Soon To Be Trach-free!?

Yesterday’s visit to UCLA for our regular check-in with Rudy’s pulmonologist took us back to that reality with Rudy that you wait and wait and wait to almost a standstill and then when things move, you feel like you’re running out of the gate in a sprint.  Yesterday’s consult was full of great news but I think Rolf and I both left with our heads spinning a bit.  Dr. Pornchai seemed pleased with Rudy’s progress…at 30 lbs 9.4 ounces, he remains in the 90th percentile for weight but has grown in height (32 inches) putting him just under the 50th percentile (up from 20th percentile in April).  Rudy’s still a chunk but at least he’s getting longer and growth in general is an indicator that his lungs and heart are working together. 

Although we won’t know for sure what is going on in his lungs until the heart cath in the fall, the fact that his oxygen sats are baselining a bit higher in the high 70s – low 80s…and even reached into the 90s (!) is another indicator that the lungs and heart are communicating!!!  Bottom line…it’s encouraging eventhough there isn’t alot of specific information yet. 

As a result, Dr. Pornchai recommended we decrease Rudy’s oxygen rate to 1 liter during the day and keep it at 5 liters at night and he reduced the dosage of one of Rudy’s respiratory meds but the most surprising recommendation was to pursue “decannulation” a.k.a. “pull the trach!!!!!”.   The trach has served two purposes…to help make it easier for Rudy to breath and to allow us a way to clear Rudy’s secretions for him.  Although Rudy has become less dependent on the trach for his breathing for a few months now, we’ve needed to suction him pretty regularly up until just a couple of weeks ago…now that the need for suctioning is decreasing, there’s less and less reason to keep the trach.  One would argue that since we are heading into another major surgery, it would be advantageous to keep the trach because it makes it easier to put Rudy on and off the ventilator (and much more comfortable for Rudy as opposed to being intubated).   This is true but the trach is also a potential source of infection that many on his team would like to eliminate before heading into surgery. 

It’s funny…Rolf and I remember feeling pretty devastated when Dr. Rick told us we had reached the point in Rudy’s care where the tracheostomy was necessary and now that we are presented with the recommendation to wean him from it, our first response is “Are you sure you want to do that?”…the trach has gone from something we feared to a safety net.  It is exciting, though.

It won’t happen right away…Dr. Pornchai wants to talk with Rudy’s cardiology team and get a “thumbs up” from them before we proceed…we also need to schedule a “bronchoscopy” to get a good look at the inside of his airways…a procedure we’ll need to schedule with his ENT at UCLA.  And finally, Dr. Pornchai wants to send us to Children’s Hospital Orange County for a sleep test where they will block the trach and observe Rudy overnight.  I imagine it will take time to get all this scheduled but the fact that we’re even talking about going in this direction is amazing.  It feels like all the progress we’ve been reporting in recent weeks is the fruit of this extended wait for the Glenn.

Of course, our visit to UCLA included a quick stop in the ICU to see the docs and nurses on duty…we also had our first batch of “Rudy Rolls” to drop off…we’ll see how helpful they are:

Handing off the Rudy Rolls to Nurse Jennifer, Dr. Leigh and Dr. Myke
Rudy can't resist going for Dr. Myke's nose...Dr. Leigh's is out of reach!

We can’t ever leave that unit without a deep sense of admiration and gratitude for the people who staff it.

Our special day concluded with an extra-special visit with new friends…Megan and her family have been faithful Rudy’s Beat followers since a mutual friend told them about Rudy at the start of his journey.  We have known about them and their commitment to pray for Rudy all these months but yesterday we had the opportunity to meet and what a sweet time it was.  Our mutual admiration and commitment to pray for each other’s family runs deep as Megan is in her own battle for survival after being diagnosed with an inoperable brain tumor.  Watching Megan and Rudy look at each other (both having very expressive eyes) was one of those “holy ground” moments for me.  Please join us in praying for Megan and her family as they navigate their journey with grace and faith.

New friends Megan and Rudy

Life is SO MUCH more than what we see in the here and now…everything about yesterday was a BIG reminder of that!!

17 thoughts on “Soon To Be Trach-free!?

  1. Thanks for sharing Rudy’s big day with us and introducing Megan! She’s another one of those earth angels 🙂

  2. God bless each and every one of you and Megan and all the families who face illness. Our prayers are always with all of you, love, Jane and joe xoxoxoxoxo

  3. I’m keeping up with Rudy and the rest of the family up in Sacramento. The pictures made me miss UCLA! Many positive thoughts coming your way!

  4. Wow! Rudy’s journey always has some interesting twists and turns! What a blessing to have that trach out. Does that mean the oxygen tank will go too?

    Love to all!

  5. So cool….no trach? Amazing…..but then I understand your wanting the option after surgery…

    Love you and are praying for your summerr…..

  6. WOW again! Megan is a cutie and it is so sweet to see to her holding Rudy… loved to see the photo of the family holding the Rudy Rolls… but Inventor Trish needs to be IN the photo and not taking the picture!! Yes, Life IS so much more than what we see in the here and now… that is beautiful. Thank you and God Bless you all. Praying for you…

  7. Great news! Can you direct me to the rudy roll directions, I didn;t print them out last time and I am planning to make them with Teagan & maybe Kourtney this summer. Also does Megan have a blog as well. Prayers, hugs and kisses as always.

  8. That is such encouraging news and I love that photo of Rudy and Megan. Love you all and continued prayers for all of you and Megan. xoxo,K

  9. Wow! Go Rudy! No Trach! That would be amazing! So glad to hear that Rudy is 90 and 50th percentile. Wow! What growth! Love you guys!

  10. Trish,
    Rudy is such a handsome cutie with a twinkle in his eyes! It’s hard when the littlest ones have to go through things like this, but it will get better. Very happy to see his trach is gone, definately a big step in the right direction.
    Give Rudy and extra big hug for me!

  11. Love Rudy’s new crib, Dad is really talented; most of all ; love Rudy’s smile. Our prayers are with Megan and her family at this time. Nick’s Grandma

  12. What an amazing couple of posts to read – LOVE the custom crib and the moose is to die for – such talent in your little tribe. Rudy is making very good use of these extra months before the next big procedure – he is growing remarkably well, he is gradually adding skills and strength – and now, maybe even the trach out! Unbelievable. I totally get your anxiety about removing it, however – but so far, every anxious moment has been gotten through, right? Continued summer blessings for all of you!

  13. Wow! That is some exciting news! I totally understand the mixed feelings though. When things are going well, taking that step forward is very scary too, but those forward steps are so important.

    Love the crib! You know, Rolf could create a side business creating designs for special needs cribs / beds that don’t look like hospital equipment. The saline holder and shelf is ingenious. How about a portable shelf that hooks on to other beds. or adding hook to wrap the oxygen canula up on during the day. Half the time Garrett’s is strewn across his room. 😦 There is a market for this.

    Really enjoyed hearing Rudy vocalizing on the video. 🙂


  14. This is the most exciting news!!

    You both are so creative…from the jewelry to the rudy rolls to custom cribs…wow! can’t wait to see what your children end up doing 😉

    Sending lots of love, hugs, and prayers,
    the Nelsons

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