Our little Caylah had a wonderful 3 week stretch! Just a couple of days ago she started to require more oxygen and higher pressures....Her trach culture came back today with a bacteria called Klebsiella pneumoniae. Which means she has pneumonia. This is not the first time she has had pneumonia. She had it a few other times during her course at Tripler. She is VERY susceptible to infections of these kind- due to all the plastic hardware she has in her body. The devices are a breeding ground for all types of bacteria. Unfortunately there is nothing that the docs can do to prevent her from getting it, because all of the plastic hardware that she has in her body is necessary to keep her alive. She is being treated with antibiotics. We hope that she will be able to truck through this infection like she has done in the past-but she is QUITE sick again. We know you can do it Caylah pie! Love you.