Sucks. *UPDATED*

Well, hell. Simone failed Bottles. Her speech therapist (Speech! I know! So advanced!) has tried various nipples and feeding positions and pacing techniques, all to no avail. Give my girl a bottle and she gobbles at it, aspirates milk into her lungs, and stops breathing. A swallow study has been ordered for tomorrow morning.

What I find so damnably frustrating is the fact that she can take full feedings by breast with no problem. We use a nipple shield, but the rest is all her: she sucks like a champ, remembers to stop and breathe, and even does this comedy bit where she growls and shakes my nipple like she’s trying to break its neck. The lactation consultants came to consult but left unneeded, shaking their heads in awe. Alas, Simone will be sent home on a growth regimen that includes two feedings of milk fortified with formula, and if she cannot take those feedings by bottle, she will end up with a g-tube.

I do not understand. Obviously she can drink without aspirating, because she does it several times a day via my mammaries. Simone’s nurse can’t remember another baby who couldn’t take bottles yet could breastfeed. My child is a puzzle wrapped in an enigma wrapped in a milk-stained onesie. The best-case scenario would for the swallow study to show that she does not aspirate as long as the milk is thickened with rice cereal, so let’s hope for that. Better yet, let’s hope this has all been a clever ruse designed by my daughter to bust out of the NICU for an hour, and that once she is down in radiology she sucks down an unthickened bottle without incident.

Until tomorrow, I leave you with a video. The first act is a simple rendition of the hiccups, but the second act showcases the “door in a haunted house” sound effect Simone has been perfecting for weeks now. And at the end of Act III…well, see for yourself:

UPDATE:

Simone aced her swallow study. Unthickened. No aspiration, not even a suggestion of milk that looked like it might be considering possibly heading for her airway. As this is the only of her dozen or so attempts to bottle that has not ended in alarms and a blue baby, I am thinking my “clever ruse to score a field trip” idea is the only explanation. The speech pathologist was baffled.
“I can honestly say I have never been more wrong,” she said. But it’s not her fault that my child is so contrary. I swear the radiologist thought we were making the whole thing up, for kicks.
As Simone obviously can bottle feed safely, the plan is simply to keep trying and thicken with rice cereal if needed, to slow things down a bit. I saved the bottle they used (same kind as yesterday) just in case it has Magical Powers. The upper GI series showed grade 3 reflux, but that was no surprise.

So, uh, move along, nothing to see here! G-tube threat level reduced to Puce, or NONEXISTENT.