Mom had a fenestrated trach placed today. This will allow her her to try a speaking valve tomorrow. They have not had her eat in Utah because of concern about aspiration. This concern bore out in that there was dye on the old trach when it was removed. This means that she is a high risk for aspiration. As a result the speech therapists in Utah will re-evaluate her swallow tomorrow. Mom will need to pass 3 swallow tests in order to begin taking food by mouth again.