In the time since the last entry Nate has come close to death taken to the hospital where he received a tracheostomy was sent home, almost died, went back to the hospital, came home again had another event, went back to the hospital and is finally home again today. I'm not going to bother to check the grammar in that sentence.
Nathaniel has been a real trooper though. He has remained cheerful albeit smelly. There are all sorts of things that come with a trach that they don't tell you before hand. Nate needs an over night nurse as long as he has the trach. The trach can get plugged and suffocate him, we always need to carry a suction with us to suction gross liquids from his trach and his trach is attached with cloth wrapped around his neck, so its not too sophisticated and can get gross.
He seems to be happier then ever though. This is Nate being floppy. Lately he thinks its really fun to fall over.