Stupid Insurance Company

Teresa is writing a letter of appeal to our insurance company appealing their decision to not pay for the stem cell donor search that I need to live.  I have tried to write it a couple times, and all I have really come up with is garbage, so I will leave it to the professional and then just sign my name.  It’s really stupid that our insurance doesn’t pay for this search, my transplant doc was livid when he heard this.  It’s not like it’s optional for me, it’s either I get a transplant from an unrelated donor or I die.  Heh, seems pretty cut and dry simple to me.  I can’t think that insurance companies would intentionally be out to screw the blood cancer patients.  Hell, since it’s a privately funded insurance policy, I might be their only blood cancer patient.  Heh.

Tomorrow we are heading to Rochester, Minnesota for a blood test and visit with Dr. Shin on Friday.   This is a truly unnecessary visit but he seemed pretty adamant that I come see him.  So off we go.  The good news is we will be back home Friday evening.

There isn’t supposed to be any snow for the next two days.  So, that is a good thing too.  I would hate to do the 3 1/2 drive (OK, Teresa drives) if there was snow falling.  The 35 looks like a road that snow just blows across.  You know the 35, it was on the national news a few weeks ago for 2 major accidents cuz a lot of people around here do not know how to drive on slick surfaces.

I feel like complete and absolute crap.  Fatigue out the ying-yang and a massive headache for who knows how many days its been now.  Put these two things together and you get a totally crappy feeling.   Hoping that my platelets are 10 or below on Friday (gonna really suck and be 14, just watch) and I will get a platelet infusion.  That should help with both of the issues.  Definitely with the headache.

Teresa gave me a Maxalt in hopes of stopping my headache.  She switched to caffeine pills for her migraines (which are working great according to her).  Yeah, Maxalt is a migraine medicine, not sure if it works on lack of platelet headaches, but I was very willing to give it a try.

If Maxalt fails, I may bust out my last shot, I know from earlier use that the shots do lessen the headaches for a while.  The one tonight is a doozy, so lessening it might make it bearable.

Due to circumstances beyond our control, my mother-in-law will be unable to take care of Pucky and Mojo while we are in Rochester.  Thankfully, my mom and brother have agreed to take care of them for us.  So instead of them having to travel all the way to New York they are only going to have to ride with us to the Region.

Speaking of the Region.  Teresa and I will be in the Region, for a few days at least, when we drop off the dogs.  We do not know when this will be for sure.  But I will post here and directly on Facebook travel plans so any of my Region friends that want to see me before all this transplant business will have a chance to do so.

Also, any of my Des Moines area friends, if you want to see me before we leave for the transplant, let me know and if I am up to it, we will do lunch or something.

A friend of mine invited us down to Houston for a visit.  Right now we might not be able to afford the medical treatment in order to save my life.  How in the Hell would we be able to afford a trip to Houston?  I know her heart was in the right place, but there is just no way we could do it.  Plus I feel like crap.

Gonna cut this entry short, head not cooperating.

and Cori, I know you don’t like The Offspring.

Wasting time in the morning.

It’s 6am on a Saturday morning and I am wide awake.  That is in itself depressing.  I wanted to sleep in today, I probably could have taken more ambien when I first woke up at 2:30 and then went back to weird dream sleep, but no I just crawled back into bed and fell back to sleep for a couple hours, then 6 o’clock hit, and wham wide awake.  This does mean that I reserve the right to a good solid nap later today at a time of my choosing.

Naps are an important part of my every day life.  Well, since I stopped using the CPAP (I didn’t nap when I CPAPed).  A good nap, one hour or more, during the middle of the day makes me happier.  Really, nothing needs to happen for an hour or so after lunch.  Time for a little siesta.  So today, I will nap.

Mojo is so funny on the mornings that I get up and Teresa stays in bed.  Everything is cool until I step to the other end of our bedroom (where the computer is) then he starts growling and barking (waking Teresa slightly) until I can bend down and let him sniff me so he is sure it’s me.  This has happened pretty much every weekend day since we moved the computer desk into the bedroom.  Pucky, being the mellowness of mellow, doesn’t hardly look up to see me go, doesn’t care in the least bit.

