We pray for strength for Mariz. This morning her lab results showed elevated liver enzymes reversing a trend the day before. The frequency of required paracenteses has increased from once in 9 days to once in 2 days, both draining 4 liters of clear fluid. The SGPT levels spiked to nearly 2000 from 200. She has turned hyperkalemic and constipated. She has finally found relief at 9PM with help of laxatives. She is not in any significant pain but increasingly more labored. Mariz has always counted her blessings, she thanks God for his love and always remembers the love of her family and friends. She especially thanks God for Jess and Lica always beside her. She has bruises showing on her abdomen and arms, said to be signs of her liver failing and the ascites seeping into her soft tissue. Dr.Vukelja has been such a great physician understanding the needs of her patient beyond the physical. One more blessing during this delicate time is the exemplary care from Trinity nurse Courtney and PCA Rosie. They provide such great care and empathy to the patient and family and shown great compassion preserving Mariz's dignity even as her condition has rapidly changed. We continue to pray that her journey will be a peaceful one. God is good. Ralph