No more Trach!

Michael's Trach was removed today!
The hole in his neck will slowly heal and close up. It was covered with gauze today. He will have to apply pressure on the hole while coughing or talking until it seals itself. Jeff, the RT (Respiratory Therapist) said it should close significantly in just a few days.

He had another secession with the Speech Therapist. She applied the electrodes to his neck and gave him electric shocks to stimulate swallowing. Now he can have popcicles and clear liquids. Today he had oatmeal for breakfast, a tuna sandwich for lunch, a peanut butter sandwich, chicken soup and applesauce for dinner. He is allowed ice water or juice between meals.

I spoke to the clinical dietitian and we agreed that Michael would only be fed through his PEEG tube (in his stomach) for 8 hours from 10PM-6AM. This would allow him to feel hungry. His blood sugar will now be tested before meals.

He will get bolus tube feedings after meals if he doesn't eat well.

I spoke to the food service dietitian and we put lots of kosher food in his room and a few items are set aside for him in the refrigerator on the floor.