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CT/PET scan results & the beginnings of a new plan: radioembolism

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

Well, I had one of those long deep heart-to-heart meetings with my chemo oncologist yesterday to review Monday's CT/PET scan results and try and come up with a new strategy. The GOOD news of the scan is that the cancer hasn't invaded any new organs. The bad news is that my liver mets have really taken off in the last 2 months and it looks like at least half of my liver is involved now. It was hard to look at the scan pictures as we scrolled through, with the scan from 2 months ago, side-by-side, and see how much my cancer has grown in just 2 months even though I was on Avastin/Cytoxin all that time. We reviewed the chemo drugs I haven't had yet. Most of the approved endometrial cancer drugs left to me are older ones that they don't use unless they have to because they are too harsh or less effective; and the rest of my "targeted inhibitor" options are all super new and reletively unproven for uterine cancer. And we frankly agreed that my cancer appears to be completely chemo resistant. I made it clear that I want to have a nice summer and don't want to roll the dice on something that is going to make me sick and miserable and had less than a 30% chance of working.

I think we both know that it is time that I either throw in the towel and just enjoy the time I have left, or make a bold move. SOOOOOO, although my chemo oncologist has said, and said again yesterday, that radio frequency ablation was counter-indicated because I have more cancer outside of the liver, my husband kept pushing for it. So we got the liver surgeon and the interventional radiologist on speaker phone while we were there with my oncologist. Both opened my scan on their computers for the phone consultation. Both agreed that I had too wide-spread liver mets to do ablation. But the interventional radiologist (who is the surgeon that put in my port) said that he would see me next week to see if I am a candidate for radioembolism. He said that endometrial cancers are VERY receptive to radiation. They run a camera from your groin up an artery and into your liver first to see if you are a candidate for the procedure. If I am, he would do the embolism in 2 sessions 3 weeks apart. For the treatments, radioactive microspheres travel up that same path as the camera did and are shot into the liver. Microspheres is a relatively new treatment suitable for use even in patients with extensive liver involvement.  Radioactive spheres (SIR spheres or Therasphere) are injected into an artery in the liver. The spheres are like very tiny radioactive seeds. After they are injected through the liver artery, they travel into smaller arteries that feed the tumor.  Once the spheres are in the tumor, they give off radiation for about three days. The radioactivity causes damage to cancer cells with little damage to the healthy liver tissue.  It is a highly effective and well-tolerated regional treatment for extensive liver tumors.

Here's a link to learn about this exciting treatment:

http://www.sciencedaily.com/releases/2011/03/110328092409.htm?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+sciencedaily+%28ScienceDaily%3A+Latest+Science+News%29

Apparently, this is another treatment that insurance companies fight due to cost (about $80,000 a treatment), so insurance approval can take up to 60 days. Meanwhile, I am probably going to take a taxoxifen/megace pill regime, even though I am ER- and PR-, since a combo of the 2 of them has been known to work on a small percentage of ER-/PR- women for some unknown reason. & these pills are so easy to take; you still feel good and DOING something makes me feel better while I wait. My oncologist said that this interventional radiologist is VERY aggressive and does things he would personally never do, but also acknowledged that I am a very motivated patient, that over 90% of my overall cancer in my body is in my liver; and on that scale of overall health outside of cancer, I am still a "0" or a "1", which is the best rating.

I sooooo hope I am a candidate for this. This could buy me some time. Otherwise, with the speed my cancer is spreading, .......

Regardless, I plan to keep 'living large' and with joy each day! My grandkids are upstairs sleeping and we're coloring Easter eggs and going to see "Hop" this afternoon! Life is GOOD!

Songflower's picture
Songflower
Posts: 632
Joined: Apr 2009

It sounds encouraging. I so hope you get accepted. I did hipec because there were no options. They told me it probably would not cure this serous but I believe it did give me time. It was my decision and I decided to do it. We're with you all the way on this.

Love,
Diane

Songflower's picture
Songflower
Posts: 632
Joined: Apr 2009

It sounds encouraging. I so hope you get accepted. I did hipec because there were no options. They told me it probably would not cure this serous but I believe it did give me time. It was my decision and I decided to do it. We're with you all the way on this.

