Mr. Colten continues to make progress.  He now has a nasal gavage due to his newly acquired gag reflex.  He has been consistently gaining 20 grams each night and has surpassed his birth weight.  We are working diligently on his feeding development.  However, he is quick to fatigue and needs to gain strength in order to complete all his feedings without his gavage tube.  This is a slow process, but we are optimistic that he will be coming home shortly after Valentine's Day.