We are home and settling back in!
Tuesday we saw GI. We came up with a plan to get off TPN and back on feeds. We started that plan today. We are starting with a pedialyte substitute. We began at 5 cc/hr (a teaspoon). When he can tolerate that continuously we will incresae to 10 cc/hr and then 15. When he is tolerating 15 cc/hr, we will switch to formula and start back on 5 cc/hr. Best case scenario we will be off TPN and back on feeds and J tube meds in 2 weeks.
Wednesday we saw endocrinology. We discussed Alex's growth and hypoglycemia. We are running some labs to see if we can find a cause for the severe hypoglycemia. He is a little concerned about Alex's growth velocity and it will be something we are keeping a close eye on. The general consensus between GI and endo is that Alex's blood sugar problems stem from his liver. Your liver is contributes to regulating your blood sugar and since Alex's mitochondria are so abnormal in his liver they feel that he cannot store/and or access glycogen correctly. Unfortuately there isn't anything we can do abou it.
Wednesday we also picked Mimi up. Alex and I are both so happy to have her here. We are having fun and planning lots of fun activities for the next few days.
Thursday we saw a pediatrician who sees chronically ill/medically fragile children. It had been suggested to us some time ago and we just had not done it. We know this pediatrician well as we see him in the hospital, but it was a matter of making it official and having him join our fabulous team in Houston.
Thank you to all of you who prayed for us, called me, emailed and checked in. Although I may not always get back to you, I could not do this without your support.
Ali
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