It looks like Kai is going to need a liver transplant sooner rather than later (sometime this year). He is still gaining weight and growing which is good. He will need to gain a few more pounds before reaching the ideal weight for a transplant. Dr. Book, the liver specialist, was happy that he is still acting healthy despite his high bilirubin levels. She is also quite optimistic in the long term because the procedure has an excellent success rate. At this point either Paul or Kate is planning on being a living donor, but we will learn more about this in the coming weeks. He is going back to the doctor next Monday.