This is our champ, Clinton William.
He was born on December 17, 2007 - who could ask for a better Christmas present! Clinton was born - c-section - full term but a c-section because my daughter (who is 22 today) was a c-section. We thought about possibly going 'natural' but didn’t want to risk myself or the baby. We went for every test there is under the sun, and more, because of my age and all tests came with negative results...everything was fine! Whew! We thought we were out of the woods and never expected what would come next.
After Clinton was born, screaming as all babies do and after he met his dad they brought him to me wrapped so cutely in his little blankie. As I was looking at him (couldn’t hold him yet, my c-sect was not officially finished yet) I noticed that his breathing was a little rough and they said not to worry it was just a little grunting. He stayed for a few minutes and than the nurses whisked him away so that they can finish cleaning him up. I thought everything was fine and went onto recovery and my husband went to check on the baby. They were saying that they MIGHT have to put in a breathing tube temporarily and not to worry - once again! Well - within hours they did.....
The next day – my husband comes into the room after he checked on Clinton and told me that the baby took the tube out overnight and we were both relieved that he was breathing on his own. Well….after our 4 days in the hospital they sent us home and the baby had little ‘strider’ and not to worry – he will out grow it – he will be fine!
Well, this is where our nightmare began! December 26 at 1AM we went to the hospital via ambulance because the baby was not breathing well. This started our 35 day tour in 2 different hospitals. At first we were at our local hospital – Stonybrook- and our pediatrician said that if they have to put in a trach than you are going to Cornell to see Dr. Ward. And after 5 days at Stonybrook (took them that long to arrange transportation) we were on our way to Cornell. We saw Dr. Ward that Wednesday and there was no other option but to put in the trach. We put Clinton through a CAT scan and MRI to rule out any other disease. We stayed at Cornell for about a week and than back to Stonybrook (closer to home) to be trained in taking care of a baby with a trach before we could take him home.
It’s been 8 months since than and Clinton is 9 ½ months old as I write this. His vocal cord paralysis was caused by one of 2 things, both of which were some form of trauma for the vocal cords… 1. When they interested the breathing tube 2. When Clinton removed the tube himself (he was unrestricted – a big NO NO!)Neither of these incidents will the Dr.’s will admit to have causing the problem.
We have tried to remove the trach 3 times already and we are gearing up for a 4th try soon. In the past 9 months Clinton has been progressing very well. When he was about 3 – 4 months old we downsized his trach from a 3.0 to a 2.5. Since 'the downsize' he has used a Montgomery speaking valve and as of today he uses a Pacy-Muir valve. Dr. Ward didn’t want to even try the Montgomery valve because most babies don’t do well with speaking valves but we figured - give it a try and it works beautifully. Now that he has the Pacy-Muir valve we rarely suction him. In the beginning we used to suction him sometimes as much as every 20 minutes. Now – maybe once a day!! Decannulation is coming soon for us! I believe that next time – will be "it"!!!
Update July 2009
Well...Try #4 didn't work, we tried to remove the trach in March 2009. We went into the hospital on a Tuesday and we were home on Thursday. Here's the puzzling part....Clinton had his trach out for 3 days and during those 3 days - when he was sitting - watching TV - reading or not doing anything that required to much effort - he was breathing fine. When he really started to move around he was having trouble breathing - very noisy and using a lot of effort to breathe. We decided that at the end of day 2 to have the Dr. put the trach back in. Of course at this point the hole was closed and we had to have Clinton go into the operating room to re-open the hole. Our Dr. at this point does not have a definite answer when his trach will come out. We are slowly approaching the 2 year deadline that we were told in the beginning. However, it doesn't seem like its been 18 months - it seems like it was just yesterday when this all started!
After our visit to the hospital we took Clinton to Disney (Florida) and he had a great time! He really enjoyed seeing Mickey Mouse - Clinton loves Mickey and Pluto is another favorite! We had equipment sent to our hotel directly from a supply company near Disney and what they couldn't supply us with - I had our supply company (at home) ship a package of supplies to arrive before we got there. This didn't work as smoothly as we anticipated. My company didn't ship the package in time (although they had plenty of advanced notice) and we got our supplies 3 days before we were leaving Disney. It was very frustrating and its a good thing Clinton isn't very dependant on his supplies or we would have been in some serious trouble! We all had a great time and it was great to get away from the nurses and be out as a family!
