NEW BOOK: cnu.sellfy.store/ ALSO ON AMAZON: a.co/d/6C6lXGa ________________________________ This video was recorded at a speed to accommodate all learners. If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.
Funny, I was watching it because I was listening to a book where they said the doctor was going to take out a long term feeding tube by just pulling it out, no surgery or anesthesia...I wanted to check the reality of that because it sounded unbelievable to me. I still do not really know, but based on the vids I've watched it seems unlikely....that is disappointing....I could be wrong though. Thanks for a well informed video though, excellent job!
Beautifully explained bro This lecture has helped me create a nice clear picture about enteral nutrition which iam afraid many books and teachers are also not able to do
Had a feeding tube placed through my nose when I had neck dissection surgery 3 years ago. It was placed as a safeguard in case I had swallowing problems, but never actually used. Miserable time with that damn thing, couldn't eat or drink without constantly gagging, and I couldn't get any sleep, it was so uncomfortable. As soon as they pulled it out I was fine, and enjoyed my final meal in the hospital before I was discharged.
We took our daughter to the doctor who placed the PEG, hoping he would be able to replace the tube, since it had been five months, and the tube looked really dirty inside, and the tube itself seemed to be breaking down in that it was losing integrity in that I had to prop open the clip because the tube couldn't stand up to the little pressure; and sometimes the tube would bend at the abdomen, closing it off. The physician assistants (who ever sees a real, flesh & blood doc these days?)... the physician assistants informed us that it looked great and that it would be too risky to replace. So, now it is getting blacker and blacker at the end nearest her stomach. I just don't understand. I think also there are other things about feeding tubes not mentioned. Some use a bulb inflated with water to hold them in and deflated to take them out; our daughter's PEG has a disc on the underside. Thank you for any insight you might have concerning her situation. It is especially concerning since you mentioned the risk of infection.
Took forever, but we learned that speech therapy is the key to getting back to eating. Finally got the tube out: after three months of begging. We found a super neurologist who has super therapists, including HBOT. Dr Basioun, trauma surgeon at BayFront St. Pete, FL, kicked our daughter out of his practice, probably because I asked his PAs about the mysterious amputation of a large portion of her tongue; one nurse had said she wouldn't be needing it anyway; and then the palliative care doctor was all about DNR, looking at her nice young and healthy organs, we can presume! (He's charging her over $500 for talking to us, her parents, about DNR. ?? Need to see the itemized bill.) Organ harvesting??? I saw the tongue before they chopped/cauterized away; was shocked but considered the long bite injury from front to back 1) could be sutured together and/or 2) some people do almost that on purpose. The hospital records say there was something unusual about her tongue but didn't say that someone there cut off a large portion of it and cauterized it. We believe she will still be able to speak, and we are thankful she can eat. They piled a bunch of dirty wires from the floor onto the bed, the wires that attached our daughter and the bed to a large pillar of stuff, then wheeled her down to surgery. That evening the nurses were furious for me calling down the hall of the ICU when it seemed our daughter was choking; the next day another head nurse came in to abuse me for the same, saying I should have "pushed the button." I asked, "What button?" She looked at the pillar and said, "Oh. There isn't a button."
I think about that all the time. There are so many abuses by hospitals and even some doctors these days. And families and friends who step up to be guardians are treated like lackeys by probate courts; they are not given true guardianships. The courts and lawyers don't care about indigent people; they should be begging family and friends to be guardians. Professional guardians get paid. Family guardians may be struggling to buy necessities for their incapacitated family member. Ours is a very physically demanding job; the court thinks we're "assisting in daily activities." We are all the energy involved in those activities. Professional guardians poke their noses into various nursing home rooms a few times a year and collect forty thousand dollars or more annually for their "work." There are volunteer professional guardians too; thank goodness for them.
Thank you for this, I found it really helpful. I suffer from Gastroparesis, which has got a lot worse just lately & I wonder if I’ll eventually end up with a feeding tube. If I did I’d be ok about it. Just curious, do they ever give a j tube straight away or do they usually start with a nasal one for Gastroparesis?
So happy you found the video helpful! I’m sorry to hear about what you’re going through. I have seen it go both ways. In many cases, the symptoms and poor tolerance to eating has been so severe that they go straight to J-tube. But I have also seen them attempt NG tube to start!
I also have gastroparesis and have been on a nasal tube-- uncomfortable going in but fine for me after that. Had it for 10 days. Mine went directly into the small intestine. It was not painful once in tho my throat got a bit sore after awhile and sneezing was awkward. However it felt so good to have nutrition I could keep down. They can now implant pacemakers to stimulate your vagus nerve to keep things moving. My nerve recovered enough on its own so I can handle small amounts at a time. One of my surgical nurses (for joint replacement not gut) had the pacemaker and it has done wonders for her. So you would likely get that before they would place a longterm tube. Good luck--there is help out there.
