Hi been a quad 5yrs c-5 c-6 full time trach can't breath through nose or mouth do to getting shot in the throat.
When we go somewhere over night I take a egg crate mattress we got at walmart cut the center out where my butt sits and put my roho cushion in works great so far.
As far as not being able to breath It felt really peaceful when I first got shot, but after I got my trach it clogged once with a mucus plug and I thought I was going to suffercate and reach up and pulled the whole thing out lol that was scary.
Ray in AZ c-5 c-6
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