› Forums › General Melanoma Community › IL-2
- This topic has 27 replies, 6 voices, and was last updated 12 years ago by
Kelly7.
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- April 23, 2012 at 2:58 pm
Hi! I’m due to start IL-2 next week after a recent surgery to remove more lymph nodes was not fully successful. I’m a bit scared of the treatment, based on things I’ve read about side effects.Has anyone been through it recently?
Hi! I’m due to start IL-2 next week after a recent surgery to remove more lymph nodes was not fully successful. I’m a bit scared of the treatment, based on things I’ve read about side effects.
Has anyone been through it recently?
- Replies
-
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- April 23, 2012 at 7:35 pm
It is a tough treatment. Listen to your body. The average doses is about 8-10 per cycle. More is not necessarily better. Do only what you and your body feek comfortable.
http://cancerguide.org/rcc_il2hd.html
WITH IL-2 AND THINGS THAT HELPED ME AND COULD POSSIBLY HELP YOU.
The first thing you want to do before you step foot into your room that you will be doing treatment in is have someone wipe down your entire room with sanitizers, including the T.V. remote, bed rails, door handles, ANYTHING that you could possibly touch. My husband and daughter would go in and do a clean sweep; all too often patients get infections in hospitals.
Things to bring:
- Your own sheets, pillow, and blanket
- Your own P.J.’s and make sure they are baggy (bring some summer ones and some warmer ones as you will be hot-cold-hot-cold)
- Soft toilet paper
- 2 cases of bottled water
- 2 bunches of bananas
- SARNA anti-itch lotion
- A good lip balm
- An Ipod or some music that has a headset- bring relaxing music
- Some sort of protein drink that is sugar free that can be mixed with water
- A tube of hypo allergenic petroleum jelly (for your eyes lids) My eye lids itched really bad and peeled)
- A heating pad
- Slide on slippers
- A package of body wipes, as natural as you can find them without a lot of perfumes etc to irritate your skin
If someone is sleeping over with you every night (which I recommend if possible) go to the craft store and buy 4” foam padding the shape of a sleeping bag, to put under the sleeping bag.
During and after Treatment Have them give you an Adivan an hour before they do the PICC line
As soon as you feel the slightest sensation of cold feet, hands, chilly etc. ask for the warm heated blankets that the hospital should have on hand.
Before the first dose of IL-2 comes, plug in the heating pad and have it under your feet
If the warm blankets don’t stop you from shaking, ask them to give you Morphine before it turns into the rigors. Provided the patient has no reactions
to morphine.
Make sure you drink, drink, drink as much water as you can. This is very important. It will help avoid renal failure. And don’t let them tell you that
the I.V. fluids you are getting are enough. It’s NOT.
They will give you the common things for nausea and or vomiting. If nothing is working tell them to give you Marinol. It works wonders for most people.
Make sure they give you get Lasix water pills before you leave the hospital. You will gain anywhere from 20-30 lbs of fluid, don’t panic it will come off
in just a few short days with the water pills.
Try to eat 2 bananas a day so your potassium levels don’t get depleted.
As soon as your mouth starts feeling sore (its thrush) tell them to give you the mouth spit (forgot the name) its pink and you swish it but if this doesn’t help and your mouth gets really bad tell them to give you Lidocaine Viscous
Usually after a couple days you either wont feel like eating or can’t this is when it’s good to drink the protein shake.
When your heart rate starts to go really high have someone massage your feet, this will help lower it for a while. Normal
When your blood pressure drops they will work with it to raise it, so this is normal.
If you can’t sleep make sure they give you a sleep aid.
You will also experience fevers, and they will keep you on Tylenol.
Once you are home have easy things around to eat like Mac & Cheese, chicken noodle soup etc.
Also take cool Oatmeal baths 2X a day and as soon as you get out lather the SARNA lotion all over.
Make sure they also send you home with itch pills called Hydroxyzine HCL. These help a lot
If you have fluid in your ears take a benadryl, this helps a lot. (provided you are not allergic)
-
- April 23, 2012 at 7:35 pm
It is a tough treatment. Listen to your body. The average doses is about 8-10 per cycle. More is not necessarily better. Do only what you and your body feek comfortable.
http://cancerguide.org/rcc_il2hd.html
WITH IL-2 AND THINGS THAT HELPED ME AND COULD POSSIBLY HELP YOU.
