04/18/2025
Timothy was originally admitted to Cornerstone Specialty Hospitals Little Rock without any respiratory concerns. Though he was a partial quadriplegic due to an accident several years ago, he did not require any respiratory support. However, after undergoing an abdominal procedure, he developed an oxygen requirement. The combination of sedation, quadriplegia, and post-surgical pain made it difficult for him to clear his secretions effectively.
To manage this, our team initiated respiratory treatments and frequently had to suction Timothy through his nose. Despite our aggressive approach—including cough assist, specialized respiratory medications and suctioning—his condition worsened, and he had to be placed on a ventilator. He was diagnosed with pneumonia and a lung infection caused by pseudomonas.
After significant progress, we were able to wean Timothy off the ventilator with intensive pulmonary care. However, he was unable to maintain stable breathing on his own and had to be reintubated. Due to his persistent secretions, it was eventually determined that he would need a tracheostomy. Initially, he refused the procedure, but after multiple discussions and education from our team, he consented.
At that point, we were unsure whether he would be able to wean off the ventilator entirely. He required cough assist and suctioning every two hours. Fortunately, his condition steadily improved, and he no longer needed frequent suctioning or respiratory treatments. The initial plan was to discharge Timothy to a facility specializing in tracheostomy care, but he wanted to return home, which was not feasible with a tracheostomy placement (trach).
After further evaluations and discussions, trach removal was attempted. Once it was removed, we successfully weaned Timothy off oxygen as well. Excited about his progress, he eagerly awaited a swallow study, looking forward to eating strawberry yogurt, Popeyes chicken, pizza, and cheesecake. He passed the study and was cleared to resume a regular diet.
Before our team had the chance to fulfill his food requests, he was discharged home - off the ventilator, without a trach, and breathing entirely on his own.
To read more success stories from patients of Cornerstone Specialty Hospitals Little Rock, please visit http://Kindrd.care/61872OR7P.