R is for...

Today's post is brought to you by the letter R for random, as I'm just going to put down whatever comes to mind. I hope you enjoy, or at the very least, make it to the end of this post.

R is for Restlessness

One unique problem I have had this last week is physically, I am exhausted. Like I don't want to pick up my arm kind of tired. Unfortunately, my brain did not RSVP to this party and much like a certain 3 year old we know, she does NOT want to go to bed. No amount of coaxing, essential oils, white noise or dim lights will persuade her to go down for the night. So I am finding myself in this perpetual awake but exhausted state. Ambien has been helping at bedtime, but I still wake feeling less than rested.

So today, while I should be napping and my muscles are screaming "go to sleep", I am laying on the couch watching Little Rascals and writing this blog post because my brain says "let's party!!". All in favor of relaxing on the couch say "Yoi Yoi Yoi Yoi Yoi!!!"

I mean seriously, this movie is the BEST.

R is for Really good labs

So I had my "toxicity check" with my nurse practitioner at the cancer center today and the good news is, my side effects have been minimal and manageable (KEEP IT UP PRAYER WARRIORS, it's working!!!!). My WBCs were 6.4, Hgb was 12.2 and platelets were above 150,000, which is great news. If my wbcs are less than 1 or platelets are below 100,000 it will delay my treatment, so we are on target to stay on time for cycle 2 next week. Yay, more poison!

R is for Re-entry (I know, its a stretch, just go with it)

During my above mentioned lab draw, the phlebotomist accessed my port again to get my blood and holy stabby mcstabberton, that sucked. R also needs to be for Remind me to use EMLA next time, youch! 

R is for 'Roe

I know many of you have already jumped on the LulaRoe bandwagon but I have been blissfully ignorant until this weekend. I reached out to my coworkers (whom I KNOW are on the bandwagon, they are driving the silly thing!) to learn a bit more about them as I hear they make very comfy clothes and cancer = an excuse to be comfy. Well, within a day of my posting, a new pair of leggings showed up on my doorstep (Rachel, you are wonderful, thank you again!) and wowza, these things have to be made from unicorn hair or fairy wings or something because clearly they are not of this world. 

Needless to say, I predict some new leggings in my future...

Kate feeling my leggings, that's right, the are so soft you just want to touch them!

R is for Rachel

Rachel is the name of my wig. I did not give her this name, the wig makers did, but I do think its rather fitting and it goes along with our theme today so....

I had an appt yesterday to try on my new wig and left a little disappointed only because I look like I am wearing a hair helmet. They washed it and styled it for me and I picked up the final product today. It looks a little better today but will still take some getting used to. The price tag was also about double what I thought I would be spending, so that was pretty disheartening as well (like I previously mentioned, insurance doesn't cover wigs). I have an appointment with the American Cancer Society in two weeks to check out their "free wig bank" so that might give me a second option. But don't tell Rachel, I don't want her feelings to be hurt ;) Also, the picture below is no-makeup, no filter so ignore the bags under my eyes!

Me + Rachel

R is for Relief 

Finances are always a concern whenever a diagnosis of cancer is involved. Initially I was told if I have intermittent FMLA during my treatments, I would have to take my time off unpaid as I would not qualify for short term disability. Well, good news internet friends, we found a loophole and it looks like I will be able to work and get short term disability for my days off during treatments!!! This is such a relief to know that I will still be contributing financially to our family and that we don't have to sell all of our things to afford daycare.

R is for Rations

Lastly, so many of you have asked how you can help our family or have volunteered to bring us a meal. I have created a meal train account that will allow any of you to sign up for a night to bring us a meal, if you are wanting to help. My mom is going back to Georgia next week for a short time, so we are starting the sign up for next week, as it is also my treatment week. Mitch and Kate have a dairy sensitivity so while they can tolerate some cheese, milk, etc. a 5 cheese lasagna might not be the best option for us. I just want to say thank you in advance to all of you that are willing to help us out, whether it be providing a meal, being an ear to listen or a shoulder to cry on. Thank you!

Hop aboard the Meal Train, choo choo!!!

Mutant.

