Avery had 3 appts on Monday. Audiology, ENT and Speech pathologist. Her hearing test revealed mild hearing loss. They want her to follow up in a month to see if anything changes. If it don't they are talking about hearing aids. Not the greatest news, but no doubt Avery will overcome it. Her ENT appt went well. I talk to doctor about a speaking valve and he agreed. He had us see the Speech Pathologist while we were there so she could get one. The speaking valve is a plastic piece that fits over her trach. It allows air in, but not out. When she breathe out it goes up past the trach and out her nose and mouth. This vibrates the vocal cords and allows her to make noise. When they put the valve on it was music to my ears. I haven't heard her little voice in so long. The last time I really heard her cry was over 6 months ago. Here is a video of her sweet voice.