Pmv and spitting up

[Stefan & Jennifer]

That is exactly what Jake does. He likes vocalizing, but as soon as he coughs, it starts an escalation that ends up in him vomiting. Our ENT said that some kids just don't tolerate the PMV that well, even with a hole drilled in it. Since Jake is plugging his trach with his finger when he wants to vocalize, the ENT said it's no big deal--he'll be just one of the kids that uses his finger instead of the PMV, but we do wish there was something we could do.

[lac]

Collin did the same at first. Loved the PMV but would cough alot and spit up. We talked to ORL about it and during his next bronch they realized the trach was still too big. We have to downsize and he never had a problem after that.