Originally Posted by
Machka
....Theoretically, I think they could attach something so that Rowan could talk with it in, but he isn't at that level yet. He hasn't shown any interest in trying to communicate....
Machka,
Best wishes from New York. Stay strong.
There is a very small simple device which can be attached to the tracheostomy tube, called a Passy-Muir valve. This is essentially a one way valve which re-directs exhaled air out of the mouth and thus through the vocal cords, rather than out through the tracheostomy. It gives the patient a much improved ability to speak, before the step of actually closing the tracheostomy (decannulation). It can also improve secretion management and oxygenation, by restoring a more normal pattern of airway pressures. Of course Rowan's physician would have to concur that he is ready.