Ryan had his first MDA clinic visit at Duke University Medical Center in Durham, North Carolina on Firday, October 3, 2008. We left St. Augustine at about 3:45 on Thursday afternoon. After a painfully long drive, we arrived at our hotel at about 1 am. The next day, Ryan saw the neurologist at about 8 am, the pulmonologist at 12:30 pm, and the cardiologist/geneticist at 2 pm. Over all, we left Duke at about 4:30 pm. An incredibly LONG day!!! All of Ryan's visits went very well. His lungs and heart are shwoing no signs of DMD yet (to be expected because he is only three!) And actually his asthma has improved since his visit in April of 2008. Ryan does not need to return to see the cardiologist until two years from now. We have scheduled his next visit with the neurologist and the pulmonologist on April 3, 2009 - where we will drive to Duke again and repeat this LONG day!!!