Mary just called and said they were going to put in a PEG as soon as tomorrow. That is a percu-taneous endo-scopic gas-trotomy, a tube that goes straight into James's stomach from the outside. That would replace his NG (naso-gastric) tube, and is a more permanent solution to his nutrition needs. We have been debating whether this needed to be done for some time. The doctor today said that James's protein levels were the equivalent of starvation. That is, he doesn't have enough protein to build any muscle. He will be able to eat as well, but he can also be beefed up if he is out from seizures.
Pray that James will tolerate this PEG well, and that he will not accidentally pull it out at night, like he has done several times with the NG tube. B
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