A few days ago Alyssa and I were very excited that Brian tolerated vent decreases and wasn't as sensitive to touch. At that time these were big accomplishments because it showed us he was fighting off the infection. In the past few days we have learned that Brian's tolerance and ability to breath are affected by everything else going on and can fluctuate day to day and even hour to hour. We have learned to gage his progress by looking at the bigger picture. Unfortunately Brian has a lot of issues right now that the doctors are doing their best to manage but are not improving. The most urgent issue has become the clot in the main artery in his neck. As I have mentioned in previous updates the clot is responsible for Brian's huge head. The clot is also responsible for the fluid accumulating in his chest. If I understand correctly some of the fluid that has been unable to drain through the clotted veins have found another rout, the fluid settling in Brian's chest. The amount of fluid has been steadily increasing which is again putting Brian in a state that is very susceptible to infection. Alyssa and I talked to the cardiologists today. They gave us three options to correct the chylothorax. Brian is scheduled for an MRI tomorrow which should help them determine which option is best. Depending on the size of the clot the doctors would like to try to balloon the vein, hopefully creating the space to allow the fluid to drain properly. If the clot is to big for the balloon option they would try to place a permanent stint. There is also the possibility that the clot is to big to do anything surgically. We are not sure what the plan would be then. If surgery is scheduled for Brian it will most likely happen Wednesday or Thursday. Your continued prayers are appreciated!