Love,
Diane

Songflower's picture
Songflower
Posts: 632
Joined: Apr 2009

It sounds encouraging. I so hope you get accepted. I did hipec because there were no options. They told me it probably would not cure this serous but I believe it did give me time. It was my decision and I decided to do it. We're with you all the way on this.

Love,
Diane

upsofloating's picture
upsofloating
Posts: 473
Joined: Dec 2009

The best news here is how well you continue to feel and that you continue to live life - probably fuller and larger than many with no health issues. A life well lived is the most!!! This treatment sounds quite innovative and I do hope the insurance will give you the opportunity to give it a go. You are truly an inspiration with the aggressiveness with which you pursue your options. Show that cancer that you are the boss!

Have a wonderful Easter celebration with your family.
Hugs!! Annie

Cindy Bear
Posts: 564
Joined: Jul 2009

Just wanted to say thinking of you. Hope you and your family have a wonderful holiday weekend. I don't know anything about radioembolism but it sure sounds promising. Keeping my fingers crossed that this is a treatment option for you and that it works. You are amazing and it's amazing that you continue to feel so well and don't have any pain because I know one of the classic symptoms of liver mets is pain ..
Hugs and prayers,
Cindy

nempark
Posts: 596
Joined: Apr 2010

With such a powerful interventional radiologist there will be no need to throw in the towel at this time. Continue fighting and keep living large. You are a fighter and when the insurance approves of this new plan, you will have many more years to enjoy your grandkids and the rest of the family. I send you lots of hugs and best wishes.

maggie_wilson's picture
maggie_wilson
Posts: 616
Joined: Nov 2009

i figured when you had something to say, we would be amongst the first to hear about it. i'll look up radioembolism, it does sound promising. we're so hoping you're a good candidate for it. what makes you a candidate? in any case, you'll be a good candidate, damn it! threre's not another option. there's no such thing as throwing in the towel at this point; you have not exhausted your options, and new ones come along all the time. we're still betting on you, dearest heart, and our care and love go with it. as the beloved phil oches sang:" cross your heart and hope to live."

sisterhood and love,
maggie

TiggersDoBounce's picture
TiggersDoBounce
Posts: 413
Joined: Oct 2009

Sending you the Hope from this season and am so thankful that you have been blessed with such a fighting spirit....I am praying this new treatment gets approved for you quickly and you can turn this ship around....

Have fun with the grandkids...they are lucky to have you as are we!

Laurie

sleem
Posts: 92
Joined: Feb 2010

Linda,
Glad that you have a new plan and that the approval will come soon so you don't have to wait too long. Thank you for sharing with us.

Ro10's picture
Ro10
Posts: 1482
Joined: Jan 2009

Linda I am so sorry to hear about the advancement of the liver mets. I hope this radioembolism is going to be an option for you. And I do hope it is going to work for you. I am anxious to read the site that you posted, as I don't know much about it either. I hope the new pills will slow things down for you.

You are such a strong positive person. I am so glad you are "living large". Hope you have a Blessed Easter and make some more wonderful memories for the grandkids and the rest of your family. Glad to hear you are not having any pain, either. Continue to find joy in each day and enjoy Life is Good. In peace and caring.

hopeful girl 1
Posts: 454
Joined: May 2010

Linda,
I am so glad the radiologist has offered this option. And the two pills while you wait sounds like a good plan as well.

Stay strong and have faith.

Lots of Hugs to you,
Cindy

HellieC's picture
HellieC
Posts: 459
Joined: Nov 2010

You must have been through the mill and back these last few days/weeks. But in the face of everything, you still find time to tell us what is happening and describe new possibilities for treatment.
I am hoping and praying that you will be a candidate for this new treatment and/or that the tamoxifen/megace have an effect.
Keep fighting, Linda. They may keep changing the rules - but you're still in the game!
With kindest wishes
Helen

Kaleena's picture
Kaleena
Posts: 1226
Joined: Nov 2009

Linda:

Sending my best to you. Hoping you are a candidate for the radioembolism. Thanks for sharing all of the newest treatment.

Kathy

Double Whammy's picture
Double Whammy
Posts: 2335
Joined: Jun 2010

Dear Linda-
I can only echo what others have said. The radioembolism does sound very interesting, encouraging, and it makes sense. I can't imagine you wouldn't be a candidate.

