Kate's in good spirits today, a good day so far. That's the way, good ones and bad ones. Not predictable.
Recent news: Her lung disease is stable, consistent with an April, 2019 catscan. That's very good news. The pulmonologist feels her recent increased shortness of breath comes from aspiration. So, off to the G.I. doc. The pleural effusion was apparently an artifact of the x-ray. Not evident on the catscan. Also, good news.
Her weight remains lower than we want. Her feeding tube site, which has been a problem, has begun to calm down. We're trying to get a denser liquid so she can get more calories with a shorter time period using the tube.
Sjogren's continues to impair her eating. It occasionally flares bringing nausea, fever, increased fatigue.