Josh went to a new pulmonary specialist (Dr. Doshi) at Beaumont. Josh thought he was great and he got a good and thorough evaluation. There is definitely some scarring on his lungs and Dr. D wanted a C-T to make sure that there was nothing active there. Josh went and had that done September 27th. The bottom line on his lungs is that we can expect it not to get any better, but that it shouldn't get any worse. Symptomatically, it will be very like being asthmatic. He had Josh increase the dose on his Advair inhaler to two puffs twice a day (up from one puff each time) and had him stop taking the Singulair. He also emphasized that due to his continuance on the immune suppressants (Tacrolimus), upper respiratory infections could be deadly and he’ll have to really guard against them.
Josh also had a follow-up with Dr. Fortin (the ankle guy) and he thought the ankle looks great; good take of the graft, great mobility. He’s not feeling any pain or discomfort. He can overdo the ankle, but he’s pretty good about knowing when to take a break. I can't remember the last time he came home and iced it. He does limp a little when it's tired or sore. He doesn't need to come back for another check-up on the ankle for a year unless something happens. That was a good boost for his morale, as the news from pulmonary sort of depressed him.
He saw the Dr. Stec (his ophthalmologist) this week (big week for check-ups, huh) and she was also very happy. The white spots they’d been concerned about on his eyes have all cleared up. The Restasis appears to be working so he’s to continue with two drops at bedtime. His cataracts didn't appear any worse, so we're still just keeping an eye on those. She said he was borderline on needing glasses. He could have them if he wanted them, but didn't need them if he wasn't having any trouble reading and he wouldn't need them for driving, etc.
His midterm progress reports are coming out for us on Monday. He got his grades from his teachers yesterday and he’s got solid B's. His AP history class is a C, but that counts as a 3.0 on his GPA (B is 4.0 and A is 5.0 on the AP classes). He did get a B on his last paper (they do one a week) and he's been getting C's on those, so it appears he may have figured her out. She's been good for his writing.
We're pretty happy with how he's doing. And he's pretty happy and enjoying school.