Rabbi is making progress in the respiratory area. A respirator is connected by the trachea. It consists of a balloon that can either be open, deflated -“uncuffed”, or closed, inflated – “cuffed”. This either allows or prevents air to go down to the vocal cords. When the balloon is cuffed air can not reach the vocal cords, sounds can not be produced. Speech becomes impossible. Over the last few weeks, Rabbi has been practicing breathing “cuff down”. He’s worked his way up to over 3 hours. The goal is to be cuff down from wake up time to nap time and from post nap to bedtime. This kind of breathing takes more effort. When uncuffed , a special valve, passé Maurice, which facilitates speech. Again, this level of breathing is more challenging. Rabbi is working on exercises to strengthen his breathing and to prepare for regaining speech. They may seem simple, but in reality, they take concentration and coordination.
Watch Rabbi Simes’ progress: