Unfortunately, Juliet's body is taking on extra fluid again. Her last remaining chest tube is minimally draining (which is good) but she has gained significant weight 3 of the last 4 nights. Her face and trunk are very swollen. I hope today will be a day of meetings with all of the sub-specialties (surgery, infectious disease, nephrology) to formulate a plan to quickly reverse this process. A section of her abdominal incision has become more open and the bigger she gets, the bigger that opening is going to get.
Here we go again.