It was not a downturn, per se, rather a sudden onset. She went from a perfectly healthy woman who walks/jogs 4-6 miles/day 4/wk to completely reliant on prednisone and oxygen 24/7 in a matter of weeks after brief travel to Arizona (four-wheeling, helicopter). Preliminary diagnosis (after the bronchitis, pneumonia, valley fever, etc.) was Mac and Bronchiectasis, but have since learned the results were read at 3 weeks, not the full 6-8 weeks necessary. Apparently, the scope did not pull great tissue samples so they are going back in on Friday morning via VATS. We are, however, set up with UT Tyler and Dr. Griffith in a couple weeks.