Jacob's pain and breathing got worse over the weekend so I called our Hospice nurse and had her visit this morning. With no air intake in the left lung we went to Iowa City to see what is going on. An x-ray showed the left lung filled with fluid, which we learned often happens as the tumor grows. We chose not to do surgery to insert a chest tube to drain it as it would be a very short term solution (less than a week before the fluid returned) and Jacob hates surgery. So we are home and will enjoy life. When Jacob needs it he can have Morphine and Oxygen. Prayers for his comfort, please.