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Jacques Ditte (jacquesusa)


March 23, 2008


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aim: jacques9990


Hampton Bays, New York 11946


June 11, 2012


Cancer Fighter


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Jacques Ditte's Cancer Blog

3rd Year Post Radiation

Hi everyone,

I’ve been wanting to post for a while, but haven’t been sure what to say. Meanwhile I’ve been reading the posts of so many of you who are in the midst of daily battles. Every week I see another friend who has lost their valiant battle to the big C.

Martha who is in the fight of her life and recent got some good news, found the time to send me a Happy birthday post. So here is a quick update which will be a quick reflection and outlook of life.

On Saturday I will turn 52! Last week, June 4th was the ‘third anniversary of my last radiation treatment”. I was 48 back when i first got diagnosed and went through a heck of a year in cancer bootcamp.

From the first day i learned i had cancer, the ensuing surgeries and radiation treatments, the long road to recovery and regaining my strength, and the semi annual PET Scans, it has been a fascinating journey in both the physical and spiritual sense.

Along the way so many fellow cancer fighters were invaluable inspirations to help me in my days of need. Knowing you’re not alone, having a voice that will listen, and knowing that there is always someone out there in an even more dire predicament than your own, are all invaluable in this battle.

So physically, i feel pretty darn good. Up to now, my PET scans have all come back clean. My three year PETscan is scheduled for August.

I terms of side effects. First my saliva has continued to marginally improve over the last 3 years. Even the last few months there has been some tangible improvement. The saliva in the front of my mouth (i.e. around my teeth and tongue is still slightly thick. If i keep my mouth shut and don’t talk I can now go 15 minutes without having to take a sip of water.

Where i still have not really improved is the salivary glands in the back of my throat. That’s the saliva that helps the food go down and makes swallowing easy. I think that pretty much will stay that way. The IMRT radiation zapped me there the hardest, so i guess i’ll live with that reality. Workarounds are greasy foods, lots of liquids, especially immediately after each bite of food. Bread is awful to swallow, unless is slobbered with butter, as it sucks up the moisture in my mouth like a sponge.

One of the controversial treatments that i underwent was getting daily “Amaphostine” injections before the IMRT radiation. This stuff protects your salivary glands from the radiation. The side effect is that Amaphostine is tough to tolerate as it makes you incredibly nauseous and requires chemo grade anti nausea meds need to be taken to combat this.

I was able to handle Amaphostine for about 15 of the 30 treatments. Better than nothing, however I believe, that my salivary glands were spared more severe damage thanks to the Amaphostine.

Many doctors shy away from the use of this because of the tough-to-take side effects. When I consulted before starting treatment, Sloan Kettering didn’t want to give it to me and wanted me to have chemo as well as radiation.

My doctor who is the head of radiation oncology at Stony Brook University hospital, Dr. Alan Meek, recommended the Amaphostine, and also recommended that i try to NOT get a feeding tube. Dr. Meek was right on both counts. Stony Brook concluded that Chemo would not in my case, be marginally improving my odds.

The feeding tube decision is a biggy. I see so many of you who have it put in. The warning Dr. Meek gave me was that it becomes very difficult to regain the swallowing reflex if you go the tube route. I opted to force myself to swallow no matter how painful. Instant numbing meds like “Swish and Swallow” helped me get food and pills down.

It was a bitch, but i’m glad i did it, and weathered the storm. I’ve regained my voice and aside from the salivary issue, fatigue in the afternoon seems to linger even to this day. It seems incredible that it could have it’s tentacles reach out this far out, but “Radiation fatigue” is the only culprit i can find. I’m eternally indebted to Dr. Meek and the radiation family that greets me with open arms every time i go back for a check-up.

When all this started I was given a 60% chance of recurrence and a 28% chance of survival over 5 years.

Today i’m at year 3. If it all came back and i were to have to fight the C or die in the next year of cancer or anything else, would the hell I went through have been worth it?

Hell yeah!

These past three years have been the most enlightening of my life. I feel blessed for the time i’ve been given, the fun times i’ve had, and the understanding of our my own mortality with all it’s implications. Who am I? What I have i done with my life? How do i want to try and live out the remainder of my life?

