Finish feeding everyone dinner, James drank only about 5 oz of his 'regular' 12.
Let James sit longer at the table to see if he will finish his Pediasure while I start the bath water.
Get one child undressed for the tub (thankfully not in it yet) and hear James throwing up. He hadn't drank more.
Get James, wipe him off, bring him to the bath instead. Clean him up, have him sit on his bed so he'll stay calm and hopefully let more of his dinner settle (since not all 5 oz came up, I know, icky details...) and I'm flying solo and need to bathe more kids and that's just the nature of the beast... sitting on his bed is one of the only ways to keep James 'calm' when you can't continuously remind him... and his place at the table is already gross.
Bathe 4 more children very quickly then go back and get James, only to catch the tail end of his second 'episode' of throwing up.
Add James to the draining bath water and give him a second bath (did I mention he doesn't like baths right now?). Then diaper and dress him and dress the rest of the kids in Pajamas.
All the kids play (Wes and Kris don't get baths in that tub, so we do theirs separately).
Put kids down to bed, about 90 minutes after dinner commenced. Bring James to the table for a tube feeding since he didn't hold on to his dinner.
Tube feed James the full 12 oz, this time a mixture of Pediasure and Pedialite, thinking the slight runny nose after bath may be more than him taking in bath water and he may be getting a bit of a cold.
Clamp off tube and reach to undo the Mini-button extension when James begins throwing up again.
At this point, a brief recap...
James drank 5 oz.
Gave back 2 oz.
Sat quietly for 15 minutes.
Gave back 2-3 oz.
Played for an hour.
Got tube feeding of 12 oz.
Gave back probably about 6-8 in smaller increments.
A total intake of... 4-6 ounces. And half of that is Pedialite, which doesn't exactly do anything for his caloric needs, but at least will hydrate him.
All this while I'm solo for the night and Michael is at a meeting. Unfortunately, it is like this more nights than not. ONLY AT DINNER! I would love to know why he throws up at dinner every night, when he drinks the same thing, the same quantity, for breakfast and lunch, too. And breakfast has been 8ish, lunch 11:30ish, and dinner 5:30. That means that there is only 3.5 hours between breakfast and lunch (for digestion) and yet there's about 6 hours between lunch and dinner-- almost twice the time. Even still, I couldn't talk James in to taking 1/2 the cup at 2:30ish because he's not hungry yet.
Oh the joys of parenthood, right? :)
Anyone seeing a grave mistake I'm making??? I'm going to start tube feeding 6 oz at 2:30 and offering him only 6 at dinner to see if this may help. I'm afraid he may not be hungry for dinner if I tube feed him during the day, though, and I do NOT want to go backward, since he was tube-free for a YEAR (aside from when he was sick... just general day to day nutrition) and now he's been throwing up daily and GI wants him to have higher volume (which we're barely keeping up with the 'old' volume of 4 cans/day vs. the new of 5 cans) so... now he's getting a tube feeding almost every night.
I definitely prefer not to feed him during his sleep because he's such an active sleeper as well as my concern that he will throw up during the tube feeding at night and we wouldn't hear him. We monitor the bedrooms, but he's a "quiet puker" LOL.
Anyway... I realize I've posted before (and over and over again LOL) but today is one more day on this journey and I hold out hope that some day someone's going to read this and say "that sounds like what happened with ____ and ____ seemed to help him!" :)
GI appointment is the 16th :D Can't come soon enough, I'm afraid...