I have become quite the talker lately but I definately prefer to occlude my trach with my finger rather then use the speaking valve. Some words come out pretty clear - uh oh, bye, hi, up and some are a little less clear but still understandable - cracker, water, daddy, mommy, juice, more. My parents are just so excited to hear me talking that they aren't complaining. It does help that most of the time I will sign and talk together so my parents have a little help in figuring out what I am trying to say. That's better than most parents get!