Sending hugs, prayers, hopes and positive thoughts your way.

Suzanne

Cler
Posts: 26
Joined: Jan 2011

Hello Linda,

Thinking of you this Easter. I hope the treatment option can go ahead.

I'm really not sure if this relevant to your case, but I have read about a procedure called radio-surgery. It is done by a machine called a Cyber Knife. It does treat liver cancer so I thought I would mention it just incase it's a viable second option. It is extremely new here in the UK but possibly more common in the USA? It targets tumors very directly without harming surrounding healthy tissue.

Here is a link : http://www.cyberknife.com/cyberknife-treatments/liver/how-used-treat-cancer.aspx (There is quite a lot of info on the web about it however. I have no idea if it is covered by insurance. Here in the UK it is not available on our healthcare system NHS currently I believe)

I read it can also be used for tumors like those in lymph nodes which are in places that cannot be operated on with conventional surgery.

Not sure if this is useful at all but just wanted to share just incase.

Much love,
Cler x

daisy366's picture
daisy366
Posts: 1493
Joined: Mar 2009

Thanks for the update and the detailed info. I'm impressed with your healthcare team and their coordination of your case and the fact that you have docs that are risk takers. I think this is all on your side.

Your attitude is superb! I know you will enjoy every day. Thanks for everything you are giving me!!

Love, Mary Ann

lociee's picture
lociee
Posts: 103
Joined: Apr 2009

Hi Linda, your possible new treatment sounds a lot like the radioactive seeding they do for prostrate cancer - which is very successful! Seems like a good plan. Off you go again - one step at a time.
Mia

barb55's picture
barb55
Posts: 91
Joined: Jan 2009

Linda, Thank you for sharing. I so appreciate your balance of aggressively fighting this cancer and staying in the moment with your joy of life. I know it is not easy. Know that you are helping us all with this information. As always, I'm sending you love. Happy Easter.

Barb

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

I have 2 appointments this week: today's with the head liver surgeon at the hospital; and on Wednesday I meet with the Interventional Radiologist who would do the actual Yttrium 90 seeding if I get approved. My oncologist wanted me to meet with the liver specialist so that we could review all of my options for my extensive liver mets, and get the bigger picture for down the road of things they could do to help me.

It was a very positive consultation; I am quite hopeful! He said that uterine cancers are very receptive to radiation, which is why women with uterine cancer get radiation ajuvently whereas ovarian cancer patients don't. He said the radioactive 'microbeads' (Yttrium 90) are inserted in 2 sessions 3 to 4 weeks apart, to the left side of the liver and later to the right. Then if my scans show that it has been effective at killing some of the cancer, they can even go back in and do MORE of it to help beat the cancer back even further. He said that a person could still have good liver function even if a LOT of their liver was involved in cancer. He really made me feel MUCH less like a 'short-timer'. My oncologist really wanted this liver expert's approval and concurrence before we took this idea any further, as he considers the Interventional Radiologist overly aggressive. But "overly aggressive" fits my mindset right now, and I am SOOOO hoping I'll be a candidate for this BIG MOVE!

I asked what would exclude me from getting this treatment. He said the Interventional Radiologist would probably do a sonogram, looking for anatomical abnormalities that would keep the radioactive beads from getting where they need to go, or that would allow them to travel outside the liver. That could keep me from getting this,...or my insurance could balk at the crazy high cost. So keep your fingers crossed for me, ladies, and I will keep you posted after I see the Interventional Radiologist on Wednesday if I have any news or tidbits.

Ro10's picture
Ro10
Posts: 1482
Joined: Jan 2009

I also have them crossed that insurance will cover this procedure for you. I am glad it was a positive meeting for you and you continue to have HOPE. I read the article that you posted. It was quite interesting.

Good luck with your appointment with the interventional radiologist. In peace and caring.

sleem
Posts: 92
Joined: Feb 2010

Thank you for your update. Good news for you I hope on Wed.

Kaleena's picture
Kaleena
Posts: 1226
Joined: Nov 2009

Keeping my fingers crossed, Linda!

I am glad you got some positive news today and will keep my fingers crossed that you can get the treatment and your insurance company approves it.

