That is the question.

Following on from my previous post, I spoke to Sophie's 'feeding' dietician yesterday. We talked for a good while, batting back and forth what to do. There were options and I like options...
Option 1 - leave well alone, which neither of us thought was even an option.
Option 2 - increase her feeds by a hundred calories and add this extra to her last feed of the day.
Option 3 - increase feeds by a hundred calories and add to last feed of the day but move around her day time feeds so she doesn't have such a huge gap in the day.
Option 4 - Re-introduce the bolus feed we culled last year.
We are trying out option 2 for now. Leave the times of her bolus feeds the same but just add in extra on her final feed. The thought is she has had a growth spurt, which is likely due to her shooting up in height and finally fitting into certain clothes now.
The growth spurt has obviously upped her metabolism and she has burnt off much more than she normally would, she is also super active and the two combined has made her feel starving and lose weight.
This has had a negative impact on her oral eating and all she can focus on is getting her tummy full via a tube feed as this is her normal.
When you or I are hungry, we pick up something to eat via mouth. Soph doesn't have this association due to never really eating or drinking orally so her cure for hunger is a tube feed.
We will try option 2 for 2 weeks and if it isn't enough for her, we will try option 3 and close the gap between her tube feeds. If this ultimately fails, we will add more calories to her feeds by possibly adding back in the feed we culled last year.
Lots of ifs but it's going to be trial and error. Soph is back at CF clinic the beginning of May and that weight will be so important and determine whether or not she needs her milk increasing further.
Neither I or the dietician want Soph to lose any more weight as she is now just perfect for height/weight, which is great but this means she has no reserve left in the tank should she need it.
The slimmest we've known her since her nissen fundo op..


School had also noticed her behaviour had changed, they said she seemed more short tempered and grizzly. Once I explained what was happening (she's hungry and this is her classic way of expressing this) they were on the same page. They now know the plan and are monitoring her closely to see if things improve or stay the same.
She already seems more content but it's early days. She has been waking up very late at night and crying to have a tube feed, it's been awful at times. Last night she was more settled and today she's happier for it. I'll keep you all posted.
Sophie came running out of nursery today beaming and had a gift for me...

She shouted 'happy mothers day mommy'.

She's also finally started to take an interest in trying to write her name...

Please pop by
Margaux's blog who is Bens mom and watch this video. I have to be honest I balled like a baby but it shows the importance of raising money and the reason we all work so hard for our kiddos. Little Anna is so strong and beautiful and her family are amazing.
Link to our fundraising page for Ian's skydive.
Take care everyone and thank you all again for your advice and support.
xxx