Cliff jumper, South Point, Na'alehu, Big Island - Monday, March 10, 2025

Cliff jumper, South Point, Na'alehu, Big Island - Monday, March 10, 2025
Cliff jumper, South Point, Na'alehu, Big Island - Monday, March 10, 2025
Showing posts with label basal cell carcinoma. Show all posts
Showing posts with label basal cell carcinoma. Show all posts

Thursday, August 11, 2016

Death to Cancer - Thursday, Aug. 11, 2016

What a hectic couple of days...

Wednesday: Susan M. and I did a 10k Volksmarch from Mission San Jose to Mission San Juan. I was up at 5:00 a.m. so I could meet her at 6:30 a.m. BTSCU (before the sun comes up). It is so friggin' hot and humid in South Texas right now that we have to start very early to finish shortly after the sun comes up (8:20 a.m.) Still, we were both soaked with sweat. We decided to go to "Star Trek Beyond" at 2:00 p.m. because Bob's surgery was scheduled for 2 and they had to prep him and administer anesthesia before surgery. That gave us time to shower and have lunch (or so we thought).

At 10:30 a.m. I took Bob to the hospital where he checked in at 11:00 a.m. and did the requisite paperwork. About 11:30 they called him back to the preoperative area. I had eaten breakfast at 5:30 a.m. and was getting hungry. I decided not to eat because I wanted to be in the waiting area when they called me back to the pre-op area and Susan and I wanted to go out to lunch before the movie.

Around 12:15, they finally called me back to be with Bob. By that time, I had read almost a whole issue of Texas Highways from 2015. We thought sure a nurse or someone would come in and tell us when Bob would go to surgery. 12:40 came and went, then 1:00 p.m., still no one. I was bored because I forgot to bring something to read. Bob was happily engrossed in his new John Grisham novel.

Susan M. was texting me asking when I could meet her for lunch. When I told her I didn't know, she said she was going to drive to the theater which was 1/2 hour from her home and to let her know if we would meet for lunch or meet at the theater at 2:00 p.m.

1:45 rolled around and still no word on surgery; I went to the nurses station to ask when he would be taken to surgery. They let us know pretty quickly that Bob's surgery had been delayed to 3:00 p.m. Bob said I should go to the movie.

I called Susan who had already bought our tickets and told her I'd be there in about 20 minutes. She had a big tub of popcorn waiting. What a friend. I arrived at the theater at 2:10 and the previews were still playing. (I found out later that Bob didn't go to anesthesia until 3:30 p.m.)

We enjoyed the movie, then I headed home to get Bob's clothes and computer so he'd have them when he woke up. Since I hadn't had lunch (except 1/2 tub of popcorn) I warmed up two chicken thighs and steamed broccoli. When dinner was over, I gathered up Bob's stuff, a book for me and some magazines.

As I was driving to the hospital, Bob's neck surgeon called me. He said he was done with his portion of the procedure. He's pretty sure they removed all the cancer. Part of Bob's sternocleidomastoid muscle was removed and they cut a small nerve which may cause  numbness around his ear for the rest of his life.

They tested the edges and the deep parts of the incision to make sure they were clear of cancer cells, and they took more samples that were being sent to a lab for pathology. They will have the results of those samples in a week.

Now here's the fascinating part and appeals to my scientific curiosity...The neck is a small area for all the muscles, veins, nerves, and arteries to make their way up into the brain. By removing part of the neck muscle, those arteries, nerves and veins would only have a thin layer of skin over them if they closed up his wound as it was. The muscle they took out had protected them. So, they put cadaver skin in the wound to provide protection, and the plastic surgeon did a partial face lift pulling muscle from under the chin up toward his ear to provide even more protection. To close it all up, the plastic surgeon pulled some loose skin from under his neck and tightened it over all the layers, then stitched it up. Here is a photo of this year's scar, which is shaped like an upside-down "V" or "Y."



When a muscle is cut, the body produces a lot of fluid. In order for this fluid to be removed, a drain tube was put in the wound. You can see it to the right of the incision. It drains down into a little bulb that we have to empty and measure whenever it gets half full. After the fluid drainage slows down, the doctor will remove the tube.

I arrived at the hospital at 7:00 p.m. Not too long after I arrived, Dr. Miller (neck doctor) came into the waiting room to talk to me. He said he just left the operating room and Dr. Stallworth (plastic surgeon) was finishing the plastic surgery. They were closing up the wound. That was about 7:30 p.m. 