This winter I went skiing for the first time in almost twenty years. After a couple of minutes, it all came back to me. Although not as strong as i once was, I was skiing down the slope on the first run and admiring the mountain view. I stopped midway down the hill to catch my breath and take a sip of water. I then recalled that first summer after radiation. I didn’t have the energy to even walk a block or push a lawn mower. On that mountain, I was glad to be alive and living! The hell i went through was all worth it.

I often joke that should I make it through the “5 years cancer free”, I will have “beaten cancer” and will be able to die from something else :)

Meanwhile, i am kept humble by the daily battles that are being fought. I think of Rose, who basically got diagnosed the same year I got treated for radiation. Her cancer has now returned in her tongue and she is fighting a new battle.

God bless you all. Thank you for all the encouragement, bravery and inspiration I’ve been able to get help from on this blog.
Don’t give up.

Carpe Diem.

Love to all,

Jacques
Nemo Me Impune Lacessit

3 people like this.
Louise, Joyce In NC threw a punch at your cancer.
Louise, Joyce In NC sent you a prayer.
3 people sent you a hug.

I like seeing stories like yours. My husband is currently battling Stage 4 Larynx cancer, and his last radiation treatment is June 16. Good to see you made it to the other side of this monster:)

jACQUES. you know how I feel about you. Brave, positive and hornary about cancer. Thankyou for enlightening us on your journey again. It is a neverending and winding road of surprises. You have helped a lot of people who have your particular cancer. I’m so happy you have made such progress and your attitude gives all of us hope. Jacques, it’s with gratitude I say, thanks for being our friend here at BFAC. It just occured to me that I haven’t posted my comings and goings for quite a while. I guess I should do that too. Take care friend

Your post was beautiful my journey is newer than yours. Happy Birthday fellow Gemini my Nd was yesterdayp

Jacques Thank you so much for yet another very inspirational post!I remember when I found this blog,yours and Rons were the first two stories I read. I felt an instant connection to the both of you, even though at that time I did not even know what stage I was, let alone what my surgery/treatment journey would be. When I read about your tick bite it really got me as that was how they found my tonsil cancer also!Your posts have really helped me through this awful journey Thank you so much. I am just over 1 year out of radiation but also can see improvements from month to month. You have really inspired me! Have a very Happy Birthday Jacques and many more! I know my last birthday feeling so much better then the previous one I have decided to really celebrate any and all extra years I get! Thanks again!
Sunshine and Smiles and lots of hugs Val

Good to see your post, Jacques, and especially to learn that you are healthy and feeling well. Three years is a long time. Congratulations.
Andrea

Hi Jacques, and again, Happy Birthday to you! They are much more special these days, don’t you agree? It was sweet of you to mention me in your post, however, I’m not sure how much I’m having to be in the fight of my life these days. I am almost at the 3-year mark too and feel like I’m in cruise control, for the most part anyway. I’m glad you are doing so well, despite the lingering swallowing issues. You are obviously living your life to the fullest and experiencing many of things that bring you happiness, just as it should be. You are truly an inspiration to me, as I can only imagine the hell, as you describe it, that you endured 3 years ago. To come out of that with your positive attitude and zest for life is quite encouraging to me and others, as well, I’m sure. I agree with you, it’s all been worth it. May you be blessed with continuing good health and much happiness, and many, many more very happy birthdays!

Hugs—
Martha

Thanks for the update…in only 2 years and 10 months I hope to post with a similar positive attitude and positive improvements….

Glad to see you are still fighting and kicking….

If you remember, I also am about a year behind you, finishing up my treatment JUN2009….

So far all scans have been clean and clear, scheduled for my two year in a month or so.

I also went through the rads concuuretn with Carboplatin weekly and the Amifostine Injections.

I made 30 before starting to get high fevers after each injection then the rads for that day.

I’m fortunate that I’ve regained about 90% of both saliva and taste…, still improving I beleive.

Anyways, very glad to see you are doing well and getting on with life.

Best Always,
John

Hi Jacques,
It is so good to hear from you and know that you are doing well. I have missed hearing from you. I hope you had a very HAPPY 52TH BIRTHDAY. I was 52 when I got cancer the first time and I will be 70 in November. May God Bless you and keep you doing well, my dear friend.
Love, hugs and prayers,
Joyce In NC

Thank you so much for all the wonderful comments and wishes. It’s so good to hear from you again. I’ve noticed that some people try to run away from this blog as soon as they can. I guess they feel it’s a chapter they want to close and look forward. I feel that remembering where you came from and what you and others are going through is a good thing. It helps keep one grounded and humble. Meanwhile live life and savor each day for what is has to offer.
As they say, “one day at a time”. You learn to live with the cards you are dealt and not overly worry about what “could happen”. Basically Carpe Diem.

