A better day. No fever, less traffic and lots of rest seemed to make a big difference.

11-11-07@ 9:30 PM – A better day. No fever, less traffic and lots of rest seemed to make a big difference. The only medication given to Mike today was a pain med. A minor procedure to reduce the size of Mike’s trach caused a little pain and an increase in coughing but otherwise a restful day. The further reduction in trach size will encourage Mike to use mouth and nose 100% for breathing. We could already see an increase in mouth breathing. It seemed like he was gasping for air but the nurse explained that his efforts will be less labored as he adjusts to the new size.