Orson’s
new “button” (gastrostomy tube) that would help him supplement his nutrition at
night through a continuous 10 hour feed as he slept, was something we have
talked about with out CF team and tried to avoid for 2 years. Finally as acceptance of its need
came and we made preparations with medical professionals to get the surgery
done we did what we could to be prepared.
Two big
things that we were not prepared for though was, one – how difficult it would
be to watch our three year old come out of anesthesia after surgery and the second was we did
not realize how long he would not be able to eat by mouth after this procedure.
We knew that he would need to fast from the night before the procedure until
sometime after his surgery, we assumed directly after, which would be 2pm the
next day. He ate dinner as normal Monday night and then woke up hungry for
breakfast Tuesday, the day of the surgery. We made a big production about him “getting
the day off from eating breakfast” – enough of a big deal that his brother was
pretty jealous that he had to eat. But by 11am that morning Orson was feeling
hungry and was going into pre-op and getting very worried about not be able to
eat. We mistakenly assumed and told him that he would be able to eat, or at
least have popsicles or something after his surgery was over. He accepted that
and bravely went into surgery.
He woke
up quicker than they let us back to see him after the surgery so we came around
the corner to find him sobbing hysterically screaming “ouchy, ouchy, ouchy” and
extremely distraught. I held him as comfortably as I could but his stomach has
a new hole and a brand new piece of plastic sticking out of it so it was very
tender and sore for him. The surgical team did not mean to, but had put his IV
in on the hand that he sucks his thumb with so his natural mode of comfort was
not easily available and also hurt. It took several doses of pain medicine and nausea
meds to get him to calm down and stop dry heaving. He wanted me to sing to him,
but I couldn’t finish most of the songs because I was crying too. So I just
rubbed his back and cried with him until he fell asleep.
All the
meds let him sleep for a couple of hours but his little scratchy voice would
ask so sweetly if he could please have a drink or something to eat every so
often. We were told 8pm Tuesday night was when he could started to eat again by
the surgeon. What ended up being written down though on the orders, whether by
miscommunication between the surgeon and with the doctor on call on the floor
we were assigned, or whatever else may have happened was that he was not going
to be able to eat until at least that next morning, Wednesday. It ended up
being a 39 hour fast for him.
At about
the 26 hour mark of his fast, on Tuesday night, he started to get really
frustrated and anxious, but strangely accepting that he could not eat until
breakfast. His little face was just expressions of exasperation, confusion, and
sadness that he could not eat. He started repeating his order for breakfast
over and over again, having Frank and I repeat it so we would not forget either
(bologna sandwich, hot dog, strawberry donut, vanilla donut, and Gatorade).
Suddenly he said, “Mom, MOM, let me
feed my bear!” I wasn’t sure what he meant but he directed me to the backpack
he had packed for himself the day before with treasures in it and said I would
find the bear’s food in there. I knew he had packed his bear but was totally
confused about the bear food he was talking about. Sure enough, in his back
pack was a tiny red tool box – his “treasure box” that used to be my Dad’s and
my brother had given it to my kids a few years back to keep things in. Orson is
the most recent kid to keep things in it. I opened the box to find lots of
loose coins on the bottom and on top of them was a nice selection of the
plastic toy kitchen food from the play kitchen in Orson’s bedroom, including a
donut and a hot dog.
With joyful satisfaction he fed his
bear the food he had brought for him. It really seemed to calm Orson down to do
for his bear what no one would seem do for him. In a few hours his Dad was able
to convince him to fall asleep, all of us praying that he would be able to
sleep through his hunger. Orson woke up at sunrise. Every person that entered
the room he would ask us, “Is that the doctor who says if I can eat breakfast
or not?” Through several appreciated distractions and a very diligent and persistent
nurse Orson made it to 9:30 that morning when finally the doctor that said he
could eat breakfast visited our room and seemed surprised that he hadn’t eaten
yet. He pleadingly asked her if he could eat breakfast and she said he could
have whatever he wanted. Bitter side note, we did not think the shock in her
voice that he hadn’t gotten to eat yet was funny.
We are so proud of him for making
it through this 39 hours and are amazed at how he is handling his new button.
He is undeniably being helped by his Father in Heaven who loves Orson very
much. It is still very new and struggles with it will inevitably come, but all
parts of the process of using the button, managing the pain that comes with
recovery and getting used to this new part of his life will always be helped by
a Heavenly Father who cares, who listens, who is there to help and send
comfort. Our family is blessed by this sweet boy, his strength, and his unstoppable
happiness.
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