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Everything posted by ColleenRae

  1. ColleenRae

    Covid and me

    Thank you for sharing your story, Lisa...
  2. Thank you for sharing this, Rose. I am sorry you are experiencing this side effect. Both my surgeon and a second radiation oncologist I consulted with advised that SBRT will definitely change the appearance of future CT's (due to scar tissue from radiation) and that readings will need to be done by someone qualified and with the necessary skill to distinguish between a "mass" / concerning nodule and scar tissue. I was also advised that, yes, a side effect of radiation can impact the quality of one's breathing capacity (which is one reason why we're delaying radiation tx for a small slow-growing nodule; I've already lost some lung capacity from a RUL lobectomy). Both doctors said radiation can lead to chronic radiation pneumonitis. Was the COPD diagnosed AFTER the radiation? Did you have any shortness of breath or cough prior to radiation? I'm not sure if COPD is related to the radiation tx's. Maybe the radiation tx's aggravated the COPD? My first thought would be the unfortunate side effect of radiation pneumonitis. Hopefully someone else can share regarding their experience with this. There is another category here on the site regarding radiation... Have you posted anything there? Hang in there... I'm really sorry to hear this and hope that you will find the right treatment to reduce if not eliminate the breathing issues you are having. I do hope it improves for you. Please keep us posted.
  3. Thanks for the update and info Pattymac. You're giving me hope (and a bit more courage) as I look forward to doing this myself in the future. I'm glad to hear the side effects have been minimal for you. Good to hear what your RO has to say as well re: chances for a full recovery. Two down; one to go. You've got this! I hope this will take care of this as well for you. I felt so bad when I read about your father - far too young to have left this world. It is amazing how treatments have changed since his passing. You take care as well. Good luck tomorrow. Thinking of you! Colleen
  4. So glad it went well Pattymac! What a trooper you've been! Thank you for letting us know. I, personally, appreciate this as I will be heading in this direction in the future. Happy to hear no side effects, other than fatigue... maybe that is from the emotional anticipation preceding the treatment as well... Good luck with the remaining two tx's. Will look forward to hearing more from you and keeping fingers crossed they blow that nodule away!
  5. Will be thinking of you and wishing you the best, Pattymac. Hope all goes well; I believe it will. We look forward to hearing how it goes...! Colleen
  6. Congratulations! Very encouraging! I can easily imagine you felt stunned...! Very happy for you.
  7. Congratulations! Thanks to YOU for sharing your progress over the years... It gives the rest of us a lot of hope! As a WA native / resident, I heard the Spokane area has cyberknife available. Not sure if that is where you have been treated, but glad to know it is available in eastern WA. Congrats again on your remission! Wishing you many more years of news like this!
  8. Sheryl, I think it's amazing that you could even write an update this soon... That, to me, is encouraging in and of itself! I still think it's weird that part of my lung is gone (2 yrs since lobectomy)! I think the positive points that Babs pointed out pre-surgery are good to hang onto. Keeping you in my thoughts and hope you continue to do well each day.
  9. Excellent news, Lisa! Very happy to hear this outcome. Will be sending positive thoughts your way for your surgery
  10. Thank you, Tom & Teri. Your support helps me even more. I have learned so much from both of you since discovering Lungevity two years ago.
