Hey all, Just a quick update on Jacob.

Jake had his first surgery today and it went better than expected, he was in the OR from 7:30 until 2:30. The Dr was very impressed with the amount of muscle tissue Jacob had and was able to completely close him without a patch! This was a surprise as Dr G thought at best Jake could be closed with a patch - if even completely closed at all during this surgery!

This means that there should not be any more O related surgeries if all goes as planned (hernia repair will happen in the future - but is not an immediate concern nor nearly as major of a surgery). The 'O' incision looks great - the PICU nurse said it looks better than any she has seen yet. Looks like he got into a knife fight or snagged it on a barbed wire fence while hunting! You would never know he had the 'O' for the last 10 months!

Jake will be on the ventilator until tomorrow at least, but he is doing better than expected. The GJ tube is placed, and we will begin feeds once he gets off the vent. The tube is exciting because we will be able to transition from jejunum to stomach feeds at home - no need for procedures to change it! The fundo went well, although Dr G said he had a hard time seeing around Jake's liver. He also did the LADDs' procedure, removed his appendix (since it was on the wrong side), removed the bands of LADD to prevent bowel obstruction of the intestine, and tacked the intestines down.

So, in all it's good news for Jake. Thanks for your thoughts and prayers for him. Reffie