Hello again friends, we are currently on cycle 1 day 6 and today has been a bit better than yesterday. Yesterday was my first day without steroids on board and the lack of energy was definitely noticeable. It also didn't help that it was a gloomy, rainy day all day either. I found myself feeling a little down both physically and mentally but today has been a better day so far. Still staying up on the anti-nausea meds. Between those and all of the prayers we are receiving on a daily basis, I am feeling pretty good considering. I would be lying if I said I was looking forward to my next 3 infusions but for now, we need to take one tiny baby step at a time,

I thought I would take an opportunity in today's post to explain how we got to where we are today, not in the "first mommies and daddies love each other very much" kind of way, but more in the "I have a genetic mutation that gives me cancer" kind of way.

So let's jump in shall we??

For those of you that don't know me well, my dad passed away in 2013 after an 8 month battle with pancreatic cancer. It was fast and fierce and ugly and heart wrenching. We found out he had cancer on the day I was due with Kate (she wouldn't come until 5 days later, already stubborn, even as a fetus) and he was gone before her first birthday. Cancer really sucks.

Kate, Dad and Patti

Fast forward to almost a year later and I was seeing my NP for my annual exam/initial OB appointment (I was early pregnant with Evelyn). Kim was going through my family history and mentioned that I would be a candidate for genetic testing because of the cancer on my dad's side of the family. Knowing I was just beginning another pregnancy (and continued to associate Kate's pregnancy with dad getting sick), I wasn't emotionally ready to do the testing. We agreed there was no rush and I could get it done after the baby was born.

Life with two little ones is pretty hectic so it wasn't until December that I got my butt to the office and blood drawn for the test. I knew the implications of the test going in, I could have a positive result and be at a higher risk for cancer. Or I could have a negative result and still be at a higher risk for cancer because of my family history. What did I have to lose?

We made it through the holidays and most of January had come and gone before my test results were in. Mitch and I met with Kim in the office and she gave us the unfortunate news,  my genes are mutated. Not like in the Ninja Turtle sense (although I am fond of pizza) but in the "you just signed up for an increased risk of 4 different cancers sense". Well Damn.

So, what does having a BRCA2 gene mutation really mean? Let me try to explain.

We all have a unique set of genes that determine who we are and what we look like. These genes come equally from our parents, a 50/50 split. Sometimes genes are broken (mutated) from the beginning (passed on from mom or dad, thanks guys!) or sometimes they break due to environmental factors (sun exposure = mutated genes = skin cancer)

Everyone has a BRCA1 and BRCA2 gene responsible for keeping certain cells in our body dividing at a normal rate. It's like a quality control system, if the cells get out of control, BRCA1/2 shut down the party. The problem becomes when one of those genes are broken, no one calls the cops and cells can grow out of control and become cancer. This gene is not only associated with breast cancer, but also ovarian, pancreatic, prostate and melanoma cancers. My BRCA1 is normal, my BRCA2 is not.

Prior to me discovering I already had cancer, my statistics looked a little something like this:

Average women’s risk of cancer in her lifetime:

Breast: 1 in 8 (12%)

Ovarian: 1 in 70 (1.4%)

Pancreatic: 1 in 100 (1%)

Melanoma: <1 in 100 

My risk of cancer in my lifetime (with a gene mutation):

Breast: 80%

Ovarian: 45%

Pancreatic: 7-25%**

Melanoma: increased risk

**risk varies depending on family history, I haven't been told my specific risk just yet.

As you can see, every woman has a chance of getting breast cancer in her lifetime and the number of women with cancers related to genetic mutations is rather small when looking at the total population. However, because I am one exceptional human being, I decided to get cancer right away and avoid the waiting game (insert sarcasm).

When we were told about my BRCA2 status, the plan was to nurse Evelyn until she was a year old (June 29), get a diagnostic mammogram in July as a baseline, meet with a breast surgeon and plastic surgeon in August and then proceed with a prophylactic mastectomy in September. Even before I knew I had cancer, I was ready to say good bye to the ticking time bombs on my chest. Unfortunately (or maybe fortunately) for me, they got to me first. 

There are a couple things I want to mention very clearly in this post. Kim saved my life by encouraging me to be tested. Not in the superfluous way, but in the very literal sense of the word. If I would not have been tested, I wouldn't have known I was positive. Because I was positive, I qualified to have a mammogram far earlier than a "normal" woman would. Because I had this mammogram, we discovered my cancer very early and proceeded with treatment 3 weeks later. BRCA2 saved my life.

