December 19, 20024
David slept most of the day but he did have a little bit of confusion and agitation today. His ammonia level is high and that can cause a number of things to happen including hepatic encephalopathy which would explain the confusion in his brain. While his liver numbers are not bad, his liver is struggling to do its job and fight the cancer that is overtaking it. He has an ultrasound today and if has enough ascites, he would need a paracentesis in order to give him some relief from the swelling in his abdomen. When we spoke to Dr. W this evening the results were still not back. There seems to be some issue getting reports here and we are definitely not use to that. Still running on no sleep and no nap.