Jessica is doing remarkably well for her condition.  The doctors are pleased with how long her kidney has lasted and how well it's doing considering.  Several small changes need to be made such as formula, types of food eaten by mouth, potty routines and lab draws/UAs.  For the most part Jessica is stable but only time will tell with new medications and the other changes being made.  Knock on wood that things continue to along a smooth path, rather than a rocky one :o)