Kathy

Northwoodsgirl
Posts: 201
Joined: Oct 2009

Linda, catching up on your treatment plan. You are a strong and amazing woman. Your grandchildren have a special "Nana"-Grandma!!! Keeping you in my prayers for acceptance for the radiation treatment to your liver. ((HUGS))
Lori

upsofloating's picture
upsofloating
Posts: 473
Joined: Dec 2009

Thank you Linda for keeping us up to date on your progress. Your aggressiveness with pursuing all potential - and quite innovative - treatments is quite impressive. What one woman can do! You are an inspiration always and a reminder to not be accepting but to question and seek all possiblities. I hope this scenario works out, all ducks get in line to make it so.
Annie

HellieC's picture
HellieC
Posts: 459
Joined: Nov 2010

Fingers, toes and everything crossed for you. Please keep us posted - you are our pathfinder.
Kindest wishes
Helen

denyingarea
Posts: 11
Joined: Oct 2010

Hopes, prayers, fingers crossed, you've got it all.

I also think your "overly aggressive" interventional radiologist might take that same posture when dealing with your insurance company. Also, I've seen some research hospitals eat the cost of some off-label procedures and treatments, for the sake of innovation (and being the ones to design the next clinical trial to run).

May everything fall into place for you.

maggie_wilson's picture
maggie_wilson
Posts: 616
Joined: Nov 2009

chances are you don't have any of those abnormalities, etc,. and that you will be a good candidate for the seeding. sounds so promising, so glad your husband was persistent. makes me realize that there are always more options, we just need to be determined enough to find them, ask questions, be aggressive. as far as your insurance goes, if you possibly can, pay for it out of pocket, then appeal if they deny it. it's worth it. we did it with the assay, which admittedly was only $3500, but a lot for us. we're in the process of appealing the denial to blue shield as we speak. just need a letter of medical necessity from my surgeon who we see today.

i just wouldn't let an insurance company decide what treatment i was allowed to have, and make life /death decisions for me. f....that!

in the meantime, dear heart, everything that can be crossed is, so you can't go wrong with all of us crossing fingers and toes, and eyes, and whatever else might work. we're with you every step of the way.

sisterhood and love, maggie

Sara Zipora's picture
Sara Zipora
Posts: 227
Joined: Sep 2010

Wishing you all the best, as you continue to be our pathfinder and role model forever say never saying 'dye,' (couldn't write outthecorrectspelling!!!!)

Thanks for update,

Sara

Rewriter's picture
Rewriter
Posts: 496
Joined: Dec 2009

tomorrow, crossing my fingers and toes, and joining with EVERYONE else on this board to send as much positive energy to you as is necessary to get you approved for this procedure.

You have a huge support system, and we are rooting for you!

Jill

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

The interventional radiologist took 2 hours with us today, almost as excited about doing this with me as I am about doing it with him. A resident sat in on the consultation, and a P.A. also spent a lot of time talking with us about it. They have only ever done ONE other radioembolism treatment for a gynecologic cancer patient (a cervical cancer patient whose metastisis was predominently in her liver), but they all believe they are on to something very promising as uterine cancer responds so well to radiation. But it really hit home how 'cutt**** edge' this is to try it for uterine cancer and I am proud and will be thrilled if I can be their guinea pig. Now if they can just sell the idea to my insurance provider!!

I learned a lot about the treatment and how the liver works. Did you know that cancer tumors create their own 'shunts' to get the blood they need? That is why I will have to have a 'dry run' of the procedure where they will shoot contrast up there to see if my cancer has built any shunts from my liver to my lungs or elsewhere. They are already planning )as a part of the treatment) on inserting plugs to any shunts in my liver that go down towards my bowel or lower regions. But if a shunt goes up into my lungs, they will need to shoot a different material in there to try and plug up that pathway to the lungs. If there is a shunt to the lungs that they can't plug, it will be too dangerous for me to get this treatment and that will be that. If I can get this radioembolism, it is an outpatient surgery that I would be awake for, and they would do half the liver first; give me 4 weeks to recover; and do the other half a month later. Each time I would be radioactive about 10 days and have to sleep alone and forego any close prolonged contact with anyone for 10 days. Other than some fatigue there are no other side effects; I should feel fine. Then I have to wait a minimum of 4 months before I can have an accurate PET scan because the radiation throws PET scans off.

