Overview

• On September 24, 2025, Annika Kärsten-Hoenig published an open birthday letter to her husband in Bild.
• She writes that reaching this day seemed unlikely months ago and recalls fearing he might not wake each morning.
• Her update highlights progress: he now breathes on his own, walks independently, and has reengaged with life.
• She reports his physical condition has improved significantly, while further tests will determine if an aorta operation is feasible.
• The letter reflects her role as primary caregiver and notes that their children are proud of his fight back to health.