Until recently the coughing had gotten down to just at night and first thing in the morning. He doesn't seem to cough when he eating or playing. Now the coughing is morning, noon, and night. It hasn't gotten back to the point yet where it keeps him up at night though. I hope he doesn't return to that point as it was awful for all of us. You are right, we do need more vets like her out in the world.