Brianna always goes above and beyond advocating for her patients. In this scenario, she utilized critical thinking and requested a consult for speech therapy to determine the patient’s tolerance for a speaking valve after the patient had repeatedly self-decannulated. Her determination and advocacy gifted this patient with his voice. The speech therapy consult resulted in this patient returning to verbal communication and swallowing after a severe CVA, resulting in trach, peg, and long-term admission. Her critical thinking skills and advocacy resulted in tracheostomy decannulation, which will very likely result in a peg tube removal. Her critical thinking skills, dedication, compassion, and persistence changed the rehab course for this patient, and it will ultimately change his life and the lives of those who love him. The nurse, “saving a life isn’t just about getting a pulse back, it’s also the joy of watching someone’s face light up when they hear their own voice again, witnessing the joy in patient having their first bite of a cookie, after three months of being NPO.” You are amazing!