  11. Just an update... I had my second consult with a Radiation Oncologist in Seattle - same hospital network where I had my lobectomy in 2018. I am so glad I got a second opinion. Loved the R.O. I spoke with. The second sentence out of his mouth was that he was really surprised that our local cancer center was wanting to treat this suspicious spot so soon. He actually laughed and said how tiny it was. He did not talk at me - he talked with me. He did not dictate what the course of action would be but rather what route he believes is warranted - as long as I am comfortable with the plan. In a nutshell - He agrees with my surgeon that this can wait. They do not want to over treat. He is very comfortable in waiting another 12 months for my next CT scan and stressed this is not life threatening. He said the bigger risk is in a recurrence in the right lung where I had my lobectomy, and scans have fortunately been showing NED. In 12 months, we'll see what changes have taken place. He said I will likely need to treat this with radiation, but they'd like to hold off for as long as possible. I will likely require fiducile markers. He will treat it with their Cyberknife equipment, probably 3x over a 3 day period. I asked him why my local clinic told me 5 sessions over 2 weeks (and the local clinic told me Cyberknife would not work as well; but they don't have Cyberknife)... He was quite blunt and said "Because they can get the maximum revenue by scheduling five treatments". That summed up a lot for me. He also said he has seen three patients from my city in the past week (who are not going to our local cancer clinic for treatment). I told him how I received a call last week from the nurse navigator from our local cancer clinic, "reminding" me that I have cancer and being very pushy about my scheduling and starting my radiation treatments... I was really taken aback by that call. Left me angry and in tears. I did not need to be "reminded" that I had/have cancer. I felt threatened and bullied because I said I wanted a second opinion. After that phone call I had no desire to seek medical care for this locally. I am very grateful I can still access care in Seattle. The Seattle R.O. did not sugarcoat anything for me. He would not use the word "cure" (another point in my book!) either. We did talk about the likely possibility of treating lung cancer long term with spot welding treatments. He was optimistic that there may be new treatments in the not so distant future. What he helped instill in me was that they will not over treat; they will continue to watch and assess in order to help maintain my breathing and quality of life. I did not feel like this was a death sentence nor did I feel alone in this. He will let my surgeon know what we discussed and said he would like BOTH of them to follow me at this point. Am I nervous about waiting? Heck yes... especially when life has revolved around CT scans every few months for the past four years. To go one year will require a mindset adjustment. I'd like to have a year off from this, if possible, and even live a little bit in denial if I can I know there are no guarantees and this can all change, but I felt very grateful today. I know I will never be "cured" but there is also a very good chance that I might be able to live many more years with this. I am very glad I got a second opinion. It helps enormously to "connect" with your doctors.
  12. "I really HATE how insurance dictates our care and what we can have done." Could not agree more. So sorry you are having to go through this when you need to concentrate on keeping your immune system up and being well-rested prior to surgery. I agree with all of the advice you have received here. I have only had CT scans, tele-med visits/consults and a recent thyroid ultrasound, but no hospital procedures. I hope this can be resolved for you quickly and in your favor.
  13. Thank you for the update Barbara... I can "hear" your stress, but as others have said - You really can do this. You can get through the procedure and you can quit smoking. We are all here to support you. Sounds like your husband will as well since he's already taken that big step! One thing that worked for me (in addition to a firm mindset) was to breathe deeply whenever I thought I wanted a cigarette. I would just stop and take several deep breaths and it would relax me. It was actually very similar to what I used to do with a cigarette / why I smoked to begin with. The only thing missing was the actual cigarette. Try cutting a straw down in size and take a "puff" on it instead of a cigarette. Maybe the action of holding the straw alone will help. I would not focus too much on what the nurse told you about the chest tube. After-all, she did say pain medication will be given! Seriously - things were a real blur those first few days for me. I just remember waking up after the procedure and seeing my son sitting in the corner of my hospital room and I was just so grateful... that was the only, really important thing that mattered to me. My biggest fear was anesthesia or that something would go wrong with the surgery and I would never see him again. The rest of the stuff after surgery (blood work, x-rays, chest tube removal, etc.) just came and went and left no traumatic memories. I had my lobectomy without a 100% guarantee that the lobe had a cancerous nodule, so it was a gamble in some ways. It was cancer and, surprisingly, I was grateful. Grateful that it was cancer so that I didn't have it removed for no valid reason. Grateful that it had been caught early. After that - nothing else really mattered other than I was happy to be alive. I just wanted to walk and get back home as soon as possible. Save your energy for that! I am not good at following this myself - but nevertheless - remember: The only thing we have to fear is fear itself. That can be applied toward chest tubes and giving up that last cigarette! I am curious as to how you are going to be able to drive yourself home after four days in the hospital??? I have a feeling you've been taking care of others... Please enlist help from others if you can.
