On Jan 11th Tia had sharp pains in the sides of her ribs.  One of the
issues that can develop by using the Flutter Valve is a pneumothorax.  The
nurse in the Pulmonary Lab warned us if she experienced any sharp pains to call
her Pulmonologist right away.  Between Tia's Cardiologist, Pulmonologist
and Pediatrician, we were able to get the xrays done in the suburb where we live
instead of making the hike all the way to downtown Dallas.  This worked out
well timewise, but in the end, it wasn't easy for the physicians to see how her
lungs had progressed.  The Radiologist confirmed that there was no
pneumothorax and her left lower lobe looked poor.

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