At 8:00 p.m., Dr. Stallworth came and explained what he had done and the final stitches were being put in. Bob would be out of surgery soon. After that, I received text messages (Patient Updates) on my phone at 8:35 and 9:18 p.m. The one at 9:18 p.m. said "Your loved one is sleeping." About 10:00 p.m., I was taken back to the post-op recovery area. Bob had been asking for me. He was still very much out of it. The nurses said I could spend five minutes with him.

In postop recovery while Bob was coming out from under the anesthetic, he was Mr. Comedian. One of the first things he said to me as he was waking up was, "Where's the buffet?" (He hadn't eaten for 24 hours.)

When I explained his scar last year looked like an "S" and this year it looks like a "V." He said, "Oh, we're working our way through the alphabet."

I emphatically stated, "No, no we're not!!"

Then the nurse asked him if there was anything else he wanted and he blurted out, "I want you to pay my medical bills." We all cracked up.

I was with him about 20 minutes, but he obviously needed more sleep. I went back to the waiting room.

At 11:30 p.m. a ward clerk came to get me. I was so exhausted having been up since 5:00 a.m. Bob was feeling pretty chipper by this point. They brought him jello and water so he could eat and gave him a pain pill. He is having a moderate headache on the left upper side of his head. I spent 1/2 hour with Bob, then headed home. I had to be up at 6 a.m. for work. I got to bed at 1 a.m. The cats and I crashed.

Thursday: We thought Bob would be discharged around 10 or 11 a.m. this morning. Ha! I had a text from Bob at 7:30 a.m. saying he was eating breakfast and the nurses would do their paperwork and he'd be ready to go home at 8:30 or 9 a.m. I let my boss know right away that I had to leave by 8 or 8:15.

I was at the hospital a little before 9 a.m. and we left about 9:30 a.m. On the way home we stopped at Walgreens to get a prescription filled and I had him home a little after 10 a.m. I was back at work by 10:45 a.m.

Bob was settled in his easy chair with his computer and his phone. He worked part of the afternoon and napped some too. We are hoping this surgery (his fifth on that side) is now completely gone and we won't have to go through this again. In the meantime, the dermatologist is going to keep a much closer eye on this area. They will examine his neck more often.
See how puffy the right side of his face is?
After work, I picked up Pad Thai for dinner, then did five loads of laundry. I am very tired. Bob is sleeping in the easy chair because of the drain tube in his neck.

Time for me to sleep too. Good night all. Have a good weekend.




Sunday, August 7, 2016

Bob's Consultation and a Movie Review - Sun., Aug. 7, 2016

On Friday, Bob met with the neck surgeon and the plastic surgeon. They prodded and poked his wound so they would have an idea of what surgery is needed next.

The neck surgeon said he will have to remove part of the muscle that controls the shrug response. They will have to carefully keep nerves out of the way.

When Bob had his surgery on Wednesday, the doctor's office did not give him any post-surgical instructions. Bob had me change his gauze dressing a couple of times, but we didn't do anything special. The wound is huge - about 4 inches across and two inches tall, plus it is over 1/2" deep. He wanted me to take a photo of it to share with family. I told him no.

Sunday morning Bob woke up telling me he had a headache. Bob NEVER gets headaches. I told him he needed to call his Mohs surgeon to make sure everything was okay. He wasn't going to call the doctor.

However, when he went to take his shower, the gauze pad was stuck in his neck wound and he couldn't get it out. I told him to take his shower and let the water run on the wound and it would probably come off. Wrong.

While he was in the shower, he asked me to cut off as much of the bandage as I could because it was waterlogged and heavy and was pulling on his wound. When I tried to cut the bandage, the scissors pulled on the bandage and he let out a scream. Apparently the bandage was stuck onto a nerve; the nerve that goes into his head and is causing the headache. I got sharper scissors and was able to cut the bandage off.

When he got out of the shower, I put another bandage over the wound. He called his doctor, but got the answering service. Thankfully his doctor called back quickly.

The doctor told him he needed to get back in the shower and soak the bandage and wound. He also reminded Bob that we should be using Vaseline in the wound and a non-stick bandage. In the shower, Bob was able to pull off the small piece of gauze that was left, but it really hurt him. 

I went to Walgreen's to buy some Vaseline. When I returned, I put Vaseline on a non-stick pad and taped it on his wound. Bob is much better now.

