I just spent the last hour searching for posts on tracheostomies and I can't find any info on those with a "permanent" trach!

Mom, who is in a very good LTAC at Emory, is 12 weeks into post-surgery. She has been "buttoned" 3x but they can't keep her o2 stats above 90 when she doesn't have oxygen. She also has a lot of secretions. Her surgeon looked at her yesterday and said that they should not assume a permanent trach as her airway is clear and her neck is completely healed from her surgery.

So my question is: should I suggest more agressive respiratory care? Is there anyone here who has had a permanent trach?

We REALLY have challenges finding a rehab/nursing home who accepts trach patients. I have read a few posts tho where pts/caregivers find machines and the like to suction at home. Is this an option?

Mom age 84 dx stage IV papillary cancer mandible 10/10; non-smoker, drinker, HPV-. Surgery 2/16/2011; mandibulectomy. 0 pos lymph nodes, has been in long-term hospital since March 2011. Returned home 8/11, permanent PEG tube.