In the lastest thumbwar between the GI and the nephrologist, the GI won. It was the more conservative call of the 2, and really a pretty reasonable compromise. Nephrology suggested increasing the volume and decreasing the cycle time of his TPN. Instead, we are staying steady with both time and volume of TPN (was really dreading an increase of volume), and a decrease of calories. While the cheeks are cute, he is simply too heavy for his height. So, we will see what we see.