This afternoon, we went to see a movie called "Hunt for the Wilderpeople." What an interesting and good movie. It is about a 13-year-old boy (Ricky Baker) in New Zealand who was lost in the Child Protective Services system, being shuffled from foster home to foster home. Considered a problem child (thievery, graffiti, running away, kicking stuff, and a wannabe gangster), he didn't last long in any home. Finally a couple was willing to take him in. They lived near the bush in New Zealand, far away from a city.

Bella made him feel more at home than anywhere else he had been in his life. He started to feel loved.

When an unexpected tragedy occurred, Ricky ran away into the bush. This movie is about how he ran from Child Protective Services and survived in the bush. You will enjoy the humor and the story as it unfolds.

As we left the theater in the Wonderland of the Americas Mall, the San Antonio Model Railroad Association (SAMRA) members had their display trains running. We spent a few minutes watching the trains go around and looking at the sets they built. We enjoyed that.

Whistle Stop Cafe - SAMRA train display set

SAMRA model trains

There were even a number of camping sets!
As we were leaving the mall, Bob's doctor called back to make sure he was doing okay. That was very thoughtful of him.

Our quiet evening at home consisted of eating dinner, watching 60 Minutes, and HGTV's Beachfront Bargain Hunt, Mexico Life, and Island Hunters. Bob is still having headaches from the exposed nerve in his neck, but at least the bandage isn't sticking to it anymore.

That's all from here. Have a good week.






Wednesday, August 3, 2016

Bob's Home, More Surgery Required - Wed., Aug. 3, 2016

This morning Bob went to his Mohs surgeon who performed Mohs skin cancer removal surgery in the office. When the surgery was done, samples of the edges of the excision were sent to the lab to see if all the cancer cells has been removed. They had not.

His Mohs surgeon did a second surgery in the office to remove as much of the basal cell cancer as he could, but the Mohs surgeon cannot go deep on neck surgeries due to the nerves, muscles and arteries that are there.

What his Mohs surgeon did find is that the basal cell cancer is entwined around a muscle. This is going to require a neck surgeon and a plastic surgeon. Bob is now waiting to hear from the other two surgeons who are going to consult and let him know when they can do the surgery. It was originally scheduled with the plastic surgeon for tomorrow, but because this needs more complicated surgery, it looks like Bob will have to wait. It all depends on what the other two doctors decide and what their schedules look like.

The risk with the deeper surgery is that they might have to take part of a nerve which would cause some facial numbness or pins-and-needles sensations, or they may have to take part of a muscle which could cause problems with shoulder shrugging.

Right now, this is what Bob's neck looks like.


Bob is tired, but we went to lunch at Olive Garden because he hadn't had anything to eat since last night. Now he's just exhausted and wants to sleep.

Thank you to everyone who sent love, hugs and prayers. We appreciate it. As soon as we know more, we'll update everyone.


Surgery for Bob - Wed., Aug. 3, 2016

Caution: Graphic photo below.

On February 24, 2015, Bob had Mohs surgery on his neck to remove a large basal cell carcinoma (the non-malignant kind). The cancer was deep into his neck and was close to a nerve that could affect the feeling in his face.

Because it was a large wound, he had to have plastic surgery to close it up on March 11, 2015.  
Bob's scar from plastic surgery reconstruction
For months after that surgery, he had pins-and-needles sensation on the lower left side of his face. The scar healed up nicely and you could barely see where he had the surgery.

Fast forward to early 2016. Bob started feeling a hard lump in the exact same place he had his last basal cell carcinoma removed. When he went to his dermatologist in June 2016, they did a biopsy and found the basal cell carcinoma had returned.

Today is the day Bob is going in for outpatient repeat Mohs surgery in the dermatologist's office. The lump that needs to be removed is the size of a quarter. We're hoping this hasn't gone down into the nerve and that they will be able to remove it all.

If the wound is large, he will have to go back in for another plastic surgery reconstruction. We'll keep you posted.


Tuesday, July 26, 2016

I was kidnapped for an afternoon date - Mon., July 25, 2016

Bob's been having a tough time of it health-wise lately. For the past week, he has had gout in his right foot which is so swollen and painful it's hard for him to get his shoes on. He hasn't been able to run on it either.