My platelets were 18 on Thursday.  I showed no petechial bruising.  Everything was fine.  Fast forward to today.  Don’t know what my platelets are.  Have some petechial bruising on my arms (where I always show first for some reason).  We are hoping I can make it up to Mayo on Friday without having to get a platelet infusion before we go.  And then just get one there.  Not that there is anything wrong with getting platelets here, just I am gonna be in Rochester with time to kill, why not fill that time with an infusion?  We shall see if I make it that far on the platelets that I have.

For those that have read along, I was to go to the dentist a couple weeks ago but felt like crap that day and cancelled.  Well it’s actually a good thing that I did cuz my platelets certainly weren’t 55 and it’s questionable if my neutrophils were 1500.  And lets just say that a lot of bad things could have happened in my mouth.

I’ll be so happy when this whole mess is done.  9 weeks, then 10 days, the 100 days.  that is IF I do not have leukemia now and have to have chemo before I can have the transplant.  That would add a few months on to the whole schedule.    I have already written on my brother’s birthday party and the 30th high school reunion, still holding out hope for Thanksgivingfest and the day after, but even that is looking more and more like a longshot.  This year is looking like a bust.

Along with PCH.COM and, I have started doing PCHLotto.  Still am not winning anything of value, but it’s giving me something to do for part of the day.  But damn they run a lot of video ads, one between every game.  And there are like 40 games.  So, I am writing this blog while the video ads are playing.  I figure one of two things will happen, I will win something or I will get too bored playing these same games every day.  Either way is cool with me I guess.

Welp, I am still fairly depressed.  I don’t show that to Teresa very often.  Have to be strong for her, but since she doesn’t read my blog and the people who do I can trust not to tell her, I’ll admit it here.  According to everyone I have every right to be depressed about what is going on.   Who wouldn’t be depressed about a 2nd year of their life being stripped from them by Cancer?  It just sucks, plain and simple sucks.  I’d go into survival information and 5 year survival information, but that is just too depressing to think about in general, just leave it an not great.

Things we do while WAITING…

Teresa caught a bug, it started on Saturday night.  I skimmed thru Saturday and Sunday without feeling sick, I really thought I would get thru this one without catching it.  Then yesterday afternoon I started feeling rough, by evening I was not feeling well at all.  Today I don’t feel good and have a sour throat, but I have no sinus issues (like she does) and I am not running a fever (I don’t think) yet.  I hope this bug blows over quickly for both of us, as if Teresa is sick, driving up to Mayo would suck for her, If I ask Mayo probably doesn’t want me to come, both of these assuming Mayo is going to come calling for me this week.

Last night we watched Wonder Woman (yeah, I know, a little behind on movies).  It was a good flick.  Didn’t like the casting of Mars, Teresa kept pointing out that he was Professor Loopin (from Harry Potter), I just thought his moustache looked humorous when he finally got in armor.  But overall the casting was excellent.  The acting was great.  It was a really good movie.

Teresa has taken over paying the bills with my supervising. It seems that last time I was out of action, she claims she didn’t do a good job and we had a lot of late fees.  This time we are making sure she knows what is coming, how much it should be, and how to pay it.  It’s not rocket science, just a ton of them hit at roughly the same time and it can get to be a confusing mess.

Had to cancel my dentist appointment today.  Kinda bummed about that, but kinda happy about it too.  Need to see a dentist, don’t want to see the dentist.

Waiting for Mayo to send me a message or call.   Should happen today, tomorrow, or Thursday.  The hold up was insurance getting the information and assigning a pre-certification number for it.  Insurance got the package on Friday, have no idea how long it’ll take them to process it (she did say 24 hours, but we had a holiday, so who knows).  I figure they will let Mayo know what is covered and what isn’t and Mayo will in turn let us know.  But right now, it’s just more waiting.

Pucky and Mojo know something big is about to happen.  They never have clung to me like they have been doing.  If I am awake, I now have at least 1 dog with me at all times, sometimes both of them.  It’s kinda nice, always having one of them close.  They are sweet dogs.  But having to move Pucky every time I want to sit down is a little annoying.  I love our dogs, Pucky and Mojo are great companions.  I am gonna miss them while I am doing the 110+ days.  They will be in New York with Grandma Shirley, and hopefully that won’t be too bad for them.

I keep forgetting that it’s gonna be Spring (full Spring, not this weird crap weather) when I finally get my transplant. It means that this transplant will ruin what is left of Spring and all of Summer.  I should still be in my 100 days the two weeks of August, which  means I get to spend my birthday at the transplant house at the very end of my stay (Teresa’s birthday is at he very beginning of the stay).  Heh, I should have my hair growing back by my birthday.