Thanks,
God bless,

Jacques

Hi John,
Great to learn that your taste buds are coming back. I can’t comment on what effects the chemo had on your taste buds and salivary as I had straight radiation. Congrats by the way on making it through all 30 Amafostine injections!

I can say that I am amazed by two things. That even after 3 YEARS I AM STILL FEELING IMPROVEMENTS. My taste buds came back about 70% after the first year. Then it was slower but still there was improvement. About 6 months ago, I could finally enjoy a glass of good red wine. The cheap acidic junk still won’t fly, as it burns my throat. Otherwise, It’s all back. The saliva thing still is a challenge but i the scheme of things it’s small. Just remember water. Never leave home without it :)

Dear Jacques; I received your memo and thanks. I just had a chance to read your above memo. June 10th is a special day for me. My step mother’s birthday. God rest her soul, she fought valliantly with lung cancer but did not make it to the other side of the river. i know so well how painfull it can be as a supporter of one who is suffering with cancer, up close and personal. I have managed to caretake my Mother, Father, Step mother and watch some close friends also go their own route down cancer lane. It isn’t pretty but we are all here offering our greatest hopes and wishes for a cure and longevity from the casting of the stone. You are one special friend who has a lot of buddies here at the BLOG. You as well have witnessed some losses here, and we know that life is a fleeting moment that needs to be grasped with great gusto. You have taught us all to be brave, bright and positive. Thanks dear, we are all on your watch. Weezie

jacques…
great to hear from you…
congrats on your 3rd year anniversary !
you still have a wonderful way of putting your thoughts into words…i agree, the journey of cancer has involved physical,emotional, and spiritual healing
god bless
dennismcgn

Hi Dennis,
“agree, the journey of cancer has involved physical,emotional, and spiritual healing”
Dennis, you are spot on in summing this up. I can’t imagine anyone going through this ‘experience’ without having these three elements coming into play and changing your life.
Great to hear from you!
God bless,

Jacques

I have the same insurance company and I live in Nassau County. Always glad to read good news. Congrats on THREE YEARS… and, you positively rocked my world when I read the posts about how you handled the fight for the tests. It’s never too late to learn (says she who is waiting on an NYS appeal filed in FEBRUARY). Good call on the “diagnostic tests are NEVER medically necessary” .... Happy Three Years….. Will be here to say happy 4 and happy 5!

 Thanks Annemarie! Keep fighting! I hate to say this, but the government is never your friend. They may be able to help you in the appeals process, but they also draw you down in the bureaucracy.
If there is a test you need, get it done. Worry about paying for it later. It’s your life on the line, and you need to get the care by hook or by crook. Don’t delay. Thank you so much for your kind note. If there is anything I can do, let me know. Best, Jacques
Nemo Me Impune Lacessit

 I love a good fight and I did read through your posts (saw a bit of a stir there on the whole healthcare reform.. I will stay away except to say we have family in Italy, socialized medicine… when an uncle got a lung cancer dx, he got stuck on the “lung cancer line” with an appt months away. Family used PERSONAL MONEY to send him to a hospital in Milan to begin immediate treatment. I don’t think many people understand that concept. Yes, you will get care, but it will be at the end of the line… unless you have enough money…and then, WHY did Berlusconi’s wife get treated in NY…now, HE could start a whole other conversation but I’ll stay away from that one, too!) I’m with you all the way…. my fight with GHI is for repayment of treatment for services already rendered. I’m with you about just getting what I need to stay healthy. Thank you for the response-will be watching you leap toward year 4!.... Cheers, AnneMarie

I enjoyed reading your update and hope your 3-year PET scan was good news. Can you give an update on that? Happy Thanksgiving and Christmas to you! BTW, you have a beautiful name. :)
Carol-on the other coast.

