It is Tuesday November 18. It has been awhile since we have updated. Judy has been busy calling every heart and lung program this side of the world, and to no avail. We are still going to Pittsburgh. We will probably make plans for sometime after the first of the year. That said Melissa has been doing really well. Yesterday was the first time since August that she needed a paracentesis. Shawn took her to the Mayo Clinic for the day. He told me that they tried 18 times to get an IV before finally getting one. Melissa claims, “I am one tough girl”. Her Potassium was low and she could feel it in her body before going to the Mayo, so she took extra before leaving. Upon arriving she had blood work, then the paracentesis. It was quiet painful this time because they didn’t think she had as much fluid as the times before. Emily was her nurse today and Melissa likes her a lot. They were able to pull 2.2 liters of flu id from her belly. (Barbara Sullivan and Dr. Steidley came by to visit). Melissa gets so much relief from this procedure once it is over. Her blood pressure was 90/50 and her Potassium was 3.4. She is feeling good about these numbers. However, her Albumin was very low at 2.0 so they started an Albumin infusion. Melissa states, “I am so happy my day is over and I am on with the rest of my beautiful week. Love you all and thank you Shawn for being there for me and the talk on our drive back home. Love you all very much”.