@tstefanelli, welcome. Clearly, you are worried about your sister. She has been through so much and is still struggling with COVID infection as well as antisynthetase syndrome. I'm hopeful that @jamieray6812 and @nancykay1888 will return to share more with you.

In the meantime, you may wish to connect with others in the Transplants group in these discussions
- Lung transplants and wait times: https://connect.mayoclinic.org/discussion/lung-transplants/
- What can I Expect for my Lung Transplant Review?: https://connect.mayoclinic.org/discussion/lung-transplant/

It sounds like she needs the care of a multidisciplinary team. Might going to a large teaching hospital that has expertise in post-COVID, transplant and autoimmune diseases be a possibility for your sister? Are you able to visit her?