Hi All! So I’m back to give an update. Thanks for all the helpful advice. Intubating is still an ongoing saga for me. I went to Cleveland to get my pouch scoped. I spent more time waiting for my luggage in the airport than seeing the doctor. He didn’t see anything wrong and just told me to intubate more often. I struggle with that for many reasons - but that’s for another strand. I’m able to get a boiled catheter in with varying degrees of difficulty. It hurts most times so much that I get lightheaded. I have a small red rubber tube I use to get gas out and then I can usually fit my 30 fr. in after a while. I’m going to order another size of rubber tubing for those challenging days. I guess this is trial and error and takes time to figure out. I’m trying to be patient...