so tiana was put on an ecomode, a device that would help the function of the heart while tiana waited for a heart transplan. however, exmo -- survivors can only -- can only survive for weeks while waiting for a heart. echmo also requires that the patient take a paralitic medication which prevents the patient have moving and at the same time that weakens the body. the tillmans waited for one of two outcomes. either tiana would receive the transplant or would die waiting on echmo, but then the doctors told the tillmans about a new device called the berlin heart. it is an external device that performs the function of heart and lung. it is designed for a long-term support to keep infants and young children alive for up to 421 days while they wait for the donor heart. obviously a lot longer than the three weeks on an echmo. so the till mans decided to move forward with the br lynn heart. after -- berlin heart. after 13 days of being on echomo, tiana underwent surgery to connect the berlin heart. we have devices here to show what this is like. these two photos are of tiana with the berlin h