guess who has her trach out?

Has a "button" in place. Closes off the opening, but allows us to suction her in an emergency. In this picture she's getting a little oxygen via the nose fangs...since she hates them up her nose we just hook them to her chin. Her oxygen fangs.
She looks a little bewildered because this was the first day breathing nose and mouth in almost two years. Taking a lot of work and learning.