That being said, having this mutation is rather rare, so I don't want to freak you all out into thinking you have it because your grandma's neighbors cousin had cancer in her 30s. Taken straight from cancer.gov, here are indications to consider testing:

Because harmful BRCA1 and BRCA2 gene mutations are relatively rare in the general population, most experts agree that mutation testing of individuals who do not have cancer should be performed only when the person’s individual or family history suggests the possible presence of a harmful mutation in BRCA1 or BRCA2.

In December 2013, the United States Preventive Services Task Force recommended that women who have family members with breast, ovarian, fallopian tube, or peritoneal cancer be evaluated to see if they have a family history that is associated with an increased risk of a harmful mutation in one of these genes (17).

Several screening tools are now available to help health care providers with this evaluation (17). These tools assess family history factors that are associated with an increased likelihood of having a harmful mutation inBRCA1 or BRCA2, including:

• Breast cancer diagnosed before age 50 years
• Cancer in both breasts in the same woman
• Both breast and ovarian cancers in either the same woman or the same family
• Multiple breast cancers
• Two or more primary types of BRCA1- or BRCA2-related cancers in a single family member
• Cases of male breast cancer
• Ashkenazi Jewish ethnicity

Or in my case, a family history of breast cancer diagnosed before 50, pancreatic cancer and prostate cancer all on one side of the family. Now that I know I am BRCA2 mutated, I can pretty confidently deduce that Dad was as well.

The second complicated piece to this puzzle involve Kate and Evelyn. Because this mutation is passed down from parent to child, our girls have a 50/50 shot of carrying it as well. Right now, there is nothing in the literature recommending young girls to be tested before the age of 18 when they can fully understand and comprehend what a positive result might mean for them. I fully intend on educating both of them about my cancer and my genetics as they grow older, but the decision to be tested will be entirely up to them. There is also an optimistic part of me that thinks treatment/screening options 20 years from now could mean a completely different outcome for them compared to me. One can only hope...

This post is beginning to border a novel so I am going to cut it here, but if any of you dear readers have questions about BRCA or my story in general, I am an open book and more than happy to answer any question you might have! Just put it in the comments below.

Now its time for a nap!

Feelings and fake hair

 Hello friends! It is day 3 after my initial chemo and I'm still riding the Decadron train to energyville (Decadron is a steroid that I take for the first 4 days to help with side effects and produce energy. Alas I had to forfeit my Olympic dreams for doping, but I figure killing cancer is more important than becoming an Olympic athlete)

To catch up, my good friend Jen and I went to a local salon to look at wigs, since we are now on the countdown to total hair loss (it's looking like that will probably be next Friday). Unfortunately, the wigs at the salon were mostly brunette or gray, I couldn't get a great feeling for color so we special ordered two that are more my style. I also learned that real hair wigs are super pricey and harder to maintain (plus it did give me a bit of the willies wearing someone else's hair on my head, I didn't expect that). I also discovered that my insurance company does not cover the cost of a wig so this will be all out of pocket. I have recently connected with another young breast cancer survivor that also has United Healthcare. She wrote this powerful letter on her blog and in the end, United Healthcare covered her for 1 wig as an exception. So it looks like I may need to try to do the same....

Black isn't really my color

Or mullet 

Or Hillary Clinton

These are the two I ordered, the left wig in a more auburn color like the bottom picture and the right wig as shown in the picture. They should hopefully arrive sometime this week for me to try on and make a decision.

Yesterday was my Neulasta shot, which is a tiny shot into the fat of my belly that helps boost white blood cell counts during treatments. It also has severe bone pain as a side effect, so I am taking my zyrtec and zantac to hopefully combat that (not quite sure how/why it works but I'm going with it!) Since I needed a little pep in my step, I put on my "I'm a ray of sunshine" cardigan and walked confidently out the door.

Coffee, water, meds and blogging, my new normal

After going to my appt and running a few errands, mom and I watched "Mother's Day" and enjoyed a little downtime on the couch. Overall for day 2, I felt pretty normal1

This morning is day 3 and I'm still on quite a bit of meds. Since I still have a good amount of energy right now, Mom and I started sorting through the girls clothes to get ready to sell at consignment this fall. We need to get some of this baby stuff out of the house!!

