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080


bumped
Tuesday, May 1, 2001 -- 1:27pm
Posted by Bar


hi, We've been bumped. which is to say, we are waiting. Dr. Laquaglia had to do an emergency surgery this morning just as we were headed into the OR, so we're back at Ronald's until we get a call. That'll probably be around 5pm, so be thinking of us then if you can..... thank you..... The bright side? We just slept for 3 hours, and now, Forrest is playing crash cars instead of feeling uncomfortable in his hospital bed. There's always a reason and a bright side, more later, bar

 

081


Sleepless in New York City
Wednesday, May 2, 2001 -- 10:17am
Posted by Bar


Good morning, PHEW! What a day and night yesterday was. Forrest finally went to the Operating Room at 4:30, surgery started at 5, and he got to the Recovery Room at 7:30 - lots faster than last week. His surgeon, a gentle but serious man, looked as though he had just finished a round of golf after his 3-surgery day of saving little people's lives. Apparently removing tumors is kind of a zen thing for him. WOW. So, the surgery was successful. Forrest did beautifully and he looks much better than he did after last week's surgery. We didn't sleep much last night because once again, we/they could not get his pain meds right. He was very uncomfortable all night, and despite Peter's and my repeated efforts to get some relief from the doctors on call, there was none. Dr LaQuaglia was mad about that this morning. In this day and age of great pain meds, there is no reason for little people (or big people!) to suffer pain after surgery. Finally this morning, we got what we were asking for all night and Forrest is sleeping peacefully. I am tired, but not able to sleep myself this morning. Too much going on. We spent a lot of time being angry yesterday which is the last emotion we wanted to feel when so many other emotions were crashing in on us. We were mad because the staff here was not communicating with us at all about when Forrest's surgery would potentially take place. When they did talk to us, they would say that the OR nurse would be up to get us "momentarily" and then we would sit for an hour until we got so crazed that we would bother somebody again for more accurate information. I don't like being manipulated like that. All I wanted yesterday was for someone to keep us posted - even if all they could say is, "sorry, we don't know when Dr LaQuaglia will be ready for you." As it was we kept getting emotionally ready to say good-bye to Forrest only to find out we had more waiting to do. Meanwhile, the poor little fella could not eat or nurse and remarkably enough he was pleasant and understanding throughout the wait. Peter and I were a mess; Forrest was patient and delightful. Again, the teacher was the youngest amoung us! By the time we quite literally handed Forrest over to the anaesthesiologist, I was such a mess that I cried for a good long time. Even in a place like this, people don't seem to understand how difficult it is to go through surgery as a parent. We felt completely neglected yesterday. (I must add, however, that Dr LaQuaglia, the busiest of them all, was the only one that kept in touch early in the day. He did understand and it proves again that he is a fine man and a fine doctor.) So now surgeries are over and it's back to chemo which everyone seems to agree we need to start on Monday. Yes, Monday, Folks. I'm a mess about that too. We will be starting a new therapy and hoping that the new drugs will give Forrest the last punch he needs to destroy this cancer for good. As I told you before, the chemo that has been working all along is no longer effective. I hate to put it this way, but we are in a race with the clock. This cancer is so aggressive that we need to move quickly so that all of the advantages we gained by doing the surgeries are not lost. It looks as though we will go home on Friday and then start a week-long protocal of chemo in Albany on Monday. I'm tired and scared just thinking about it. But I believe fervently that my attitude (and Peter's) could make the difference now. We need more than ever to believe in life and in the ability of this chemo to do the trick. All the while, Forrest looks beautiful as can be. All the nurses in the recovery room came by his bed to say hello having met him last week. He certainly has a way of winning the affections of the people he comes in contact with - even when he's on morphine and half awake. I'm proud of him more than ever today. Thanks for listening. I have needed to vent and could do so for another hour or two, but I should get back to my boys. Have a wonderful day and visualize chemo eating away at those little polka dots that are still in Forrest's body. If we all do, maybe THAT will do the trick! I believe that more than anything. Much love and thanks, Bar

 

082


Home
Friday, May 4, 2001 -- 9:16pm
Posted by Bar


Just wanted to let you know that we are home. We got here this afternoon and were welcomed by the brutal summer-like heat. Forrest is doing fine, although this heat makes his already difficult breathing even harder. Tomorrow he should begin to feel much better. I'm just glad to be home. I'll be in touch when I get my strength back. Right now, I'm pooped! Much love, Bar

 

