The therapists at feeding therapy are happy. "Z. is doing great!" they tell me and smile at us. "She is making such good progress. We are very pleased."
In this case progress means that Z. will accept into her mouth (I really think it should be oral cavity, but I'm leaving it mouth) tiny amounts of various pureed foods in the extremely controlled setting of the outpatient clinic of the local hospital where we go for her sessions. She will also tolerate the nuk brush and the chew tube in her mouth for fractions of a second at a time.
Sadly, my primary goals for Z. and the feeding therapists' are complementary but dissimilar. Here is a Venn diagram for your perusal:
I am red. They are yellow. Orange is where we do the happy dance of shared goals.
I have been given the task of bringing in foods that we normally eat at home, cooked and pureed for Z. to try. I am not to bring in anything she already accepts. I'm going to let you in on a little secret: our repertoire is seemingly limited. Another secret: we don't ever eat creamed corn. Note to therapists: There AREN'T Any Other Foods Which We Regularly Eat Which When Pureed Are Not The Consistency of Wallpaper Paste Or Simply Utterly Disgusting.
I am still all about calories. Calories are da bomb in our house. Calories are king. (Even for mesee previous entry for more info.) They are all about new textures and new flavors and chewing. All very good things. Can't argue with those. But when I have to choose between giving Z. a dinner of pureed veggies (calories: 5) or the old standby (McDonald's full fat, full sugar yogurt, calories: 130) I don't actually give feeding therapy a second thought.
It is constant push-pull with me and Z. and the therapists. I have not been able to get off the calories / feeding tube / vomiting / failure to thrive roller coaster. I boarded right after that first fateful vomit during our very first breakfast with Z., even if I didn't quite realize it at the time. I've been riding it ever since. I must confess I'm a bit fatigued by the vomit-inducing thrillingness after all this time. The roller coaster also means I find it so very, very difficult to give creamed corn and mashed fresh fruit and brothy soup the attention they deserve.
Progress is sometimes hard to see when you are flying by at 60 mph heading for the triple loop one more time. Thank goodness the professionals are standing on solid ground.
These are MY feelings about feeding therapy. I do understand that she is making progress and that each step is important and worthy of celebration. I am not frustrated with the process. (Mostly.) Some days the absurdity of it hits me. Some days it doesn't.
And Z., Z., she is a trooper. All of her therapists tell me that she is a very hard worker. She sits there and does as they ask to the best of her ability. It makes my heart swell to watch her. She tastes and bites and licks and swallows. She also grimaces and flinches and shudders, but she gets through it. She's pretty amazing. And she smiles at the end and says, "Thank you, Miss L. Bye bye Miss L."
Posted by grrlTravels at November 20, 2007 5:26 PMSorry for the struggles. And lovely pictures. I was struck by how beautiful Z. is. Not just cute, but beautiful. She's got such an arresting face.
Posted by: Jessica at November 20, 2007 7:12 PMYour Z. is a sweet, beautiful bunchkin; and her Mama is pretty great too. The experts serve an important function, but you're the one that has to make it through day to day life. Z. can get the experience of trying the new things at her sessions, and the rest of the time she can get as many calories in (through whatever means necessary), so she is less "failure to thrive". Seems like a happy medium to me. Keep up the good work, Mom and Z.
Posted by: Blaine (5KidMom) at November 20, 2007 7:30 PMOh she is such a darling and she is looking so big. I know really she is still a little peanut but my goodness she has come a long way.
Such a little trooper!
Posted by: Debberoo at November 20, 2007 10:56 PMYou gotta do what you gotta do. In your case, I would agree that you the Mommy and she needs calories to thrive and that's it. It's amazing that she puts up with the therapy. I would have figured that she'd resist.
Z. looks beautiful and...soulful in those pictures. Stunning.
Posted by: PinkDevora at November 20, 2007 11:08 PMYou got me with that last line.
You're both doing great, never forget it. I know you'd rather that neither of you had to, but you're doing great. Your way and their way together.
Z does have a stunning demeanour. I am so sorry you are having to experience all of this, but your commitment is incredible, and you are doing fabulous stuff. ~lmc
Posted by: lisa at November 21, 2007 11:20 AMZ. looks lovely. I'm sorry that things are still difficult for you both.
Here's a recipe for a pureed food that does not taste like wallpaper. I made it the night before last in attempt to get the Cupcakes to eat a vegetable other than frozen peas. It's shamelessly lifted from 'Seriously Simple'.
1.5 lbs broccoli, cut into florets
1 t olive oil
1 T creme fraiche (TJ's carries it) or sour cream
1/2 c low-fat ricotta
salt & pepper to taste
1. Steam broccoli 5 - 7 minutes, or until tender
2. Transfer broccoli to food processor fitted w/metal blade. Add all the remaining ingredients and puree. Taste & adjust seasonings.
(This may be prepared 1 day ahead, covered & refrigerated. Reheat gently)
Posted by: k2 at November 22, 2007 4:14 PMOh, the pull. I so feel for you. I've been there and it is hard and glorious at the same time. 6 years down the road from feeding therapy my boy certainly isn't an adventurous eater, but he does okay. Thanksgiving dinner was peanut butter celery, salted almonds, carrots and milk. He'll even eat an egg every so often and a grilled cheese, bagels. But he's come a long way from fat-fortified yogurt and poptarts (high calorie baby!).
My best wishes for more progress (that you yellow and red people are happy with) for your Z.
Those pictures blew me away...she's simply stunning.
Posted by: Julia at November 24, 2007 11:08 PM