From the opening post:
"The final item that Pamela presented to the judge is that Scott is scheduled for surgery to close his tracheotomy opening, which should allow him to regain his ability to speak and make sound."
Now if Eliza had her way, Scott would have been starved to death at the hospice, instead of looking forward to a great prognosis.
They could downsize his trach to a #4 cuffless fenestrated trach with a passe muir valve. He would then be able to speak if he was still able to. This device allows a tight seal on the tracheostomy system and forces the patient to breath through mouth and nose; this allows air to vibrate the vocal chords and the person to speak. I'm surprised they have not graduated to this device already. Surgery on the trachea should not be needed unless the trach was majorly traumatized!