Hi Jacques – I can’t open/find the reply you made to my post – can you please reply again. Tks Sandy

Hey great posting! I started my treatment about a week after you did. Quick up date on my status and a question for you. My salivary glands are about 95% fully functioning. My big issue is radiation fibrosis. So having some issues with neck spasms and jaw cramps. After doing some research on post radiation side effects, this appears to be a big one. Are you having any issues with neck spasms or cramps. I’ve been back to working out and really enjoying it except the last week or so the spasms and cramps have been intense. We both kicked cancers butt and cheers to that. Regards Tobias

Skiing and enjoying the mountains – that is wonderful! I’m glad you are doing well.
Accupunctue helped me get back saliva. It is much better but still not back to normal. Don’t know if it ever will be whatever normal is. Now I only need dry mouth rinse once during the night and if I am talking more than usual. Before I started accupuncture I was constantly using it becasue water did not help.
Take care and keep on skiing, Sandyjo

 Thanks Sandyjo :) I’m glad your saliva has come back as well. I never tried the acupuncture, but it’s worth to keep trying to find things that work.
I’ve pretty much accepted the reality that certain parts of my mouth and throat will be dry. Other parts have come back and continue to do so ever so slowly even 3 years after radiation. The IMRT radiation, hits the cancer area the hardest. Other areas are spared with lesser doses. But the cancer ground zero area was pretty much zapped with the maximum radiation and destroying the salivary glands in that spot. For me that area is the saliva that used to be made in the back of my mouth around the esophagus. So when I try to swallow, food will get stuck and can easily choke when I’m eating with friends and not being mindful to swallow water after each bite. In the scheme of things, it’s a small price to pay. In a way it’s a little blessing that is a constant reminder to keep me humble :)
Meanwhile I’m looking to go skiing in a couple of weeks. It truly feels liberating to stop half way down mountain and gaze out at the beautiful mountains and landscape. It feels great to be alive! :)

Jacques

Thanks for posting on my site. I love to read surviver stories like yours… helps to see the light at the end of treatment! I was recently having trouble swallowing but that is improving. I now have tonsilar cancer in my other tonsil… and have more surgery planned. But, I am taking life and enjoying it one day at a time. I am so glad you are well! Karen

 It is an amazing road Karen, Win lose or draw, we all are transformed by this experience. I have maintained in some way this is a sort of hard blessing, that forces us to reflect on our lives, God, and our mortality.

Take one step at a time. Take no prisoners. Don’t accept answers if you are not comfortable with them. This is your life. And this is a real battle for it. So get friends, family and anybody who is willing to push the envelope and get you the info and answers you need to make the hard decisions you will have to make. I have lost friends who were too passive and accepting, and let the daily ‘system’ push them around. Result, precious weeks were lost. They were lost in the shuffle and lost their battle. You need support and steadfast resolve to put all the odds in your favor.
The dirty little secret, is that you will discover you have far more strength than you ever knew you had.

Godspeed. Keep in touch. My prayers are with you.

Jacques

Thanks so much for your advice and caring. I will keep in touch:) Karen

The squeaky wheel....

Well, i’ve been pondering about what to post now for over a month.

I don’t feel at this time that i have much to contribute. I read every day about the horrible ordeals that so many of you are currently going through. This week, I just heard Rush Limbaugh talk about a funeral he went to, of a 16 year old boy, who succumbed to bone cancer. It was a heart wrenching story.

Meanwhile, physically, I am doing well, though i still take Nuvigil every day or else the post radiation exhaustion still takes it’s toll on me. If I don’t take it by 10:30am then for some reason it doesn’t work. Last month I ran out of Nuvigil when i let my script lapse for a few days. During that time i was exhausted by 2pm and napping by 3pm till at least 6 or 7.

Again for me, this Nuvigil is a miracle drug that restores the energy, to help me complete a normal day, without exhaustion. Asides from the radiation fatigue, (which i still have 2 and 1/4 years after my last radiation treatment on June 4 2008!), I still have dry mouth and thick saliva due to limited salivary function. I still need to drink after each bite of food, or else the food gets stuck in my throat when i try to swallow. Still, i think i feel minor improvements in salivary function have taken place, compared to a year ago. No matter, it’s a small inconvenience, and i feel blessed to still be around.

So now the reason for this update.

According to my oncologist, i am to have PETscans every six months, and the next one was coming up in September.

