SLP works with your doctor and/or respiratory therapist to find ways for you to speak optimally. SLP helps to determine if you are a good candidate for a speaking valve and can work with you to learn how to speak with it. They can help you find other ways to communicate if you cannot speak by using your finger to cover the trach tube opening or a speaking valve. These other ways of communicating may include writing, texting, pointing to pictures on a board, or using a computer. These options are also known as augmentative and alternative communication, or AAC. Some people with a trach can also have difficulty swallowing. - Per ASHA (American Speech Hearing Association). Experienced in treatment of patients with tracheostomy in acute, sub-acute, and home-based settings.