Kylee was admitted to Sunnyside Kaiser hospital today.  I will use medical and non-medical jargon to help describe what is going on to all readers.  She has swelling in her legs, ankles, thighs and back (e.g. 4+ pitting edema in the ankles).  Today she experienced the worse pain she has ever had.  They admitted her because her albumin (protein) in her blood is so low that she can't keep the fluid in her blood stream.  It is third spacing (moving out into her other tissue).  They are concerned because if it keeps going up her body she could end up with CHF (congestive heart failure) and or PE (pulmonary edema - fluid in her lungs).  Since she is 18 years old, she is considered an adult and so she isn't able to go to Doernbecher Children's hospital anymore.  It was new to her to have a roommate instead of a private room where mom stays with her.  They were first talking about placing another PICC line and giving her TPN again.  She told them she didn't want that; that it is only a temporary fix and she just wants the 10 cm area that is ulcerated and inf lammed to be removed.  The doctors said surgery is definitely an option but only after she is nutritionally stable.  Her serum (blood) albumin is 1.6.  Normal serum is 3.5 to 5.0.  The other option they gave her was to have an NG (naso-gastric) tube placed and feed her elemental nutrition through it.  I think she is leaning that direction.  Final decisions will be made tomorrow.  Good night.