I haven't changed my trach since November 2003. I first got my trach in May 2003 and it has been bleeding ever since, despite round after round of antibiotics. Even after the trach change it continues to bleed. I guess bleeding everyday has become a part of my daily life.  I leave my cuff down 24/7 so I can talk (using a passe muir speakng valve) and call for help if needed (I'm a C3 quadriplegic).  One good thing going for me though, is that I'm able to clear my lungs and throat enough to avoid daily suctioning.
 
 
                                                            Alan Lee
                                                            [EMAIL PROTECTED]

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