Last night, I had that nightmare airway every ER physician hopes to never see: obese male with Ludwig’s, severe epiglottitis and hoarseness. Luckily, he was still breathing on own with stridor in the upright position but comfortable. Had I not taken your course, I would not have been able to perform an upright, awake, bronchoscope nasal intubation. The airway opening around the arytenoids through the scope was just slightly larger than the size of the bronchoscope! Thank you a thousand times over!!!