I spent most of yesterday copying CDs to my iTunes.  I should be musically covered for the most part while I am laid up.   I own a lot of 70s and 80s compilation CDs.  I have bought all my recent CD purchases thru Publishers Clearing House.  That is how I ended up with these compilation discs.

The fatigue seems to be getting somewhat better.  I only slept 13 hours today.  About the same that I slept yesterday.  Which is much better than 16 or 17 hours like I had been doing.   Still tired, but not dozing off, so I’ll take it.  Maybe by the time I get over this bug I will be back to sleeping normal hours.  A boy can dream, right?

Yay for family…

My brother finally (not that he didn’t do it first real chance he got) got his blood taken for the possible match to be stem cell donor.  I am actually more nervous about this than the thought of actually having the transplant.  I am nervous because if he is my donor, I will have a 30-40% chance of having GVHD or if I have a 60-80% with a non-related donor.  I know I said 1 in 5 don’t get GVHD, well there ya go, the actually percentages.  Jim, even if you can not be my donor, I appreciate what you have done for me so far and I couldn’t have a better brother at my back.  Thank you.

I asked Teresa if she would be my primary caregiver for the whole 100 days.  A little selfish of myself, but I think during that time, I will need my wife to be by my side.  I had asked my mom to come and take over when she visits, but I think I’d rather her stay in a hotel and just visit.  I’m sure she will understand.  Teresa told me that she would do as I asked.  I love my wife with everything, she is the greatest.

So, now I have to tell my mom that I just want her to visit and not take over the caregiver role.  I think she was looking forward to taking care of me again.  I will talk to her tomorrow about it, and make sure she understands that it’s not that I don’t want her to be it, I just want my wife to be my caregiver more.

Teresa and I are actively/passively watching the Olympics tonight.  Just watched that 17 year old Korean-American girl, Chloe Kim, win gold in the snow board half pipe.  Very impressive runs on her part.  She definitely deserved to get the gold.  Would have been cooler for the Americans to sweep, but the young lady (who I don’t remember the name or country of) who took silver deserved it too.  Bronze went to an American too, but I agree with the announcer that the other American had a better run.  Heh, it’s all good.  2 more American medals.

My transplant doctor gave me the okay to go to the dentist IF my platelets were at least 50,000 and my neutrophils were at least 15,000.  The 50,000 of my platelets should be no problem.  However a week and a half ago my neutrophils were only 2,000.  Tomorrow morning I will go get a blood test and see where my numbers are.  If the numbers are good enough I will be calling Teresa’s dentist.  The dentist I liked at the Adel Family Dentist Care has left and I don’t like the other dentists there.  So, Teresa really likes her dentist and I am in the market for a new dentist.  So, perhaps this will work out and I will like Teresa’s dentist too.

And for those who have been following along, platelets clot blood and neutrophils (new word) are white blood cells that fight bacteria.  With both, the higher the number the better.  Platelets are supposed to be 150-400,000.  Neutrophils are supposed to around 15-17,000.

Downhill Combined is boring compared to the Snowboard Half Pipe, just saying.

Pucky and Mojo got their Health Certificates today, so they are totally legalish to travel all the way to New York.  It’s not like anyone is gonna ask for them.  It just seemed to make sense to get them.  And the vet didn’t charge for the visits, so we only had to pay for the Health Certificates themselves.

I am gonna miss Pucky and Mojo very much over the 100+ days.  I really love my dogs, and they are gonna be so far away.  I hope nothing bad happens to them and in 100+ days my mother-in-law brings them back to us none the worse for wear.  I am not worried about them, my mother-in-law will take great care of them.  And my nieces want to see and play with them, which will make Pucky happy, Mojo will probably scream and run away at first.

Before I go into the hospital for the chemo/radiation before the transplant, my wife will shave my head as tight as our shaver can make it.  I did that at the barbershop in the basement of Mercy Hospital here in Des Moines when I had chemo for the leukemia.  It just makes things cleaner.  At least I think so.  Teresa would probably argue that it makes little to no difference, a mess is made either way.

I shouldn’t have cancelled my D&D game or quit the Friday night one as early as I did.  I freaked out, that’s what happened.  I could have ran my D&D game for 5 or 6 more weeks and played 2 or 3 more Friday nights before I had to go to Mayo.  Oh well, what is done is done.

