Today is Kiera’s 18th birthday, and the birthday festivities are getting into high gear. Happy 18th Kiera! We are starting with a tasty breakfast of pancakes and Canadian bacon and have a special treat in store for Kiera in town later today or tomorrow.

Unfortunately, Pop’s condition worsened overnight and his is once again unstable and fighting to maintain adequate blood pressure and blood oxygen saturation. The settings on the ventilator were all increased to support his respiratory needs and Mom and Johanna headed off to the hospital around 9:00 AM. Mom is expecting to meet with the chief doctors in the ICU to discuss the particulars of his condition, treatment, and prognosis. She will also be inquiring about the discontinuance of itraconazole and the possibility of a phone consultation with an infectious disease specialist familiar with the diagnosis and treatment of patients infected with mycological pathogens. I expect Mom to call back early in the day with an update. Hang in there Pop!