Update Nov 27th

Jimm was very tired over the weekend. Part of that may have been dialysis which leaves him quite drained, another reason may be a lung infection the family didn't know the scope of until just recently.. we kind of knew that pneumonia in some form or another has been present often.. but this is an additional factor. The most obvious respiratory issue that was most likely the culprit in making him tired and causing breathing problems during the past few days is a badly clogged tracheostomy tube that was discovered yesterday. That has been replaced. Also, an irritated bronchial vein was found which may have contributed to bleeding. This in turn lead to the clotting which was partially responsible for the trach clogging.

Deborah is closer to being able to get a second opinion now that a hospital caseworker is helping, and the insurance company is in the loop. If things go as planned, Jimm will be ambulanced to Hopkins to be checked out soon.
Thursday it will have been 6 months since Jimm was first hospitalized. During his stay at University, he has suffered setbacks and been weakened by infection after infection. This examination by another team of doctors can't be a bad idea.
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A note from Deborah's daughter Laura Andrews-
Copied in part from the blog's Jimm Greetings post:

I don't want to post a comment for Jimm as my family and I tell him regularly how much we love him and want and need him to get better!! I want to post this comment for all of Jimm's friends who have been so wonderful and so supportive through this horrible ordeal. THANK YOU ALL so much for all of the love, prayers, support, fund raisers, notes on the blog and everything that you all have done. You are all amazing and Jimm is so lucky to have you in his life and now all of the rest of us are so lucky to have you in our lives and we are so grateful!! We cannot thank you ALL enough!

Thank you and much love to you all!

Please keep praying!!

Laura