I have managed to overcome my initial panicky reactions to these little breathing upsets, which I think has helped Heidi to get over them much quicker too. I also never leave home without a good handful of trusty cotton buds.
We are still cleaning her twice daily, and it is during cleanings that we use a bud to maintain the trach-hole. We may still need to go back to having a flesh-tunnel one day, and don't want the hole to heal up too small, so give it a good poking and stretch twice a day. This also keeps Heidi used to our messing about with it, so when we need to help her catch her breath its no big deal for her.
She is however still very much a delicate puggy, who's walks are much much shorter and rarer than she or I would like, and who has had many a fun game with her beagle BFF cut short due to her breathing difficulties, but none of this seems to affect her love of life. In fact, ignoring my strict rules about being sensible seems to be her favourite game!
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