Back in March, i detailed my incredible ordeal of fighting with the insurance company over my repeated denials, which had pushed back my first PETscan for the year, by 3 months.

If you are not familiar with what happened to me with the PETscan denials, you should read the poker game i played, and described in detail, about trying to get my PETscan approval. You can read the details in the post titled “MY INCREDIBLE BATTLE TO GET MY PETSCAN !”

So, as 5 months had gone by, it was time again, to get ready for another PETscan and the likely battle that would ensue for such an outlandish request!

Instead of going through the standard channels, which would have been to let me doctor initiate the request, I decided to go back to the last people I had talked to, who had given me the approval. I went right back to the CEO Anthony Watson of Emblem/GHI and refaxed him the letters and correspondence from back in March. I also included a cover letter, simply stating, that i was hoping to avoid the bureaucratic games of denials, and just have them approve my PETscan. It was one of those letters that stated, “hey guys, remember me? how ya-all doing? Well i’m back :)!

I submitted my request to the CEO’s office by FAX on Thursday July 22nd. Dr. Meek, my oncologist, had not even yet faxed in his formal request for a PETscan, but was going to the next day. I got my approval on Monday July 26th. Dr. Meek was stunned!

Tuesday July 27th, I even got a conference call from the CEO’s office to make sure all was ok!

The following week, i had my full body PETscan with contrast. Two days later I got the good news it came back clean. Honestly, i felt relieved. Now i have an appointment with my oncologist in Sept. Now that i have survived the first two years, PETscans will only be required once a year for the next three years, I believe.

Still not an hour goes during the day or night by when I do not realize that i have/had cancer. Not a day goes by when i don’t feel blessed for the time i have been given. My LIVESTRONG yellow band remains ever vigilant on my right wrist.

As i have said several times before, if there is a silver lining in fighting cancer, is that in puts our very existence into focus. There is no escaping having to face and accept our own mortality. There is no escaping developing and understanding and appreciation the limited precious time we all have, whether or not we have cancer.

Carpe Diem & love to all.

Jacques

“Lord make me an instrument of Thy peace; where there is hatred, let me sow love; where there is doubt, faith; where there is despair, hope, where there is darkness, light and where the is sadness, joy”
“Oh Divine Master, grant that I may no so much seek to be consoled as to console; to be understood, as to understand; to be loved, as to love; for it is in giving that we receive, and it is in pardoning, that we are pardoned and it is in dying, that we are born to eternal life.
— St. Francis of Assisi

4 people like this.
Louise sent you a prayer.

Jacques—
Congratulations on the great PET scan results! I’m so very happy for you! Also, way to go in taking charge of getting the scan approval! Those people at the ins co now know you are not going to take “no” for an answer like so many others do. I’m sorry to hear that the fatigue is still a huge issue for you, but glad you have found something that helps. I am coming up on 2 years post-treatment and still have days when I just hit the wall. I hope you’ll always get good news on those yearly scans and that you’ll check in with us occasionally. As always, I wish you the best! Take care.

Martha

Martha

Hi Jacques,
Great news about your de-cancered self. You must write a book for patients on strategies with their insurance companies :) You did some creative thinking to get what you needed and what you were entitled to receive. Really impressive. Many people don’t have the skills to go head-to-head in the way you did, and insurance companies bank on that.
To your continued good health,
Andrea

Dear Jacques; You always find a way to express exactly how I feel. You must be a mind reader. I constantly whisper to myself, “God thanks for this day. I wasn’t sure I was going to make it, but I am eternally grateful for having more time. Whatever you give me I will take and handle it with joy.” Every day and every night I think about my mortality, and most of the times it scares me. What will I do, how will it feel, how on earth am I going to be gracious in the face of death. Yes, that’s the plague of it all. Knowing death is closer than we care to think. I envy young people now. I took for granted that I was eternal and took many chances in my youth. I now understand my Grandmother and Parents so much more. I worry just like them. Man getting older has a lot of drawbacks. Jacques you are very insightful and give pause to contemplate our cancer lives. Thanks for your posts, as I always look forward to them.

