So this morning was a bit disappointing. I arrived at Lynn's room and his neurologist who is also the primary caregiver in the NCCC was there. She told me that during the night, Lynn's ammonia level continued to rise and eventually got to 249. A reminder for those of you don't know, normal ammonia levels are 0-25. Yesterday, they had stopped the lactalose, changed his very expensive IV medication to po through the tube and were no longer giving Mannitol because he was maintaining his own ICP levels. They had also increased his Protein a little. Obviously, his body was not ready to accept all of these changes. So where we are right now is this. They have restarted the Lactalose, they have treated with a dose of Mannitol and his ICP is down to 3. They have backed down on the Protein and they have increased his dose of the amino acid that he was originally being given IV. So Lynn is really not "worse", but rather has had a setback. The elevated ammonia levels are causing a higher level of sedation. He is not being medically sedated. However, we probably won't seen him wake up today or even possibly tomorrow. Remember in an earlier post we said the doctors warned us that we might see 2 steps forward, 1 step back? This is one of those times. So we will continue to "patiently" wait and pray. Again thanks for all of your support. I'll keep you posted.