apparently this week my brother was fiesty again and tried to pull the pipe out of his mouth/throat again. due to that action, his throat swelled up. they had to do an emergency tracheotomy. so, he now has a nice slice in his throat and a tube going in that way. it also appears he's contracted influenza. as if he isn't having enough problems breathing and getting along. they were supposed to operate on the arm breaks this week. well.. that's the story so far. again, thank you all for your positive energy. take care.