Today I was observing that we have a very unique situation in our family. A situation that I never even knew existed until our beautiful little twins came to our family so early and so sick and with so many complications. I thought I should document this situation for us to remember and reflect on when Kathryn is older and this unique thing is no longer a daily routine in our family.
Kathryn was extremely sick when she was born. Because of this she was on ventilator machine for the first 2 1/2 months of her life. Every sensation that she received in her mouth was painful or scary to her. Once she got off the ventilator and could breathe on her own, she did not know how to close off her airway to swallow her saliva or food into her stomach instead of her lungs. Because of these two problems, Kathryn was not physically, emotionally or psychologically able to eat by mouth to sustain her own life.
After consulting with the doctors and surgeons, it became apparent that the only way Kathryn would ever be able to come home from the hospital would be with a gastrostomy tube (g-tube) and a Nissen fundoplication. The g-tube would allow us to feed her formula through a syringe directly into her stomach. The Nissen procedure would prevent any of the contents of her stomach from being able to go back up her esophagus, where she would still swallow it back into her lungs. It also prevents her from burping or throwing up, which are the risky side-effects of this life-saving and very horrible procedure.
So, after over 2 years of feeding her this way, it has become very routine in our family. Kathryn eats (or tries to eat) with our family at the table during the meal, then Kathryn gets her “tummy food” after to fulfill her calorie needs. Even Emily and William are capable of preparing the tubing and hooking her up to help with Kathryn’s feedings.

Earlier this year, Kathryn was not digesting the commercial formula very well and was not growing very well. I looked into using a commercial-grade blender to blend the prepared formula with whole foods that would be in a typical diet: meat, grains, fruits, vegies, oils, etc. John and I made it a priority to come up with the money to buy a Blend-tec blender (see Willitblend.com for some funny videos of what they try to blend with this blender) The blender works wonderfully well. I put everything in there: oatmeal, rice, potatoes, boiled eggs, chicken, even beef and raw vegies; and this blender grinds it up fine enough to go through Kathryn’s 1/8 inch diameter g-tube just great! Kathryn’s complexion and growth rate and digestion have improved so much since we started doing this. It makes me feel happy to know that this is something I can do to help her in her special situation.
Someday we believe that Kathryn will learn how to eat on her own. We have made a lot of progress since she came home from the hospital in this respect, thanks to her wonderful, WONDERFUL therapists, and lots of hard work and daily dedication from all of us in her life. She will now play with food and taste food and sometimes chew food and occasionally swallow food. She is finally swallowing water with a minimal amount of choking. We will continue to encourage her and praise her and offer her opportunities everyday and eventually the process will lead to her being capable of consuming enough calories by mouth to sustain herself. The thing I have learned the most in these 2 years of “feeding therapy” is to enjoy the process. It isn’t everyone who gets to be a mom to such a unique and wonderful little girl, and go with her on such a unique journey.