As an adult with a feeding tube I have not been able to find any support for my situation. I am looking to connect with other adults facing this situation. Most sites or support services are specifically designed for children or the caregivers of infants. I feel like an outcast and it’s hard to find any good resources. I am a 33 year old male who was diagnosed with drug resistant right temporal lobe epilepsy. Then recently I was diagnosed with a rare seizure genetic disorder called VPS13A. I have struggled with uncontrollable weight loss. I have been using a g tube for over 6 months and have been struggling to gain or maintain my weight . i am currently on a very vigorous diet and
Are you able to ask a doctor about support services or websites that can help with your situation? Your local public health department might know of services or be able to help in some way as well. Best wishes.
This is great! Why would you use a OGT instead of a NGT? I realize if there is damage to the nose it would make sense, but is an OGT often used when the patient is intubated? Or are there other instances where an OGT would make more sense?
Excellent question, Annie! You nailed it with the concern for the nose. If there has been any damage to that area, passing a NGT may not be safe or feasible. Another common use of the OGT is for the second reason you alluded to - intubation. Whoever intubates the patient will sometimes place an OGT at the same time. However, the NGT is also appropriate for intubated patients, and is more common. Thanks for watching the video! 🙏🏼
NEW BOOK: cnu.sellfy.store/
ALSO ON AMAZON: a.co/d/6C6lXGa
________________________________
This video was recorded at a speed to accommodate all learners.
If you're a fast learner, listen at 1.25x or 1.5x by adjusting the playback speed under Settings.
The talking speed was great for me. Thank you for the video.
@@gina4168 Thank you for watching, Gina!
Hands down the best video explaining feeding tubes on the internet
This is actually the most helpful explanation I needed because I'm trying to make a story with a medical plot as accurate as possible.
So happy to hear you found this helpful! Thank you for watching! 🙌🏼
Funny, I was watching it because I was listening to a book where they said the doctor was going to take out a long term feeding tube by just pulling it out, no surgery or anesthesia...I wanted to check the reality of that because it sounded unbelievable to me. I still do not really know, but based on the vids I've watched it seems unlikely....that is disappointing....I could be wrong though. Thanks for a well informed video though, excellent job!
Veryyyy good. My first job as a LPN may be with tube feeding patients and this helped me soooooooo much thank you. I can listen to you for hoursssssss
So happy to hear you found this helpful! Thank you for watching! 🙏🏼
Beautifully explained bro
This lecture has helped me create a nice clear picture about enteral nutrition which iam afraid many books and teachers are also not able to do
Thank you! 🙏🏼
You are an incredible teacher!
This video is very useful and educative for me because it’s really helping my nursing career and the home care services I give too
Thank you, Kezia! I’m very happy to hear that you found this one useful 😊
I'm studying EN and PN right now in MNT 2 and this definitely helps a lot! Thank you!
So happy to hear it’s helpful! Good luck in your class! Let me know if you come up against anything that you have questions about 👍🏻
A whole new world. Thank you I learned alot
Thank you so much for watching!
Can you add cases to exam our selves and how to chose / calculate the formula
Thank you ❤
Very good video. I am currently on a GI rotation for my elective as a MS3 and this was a good overview!
So happy to hear you enjoyed it! Thanks for stopping by!
Can U eat food by mouth.i have cancer in my stomach.not getting enough newcie.
Had a feeding tube placed through my nose when I had neck dissection surgery 3 years ago. It was placed as a safeguard in case I had swallowing problems, but never actually used. Miserable time with that damn thing, couldn't eat or drink without constantly gagging, and I couldn't get any sleep, it was so uncomfortable. As soon as they pulled it out I was fine, and enjoyed my final meal in the hospital before I was discharged.
We took our daughter to the doctor who placed the PEG, hoping he would be able to replace the tube, since it had been five months, and the tube looked really dirty inside, and the tube itself seemed to be breaking down in that it was losing integrity in that I had to prop open the clip because the tube couldn't stand up to the little pressure; and sometimes the tube would bend at the abdomen, closing it off. The physician assistants (who ever sees a real, flesh & blood doc these days?)... the physician assistants informed us that it looked great and that it would be too risky to replace. So, now it is getting blacker and blacker at the end nearest her stomach. I just don't understand. I think also there are other things about feeding tubes not mentioned. Some use a bulb inflated with water to hold them in and deflated to take them out; our daughter's PEG has a disc on the underside. Thank you for any insight you might have concerning her situation. It is especially concerning since you mentioned the risk of infection.
I would honestly get a second opinion, maybe go to another doctor? A more specialized hospital?
