I got up here a little after 8 AM (and a pretty good nights rest). I missed it, I told Lorraine I had to get back up there before the 12 hour puke, which I figured would happen around 9 this morning.  It happened around 7:20 AM.  They put the NG tube back in shortly after that, and I’m sorry I couldn’t have been here to help.  Nurse Terri did it by herself, and I imagine it was a battle, but I think she was gentle as she could be. She said what he vomited this morning was brown so Johnny Hudson ordered a test for blood content.  I don’t think they will find any, we saw the same thing a few days earlier, and bile is supposed to be brown. As I sit here and watch Mikie I believe I am beginning to figure this out.  I think we should go ahead with the test, but I don’t have any reason to believe it will show us anything.  I’ve watched Mikie have some small seizures and after every one he gets the hiccups and gags and chokes a bit.  I think that is when the juices are going back into the stomach. I also have to think back to what we did at home and what they are doing here.  He is getting food through his tube almost around the clock at 50 ml per hour.  His normal diet at home is 3 or 4 cans a day, usually 4, and at about 65 ml per hour.  When I run the math I see that it takes about 5 hours to ‘eat’ one can of food (237 ml) here, and at home it only took about 4 hours.  So we would give him 3 cans at night and then the day care gave him one during the day when he went there (3 days a week).  We also gave him a lot of juice with his medicine with the pump at about 150 ml per hour.  He is getting no juice here.  Maybe because the jejunum is pretty well saturated with food most of the time it has an effect on how well the gastric juices and bile are moves on down the line.  Do they hang around waiting for food or are they suppose to proceed on their way as they are produced?