Happy Birthday Sheila!
Kathleen had a very tough night in which she woke up at 5AM and coughed up phlegm the rest of the morning. She coughed her trach cap across the room several times. In the morning, Mike & Kim did a search and destroy mission on all dust in the room which took many hours. The family thinks that allergies may be the cause of the problems (which are really only apparent in the evening) though Calaratin hasn't done the trick as of yet.