  14. Barbara... Just checking in! Sorry it's been a few days; dealing with some issues here at home but have not forgotten you. I'm not sure where you are in this process right now... You had mentioned you were going to get blood drawn - did that take place? How did it go? On August 16th you wrote: "Next week I'm going for a Wedgectomy (is that the right word?) with the possibility of a Lobectomy depending on the results after they take the first chunk out." I'm afraid I might have missed your date for this if it took place last week... If so, I am very sorry! When you get a chance, can you give us an update on how you are doing? Did you have any procedure(s) yet? How did your blood draw go? Wishing you the best! Colleen
  15. Pattymac ~ Thanks for updating us! Glad to hear everything is going well and from what you've described, it sounds very straightforward and easy as compared to other treatments! It's really nice to hear the optimism and relief in your voice here - knowing you will finally be addressing this lurking beast! LexieCat ~ Insurance companies. I think we forget to talk about that here on these forums. Sometimes that is the most exhausting part of all. Infuriates me the hoops that one must go through. A medical insurance rep who didn't seem to know what a radiation oncologist is... Why am I not surprised?! Just glad the additional consult will be covered. That is one hurdle passed and gift along the way for you. I spoke with my surgical oncologist who has been following me since he performed VATS two years ago. He is not in disagreement that this 8mm nodule in the left upper lobe is likely a slow growing cancer. As he's told me before, however, he does not believe it needs to be treated now unless I cannot live with the knowledge that it is there and insist I want it gone. His reason for this: He said the philosophy his clinic/hospital/peers follow is a conservative one and they make every effort to not over treat. He said there are risks with radiation - in particular pneumonitis / fibrosis / radiation scarring. He said his advice to me would be to wait and see where this tumor is next summer. It is growing slowly. It has not become more dense. He said he can say with certainty that he is not concerned with treating it right now. He would rather wait a little longer rather than have me undergo another procedure and experience any risk that might affect my quality of life. He firmly believes radiation will take care of this nodule. He also said due to this nodule's small size, they may have to place fiducial markers prior to radiation - and they would likely do a biopsy while they're at it. He said I should ask the radiation oncologist if the tumor were to increase in size if that would eliminate the need for the fiducial markers, which would add to the argument of holding off for a bit. He said he would be very comfortable in treating this nodule now without a biopsy, given what he knows about the previous one removed, which is why he's also comfortable with me waiting to treat it. My surgeon said he would provide a referral (I said I wanted one) to one of their radiation oncologists for a second consult. He encouraged me to ask the RO about the skill level /reputation of our local cancer clinic and the RO I had seen. I expressed concern over the difference in treatment approach; something I've been encountering for the past four years between our local clinic and the larger clinics in Seattle (frustrating and confusing to say the least!). I voiced my concern that my decision on where to get treatment might be dictated by how I could access it, as I did not see how I could drive every other day to Seattle for almost two weeks (approx. 4-5 hrs drive each day). I'd have to stay in a hotel, which would be very costly, even at the medical rate. He said their facility does have Cyberknife (our local clinic does not; they do have SBRT) and he believes they could treat this in fewer treatments - possibly even one - with Cyberknife. He said they do this frequently for patients like myself who live out of the area. I would much rather have 1-2 treatments versus a week and a half, if this is correct, however, I think I remember the local RO telling me they parcel the radiation treatments out to 5 to avoid side effects... I am grateful I have more time to explore my options and I do want to speak with another RO (and maybe even another one at the Univ of WA). The surgeon said things are changing so rapidly that if we wait until next year there may very well be even more new treatments. He said he will continue to monitor me / my chest CT's until I move forward with radiation - then he hands the reigns over to the RO. I found that hard - I didn't realize how much I'd come to depend on him and how much trust I actually have put in him until he said that. I told him I wasn't quite ready to have him let go of my hand yet...! He said once the lung is treated with radiation it takes a very skilled and experienced professional to be able to correctly read and follow future x-rays / scans, due to the changes in the lung from radiation. After attending the Radiation 101 session this a.m. at the conference, I saw exactly what he was saying (the presenter provided films showing how radiation affects the lung over the course of months). So, I can tell that I will need to wean myself from my surgeon in the not-so-distant future. I just want to make sure that once my care is transferred to someone else, that it is someone I feel confident in. That hand-off is going to be vitally important to me and my peace of mind. As far as waiting on the tumor, for some reason I feel pretty calm. (Now I wish I'd followed through and bought the house we just backed out of! )I'd like to know the nodule was gone, but if I can hold off for a bit that is fine, too. I want to hear what the second consult has to say first about treatment, risks, quality of life , anticipated effect on breathing, etc. I'm grateful I may have a choice in this as I make my decision(s). I think that is a common thread between Pattymac, LexieCat - all of us - right now... We're all actively seeking information and want to be able to decide in the course of our treatments as much as we can be. I'm learning that that "control" - or actively /feeling of being involved - is vitally important to how we deal with our diagnosis of lung cancer. I look forward to following both of your experiences, Pattymac and LexieCat... Thank you so much for the time you take to share your stories and information. My thoughts are always with you.