Plus, the basal cell carcinoma he had removed from his neck has returned. There is a hard nodule in the exact site where from whence it was removed last year. He will be going in next week to have it excised again. The problem is that when he had it removed last year, it was down to the nerve that supplies feeling to his face. They were able to work around the nerve, but he still had pins and needles sensations in part of his lower face for months after the surgery. (Those sensations finally went away.) If they have to cut into the nerve, it's possible he will lose feeling in part of his face for good.

On a positive note, the recent catheter ablation Bob had done for his atrial fibrillation is giving him relief. On his follow-up exam, they didn't find any sign of the A-fib. Bob has been feeling healthier and more energetic. When he runs now, he isn't getting tired like he used to.

Bob and I at Random a couple of weeks ago
Last week Bob mentioned taking this Monday afternoon off work so we could go on a date. Apparently he reminded me of it when he left for work Monday morning. However, I was still asleep and it didn't register.

I planned my day to go see "Star Trek: Beyond" at 12:45 p.m. As soon as the movie started (not even five minutes into it) my phone started buzzing. My first thought was, "OMG, I bet that's Bob calling me about our date." I had forgotten about it. Oops. A half hour later my phone buzzed again. He will just have to wait.

"Star Trek: Beyond" was excellent, way better than the critics made it out to be. I loved the action, the acting, the interplay between characters, the humor, the new uniforms, the sets, the surprises, the traps and the tricks. I think I have to see it again, because the one thing that was difficult to understand was the dialogue, especially when an alien was talking and there was a spoken translation at the same time, one layered on top of the other.

When the movie was over I listened to my voicemail from Bob. He thought he'd be home about 2:15 p.m. It was 3:00 when the movie finished, so I called him and told him I'd be right home. He gave me a whole list of activities to choose from, one of them being to see "Star Trek: Beyond." I went to see it without him because he doesn't like sci-fi, but he was willing to go see it with me. He also mentioned going to the Museum of Modern Art, going to look at 5th wheels at Camping World, and going to eat and play games at Dave & Buster's.

Geeky me got excited about going to eat and play games at Dave & Buster's. We had only been to Dave & Buster's in Hawaii and that was over five years ago. That was my choice. We had an excellent meal to which we each added $10 game play cards.

In the arcade part of Dave & Buster's it was sensory overload. Loud music was playing, video games were making all kinds of racket, and this is at 4:00 p.m. on a Monday afternoon. I'm so happy there weren't hundreds of people there so we could take our time and check out all the machines to see what to play.

Both of us chose to play Trivia and we did horribly. LOL. That's not like us. Then we wandered around the arcade checking out the games.

I told Bob I really wanted to do the H20verdrive boat races. So we both played (against each other). What fun! I loved it! I want to go back and play some more. The graphics are awesome and it is so fun to make the boat jump and do tricks. You collect gems and smash other boats along the way. What is so cool is that there are about eight courses to choose from and the graphics are beautiful. See the link above to watch a YouTube review that shows the graphics. The best thing about this game is each race is completed on your one turn.

After we finished two boat races, Bob went off to play Galaga and I chose a game where I directed a runner across raised platforms past all kinds of obstacles. You could make your runner turn right, turn left, jump, and slide. It was fun to figure out how to make this game work. If you move the rollerball forward, the guy jumps over obstacles. Rollerball right, guy turns right, rollerball left, the guy turns left. If you make the rollerball go backward, the guy slides down stuff. Obstacles include tree roots, gaps in the path, fire, and quick turns. You can collect energy diamonds along the way. The game was fun, but you had to keep putting credits in the machine to keep the game going. I never did finish it.

What a fun afternoon! I want to go back to do the boat races again.

When we came out of Dave & Buster's, raindrops were falling on our heads. As we drove home, we left the rain behind. By 9:30 p.m., however, the thunderstorms came in earnest. The thunder was rocking the RV and lightning lit up the sky. What impressed us the most, though, was the downpour of rain! Whee! Around 9:45 pm we had a power outage that lasted about ten minutes.

Tuesday: By morning, our site was flooded. About six inches of water surrounded our 5th wheel. (This is typical because we're in a low spot in the park.) After not having rain for a long time, the ground was so dry the water didn't soak in. By 1 p.m. the water was gone.

This morning, I wanted to see "The Karate Kid," which was showing for free at 10:00 a.m.  I hadn't seen it for a long time and I love the movie, so the price was right and I went. I got there pretty early thinking the theater would be full. Not so. They put us in one of the biggest theaters in the complex.

