19 August, Thursday: GG’s first evaluation today was with the Speech Pathologist, Lorna, and the Occupational Therapist, Sandy. They watched Gabriella bottle feed in order to evaluate her ability to suck, swallow, and breathe. They were very impressed with her abilities in all areas and gave GG high marks overall.
However, Lorna cautioned that the ease and convenience of NGT feedings may reduce “GG’s” desire to bottle feed. Accordingly, they recommend 15-20 minutes of bottle feeding prior to the NGT feeding, so that her suck, swallow, and breathing skills continue to develop.
Next, the nutritionist, Major Desrosier dropped by to explain the process he will use to develop the optimal diet for Gabriella. His task requires balancing calories and volume against Gabriella’s ability to tolerate the volume and process the high-protein formula. After just a short while, Gabriella captured his heart and all he wanted to do was play with her. They became fast friends and the Major gave “GG” one of his secret foot massages. Gabriella was asleep in minutes and the Major went off to crunch some numbers.
The final test of the day was the upper gastrointestinal (upper GI) exam. The radiologists injected Barium into Gabriella via the NGT in order to evaluate her esophagus, stomach, and the first part of the small intestine. Bottom line: No problems were detected. Tired from all of the day’s activities, Gabriella spent the rest of the day napping.
Yesterday, Gabriella “ate” 530 ml (17.5 oz) of formula – topping her previous high of 425 ml. Gabriella’s weight today was off the charts and as such, probably inaccurate. She weighed in at 8 lbs 5 oz. Ideally, she should gain 1 to 1.5 oz per day on this diet. Thus ends another busy day.
Thank you for your prayers.