  16. Completely understand! My local doctor wanted me to get a biopsy that was quite risky before getting the lobectomy and I refused. The risks were too high, and I would likely need the lobectomy regardless of what the biopsy said. I hear ya... The waiting and watching and feeling of not doing anything is very difficult. I like your attitude of taking charge and being able to make a decision. The last time I spoke with my surgeon, he was very encouraging regarding the success of SBRT. I am looking forward to hearing how your CT simulation goes... Thanks for leading the way for me (and others) on this! I truly am rooting for you and know that I am going to be tailing behind you! Good luck! I plan on attending the Survivorship Conference session on radiation 101 on Friday to learn more... Will be thinking of you Pattymac!
  17. Barbara - I don't have any good advice for calming a fear of needles... Best advice I can give is just don't watch and try not to even see the damn needle! Really... Try not to worry. The things you are worried about really are the tiny things. Yes - you should quit smoking. That's my opinion. If your Doctor didn't advise, I know your anesthesiologist for the surgery will prefer that you've stopped. Plus... If you quit now you will already have a head start on the nicotine withdrawal (which you likely have since you've cut back to one... that's awesome!) You won't be able to smoke in the hospital and you probably won't feel like it. "They say" your recovery will be much better and faster if you quit. But... I completely understand if it helps you to still have that one cigarette to help calm your nerves right now. I won't judge, but I will encourage you to stop I did not care what I had on, to be honest, after surgery. You likely won't be there very long. I walked around in my gown and just made sure my back side was covered! I found another patient, an older man, who also had lung surgery, and we would walk the floor together. Neither of us dressed up for the outings!
  18. Glad you are able to get another consult / opinion. Really sounds as if you have some great options there in NJ. Keep being proactive. You are an inspiration!
  19. You're very welcome... Wish I didn't have this experience to share but glad if it helps you! Smoking...Don't beat yourself up. It is very hard to stop a habit that was, for me, part of my daily routine. You've cut down a huge amount! Be proud of that. I just had to go cold turkey as I knew I could not wean myself off of cigarettes. I had to say goodby completely. I continued to smoke for quite a while after I first learned I had nodules. It just took me a while to reach that point where I realized I wanted to have as much control over my life and the outcome of cancer as I could. Ask my son how it was to live with me the first 2-3 days I quit... He literally hid in his room. I cried a lot. I had a whole new appreciation for those trying to overcome any addiction. But as the days and weeks went on, I felt stronger about myself and each day got easier. I really never noticed any difference / improvement in my breathing though. The only thing I have not liked as a consequence of quitting is that I gained weight. I probably needed to put on a few pounds, but I gained about 25 lbs after quitting smoking and the year after my lobectomy. There is a stop smoking cold turkey facebook group - I think it's called Why Quit - that offers some inspiration and links to help: https://www.facebook.com/groups/whyquit/ Pleural effusion - I believe this is a risk following lobectomy; won't happen to everyone. It did not recur again. I am not sure why it happened, but within two weeks of being at home I started noticing my breathing / chest felt heavier - and between my shoulder blades - especially when walking. I called my doctor's nurse and they had me hop in a cab (I couldn't drive at that point) with my son and we headed for Seattle. I was in a regular exam room; had an x-ray and they confirmed the pleural effusion. I couldn't see what was done - it was all done while I was sitting on the exam table and the Dr. worked on by back. I barely felt the needle that was inserted, and they drained the area - I could see a thin tube fill as the fluid was removed. The Dr. thumped a lot on my back as he did it - that was more annoying than painful. It really did not hurt at all and I did feel better / breathing felt much more natural. I brought some pj's that could pass for casual wear when I was discharged. No, you won't likely want to wear a bra. I was able to wear a camisole (I bought a larger size so it was loose) with a loose fitting pull over pj top and loose fitting pants. I forgot slippers and my son brought my hiking boots (?!). He was a little stressed at the time. I was comfy as can be on the ride home (and felt so stylish after being in a hospital gown for days!) You won't need to wear a button shirt. I had no problem taking a shower alone before I was discharged, putting my arms above my head, etc. I was afraid to remove the bandage when I got home and was very pleasantly surprised to see how neat, tidy and clean all incisions looked. Much much better than I had anticipated. You will be fine!
