OK. Most of you know both acronyms but let me open with a warning: GI = Gastro-Intestinal for those who don’t know…
Why do I hate GI? Because it is the ONE specialty we see where everything boils down to “MY fault”. Regardless of what unknown family history or yet undetected medical condition that adds to the current picture: GI function is largely seen as based on what is put in. And I am the gatekeeper of all that is “put in”…
They see neurology, pulmonary, ENT, opthalmology, have seen cardiology and complex care. SO many of the conditions for which my kids are seen are directly related to being bathed in the brine of an unhealthy womb, their issues relating back to prematurity [27 or 33 weeks] and being born with cocaine in their systems. These issues are those over which I had NO control, share no blame.
But: GI/nutrition? I make the food. I GIVE the food. I decide what is bought at the grocery or abroad for my kids… This responsibility gives me all sorts of culpability for the events of the stomach and colon follow-thru.
Each day I battle to coerce my children to ingest enough calories to GAIN weight. When they stagnate, it is my blunder. If they lose, the blame is mine. When they drop off the growth curve, I have failed at one of the most essential functions of parenthood: nourishing a child.
In addition to the “feeding wars”, I coach at least a couple of my children through the “delivery” of their daily BM. “Push!” I encourage. “Breathe. Wait a minute. Then push again.” Pause. “Another minute & push again.”… “Relax for 2 more minutes and you will be done.” “Just 4 more pushes.” How the HELL did daily bowel function become the thing of “labor & delivery”? In my heart & mind, I only ever really dreamed of uttering this coaching at the delivery of my grandchildren, alongside my son- or daughter-in-law if my daughters choose to include me…
6 hours of direct feeding, a half hour of “delivery”… my day is filled with “guts & butts” in a way I never fathomed at the onset of parenting. And that it is this convoluted at the ages of 6, 6 & 4.5 years old…
Docs suggest medical interventions, from medications to stimulants to surgery, but voice mostly that these things are “urgent”, “need rapid correction”. They state the restricted diet is unnecessary but agree they cannot argue when vomiting and diarrhea are no longer a problem. They note that our way of eating contains “significant fiber” but that it is “ineffective” in supporting a couple of my children to have more normal bowel function. ONE of our providers has gonesofar as to state that a “GTube placement in a child this age is just a sign of parents ‘not doing the work’” of feeding their child well enough to gain & grow. Nearly every food item my kids eat is prepared by my hands, so few items can be store bought to meet the needs of SCD. It is no wonder I feel the burden of guilt.
We have worked with skilled & caring GI professionals throughout my kids’ lives but not one has been effective in lifting the weight of blame off my shoulders. Not one has been able to relieve my anxiety of returning to their clinic for another visit to record the lack of progress for my children. Few even think to commend the daily effort. GI is the black mark on our “complex medical progress report”- and it’s been added to our quarterly rotation. <SIGH>