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Pathology Results

Forums General Melanoma Community Pathology Results

  • Post
    JoshF
    Participant

      Don't have path in front of me but got call earlier from derm. Approx. a 4mm well circuscribed nodlue of melanoma. Stained positive for Melan-A, negative for HMB-45….doesn't appear to be a lymphnode. Lymphocytes present….whatever that means. But basiclly said it's a sub-q metastatic leison. He sent path to oncologist. I'm seeing  oncologist tomorrow….don't think I'll be doing scan tomorrow but I know the drill….just hoping it's just a dermal leison and hasn't spread anywhere else since I had last PET 3 months ago….

      This shit is unreal…

       

      Josh

    Viewing 44 reply threads
    • Replies
        liberty04281
        Participant
          Sorry to hear about it. What is next step going to be?.
          My scan is in January,and it is always scary time.
          Hope is the best.
          Liberty
          liberty04281
          Participant
            Sorry to hear about it. What is next step going to be?.
            My scan is in January,and it is always scary time.
            Hope is the best.
            Liberty
            liberty04281
            Participant
              Sorry to hear about it. What is next step going to be?.
              My scan is in January,and it is always scary time.
              Hope is the best.
              Liberty
              jamieth29
              Participant
                Sorry Josh, i believe lymphocytes being present is good thing because they were recognizing there was something foreign in your body. Please keep us posted how you proceed. And your right the SHIT is unreal and emotionally so hard.
                jamieth29
                Participant
                  Sorry Josh, i believe lymphocytes being present is good thing because they were recognizing there was something foreign in your body. Please keep us posted how you proceed. And your right the SHIT is unreal and emotionally so hard.
                  jamieth29
                  Participant
                    Sorry Josh, i believe lymphocytes being present is good thing because they were recognizing there was something foreign in your body. Please keep us posted how you proceed. And your right the SHIT is unreal and emotionally so hard.
                    arthurjedi007
                    Participant

                      Dang Josh. At least it seems you caught the recurrence early. Good luck.

                      Artie

                      arthurjedi007
                      Participant

                        Dang Josh. At least it seems you caught the recurrence early. Good luck.

                        Artie

                          JoshF
                          Participant

                            Artie-

                            How are you doing brother? Think about you often….

                            JoshF
                            Participant

                              Artie-

                              How are you doing brother? Think about you often….

                              JoshF
                              Participant

                                Artie-

                                How are you doing brother? Think about you often….

                                arthurjedi007
                                Participant

                                  Hey Josh. I'm doing ok. Thought we had the pain under control with this 12 hour morphine pill until last night I woke up at 1:20 with scream level pain in the front of my left leg and hip. Got it under control again with an oxy codone. I guess these pills don't always release right. I dunno. 

                                  Still can't walk very much any more. Couple minutes then I have to sit due to the pain. But then after a bit I try again.

                                  My mayo doc called and among other things about my spine said we should add chemo to the pd1. So that made me feel better maybe this mda doc is trying to do right. Also they saw nothing wrong with the spine cement or any displaced spinal cord. So that's good too. I don't have pain in my mid back just a little in lower back so I tend to agree. Lots of pain in left leg and hip though.

                                  On the 9th I get my second dose of the keytruda abraxane combo so we shall see. The abraxane so far seems like no side affects. Just constipation and mild stomach issues from the pain meds and laxatives. Oh and tired a lot.

                                  Artie

                                  arthurjedi007
                                  Participant

                                    Hey Josh. I'm doing ok. Thought we had the pain under control with this 12 hour morphine pill until last night I woke up at 1:20 with scream level pain in the front of my left leg and hip. Got it under control again with an oxy codone. I guess these pills don't always release right. I dunno. 

                                    Still can't walk very much any more. Couple minutes then I have to sit due to the pain. But then after a bit I try again.

                                    My mayo doc called and among other things about my spine said we should add chemo to the pd1. So that made me feel better maybe this mda doc is trying to do right. Also they saw nothing wrong with the spine cement or any displaced spinal cord. So that's good too. I don't have pain in my mid back just a little in lower back so I tend to agree. Lots of pain in left leg and hip though.

                                    On the 9th I get my second dose of the keytruda abraxane combo so we shall see. The abraxane so far seems like no side affects. Just constipation and mild stomach issues from the pain meds and laxatives. Oh and tired a lot.