The first thing you want to do before you step foot into your room that you will be doing treatment in is have someone wipe down your entire room with sanitizers, including the T.V. remote, bed rails, door handles, ANYTHING that you could possibly touch. My husband and daughter would go in and do a clean sweep; all too often patients get infections in hospitals.
Things to bring:
- Your own sheets, pillow, and blanket
- Your own P.J.’s and make sure they are baggy (bring some summer ones and some warmer ones as you will be hot-cold-hot-cold)
- Soft toilet paper
- 2 cases of bottled water
- 2 bunches of bananas
- SARNA anti-itch lotion
- A good lip balm
- An Ipod or some music that has a headset- bring relaxing music
- Some sort of protein drink that is sugar free that can be mixed with water
- A tube of hypo allergenic petroleum jelly (for your eyes lids) My eye lids itched really bad and peeled)
- A heating pad
- Slide on slippers
- A package of body wipes, as natural as you can find them without a lot of perfumes etc to irritate your skin
If someone is sleeping over with you every night (which I recommend if possible) go to the craft store and buy 4” foam padding the shape of a sleeping bag, to put under the sleeping bag.
During and after Treatment Have them give you an Adivan an hour before they do the PICC line
As soon as you feel the slightest sensation of cold feet, hands, chilly etc. ask for the warm heated blankets that the hospital should have on hand.
Before the first dose of IL-2 comes, plug in the heating pad and have it under your feet
If the warm blankets don’t stop you from shaking, ask them to give you Morphine before it turns into the rigors. Provided the patient has no reactions
to morphine.
Make sure you drink, drink, drink as much water as you can. This is very important. It will help avoid renal failure. And don’t let them tell you that
the I.V. fluids you are getting are enough. It’s NOT.
They will give you the common things for nausea and or vomiting. If nothing is working tell them to give you Marinol. It works wonders for most people.
Make sure they give you get Lasix water pills before you leave the hospital. You will gain anywhere from 20-30 lbs of fluid, don’t panic it will come off
in just a few short days with the water pills.
Try to eat 2 bananas a day so your potassium levels don’t get depleted.
As soon as your mouth starts feeling sore (its thrush) tell them to give you the mouth spit (forgot the name) its pink and you swish it but if this doesn’t help and your mouth gets really bad tell them to give you Lidocaine Viscous
Usually after a couple days you either wont feel like eating or can’t this is when it’s good to drink the protein shake.
When your heart rate starts to go really high have someone massage your feet, this will help lower it for a while. Normal
When your blood pressure drops they will work with it to raise it, so this is normal.
If you can’t sleep make sure they give you a sleep aid.
You will also experience fevers, and they will keep you on Tylenol.
Once you are home have easy things around to eat like Mac & Cheese, chicken noodle soup etc.
Also take cool Oatmeal baths 2X a day and as soon as you get out lather the SARNA lotion all over.
Make sure they also send you home with itch pills called Hydroxyzine HCL. These help a lot
If you have fluid in your ears take a benadryl, this helps a lot. (provided you are not allergic)
-
- April 23, 2012 at 7:35 pm
It is a tough treatment. Listen to your body. The average doses is about 8-10 per cycle. More is not necessarily better. Do only what you and your body feek comfortable.
http://cancerguide.org/rcc_il2hd.html
WITH IL-2 AND THINGS THAT HELPED ME AND COULD POSSIBLY HELP YOU.
The first thing you want to do before you step foot into your room that you will be doing treatment in is have someone wipe down your entire room with sanitizers, including the T.V. remote, bed rails, door handles, ANYTHING that you could possibly touch. My husband and daughter would go in and do a clean sweep; all too often patients get infections in hospitals.
Things to bring:
- Your own sheets, pillow, and blanket
- Your own P.J.’s and make sure they are baggy (bring some summer ones and some warmer ones as you will be hot-cold-hot-cold)
- Soft toilet paper
- 2 cases of bottled water
- 2 bunches of bananas
- SARNA anti-itch lotion
- A good lip balm
- An Ipod or some music that has a headset- bring relaxing music
- Some sort of protein drink that is sugar free that can be mixed with water
- A tube of hypo allergenic petroleum jelly (for your eyes lids) My eye lids itched really bad and peeled)
- A heating pad
- Slide on slippers
- A package of body wipes, as natural as you can find them without a lot of perfumes etc to irritate your skin
If someone is sleeping over with you every night (which I recommend if possible) go to the craft store and buy 4” foam padding the shape of a sleeping bag, to put under the sleeping bag.
