Mike had his blood work this morning and saw the Internist. They are increasing the Coumadin dosage slightly this week. We were not given the results of the other blood work but know we'll be contacted if there is anything significant.

The doctor listened to Mike's lungs and believes fluid is beginning to build up in them. Mike had gained a few pounds, and instead of it meaning this was true weight Mike has gained, the doctor feels it is fluid weight. Mike persuaded the doctor to let it ride for a week, and it must not be too concerning, or I would think he wouldn't have listened to Mike. He told Mike the increased fluid could be why he's feeling some discomfort under his arm, and on his right side where the biliary drain is. It also explains his shortness of breath.

The bruising effect across Mike's upper chest is blood rushed capillaries, because the blood is trying to find away around the blockage. The doctor didn't seem concerned, but he did check Mike over pretty well, and wants to see him again next Tuesday. Mike has also developed a rash across his back. Although the doctor seemed a little puzzled, he was not concerned.

So this turned out to be the only appointment Mike will have to have this week, because we were able to get the oncology blood work, and this other ProTime blood work, done at the same time, as well as seeing the Internist because of this discoloration across Mike's upper right chest.

Mike has had little energy today and hasn't eaten very well. He did come downstairs later in the afternoon when Amber and Ethan visited. I was thankful to see Mike up and moving around a little.

I made the decision to reattach Mike's drain this evening because of some changes I've been noticing when I'm changing out the dressing. I'm hoping we can correct things and avoid another biliary exchange so soon.

Thank you for your unfailing love, encouragement and prayers.