Trach Moms FB group to see if there were any tip and tricks to get it apart. The resounding answer was that we were out of luck but we could try a hammer to break the ballard off. Well that didn't work, so we had to throw it away. Why did this get so tight? It seems as though the ballards are slightly different sizes allowing some to go further on the trach than others. In the close up photo below, you can see the cracks in the ballard, which is the clear plastic piece. Normal you can use the "wedge" or some people call it the "tooth" to wiggle the two apart. But not this time! There was no way to get it in there. In the last photo with James you can see how the ballard doesn't go all the way up to the trach; there is a space. That is how it's supposed to be. So unfortunately we had to toss this t...

Day 435 - James was All Smiles Today! 😁😃😛

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Thursday, March 10th, 2022 Today was a full day with Mom! Lots of tummy time, eye patching, and using his new Crawligator from Great Aunt Kay! This will help him gain strength in his arms and scoot across the floor without dragging his G-tube. Since we got rid of our primary insurance starting in March our Baycare DME is not contracted with Medicaid. Soo that means Mom needs to get the other DME, Brownings, to take over their suppy order. Most importantly supply us with a feeding pump, so we can return the one we have back to Baycare. Baycare calls Mom daily asking to pick up the Infinity feeding pump. They are ridiculous. It's quite a process and they know this they are just being difficult. When working with Insurance, DMEs, and Doctor's offices nothing is easy and everything takes multiple phone calls and emails to get something done. This DME  also didn't send us our supplies for February while we were still on Cigna. Why? Because the woman's husband was having surg...