If your going to be getting a trach you might want everyone in your family (you included) to learn sign language.
When you first get your trach there will be a period of time when you won't be able to talk. But you need a way to communicate with your doctor, the nurses, your family, etc.
I suggest you first learn the alphabet.
Has the American Sign Language Alphabet
Has a click on the word you want to learn and a video of a person doing the sign is shown and the instructions telling you what to do are printed.
-Note pad and pencil.
-Dry erase board and pens. But they smell. So if smells bother you or you have asthma, I'd avoid this idea.
-Cow Bell. These are LOUD, but get everyone's attention :)
-Magna Doodle. My son had this and it works great.
Believe me when you start thinking you will come up with all sorts of things.