11 Dec Friday
Not a lot of new information to report today. We are still working on advancing Keegan’s tube feeds. By tomorrow morning, he should be to full volume (amount of formula per day), and then we will have to start increasing the concentration. By Monday afternoon, we should hit 80% of caloric needs from tube feeds and be able to stop the TPN. All of this is, of course, depending on Keegan handling these changes well. We are not sure what to make of things at the moment because things are already not going the way we have seen in the past. It used to be that as we made changes to the tube feeds, he might have more diarrhea or start throwing up. Keegan is now dealing with some kind of “functional constipation”, meaning he’s not stooling enough or as frequently as he has in the past. But it is still the mucousy diarrhea when he does go. Considering the type of formula he is on, what it looks like when he does, and the fact that we are giving him stool softeners twice a day, he should have no problem going whatsoever! All this is to say, we aren’t exactly sure what we are dealing with here. It has raised a few eyebrows because any sudden departure from what Keegan usually does is unusual. Additionally, he’s been losing weight consistently, despite not having any true output. He is now about half a pound under the last “healthy” weight we had on him. We will just have to continue to wait and watch him over the weekend.
He had his cardiac work-up today, and his heart is looking great still. We have stopped running daily labs since he is already so anemic. Continuing to take more blood each day just compounds the problem. We were able to get him out of the room this afternoon and get some fresh air. It was great to see him start to walk a little more. He would stop to ask me to “pick up” every now and then, but if I pressed him to keep going, he usually would. We are hoping for continuing improvements in his energy levels over the weekend.