So far, so good.  Mikie has had three cans of boost pudding today.  The charge nurse came in and told Lorraine that the pudding is not the equivalent of the Isocal liquid.  I matched up the contents and it looks pretty close.  The biggest difference is water.  I called from work and asked Lorraine to ask Mikie's nurse to consider putting Mikie’s Isocal into the NG tube, maybe 60 ml at a time.  She checked his stomach contents through the NG tube by drawing out the contents and it still had at least 120 ml of pudding.  (Funny though, it is broken down into liquid, I mean funny because the charge nurse said Mikie needed liquids other than pudding.  Pudding basically is a liquid.)  He also got two 4 ounce containers of juice with each dose of meds today through his J tube. (That would be two doses so far, so he has had 16 ounces of apple juice. At 6:30 PM she checked it again and his stomach contents, much liquefied pudding, total about 150 ml. (Remember, the book says the stomach adds 400-700 ml of gastric juices to each meal we eat.)  Mikie was fast asleep when he head hit the pillow when I laid him down just before we checked the contents of his stomach.  He also had just had about 300 ml of juice and water pumped into his jejunum at 150 ml per hour.  This is rather neat, imagine having access to your stomach contents any time you want.  Had they been able to put in a G-tube we would have been able to get to it that way.

I put the bed on rotation to help move his stomach contents on its way down the pike. I am really tired, 4 hours sleep last night has me worn out.  I just talked to the night nurse, Leroy, and told him I would head out in an hour or so.