  20. Pattymac ~ Very glad to hear your appointment went well! It is important that you feel confident in your provider and in the treatment you have chosen. When do you plan on receiving treatment? The radiation oncologist I saw yesterday said I do not have to do this right away (8 mm nodule) but he would not wait one year. He said he was sorry to hear I backed out on buying a house as the treatments should not be difficult. I was sorry as well, but still a good thing as I would not have wanted to drive 2+ hours by myself every other day (with four border crossings each round trip!) for two weeks! I'm looking forward to speaking with my surgeon tomorrow to help in my decision. Pattymac - What did your doctor say about side effects or possible risks? When I met with the RO (radiation oncologist) yesterday, I asked him what risks or side effects there might be. Due to the location of my nodule (upper left apex), he said there really aren't any concerns, with the exception of an increased risk of brachial plexopathy (a form of peripheral neuropathy) which can be quite painful and there is the risk of the damage being permanent. He did not indicate any other risks. I still felt I needed to know more, so I did some research last night and it appears there is a risk for radiation pneumonitis, and that the most important risk factor to develop severe radiation induced pneumonitis is interstitial lung disease. I recall one of my earlier radiology reports mentioning ILD after a scan, so I want to look into this further so I can truly understand and be prepared for this risk should it arise. Will you be having a biopsy prior to radiation? Again, I'm just curious. (I'm looking forward to the Lungevity conference this weekend for more info in the radiation session!) The RO I saw said they would normally do a biopsy to confirm the nodule is cancer before starting treatment, but since this looks like a duck... and given I have now had a similar, confirmed cancer... it is likely we know what we're dealing with (Bronchioloalveolar carcinoma (BAC)). He said there were risks with the biopsy. However, he also said that I will need to be seen prior to scheduling radiation to see if they can even see this nodule by positioning me, etc. If they can't, I will need to have the fidicuary markers placed prior to treatment - and he said they would then do a biopsy during that procedure. I think it's fantastic (and the latest reports look very encouraging) that SBRT is an option, but I want to proceed with some caution and obtain more information. I asked the RO what "stage" I am considered to be in now. I was Stage1a N0M0 after my lobectomy. He said without a biopsy, they really don't know. My scans do not indicate any lymph node involvement or spread of the cancer, but this can't be confirmed if we just solely go forward with radiation. Zapping the nodule sounds very encouraging in eliminating the sucker, but as this would be my second treatment (after lobectomy), I think I want a little more information. The RO said he has had patients he has treated with multiple, repeated SBRT over the course of years - he said he's had one patient he's treated approximately 11x with SBRT over the past 14 years. That is encouraging, but I'm also interested in knowing what the long term effects on quality of life, breathing, etc. might be. He did say I would not need chemo for this nodule; SBRT will kill it. He was positive of that. He also said that there are studies coming out that are showing SBRT starting to slightly exceed lobectomy positive outcomes. I asked him why I was being referred for SBRT (versus surgery, as I have not been told I'm not a candidate for surgery nor did I say I did not want surgery). He never really answered my question... Doesn't matter that much; I was just trying to find out if I was no longer a candidate for surgery - for reasons I might not be aware of - so I'll know it's no longer an option for me for future treatment. Radiation would be an easier option for me given my personal home situation vs surgery in another city again. So... I may post more after I speak with the surgeon. I'm sure all that I have posted here is nothing new to those who have been down this path. It's probably just helping me to sort through this by writing it all down here in a post.
  21. I plan on attending as well and I, too, am researching radiation treatment that has been recommended, so this IS great timing. It's my birthday weekend, so my son said he'd even attend (I believe I saw there is a breakout for caregivers) to learn things and be supportive. Thank you for providing this online!
