Jacob had counts today for the first time since his transplant. This means that the cells are beginning to engraft! Hooray! Now our next steps of many to come are to keep an eye out for any graft versus host disease (please keep praying that he won't get any), to help ease his vomiting and diarrhea, to help him get his appetite back by weaning off the iv nutrition, and to get him switched over to oral medications. All of these things will take time as we know from our prior experience, but it would be nice to resolve them on an out patient basis. We will see. We also have to remain vigilant about avoiding and preventing germs. Jacob's immune system won't recover for another 6-12 months. His ANC (absolute neutrophil count) must be over 500 to go home (back to our apartment). Up until today it was zero and now it is 140.