Judi spent most of today resting.

This evening, we decided to take a proactive step in Judi's care, and her doctors performed a tracheostomy. When patients require a ventilator for an extended period of time, this procedure is done. Instead of having a breathing tube in her mouth, she now has a much smaller, less invasive tube directly in the throat. This is more comfortable for her, reduces the risk of infection, and is much less damaging on the vocal cords than a tube in the mouth. It is also much easier to deal with during surgery, and will make it easier for the surgeons to take care of her when they do her back surgery later on down the road. The procedure is relatively quick and simple, and was done right in her room. (Moving from floor to floor is an adventure in itself.)

Don't worry - this is not due to any danger or setbacks. But since she will likely need to be on a ventilator for a little while longer, it was a logical step for her improved comfort and safety. She already seems to be more comfortable, and that's what we want!