Again, I feel pretty normal for day 3 (likely thanks to my meds) other than I have the worst case of dry mouth and all food/liquid tastes chalky and dry. Totally tolerable side effect compared to the others they warned us about but it is a bit annoying and is impacting my appetite. So I'm going for a pb&j and some chips for lunch, hoping it tastes half way decent!

Not much more to report right now, but I know a lot of you have been wondering how I have been feeling, so far so good! I am a bit terrified of what will happen on Friday when many of my meds stop but we will cross that bridge when we get to it.

Thank you for all the prayers, I truly believe they are working! Love to all of you!!

Cycle 1 Day 1: A chemo oddesy

We have embarked upon our maiden voyage of the USS Chemo, find your bunks and put on your lifejackets, we may be navigating some rough seas...thus begins Cycle 1 Day 1.

We checked into the cancer center around my appt. time at 8 am and then sat for almost 20 minutes before we got called back. No snap chat shenanigans ensued but we did discuss the phenomenon of medical waiting rooms ( I had the first appointment time of the day, what are we waiting for?) 

Muffins, water and saline flushes, yum!

A nice lady named Andrea called us back to B pod where my infusions would occur. She took my weight and height so they could dose my chemo drugs according to my personal specifications (special drugs, just for ME!) and took a set of vitals, during which my normally low blood pressure gave her a bit of a pause (90s/50s, meh.) Mitch and I pulled out our homemade blueberry muffins (thanks Mama Leona!) and water bottles and we were ready to get started.

Then a lukewarm nurse named Mary Ann came over an "accessed my port" which is a bit like docking a boat. From the picture above, you can see exactly what I have under my skin (left picture). Then the nurse popped the infusion set into my POWERPORT (super heroes unite!), similar to the picture on the right. They put a dressing over it and then hung some saline to get it going.

The good news is, thanks to EMLA cream and freezie spray, I didn't feel the infusion set go in at all

Then I received about an hour of premeds, IV Aloxi, IV Emend, and IV Decadron, all to help with nausea side effects of my chemo. All of these infusions took about an hour to go in, since they have to run individually. In the meantime, Mitch and I played Ticket to Ride and I actually won!!

After my premeds went in, it was time for the big guns, IV Adriamycin, or the "red devil". I have to admit, even the sight of her was a bit intimidating. It was given slow IV push (~30 mins) and has some wicked side effects (hair loss, mouth sores, nausea/vomiting, orange pee (this was a shock!) and less commonly, heart failure). The good news is, I didn't feel anything when it was going in so that's a bonus!

Next up was the IV Cytoxan, which also infused over ~30 mins. I had very mild side effects during this infusion, I can best describe it as a mild sinus headache- tension across my forehead, fullness and burning in my sinuses, all together very tolerable.

So, we played another round of ticket to ride again, and I won, AGAIN!! (friends, this man beats me all.the.time. You can't comprehend how amazing it felt to beat him 2 times in a row!!)

Maybe it was a pity win because #cancer. Whatever the reason, I'll take it!

 We left the treatment center around 11, roughly 3 hours in total, which I think is pretty manageable. I was feeling pretty good still so did a bit of shopping and then grabbed lunch as flattop.

Words can not express how much I LOVE this man

Mitch had to run to Home Depot to get an electrical box of some kind. I took this photo to document the time where Mitch spent under $0.50 at Home Depot because surely this is a once in a lifetime experience and it will never happen again.

Then we came home, I floated in the pool for about an hour, watched a couple of episodes of Sex and the City and then it was time to go get a smoothie and pick the girls up from daycare. All the while, I was still feeling pretty good. Best way to describe it would be like a mild hangover- small headache, a little woozy, a little nauseous. The smoothie hit the spot!

When it came time for dinner, I was getting increasingly tired so I went upstairs to lay down while the family ate. Being the good husband he is, Mitch came up around 7:30 and told me I was getting out of bed and going for a walk, as much as I didn't want to, I did as I was told and it was actually very helpful. Sweet Evelyn was happy the whole time per usual.

And Kate insisted on playing "monsters". I will leave you with the photo evidence below

As a wrap up, chemo day one has been kind to me, I now am on a strict medical regimen that makes me look like a grandma but if it helps me function, I guess its worth it! Hopefully today continues to be a good day.