During and after Treatment Have them give you an Adivan an hour before they do the PICC line
As soon as you feel the slightest sensation of cold feet, hands, chilly etc. ask for the warm heated blankets that the hospital should have on hand.
Before the first dose of IL-2 comes, plug in the heating pad and have it under your feet
If the warm blankets don’t stop you from shaking, ask them to give you Morphine before it turns into the rigors. Provided the patient has no reactions
to morphine.
Make sure you drink, drink, drink as much water as you can. This is very important. It will help avoid renal failure. And don’t let them tell you that
the I.V. fluids you are getting are enough. It’s NOT.
They will give you the common things for nausea and or vomiting. If nothing is working tell them to give you Marinol. It works wonders for most people.
Make sure they give you get Lasix water pills before you leave the hospital. You will gain anywhere from 20-30 lbs of fluid, don’t panic it will come off
in just a few short days with the water pills.
Try to eat 2 bananas a day so your potassium levels don’t get depleted.
As soon as your mouth starts feeling sore (its thrush) tell them to give you the mouth spit (forgot the name) its pink and you swish it but if this doesn’t help and your mouth gets really bad tell them to give you Lidocaine Viscous
Usually after a couple days you either wont feel like eating or can’t this is when it’s good to drink the protein shake.
When your heart rate starts to go really high have someone massage your feet, this will help lower it for a while. Normal
When your blood pressure drops they will work with it to raise it, so this is normal.
If you can’t sleep make sure they give you a sleep aid.
You will also experience fevers, and they will keep you on Tylenol.
Once you are home have easy things around to eat like Mac & Cheese, chicken noodle soup etc.
Also take cool Oatmeal baths 2X a day and as soon as you get out lather the SARNA lotion all over.
Make sure they also send you home with itch pills called Hydroxyzine HCL. These help a lot
If you have fluid in your ears take a benadryl, this helps a lot. (provided you are not allergic)
-
- April 23, 2012 at 11:16 pm
Will you be having the treatment at a location that is well trained in giving IL2? That helps immensely as the nurses are on top of the side affects and should provide everything you need. Try to have someone with you 24-7 in the hospital, if possible. It is a rough treatment, but you recover quickly. Listen to your body…best advice that could be given. Keep in mind it is cumulative, so each week will be different. Week 2 and 4 were my hardest for side affects and issues, but everyone is different.
Karin
-
- April 23, 2012 at 11:42 pm
How to answer…not for company but they can be a huge help in so many ways. Everything from helping you to the bathroom, getting water, keeping tabs on you if you get the rigors, etc….everyone is so different it's hard to say what help you might need but having gone through this treatment, my husband was invaluable. I was also in a well versed treatment hospital so the treatment went as smooth as can be expected.
Karin
-
- April 23, 2012 at 11:42 pm
How to answer…not for company but they can be a huge help in so many ways. Everything from helping you to the bathroom, getting water, keeping tabs on you if you get the rigors, etc….everyone is so different it's hard to say what help you might need but having gone through this treatment, my husband was invaluable. I was also in a well versed treatment hospital so the treatment went as smooth as can be expected.
Karin
-
- April 23, 2012 at 11:42 pm
How to answer…not for company but they can be a huge help in so many ways. Everything from helping you to the bathroom, getting water, keeping tabs on you if you get the rigors, etc….everyone is so different it's hard to say what help you might need but having gone through this treatment, my husband was invaluable. I was also in a well versed treatment hospital so the treatment went as smooth as can be expected.
