How to change an NG Tube for a 15 month old...

Since our last post, we have found that we can do NG feeds outside the house if we water down the Nutren Jr, which is fine except that it cuts into Jake's much needed calories.  So, I've been trying to avoid this if at all possible, but if it's not - like on Canada Day when we wanted to watch the celebrations on Confederation Hill - I mix the Nutren and Water in a 60/40 combination.  Today we took another step in the direction of being able to leave the house more - we put a larger tube in, going up to an 8 french in size.  This was really hard for us to do, as it looks like it is twice the size of the 6.5, but really it's not.  Jon and I were talking about how we had never documented a NG tube placement, and thought we'd document this one, to have it to show Jake when he is older and can't remember his NG tube (oh that will be a happy day!)  I'm going to share it with you too, but I'm warning you - these are not graphic, but Jake is unhappy in them, if you don't want to see it, skip over the picture portion of this post.

How to change Jake's NG Tube:

1. This boy knows what is about to happen...see his anxious face...

2. Gather supplies...missing from this picture is the duoderm, stethoscope and sterile water...

3.  Lie the toddler down and make him smile while you can...

4.  Measure the tube for placement in Jake's stomach, and then mark that number with a permanent marker.  Today's number was 31.5 .

5.  Swaddle flailing arms with a towel....

6.  The awful part.  Daddy holds and Momma puts the NG in...

7.  It's all over quickly, check placement and wet the tube and then cuddle and love on the boy for all you are worth.  Half an hour later, his stomach has settled enough for a meal and a feed...

Jake has been rubbing at the tube much more than usual, this new larger tube is really bothering him so far.  I'm hoping he will adjust because his last liquid feed was flowing really well through the new tube size.

And that's how we do it.  It's not fun, but Jon and I have become pros at getting that NG back in.  If Jake is not pulling the tube out, we can get a months use out of most NGs - 30 blessed days until we have to subject him to that again...

In happier news, Jake now has 6 teeth! Jake got 4 teeth almost all at once, and then went 7 months without getting any more! I was starting to worry about it, and then over the course of a week he has pushed up a molar and another near the front of his mouth.  Super cute.


I had another oppourtunity to spread awareness of CHD's, and how they are the number 1 birth defect.  Jake joined me at the NL Heart Support Group booth for a little while to represent and just look super cute! The baby in that picture on our display board is Jake at 5 days old.  Those passing by could not believe how far he has come - he's a strong one for sure!

 Jake loves to "talk" on the phone now, and has a bad habit of doing this while he is also driving....tsk tsk tsk :)

Canada Day was the best day I've had in awhile, with an easy morning at home, then afternoon with the family listening to live music, enjoying sunshine and eating good food.  This was all topped off with a BBQ at a friend's house, and we didn't get home until 9 pm! An awesome day.  There should be more days like that, for sure.

I broke down and got superbaby's hair cut this past week...I was determined to let it be long and sweet, but I had 3 people call him a girl in one day and that made the decision for me! It's still a little long, I wasn't brave enough to let them cut it really short, but it's much neater and no one has referred to him as a girl since :)

I'm sick today, I woke up with some sort of head cold/sore throat and achiness nonsense...I certainly don't have time for that, but I'm just chugging slowly along and sanitizing my hands like crazy and trying hard not to kiss my kids...Here's to hoping this passes quickly and no one else in our house is affected.  

Leave you all with this inspiration for the day, our God is good.  So thankful and blessed even in the midst of the unpleasant parts, sickness and general chaos.  I can rejoice and be glad anyway!