Monday, November 11, 2013

A Fine Line

We are getting ready to bring Joel home from the hospital, and it brings up all kinds of questions.  He's taking ten different medications.  Because of low appetite, most of his food intake flows through his "G-tube," and consists of cans of Two-Cal, a product containing "corn syrup solids, sodium and calcium caseinates," and dozens of other ingredients, mostly vitamins and minerals.

We have cooked and eaten a healthier diet, stressing whole grains and minimal processing, since our marriage, primarily because of Pete's research following his colon cancer before I met him.   We know this Two-Cal can't compete with real food, and in fact, the doctors and nurses continually stress the importance of Joel forcing himself to eat even if he lacks hunger.  So I asked the nurse what we could put through the tube in terms of real food puréed or blended.  Nope, she replied, too much chance of clogging the tube and causing infection.

We will face a dilemma daily - how much do we try to "treat" Joel with alternative foods or home remedies, and how much do we try to duplicate the hospital environment?  We have great respect and gratitude for the medical personnel who have kept Joel alive and brought him this far, but we know also that they operate under constraints of licensing and insurance coverage and liability that prevent them from giving him some benefits, and cause them to give him extra treatments that aren't necessary or maybe even helpful.

In the emergency room after David's ambulance delivery, the nurse scrubbed my stomach in preparation for a shot of Pitocin, ignoring my protests ("It's just routine") until the doctor came in and concurred, "No, she doesn't need Pitocin, she's going to breast feed."   The one-size-fits-all routines don't fit all.  Prayer, discernment and medical advice will help us do the best we can for Joel.

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