Pete
I realize a seasoned veteran like yourself has used and discarded more trach work arounds than I can imagine, but ehen I did a search on OCF, nothing came up with a handy gadget they gave to me herein hospital until they pulled it this morning: a passy-muir speaking valve forspeaking that clicks on and off trach tubes. I loved the upening shot on yheir web page as it shows what I imagine as your "inner self" always young at heart despite being adult on the outside
the once and future Pete D - forever young