A baby named Gabriel Golden, born at 22 weeks gestation and weighing 450 grams, has survived against significant odds at Vanderbilt Children's Hospital. Despite doctors estimating less than a 5% survival chance and high risk of complications, aggressive neonatal care, including ventilator support and a tracheostomy, was provided. After a year in the NICU, Gabriel was discharged, requiring ongoing oxygen support but showing normal mental development, demonstrating advancements in premature infant care.