Our fallback if I have a shunt to the lungs that cannot be plugged up, is that I could try chemoembolism instead of the radioembolism. This is chemo inserted directly into the artery and into the liver. It combines crazy-concentrated chemo with the blood-starving embolism qualities of the procedure, killing the cancer 2 ways. Chemo-embolism requires an overnight hospitalization to manage the expected accompanying pain and nausea. But chemoembolism is only being looked at if 'shunts' preclude me getting the radioembolism.

Now let's see how hard my insurance pushes back here. They have had 2 people with other cancers turned down flat by their insurance for radioembolism, even after appeal. Then we'll have to decide if we dare spend $200,000 of our OWN money on this. I don't think I could let my family do that for something palliative, not curative. & this IS a palliative thing; I still will have cancer when it's done. Just less of it. I won't even be in remission. But statistically radioembolism DOUBLES your life expectancy of time left on this beautiful earth. I'll keep you posted. Meanwhile I start tamoxifen/megace tomorrow to hold me during all of this.

Sorry for the LONG POST.

Ro10's picture
Ro10
Posts: 1482
Joined: Jan 2009

You always teach up so much with everything you share with us. What a great session you had today. 2 hours of learning a new plan with someone who is excited about it as you are. I presume you will have to wait for insurance approval before the would insert any plugs into the shunts.

I am glad you have a fallback plan, too. I have heard of people having chemo embolism before. I know of people have had external pumps that pumped chemo into the liver. also.

I wonder how long it takes to get insurance approval, and how long an appeal process takes. I have the tamoxifin and megace program keeps you at a standstill while you wait.

What a big decision to decide if you want to spend your own money if insurance denies your request. I don't envy you at all for possibly having to make that decision. I hope the insurace will approve it for you. Keep the postive attitude, and continue to enjoy each day. In peace and caring.

upsofloating's picture
upsofloating
Posts: 473
Joined: Dec 2009

A long AND informative post Linda! I do hope the approval comes thru for you. Even though you would not be able to have a PET scan can you get a CT to monitor effectiveness of the treatment? I do hope the insurance process can move along quickly so at least you can make plans. The waiting games can be hard but you are feeling well so just keep on living large!
Annie

HellieC's picture
HellieC
Posts: 459
Joined: Nov 2010

Don't apologise for the length of the post - it was full of useful, cutting edge information.
I have everything crossed that your insurers will pay and that they can close all the shunts in order to try this new procedure. But, as Ro says, there is also a back up plan, which is always good news.
You are always so positive Linda. I admire you so much - as I've said before - you are a beacon of light to us all.
Kindest wishes
Hellie

Songflower's picture
Songflower
Posts: 632
Joined: Apr 2009

Linda your post is fascinating. I didn't know of all of these treatments. I get angry when insurance companies dictate to us what we can or cannot do. I did HIPEC knowing it just gave me more time. I believe it did; my peritoneum had so much cancer.

Wow and then this is an outpatient procedure. I wonder why it is so expensive. Because it is new?

I admire all the research you do. Also, if this does not work out I found a neat clinical trial in Bethesda - all paid for by NIH. If you want more info you can email me at home or just call. It involves Parp inhibitors and carbo. It is a phase I. I believe I too have a very agressive serous cancer. Actually, I know so from the last biopsy. I think that's why we have to consider other options.

Godspeed!
Diane

daisy366's picture
daisy366
Posts: 1493
Joined: Mar 2009

Your posts are like a class in cancer treatment - very informative. Thanks for taking the time to be so thorough and share what you are learning with all of us.

FIGHT (I know you will) with your insurance. If it is imminently life threatening they have a small window of time to make decision. Hopefully your good docs will grease the wheels and make it happen.

My prayers are with you on all of this. Mary Ann

Kaleena's picture
Kaleena
Posts: 1226
Joined: Nov 2009

Linda:

Thank you for your long post. It is because of your posts that we here are informed of so many new treatment strategies.

I pray that your insurance company does not turn this treatment down.

My posts are short because everything I want to say gets jumbled up in my head. So read my thoughts!

My best to you!

Kathy

TiggersDoBounce's picture
TiggersDoBounce
Posts: 413
Joined: Oct 2009

Great meeting....sending prayers this gets approved.