Karin
-
- April 24, 2012 at 3:15 am
I do urge you to consider having somone stay with you. I have went through the entire standard of 3 courses (six weks of IL-2). The info Jjimmy B posted from Jane from Maine above is great info. One thing I do urge peope to do is be aware that there is usually a delay between finishing a bag and the start of the extreme chills (Rigors) and the possible nausea. You may not have these side effects on all bags, especially the first one. This timing will tend to be consistant for future bags, while the intensity may well vary. My profile has my log of IL-2 experiences. The 3rd day was when most people start to be more out of touch with their normal self (and the food to stat tasting like cardboard. Learn the delay that you experience for the onset of symptoms and be ready to quickly get a nurse with the meds to counter these effets. If the nurse doesn't get there immediatly, send someone to get her. You shouldn't have to wait for five minutes for them. Most of the time the Rigors can be ontroled by one shot. When I tried to hold out at the start of them, it took three shots to slow the extreme shaking down. Drink steadily, don't try to cram too much drink at once. If the amount of urine output falls too low they will skip bags and may give saline IV's to re-hydrate you. This is normal. The other main reason that bags are skipped is if your blood pressure systolic number drops below 90. Don't be surprised about the wter weight gain. Just make sure you have several diureti pills to help you lose most of it in a few days after release. (Have had a couple of people say their hospital forgot to give them the prescription.).
When one's BP drops, one is more likely to lose balnce and fall. Don't try to set up or move too fast. May be good to have someone to walk you across the room to the bathroom.
It is also possile to get a yeast infection that is not readily noticed due to the numbness in th thigh/groin area after the groin lymph nodes are removed.
While I do not consider IL-2 a "walk in the park", it was very do-able for me and I know people that hav been NED for from 5 years to over 20 (and stil NED) with IL-2 as their only treatment.
-
- April 24, 2012 at 3:15 am
I do urge you to consider having somone stay with you. I have went through the entire standard of 3 courses (six weks of IL-2). The info Jjimmy B posted from Jane from Maine above is great info. One thing I do urge peope to do is be aware that there is usually a delay between finishing a bag and the start of the extreme chills (Rigors) and the possible nausea. You may not have these side effects on all bags, especially the first one. This timing will tend to be consistant for future bags, while the intensity may well vary. My profile has my log of IL-2 experiences. The 3rd day was when most people start to be more out of touch with their normal self (and the food to stat tasting like cardboard. Learn the delay that you experience for the onset of symptoms and be ready to quickly get a nurse with the meds to counter these effets. If the nurse doesn't get there immediatly, send someone to get her. You shouldn't have to wait for five minutes for them. Most of the time the Rigors can be ontroled by one shot. When I tried to hold out at the start of them, it took three shots to slow the extreme shaking down. Drink steadily, don't try to cram too much drink at once. If the amount of urine output falls too low they will skip bags and may give saline IV's to re-hydrate you. This is normal. The other main reason that bags are skipped is if your blood pressure systolic number drops below 90. Don't be surprised about the wter weight gain. Just make sure you have several diureti pills to help you lose most of it in a few days after release. (Have had a couple of people say their hospital forgot to give them the prescription.).
When one's BP drops, one is more likely to lose balnce and fall. Don't try to set up or move too fast. May be good to have someone to walk you across the room to the bathroom.
It is also possile to get a yeast infection that is not readily noticed due to the numbness in th thigh/groin area after the groin lymph nodes are removed.
While I do not consider IL-2 a "walk in the park", it was very do-able for me and I know people that hav been NED for from 5 years to over 20 (and stil NED) with IL-2 as their only treatment.
-
- April 24, 2012 at 3:15 am
I do urge you to consider having somone stay with you. I have went through the entire standard of 3 courses (six weks of IL-2). The info Jjimmy B posted from Jane from Maine above is great info. One thing I do urge peope to do is be aware that there is usually a delay between finishing a bag and the start of the extreme chills (Rigors) and the possible nausea. You may not have these side effects on all bags, especially the first one. This timing will tend to be consistant for future bags, while the intensity may well vary. My profile has my log of IL-2 experiences. The 3rd day was when most people start to be more out of touch with their normal self (and the food to stat tasting like cardboard. Learn the delay that you experience for the onset of symptoms and be ready to quickly get a nurse with the meds to counter these effets. If the nurse doesn't get there immediatly, send someone to get her. You shouldn't have to wait for five minutes for them. Most of the time the Rigors can be ontroled by one shot. When I tried to hold out at the start of them, it took three shots to slow the extreme shaking down. Drink steadily, don't try to cram too much drink at once. If the amount of urine output falls too low they will skip bags and may give saline IV's to re-hydrate you. This is normal. The other main reason that bags are skipped is if your blood pressure systolic number drops below 90. Don't be surprised about the wter weight gain. Just make sure you have several diureti pills to help you lose most of it in a few days after release. (Have had a couple of people say their hospital forgot to give them the prescription.).