Usually this theater runs trivia and advertising for 20 minutes before they show the previews. However, 15 minutes before the movie was to start, all that was on the screen was what looked like the front page of a computer sign-on page. It said "Music, Videos, Live TV," etc. at the bottom of the screen, with clouds filling the top 2/3rds of the screen. I went and reported to one of the employees that there was nothing playing on the screen. She told me the previews would come on at 10 a.m.  Well, 10 a.m. came and went, I went and asked another employee about the movie. He actually seemed interested in helping me. Soon, a couple of employees were coming into the theater to check the status. Nothing.

After about 15 more minutes the theater manager came in to say they were having technical difficulties and they would give us free refills on popcorn and beverages. Say no more, I had a senior (small) popcorn and went out for a refill. That was nice.

Another ten minutes went by and the manager came back in to tell us they wouldn't be able to show "The Karate Kid" due to technical difficulties, but they would substitute the new "Ice Age: Collision Course," or "The Secret Life of Pets." Everyone wanted "Ice Age," so that was what they played for us. But not without further difficulties. They got the sound going, but all we could see on the screen was the front page of the computer with the clouds. After about five minutes of that, they finally got the movie visuals working and they re-started the movie for us. It was okay. I really would have rather seen "The Karate Kid."

After the movie, I went shopping at Costco for fruit, eggs, almond milk, and protein powder. Thankfully, Costco wasn't super crowded. I'm home now, have washed and frozen the strawberries and blueberries, and written my blog. Now I'm going to watch a movie from Netflix.

TravelBug out.

Monday, March 2, 2015

It Does not Compute, Random Beer Garden, and Basal Cell Carcinoma - Week of February 22, 2015

Hans and Lisa (of Metamorphosis Road blog), Bob and I wanted to hike on Sunday, Feb. 22. However, the cold weather put a damper on that.

Instead, Hans came over to help fix my computer. It was massively sluggish, giving odd error messages, and wouldn't let me play Scrabble.

Oh, no! Please don't take my Scrabble away. I hadn't been able to play Scrabble on my computer for two weeks. Bob let me play on his computer when he wasn't using it.

Hans generously slogged through my registry, hard drive, and files to delete excessively large files and threats to my system. The upshot is: I need a newer, faster computer. On speedtest.net, my system performed terribly.

The other problem seems to be our AT&T air card. Hans had me run updates on the air card and that helped considerably.

By the time he had worked on my laptop for a couple of hours, I could play Scrabble and we were able to back up my computer onto an external hard drive. Thank you, Hans, for helping fix my ailing laptop. My laptop is three years "old." I guess that's ancient for a computer anymore.

We took off for Random Beer Garden in the afternoon where we treated Hans and Lisa to craft beers on tap at Random and Z's Wood-fired Pizzas. Lisa had her laptop with her and showed me Windows 8.1. She can edit her photos easily on her computer screen with flicks and swoops of her fingers. I see Windows 8.1 in my future when I buy a new laptop. Lisa did a great blog on San Antonio hikes and Random, and even took photos, which I forgot to do. You can click here to read her blog.

Here are some of my older photos of Random...


The old farmhouse
Inside the old farmhouse, now an events center.
Outside seating and beer garden
Over 80 craft beers on tap


After Random, we came back to Travelers World. Hans and Lisa invited us to their 5th wheel for a nice, warm, comfort-food dinner of sausage stew, rice with quinoa, and green salad. Good stuff! We sat and chatted for another hour and a half, said our good-byes as they were leaving in the morning, and headed home. 

With Bob and I working so much, we were happy to spend as much time with Hans and Lisa as we could. They will be in Austin for five weeks, then in Fredericksburg, Texas, and South Llano State Park. We plan to see them at least one more time while they're in Texas, maybe more.

Tuesday, February 24: Today Bob went to a Mohs surgery specialist to have basal cell carcinoma removed from his neck. He had a previous skin cancer removal site scar that had been bleeding for a few months. Mohs surgery entails removing cancer cells from the edges and depths of the wound. After each excision of cells, the skin pieces are sectioned, put under an electron microscope and the edges checked for cancer cells. They keep removing skin and checking the edges of the sections until no more cancer cells are found. Bob had to have three rounds of surgery today to remove more cancer cells. During his surgeries they were able to avoid the nerve in his neck that controls shrugging your shoulders. We were in the outpatient clinic for five hours!

