Living with a trach (tracheostomy), need advice.

Posted by mindyt @mindyt, Oct 30, 2021

My situation is when carrying things, walking upstairs (unspecific other times also) it’s like I can’t get enough air, I’m breathing but it’s like not enough for the exercise, I almost pass out, I feel like I can’t breath … I have learned to stay calm and pull out the tube in my trach - sometimes this gives me the breath I need but once in a while it takes min before I get relief. I have mentioned it to my local ENT that scopes me … he is so rude and says it’s in my head, so it is not in my head but there is my question is anyone else experiencing this and have you an idea as to what happens here? Has anyone tried to get a larger trach for resolution?

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Greetings: Thank you for your comment. They are putting patches behind the ear. But the secretions have not diminished. He now is getting infections. One temperature of 105 which with antibiotics returned to normal the next day. Then he had another slight temperature. So they are looking into it now. The Trach has been in since mid February. The doctor's at the hospital said it should be removed at some point because he was on a ventilator and now is off, they were able to regulate his medicine (problems with his medicine caused the stroke). They took him off of Warafin and he is now on Lovenox. I would like to have a consultation with Mayo clinic to see our next steps. Thank you for that contact information. I appreciate any other suggestions. The doctors all are surprised on how he is in such good shape--he looks much better in person than he does on paper. This is with every doctor.

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@colleenyoung

Hi @neetneet, I'm tagging fellow members like @jeffk @deborahe @evamarie0077 @calenbd @karlm @sepdvm @clevyjam @hrhwilliam and @thomason who have dealt with trach removal and/or thick mucus secretions. They can share their tips and experiences.

Should you wish to inquire about getting an appointment at Mayo Clinic to help with decannulation of the trach, start here: http://mayocl.in/1mtmR63

I'm sorry to hear about the stroke. What is helping to thin the secretions?

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I don’t feel qualified to offer an opinion here.
I think best to check in with medical professionals.

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@neetneet

Question: I seeking information on getting the TRACH removed after it has been capped for 24 hours. Thus far I have reached 13 hours but then the secretions were too thick and was causing my heart to stress. Trials are to start again. I had a stroke and though I can swallow and cough up secretions, if they are too thick I cannot cough them up. Question 1: What makes the secretions so thick. Question 2: Would the Mayo clinic assist in helping with decannulation of the trach. I am 80 years of age.
When the stroke happened all the physicians agreed it would be needed for a short time period. So we wait to try to thin out the secretions.

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Hi @neetneet, I'm tagging fellow members like @jeffk @deborahe @evamarie0077 @calenbd @karlm @sepdvm @clevyjam @hrhwilliam and @thomason who have dealt with trach removal and/or thick mucus secretions. They can share their tips and experiences.

Should you wish to inquire about getting an appointment at Mayo Clinic to help with decannulation of the trach, start here: http://mayocl.in/1mtmR63

I'm sorry to hear about the stroke. What is helping to thin the secretions?

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Question: I seeking information on getting the TRACH removed after it has been capped for 24 hours. Thus far I have reached 13 hours but then the secretions were too thick and was causing my heart to stress. Trials are to start again. I had a stroke and though I can swallow and cough up secretions, if they are too thick I cannot cough them up. Question 1: What makes the secretions so thick. Question 2: Would the Mayo clinic assist in helping with decannulation of the trach. I am 80 years of age.
When the stroke happened all the physicians agreed it would be needed for a short time period. So we wait to try to thin out the secretions.

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@thomason

Dear Genevievee,
You will be very relieved and happy.
Take care, and please update!

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Did you ever get the tracheotomy?

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@mindyt

This is really helpful- with all your daily chores you don’t need exercise routine. It is really inspiring to me to hear all that you do with your trachea so I can get busy I am totally going to have a few more labs done and make sure I on the best healing path thanks for your insights.
Best regards and application!

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Oops appreciation

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@thomason

Dear Mindy,
You really went through hell. I am so sorry to hear of all that pain. The last two years, I have not done my pre-cancer exercise routine. It isn't that I can't, it's just that living out in the country keeps me very busy physically. With the trach, my energy is back, so gardening, canning, and drying food, mowing the lawn, hanging laundry (to save on electric bill), grocery shopping, and cooking is my exercise. It is difficult to get out of bed some days, and usually there is a nap in there somewhere! There are many animals that need cared for too, so that takes energy. Yes, I force myself to plow through it, and it does help to stay physically active. But, resting is also very important--a delicate balance. Activity does not seem to help my breathing, or lessening the pains. As long as the trach-tube is cleaned out a few times day, breathing is okay. The Integrated Specialist tested for Vitamin D, so sunlight is very important. One Vitamin D3 2000 mg. per day is good too. The pains in my hands (thumb and down to wrist) come and go. By the way, X-rays of the hands showed nothing, which was surprising. I have a feeling that with time, you may start getting better.