When one's BP drops, one is more likely to lose balnce and fall. Don't try to set up or move too fast. May be good to have someone to walk you across the room to the bathroom.
It is also possile to get a yeast infection that is not readily noticed due to the numbness in th thigh/groin area after the groin lymph nodes are removed.
While I do not consider IL-2 a "walk in the park", it was very do-able for me and I know people that hav been NED for from 5 years to over 20 (and stil NED) with IL-2 as their only treatment.
-
- April 24, 2012 at 5:35 am
The 4 cycles I did were on my own (except my sister came out from the other coast to discharge me / help me around afterwards for the first 2 cycles.) So it can be done, but it would have been luxurious to have some company during, too. Maybe not 24 x 7 (that sounds hard on whoever that might be), but perhaps a few here and there x 7. The food (and cheap plastic-bottled water — ick) did taste like cardboard or worse — would have been nice to have some takeout brought in once in awhile — at least if your hospital's food will be as ultra-bland as mine came to taste like (and they were proud of it…!). Anyway that was 2010… seems like a lifetime ago.
-
- April 24, 2012 at 5:35 am
The 4 cycles I did were on my own (except my sister came out from the other coast to discharge me / help me around afterwards for the first 2 cycles.) So it can be done, but it would have been luxurious to have some company during, too. Maybe not 24 x 7 (that sounds hard on whoever that might be), but perhaps a few here and there x 7. The food (and cheap plastic-bottled water — ick) did taste like cardboard or worse — would have been nice to have some takeout brought in once in awhile — at least if your hospital's food will be as ultra-bland as mine came to taste like (and they were proud of it…!). Anyway that was 2010… seems like a lifetime ago.
-
- April 24, 2012 at 5:35 am
The 4 cycles I did were on my own (except my sister came out from the other coast to discharge me / help me around afterwards for the first 2 cycles.) So it can be done, but it would have been luxurious to have some company during, too. Maybe not 24 x 7 (that sounds hard on whoever that might be), but perhaps a few here and there x 7. The food (and cheap plastic-bottled water — ick) did taste like cardboard or worse — would have been nice to have some takeout brought in once in awhile — at least if your hospital's food will be as ultra-bland as mine came to taste like (and they were proud of it…!). Anyway that was 2010… seems like a lifetime ago.
-
- April 23, 2012 at 11:16 pm
Will you be having the treatment at a location that is well trained in giving IL2? That helps immensely as the nurses are on top of the side affects and should provide everything you need. Try to have someone with you 24-7 in the hospital, if possible. It is a rough treatment, but you recover quickly. Listen to your body…best advice that could be given. Keep in mind it is cumulative, so each week will be different. Week 2 and 4 were my hardest for side affects and issues, but everyone is different.
Karin
-
- April 23, 2012 at 11:16 pm
Will you be having the treatment at a location that is well trained in giving IL2? That helps immensely as the nurses are on top of the side affects and should provide everything you need. Try to have someone with you 24-7 in the hospital, if possible. It is a rough treatment, but you recover quickly. Listen to your body…best advice that could be given. Keep in mind it is cumulative, so each week will be different. Week 2 and 4 were my hardest for side affects and issues, but everyone is different.
Karin
-
- April 25, 2012 at 12:47 am
My brother(Age 37) just underwent IL2 in February. And he went in with the mindset that he didn't want guests all the time. Well, we as a family just showed up everyday and every night and he never wanted or asked us do leave. We realized right away that having an advocate there with him 24 hours a day was the only way to ensure that he was taken care of properly. The rigors can be very scary for the patient and for the family member watching them go through it. Several times I had to run out in the hall way because he was shaking so badly and the nurses were taking their sweet time coming in(sometimes 5-10 minutes).
My brother didn't eat much, but we kept lots of water, and Gatorade by his side. He ended up putting on 44 lbs the second week in! He was very uncomfortable.
