No Cigar.
We took Tyler in for a bronscosopy today, we've had it done before, his ENT doctor goes in and sees if he has any granulation build up. Over the summer we've been weaning Tyler off of oxygen and also hoping we could decanulate him (yup, take the trach out).
We went to cardiology, pulmonlogy and ENT and they were all on board to take the trach out. Things were looking good and we scheduled the surgery. While the ENT team was performing the bronc they would see if Tyler could be decanulated. That was the plan this morning.
After we took Tyler into the operating room, Jason went to get breakfast and we wait. We didn't even finish breakfast and our ENT doctor was done. Wow that was fast, less than 30 mins. He said Tyler was fine and things went well but he did not decanulate Tyler. He decided he wasn't ready, the space between his trachea and vocal fold was very narrow and the trach was helping hold it right now. Tyler needs to grow some more to help correct this and we'll see what happens in the spring. Jason and I were reluctant to take the trach out especially with swine flu, a new school with new kids means new germs.
We were all disappointed but we know it's for the best. When we were in recovery, the ENT team (they're familiar with us and Tyler) all stopped by and said they were hoping for us to decanulate. It's funny how people get attached to a patient when they only see them once every 6 months, they were rooting for decanulation and were disappointed with us. They've seen Tyler come so far as well.
For now we're going to concentrate on weaning him off of the oxygen and soaring in school. Tyler has grown almost 3 inches this summer, he's 3 feet tall and about 32 pounds now. We're adjusting to a new sleep schedule since school is 5 days a week 9:15-2:15, the bus comes to pick him up at 8:20. Depending on the day, Tyler gets therapy after school so it's a very long day for him. So far he's taken a 30 min power nap at school, mind you there's no formal nap time at school but they're not going to stop a kid from sleeping. No more 2-3 hour afternoon naps!
We're still working on potty training on top of all that! Anyone have any good tips, please pass them along!