Thanks for the vote of confidence Merlie.
Hank was a well bird for two years - a record for him - but he is fighting Asper and secondary infections once again. His first two bouts with Asper caused granulomas (encapsuled Asper colonies) in his lungs and there is always the danger of them becoming active and one has. Additionally, his long bouts on anti-fungals pretty much destroyed any immune system he had and allowed MRSA and a couple of other pretty nasty bacteria to take up residence. He has a Staph infection in his throat too right now, but it's not an antibiotic resistant strain and Doxycycline is getting rid of it. It's kind of darned if you do and darned if you don't.
The most important thing I can tell you is to not stop treatment too soon. Keep her warm and as quiet as possible. The Asper spores can and will lie dormant and then bloom later. Hank is also on Lamisil (Terbinifine), although Itraconozole was more effective for the Asper, it does play heck with the liver as any anti-fungal does. Some things you can ask your vet about;
a. Giving her Milk Thistle as liver support for as long as she is on the anti-fungal and a few weeks afterwards.
b. Things you can give her for immune system support - high vitamin C foods like oranges, Red Palm oil (I gave Hank a 1200 gm macaw 0.20 ml per day by syringe), ground flax or flax seed oil for heart and immune system, tofu for extra vegetable protien.
c. Probiotics. I give Hank "Prozyme" which is a combination of probiotics and digestive enzymes which help with digesting proteins and keeping his weight up.
d. Get some F10 Biocare and use it on everything, including your hands.
Hank is being hand fed twice a day with a blended concoction of Harrison's High potency pellets, mango or papaya, almond butter, ground flax and Prozyme. I soak the pellets overnight in distilled water then blend them with the other ingredients. The Prozyme or probiotic can't be heated so I add that just prior to feeding.
It's a long hard road, but as you and I and every other "Bird Person" knows the effort is well worth it. Best of everything for you and Judy and don't hesitate to PM me if you have a question.