Then we got the call. Wyatt’s sleep study results were good. He did great.
{Photo of Wyatt in pajamas, sitting in the recliner with a look of surprise on his face. He’s snuggled with his blanket.}
I feel like I should probably explain a little about our worry with having to get a trach. There are risks that come with trachs. Risks that we have seen our friends go through. Infections, clots, damage to vocal chords, damage to swallowing tubes, the list goes on. In the case of any intervention, you have to weigh the risks and the benefits. Because Wyatt has only demonstrated risks to breathing while sleeping, it was hard for us to imagine a trach just for sleep (which he doesn’t do much of...). Always, we would do what was best for him, but we felt confident he didn’t require it. Sure, neither of us our doctors, but we are experts in our son.
The trach would also mean I likely wouldn’t be able to work, as finding someone to care for a child who is dependent on a ventilator is nearly impossible. We struggled enough to find someone to care for him with a feeding tube and seizures.
For now? We don’t have to worry. And we are extremely thankful.
{Photo of Wyatt stretching. He’s wearing his pajamas with his chest showing and a half grin on his face. His feeding tube button and dressing are barely visible.}
We were able to wean Wyatt off of oxygen on the BiPAP and his back up rate, which is the rate at which the machine will breathe for him if he doesn’t breathe, was reduced. The oxygen and back up rate are huge. He had extremely high back up rate on the vent and by pushing this down, we were able to see he can safely breathe at a lower rate. He still likes to “ride the vent”, which means he doesn’t always take spontaneous breaths while on the vent, but he’s doing so safely. All of the measurements they took were clearly within normal and no matter how he breathes, he’s breathing and doing so safely.
Next step is to follow up with our Pulm team in office and we will get scheduled for another sleep study in 6 months. Our Pulm team felt like one reason he nailed the study is because he’s getting bigger and stronger. We agree.
Big things this week, developmentally. He’s taking off his socks alone, on command. He’s waving when we wave to him. He’s fighting to get out of his car seat and sit up (thankfully the straps contain him once we wrestle him enough to get him strapped in the seat), and he’s definitely telling us how it is. Most of the time a no is met with him yelling back at us or shaking his head no at us. Typical toddler behavior! We count that as a blessing.
We have a growth hormone stimulation test in two weeks, which is our next step hormone-wise. This will determine if he needs growth hormone injections.
Have a great weekend!