Thank you everyone for the suggestions. My Dad did have a swallow test on February 4 and his epiglottis is not functioning. No one however mentioned that aspiration pneumonia could result. The disturbing part is that it was just in his lower left lobe and now after two rounds of different antibiotics the new chest xray said it is still in the left and is now in the right as well. I am just trying to do some detective work to try and keep it from happening again. His fever has now been gone for about 4 days after over 2 weeks with one so we thought he was getting better but the xray shows differently. He did try a CPAP machine for about 3 weeks in February but could not stand it so it is gone. I believe after two rounds with the dreaded mask in radiation and having a trach for almost 4 months that he is very frighten with anything on his face that in particular messes with his breathing. I think he needs the machine and the test say he does but he feels otherwise and it is his call. Being on 24/7 oxygen with the pneumonia has helped at least the oxygen level at night. I just do not want the infection to spread ultimately to his bloodstream and get us in a whole heap of trouble. The speech therapist said they do not want to do another swallow test until he is better but not sure what better means and then when we do find out the results what could possibly be done about it!?