March 4 – Day 1618 Joyce had a great day. Joyce did all of her exercises but Joyce developed a bad cough during the afternoon that led into the evening where she was coughing for about 3 hours but no secretions were surfacing. When I got Joyce into bed the coughing continued until all she threw up everything in her stomach. Joyce was a little disoriented and seemed weak so cleaning her up and moving her in and out the bed was very challenging. This was probably the worst night that I can remember it was very exhausting for Joyce. After that she kept her medicine down and she was running a slight fever so I gave her some Tylenol and she didn’t cough even after her shake so she slept pretty sound the rest of the night. Continue to pray and send positive thoughts so that things continue to progress and that God keeps putting his loving hands on Joyce to heal her.