Today was a visit with an ENT (ear nose throat) doc. This was a follow-up for the ER bloody nose that wouldn't stop bleeding for an hour. The doc was ready to find the vessel causing the problem and cauterize it, but could not find a problem. However, he did say if it started bleeding during office hours, to call and tell the office we are coming in, and he might be able to find the problem. Doc vacuumed out his sinus, numbed it and poked around really good. Roger disappointed, me too. The humidifier seems to be helping, only 3 bleeds and nothing we couldn't stop since the ER.
Today was also the development of another problem. Blood in urine. Will be checking with doc tomorrow. This is a common development with prostate cancer and the plavix (blood thinner) doesn't help.
Will update as we go.....
Roger and his sister, Becky relax by the creek
Showing posts with label provenge. Show all posts
Showing posts with label provenge. Show all posts
Monday, December 12, 2011
Friday, October 28, 2011
Monday, October 3, 2011
Not there again
We were not there at the surgeon's office again.
Roger forgot to NOT take his plavix on Saturday, and he needs to be off plavix for 4 days. Surgeon didn't want to take a chance on him bleeding.
So we were not there again.
New appointment scheduled for Wednesday.
Roger forgot to NOT take his plavix on Saturday, and he needs to be off plavix for 4 days. Surgeon didn't want to take a chance on him bleeding.
So we were not there again.
New appointment scheduled for Wednesday.
Friday, September 30, 2011
3rd infusion
3rd and last infusion did not go well.
Delivery was 4 hours late.
Roger got rigors, infusion had to be stopped twice, so rigors could be treated and controlled.
Left house at noon, arrived home at 9:30 pm. Long day.
Roger is sleeping now, on the couch.
He was just awake enough to say "its only 9 o'clock" and then fell back asleep.
So I'm leaving him there, and sleeping on the other couch, just to be close
since there is a chance he could get chills again.
Hard day for Roger.
Delivery was 4 hours late.
Roger got rigors, infusion had to be stopped twice, so rigors could be treated and controlled.
Left house at noon, arrived home at 9:30 pm. Long day.
Roger is sleeping now, on the couch.
He was just awake enough to say "its only 9 o'clock" and then fell back asleep.
So I'm leaving him there, and sleeping on the other couch, just to be close
since there is a chance he could get chills again.
Hard day for Roger.
Wednesday, September 28, 2011
Round 3 Part 1
Back from Tulsa, leukaphresis went well. Roger was more fatigued this time. Slept well last night, had at least one 5 hour block of sleep when he didn't get up for the bathroom.
"our" Nurse Amy in Tulsa required hugs before we left, she was the bright spot in all of this, and was a big help from the first visit. Amy called the oncology clinic to inform them of the clogged port problem and suggested what had worked in other patients. The oncology clinic responded less than friendly and the nurse at the oncology clinic last friday was quick to inform us, she had done the phresis before and was well aware of how things were done. Personally, I'd trust Amy.
Sooooo, if things go well on Friday with the 3rd and last infusion, no more leukaphresis (for now and the immediate future), and the cathether (port) comes out next week. Roger has an appointment with the surgeon tomorrow so that he can make an appointment to have the cath taken out. Yes, we have to go to an appointment to make an appointment. A $30 appointment to make a $30 appointment. hmmm, I'll not digress into that discussion right now, it would be lengthy and probably involve a march on D.C. or a bike ride to the halls of Congress with some choice words.
Surgeon visit Thursday, Infusion on Friday.
Hope we don't have any collisions with the motorcycles, as it is Bikes, Blues and BBQ week in Fayetteville. fortunately most events are on the opposite side of town.
Love to all
"our" Nurse Amy in Tulsa required hugs before we left, she was the bright spot in all of this, and was a big help from the first visit. Amy called the oncology clinic to inform them of the clogged port problem and suggested what had worked in other patients. The oncology clinic responded less than friendly and the nurse at the oncology clinic last friday was quick to inform us, she had done the phresis before and was well aware of how things were done. Personally, I'd trust Amy.
Sooooo, if things go well on Friday with the 3rd and last infusion, no more leukaphresis (for now and the immediate future), and the cathether (port) comes out next week. Roger has an appointment with the surgeon tomorrow so that he can make an appointment to have the cath taken out. Yes, we have to go to an appointment to make an appointment. A $30 appointment to make a $30 appointment. hmmm, I'll not digress into that discussion right now, it would be lengthy and probably involve a march on D.C. or a bike ride to the halls of Congress with some choice words.