Montgomery Valve website -http://www.trachs.com/cart/xcart/customer/home.php?cat=346
Tracoe 2.5 websitehttp://www.trachs.com/cart/xcart/customer/home.php?cat=406
Clintons Doctor suggested a cordotomy. We asked about all the pros and cons but I would rather hear from someone who may have gone through this...anyone have any info?
Hello All - its been a while since I posted anything or even visited the site. Clinton has been taking up my time just as much as any other 2 year old.
Clinton had his rib graft surgery in October and today we still have the trach. We have been capping him most of the day but at the same time he has been striderous. Its very odd - he will be quiet at the beginning of the day and get noisy as the day goes on the strider becomes greater and sometimes he may have some chest retraction. Our Dr. feels confident that Clinton will be able to be decannulated but my husband and I dont feel as confident. I have been contemplating calling Dr. Cotton and I finally did last week. We love our current Dr. and feel that he has done all that he can up to this point. I have read on many different websites of the success stories with Dr. Cotton so I am hoping that we will be just as successful.
If anyone has any information that they want to contribute about their experience with Dr. Cotton or the Cincinnati Children's Hospital Medical Center I would love to hear.
Thanks! LauriTiggerifficfun@aol.com
We heard back from Dr. Cottons office last week and they want to run some tests. I am waiting - once again - for them to get back to me about the dates. Insurance is whats slowing us down this time. They are waiting on approvals from the insurance company. Currently they are scheduling appointments for May - by the time they get the approvals through - we may be looking at possibly (hoping not much longer than) June or July....
We met with Clintons Dr. today and we are heading down the surgery road to correct the Vocal Cord Paralysis. The right Vocal Cord is moving and working well. The left - not so good. We decided to go with the surgery thats uses the rib cartlidge which opens the airway about 3mm - this is just enough for Clinton to breath on his own without the trach!! We dont have the official date yet but - we're hoping that they will be able to schedule the surgery next week and than we will let Clinton heal for a few weeks and if all is well - BYE BYE TRACH!!! This is a long awaited day for us - way too long!
At our last visit back in July Dr. Ward had discussed surgery to correct Clinton’s vocal cords and he wanted to push us off till spring 2010. Well...at our visit today we discussed possibly doing this next month and removing the trach in November. We go back to see Dr. Ward on October 8th and see if there is any change in the vocal cords and at the same time we will make arrangements for the surgery shortly after. This surgery would use Rib Cartridge (don’t know the proper 'name' for this procedure) to correct the vocal cord that isn’t working - has anyone experienced this procedure? I would love to hear any feedback that anyone may have. Thanks :)
| Title | Poster | Replies | Updated |
|---|---|---|---|
| Passey Muir ? | toni | 3 | 6 weeks 1 day ago |
| Preemie to come home-help! | vsby | 3 | 15 weeks 2 days ago |
| Cordotomy...anyone have an info | Tiggerifficfun | 0 | 15 weeks 3 days ago |
| Can anyone Help me PLEASE...i need some advise | nellie | 5 | 16 weeks 6 days ago |
| Dr. Robin Cotton - we may go visit him in Ohio - WE ARE GOING! | Tiggerifficfun | 2 | 21 weeks 1 hour ago |
I had listed Clinton on this web site with the hopes of finding someone that is experiencing the same and could possibly share some support and/or tips. I have found 2 people - you and one other person...you are in CA and the other person is in Australia. LOL! I guess that goes to show how rare this really is! Clinton started using a speaking valve (Montogomery and than the Passey) when he was about 4 months old. He started with the Montgomery and we used that for about 2 months and than upgraded to the Passey and he wears that 99% of the time. The only time he does not wear it is when he has a night nurse which is 1 night a week and when she is here she 'caps' him for the night. Clinton is constantly talking - we had him tested by "Early Intervention" and his speech is fine. I feel he is a little behind because he lost the first few months without any sound! We hardly have to suction him with the Passey - what size trach does your son have? - if he has a 3.0 - maybe he can downsize to a 2.5 - like we did with Clint.