                                    Artie

                                    arthurjedi007
                                    Participant

                                      Hey Josh. I'm doing ok. Thought we had the pain under control with this 12 hour morphine pill until last night I woke up at 1:20 with scream level pain in the front of my left leg and hip. Got it under control again with an oxy codone. I guess these pills don't always release right. I dunno. 

                                      Still can't walk very much any more. Couple minutes then I have to sit due to the pain. But then after a bit I try again.

                                      My mayo doc called and among other things about my spine said we should add chemo to the pd1. So that made me feel better maybe this mda doc is trying to do right. Also they saw nothing wrong with the spine cement or any displaced spinal cord. So that's good too. I don't have pain in my mid back just a little in lower back so I tend to agree. Lots of pain in left leg and hip though.

                                      On the 9th I get my second dose of the keytruda abraxane combo so we shall see. The abraxane so far seems like no side affects. Just constipation and mild stomach issues from the pain meds and laxatives. Oh and tired a lot.

                                      Artie

                                      JoshF
                                      Participant

                                        Sorry about all your pain Artie. I know you weren't thrilled about what transpired at MDA and afterwards so good that you feel it's turning around. Wishing you strength and healing my friend! You're an inspiration!! Looking forward to hearing from you soon. Be well!

                                         

                                        Josh

                                        JoshF
                                        Participant

                                          Sorry about all your pain Artie. I know you weren't thrilled about what transpired at MDA and afterwards so good that you feel it's turning around. Wishing you strength and healing my friend! You're an inspiration!! Looking forward to hearing from you soon. Be well!

                                           

                                          Josh

                                          JoshF
                                          Participant

                                            Sorry about all your pain Artie. I know you weren't thrilled about what transpired at MDA and afterwards so good that you feel it's turning around. Wishing you strength and healing my friend! You're an inspiration!! Looking forward to hearing from you soon. Be well!

                                             

                                            Josh

                                          arthurjedi007
                                          Participant

                                            Dang Josh. At least it seems you caught the recurrence early. Good luck.

                                            Artie

                                            Eileensulliv
                                            Participant

                                              Wow… So sorry, Josh! You truly have been on a roller coaster. Wishing you the best!

                                              Eileensulliv
                                              Participant

                                                Wow… So sorry, Josh! You truly have been on a roller coaster. Wishing you the best!

                                                Eileensulliv
                                                Participant

                                                  Wow… So sorry, Josh! You truly have been on a roller coaster. Wishing you the best!

                                                  Bubbles
                                                  Participant

                                                    Oh, Josh!  So sorry.  Hate the worry…and the results…but glad you are vigilent and won't take no for an answer!!  Hang in there.  Love, c

                                                    Bubbles
                                                    Participant

                                                      Oh, Josh!  So sorry.  Hate the worry…and the results…but glad you are vigilent and won't take no for an answer!!  Hang in there.  Love, c

                                                      Bubbles
                                                      Participant

                                                        Oh, Josh!  So sorry.  Hate the worry…and the results…but glad you are vigilent and won't take no for an answer!!  Hang in there.  Love, c

                                                        evieg
                                                        Participant

                                                          Josh,

                                                          So sorry, but hopefully it is early enough. This shit sucks…hoping to hear good news soon.

                                                          Praying…..

                                                          Evie

                                                          evieg
                                                          Participant

                                                            Josh,

                                                            So sorry, but hopefully it is early enough. This shit sucks…hoping to hear good news soon.

                                                            Praying…..

                                                            Evie

                                                            evieg
                                                            Participant

                                                              Josh,

                                                              So sorry, but hopefully it is early enough. This shit sucks…hoping to hear good news soon.

                                                              Praying…..

                                                              Evie

                                                              evieg
                                                              Participant

                                                                Josh,

                                                                So sorry, but hopefully it is early enough. This shit sucks…hoping to hear good news soon.

                                                                Praying…..

                                                                Evie

                                                                evieg
                                                                Participant

                                                                  Josh,

                                                                  So sorry, but hopefully it is early enough. This shit sucks…hoping to hear good news soon.

                                                                  Praying…..

                                                                  Evie

                                                                  evieg
                                                                  Participant

                                                                    Josh,

                                                                    So sorry, but hopefully it is early enough. This shit sucks…hoping to hear good news soon.

                                                                    Praying…..