Surgeon visit Thursday, Infusion on Friday.
Hope we don't have any collisions with the motorcycles, as it is Bikes, Blues and BBQ week in Fayetteville. fortunately most events are on the opposite side of town.
Love to all
Friday, September 23, 2011
Upcoming Round 3
Visit today with oncologist for post round 2 and blood work. Roger's weight is down to 162, 4 pounds down from the start of Provenge. Fatigue still haunts Roger, and he gets short of breath easily, lungs being affected (smoking doesn't help) and the doc talked to him seriously about working on quitting after Provenge. The nurses jokingly suggested eating Krispy Kreme donuts to gain weight, and doc suggested protein shakes, and doc figured the amount he spends on cigarettes would buy a lot of Krispy Kremes. Little bit of humor in the day. Nurses were prepared for cleaning the port, as Nurse Amy from Tulsa had called the clinic to let them know the hepron solution to use so as not to clog the port. At least we benefit for the last round and for anyone else who passes through the clinic for Provenge. While exciting to be the first, it is also guinea pig type of experience. Resting up this weekend, Round 3 starts Monday when we travel to Tulsa for 3rd Leukaphresis.
Friday, September 16, 2011
Round 2 Infusion
Home from Round 2 infusion of beautiful pink blood, labelled as having a minumum of 50 million cells with the antigen attached, 50 million little pac men searching for cancer.
Roger didn't feel so grand after this infusion.
Little bit of the chills, and well, the weather is damp and chilly, that too might have contributed.
Also felt a little light headed.
No stopping for lunch today.
Headed home had some frozen pizza. It was hot and good.
Roger is wrapped up in his snuggie (that Dorsey made for him a couple of years ago at Christmas), and resting.
Found another man who has had the Provenge treatment. He was in much worse positon than Roger. His cancer adventure makes Roger's battle a walk in the park with a picnic. Can send the details of his blog if your interested, I can always recap here too which I will later. Too pooped right now.
 |
| Roger settles in to read |
Thursday, September 15, 2011
availability of Provenge
Was just reading an article published in Seattle newspaper on Provenge. there are only 2000 spots for the first 12 months, as the treatment becomes available. Roger is one of them. He IS a lucky one.
Wednesday, September 14, 2011
Round 2 begins details
Monday September 12, 2011
I have a dental appointment at 1:00 pm figure we'll leave the house at 12:30.
Roger wants my windshield wipers replaced, and get his hair washed at the barber shop (doesn't want to do it at the sink at home even tho we now have a handy dandy sprayer at the faucet since we had to replace the faucet) It is easier at the barber shop to get his hair washed. Can't do the hair wash at home, can't get the port wet.
At 11:50 Roger asks if I am ready
no, I figured we'd leave at 12:30
he's ready to go
we leave at 12:00
he's going to leave me at the dentist office while he goes to get windshield wipers and hair wash.
We head for town, stop at the auto supply, I go in to get the windshield wipers, come out
Roger sends me back inside to get someone to put the windshield wipers on.
I do and cashier puts on wipers.
We go to dentist office, they are closed. It is 12:20
They close during lunch hour 12-1
We head to get hair wash
Nice lady at shop washes his hair
Roger gives the lady $5 and we head out
Nice lady doesn't comb or brush his hair, so first things first Roger brushes his hair
We head back to dentist office. It is 12:45
We park in the shade and wait.
Office opens at 1 I get right in.
No waiting.
Roger waits outside.
I get my teeth cleaned, dentist checks my teeth, I am outa there.
We head to Tulsa.
Against my better judgement I do not medicate Roger for the trip.
I don't like to dispense pain and anxiety medication unless absolutely necessary and Roger agrees.
The decision not to medicate is a good one tho. Roger behaves much better this trip.
We get to Siloam and start checking the price of gas. $3.43. I think great when we get to the turnpike gas station it will be $3.37. It is usually a nickle cheaper there.
We get to turnpike gas station and the price of gas is $3.55. I am discouraged.
