Kay says I better weigh in here. It is a terrible thing that I was watching the event happen, finishing my soup (an Italian minestrone, vegetable thing I like to make for Kay's son). Anyway, I was watching expert Keyla handle what we thought was a painful spine issue, usually it's the neck from the wobbly head. Sometimes it helps to have a person looking at the alignment. Kay was making a high-pitched kind of cry, one tone, eyes squinted shut, so not getting any eye blinks on our questions, with tears. So if it ever happens again, first question, can you breathe? I think she may not be able to respond. Maybe we just assume, not. Do the fold forward, back pound, and get moving to cough assist (which always has to be ready to go!). I got her pineapple juice. We'll see if it helps. Laughter has got us through for 5 years now. Not sure how she keeps smiling. Later I told her not to interrupt us, unless she was choking to death again. Hoping we don't have this event repeating. Looking for more bonus time this Thanksgiving week with my sister. Thank you forum support friends -- although I don't write much, I read and follow your stories. Appreciate all the advice always.