We had a Dr. Appt last week and were disappointed to find out that we may have the trach until Spring. There wasnt a big improvement with the vocal cords and Doc is going to give him till October to heal and will remove it if he is healed before winter gets here. If he does not do well than we will have to wait till Spring time - if he is healed - we remove it - if not - than surgery to correct this.
Im assuming you have to wait till October to find out how your son is progressing...I hope that he heals quickly!!! Keep in mind that they may have hit the vocal cords with the breathing tube when he was operated on. If thats the case - he may recover very quickly! Its not easy taking care of a child with a trach..... and I understand your anger. Hang in there - I know how tough it is to deal with this the first few months. In the beginning - I think I cried every day - didnt help that the 'after birth' emotions were in overdrive!! LOL!! And everytime I would talk with someone about this and explain Clints progress - never failed - I would start crying - I think it took about 7-8 months before I was able to control it. I still get upset sometimes - who wouldnt - we are MOM!!!
If you have any questions or just looking for some support - please feel free to email me directly - tiggerifficfun@aol.com (can you tell Im a Disney Fan..lol!)
First I have to say - I replied to you on Sunday and I dont know what happened. I dont see it here (on my page) and I dont see it on your page either???? Anyway, I wish we were closer too...I really want to get Clinton to socialize with other children and its difficult when all his cousins are older than him and he doesnt have any siblings (except his 23 old sister) and play groups seem a little risky. For the Passy - did you ask your doc if you can downsize the trach. Clinton has a 2.5 - I dont know if this will help you but - hey its worth a try. Clinton is speaking and I actually had 'early intervention' evaluate him and his speech is fine. I however am a little concerned -I feel that he is a little behind - he was without any voice for his first 3 months! It was music to my ears the first time I heard him cry in the Dr's office - still get teary eyed today just thinking about it! Its been a tough 19 months - but there is an end in sight. Although we have to - possibly - wait till spring - Dr. Ward said that if Clinton is not healed by than - we will operate to correct this. Stay strong - I will keep Adam in my prayers - Keep me updated - I will do the same!
Lauri,
I was thinking, if you are bring Clinton up to Cornell again, I would like to extend an invitation for you and your family to have a nice meal with me and mine. We don't live far from Cornell (Syracuse area) and perhaps someone to chat with who knows what your going through (and can help keep your mind off of it) might be nice. I hope all is well.
Paul
We got good news a few weeks ago; they will remove trach in March as his rt vocal cord is working. It was the first time I'd heard the words "the trach will come out" from a doctor and it was truly music to our ears. He has a shiley 3.5 ped and is speaking very well. I am hoping we don't have to do an operation or anything in the future. The Drs certainly don't seem to think it's necessary because he is able to fully protect his airway (close it) even though just the right side is working. Maybe even the left side will "wake up" by March??!! Would love that! Hang in there; I will keep you in my thoughts and prayers.
hello, im alexs mom. thanks for leaving me your comment. I am seeing your profile, and i see you went to disney. I have wanted to go but i dont know if its the best idea. We live in Tn. and its not that close to us, i am afraid that something can happen while we are there. Do you recommend it?
bye take care.....-alexanders mom

so similiar
it's almost to familiar to read about Clinton. My son was born just a few months earlier (csection too) and they are about the same age. Although Adam was OK until 3 months ago (no trach), like Clinton, he is fine in every other way. I wish they lived closer to each other so they could play together! We just went to Disneyland here in CA and he loved it as well. I will keep hoping for Clinton. The drs are going to look at Adam's cords in October (6 months after the trach was inserted) to see if there is any movement. In the meantime, he's doing OK with the passy-muir. We still have to suction quite a bit though, especially when he has even a little cold. He is trying to talk with the passy but it's hard to understand. I'm hoping some of the speech therapy we have scheduled will help with that. Does Clinton "speak" too? I will take anything I can get so he can keep communicating with us! take care and be strong. I hate that this is my boy, our sons, that are living like this. Angers me.