So it seems that dialysis is again a certainty. They really need to get him down in weight to try and get his lungs to open up. He gained 160 grams last night, which is most definitely unneeded. The nurse practitioner has said that she wants to get another heart echogram to see how much pulmonary hypertension is truly there. She feels like this is still an issue due to the amount of shunting he has been doing. This will have to wait until he has lost more weight and he has opened up. If the pphn(persistent pulmonary hypertension) is still a major issue, they will start him on nitric oxide and Viagra to dilate this artery and try to relieve some of the pressures. All of this is so dependent on him losing weight and opening his lungs. One goal at a time.

I will let everyone know more when I know it.

Updated: as of about 1230 Memphis is now officially on dialysis. Let's hope this helps him progress.