What is missing from this picture???

Jacob is off the ventilator!! He was extubated about 10 am and he is doing pretty well. He is still getting high flow oxygen through his nose, but is working very hard to take all those breaths on his own. We are praying for his strength to keep it up - very hard work for a little guy who has been on a ventilator for over 2 weeks.

He will stay off the vent if he can maintain his heart rate without too many spells - often it is so much work for little babies that they have many spells of dropping their heart rate. Jacob hasn't had any of these spells yet but it is still early. We know he is a fighter and has been very restful the last few days, hopefully saving his energy for all the breathing he has to do today.

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