Caleb's orthodontics appliance broke off while he was eating today. He swallowed it. It has two sharp metal pieces that attach it to his teeth.
The ER doctor gave him an x-ray that shows it is still in his stomach. The sharp edges are a problem, and Caleb needs it removed as soon as possible. Endoscopy is possible, but the doctor at this hospital will not do it on anyone under 18. So, we have to get the permissions and take Caleb to a children's hospital about an hour away.
We need prayer that the appliance will stay in his stomach.
I went to the hospital in Williamsburg, but I had to call Brandon to come get me. I am sick and could not stay.
I will update below as we learn more.
Update 11:00 PM: I just got off the phone with Clint. The CHKD doctors see things differently than the ER doctor. They do not want to remove the appliance. They feel it is safer to let it pass than to try to remove it. The intestines will create a very thick substance to coat it. Even with the sharp edges, it should not be a problem. We live too far away for him to be sent home to wait it out. So, they have admitted him and will x-ray him again in the morning. If it has not moved, they will do the removal or help it along. If it has moved, he will stay until it gets into his large intestines where it is less likely to cause problems. Once it starts moving, they will x-ray him frequently to make sure there is no bleeding. If it gets stuck, there is a lot they can do to help it along. Clint and Caleb are going to walk around the hospital to try to get things moving along. Amanda and Joshua are en-route now to take blankets, electronics, toiletries, etc to keep them more comfortable. Thank you for the prayers. Please keep them coming.
Update 1/10/2018 3:46 p.m.: I apologize for not updating this sooner. I am very tired and feeling under the weather. This morning, an x-ray showed the device had not moved, so they decided to to the endoscopy surgery. Caleb was under general anesthesia and the procedure was over in a few minutes. Between the time they gave him the x-ray and did the procedure, it had traveled right to the opening of his small intestine. We think the pre-op "relaxation shot" relaxed Caleb's insides allowing it to move. The GI surgeon was able to grab it out of the opening of his small intestines with no problems. There was no major damage to his insides. He woke up from surgery, had to eat and keep food down, and was released. The hospital worked with them to get them out before rush hour due to how far away we live. Caleb is happy to have it behind him. Clint and Caleb are on their way home as I type this. Thank you for the calls, texts, emails, comments on Facebook, etc. We appreciate the prayers, the love, and the concern. The next step is to find out what happened and how to prevent it from happening to others. We have to get his ortho to replace the piece, but we will ask for a different style if possible. When Caleb had issues breathing, it was very frightening to all of us.