Hi Diane H, I am not trying to come off rude in the threads but people are biting at me so I am biting back. I bless you for surviving this disease since 1985, and I refuse to look at it as terminal. I am 29 years old and have been fighting nasty torso onset since 25, and I am about to switch over to pulmonetics LTV 1200 via invasive LTMV. I know that daily cleansing of the stoma, being very sterile, and proper suctioning is a must. Do you have any suggestions on how to avoid infections/complications because I want to make it 28 years like you. I know with excellent care and a little luck it is possible. I have a newborn daughter so I am willing to do whatever it takes to wage war with this wonderful disease. Have you managed to avoid most major complications. Sincerely, Kris