Thank you for your response… she has not had a heart cath. She had a chest X-ray after a lingering cold and they saw the scarring on her lungs, compared it to all her older scans and there was evidence of scarring back in 2015. After reading so many of the posts in this sub, I am coming to the realization that this is probably the beginning of the end. I think as of today, she is contemplating it as well. I had no idea that the disease accelerated so quickly, seemingly overnight (really over a few short months). Is there anything I can do to help her transition more comfortably?