This is the first time I've had to get gas since the last trip. I have 1/4 tank of gas and fill it up. Car takes 8 gallons. So I have just paid 96 cents more than I should have, and I know I shouldn't complain because it is the first I've had to put gas in my car since the last trip 322 miles ago. I breathe, get coffee and Roger finds the old fashioned kind of lemon drops the yellow kind with sugary kind of coating, and he cleans them out-they have 5 bags. (note: the new kind of old fashioned lemon drops are neon yellow, these he has found are not the neon yellow). We head out for the last leg of the trip.
We have reserved a room this time on the east side of the Red Cross, thinking that it might be kind of fun to go to the casino for a bit and take $20 for entertainment. We get to the room. The bathroom vent fan is noisy. The air conditioner is noisy. The beds are hard as a board and the TV is about 17 inches. It was $10 cheaper than the room on the last trip. We get settled in the room and sit to watch the news. We are too tired to go to the casino. We are too tired to listen to all the noise associated with going into the casino. The bells and whistles, all those people, driving the two miles to the casino seem like too much for right now. So we go to the Arby's across the street for supper. I have a salad, Roger has a beef sandwich combo. It is not great food, but it is food and we go back to the motel. And we watch Eureka, The Closer, and Alphas.
And we shut the tv off and the lights and it is pitch black and neither one of us can see anything. So I turn on the noisy bathroom fan/light and shut the door and at least we can see the light from under the door. So we are trying to sleep with the noisy a/c, the noisy fan/light, and slamming doors noise from the hall way.
We sleep.
A little.
At 4:30 am Roger decides we should just get up and we turn on the TV watch some news, find a radio talk show on TV, real nice show not like the weirdo tv radio talk show.
At 6 am I head down to get some coffee, their continential breakfast doesn't start until 6:30 am but they do have one of those fancy thermos thingys with the pump on it, so I get two tiny stryofoam cups of coffee to take upstairs in the elevator.
I get to the room and the coffee is lukewarm. Lukewarm coffee is not good first thing in the morning.
So we decide to pack up and go out for breakfast.
there is a Waffle house near the Red Cross so we head there.
We find the Waffle house but there is no left hand turn lane to get there, but there is one about 1/2 block and I tell Roger to hang on and drive into the oncoming traffic really fast to cut into the waffle house. by the way, there was no oncoming traffic, nor was there any traffic behind me, but it sounded more exciting.
We order and eat at the Waffle house and they have hot coffee and the waitress keeps the cup filled and it was food to fill our tummies.
We leave to go to the Red Cross (it is only a couple of blocks) and it is 7:10.
Our appointment is for 8:30 but we go ahead and go in.
The night security guard goes back to tell the nurse we are here, returns to let us know she's still getting ready.
We are okay with that we are really early.
The security guard engages us in converstation, places to go in Tulsa, how big the city is these days, wildlife around the city. He's nice.
8:00 the nurse comes out to get us.
Yeah! It is nurse Amy again. She did the first leukaphresis and she is a wonderful nurse.
She gets started making Roger comfy and starts the plugging him into the white blood cell sucking machine.
I go get coffee (it is hot and fresh), and go pick out a movie, John Wayne in "the horse soldiers" and return to the room.
Amy is having trouble getting the port cleared.
Apparently the port shouldn't be used to draw blood for the blood tests, and really not for the infusion. That is unless the nurse who's doing the drawing or infusion knows how to put the right stuff in the port .
Well, that is partly our fault for letting the nurse on Friday use it to draw blood for his lab work at the oncologist. She put the wrong type of hepron in the port.
So, it took Amy about 20 minutes to get the port cleaned out and ready for the blood sucking machine.
But she took care of it and gave me instructions to give to the nurse on Friday for the infusion.
and she was real nice about the whole thing to us, not so kind to the nurses who did this.
And the leukaphresis took exactly 3 hours, and Roger did great. There were no chills this time, and he only had tums once (to replace calcium). I'd given him calcium chews the evening before and at breakfast. And I did medicate him with pain and anxiety meds.
And around noon we headed out.
Roger asks "Where do you want to go eat?"
knowing, as I do, that this is a trick question, I suggest the Las Palamas on the way home on the right side of the road.
And we stopped for lunch.
And arrived back home about 4.
and we were tired, Roger more so.
and I slept good,
Roger not as much, he has to get up several times for the bathroom,
but it was good to be sleeping back in our own bed.
and we decide to spend the $10 extra bucks for the nice motel room with the breakfast on the next and hopefully the last trip.
