After tracheostomy, my younger brother became depressed. He can't speak properly and sometimes he can't speak at all. We are very close and it made me more sad that we were not able to talk like usual. I approached his doctor and asked if there are other solution and he recommended getting a speaking valve. I bought him this particular brand and when he saw it, he immediately tried it. We were both surprised! Now, he is back to his normal talkative self.