The doctor was able to remove all the cancer cells from the edges of his wound, but the cancer had deepened into his neck muscle. The wound in Bob's neck is four inches by two inches and about 1/4" deep. The Mohs surgeon did not feel comfortable removing the cancer from Bob's neck muscle, so Bob has been referred to consult with both a head/neck surgeon and a plastic surgeon. He will have that consultation on Tuesday, March 3, at 1:00 p.m. Before the consultation he will have a computerized axial tomography (CAT) scan.

Bob will have a new surgery under general anesthetic, date to be determined. Because his wound is so big, the plastic surgeon is needed to consult as to whether a skin flap from another portion of his neck can be used to close the wound, or if a skin graft will be needed from another part of his body. The way I see it, his wound is way too big for a skin flap. He will most likely need a skin graft. We'll know on Tuesday, March 3.

That's the news from this "neck" of the woods. More reports to follow.

Travel Bug out.


Thursday, February 19, 2015

Alive and Kickin' It - Thursday, February 19, 2015

Yes, we're here. Busy as all get out.

Plus, I've been having computer issues. Seems as though some type of malware attacked my computer. It is now excruciatingly slow, I'm getting strange error messages: "rejected handshakes...error_inappropriate_fallback_alert," etc. Norton Antivirus originally caught the nasty bug. I've used Malwarebytes which has found and corrected some bad stuff after Norton found and quarantined the malware, Spybot Search & Destroy, CCleaner, but still having trouble.

Then I got bogged down on one blog. I forgot my camera and took photos with my cell phone. Had to transfer all those photos to my computer. [Faye and Dave, I haven't forgotten about our walk together, but I finally have all your photos and mine loaded into my computer.] As soon as we are not so busy, I will write that blog which is next on my list.

A great big THANK YOU to my mom, who made a charm necklace for me. She knows how much I love Volksmarching so she put on the following charms: camera, hiking boots with walking stick, water bottle, roadrunner (I'm in the Randolph Roadrunners Volksmarch Club), a backpack, and one that says "never, never give up!" She saw a photo of a charm necklace made by one of our Volksmarchers, Susan Ives, and thought I'd love one too. Yep, I love it!

"Charm"ing necklace

Since I have your attention, here's an update on our jobs and health. The travel blogs will continue in a few days.

Bob has a new job as Controller with the third largest electrical contractor in San Antonio. He is on the Board of Directors. Bob couldn't be happier. The job is challenging and he loves it. When he was hired on a Friday, he was supposed to be part time. He planned his life around that and had another employer for whom he was working 20 hours per week, and a few accounting clients as well.

When he went into work the next Monday at his new job, the General Manager called him into his office. Bob was told they wanted him full time and he would need to leave the other company, and give up his accounting clients. Bob likes the new company very much, but he needed time to think about it.

We talked it over Friday night and over the weekend. Monday, he agreed to the full-time position. Since then, he has felt part of the team and likes the corporate culture. He has health, dental and vision insurance through his new company, and will be eligible for 401(k) after he's been there a year.

As you know, I started full-time at the RV park late last year. This week, our company rolled out benefits. Starting March 1, I have health, vision and dental insurance. My contribution to the insurance is half of what I was paying on my own. In addition, I am contributing to a 401(k) that has a 4% match and I signed up already. It starts March 1 and I'm fully invested at that time!! Woo hoo.

Tuesday of next week, Bob will have Mohs' surgery for basal cell carcinoma in his neck. He had had an area frozen in Hawaii about five years ago. In the past few months, one of the areas he had treated started bleeding and would not heal. His dermatologist said the skin cancer was too deep for him to treat and referred him to a specialist who does Mohs' surgery.

In Mohs' surgery, the area that has cancer is expanded outward and down with small cuts. Each section of skin that is taken is then sectioned, put under a microscope to look for cancer cells. If any cancer cells are found, those sections are noted and more tissue is taken from those areas until the edges are clear of cancer cells. With this procedure, there is a 95% success rate getting rid of cancer in the area. The procedure will take a minimum of four hours. One complication in Bob's case is a nerve that runs next to his surgical area. The nerve controls your ability to shrug your shoulders. Is that specific or what?

Other than that, all is well. We've been taking day trips in Texas, hiking, birding and meeting friends. Watch for more about our activities soon.

Just for the "awwww" factor, here are the fur-kids, Sunnie and Bowie...

"Oh how we love lying in the sun!" Bowie and Sunnie
Safe travels to you all, especially those of you in the grips of the "Siberian air" hitting the East Coast and Southeast parts of our country.

Travel Bug out.