Howdy, thank you for asking. The incision is healing slowly, but cleanly. We now have home health/physical therapy coming out twice a week. She also developed corticosteroid myopathy which left her unable to walk but the dosage is now really low and ends in two weeks. Therapists are helping greatly and everything is looking better. The fistula appears to have closed on its own but a specialist will have a look via angiogram in the next month. She has had a rough year but things are looking better.