Teresa put on Teen Wolf, she has watched every episode (except the ones DVRed the she is watching now).  I quit after season 1.  So I really have zero clue what is going on or who is who.  Therefore, I do not really like the show.  So, I am gonna go play Skyrim I think.  That’ll keep my attention better than writing this is spurts like I have been doing.


Sick and tired, or just tired….

Pretty much wasted this weekend.  I didn’t do much of anything.  I watched a little of the Olympics, I played some Skyrim, and I slept a lot.  Oh yeah, I watched some DVRed wrestling too.  Now I am sitting here watching music videos while Teresa’s, who is sitting next to me in bed, is reading.  Variations on this theme have been prevalent all weekend.  While I sat here earlier, she cook us an amazing beef tips and gravy dinner.  I had mine over white rice, where she had hers over barley.  Not that what we had for dinner is particularly interesting, but that is what we had.

My brother is getting his blood drawn to send to Mayo tomorrow.  With this, we will, in turn, finally find out if he is able to be my donor.  I really hope he is able to be donor for me, but I went back over the paperwork (well digital summary) from the appointment on January 31st.  This appointment summary says they already started the search for a donor through the Be a Match registry.  That means we are already going to have to pay the 4000+ bucks for the search, even if Jim (my brother) is a match.  OUCH.  Well, we will owe it to the hospital and they will work with us as long as we make payments, this according to the social worker.

Teresa finally saw my new banner here.  I think it gave her a good chuckle.  She said I am allowed to use the phrase CANCER SUCKS if I want to.

Tomorrow I should find out if I can get dentist work done before I have to be up at Mayo,  We realized that it could potentially cause a problem, so I sent a message to my transplant doctor.  I really am in desperate need to have my teeth cleaned and a few cavities filled.  I also need a couple crowns replace, but I think those will have to wait.  They are not an emergency, and we might not have the time for a new crown to show up.

I have now read tons of info on the transplant and what happens after.  1 in 5 people do not get Graph Vs. Host Disease.  They get the transplant and go about life with no problems.  Well, I am statistically a weird person, so  I should be able to fit in that 20%.  Yeah, it’d be real nice to not have to worry about GVHD.  It could happen that way.  The odds of getting the really harsh GVHD problems are very slim.  Most people get minor GVHD that doesn’t bother them too much.  I dunno, with my luck, I will probably either have none or something severe, I very rarely ever fall into middle ground.

The chromosomal results from my bone marrow biopsy should be in Thursday or Friday.  That will mean that something will start happening.  There is still a lot to do before I can get the transplant.  And time is passing (albeit really slow for me).  The 6-8 weeks will be 4-6 on Wednesday.  I am pretty sure there will be at least 1 more visit before we go up there for the transplant.

Oh, I did make chili this weekend and thanks to Teresa’s incredible ability to throw in spices to make things better, it is probably the best chili I have had that I can remember.  I told her this and she asked what about in your childhood?  Well, they are all kinda mushed together in my head, so they don’t count.  So, to be fair to all the chilis I have had in my childhood, this is the best chili I have had in my adult life.  Good enough that Teresa added the recipe to the list of approved foods for the 100 days.

Yeah, the 100 days is still daunting.  Still probably the scariest part of the whole process.  100 days of following rules that I have never had to follow before in my life.  The biggest rule that we are going to have to contend with is “No food eating anywhere but in the dining rooms”.   Now for some people this is no big deal.  For us, a huge change.  We normally eat in bed, watching TV.  So this is a huge change.  There are more rules, but that is the one which is going to cause the biggest change for us.  Oh yeah, there are also “No TVs in the rooms”.  So I can’t lay in bed staring at the TV, gonna have to surf the web or READ.  Yeah, I know I can watch most TV stations on my computer.  But still it’s not gonna be the same.

Fatigue is still the word of the day, week, month.  I am completely wiped out from the minute I wake up to the minute I go to bed.  It’s very annoying.  I want to be able to do things, but I just don’t have the energy.  I think it’s all in my head actually, my head telling my body that it has no energy.  I don’t think it’s cause of the cancer.  Nope, I really believe that it’s because my mind thinks I should be fatigued.  I hate when my mind disagrees with my mind.  Teresa says its cuz my blood is not right, well that’s probably part of it.