I have a dental appointment at 1:00 pm figure we'll leave the house at 12:30.
Roger wants my windshield wipers replaced, and get his hair washed at the barber shop (doesn't want to do it at the sink at home even tho we now have a handy dandy sprayer at the faucet since we had to replace the faucet) It is easier at the barber shop to get his hair washed. Can't do the hair wash at home, can't get the port wet.
At 11:50 Roger asks if I am ready
no, I figured we'd leave at 12:30
he's ready to go
we leave at 12:00
he's going to leave me at the dentist office while he goes to get windshield wipers and hair wash.
We head for town, stop at the auto supply, I go in to get the windshield wipers, come out
Roger sends me back inside to get someone to put the windshield wipers on.
I do and cashier puts on wipers.
We go to dentist office, they are closed. It is 12:20
They close during lunch hour 12-1
We head to get hair wash
Nice lady at shop washes his hair
Roger gives the lady $5 and we head out
Nice lady doesn't comb or brush his hair, so first things first Roger brushes his hair
We head back to dentist office. It is 12:45
We park in the shade and wait.
Office opens at 1 I get right in.
No waiting.
Roger waits outside.
I get my teeth cleaned, dentist checks my teeth, I am outa there.
We head to Tulsa.
Against my better judgement I do not medicate Roger for the trip.
I don't like to dispense pain and anxiety medication unless absolutely necessary and Roger agrees.
The decision not to medicate is a good one tho. Roger behaves much better this trip.
We get to Siloam and start checking the price of gas. $3.43. I think great when we get to the turnpike gas station it will be $3.37. It is usually a nickle cheaper there.
We get to turnpike gas station and the price of gas is $3.55. I am discouraged.
This is the first time I've had to get gas since the last trip. I have 1/4 tank of gas and fill it up. Car takes 8 gallons. So I have just paid 96 cents more than I should have, and I know I shouldn't complain because it is the first I've had to put gas in my car since the last trip 322 miles ago. I breathe, get coffee and Roger finds the old fashioned kind of lemon drops the yellow kind with sugary kind of coating, and he cleans them out-they have 5 bags. (note: the new kind of old fashioned lemon drops are neon yellow, these he has found are not the neon yellow). We head out for the last leg of the trip.
We have reserved a room this time on the east side of the Red Cross, thinking that it might be kind of fun to go to the casino for a bit and take $20 for entertainment. We get to the room. The bathroom vent fan is noisy. The air conditioner is noisy. The beds are hard as a board and the TV is about 17 inches. It was $10 cheaper than the room on the last trip. We get settled in the room and sit to watch the news. We are too tired to go to the casino. We are too tired to listen to all the noise associated with going into the casino. The bells and whistles, all those people, driving the two miles to the casino seem like too much for right now. So we go to the Arby's across the street for supper. I have a salad, Roger has a beef sandwich combo. It is not great food, but it is food and we go back to the motel. And we watch Eureka, The Closer, and Alphas.
And we shut the tv off and the lights and it is pitch black and neither one of us can see anything. So I turn on the noisy bathroom fan/light and shut the door and at least we can see the light from under the door. So we are trying to sleep with the noisy a/c, the noisy fan/light, and slamming doors noise from the hall way.
We sleep.
A little.
At 4:30 am Roger decides we should just get up and we turn on the TV watch some news, find a radio talk show on TV, real nice show not like the weirdo tv radio talk show.
At 6 am I head down to get some coffee, their continential breakfast doesn't start until 6:30 am but they do have one of those fancy thermos thingys with the pump on it, so I get two tiny stryofoam cups of coffee to take upstairs in the elevator.
I get to the room and the coffee is lukewarm. Lukewarm coffee is not good first thing in the morning.
So we decide to pack up and go out for breakfast.
there is a Waffle house near the Red Cross so we head there.
We find the Waffle house but there is no left hand turn lane to get there, but there is one about 1/2 block and I tell Roger to hang on and drive into the oncoming traffic really fast to cut into the waffle house. by the way, there was no oncoming traffic, nor was there any traffic behind me, but it sounded more exciting.
We order and eat at the Waffle house and they have hot coffee and the waitress keeps the cup filled and it was food to fill our tummies.
We leave to go to the Red Cross (it is only a couple of blocks) and it is 7:10.
Our appointment is for 8:30 but we go ahead and go in.
