Here's a brief update on the state of affairs surrounding our beloved Peg. The latest news is not great and rather difficult to stomach. But our incredible faith in God has reassured us that He's with us through good times and bad. Three weeks ago mom went into UC hospital for elevated bilirubin levels. This most likely meant a blockage in her bile ducts. After several painful procedures, including a 4 hour surgery to "roto rooter" her bile ducts, it was determined that the bile ducts are fine; rather, mom's liver is inflamed (thus the high bilirubin) from the immunotherapy treatments. Mom was hospitalized for 18 days and lost a lot of the progress she was making at home. She was sent home and prescribed steroids for the inflamed liver, and also paused immunotherapy. Over the past few days mom has grown extraordinarily weak with occasional confusion (but she can recite the food menu options at UC with ease...she's had all of them). A planned trip today to UC for outpatient labs revealed a dangerously high ammonia level in mom. After consulting with her team at OSU, they prescribed medication to stabilize the ammonia levels and also suggested that mom seek some additional medical aid. This evening, mom was transferred to Twin Towers in the hospice unit to get some around-the-clock care. While this is an inpatient hospice unit, it is expected that mom will not be there for the long haul. This hospice option was news to our family, and it seems like a good fit. Mom and dad have accepted that the current state of affairs are not great. The current plan is to continue addressing the ammonia problem, hope for improvement, and then get mom home. Where it goes from there is up to the Lord, and we are confident in His plan. Mom has threatened several lashings if we send her back to the hospital for any more needles, drain tubes, or bad meals. On behalf of the family, I thank you for your messages, cards and prayers for mom and dad.