Laurie

denyingarea
Posts: 11
Joined: Oct 2010

Linda,
Great news. This all sounds spectacularly cutting edge.

As far as the potential cost/insurance issue, if the doctors are anxious for guinea pigs, is there any possibility they will absorb some of the costs? Or can pair the embolization onto some other radiation procedure that would cover the routine items like hospital stay, pain meds? (sometimes getting things covered is just a matter of good coding.) But if the treatment is only covered for neoendocrine cancers, it seems that the teaching hospitals have to do some of the legwork in proving it's viable for all the other cancers that can met to the liver too.

And while it is such a hassle to even consider the legal avenues that come after an insurance denial, the 9th Circuit recently upped the ante insofar as the burden on insurers to prove something is not medically necessary when a patient just went through with a procedure and then was denied. (And it's about time.)

http://www.passionforsubro.com/erisa/denial-of-experimental-treatment-reversed-in-erisa-case/#high_1

Each one of these legal victories is a small step forward for the treatment of every underfunded and understudied disease.

Sincerest wishes that somebody, somewhere, somehow makes one of these embolization treatments work for you.

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

I just got off the phone with my insurance company, and they told me that a letter was mailed yesterday saying Assurant would consider this procedure for payment under my insurance. I asked, "does that mean I was approved to have this done?", and she said YES!!! So I phoned the Interventional Radiologist and they said as soon as they get the official letter, we can schedule the 'mapping' that will determine whether I am anatomically a candidate for the radioembolism. I'm very excited & hopeful & we're going out to celebrate this weekend!! :D

Deb4417
Posts: 22
Joined: Mar 2011

Linda,

GREAT NEWS!!!!! May everything fall into place and go well for you!!! You are a true Warrior!

Debbie :)

Rewriter's picture
Rewriter
Posts: 496
Joined: Dec 2009

I'm so glad that your insurance company is doing the right thing, and my wish for you is that you continue to feel excited and hopeful. May everything be easy for you from this point on and return you to NED.

Best wishes,

Jill

Double Whammy's picture
Double Whammy
Posts: 2335
Joined: Jun 2010

This morning while walking my dog I was wondering when you'd hear about this. I'm sooooo happy for you. In my little pea brain this means it was approved because your onc is convinced it will help and s/he said/wrote the right words to the insurance company. Next week will bring more good news as the RO gets the official thumbs up and a plan put in motion.

I hope everything goes smoothly for you as you travel through this next phase of your journey and come out the other end NED.

Suzanne

Cler
Posts: 26
Joined: Jan 2011

Dear Linda,

This is wonderful news! I am so happy. I have a really strong feeling that this treatment will work. It gives hope to us all. enjoy your celebrations!

Cler

upsofloating's picture
upsofloating
Posts: 473
Joined: Dec 2009

Great News, Linda!
Your insurance co keeps coming through for you to give you best shots for controlling this disease. Your continuing good health willagain be an asset keeping you battle ready in great fighting form. You go girl !!!
Annie

Kaleena's picture
Kaleena
Posts: 1226
Joined: Nov 2009

I am sooooo happy for you, Linda! Sending you hugs to have a wonderful weekend!

Kathy

Ro10's picture
Ro10
Posts: 1482
Joined: Jan 2009

I was so happy to read your latest post. I am so happy the radioembolism was approved for you. I hope all goes well with the radiation onocologist. I hope the mapping goes well, too. You remain in my thoughts and prayers. Enjoy your weekend. Hope you continue to feel well. In peace and caring.

HellieC's picture
HellieC
Posts: 459
Joined: Nov 2010

What wonderful news that this new reatment option is opening up for you. Yet again you are a pathfinder for us.
You're in my thoughts and prayers
Helen

norma2's picture
norma2
Posts: 486
Joined: Aug 2009

Linda, you are an inspiration. Your posts give me hope and courage. Sending you prayers and my wishes for a positive outcome for this procedure. Norma

Songflower's picture
Songflower
Posts: 632
Joined: Apr 2009

I need good news today. This is big. This is hope. Sending hugs and love.

Diane

hopeful girl 1
Posts: 454
Joined: May 2010

Linda,
I have been watching the boards looking for an update from you.
This is wonderful news!

Enjoy your celebration this week-end!

Keep us posted. Can't wait for the next update.

Cindy

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