Her surgery was in November 2020. Not a whole lot can be done for the trach and phlem. Hoping to get her esophagus stretched this late fall so that she can swallow it (the phlem). She can't swallow at all now. We did get referred to visiting nurse but she and one of us travel the 2 1/2 hours from our house to hers and spend time both places so didn't follow up. We feel like we don't really need one right yet. She takes her oral chemo and meds herself and does her lymphedema stuff and mouth care pretty well. Has to crush everything and put it through the feeding tube. Thanks!