Thursday, August 27, 2009

Up your Nose with a Rubber Hose!

I don't know if any others will remember that common play yard threat which we threw around in my youth. I never expected for it to actually happen to me by someone I love, or that I would perform the same upon another.

But happen it did! My husband and I were receiving our Missionary Medical Intensive training and as it would be, we were often one another's lab partners. We had lab work most of the afternoons and would practice the procedures we had been taught.

It started out lame enough, taking histories, blood pressure and such. Then we began injections and stitches and other procedures.

One morning we were taught how to make our own NG feeding tubes out of IV tubing. OK cool! This procedures is needed to be able to feed patients who are unable to self feed. Or to give meds without an IV. It involves plastic IV tube about a meter long which is placed in the nostril, fed down the throat, carefully avoiding the lungs, and on into the stomach. Then one can begin feeding with a syringe through the tube, directly into the stomach.

It is not that complicated and many parents learn to put them in for their children, but one does need practice and to learn how to avoid the lungs. So...

Yeah, there I was, head tilted back as my loving husband held a long plastic tube which he intended to place 'up my nose'. And I was going to allow him to do so. I began to practice my Lamaze breathing which I remembered from labor! You girls know, pick a focal point, breath slowly ...basically, zone out!

It was not so bad. He did it quickly and correctly as he does most things. He is a quick study and very confident and unafraid to try new things. My husband can do just about anything he sets his mind to. Later, in the jungle, this would be invaluable in our small dispensary. He has delivered over 50 babies, placed many stitches, removed arrows from people, placed feeding tubes, catheters, pulled teeth, done biopsies, and even helped with an amputation.

After he inserted and removed the tube a few times, it was now my turn. I needed to do this as well because I might be alone one day and be required to place a feeding tube in a patient. Or perhaps I would need to place one in my husband, so...

Now he was the one with his head tilted back, great fear in his eyes, as I held the tube and fully intended to place it 'up his nose'. I just wanted to get it over with! Later, in the jungle I did have to do many things, like deliver babies, put in stitches and other medical procedures, I never enjoyed it.

I carefully measured the tubing I would need, cut it off, put in the holes, melt down the sharp edges of the tubing, sterilize, and began to feed the tube up my husbands nostril. He began to gag which is common as one reaches a certain spot. This is helped by having the patient swallow water if able. I offered the water, my husband, pushed my hands aside and continued gagging. Loudly!

Everyone was soon watching us because he was gagging and squirming. So I continued to feed the tube, until...he opened his mouth! The tube was going up the nostril, down the back of his throat and now out of his mouth! Not knowing what else to do, I quickly hauled back on the tube and pulled mightily! It came ripping out. Along with a fair amount of blood and a murderous glare from my husband.

That maneuver became known as the 'Briggs and Stratton' maneuver! You know, how you haul back and pull the rip cord to start a motor? Or lawn mower? It really should not be used to remove an NG tube. The patient would much prefer a calmer removal as there will be less blood involved.

Of course, I still needed to successfully place the NG tube. So we did it again, and again, until it was done properly and I could do it easily. That was not my husband's favorite day of our marriage. Although he had been taught many things in the Marine Corps, Lamaze was not one of them, making it difficult for him to do the 'zoning out' part. All the males seemed to find the procedure much easier to give than to receive.

I am very glad we did learn the procedure as we were able to use it in the jungle for patients who could not eat. I never did need to put another tube up my husbands nose, though, for which I am sure he is most grateful!

14 comments:

Dani Joy said...

Now that is a story and a half! You had me reading to the end! Gotta get it in the book!

Sooo funny but then not so funny.

WE women are tough!

CKHB said...

Ouch! My medical training stopped with CPR and lifeguarding...

T. Anne said...

Your husband is truly a man of God for letting you do it again!

Tammy said...

Oh my goodness! I tried to read this to my husband, but was laughing too hard..

Your man's a real Marine to put up with all that, lol!

Jungle Mom said...

Dani Joy, It is a day we will not forget. You should have seen my husbands face when the instructor announced we would be learning how to place catheters!

CHCB, It wasn't so bad for me, I am sure my husband would think differently!

T. Anne,I know!

Tammy, He's tough, but I swear the look in his eyes was the most scared I have ever seen him be.

Tish said...

I recently found your blog and find it so inspiring! I hope you don´t mind if I follow along!

Jody Hedlund said...

Wow! I can't imagine ever doing that to someone or having it done to myself unless absolutely necessary! Don't they have manequins for practing on? Yikes! I'd much prefer that!

Findalis said...

Oh your poor hubby.

Joyce D. said...

WOW your husband is so brave ,I don't think my husband would of allowed me to TRY that on him.He says he thinks I don't do so good taking care of him,and I think he's right.He's a much better care giver then I am,I have to admit!!Love your Blog!!

ABNPOPPA said...

That's why you married a Marine. He's tough!


Pops

Kathy said...

YIKES! I'm not sure Ramon would ever let me try that! He did tell me he was going to teach me how to give a shot in case we were ever in a situation and I needed to do it, but I think he forgot about it and I'm not going to remind him! :)

Charles said...

Last year shortly after dad's accident the skill to reinsert the NG would have been useful, though I suspect I would chicken out if I had options

LadyFi said...

Oh goodness me! Your husband is a brave man!

Jungle Mom said...

Tish, I love new followers and I hope you wont be shy and will leave me comments!

Jody, We used mannequins for some procedures but they are expensive so most mission agencies do without.

Findalis, yes, poor dear!

Joyce, My husband is a great care giver, I am more of a 'take an aspirin and call me in the morning' type of care giver.

ABNPOPPA, he is tough, had to be to survive life with me!

Kathy, If the time comes, it snot too bad.

Cahrles, Its always harder to do these procedures on a family member.

Ladyfi, He is brave. And he loves me...