Before I close the post, I do want to say a heartfelt thank you to EVERYONE that has been so unbelievably supportive to me and our family over the past few weeks. I know we have prayer warriors all over the country and Mitch and I appreciate every single one of you lifting us up in your prayers to our God. This week, we specifically need prayers for minimal side effects for Lindsay, strength for Mitch and a sense of normalcy for our girls, as they can tell something isn't quite right.

Hoping to prevent turning into this crazy character!

For the gifts and the cards and the hugs and the prayers, we say thank you!!

The countdown begins

Tomorrow is the day, the day I officially become a cancer patient. The day poison will be dripped into my veins to kill an invader I didn't ask for. I will put on my brave face and walk in ready to beat this because the alternative is so much worse. But right now, I just want to hide.

Tomorrow is the day I will nurse my sweet baby for the last time, which I've been doing for more than 400 days. Both a blessing and a curse, my breasts serving a functional and an emotional purpose, while being the very enemy that put us in this position.

I don't have any motivating quotes or funny jokes. No light hearted pictures or goofy cartoons. Just me and my raw emotion, counting down the minutes until tomorrow morning when everything changes. Wishing time would slow down yet speed up all at the same time. Prayers are welcome, we are going to need them...

Open Road

Fun fact: Throughout my childhood/early adulthood,  I dabbled in many sports. Swimming, bowling, basketball, track and field, cross country, cheerleading, dance squad, crew. I did not excel in any of these sports, as a matter of fact, I performed just well enough in most of these to stay on the team until I became interested in something else.

The most comical of these was cross country, only due to my motivation for joining the team. In my high school, two sport athletes were exempt from gym. While I was actively involved in my dance team my junior year and cheerleading my senior year, they did not count as a "sport". Even more comical was that marching band (of which I was a member all 4 years) did. Explain that logic!

Anyway, my junior year of high school I badly wanted a study hall (yes, I'm a nerd) and the only way to accomplish that was to find a way out of gym.

So I joined the cross country team.

I will pause while that sinks in a minute. I WILLINGLY signed up to run hundreds of MILES in order to get out of 50 mins of "gym" three days a week. In every other sport I had played, coach made us run as punishment. Now I was doing it for fun.

It took me a while to gain endurance but throughout the season, my coach taught me a lot about running long distances. In races, he would always push us to "attack the hills", as that was the best time to pass an opponent, since most runners will slow down as the hill gets tougher. He also told us to use the downhills to catch our breath and prepare for the next hill. And most importantly, he always would yell (nicely) at us to finish strong, leave everything we had at the finish line.

I have carried these lessons with me as an adult and while I don't consider myself an expert runner, it has proven to be a great way to clear a cluttered mind.

Yesterday, we learned my cancer was indeed triple negative and my chemo plan would be:

• 4 cycles of Adriamycin, lovingly referred to as the "red devil", given IV once every 2 weeks. Most common side effects are nausea, fatigue, hair loss, constipation and mouth sores. 
• 4 cycles of Cyclophosphamide, given IV once every 2 weeks, side effects are similar to Adriamycin
• 12 cycles of Taxol, given IV once every week. We will switch to this once my 4 cycles of the other two are done. I am told the side effects of this medication aren't nearly as bad.
• In addition to these medications IV, I also have a whole host of other meds used to help combat the side effects. To be sure I am taking the right meds at the right time, I added it to our family calendar on the fridge:

Also, this happened yesterday:

We are now on the 3 week countdown to total hair loss, which I am predicting to be somewhere around Aug. 20-21. Which means I may not leave the house for a few days until I figure out how to tie a scarf. Anyone want to give me lessons?

Ultimately, I am really trying to keep a positive mindset through all of this (the power of positive thinking, right?). Yes, I have times when I am sad. Yes, this feels like some really crappy dream that I will snap out of any minute. Yes, I get mad that this has to happen to me and my family.

But friends, it's time to ATTACK THE HILL. To lean in, and push to the top, even when my muscles burn and my lungs are on fire. I can coast on the way down when its easy and save up that last shred of energy to finish strong. 

So I'm lacing up my running shoes and hitting the open road, taking this race down. One hill at a time.

Positive or Negative

For this blog post I'm going to get all educational for you, so if science or learning has not been your cup of tea, I will excuse you from reading the rest of this post. Grab me a snack on your way out, For those of you that enjoy learning how things work (cough engineers cough), then this post is for you. So let's get educated.

We will start at the very beginning (Julie Andrews anyone?)...