Teresa is going to go bake a Southern Almond Cake.  It’s a new recipe for her.  I hope it turns out good for her.  Personally I won’t eat any of it.

Great 80s Hair.

Waiting for the Summoning

Sometime soon we are gonna get summoned (well, I will be summoned) up to Rochester to start testing my organs and to make sure I am mentally sound enough to go thru this transplant.  I am not worried about either thing.  I have 3 gall stones, but they supposedly are not an issue according to Christopher, my PA.  Other than that, I have Hashimoto’s Disease, so I have an underactive thyroid, meds keep that in check.  My organs work fine and have always worked fine so I don’t see a problem there.  As for my mental state, I may be bipolar, but it doesn’t mean I am crazy (most of the time).  I understand what is happening and what they are gonna do.  I have read all the paperwork and books they gave us.  I am ready physically, mentally, and emotionally, can’t ask for more than that.

I’m in a weird place mentally at the moment.  I’m not up or down.  (I told ya my down wouldn’t last very long)  I am just existing right now.  Which is okay.  Can’t dwell on the scary parts, cant blow em off either.  So I am somewhere a little lower than my normal hypomanic.   I have little interest in doing much of anything right now.  Fatigue is up, sleeping a whole lot.  But I am not thinking doom and gloom.  So I am not depressed.

We have made 1120 dollars out of our 10,000 dollar goal on the GOFUNDME campaign.  I can’t think of a good update that doesn’t sound like I am trying to guilt people into donating.  I don’t want to be that kind of person.   Nothing is happening right now, so updating is difficult.  But on the other hand, I want to keep it in my circles head, so I kind of need to update.  Oh well, I’ll figure something out.

I have an appointment with my shrink on Friday.  Can’t really afford it, but need to talk to someone and this kills two birds with one stone so to speak.  He will chat with me about this and he will write prescriptions as needed.  Dr. Fialkov is a really nice guy, besides being a good enough shrink.

Gonna have yet another scar on my torso.  They have to use a port (I prefer PICC lines) to give the chemo and do the transplant.  So a 3 inch scar on my chest is what I will be getting.  Yay rah.  More scars.  The port will be used to give the chemo and take blood draws and give any other meds they want me to have before the transplant and then used for the transplant itself.  Supposedly you can see the little stem cells going thru the tube.  That is kinda cool.

They took a huge (relative) chunk of bone marrow out when they did the bone marrow biopsy at Mayo.  The hole in my flesh above the hole they put in my hipbone was considerably larger than the ones done at Mercy.  It also ached more.  Didn’t ache for any longer, just was more uncomfortable.  But I will tell you what, they can knock me out for a bone marrow biopsy anytime.  Didn’t have to hear commentary, didn’t have to feel the pressure, all good things.  Yeah, it ached more after, but hey it was much more pleasant during.

I wonder if my brother got the testing kit from Mayo today.  They sent it last Friday, it’s not that far, but there has been serious weather between point A and point B in the mean time.  The sooner he gets that and the sooner he sends it back to Mayo, the sooner we know if he is a match.  The sooner we know if he is a match, the sooner we know if we have to do the national registry route.  I REALLY hope he is a match.

Everything else is held up on finding a match.  EVERYTHING.  No use in getting me ready if they don’t have a donor.  Makes perfect sense to me.  So, if my brother isn’t my donor, Dr. Alhkateeb will have to initiate a donor search in the “Be a Match Registry” also know as the national registry of bone marrow/stem cell donors.  This search is expensive and not covered by my insurance.  Anyhow, that search can take up to a week or so to find a match.  They found me a match in 2015, but that match is no longer valid.  So a new search will be in order.  But basically nothing else happens until they find me a match, be it my brother or some stranger.

I’ve given up on going to my brother’s 50th Birthday party.  Got him a cool gift though and it’s gonna sit in his house for months.  So, where I can’t say it’s all good.  I can say, at least he gets to think about it every day and try to figure out what it is, and that is good.

The 30th year High School Reunion is pretty much a NO GO too.  My system will still be messed up pretty good to put myself in a room with that many people.  I mean I would love to go but September is probably too soon.

Thanksgivingfest and lunch the day after.  By the end of November I should be (read should be) able to make the trip over to see my mom and down to see the Gang and see Andi and Shawn on the day after for lunch.