The color is Concerning for fungal infection
Took forever, but we learned that speech therapy is the key to getting back to eating. Finally got the tube out: after three months of begging. We found a super neurologist who has super therapists, including HBOT. Dr Basioun, trauma surgeon at BayFront St. Pete, FL, kicked our daughter out of his practice, probably because I asked his PAs about the mysterious amputation of a large portion of her tongue; one nurse had said she wouldn't be needing it anyway; and then the palliative care doctor was all about DNR, looking at her nice young and healthy organs, we can presume! (He's charging her over $500 for talking to us, her parents, about DNR. ?? Need to see the itemized bill.) Organ harvesting??? I saw the tongue before they chopped/cauterized away; was shocked but considered the long bite injury from front to back 1) could be sutured together and/or 2) some people do almost that on purpose. The hospital records say there was something unusual about her tongue but didn't say that someone there cut off a large portion of it and cauterized it. We believe she will still be able to speak, and we are thankful she can eat. They piled a bunch of dirty wires from the floor onto the bed, the wires that attached our daughter and the bed to a large pillar of stuff, then wheeled her down to surgery. That evening the nurses were furious for me calling down the hall of the ICU when it seemed our daughter was choking; the next day another head nurse came in to abuse me for the same, saying I should have "pushed the button." I asked, "What button?" She looked at the pillar and said, "Oh. There isn't a button."
I think about that all the time. There are so many abuses by hospitals and even some doctors these days. And families and friends who step up to be guardians are treated like lackeys by probate courts; they are not given true guardianships. The courts and lawyers don't care about indigent people; they should be begging family and friends to be guardians. Professional guardians get paid. Family guardians may be struggling to buy necessities for their incapacitated family member. Ours is a very physically demanding job; the court thinks we're "assisting in daily activities." We are all the energy involved in those activities. Professional guardians poke their noses into various nursing home rooms a few times a year and collect forty thousand dollars or more annually for their "work." There are volunteer professional guardians too; thank goodness for them.
Thank you for this teaching. Simply explained
Thank you for your video, learned within 15mins!
You’re welcome! Happy you enjoyed it!
Nailed it. Great.
Thank you for this, I found it really helpful.
I suffer from Gastroparesis, which has got a lot worse just lately & I wonder if I’ll eventually end up with a feeding tube. If I did I’d be ok about it.
Just curious, do they ever give a j tube straight away or do they usually start with a nasal one for Gastroparesis?
So happy you found the video helpful!
I’m sorry to hear about what you’re going through.
I have seen it go both ways.
In many cases, the symptoms and poor tolerance to eating has been so severe that they go straight to J-tube.
But I have also seen them attempt NG tube to start!
I also have gastroparesis and have been on a nasal tube-- uncomfortable going in but fine for me after that. Had it for 10 days. Mine went directly into the small intestine. It was not painful once in tho my throat got a bit sore after awhile and sneezing was awkward. However it felt so good to have nutrition I could keep down. They can now implant pacemakers to stimulate your vagus nerve to keep things moving. My nerve recovered enough on its own so I can handle small amounts at a time. One of my surgical nurses (for joint replacement not gut) had the pacemaker and it has done wonders for her. So you would likely get that before they would place a longterm tube. Good luck--there is help out there.
Actually helpful explanation. TY
As an adult with a feeding tube I have not been able to find any support for my situation. I am looking to connect with other adults facing this situation. Most sites or support services are specifically designed for children or the caregivers of infants. I feel like an outcast and it’s hard to find any good resources.
I am a 33 year old male who was diagnosed with drug resistant right temporal lobe epilepsy. Then recently I was diagnosed with a rare seizure genetic disorder called VPS13A. I have struggled with uncontrollable weight loss. I have been using a g tube for over 6 months and have been struggling to gain or maintain my weight .
i am currently on a very vigorous diet and
try boost high very calorie I gained 20 pounds in 2 months 5 cartons a day
Are you able to ask a doctor about support services or websites that can help with your situation? Your local public health department might know of services or be able to help in some way as well. Best wishes.
This is great! Why would you use a OGT instead of a NGT? I realize if there is damage to the nose it would make sense, but is an OGT often used when the patient is intubated? Or are there other instances where an OGT would make more sense?
Excellent question, Annie! You nailed it with the concern for the nose. If there has been any damage to that area, passing a NGT may not be safe or feasible. Another common use of the OGT is for the second reason you alluded to - intubation. Whoever intubates the patient will sometimes place an OGT at the same time. However, the NGT is also appropriate for intubated patients, and is more common. Thanks for watching the video! 🙏🏼
Most people start with NJ or NG even if it’s estimated to last more than 2 months though. And for several months
Superb..very informative
Thank you!
So helpful thank you!
Thank you 🧡
Very informative
Thank you!! 🙌🏼
Can U still eat food by mouth.or no
Sometimes yes. Sometimes no. All depends on why the feeding tube is placed or the extent of the patient’s dysphagia.
I don't know what systems effects feeding tube stomach small distinct your back brain or worse painful ask your doctor