<div style="background-color: rgb(255, 255, 255); padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; margin-top: 8px; margin-right: 0px; margin-bottom: 0px; margin-left: 12px; font-family: arial, helvetica, sans-serif; display: block; font-size: 10pt; "><div id="yui_3_2_0_4_131240412399766">My 4 year old daughter, Ava, was diagnosed with CF in utero. Once born we fell into some bad luck and had some unexpected complications. Due to these issues we know she has some lung damage, probably permanent. We do not have any PFT information because she was unable to tolerate them and is now to young to complete them properly. She has been hospitalized a few times for infections and pneumoniabut not since 9/2010, which was a good thing because we had no major issues during the cold season. Ava also seems to have an asthma component with wheezing and is on Advair. We recently had a culture and she grew MSSA. She has had a decline in stamina and has had more trouble catching her breath lately and working (pulling)to breath even with relativel small amounts of activity. We are on our second round of steriods. My question is how can her lungs sound clear with no wheezing but she is having trouble catching her breath? I was thinking of pushing for a tune up so she would be strong for pre-school but not sure, any suggestions. Please educate me anyway possible. </div><div id="yui_3_2_0_4_131240412399766"><br></div><div id="yui_3_2_0_4_131240412399766">Thank you,</div><div id="yui_3_2_0_4_131240412399766">Courtney </div><div id="yui_3_2_0_4_131240412399766" style="border-collapse: separate; color: rgb(0, 0, 0); "><span class="Apple-style-span yui_3_2_0_4_131240412399773" id="yui_3_2_0_4_1312404123997115" style="font-family: Verdana, Arial, Helvetica, sans-serif; border-collapse: collapse; color: rgb(51, 51, 51); font-size: 12px; "><br></div><div id="yui_3_2_0_4_131240412399766" style="border-collapse: separate; color: rgb(0, 0, 0); "><span class="Apple-style-span yui_3_2_0_4_131240412399773" id="yui_3_2_0_4_1312404123997115" style="font-family: Verdana, Arial, Helvetica, sans-serif; border-collapse: collapse; color: rgb(51, 51, 51); font-size: 12px; "><br></div><div id="yui_3_2_0_4_131240412399766"><br></div></div>