Much to our surprise the medics to-day decided that now would be a good time to put Dougie on the smallest size tracky (micro trachy) and this was duly done this afternoon!!!
This size only allows small scale intervention for suctioning and, since it is only 4mm in diameter and does NOT have a cuff, Douglas is now breathing unaided through his mouth and nose and can talk as and when he wants to. This was quite unexpected ......... a week or two from now was hoped for so he has really jumped ahead a great deal. He seems quite delighted with all this.
However it is all a very different breathing regime and even more so when it comes to getting rid of any sputum which he needs to bring up (sorry .... gory details and all!) so he has a bit of acclimatisation to do. Poor Jules visited this afternoon and was treated to 45 minutes of a recumbent body snoring gently!!!
However, when he woke up, his mood was very upbeat and, as he signed, he can't wait to get started talking - he's got lots and lots to talk about :-))
The nursing staff are now trying to work out how they can fit a 'pause' button!!
His most recent trip to the gym involved three round trips on the parallel bars of which he was rightly proud! However he is now all concerned about having put on weight round the middle!
As the Registrar pointed out, it simply meant that he had a bit more work to do to turn it all back into muscle again .......... this got a half hearted response I'm told.
In addition to all this, his writing has improved very considerably (i.e. is much more readable) and he had made several promises regarding his future progress (including getting set for a visit to Mike and Liz in Canada!!) to Lorna. Great stuff!
Whoopee .....................
a Very Happy Pappy
Iain
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