After a nine month wait for a feeding study we are finally here at Cheo to figure out how we can help Aiden get off g-tube and back to eating normal foods. Aiden has extreme difficulties eating and has been 99% Gtube fed for 2 years now, often coughing or gaging on food. I have questioned whether it is still physical difficulty and silent aspiration from when he first had surgery and could not eat, if it is the effects of chemo giving him no appetite, if it is because he had little to no oral stimulation in the last 2 years or if at this point it is a eating disorder and more mental health issue.
The full study includes eating food with different textures in a chalky paste called barium and then a X-ray machine watches the food go into his body and can see if food is going into lungs instead of stomach. It was to no surprise that Aiden absolutely refused to try the chalky paste but he did sit with the occupational therapist and showed her how he ate banana, banana bread and drank Tim Hortons peach juice (the only liquid Aiden will drink). We sat with OT and discussed different food Aiden liked and disliked. Some foods he said I have never seen him eat or I have seen him take one bite and gag and cry. Aiden also gets extremely emotional when we talk about food and how much or little he eats which also makes it hard to have conversation with medical professionals sometimes. After assessment OT did not feel it was a physical issue, Aiden seemed to chew and swallow ok which was a relief and we were able to cross one thing off.

Aiden very pleased he will not have to drink the barium for feed study
I was asked if Aiden was followed by a nutritionist, we had seen one months ago when I was concerned with his weight and fluid intake and once when we first returned from Toronto but not one regular. A referral is now being put in to figure out plan to decrease feeds so Aiden is more hungry which could be a contributing factor to not eating. When we left Holland Bloorview Rehabilitations in Toronto we were told this would be the next step when we returned home but was never discussed again.
The second suggestion was to have Aiden chew gum and brush teeth more (even with no tooth paste) to increase oral stimulation. This was the one area I felt was a major issue in the difficulties eating. There is so much involved in the process of eating, I felt that it was difficult for him, guessing because he was not use to feeling anything in his mouth anymore. The final recommendation is to offer foods before feed and try to schedule feeds at family meal times so we can all sit together.
So let’s put this into play… that night back at home, dinner time which consisted of spaghetti and garlic bread. A pretty standard meal. I asked Aiden to put him iPad away and come sit with us for dinner like the OT suggested… well all of a sudden the smell is over whelming for him, the food is gross and he hates me for making him put the iPad away and he storms off to his room….. maybe we will try the chewing gum suggestion next
How to Help
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We discuss this a bit and it seems to make sense to do one more round then have a scan and see if there is significant change. I am told it has had positive results in other solid brain tumours. In my head I think that we need to try something to find a cure this indefinite timeline of chemo sits heavy on my heart. Aiden is ready to leave he is looking pretty tired again but dose remember the little toy promised and wants to go to store. I ask if we could go to Toys r Us instead of gift shop, he smiles “Yes much better then the gift shop” with a smile and I push him out of the hospital in the wheelchair. The sun is beaming and the warms touches our skin it really is a beautiful day. I help him into the seat and go out to the parking gate. I forgot to call and reload my Candlelighters parking card and have to call security and tell them they buzz me out. I look in my rear view mirror and Aiden is already fast asleep. I am very concerned the last time he was this tired his shunt was blocked. I call my Dad, he has the same feeling of disbelief, he was at Sick Kids in December and saw the scans when Aiden relapsed there was many many spots. I feel awful cause I know I should feel complete joy with the scan but I’m just filled with anxiety. I get to Stittsville and Aiden is still sleeping, I am not sure if I should wake him to go to Toy store or not. I know if I don’t wake him and we go home he will most likely blow so Against my better judgment I pull into the Toys r Us parking lots and whisper to Aiden to wake up we are here. He mumbles sleepy, “I have just been waiting” I ask if he is sure he wants to do this today and he says yes and sluggishly opens the van door. I help him out and he go into store. I feel like we should just turn around but he is determined we look at a couple things, bayblades, garbage gang, flush force and I can see he is fading fast. I suggest we go and come back when he is feeling better. “Can you just carry me, I want to just look” I lift him up and my heart is heavy along with the 25.4 kg. I tell him we will look at front display once more then go. He see the mini Hachimal eggs and chooses. Thank god! Up to the cash I go him in my arms and the package in his hands. I set him on the counter and he puts the hachimal package down. The lady goes to ring in through and Aiden jumps off counter and yellow formula spews from his body. I quickly ask the cashier if she has a bucket, a garbage can. She looks stunned for a moment then grabs the garbage can from under the counter. I hold Aiden up as he continues to repel everything in his body. I apologize, “sorry, he is on chemo?” Not sure what else to say or why I am apologizing really. The ladies are so nice and quickly a box of Kleenex is handed to me and another lady brings Aiden a water. He continues to heave into the garbage for another minute I hold him up and keep wiping his mouth and the creamy formula that drips from his nose. Aiden stops vomiting just as another clerk shows up with yellow mop bucket, sorry, I apologize once more. I thank them and tell the cashier we are good now and she rings through our 6.99 purchase of two Hachimal surprise eggs. I thank the ladies again and we walk out of the store. Within seconds of getting back into car Aiden is once again f
This is cancer just when you think you can breath something else seems to happen! It is constantly consuming in every aspect of life!