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If I remember correctly from my Dad's stroke, they can only leave the tube in for so long before scarring happens in the throat, once that happens it's decision time to remove it if the patient can breath on their own or not. I think that was something like 10 - 14 days, he can also select to have a trache tube put in below the adams apple area. The fact that he has movement in his hands and feet is great, now it's just seeing if his brain and lungs will allow him to breath on his own.
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