**Disclaimer: this so not great picture is thanks be to allergies and tears (after a great lady drove nearly an hour to deliver this)**

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Today’s appointment was ok. The echo revealed Marsh’s pulmonary veins are being bothersome. The gradient remains unchanged so those good thoughts are definitely working.

Dr Smith has picked up a problem with the right pulmonary veins (the blood flow is obstructed and changes when Marsh breathes).

The cath is definitely necessary.

The function looks the “best ever” and Marsh’s liver is much less enlarged. We will have to take Marsh for labs to check CBC, liver panel and such because it has been some time and Dr Smith does not want us to have any surprises in Boston .

Hugs and love and many thanks❤

We return to Dr Smith for the post cath follow up once we get back from Bean Town…

Please send good thoughts and big prayers❤

Whew!