Still suffering

Just a quick note I let you know that Tom's ammonia level is back up to 133 today. His red and white blood counts are better so still no sign of what could be wrong. Dr. Rutland did not come in while I was there this morning so I'll try again at lunch. Tom is really suffering. He wants me there all the time right now. With the holiday and travels, he really won't have any other visitors. Tom has not been up - his back still hurts a great deal. Please pray they will find a solution to this ammonia problem quickly!