The night security guard goes back to tell the nurse we are here, returns to let us know she's still getting ready.
We are okay with that we are really early.
The security guard engages us in converstation, places to go in Tulsa, how big the city is these days, wildlife around the city. He's nice.
8:00 the nurse comes out to get us.
Yeah! It is nurse Amy again. She did the first leukaphresis and she is a wonderful nurse.
She gets started making Roger comfy and starts the plugging him into the white blood cell sucking machine.
I go get coffee (it is hot and fresh), and go pick out a movie, John Wayne in "the horse soldiers" and return to the room.
Amy is having trouble getting the port cleared.
Apparently the port shouldn't be used to draw blood for the blood tests, and really not for the infusion. That is unless the nurse who's doing the drawing or infusion knows how to put the right stuff in the port .
Well, that is partly our fault for letting the nurse on Friday use it to draw blood for his lab work at the oncologist. She put the wrong type of hepron in the port.
So, it took Amy about 20 minutes to get the port cleaned out and ready for the blood sucking machine.
But she took care of it and gave me instructions to give to the nurse on Friday for the infusion.
and she was real nice about the whole thing to us, not so kind to the nurses who did this.
And the leukaphresis took exactly 3 hours, and Roger did great. There were no chills this time, and he only had tums once (to replace calcium). I'd given him calcium chews the evening before and at breakfast. And I did medicate him with pain and anxiety meds.
And around noon we headed out.
Roger asks "Where do you want to go eat?"
knowing, as I do, that this is a trick question, I suggest the Las Palamas on the way home on the right side of the road.
And we stopped for lunch.
And arrived back home about 4.
and we were tired, Roger more so.
and I slept good,
Roger not as much, he has to get up several times for the bathroom,
but it was good to be sleeping back in our own bed.
and we decide to spend the $10 extra bucks for the nice motel room with the breakfast on the next and hopefully the last trip.
Friday, September 9, 2011
September 8 Thursday 2011
Thursday September 8 2011
Roger's appointment with urologist at 2:30pm
Don't remember if I mentioned the case manager, but she is taking care of all the phone calls to make sure the meds are where they need to be when Roger needs them,
making sure the docs are where they should be, and know what they are supposed to know to deal with Roger.
So today's appointment with the urologist is the last visit for prostate cancer, the urologist is now the secondary specialty doc, now for urology problems only.
It is a nice visit.
Roger checks in and we sit in the waiting room.
I know in all probability we will be there a while.
So I ask Roger
"Where do you want to eat?"
he laughs
says "Where do YOU want to eat?"
I say "Don't even ask"
and we talk about the places close by and decide on Steak and Shake again, we are becoming regulars there at Happy Hour (2-4 pm M-F) 1/2 price drinks including shakes.
1/2 price of course, unless they charge you for two unsweetened ice teas when you only order one, and they only bring you one (but I digress, and they haven't actually over charged us since the first time)
Soon, the nurse calls Roger back. They don't take his weight here, just hand him a cup.
Roger apologizes for yelling at her back in April over a medication problem. She accepts his apology and says it happens.
She points to the exam room for me as Roger heads for the restroom.
I go sit in the exam room, Roger comes in and sits, the nurse follows him in.
She asks the nurse questions.
then Roger explains why we are here:
to let Doc know he won't be back unless his speciality is needed for symptoms that occur urologically, that all the prostate cancer problems will be handled by the oncologist.
Ok, the doc will be in soon.
and
the doc is in soon and Roger tells the doc the same thing he told the nurse.
Then Roger looks and the doc and says
"thanks for keeping me alive the past 9 years" Roger has tears in his eyes, and his voice is shaky.
He shakes doc's hand and the doc shakes my hand and he says he will be here if needed.
And so we leave the urologist's office (of course, with copayment and paper work in hand)
This last regular visit occurred because our case manager arranged for the hormone shot and prescriptions from the urologist to be dispensed at the oncologist. And we are happy about the case manager, we are tickled pink.
I am jumping for joy, it takes a huge load off (making calls between docs, nurses, hospitals, surgeons, prescription drug company and health insurance company can be time consuming (sometimes 4 hours in a day)and frustrating .
Roger's appointment with urologist at 2:30pm
Don't remember if I mentioned the case manager, but she is taking care of all the phone calls to make sure the meds are where they need to be when Roger needs them,
making sure the docs are where they should be, and know what they are supposed to know to deal with Roger.
