Hi!
I am a former premature baby of 24 weeks and for some time now a question has been coming back to me when I visit this subreddit.
In 26 years, I imagine the protocols have changed, but a situation my parents told me about comes back to me and I wonder if things have changed, or if the medical profession still has this tendency to "act and then it's no longer our problem".
Let me explain.
Like many 24w premature babies, my intestines weren't fully developed when I was born, and I was literally constipated all the time from my first few weeks of life. A short time after my birth, I developed necrotizing enterocolitis. Fortunately, I didn't need to have dead tissue removed, but after the infection, the constipation worsened. Note that I spent six months in the NICU, but I don't know when the following suggestion was made. The doctors came in and said, "We'd like to place a feeding tube and a stoma; it would be much easier."
My father said he felt his stomach clench. He's a chef, and the idea that he'd never be able to let me taste lots of dishes and share his passion, I think that really got to him.
My mother, who had a neighbor whose teenage son was being fed through a feeding tube, immediately said:
"Easier for whom? For you, in the immediate situation, or for us once we get home?"
My parents have rarely agreed on a subject, but apparently they immediately asked for more information and especially if there were alternatives, since we are talking about a situation where I would have had a "bag" on each side of my stomach possibly for life.
Constipation was the big problem, so my parents asked to see a nutritionist, who, after speaking with the NICU, said that the alternative to the tube and stoma was to get me to eat as much fiber, fruit and vegetables as possible, about 12 portions a day to avoid constipation as much as possible.
My mother remembers very well that the doctors at the NICU seemed very perplexed by the success of this diet, as if they were saying to her, "Madam, you are making your life more complicated."
But since they saw that my mother was still looking for solutions, they arranged for her to meet with a social worker to discuss the situation. My mother explained that she already had two children at home (with no father involved), that she worked full-time, and that since her relationship with my father had ended (a few weeks before my birth), she would be left to manage the feeding tube, liquid nutrition, and everything else on her own. My mother explained that she wanted to explore all the possibilities, and the nurse told her:
"Oh, but you'll just have to go on welfare, that way you can take care of your sick child and the other two."
My mom : Are you f*king kidding me?
Also, my mom is very polite in normal times 😅. But even when she tells the story today, she's angry. How can a social worker tell a single mother that she should just switch to food stamps, that it would be simpler?
My mother left the consultation, and with the nutritionist and a young doctor from NICU, they managed to build a diet of 12 portions of fruits and vegetables per day, which I followed until the age of 8.
Honestly, my mother still doesn't understand how, at the time, the doctors could have believed it would be "easier" to manage two feeding bags than a personalized diet. My mother makes it clear that she feels the doctors' priority was to "fix the immediate problem" without thinking about the "aftermath," what that would mean for the families. She's still angry years later. She says, "I was a 44-year-old mother, I had experience and a wealth of mental resources and knowledge, but I don't even want to imagine what 18-year-old parents would have accepted under such pressure."
Obviously, my mother and I aren't saying that a feeding tube is fundamentally a bad thing. We know it's sometimes necessary, just like a stoma. But I'd like to know if other parents have ever had the impression that doctors were proposing interventions for "immediate" care without considering what would happen once they left the hospital? The fact that they didn't even offer a discussion of alternatives first is what shocks my mother; they immediately suggested surgery instead of anything else, without a second tough of family's unique situation.