Porter went up to the OR today to have his Trach changed to a different size. They took him from a a3.5 to a 4.5. His stoma was quite a bit bigger than his old trach size so even though he isn't gaining much weight he is still growing. He did great with the procedure and didn't have any issues. Since he did so well he cold check out of the CV recovery and come back to his corner suite in the PCU. They looked at his vocal chords and those looked good. There is some narrowing at the top of his epiglottis that might need to be addressed before he is decanulated (trach removed).We'll cross that bridge when we get to it. He was full of smiles all day today.