So today's appointment with the urologist is the last visit for prostate cancer, the urologist is now the secondary specialty doc, now for urology problems only.
It is a nice visit.
Roger checks in and we sit in the waiting room.
I know in all probability we will be there a while.
So I ask Roger
"Where do you want to eat?"
he laughs
says "Where do YOU want to eat?"
I say "Don't even ask"
and we talk about the places close by and decide on Steak and Shake again, we are becoming regulars there at Happy Hour (2-4 pm M-F) 1/2 price drinks including shakes.
1/2 price of course, unless they charge you for two unsweetened ice teas when you only order one, and they only bring you one (but I digress, and they haven't actually over charged us since the first time)
Soon, the nurse calls Roger back. They don't take his weight here, just hand him a cup.
Roger apologizes for yelling at her back in April over a medication problem. She accepts his apology and says it happens.
She points to the exam room for me as Roger heads for the restroom.
I go sit in the exam room, Roger comes in and sits, the nurse follows him in.
She asks the nurse questions.
then Roger explains why we are here:
to let Doc know he won't be back unless his speciality is needed for symptoms that occur urologically, that all the prostate cancer problems will be handled by the oncologist.
Ok, the doc will be in soon.
and
the doc is in soon and Roger tells the doc the same thing he told the nurse.
Then Roger looks and the doc and says
"thanks for keeping me alive the past 9 years" Roger has tears in his eyes, and his voice is shaky.
He shakes doc's hand and the doc shakes my hand and he says he will be here if needed.
And so we leave the urologist's office (of course, with copayment and paper work in hand)
This last regular visit occurred because our case manager arranged for the hormone shot and prescriptions from the urologist to be dispensed at the oncologist. And we are happy about the case manager, we are tickled pink.
I am jumping for joy, it takes a huge load off (making calls between docs, nurses, hospitals, surgeons, prescription drug company and health insurance company can be time consuming (sometimes 4 hours in a day)and frustrating .
Thursday, September 8, 2011
August 17, 2011 Roger's upcoming treatment
.
Roger is now seeing the oncologist once a month, still seeing the urologist (who has been the primary physician since diagnosis in 2001), and his regular MD whenever needed. I am trying to coordinate all these doctors, so everyone knows what the others are doing. Unfortunately, I've had practice doing this, but I am hoping this works to Roger's advantage. So I am trying to hold it all together, some days I can't hold myself together.
Roger starts the 6 week Provenge journey on August 30. This will entail travelling to the American Red Cross in Tulsa for blood collection, for 3 or 4 hours Roger will be hooked up with a machine that will extract blood, separate some white blood cells, then return the plasma back to him. The white blood cells are sent to a magic castle where magicians add a magic potion. The magic blood is then sent to the Oncology office in Rogers, and put back in Roger in about 2 hours :)
That is the short story. and it sounds better than leukaphresis and infusion.
A lot of scary monsters show up along the way, in the form of side effects, not just the infusion, but from the leukaphresis as well..
I don't want to continue the story because I can't fight the troll under the bridge in three billy goats gruff until I see them. :(
The whole story can be found by googling or binging Provenge.
Just trying to add a little humor, everything is quite complicated.
Anxiety and worry came to the door today by way of the brown UPS truck. It was a care package for Provenge patients. A backpack on wheels with a stainless steel water bottle, puzzle books, a $1 radio that doesn't seem to work, pen and pencil set, instant lemonade mix, and a book explaining more throughly what is going to happen before, during, and after each of the extractions and infusions and all the things that can happen. (The backpack is just awesome) 98% experience side effects, 23% bad bad side effects. The backpack like I said is really cool, but brought with it the reality of the situation.
I wrote that just for a heads up. I won't think about it, as I mentioned, until the time comes to deal with it.
This is day to day. I am absolutely estatic this has given Roger hope, and a more positive outlook. We go walking at the Adult Wellness Center ( a fitness center for us old folks over 50) in Rogers 3 days a week. Roger loves it, and he even went there ALONE, on Tuesday! (while I was working). He hasn't gotten out much since retirement, and less so as time has gone on. He was getting very down after the setback in April. So his outlook is much improved for the goood.
Sincere regards and Love to you all,
Pat (the one with a brand new great nephew James Thomas Johnson born August 16)
oh, and of course the one who loves Roger!
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