@Mossy thank you! Just a routine check up with the trach doctor. They are putting a scope down his trach every few months to make sure he is healing the right way. Lots of small steps in order to get the trach out and him off the vent. In the last few months he's able to be off the vent longer and longer. He's off mostly all day now and only uses it to sleep. Just has a little cap on his trach that let's him speak during the day.