Alex had a swallow study recently and unfortunately the results were not what we were hoping for. Her problems with aspirating have gotten worse and she is not safe to have any liquids by mouth even thickened like she's been doing. She will be getting a gastrostomy tube (g-tube) placed this afternoon for hydration. It's basically a tube inserted through the abdomen that delivers nutrition directly to the stomach. Good news is that she will still be able to eat solid foods by mouth. We'll keep you posted on the surgery.