Having arrived on Monday with the prospect of a potential 6 week stay whilst they sort out home TPN (Nutrion Fed through his IV lines) after an Endoscopy, Colonoscopy and bowel biopsy this morning the news for now is better than expected.
The initial scopes of the bowel, having gone in from both above and below indicate that it’s all clear down there and its possible that the therapy drug he takes for his NPC (Miglustat) combined with the sucrose in his feed is causing the diarrhea and possible vomiting. We have long known that a very common side effect of taking Miglustat is diarrhea and to be honest it’s never been firm on that front. After the onslaught of Chemo last year I think they needed to ensure there was nothing more sinister causing this.
They have taken biopsies which will provide a clearer picture, although the results for these could take up to 2 weeks to confirm.
The plan for now is to look at weaning down his TPN and explore using different feeds with less sugar in them to see if that helps.
We have also seen an Endocrinologist this week who is going to look at strengthening his bones with bisphosphonates. These are administered via IV, through his central line and due to the side effects of these infusions the first is completed as an in patient in hospital and the rest as an outpatient. Given his track record of drugs and side effects its planned that probably all of these infusions will done as an impatient for a few days on a monthly basis. I think this may go on for most of this year like that.
It’s hoped that they’ll start with experimenting with the feeds over the weekend, the bisphosphonates infusions early next week so that hopefully we’ll be checking out of Club Westmead by the end of next week. But as we all know with our Ed, anything can happen and the plans can all change in a flash.