So, for his 8-year transplant anniversary, Will received a diagnosis of chronic rejection and a picc line infection. He's in the hospital being treated with high-dose steroids for the rejection and iv antibiotics for the infection. We are hopeful that both treatments will work and that his lung functions will stabilize and potentially rebound somewhat assuming that at least some of the decline is infection-related. The rejection-related losses are permanent.
The kind of rejection Will has is called bronchiolitus obliterans syndrome and it is basically an immune-injury/inflammation-related response that causes fibrosis and obstruction of the small airways. It's a rough diagnosis to receive and we're all still just trying to figure out what to do with ourselves.