  22. I found this link that, in my opinion, gave a pretty decent description of SBRT (the graphic chart illustration helped as well). It's a few years old, so I'm not sure how accurate or up-to-date the info is. I hope it's okay to post something like this...? The radiation oncologist I saw today wants to move forward with SBRT, 5 treatments - 1 every other day for almost two weeks. I will write more later, but thought I'd share this... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635958/
  23. First, I am out of "thanks" so please know that I am grateful for all responses! Thank you, Tom, for your response. I will post later re: my visit with the radiation oncologist this morning; today is a very full day. Grateful for what I learned here from all of you as I would not have felt prepared or able to follow what the doctor was discussing without that help. I did not even get to ask any of the questions I had printed out or written down in preparation for the appointment. I was able to ask questions - by interrupting the doctor - I quickly learned that was how I was going to get to ask anything. He would answer my questions based upon what he was currently telling me, but he did not ask me if I had any questions when it was clear time was up. I felt very flustered by that point and a little angry with myself for not asking him the questions I had prepared. So what if my questions screwed up the appointment schedule. I did tell him I was not ready to make a decision and that I was going to speak with my surgeon later this week. I've learned that they do not like it when we locals "go south" for medical care to Seattle... LexieCat - You are fortunate they are strict. By this morning I was not really concerned about COVID and told myself I was being overly concerned. I was more distracted by what I wanted and needed to learn at the appointment and assumed the clinic would be extremely strict as it is the Cancer Center. But I have to admit - and especially after reading your experience - the precautions seemed a little on the lax side to me. They did have a woman at the front entrance who took temps and asked why people were there. The two people ahead of me when I arrived both said they were there to see patients... So they were obviously allowing guests. I was very surprised by this. When it was my turn, the woman did not tell me my temp but asked me if I intended to leave my gloves on - I decided to wear them as I am low on hand sanitizer and they help remind me to not touch my face. I did not think it was any big deal, but she looked at me as if there was something very strange in my wanting to wear them. She had a face mask on but she did not remind people waiting in line to get in to stay six feet apart. I then went to check in and saw the waiting room is exactly the same as it was the last time I was there 2 years ago. Seating had not been arranged for distancing. In fact it was quite crowded so I decided to remain standing. They did have plexiglass. The Dr. and nurse wore a mask but no gloves. During the course of our conversation, the Dr. advocated for getting outside a lot. I said the trails were narrow and quite crowded when I did go out and he said the risk was very minimal. He did not express the same thing about grocery shopping, unless the store wasn't crowded. I just had the uncomfortable feeling that they might be a little too lax in the clinic, although Dr. assured me they have had no COVID cases among staff or patients.
  24. Excellent information and advice Tom Galli... Thank you very much. I have been reading a lot this evening and the link was very helpful (also had questions to ask, which I have printed). I have two questions for you, if you don't mind... You stated "Rather than search for clinic that has precision radiation equipment, I'd focus on finding a radiation oncologist you are comfortable with and letting the doctor pick the treatment location". I agree that the relationship with the radiation oncologist is of primary importance, but how do I let the doctor pick the treatment location? I may really like a radiation oncologist in Seattle, but he's not about to pick where I live (2+ hrs away). He/or she is going to choose the clinic / hospital they are associated with. I'm getting tired, sorry, but I'm not sure I understand this part. My second question is WHY is radiation being suggested? I read the following on the link to the Lungevity page discussing radiation treatment: "SBRT is often recommended for early-stage patients (stages I and IIA with no spread to lymph nodes who either cannot or choose not to have surgery." I'm not sure what stage I'm considered now with this new nodule. Am I still stage 1a? How would they really know? I did not have lymph node involvement two years ago, but what about now? I have not been told I cannot have surgery nor have I chosen not to have it. No one has even discussed a choice with me (maybe my surgeon will when we speak later this week although he did mention radiation as a future treatment the last time we spoke). Is it because I had a prior lobectomy? My lung function is still considered good. I know I'm old (!) as I'm heading towards 62 years in a few days, but I wouldn't think that is considered advanced age, or maybe I'm in denial...ha! How will they know what type of cancer this nodule is if they blast it away / if it's never biopsied? Wouldn't it be useful to know for any other future recurrences? I've never had any biomarker (?) testing done / none was done when first cancer was surgically removed. It seems to me it would be a good idea to know if this tumor is the same as the last one for future treatment if needed. I realize these are all questions I will need to ask the doctors, so please don't think I am expecting you to answer them...! The wheels are just turning tonight and I'm thinking out loud here! I think I'm anxious about the appointment and should really get some sleep before I have to run out in the a.m. I have not been anywhere - no enclosed spaces, no grocery stores, etc. for almost six months now. Unbelievable. I'm anxious about having to go inside the doctor's office. Really wish they could have done a consult via telemed with COVID lurking about. Thanks again, Tom I'm trying to stay the course and you help keep us all on track. Colleen
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