One thing I would recommend going in is BEFORE the treatment talk to your doctor about if the side effects slow your dosage down, to have a plan to try every 10 hours instead of 8. What was happening with my brother was that around hour 7 his vitals were too low, or he had a fever so they waited and waited…..well, the IL2 was being made on command in the lab, so sometimes it would be 3-4am in the morning when is body was READY for the next dosage, but he was held up for hours. , Several times the doctor took his time getting back to the nurses, when they would call about extending the time in between. In the beginning every 8 hours was do-able, but on day 4, it was more like every 10 hours and the second week in, it became every 10 hours real soon. So, instead of checking in on Monday and being released on a Saturday, they were keeping him in until Sunday to atleast get 10 bags in him. I just feel, the hours kept spreading out, and the IL2 wasn't administered right when his body was ready. He ended up waiting many hours on a few days, and he only got 10 bags each week……6 weeks later, the scans didn't have positive results and now he is on Yervoy. It leaves you wondering ONLY IF, he had more bags, would that have been more successful?? So, have a plan.
Good luck, and if you can, keep your family there. They can wait on your hand and foot and keep your spirits up!
-
- April 25, 2012 at 12:47 am
My brother(Age 37) just underwent IL2 in February. And he went in with the mindset that he didn't want guests all the time. Well, we as a family just showed up everyday and every night and he never wanted or asked us do leave. We realized right away that having an advocate there with him 24 hours a day was the only way to ensure that he was taken care of properly. The rigors can be very scary for the patient and for the family member watching them go through it. Several times I had to run out in the hall way because he was shaking so badly and the nurses were taking their sweet time coming in(sometimes 5-10 minutes).
My brother didn't eat much, but we kept lots of water, and Gatorade by his side. He ended up putting on 44 lbs the second week in! He was very uncomfortable.
One thing I would recommend going in is BEFORE the treatment talk to your doctor about if the side effects slow your dosage down, to have a plan to try every 10 hours instead of 8. What was happening with my brother was that around hour 7 his vitals were too low, or he had a fever so they waited and waited…..well, the IL2 was being made on command in the lab, so sometimes it would be 3-4am in the morning when is body was READY for the next dosage, but he was held up for hours. , Several times the doctor took his time getting back to the nurses, when they would call about extending the time in between. In the beginning every 8 hours was do-able, but on day 4, it was more like every 10 hours and the second week in, it became every 10 hours real soon. So, instead of checking in on Monday and being released on a Saturday, they were keeping him in until Sunday to atleast get 10 bags in him. I just feel, the hours kept spreading out, and the IL2 wasn't administered right when his body was ready. He ended up waiting many hours on a few days, and he only got 10 bags each week……6 weeks later, the scans didn't have positive results and now he is on Yervoy. It leaves you wondering ONLY IF, he had more bags, would that have been more successful?? So, have a plan.
Good luck, and if you can, keep your family there. They can wait on your hand and foot and keep your spirits up!
-
- April 25, 2012 at 12:47 am
My brother(Age 37) just underwent IL2 in February. And he went in with the mindset that he didn't want guests all the time. Well, we as a family just showed up everyday and every night and he never wanted or asked us do leave. We realized right away that having an advocate there with him 24 hours a day was the only way to ensure that he was taken care of properly. The rigors can be very scary for the patient and for the family member watching them go through it. Several times I had to run out in the hall way because he was shaking so badly and the nurses were taking their sweet time coming in(sometimes 5-10 minutes).
My brother didn't eat much, but we kept lots of water, and Gatorade by his side. He ended up putting on 44 lbs the second week in! He was very uncomfortable.
One thing I would recommend going in is BEFORE the treatment talk to your doctor about if the side effects slow your dosage down, to have a plan to try every 10 hours instead of 8. What was happening with my brother was that around hour 7 his vitals were too low, or he had a fever so they waited and waited…..well, the IL2 was being made on command in the lab, so sometimes it would be 3-4am in the morning when is body was READY for the next dosage, but he was held up for hours. , Several times the doctor took his time getting back to the nurses, when they would call about extending the time in between. In the beginning every 8 hours was do-able, but on day 4, it was more like every 10 hours and the second week in, it became every 10 hours real soon. So, instead of checking in on Monday and being released on a Saturday, they were keeping him in until Sunday to atleast get 10 bags in him. I just feel, the hours kept spreading out, and the IL2 wasn't administered right when his body was ready. He ended up waiting many hours on a few days, and he only got 10 bags each week……6 weeks later, the scans didn't have positive results and now he is on Yervoy. It leaves you wondering ONLY IF, he had more bags, would that have been more successful?? So, have a plan.
Good luck, and if you can, keep your family there. They can wait on your hand and foot and keep your spirits up!
-
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