Last Saturday, we changed Abby's trach just like we do every Saturday. This time, she just kept coughing after we finished and couldn't stop. Her face turned a dark shade of purple and we quickly suctioned her to get whatever was in there out. That didn't seem to help, but then I noticed that her trach ties were really loose. For whatever reason, now that the tube that goes inside is longer, it really bothers her if the trach ties are loose and the trach can shift a bit. We tightened the ties and she finally settled down. Just to be safe, I hooked up a nebulizer treatment to give her some Albuterol (the equivalent of a fast-acting inhaler). Once things calmed down a bit and Abby started breathing normally again, Matt and I did our typical post-semi-emergency ritual and collapsed in a heap on the floor. This kind of thing hadn't happened in a while and it started without warning, so it certainly got our heart pumping. The ...