Hopefully just one last note on this thread. Mike had surgery on Monday morning to repair the chyle leak. Was actually in surgery for 45 minutes instead of the 2 hours they thought it might take. Docs went back thru same incision and surgeon said is was obvious where the leak was as it was flowing. He said he "threw everything but the kitchen sink at it" meaning stitches, glue, mesh and something else. At present we are home, still on the MCT diet at least until Monday. Mike is feeling much better now, incision looks good and he's having no problems swallowing, talking, etc.