I have a tumor in my left breast, it is roughly 1.5 cm which I like to compare to the size of a large blueberry. This blueberry is a ball of cells that really wanted to be normal, but with a little peer pressure from the wrong crowd, began multiplying out of control, making it more difficult for the normal cells to do their job. Much like the hallway of a local high school, this group of "bad kids" will keep recruiting more and more kids to join their "gang" until there are no good kids left.

This guy is a real jerk.

The good news is, every group of kids, or cells in this case, have a weakness, we just need to figure out what it is. Any time a breast tumor is identified, it helps to take a sample of the tissue to test for biomarkers, or receptors for tumor growth. If we can identify what type of receptor is feeding the growth of the tumor, we can hopefully turn it off, thus starving the tumor and stopping growth. It is really simple math. Oreos + my belly = muffin top. Take away the oreos, no more muffin top.

For breast cancer, there are three types of receptors doctors look for: Estrogen, Progesterone and HER2 (human epidermal growth factor receptor 2). If we can identify that the tumor has receptors for any of these 3 things, we can cut off the supply and at the very least, keep the cancer from spreading, if not eliminating it all together.

Estrogen and progesterone are two very important hormones in the female body, largely responsible for controlling fertility. They also can impact the growth of cells and in this case, the overgrowth of cells, leading to cancer. In addition, super smart scientists have also discovered the HER2 protein on breast cells and have linked higher levels of this protein to breast cancer. Enter stage left: the positive/negative game.

When I had my biopsy 2 weeks ago, they sent a sample of the tissue to a lab to test if I have any of these three receptors on my tumor. Eighty percent of women with BRCA2 gene mutations like me (this will be another future post entirely) have ER+ or estrogen receptors on their tumors. So naturally I believed I would be ER+, I would have surgery to remove my tumor, take an anti-estrogen medication to kill any remaining cells and go skipping off into the sunset because I have beat cancer. Mic drop.

Second Obama reference in a week? Must be an election year.

Unfortunately for me, I tend not to follow the curve.

Last weekend, I received the unfortunate news that my markers had come back and that I was ER-, PG- and HER2 equivocal, which is a fancy scientific term for "I dunno". They would need to run an additional, more specific test on my tissue sample to determine if it is HER2 positive or negative. The even better news (sarcasm) is that regardless of that lab result, my tumor is not the preppy-kid-who-ditches-school bad, its the smokes-behind-the-bleachers-and-robs-the-liquor-store kind of bad. The aggressive, fast growing, take no prisoners kind of bad. It just got serious.

That blueberry, he can be pretty mouthy too!

If I have an HER2 positive tumor, I will receive 3 medications to turn off the gene that creates the HER2 protein that is making my cells grow out of control. One of these medications is only approved by the FDA to be given prior to surgery, so if I am HER2 positive, I must have treatment before surgery. I will have 18 weeks of treatment, followed by surgery to remove all breast tissue, and then continue to get an infusion of one of the medications for up to a year. While all of this sounds pretty terrible, the good news is this treatment is very effective and can cure up to 50% of patients completely prior to surgery.

If I do not have an HER2 positive tumor, I am then branded as a "triple negative" breast cancer patient. Triple negative breast cancers are tough to treat because there are no known receptors for the tumor. We have no way of knowing exactly how to turn it off. For this reason, my oncologist is recommending we do chemo prior to surgery because then we are able to use my tumor as a barometer for how well treatment is working. Getting smaller? Good news. Not get smaller? Not good news. Since we don't know any receptors for this type of tumor, removing the tumor prior to surgery would make it more difficult to confirm that the medication I am getting is actually working on my specific tumor type. So either way we look at it, we are set up for chemo ASAP.

My oncologist assured us that the results of this second lab test would be back within a few days, so we would know by Wednesday or Thursday this week what my result should be. Once we know my result, then we will know which chemo plan we are going with and can start treatments. For reasons unknown to me, it's Friday and we still have no results. No positive or negative and now the waiting game continues.

In the meantime, we will stay busy. My mom flies in today to move into our basement for an undetermined period of time. If I catch her sleeping during the day and playing video games all night, she's gettin a job! We have date night planned for tonight and a lot of playing with kiddos for the next two days until my appointment at the cancer center Monday morning. Hope you all enjoy your weekend and I'll update again on Monday!

My sidekick at work on Thursday