Brief Update: Had early morning dialysis in preparation for a bronchoscopy in the afternoon in the Bronchoscopy Suite as his R lung has been indicating continued fluid build-up on recent chest X-rays. The increased mucous secretions were removed, bronchoalveolar secretions were obtained for culture, & routine lung tissue biopsies to check for rejection were taken. The development of a granuloma is now present on his heart & lung anastomoses site, but it is not causing an obstruction at the present time. He is to undergo another bronchoscopy by Interventional Pulmonology next week to re- assess the granuloma. Perry was then transported to the J5-1 Cardiovascular Stepdown Unit after the bronchoscopy was completed. Our new mailing address will be: Cleveland Clinic Heart & Vascular Institute 9500 Euclid Avenue J5-1 Cardiovascular Surgery Stepdown Unit 1 Attention: Perry DiGiovanni Room J 51-5 Cleveland, OH 44195 He will be provided with a 24/7 companion sitter in order to meet his basic needs & to contact his assigned nurse & respiratory therapist should urgent circumstances arise. His room overlooks the front of the hospital's circle drive, fountain, rock garden median, new Cleveland Clinic building construction. Dr. Akindepe, Pulmonology, plans to be in contact with physician staff at University Hospital Case Medical Center in Cleveland later in the week after results from today's bronchoscopy are available in order to arrange for Perry to be evaluated for possibility of diaphragmatic pacer insertion at University Hospital Case Medical Center.