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  • in reply to: Fixing a broken teeth #4898
    Art
    Moderator

    Hi. Teens can be nasty to others and many don’t understand the impact. I don’t know if this helps, but I had a tooth implant, back upper left molar. This involved the extraction of the bad tooth, then an implant post, then waiting for bone to grow into the implant post, then a new fake tooth. I also had a lower front tooth break off from decay at the gum line. This was a bit easier as it was a quick extraction and a few stitches which, including the numbing, took less than 5 minutes. A week later, when the gums had healed and stitches removed, a new tooth was bonded to the teeth on either side. This took about 45 minutes. Both experiences were relatively painless. I know two people who had their two front teeth repaired or replaced. It depended on how much tooth was left and the overall health of the surrounding teeth and gums. If you could share a bit more about the condition of the two teeth that are broken and your general gum health, others may be about to provide more specifics.

    in reply to: Accidently Cut Feeding Tube #3839
    Art
    Moderator

    Hi,

    I have no medical training, but I do have a suggestion. Please take my “no medical training” seriously. Point of clarification, is it 13cm or 13mm? If it is 13mm (the outside diameter of the feeding tube), that equals .512 inches (barely over .5 inches). I may be ridiculed by the medical community, but here goes. For 35 cents, you can buy a .5 inch PVC connector at Home Depot. Here’s a link to the part.

    http://www.homedepot.com/p/DURA-1-2-in-Schedule-40-PVC-Coupling-C429-005/100342935

    Given that the feeding tube is flexible and just slightly larger than the .5 inch coupling, it should provide a tight seal. I would make sure that each end of the tubes (both the one coming out of the stomach and the extension) are cut as close to square as possible. This will minimize the PVC pipe touching the nutrition. Since PVC pipe is used in home plumbing and delivering drinking water, I’m not sure that matters, but why take a chance. Plus, you don’t want nutrition filling in the gap, getting stuck, and eventually generating unwanted bacteria in the tube. This then becomes one more part of the feeding apparatus to keep clean.

    I had my tube replaced and understand it is a real PITA. The above might provide a temporary solution until a better one is found or the tube is replaced. Hope this helps. If you do head down this path, I’d be curious if it works.

    Take care,
    Art

    P.S. If this .5 inch part doesn’t fit, look around the PVC coupling area and see if another part would work.

    • This reply was modified 8 years, 1 month ago by Art.
    • This reply was modified 8 years, 1 month ago by Art.
    • This reply was modified 8 years, 1 month ago by Art.
    • This reply was modified 8 years, 1 month ago by Art.
    • This reply was modified 8 years, 1 month ago by Art.
    in reply to: Methods Of Eliminating Mucus for EN tube feeders #3718
    Art
    Moderator

    Hi,

    Yes, the tip fits within the plastic tubing at one end; the vacuum cup of the suction machine is at the other end of the plastic tubing.

    This mucus issue is so foreign to those who don’t have to live with this condition. In some ways it is like being water-boarded. I use my machine frequently, once or twice a day. I have seen others actually take it with them and use it as needed in public. When I use the machine, I do it very carefully using the right lighting and a mirror. I only suction what I can see and I have to be careful about not triggering my gag reflex.

    If mucus is building up below your partner’s vocal cords, I agree with the advice you have been given. Having someone other than a skilled professional use a suction machine close to one’s vocal cords feels dangerous and could damage the cords. Not a good thing.

    Here’s two words you may hear in conjunction with a swallow, penetration and aspiration. Neither are good, but one is worse than the other. Penetration is material (food, saliva, liquid, mucus) entering the airway, but staying above the vocal cords. Aspiration is material going past the vocal cords where the next stop is the lungs. People with head and neck cancer treatment are at high risk of aspiration which can lead to life threatening conditions such as aspiration pneumonia. Not everyone who aspirates gets pneumonia, but it is more common in this cancer population than the general population. The vocal cords are our body’s last defense against aspiration. The primary natural defense in a working swallow is the epiglottis.

    One way to help stay healthy is to continue to exercise the lungs through aerobic exercise and even walking. If it feels like liquid (or mucus) is entering the airway, cough it up. This isn’t always pretty in a public setting, but it may make the difference between staying healthy and becoming ill.

    Good question by the way. I hope this helps. Take care.

    Art

    in reply to: Methods Of Eliminating Mucus for EN tube feeders #3715
    Art
    Moderator

    Hi. This seems like an all to common issue. I’m a head and neck cancer survivor and have trouble managing my saliva. I use a portable suction machine made by Roscoe that I found on eBay for $140. I tried different dental aspiration suction tips and the one that works best for me is pointed. I use it with a mirror and light to help guide the tip to the right spot. Here are links to the Roscoe machine and dental tips. BTW – my dentist gave me the suction tips; it seemed wasteful to buy a whole bag of them.

    Roscoe suction machine on eBay

    Sample dental tips

    It would be great to hear how others are handling the mucus build-up. I hope this helps.

    Art

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