Answers Finally!

What a week! We took Addison to the circus on Sunday. She had a great time. Maw Maw Sheri and Paw Paw Pete spoiled her with all kinds of treats. She started coughing and gagging and the woman sitting in front of us turned around and said "It sounds like vomiting is next." The little boy beside her then turned around and said "Don't throw up on me" and gave Addison a dirty look. I was shocked. I just told her she has bad reflux from a birth defect and it causes her to cough. But I was furious. Addison fell asleep a few minutes later and missed the rest of the circus. I thought about saying something else to them but I just kept my mouth shut. I know they do not know our situation but it still hurt me. Addison vomited Sunday night and 4 times on Monday. Tuesday she had her weekly therapy visit. Wednesday I received a call her lab work was abnormal and needed to be redrawn STAT because of her potassium level and her heart defects. I had the order faxed to her pediatrican here in Louisiana. It was their second day on electronic medical records and we waited 1 1/2 hours just to get her registered for the labs. This was her 3rd time in 12 days to have labs done and she didn't cry at all. Thursday she had her 6 month follow up with orthopedic about her foot pronation. He ordered her orthotics which our insurance does not cover. This pair should last a year unlike the last pair that only lasted 6 months. We were offered a cash price of $400. We also have to buy her new shoes to fit the new inserts in. I took her to Chik-fil-A after her appointment since she wouldn't be able to eat after 1 for her EGD scheduled on Friday. She ate breakfast there around 10 and did not even ask to eat again the rest of the day. She did drink some sprite and eat 1/2 a popscicle. Fasting did not even phase her. We arrived at the surgery center at 5:45 am to get her checked in. She is such a big girl. She did everything she was asked to except wear the hair cap. Once again she did not shed a single tear. The nurse said when she woke up and saw her IV she told her to take it out but no tears. The EGD showed scar tissue from her last surgery has caused adhesions and narrowing. Dr. McNair was able to get the scope through so it is not as bad as it was when she had to to have surgery. An xray has been ordered to see how much scar tissue there is. It also showed her esophagus has ulcers and is raw from refulx and vomiting. Biopsies were taken and also from her duodeum which was inflamed too. It was explained to us her stomach works so slow food just backs up and then she vomits it. Her reflux is so bad it is causing her to aspirate and cough. She was coughing so bad after she woke up she was given a breathing treatment in recovery. She was prescribed a medicine called Domperidone to help get her stomach moving. It is not FDA approved in the USA so we are unable to file our insurance to have it filled. We were able to pay cash for the first prescription and if it works we can order it from another country for less money. We researched it and it's mainly used to help women lactate and it is not FDA approved becuase it is released in the breastmilk. Dr. McNair said he can order it for us from New Zealand but the pharmacist said his wife also takes it for gastroparesis and she orders hers from Canada. It does not have neurological side effects like the Reglan does. It comes in a capsule so we have to cut it open and we are mixing it with milk and giving it to her in a syringe. She takes it 3 times a day (30 minutes before a meal), Prevacid twice a day and her QVAR inhaler is 2 puffs once a day. We have elevated our bed on top of bricks to help with her reflux. If this does not work and she slides down our next option is to get a hospital bed. It doesn't look like she will be out of our bed for a while. We are just to nervous about her choking on vomit or getting aspiration pneumonia again. I am a wreck about the scar tissue already causing narrowing. Her surgery was not even 7 months ago. I am not sure what the plan is to do about it. Xrays will show how bad it is and we will go from there. Please continue to pray for her. I hope this week is less eventful for us.