Time for an update. Raquel had a lab visit today. It was very quick without too many tears. Just the way we like it. Raquel's liver enzymes have improved which is good. They were like 3X higher than they should have been at our last visit and they are now a lot closer to normal. We have to wait to get the results on whether or not the Epstein Barr virus is diminishing. Hopefully it will be good news. The bad news is that it sounds like another medication might be added to our spreadsheet. :(  It seems we take one off the list and add another one on.  This will only make us appreciate more the day when Raquel is only on one or two medications!  I want to go back to that nice plateau where everything was smooth sailing and no news was good news.