We had an appointment with another cranial facial surgeon in Austin for a second opinion regarding
Cade's soft palate and swallowing difficulties. I was hoping for a quick fix but of course that was not the case. This doctor thinks
Cade's palate does need to be fixed eventually but not now. He still feels
Cade is a huge surgical risk due to his small jaw and low muscle tone. He also believes that
Cade's swallowing problems are due more to muscle tone than to his soft palate anatomy. He noticed that
Cade has partial paralysis on one side of his palate which he assumes continues down the muscles of the throat. He recommended
VitalStim therapy which uses electrical external stimulation combined with traditional swallowing therapy. His hope is that the extra stimulation will
strengthen Cade's muscles. We have had a difficult time finding this therapy but will hopefully begin that soon with
Himmel Home Health.
Another issue that concerned the doc was that
Cade had never in his life had a sleep study. He said a kid as risky as
Cade, especially a kid who had a
trach and then a
trach that was removed required a sleep study. So
Cade and I signed up to stay the night at Dell Children's Hospital.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYzpFthasKlTXo6fc339BfMt1k7vjxWoJ1a1bRuFfdDY2HlzAfy9CtXWh_v2FvratnwjaGjCRwUjOAes_vF5LrFveROhtXYEtovOXsHKyVSQPEOFyum0BZt3moDm2wc2shGyxKBqBBALWs/s400/60.jpg)
We went around bedtime in our pajamas. They had me put
Cade to sleep and then tried to hook up electrodes to his face, chest and legs. They monitor things such as breathing, oxygen saturation, leg movement, etc. This study was mainly to determine if
Cade was having periods of apnea.
Cade did not like being hooked up and pulled the electrodes off many times during the night. We did not get much sleep.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8Rj9bLZhQT7sigK9EJXXGxfk5C8JNN5o7VJAUjjRa2yjBhnlnKMAqCHD-Bqz6404iYCT0A29zgWX566-cV6B0Z6JWuO34cVhDS8UpthnDhwYzLeTufxNVsEIgGhPrFWJha96sJteQLLEg/s400/61.jpg)
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We have only heard unofficial results but everything was fine. I hope we don't have to repeat this little study any time soon!