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Mikayla's Story

My name is Kimberli Phillips.  Our sweet daughter Mikayla was born on Valentines Day 2004.  She was due on March 11th and decided that she would come early.  It was our first child.  She was breech, her foot was lodged in my pelvis, and she kicked my water open.  We went to the hospital for a C-section.  Everything went well and 2 hours after we got to the hospital our little girl came into the world.  She was screaming her head off, I was crying, and my husband, John, was so happy he was beaming from ear to ear.  She was a perfect 6lb 1oz little girl.  We then took her home.  7 weeks later on April 6th she woke me up and she was wheezing a little and would not take her bottle.  We took her to the hospital where the ER doctor was going to send her home.  My pediatrician admitted her to watch her overnight.  We took her to the pediatric floor where several different doctors evaluated her.  None of them thought she was acting right but they could not figure out what was wrong.  They kept having me sign consent forms for multiple tests.  I was so scared.  They then took her to PICU where the pediatric intensivist saw her.  They were sticking her for a second IV when she stopped breathing.  She was then put on the ventilator.  I was so afraid, scared, and confused.  We brought in our perfect daughter and now a machine was breathing for her.  The doctor told us that she would be on the machine a good two weeks.  They did a multiple of tests and found out she had contracted RSV.  She stayed on the vent exactly two weeks.  She then was taken off and lasted only two days before being put back on.  She then stayed on a few more days and we tried extabating once again.  This time she stayed off of the vent for 16 days and things were looking good.  The doctor told us that she had developed chronic lung disease from being on the ventilator.  They also did 3 CAT scans during our stay and told us she had some fluid on her brain, but it was not enough to require a shunt.  We were relieved to finally hear some good news.  She then started having some problems breathing again.  She was retracting, sweating, and in severe distress.  Once again they put her back on the ventilator and diagnosed her with tracheal malacia.  The ENT was consulted and he decided that doing a cricoid split might fix the problem.  They took her to surgery and performed the split.  She was then on the vent for 7 more days.  Mikayla extubated herself the morning they were going to do it.  She lasted for less than one hour when she started showing sings of distress.  Her Oxygen sats dropped into the 30's and consequently we were put back on the vent.  This was now the 4th time on the ventilator.  John and I were so ready to have our little girl back.  The ENT then came in and told us we were going to have to do a tracheotomy.  At this point I was glad they could help her.  I did not want to see her struggle to breathe anymore.  She had her surgery on May 27, 2004.  She stayed on the vent after surgery for 5 days.  She was taken off of the vent and could breathe this time.  We were so happy and relieved.  She is now at home with a feeding tube because she has not been able to eat, but we are continuing to work on that.  She is also weaning off of all of the medications they had to put her on for sedation.  The weaning off of the medications is very difficult on her.  They say she will grow out of her tracheotomy and hopefully be decannulated in 12-18 months. 

 

Mikayla never wanted to eat so consequently we went back to the hospital to put in a g-button.  She had surgery on July 19, 2004 and stayed in the hospital for 5 days.  She has done so well with it and she is such a happy baby.  She is growing like a weed. 

Update

Mikayla went to see the wonderful Dr. Cotton on April 24, 2005.  He did a procedure called a Cricotracheal Resection where he actually took out part of her trachea and then sewed it back together.  Mikayla was in the hospital for 6 weeks.  She spent 5 weeks in the PICU and 1 on the regular floor.  As a result of the surgery Mikayla's vocal cords swelled and she failed coming off of the ventilator twice.  The third and final time they wanted to put the trach back in, however Dr. Cotton gave her one more chance to come off of the ventilator.  She did well the third time and we got moved to the regular floor.  She then had a follow-up scope on May 25th and it looked GREAT!!!!  They let us go home and me, Mikayla, and my mom drove from Cincinnati to Amarillo.  We went back for a follow-up scope mid-June and her trachea looked great.  We go back in September for another scope.  We are so thankful to have a beautiful, happy, smiling girl who finally breathes through her nose and not her neck!!!!!

Tracheostomy Webpage

To learn more about everything from what a tracheostomy is to how to take care of it please go to the website listed below.

Email Me!
mikaylamommy@yahoo.com

Links to Other Sites
www.tracheostomy.com