I'm a 11th grade teacher for AP United States History. One of my students, who has always been an A/A+ student, came up to me and said that it was unfair that he got a D this quarter. He is a valedictorian and had straight A's taking 5 AP classes, clearly a studious and very hardworking student. His reason for it being unfair is because of his own health issues that has been going on for several months now. He told me that he had joint pains and inflammation that persisted for more than 2 months. He went to many doctors to see what was wrong, but the lab results were normal. He is now being seen by a rheumatologist that examined him, gave him a list of possible diseases that he might have, and told him to come back sometime this month. Other doctors told him that it might have been caused by bacteria or a viral disease. His joint flares has sometimes caused so much pain that he is unable to turn the car key or do simple tasks without fearing the pain. Even the door knob of his room is patched so that he did not have to turn it. Sometimes, he could not even walk because of how much his hips hurt him, either regarding the joint or the ligaments or muscles around them. He really thought that he had arthritis due to all of the grinding and physical expression of his painful joints. The fingers of his hands are somewhat deformed (hyperextended at the joint). He pages of symptoms that he has experienced and it seems like he has gone through a lot trying to figure out what he has and what treatment he could undergo to heal himself so that these pains and symptoms would go away. He also had constant intermittent muscle aches and pains. He had to spend many hours every day doing yoga (which even hurts) and stretches. This, according to him, has affected him mentally and academically. He had to go research his own health on how to treat general inflammation, read several books by doctors, and had to go through his own plan for rehabilitating his joint pains. This included exercising more (through swimming), doing range of motion exercises, and eating an anti-inflammatory diet. This took a lot of time out of his hands and he was fatigued easily, unable to be able to complete all of his work. He just couldn't stay awake any longer. These symptoms, of course, worried him greatly due to the fact that his mother had a close relative that died of SLE (Systemic Lupus Erythematosus), an autoimmune disease where the immune system attacks itself and presents many of the arthritic like and inflammation symtpoms. He was worried about it being JRA (Juvennile rheumatoid arthrtis) and over 100 disease and possible symptoms that exhibit arthritic pains. It obviously took him off course academically. Now, he still has joint pains every once in a while but it seems like the inflammation is pretty much gone. He has recovered about 90% from his previous symptoms but his grades have dropped significantly, espeically in my class. Since he is telling that all of this is unfair, and is definitely concnered about his grade in my class, resulting in a D, I'm confused as to what I should do here. I understand that his illness was unavoidable, something that we experience many times throughout our lives. Do you guys have any opinions on what you think should be done about his grades according to his presented health issues? However, given that many arhtirtic disease have symptoms that come and go, sometimes even going through remission, it is hard for me to decide whether or not this situation is indeed unfair. This student is very honest and has a reputation that is regarded as excellent. He had gotten only one B throught the course of his high school years, the others being all A's. He work was perfect consistently and he always did well on my tests (getting 95% on the final). What should be done?