                                                                    Evie

                                                                    jbronicki
                                                                    Participant

                                                                      Josh, very sorry for the confirmation of melanoma, but I hope you are right and it's a dermal lesion, it does sound like that is the case and hopefully it's all localized in that location.  My husband has had a similar path to yours in how his melanoma presents so I understand the frustration.  Many thoughts and prayers for quick treatment and recovery.

                                                                      jbronicki
                                                                      Participant

                                                                        Josh, very sorry for the confirmation of melanoma, but I hope you are right and it's a dermal lesion, it does sound like that is the case and hopefully it's all localized in that location.  My husband has had a similar path to yours in how his melanoma presents so I understand the frustration.  Many thoughts and prayers for quick treatment and recovery.

                                                                        jbronicki
                                                                        Participant

                                                                          Josh, very sorry for the confirmation of melanoma, but I hope you are right and it's a dermal lesion, it does sound like that is the case and hopefully it's all localized in that location.  My husband has had a similar path to yours in how his melanoma presents so I understand the frustration.  Many thoughts and prayers for quick treatment and recovery.

                                                                          casagrayson
                                                                          Participant

                                                                            The hits just keep coming.  Crap.  It's small, you caught it, you're being vigilant.  Prayers for peace as you tackle this once more.

                                                                            casagrayson
                                                                            Participant

                                                                              The hits just keep coming.  Crap.  It's small, you caught it, you're being vigilant.  Prayers for peace as you tackle this once more.

                                                                              casagrayson
                                                                              Participant

                                                                                The hits just keep coming.  Crap.  It's small, you caught it, you're being vigilant.  Prayers for peace as you tackle this once more.

                                                                                JoshF
                                                                                Participant

                                                                                  Thanks MPIP Family! Really appreciate the support as I know we've all had and continue to have our struggles. I guess all I can hope for is that Pet is negative. I'm seeing oncologist at 3pm CST today and she is hoping to squeeze me in for scan Monday. Let's go for best case scenario!!!!! Take care of yourselves!!!'

                                                                                  Josh

                                                                                  JoshF
                                                                                  Participant

                                                                                    Thanks MPIP Family! Really appreciate the support as I know we've all had and continue to have our struggles. I guess all I can hope for is that Pet is negative. I'm seeing oncologist at 3pm CST today and she is hoping to squeeze me in for scan Monday. Let's go for best case scenario!!!!! Take care of yourselves!!!'

                                                                                    Josh

                                                                                    JoshF
                                                                                    Participant

                                                                                      Thanks MPIP Family! Really appreciate the support as I know we've all had and continue to have our struggles. I guess all I can hope for is that Pet is negative. I'm seeing oncologist at 3pm CST today and she is hoping to squeeze me in for scan Monday. Let's go for best case scenario!!!!! Take care of yourselves!!!'

                                                                                      Josh

                                                                                      triciad
                                                                                      Participant

                                                                                        Josh

                                                                                        So sorry to hear it's back; although, I've had a bunch of sub q's removed surgically.  Prayers that your pet shows no spreading.  Stay positive and know we are all sending happy thoughts to you.

                                                                                        Stay strong,

                                                                                        Tricia

                                                                                        triciad
                                                                                        Participant

                                                                                          Josh

                                                                                          So sorry to hear it's back; although, I've had a bunch of sub q's removed surgically.  Prayers that your pet shows no spreading.  Stay positive and know we are all sending happy thoughts to you.

                                                                                          Stay strong,

                                                                                          Tricia

                                                                                          triciad
                                                                                          Participant

                                                                                            Josh

                                                                                            So sorry to hear it's back; although, I've had a bunch of sub q's removed surgically.  Prayers that your pet shows no spreading.  Stay positive and know we are all sending happy thoughts to you.

                                                                                            Stay strong,

                                                                                            Tricia

                                                                                              jenny22
                                                                                              Participant

                                                                                                Hi Tricia-

                                                                                                Hate to jump in on Joshs post, but have been wondering how you are doing….I have followed your history……any new news?

                                                                                                Hoping to hear some good news from you!

                                                                                                 

                                                                                                best,

                                                                                                jenny

                                                                                                jenny22
                                                                                                Participant

                                                                                                  Hi Tricia-

                                                                                                  Hate to jump in on Joshs post, but have been wondering how you are doing….I have followed your history……any new news?

                                                                                                  Hoping to hear some good news from you!

