Table 2.

Most significant effect of the cough system.

Subject	Comments
1	Works great, without it I would have died
2	Mom wrote: “The system keeps his lungs clear that there is no congestion in the mornings!“, “He said he feels like his nose is so clear that he feels his nostrils are open as wide as penny rolls.” “It keeps my airway so clear that I forget about the stimulator and don't think to use it.” “My abdominal muscles are getting stronger. When they take off my binder, my gut doesn't hang out!"
3	“I can breathe so much better now!” Form F#4 ″Indicate change in ease using Cough Stim vs. previous methods” stated “Best possible [method]!!"
4	So, good system
5	Works great. Thanks so much
6	I can breathe easier. My lungs are clearer. I would have been hospitalized by now for pneumonia before I had the implant. I have food particles coming up often and this is how I had developed pneumonia in the past, now my lings are clear of this problem.
7	Much better breathing while sleeping per wife, “not shallow & fast like before” I have no trouble singing at church, voice is stronger. I went back to work because of this system. I'm very thankful for this system.
8	I have more energy.
9	Great for clearing phlegm
10	Best invention ever. Helps even for blowing nose
	I wanted to say “Thank you” again. This device has been a life saver. The knowledge and ideas, research and production of this product is appreciated more than you know. Before I had the implant, I was hospitalized at least twice a year for upper respiratory complications and pneumonia. Each time was life threatening. I was almost intubated numerous times and placed on Bi-pap. I was almost tracheid on two occasions. Since the implant there has only been one upper respiratory infection. This is the best thing we have done since my surgery. It is a game changer for anyone with compromised respiratory function that comes with spinal injuries. Thank you, Thank you!
	It seems a simple Thank you isn't enough but Thank you from the bottom of our hearts for introducing the cough system to us. It definitely is a positive part of our lives since the injury. My quality of life has improved greatly, enough that others have noticed the difference. We are very grateful for the implantation and your encouragement. It is very helpful with the bathroom routine. A huge Blessing indeed.