Thank you all for reading this babble.  Like I have said many times, I write this for me, but share it with anyone who wants to read it.

Down, but not out.

I found out that the entire time I SHOULD be in the hospital before the transplant is 10 days.  That is as long as they don’t decide I need a couple rounds of chemo before then.  10 days and then I check into The Gift-of-Life Transplant House for 100 days give or take a few.  It’s better than checking into a hotel in my opinion, even though some of their rules are a bit strange.

The 100 days is to catch any severe graph vs host disease issues and any bad infections.  I still am having problems getting my head around the concept of 100 days, it just seems like a long time.  I think Teresa has decided that she is going to be my primary care giver for the whole 100 days, which means my mom will just come and visit.   Leaving the Transplant House at 9pm each night (remember, I said strange rules).

My mood plummeted yesterday, I think all that is going on with this new cancer, all the changes that have to happen with my life temporarily and permanently has just overwhelmed me.  When I feel overwhelmed, I get depressed and try to shut down.  I was working on the list of stuff I need to take for the 110 days, that stopped.  I just can’t do it right now.  I got 5 to 7 weeks to get it together.  (a week ago I was told the transplant would be in 6 to 8 weeks).

Luckily, my mood will improve quickly, the joys of good mental meds that keep me stableish.  I get down for a day or three or four and then my mood pops back up.  Controlled Bipolar has it’s purposes.

It’s gonna snow today.  I’m not going anywhere.  I try not to go anywhere while it’s snowing, Iowa drivers drive me nuts while it’s snowing.  The roads all get slick and the drivers here just don’t know what to do.  Not all of them of course, but enough to make it very scary at times.  So I am just gonna stay home today.  The weather people are saying it could be up to 4 inches today.

Got phone calls to make today, Dentist and Shrink’s office.  Got to make an appointment for cleaning and stuff with the Dentist office (get it done while I can) and I need to inform the Shrink’s office about what is going on with the transplant.  I don’t need to see him, just let him know I am not going to see him for a while.

I am also waiting for at least 1 phone call from Dr. Alkahteeb (the transplant doc) with the first of the results from my bone marrow biopsy.  The rest of the results won’t be available for 2 weeks or so (the chromosome study).  He may end up calling me back to Mayo this week for more testing, I hope not but it could happen.

First we have to find a donor, hoping my brother can be my donor.  He has a 25% chance of being a match.  If he isn’t a match, we go to the national registry and try to find an unrelated match.  Man preferred over woman.  Younger preferred over older.  Performing the search isn’t covered by my insurance, so we will have to kick up like 4500 dollars for someone to fill in the blanks and hitting enter on a computer (actually I assume there is more to it than that, but that is the main part of performing the search).  We found a 100% match in 2015, but that match is no longer available.  So, we may end up doing a 2018 match, and doing the transplant with an unknown person.  It’s all good, as long as they match.

After we find a donor, we start making the plan and getting me ready for the transplant.  I thought the plan was already made, but there is some doctors on my “team” who think I may need a couple rounds of chemo before I go in for the transplant.  I don’t think I need the extra chemo.  I will argue against it.  —  Getting me ready for the transplant, I have to see a cancer psychiatrist and get a bunch of tests of my organ functions.  The cancer psychiatrist is just going to determine if I understand what it happening, my answer to that is “all too well”.  And the organ function tests are to give a baseline so when the mess me up, they can tell if things go wonky from GVHD.

Graph Versus Host Disease (GVHD) is the biggest concern about the transplant.  There is a whole lot of problems that can arise from the Graph attacking my body after transplant.  There is a slight chance that I will have zero GVHD issues.  I hope to hit that percentage.  But personally, I don’t know anyone who got thru with no GVHD, and I have spoken with a lot of people who have had bone marrow/stem cell transplants.  Anyhow, like I said GVHD is the biggest concern because it can cause a complete rejection of the new graph and then I will be dead.  Simple as that.  Rejection of the donor bone marrow/stem cells = death for Jeff.  Good news is that straight out rejection is very very rare.

Mentally I am borked right now, but physically I am feeling great.  If I hadn’t been told I have blood cancer again, I wouldn’t know.  The doctors up at Mayo warned me that it could/will change really quickly and then I would feel like crap.  Heh, until that does happen, I am going to enjoy feeling good.  Nertz to cancer.