I think the visit to the pulmonary doctor may have helped with latest episode. We came up with a protocol in the event of aspiration, vomiting, etc. So when he started getting sick a couple of weeks ago, he had antibiotic ready to take immediately, started on nebulizer right away, stopped feeding tube for 24 hours, started on oxygen and hydrated as much as possible. That at least limited the severity of the latest episode and got him back on his feet quicker.

This latest episode was caused by vomiting again. Though I'm still trying to figure out if the vomiting was the cause of the pneumonia or was it a symptom of pneumonia that was already developing.