Thanks for praying for Rudy today. Here’s the nutshell: Trish and Rudy left SB at 3am for a 4:45 call time at UCLA for his bronchoscopy. Like good patients, they were there and ready but got pushed back due to an emergency case. Rudy enjoyed the car ride and was awake for most of it, so he got a little cranky during the wait–but you wouldn’t know it from this picture Trish sent me:
Trish called around 11am and reported that they were done and she was expecting to get called up to see Rudy shortly. Dr. Shapiro was able to completely remove the granuloma in the trachea (this is inflammatory tissue that commonly grows around trach sites), but it was a bit more work than she expected. Instead of being soft and mushy, it was hard and fibrous.
We are pleasantly surprised to learn that she decided to downsize the trach from a 4.0 to a 3.5. Like much of Rudy’s course of treatment, we are prepared for decannulation to proceed slowly and expected this step down to come further down the line. So it’s fun to take two steps on the same day. Dr. Shapiro’s assessment is that Rudy should be able to handle it, but they will keep him overnight just to monitor him.
Trish will probably give more detail when she gets settled upstairs in a few hours, but we just wanted to give an update for those who were praying. Thanks!