                                                                                                   

                                                                                                  best,

                                                                                                  jenny

                                                                                                  jenny22
                                                                                                  Participant

                                                                                                    Hi Tricia-

                                                                                                    Hate to jump in on Joshs post, but have been wondering how you are doing….I have followed your history……any new news?

                                                                                                    Hoping to hear some good news from you!

                                                                                                     

                                                                                                    best,

                                                                                                    jenny

                                                                                                  jenny22
                                                                                                  Participant

                                                                                                    Josh-

                                                                                                    I've been following your entire melanoma journey…..so much anxiety and stress……i am sorry to read your latest and of course hope it will be only the subq and nothing more….

                                                                                                    I think you said it best….."this shit is unreal"…

                                                                                                    Sending yo lots of well wishes and good thoughts.

                                                                                                     

                                                                                                    jenny

                                                                                                     

                                                                                                     

                                                                                                     

                                                                                                    jenny22
                                                                                                    Participant

                                                                                                      Josh-

                                                                                                      I've been following your entire melanoma journey…..so much anxiety and stress……i am sorry to read your latest and of course hope it will be only the subq and nothing more….

                                                                                                      I think you said it best….."this shit is unreal"…

                                                                                                      Sending yo lots of well wishes and good thoughts.

                                                                                                       

                                                                                                      jenny

                                                                                                       

                                                                                                       

                                                                                                       

                                                                                                      jenny22
                                                                                                      Participant

                                                                                                        Josh-

                                                                                                        I've been following your entire melanoma journey…..so much anxiety and stress……i am sorry to read your latest and of course hope it will be only the subq and nothing more….

                                                                                                        I think you said it best….."this shit is unreal"…

                                                                                                        Sending yo lots of well wishes and good thoughts.

                                                                                                         

                                                                                                        jenny

                                                                                                         

                                                                                                         

                                                                                                         

                                                                                                        jamieth29
                                                                                                        Participant
                                                                                                          Josh,
                                                                                                          Just checking to see how things were going. I hope you got my reply to your message the other day. Any suggestions from your doctor yet?
                                                                                                          jamieth29
                                                                                                          Participant
                                                                                                            Josh,
                                                                                                            Just checking to see how things were going. I hope you got my reply to your message the other day. Any suggestions from your doctor yet?
                                                                                                            jamieth29
                                                                                                            Participant
                                                                                                              Josh,
                                                                                                              Just checking to see how things were going. I hope you got my reply to your message the other day. Any suggestions from your doctor yet?
                                                                                                                JoshF
                                                                                                                Participant

                                                                                                                  Hey Jaime-

                                                                                                                  Thanks I did get your reply Thursday…much appreciated. So I saw doc late Friday afternoon. She set up Pet/Ct for first thing this morning but unfortunately I won't see her until tomorrow at 4 for results. So she went over path report with me…looked me over for any other lumps and then discussed options.

                                                                                                                  Negative Pet/CT- I'll have surgery. Though margins were clear….need to go in and take more. She also discussed a trial that Dr. Luke has for Stage IV adjuvant. I guess he sent her some info. This is obviously best case scenario and what I'm really hoping for.

                                                                                                                  If something comes back somewhere else on scan she said we will go right to systemic treatment. Sounded like she'd want to try and do the new approved combo. If there is something else and can be resected, I'd like to do that and then do some adjuvant theraphy. She said they would have nothing to measure treatment against etc… Don't they do that for other cancers….breast? If anyone reads this please share your thoughts or experiences….

                                                                                                                  Finally, I discussed going somewhere…traveling to MD, Sloan etc… She said always an option and she knows many of them but doesn't feel thay'd offer much more at this point. Similar to what Dr Luke told me in the past. I'll have a good idea tomorrow….just real anxious at this point…million thoughts running through this head of mine.

                                                                                                                  Thanks for checking in…really appreciate it!!!!

