Derek took a turn for the worse around 11pm tonight. The nurses were turning him, and he vomited once again and inhaled a large amount. His oxygen dipped to 50, and they promptly inserted the ventilator/intubation. We opted to go ahead with intubation (if needed) earlier today. Each time we have come into the ER, Derek has been asked whether he wants to be "full code" (use all measures to fight for his life) or partial or Do Not Resuscitate. Because he has been so motivated and returns to normal so quickly following hospitalizations, lately he has opted for the "full code" with high hopes of recovery and longer life. Believe me, we have discussed these issues to the nth degree in the past 3 years. He's sedated right now. They are also doing an NG tube to decompress bowel impaction and draining the stomach so there is nothing else to vomit. This turn of events makes his situation much more bleak, although I'm reminded to have hope and keep trusting Jesus who died for us. We are so thankful for all of your love and prayers.