Complex Case - Changing Therapy Strategies When Needed*I shared this case with Suzanne Evans Morris and she provided some   guidance and analysis at the end. Hope you enjoy John is a 6 year old male with a complex medical history:Downs syndromeEsophageal  Atresia and TEF fistula with several dilations and repairsLaryngeal Tracheal  Cleft s/p repair  with history of Keep Reading >>