Yesterday Josh's tracheotomy tube was changed to a smaller one, allowing him to speak when he is not hooked to the ventalator. His voice was horse, but still his, and great to hear!! Getting to listen to him talk just reiterated how positive his attitude is.  He was off the vent for two 6 hour sessions yesterday and again today.  So he is able to talk for those 12 hours.  Tomorrow he will be off the vent for two 8+ hour sessions!  They say if he keeps this up he could be done with the treciatomy and vent next week!!