Tuesday, August 23, 2011

ENT Visit: Apnea Update

We went to the ENT this morning to see if Justin's tonsils are a playing a part in his sleep issues.  One look confirmed that his tonsils will soon be history.  His tonsils have grown from a +1 (growth blocking 25% of his airway) to +3 (blocking 75% of his airway) since last summer.  Why is everything growing inside and not outside?   That's where all his food is going!  The doctor will remove the adenoids at the same time, even though she cannot see them to know if they are a problem.  I asked her why do the surgery if he will probably need CPAP anyway.  She said that it's still likely that he will need CPAP, but the removal of the tonsils means the air flow settings will not need to be as high to force air past the tonsils.  And removing the adenoids will give an extra millimeter, which will help too.  The lower flow settings will mean he will tolerate it better.  I am all for that!

Because of his age and DS he will need to spend the night in the hospital.  And the doctor said to be prepared for at least a week of complete dedication to Justin's healing.  She talked with Travis about remembering how he felt after surgery and that it wasn't time for wrestling and picking on his brother but that it was a chance to be a loving and helpful big brother.  Travis definitely said that it was no fun having tonsils out, so he can commiserate with Justin.  I am glad we didn't do them at the same time! Time to stock up on ice cream and pudding...

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