Thanks for the quick response. With the size of my tumor I am expecting a Stage IV diagnosis, but am praying for better news. My follow up questions are a lot of what I’m reading about immunotherapy has to do with clinic trials. Is most of immunotherapy still being conducted via clinic trials, or have we advanced enough that immunotherapy can be the standard protocol for melanoma late stage treatment without the requirement of being in a clinical trial? What has been shown lately to be the best practice for choosing which doctor or cancer center you think is best? (I know this will depend on how far away from the hospital or cancer center you are using).