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This is really helpful- with all your daily chores you don’t need exercise routine. It is really inspiring to me to hear all that you do with your trachea so I can get busy I am totally going to have a few more labs done and make sure I on the best healing path thanks for your insights.
Best regards and application!

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@mindyt

Ok Thomason I just went through all my supplements - no biotin but I know that I have taken it before. Also I was put on Dexamethasone my 2nd week of treatment because I was covered with hives large hives from head to toes they didn’t know why - it took away the hives and it caused diabetes so then I had to give myself daily shots and test 3 times a day - this went on for 2 months- I lost almost all my hair and had bone pain during treatment- but It took me months to get a Dr to check my thyroid- I was having palpitations and pain in my limbs - so I was told to fast and not take anything before the test but I’m hypothyroid I take 88 mcg everyday but like you I still wake up and it’s really hard to walk and use my hands I take pain medication and stretch to get it working and I’m being diagnosed with neuropathy for that I was told the chemo Cysplaten is a culprit for causing permanent neuropathy. I just have a hard time if I do PT and exercise it causes terrible muscle and bone burn to the point I can’t sleep but I keep giving up - but I am determined to try again now that the warmer temperatures are here I want to know if I get better if I keep at it - if I will breathe better without the build up and maybe my muscle recovery time is just longer and will get better.
Have you noticed body pain and breathing getting better for you with exercise?

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Dear Mindy,
You really went through hell. I am so sorry to hear of all that pain. The last two years, I have not done my pre-cancer exercise routine. It isn't that I can't, it's just that living out in the country keeps me very busy physically. With the trach, my energy is back, so gardening, canning, and drying food, mowing the lawn, hanging laundry (to save on electric bill), grocery shopping, and cooking is my exercise. It is difficult to get out of bed some days, and usually there is a nap in there somewhere! There are many animals that need cared for too, so that takes energy. Yes, I force myself to plow through it, and it does help to stay physically active. But, resting is also very important--a delicate balance. Activity does not seem to help my breathing, or lessening the pains. As long as the trach-tube is cleaned out a few times day, breathing is okay. The Integrated Specialist tested for Vitamin D, so sunlight is very important. One Vitamin D3 2000 mg. per day is good too. The pains in my hands (thumb and down to wrist) come and go. By the way, X-rays of the hands showed nothing, which was surprising. I have a feeling that with time, you may start getting better.

REPLY
@genevievee

Since I first posted this question, I have set a date for getting a trach - next Wednesday. Thanks, @colleenyoung, for your queries. I have been living around thyroid cancer for 17 years now. I had a temporary trach in 2005, for about six weeks after a tracheal resection, and have had a dread of it ever since. However, my wonderful doctors are alarmed by the narrow aperture they see when they scope me, between the one long-frozen vocal cord and the one that works. I have some symptoms of low oxygen intake, even though I am pretty active for a 72-year old grandmother. Getting a tracheostomy now is a measure to prevent prevent breathing emergencies. I hope to keep on being able to ride my e-bike, take walks, and help my daughter in her garden. Thank you, @jeffk and @thomason and others for sharing your experiences.

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Dear Genevievee,
You will be very relieved and happy.
Take care, and please update!

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@colleenyoung

Welcome, @genevievee. I think @jeffk @deborahe @evamarie0077 and @thomason may have some tips for you about doing common activities like Zoom calls, conversations with strangers, exercise etc. with a tracheostomy.

While we wait for others to join in, Genevieve, can you tell me a bit more about you? What led to your needing a tracheostomy? How long have you had it?

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Since I first posted this question, I have set a date for getting a trach - next Wednesday. Thanks, @colleenyoung, for your queries. I have been living around thyroid cancer for 17 years now. I had a temporary trach in 2005, for about six weeks after a tracheal resection, and have had a dread of it ever since. However, my wonderful doctors are alarmed by the narrow aperture they see when they scope me, between the one long-frozen vocal cord and the one that works. I have some symptoms of low oxygen intake, even though I am pretty active for a 72-year old grandmother. Getting a tracheostomy now is a measure to prevent prevent breathing emergencies. I hope to keep on being able to ride my e-bike, take walks, and help my daughter in her garden. Thank you, @jeffk and @thomason and others for sharing your experiences.

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