My 27-year old son, who was in good health, had a seizure, fell and hit his head, had a brain bleed and suffered a herniated brain stem. It has been 4 months since this accident and his emergency surgery. He currently mouths words (but has not been able to generate sound with his vocal cords) and has good control of movement of his head, legs and feet. He arms and hands movement is pretty limited at this time. He currently does not blink, cough, swallow or breathe on his own. He was weaning fairly well of the vent when he started to have problems with his blood pressure going especially low, then sometimes really high. This resolved and we transferred him to a rehab hospital where he started PT, OT an ST as well as vent weaning again. Then one day he started to have breathing issues – his oxygen saturation level dropped to 20 when the RT took him off the vent. He coded several times. His bp issues returned. His bp is getting better after about 6 weeks, but the RT’s and pulmonologist are having trouble getting him to wean off the vent. His oxygen levels don’t always remain high enough, especially when he is asleep. Does anyone know of anyway to stimulate his brain to keep his oxygen levels in an acceptable range? Does anyone know of a good vent dependent unit that will work with younger adults in trying to wean them off the vent – especially one located in the Midwest?