PEG button change

Last Friday, K had her replacement of her PEG button in the Children Surgical Centre. The entire thing was over in about a minute.

I feel for K. They really yanked it out and popped in the new button.

I guess it was the way to go. But it done was really fast and clean. I guess it would have hurt for a longer time if you took the time to slowly twist and pull it out.

The area of the button was raw for few days, but expected.

This is the Bard after it was taken out. It's kind of our souvenir.

It was last October when we first had the button done for K. We had the Bard button put in for K at that time.

It was leaky after about 4 months. There was back flow, even 3-4 hours after last feeding. Since recommended time for change is about 6 months, we made an appointment to change the Bard out.

This time, we opted for the AMT Mini ONE Non Balloon.

The only thing about this AMT button is that it is slightly bulkier than the Bard. The Bard has a lower profile compared to the AMT when compared with both the continuous feeding tube inserted.

If you don't like the button/feeding tube combination to look like a small erm...button underneath the shirt, Bard would probably be the way to go.

Let's see how this model of AMT button goes.

Breathe in breathe out

This was the mantra I told K at home when she desat as she chokes on her secretion or gets angry and hold her breath. This was what I told her as I left her for the docs to extubate her. This is the 3rd day after her op. 

The curtains were drawn closed. It reopen 20 minutes later with K on her usual mask. Not only that, they already had done an intubation on the baby on the next bed. 

K's PEG and fundoplication procedure

K lies asleep peacefully, intubated and on painkillers after her PEG and fundoplication procedure as I am typing this beside her bed. She has her bedside buddies with her. All in good hands as you can see. 

Barium/contrast study

Early morning, we had to dig K from her sleep at around 7am. Thankfully she is a morning person. She has a jolly mood mostly when she woke up. We have an appointment for her barium meal/contrast study. This is done in anticipation of her Percutaneous endoscopic gastrostomy(PEG) procedure  2 weeks later. 

I didn't ask or read much for this study. But probably they want to have a look at how her stomach looks like and if there are any obstruction or exception they would expect.

The appointment was at 9am. Good that this is the 1st appointment. The previous VFSS we did, we had a hour and half wait. To hungry babies and kids, this is quite an eternity as you are not allowed to have food 3 or 4 hours before.

The bad is the morning rush hour traffic. But thankfully no exceptional bad traffic. 

K can really fuss for quite a while. Throughout the half hour under the scan and preparation time, she was fussing non stop. I hear this is good exercise for their lungs :p

We finished everything without much problem. Hopefully her upcoming PEG procedure will be like this too.