Update: Joshua has not been eating or drinking at all during the past few weeks and his weight has continued to drop. We have also been giving all of his meds via IV which has been okay, but it would be easier to give them orally. Anyway, we decided to go ahead and have a PEG tube placed in his abdomen which is a small tube coming out of his stomach just on the left side of his belly button. It will enable us to give all of his meds through this tube as well as more nutrition. We did all of this today at Community Medical Center in Missoula. They also replaced his picc line and put it in his right arm this time. Everything went well for the procedure, but it was a long day. It was an interesting experience on the way to Missoula in that I had to give him all his IV meds in the ambulance. What a bumpy ride! We returned home at about 8'oclock this evening.