Josiah age 2 1/2 years
This picture was taken at his Mommy and Me class for disabled children.  In San Bernardino CA, they have a whole school for disabled kids.  His was an early intervention class, which he graduated from at the end of the year.  This was just a few months before his third surgery.
Josiah age 3 years
At this time he was about 6+ months past his third surgery.  He was stronger for a while, but his sats went down  slowly.  He spent the prior two years in and out of the hospital, again for pneumonia related to chf.
Josiah
three years old
His brother Timothy about 10 months old