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This is just a quick update on Tyler- as you can see from the picture things are good. Tyler is now off all his respiratory help and is breathing on his own. We are very excited about this and know that we are closer to bringing him home. We still don't have an exact time frame for when he will be able to leave the hospital but hopefully soon. The next step is taking out the feeding tube he has in his nose. To do this he has to show the doctors and nurses that he can drink from a bottle and swallow effectively. This may take some training due to the fact that he hasn't had to do it for a month. He was transferred out of the Pediatric ICU last week and is now in intermediate care. He is showing all the nurses his great personality and they all love him! We were finally able to get a picture of him smiling- it is so great to see him smile and play- he loves the attention! Yesterday he would cry in his room until someone came in and then stop crying immediately. Once that person left he would resume crying until someone came back into the room. The nurses all thought this was pretty funny and knew he just wanted the attention. Tyler has been through so much over the last 5 weeks and through it all has been a real trooper. We love him and can't wait to have him home.