Wednesday, November 10, 2010
Video Swallow Study
If the Monday/Tuesday saga wasn't bad enough, Willie and I had to be out the door at 5:30 am to make it to his swallow study at the same place on Wednesday morning. I had leg cramps in the night, but no where near as bad! The morning traffic stank, as always, but whatyado? We arrived on time at 7:15 and got checked in. They were ready and waiting for us. I was all draped up in lead apron and thyroid shields so I could hold him under the fluroscopy. They put a little lead apron on his "parts" so they wouldn't get irradiated. They got him all rigged up in a special seat, and when the tech gave the word, the beam came on. Willie's innards were lit up on the screen. Weird. She gave me the nod to feed him and started counting swallows, up to 12, and the beam was turned off. So far no aspiration with the thickened liquids. Now for the thin. The beam was turned on again and she counted 15 swallows. Beam off. Went to get the doctor. The final word is that he isn't aspirating during swallowing, but there is a rather large amount of residual sitting outside the stomach, even after ten minutes, after only 27 swallows. It is thought that he is refluxing this residual and may be aspirating it. They recommend Prilosec or Prevacid, and an esophogram, and smaller, more frequent feedings. They will fax a letter to his pediatrician in time for Monday's visit, and mail me a copy. We can have the esophogram done at home. We were home by ten am. For some sleep!