G/J Tube Problems, Again

Once again, the "J" portion of Dennis' tube is clogged. It is just too narrow for the thick, sticky food that we are suppose to use. This time, when I tried to unclog the tube, a balloon formed. It was fun to watch, but not as much fun to try and fix.

So, today we are back at the hospital once again. The staff will assess the problem and either put a new one, the same style, back in or give him a separate tube for the gastric another for the jujunal. I imagine that Dennis is hoping for the first because it is an easier change. I am hoping for the second, but this will mean one more hole in Dennis' abdomen. It will also be a bigger surgery, and more recovery time.

I guess all we can do is wait and see. Perhaps the nutritionist will be able to figure out another alternative.

Until later,
Ann and Dennis

A Leak Springs Eternal

Dennis' J/G tube sprung a leak this morning while I was giving him his medications. I called the hospital and we have an appointment for 7AM on Monday. In the meantime, perhaps Duct Tape??

For those of you (most of you, I hope) that do not know what a J/G tube is, here is my best lay mans definition. It is a tube, about a 1/4 inch in circumference, that is divided in half. One half of the tube goes into his intestine, for night time feeding, and the other half into his stomach for medications. I think I may have been pushing to hard when trying to give him his meds, and the G side of the tube started spraying all over the place. A small hole had opened up in the G side.

G stands for gastro (stomach) and J stands for Jejunal, which must mean intestine. There is one more thingee hanging out, which is the control to the balloon that hold it in place.

I have tried to find a website that explains it better, but they are all too technical for me. Here is a picture of Dennis' tube contraption. Where Dennis' pointer finger site, is exactly where the leak began.

 Now we have a 7AM appointment at the hospital on Monday to get it replaced. Sigh. At least it is an easy surgery and we should be home by the time my 10AM dentist appointment comes around.

Until later,
Ann and Dennis

A Practice Vacation

Today Dennis and I are filling another wish on Dennis' Bucket List. We are staying at the Nicollet Island Inn for the night. This is a historic building in Minneapolis, known for it's romantic get-aways. While we have eaten at the restaurant a few times, we have never checked in for the night.

It is also a test run for how to feed Dennis while on longer vacations.

With his new "J" tube, he must use a pump for his night feedings. We are really hoping that we can leave that at home when we travel. So tonight we will jerry-rig a pole to hang a bag from, and use the drip bags for feeding. The fear is we will not be able to set it at a slow enough pace for his intestines to take in the food and begin the digestion process before the emptying into the stomach. However, if it works, it will save us 20 pounds on luggage when we travel by plane.

We do have a letter from Delta (not our preferred airline, but the one we are stuck with in Minneapolis) saying we can check a bag for medical equipment at no charge. But this isn't really the problem - the issue is me loading and unloading a bag filled with heavy, but necessary equipment.

Here is an idea of what we take along:

1. Two diapers for each day. Not much weight, but lots of bulk.
2. Bed pads - same thing.
3. Pills (he is up to 25 assorted pills a day) and plastic tubes to inject the pills into his "G" tube.
4. A coffee grinder to pulverize the pills so they don't clog the tube
5. His computer for communication - while small in size, it weighs about 20 pounds.
6. His helmet and pads for walking. Lots of bulk, and the weight adds up.
7. His nebulizer - another 10 pounds. Perhaps we can get a script for individual neb treatments, but then we trade in bulk for weight.
8. Cans of food - he is taking in 3 cans of food each day and each can weighs about 2 pounds. This adds up on any vacation over 3 days.

So tonight is a practice night for saving 20 more pounds by not bring the feeding pump. Lordy, I hope it works.

Until later,
Ann and Dennis

Out Patient Surgery

From the immediate looks of it, Dennis' calorie issue may have been solved.

He had a new feeding tube inserted today. Yesterday he had an appointment with a GI specialist. This doctor decided that Dennis had the wrong type of feeding tube. Instead of one that feed directly into the stomach, he needed one that fed into the intestine. He was brought up to out-patient surgery and they inserted Novocaine into his belly. Then they asked when he ate last.

When I came home he told me they had been mean to him. They made him get shots into his delicate skin and then decided his stomach was too full to do the surgery.

So today he went back on a very empty stomach. When we left a couple of hours later, he had the newest tube on the market hanging out of his belly.

The gadget feels almost like silicone. It's tough, but soft. It has three separate places to insert junk. The "J" tube goes into the intestine. This is where food, and only food, gets injected. Then there is a "G" tube, where water, pills, and any other odd stuff get shoved directly into the stomach. Finally there is a balloon, which we were told not to touch under any circumstances. It's all a bit overwhelming, but we all will get it straight in a few days, and it will seem as if we have been doing this forever.

Dennis will now eat at night while he sleeps. This will leave him with several extra hours in the morning that he has used up slowly eating as much as he could for as long as he could. He will need to get a new hobby. Well, actually he has - he spent a small fortune the other day on a Nintendo DS. Now he can sit at the kitchen table for hours playing memory games and killing monsters.

Until later,
Ann and Dennis