                                                                                                                  Josh

                                                                                                                  jamieth29
                                                                                                                  Participant
                                                                                                                    Josh,
                                                                                                                    I replied to this before so might get 2 posts again. Just throwing some ideas at you. Dr Luke’s trials can be found on U of C website but he has told me some things are in the works that he cant quite let out yet. Also i tried to get into a arm of the same trial that Celest was in at Moffit but the trial closed. However i was contacted by Allison the trial nurse at Moffit a few weeks ago about the pembro vs placebo trial. When talking with her she informed me that Dr Weber will be opening the same trial at nyu for ipi/nivo combo for N.E.D people once he gets settled she said he got his nurses together and told them that. Obviously not sure on the timeline for that and things can play out many different ways for you. Nyu trial would be tough logistically but can be done. I’m kinda in the boat you are…HOPEFULLY after my next surgery im rendered 3c N.E.D and will be looking at adjuvant trials also. I may even consider a vaccine trial. I dont think i can just do watch and wait. Adjuvant trials are tricky your right as there is no disease to monitor. Dr Luke has made some good points to me as far as there is no evidence that these drugs dont do just as well if you catch reccurance early and then your not opening yourself up to auto immune side effects if by Gods grace it doesn’t come back.
                                                                                                                    jamieth29
                                                                                                                    Participant
                                                                                                                      Josh,
                                                                                                                      I replied to this before so might get 2 posts again. Just throwing some ideas at you. Dr Luke’s trials can be found on U of C website but he has told me some things are in the works that he cant quite let out yet. Also i tried to get into a arm of the same trial that Celest was in at Moffit but the trial closed. However i was contacted by Allison the trial nurse at Moffit a few weeks ago about the pembro vs placebo trial. When talking with her she informed me that Dr Weber will be opening the same trial at nyu for ipi/nivo combo for N.E.D people once he gets settled she said he got his nurses together and told them that. Obviously not sure on the timeline for that and things can play out many different ways for you. Nyu trial would be tough logistically but can be done. I’m kinda in the boat you are…HOPEFULLY after my next surgery im rendered 3c N.E.D and will be looking at adjuvant trials also. I may even consider a vaccine trial. I dont think i can just do watch and wait. Adjuvant trials are tricky your right as there is no disease to monitor. Dr Luke has made some good points to me as far as there is no evidence that these drugs dont do just as well if you catch reccurance early and then your not opening yourself up to auto immune side effects if by Gods grace it doesn’t come back.
                                                                                                                      jamieth29
                                                                                                                      Participant
                                                                                                                        Josh,
                                                                                                                        I replied to this before so might get 2 posts again. Just throwing some ideas at you. Dr Luke’s trials can be found on U of C website but he has told me some things are in the works that he cant quite let out yet. Also i tried to get into a arm of the same trial that Celest was in at Moffit but the trial closed. However i was contacted by Allison the trial nurse at Moffit a few weeks ago about the pembro vs placebo trial. When talking with her she informed me that Dr Weber will be opening the same trial at nyu for ipi/nivo combo for N.E.D people once he gets settled she said he got his nurses together and told them that. Obviously not sure on the timeline for that and things can play out many different ways for you. Nyu trial would be tough logistically but can be done. I’m kinda in the boat you are…HOPEFULLY after my next surgery im rendered 3c N.E.D and will be looking at adjuvant trials also. I may even consider a vaccine trial. I dont think i can just do watch and wait. Adjuvant trials are tricky your right as there is no disease to monitor. Dr Luke has made some good points to me as far as there is no evidence that these drugs dont do just as well if you catch reccurance early and then your not opening yourself up to auto immune side effects if by Gods grace it doesn’t come back.
                                                                                                                        JoshF
                                                                                                                        Participant

                                                                                                                          Hey Jaime-

                                                                                                                          Thanks I did get your reply Thursday…much appreciated. So I saw doc late Friday afternoon. She set up Pet/Ct for first thing this morning but unfortunately I won't see her until tomorrow at 4 for results. So she went over path report with me…looked me over for any other lumps and then discussed options.

                                                                                                                          Negative Pet/CT- I'll have surgery. Though margins were clear….need to go in and take more. She also discussed a trial that Dr. Luke has for Stage IV adjuvant. I guess he sent her some info. This is obviously best case scenario and what I'm really hoping for.

                                                                                                                          If something comes back somewhere else on scan she said we will go right to systemic treatment. Sounded like she'd want to try and do the new approved combo. If there is something else and can be resected, I'd like to do that and then do some adjuvant theraphy. She said they would have nothing to measure treatment against etc… Don't they do that for other cancers….breast? If anyone reads this please share your thoughts or experiences….

