He has the doctors totally stumped. Hematologists, Radioligists, Internists, Pulmonolgists all are stumped as to why he continues to build clots when his blood is anti-coagulated. What really concerns them is that his number measuring his coumadin shot from 3.0 which is the optimum number for being anti-coagulated, to 13 in a matter of hours. And they told me today that it is not the heparin that did it. Now there are a couple of things they are looking at which are not good reasons. And I can't even say what they are because the testing won't be complete until tomorrow. But he has thrown a blood clot in a duct between the stomach and the liver which is now lodged in the liver. I personally spoke to the doctor and feel this man is doing all he can to figure this out calling the best of the best because this is not generally an area where you get clots. They may have to give him a drug to get rid of it, he isn't sure yet. Today only blood work will be done, tomorrow another dye scan of his stomach, liver, bladder, kidney and pancreas. Mike is scared of course. He called this morning told me he was confused about what was going on, he is somewhat sedated, and he asked me to get there to talk to the doctors. He has signed over a Power of Attorney to me to stop the insanity of last night. And now we wait. He is pretty stable right now, they have removed him from his heart drugs, giving him his asprin and plavix only. His clotting factor is where they want it and he is coughing and trying to rid those lungs of the clots. I pray after tomorrow we will have more answers. With regard to the right heart failure the doctor is not overly anxious. This is a different doctor than last night, that I met with today. He told me that he believed a clot went through that artery and yes it is open wider than it should be, but we can deal with meds later on that if it doesn't resolve. He also said the kidney function is high, but again with the metobolic issues, the dyes, everything let's not panic on that yet. The most important thing for them to try to figure out as a team is why he is clotting when he shouldn't be. I am exhausted the visiting hours are limited and I'm going to try to get a nap and get back there in a few hours. Keep those prayers coming the man is pretty sick right now and could use all the intervention he can get. Hugs..and Thanks.