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So where do I start. Hmmm. When Brooklynn was born, they were giving her Similac Advance in the NICU. She did not tolerate it well. After we brought her home and after talking it over with her Pediatrician, we switched her to Similac Alimentum. She tolerates this much better! (Yes, I wanted to breast feed but the doctors wouldn't even let me attempt it. After consults and medical supplies, I pumped for her as long as I could.) To shorten my story, Brooklynn at 6 months old now, is still on Similac Alimentum. It is 20 calorie formula and she gets 31mL/hour for 20 hours a day through her Gtube. As time goes on, I have upped and upped the volume on my own by just figuring out when she would get hungry and not getting enough. (Her GI doctor should have been telling me all along when to up it and to what.) Im pretty sure this is where we've maxed out for the moment at 31mL/hr. I've tried to up it but her tummy is only so big! She can only tolerate so much and when she can't, I back it back down to the max that she CAN tolerate. This is the time where she's supposed to be getting baby food. She cant. She just failed another swallow study a week ago and can still have nothing at all by mouth. She aspirates EVERYTHING! So what to do? Well, we can't up the volume and we can't feed her baby food or anything thickened through her tube or it will clog. We have to up the calories!!! Allllll these problems are the problems for her GI doctor. We haven't seen her GI doctor since May 19th and aren't scheduled to go back until August 20th! ARE YOU KIDDING ME!!!!! We have had to wait 3 months to see her GI doctor again! This is ridiculous! This baby see's 9 different doctors, and except for her 2 geneticists (who we only see once a year each), we see her GI doctor the least! HELLO!!!!!!!! This is most of her problems! Sure she still has a tethered spinal cord and needs a knee reconstruction but those are quick fixes with a surgery and boom! Healed! As quick as she aspirated during her swallow study, this baby is going to have her Gtube LONG TERM! It could be another couple years before we take it out. On top of all this, she's constipated! GI GI GI!!!! I have attempted to call her doctor and get some answers 5-6 times in the last couple weeks. This baby is HUNGRY! I have told them this over and over and over! I can't just concoct my own recipe and assume it's going to turn her 20 cal formula into 24 cal's. I can't just feed her baby food (which by the way she lovesssss. :-( ) and take the chance of her getting pnemonia or upper respiratory issues. I am at a loss! A couple weeks ago I was told I was going to get a phone call right back with the recipe for 24 cal formula...no call back. Last week they told me they were going to send me by mail the recipe for the 24 cal formula....nothing! I am not kidding when I say...Brooklynn is getting sick! She is crying at night because she is so hungry. Her eyes are red and puffy. So yesterday...what did I do, I gave her banana baby food! I had to! She is starving! I would rather deal with an upper respiratory infection than have her starve! So I called her GI doctor again this morning. In tears of course. Upset and threatening at the same time! Oh I can yell and cry at the same time. Call me talented. Ha. I told them that this was the very very very last chance they were getting to help me. I told them that instead of having to make her own formula, I wanted to use Duocal in her formula to add more calories which is what I've been told quite a few others have done with their children and it has worked well. I also told them that I am demanding for Brooklynn, my 6 month old who is growing slow and needs her intake changed often, to be seen in their office every 6 weeks at the LEAST, preferably every month! NOT every 3 months! I told them if this doesn't happen, and Brooklynn get's sick because they were able to help her and do something about this but didn't, I will switch doctors and report them to everyone I can and know that can make their lives hell! You have no idea what A bitch I can be when it comes to my children! And if it's your fault that she is getting sick and not getting enough nutrition, when you can clearly help her...I will do what I can to make you miserable! So of course, again, her nurse says that she PROMISES she will go talk to her doctor and call me back TODAY! HAHA! Thanks for listening and I'll let you know the outcome. I have been told by numerous other physicians and hospital staff that she is the "best!" Should I not receive a call back, I will let you all know who she is!!!