                                                                                                                          Finally, I discussed going somewhere…traveling to MD, Sloan etc… She said always an option and she knows many of them but doesn't feel thay'd offer much more at this point. Similar to what Dr Luke told me in the past. I'll have a good idea tomorrow….just real anxious at this point…million thoughts running through this head of mine.

                                                                                                                          Thanks for checking in…really appreciate it!!!!

                                                                                                                          Josh

                                                                                                                          JoshF
                                                                                                                          Participant

                                                                                                                            Hey Jaime-

                                                                                                                            Thanks I did get your reply Thursday…much appreciated. So I saw doc late Friday afternoon. She set up Pet/Ct for first thing this morning but unfortunately I won't see her until tomorrow at 4 for results. So she went over path report with me…looked me over for any other lumps and then discussed options.

                                                                                                                            Negative Pet/CT- I'll have surgery. Though margins were clear….need to go in and take more. She also discussed a trial that Dr. Luke has for Stage IV adjuvant. I guess he sent her some info. This is obviously best case scenario and what I'm really hoping for.

                                                                                                                            If something comes back somewhere else on scan she said we will go right to systemic treatment. Sounded like she'd want to try and do the new approved combo. If there is something else and can be resected, I'd like to do that and then do some adjuvant theraphy. She said they would have nothing to measure treatment against etc… Don't they do that for other cancers….breast? If anyone reads this please share your thoughts or experiences….

                                                                                                                            Finally, I discussed going somewhere…traveling to MD, Sloan etc… She said always an option and she knows many of them but doesn't feel thay'd offer much more at this point. Similar to what Dr Luke told me in the past. I'll have a good idea tomorrow….just real anxious at this point…million thoughts running through this head of mine.

                                                                                                                            Thanks for checking in…really appreciate it!!!!

                                                                                                                            Josh

                                                                                                                          jamieth29
                                                                                                                          Participant
                                                                                                                            Josh,
                                                                                                                            Just checking to see how things were going. I hope you got my reply to your message the other day. Any suggestions from your doctor yet?
                                                                                                                            jamieth29
                                                                                                                            Participant
                                                                                                                              Josh,
                                                                                                                              Just checking to see how things were going. I hope you got my reply to your message the other day. Any suggestions from your doctor yet?
                                                                                                                              jamieth29
                                                                                                                              Participant
                                                                                                                                Josh,
                                                                                                                                Just checking to see how things were going. I hope you got my reply to your message the other day. Any suggestions from your doctor yet?
                                                                                                                                Swanee
                                                                                                                                Participant

                                                                                                                                  Sorry this news is melanoma again, I agree whole heartedly with you Josh…..it is unreal!!  Sometimes it just feels like a bad dream you keep waking up with and when you  finally fall back asleep,  there it is again! Sometimes the anxiety of it all feels like the worst part!  Wishing you peace of mind and heart as you negotiate your way with this next recurrence.  I've been cutting these little intruders out as much as possible, not the standard treatment, but each time it feels like the best option for me.  Thinking of you and sending positive thoughts to you and your family, for strength, courage and calmness as you tackle this next obstacle.

                                                                                                                                  Swanee

                                                                                                                                  Swanee
                                                                                                                                  Participant

                                                                                                                                    Sorry this news is melanoma again, I agree whole heartedly with you Josh…..it is unreal!!  Sometimes it just feels like a bad dream you keep waking up with and when you  finally fall back asleep,  there it is again! Sometimes the anxiety of it all feels like the worst part!  Wishing you peace of mind and heart as you negotiate your way with this next recurrence.  I've been cutting these little intruders out as much as possible, not the standard treatment, but each time it feels like the best option for me.  Thinking of you and sending positive thoughts to you and your family, for strength, courage and calmness as you tackle this next obstacle.

                                                                                                                                    Swanee

                                                                                                                                    Swanee
                                                                                                                                    Participant

                                                                                                                                      Sorry this news is melanoma again, I agree whole heartedly with you Josh…..it is unreal!!  Sometimes it just feels like a bad dream you keep waking up with and when you  finally fall back asleep,  there it is again! Sometimes the anxiety of it all feels like the worst part!  Wishing you peace of mind and heart as you negotiate your way with this next recurrence.  I've been cutting these little intruders out as much as possible, not the standard treatment, but each time it feels like the best option for me.  Thinking of you and sending positive thoughts to you and your family, for strength, courage and calmness as you tackle this next obstacle.

                                                                                                                                      Swanee

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