Just to let you know, for the last 3 years I have had to deal with 4 month ct and bone scans. Now if that isn’t a reminder and a time slot to worry I don’t know what is. Anyway it’s now been changed to 6 month intervals. wow what a break!
Here is the real difference. I don’t worry about paying because I don’t. The govt. does, (or to put it in clearer terms, they pay the public pays and that’s how we have this great system. I receive my booking times just before I leave from the consult with the Oncologist regarding the test results. And that’s the swinging door but I don’t know if I could put up with fighting for the tests. That’s just unacceptable in today’s world. I hope Obama got it right. I actually gave up my private insurance. It was costing me $9,000 a year (for what? drugs, physio, chiro, dental and private room in hospital). I don’t need any of it thanks. I’ll keep the $9,000 get my teeth cleaned twice a year and pay for any massage or chiro treatment when I really need it. As far as a bed in a hospital. I figure if I’m sick enough I won’t care who’s next to me. I now have a drug plan with the govt. and I pay #2.00 per persciprtion once I have paid my $75.00 quartly top up. Not bad considering my drugs are about $600.00 per month.

I’m am totally happy for you and your recent pet scan results. That’s over the top news. I also understand your tiredness. I keep fighting it but I know there are times when I just don’t think I can move or do anything until I rest. I never actually sleep but lie down and get bored with t.v. Hopefully your salivary glands will improve even more and that your sips in between bites grows further and further apart. Unless it’s wine of course. ha ha.

Take care Jacques till next time. Hey it’s getting colder up here. Imagine high 90’s and now it’s 68! We are expecting a warm long weekend ahead (Labour Day), but then the leaves will start changing and the really great vegetables will be available. Adios friend

Hi Weezie,

Thanks as always for your kind words:) I’ll refrain from commenting further on the healthcare system. You know from my previous posts where i stand, and as so, to not upset this wonderful community, and in deference to Jill, I will just say, go back to my previous observations regarding this issue :)

Now regarding the constant cloud of cancer looming over each of us, and the awareness of our mortality that came about by being slapped in the face when we were first forced to deal with death, following our first diagnosis, I think as i have always said, that we have been given a little blessing that many never get to have;

It is the time to reconcile and digest the unescapable reality that we are all mortal. That we will all die sooner or later. Be it from cancer, a slip in the tub or of natural causes. But not one of us is escaping this. Cancer has forced us to deal with this issue when in normal everyday circumstances, it’s always the last thing we ever want to think about, and we keep kicking that ball forward.

Some of us spend our entire lives focused on wasting time on meaningless grudges, family arguments, jealousies, or even pursuits of power or material goods. In the end, is that argument over “not getting a thank you note”, really worth ruining a friendship? Is sibling rivalry, over who gets what, in an inheritance really worth breaking the bonds that have connected you from birth?

I have some of my parents furniture. A couple pieces date back to the 1800s if not late 1700’s. I look at them in my living room and realize that i am a mere custodian of these pieces. After i am gone, that furniture, my house, and other things i own will probably be ‘owned’ by others who will come after me. Some people who are not even born yet!

So, I don’t fear death really, I fear making poor choices, wasting the time i have, and not maximizing the joy of just plain being alive and living the moment. I know that every minute is precious, and it makes me mad whenever i still get ‘caught up in the moment’, and get angry or frustrated at something. I should know better. But no sense beating myself up. We are not perfect, as we are human. I trust in the natural goodness of God.

In this world, there is true evil and there is true good. To the best of my ability, i try do what is right, You don’t need a law degree to tell you what is right and wrong. God has given us the ability to innately understand those concepts. Doing good, and doing the right thing, lets me sleep well at night. That’s the most i can ask for.

God bless,

Jacques

“Lord make me an instrument of Thy peace; where there is hatred, let me sow love; where there is doubt, faith; where there is despair, hope, where there is darkness, light and where the is sadness, joy”
“Oh Divine Master, grant that I may no so much seek to be consoled as to console; to be understood, as to understand; to be loved, as to love; for it is in giving that we receive, and it is in pardoning, that we are pardoned and it is in dying, that we are born to eternal life.
— St. Francis of Assisi

Ah Jacques! I am so glad you are still doing good! You were my the first person to take me under your wing two years ago. Your blog helped prepare me for what was to come regarding radiation and treatment.

Of course your journey was much more extensive than mine. I just want you to know that there is hardly a day that goes by that I don’t think of you and your wonderful insight and compassion!

Thumbs up!

Many hugs & blessings,
Rose







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