083


Calling All Cheerleaders!
Monday, May 7, 2001 -- 6:02pm
Posted by Bar


Peter and I feel like we are now running the final mile. And even as we feel that way, doctors here in Albany are quick - very quick - to remind us that we still have a long way to go. But.....here we are - feeling as though we may in fact be on the threshhold of blowing this cancer out of Forrest''s body. We actually spent time with his social worker today talking about adjusting to the idea that we might acheive a remission and how a parent and a patient need to prepare for that change. That's when the waiting really begins: waiting for the numbers to go up again, waiting for signs of the cancer returning. It's a long and stressful wait with lots of check ups and sleepless nights; when even the slightest temperature can throw a parent into a tail-spin. This is all potentially good news, but we're still not quite there yet. (However, I do feel remarkably confident that we will be there soon.......time will tell.) So, here's the latest: Forrest is doing pretty well. Still tender. Very emotional and scared to be back in the hospital. I think he thinks that another surgery is going to happen. We are constantly reassuring him. He's glad to be back in Albany. Everyone is familiar and very glad to see him. He's grown up a lot since we were last here 5 weeks ago. We start chemo in about an hour. They'll hydrate him through the night and start the actual therapy in the wee hours. I cannot even pronounce - let alone spell - the name of the chemo we are doing. Its nickname is ICE. We'll be here through Saturday doing it. It turns out that this week won't be too bad with nausea etc. Next week is when all of that kicks in. I'm glad for the delay. Forrest needs rest. We've asked them to minimize the number of residents and med students that visit him. He needs to be left alone to watch his videos and go to the playroom in peace. Forrest had a kidney test throughout this morning which showed that his kidneys are working perfectly. That outcome helps the oncologists determine how much chemo his system can tolerate. When we left Sloan-Kettering on Friday, the doctor drew the most-important blood test called AFP - that's the blood test that tracks the life of Forrest's tumor. His AFP is now 466 (down from 388,000 when we started in July). He needs to be at 1 - 9, so there's a ways to go, but it seems very possible. We need it to be so. If you're praying for specifics, you might include that detail! I've experienced tons of good omens today and am feeling quite sure of success with this therapy. At the very least, I am grateful that Forrest will be mostly comfortable and not sick this week. I just could not bear that right now. So, off we go. Thank you for cheering us on. We are truly fried now, but are also full of hope and so glad that the surgical hoops are successfully jumped through. We are so grateful for your presence. It has really made the difference between sanity and insanity. Much love from us all, Bar, Peter and Forrest

 

084


Hi
Wednesday, May 9, 2001 -- 11:36
Posted by Bar


Good morning, I feel like writing this morning but I don't know what to say. My communication skills seem to have broken. The last two days have been exhausting, just as they always are when we do chemo. Something about putting nasty chemicals into my little boy does me in every time. However, those same nasty chemicals may also be the thing that gets this cancer out of his body. A mixed, emotional blessing. We/They did not actually start giving Forrest's new chemo until 3:30 yesterday afternoon. There was some question about how much he could tolerate. His bloodwork and his kidney function are so strong, that when they did the calculations to determine how much chemo he could reasonably have, the answer was way too high. They wanted to give him less even though it looked as though he could tolerate more. Everyone agreed, finally, to go a little easy on him since he'd just finished two major surgeries. In many ways this whole chemo thing is guess work. Any good oncologist will tell you that. It's a little un-nerving - and I was very un-nerved by yesterday afternoon. There's so much tension leading up to the administration of these drugs. I am terrified that he will have an awful reaction and that we will finally have put him over the edge. One thing we parents of cancer children are absolutely, completely freaked out by is the possibility that we will do so much harm in therapy that we will end up with an alive but terribly damamaged little person at the other end. It makes me sick to think about it. And yet, we carry on, and Forrest, as always, is doing beautifully. When I left the hospital this morning, after a pretty decent night of sleep, he and Peter and my mom were happily making ice cream soup in the playroom. Yesterday, after a horrible night of no -sleep the night before, I did not get over here to Ronald McDonald's until dinner-time and I was as distraught as I have been in months. These last three weeks of worry had caught up with me and I needed a deep and thorough cry (which I endulged in not once but many times!) When I got back to the hospital last night, my mom was there. I did not know that she was coming and I don't know that I have ever been happier to see anyone. She was exactly the person I needed and there she was! Moms are the best. As far as I know, we will be here until Friday night. Chemo runs about 6 hours during the days and the rest of the time, Forrest is flooded with IV fluids and vitamins. We change many a diaper and he just goes about his business of making soup and doing puzzles. Life isn't too bad. Speaking of that, last night, in one of my moments of crying my eyes out, I said out loud, "life is hard". It's the first time I have ever said that and realized the truth of the statement in the center of my being. I've thrown that line around so many times very casually. Yesterday it was not casual at all. And I wasn't feeling sorry for myself either. It was just a really powerful understanding that life is truly hard - for everybody. Seems everybody is struggling with such hardness, doesn't it? It's really the stuff of living. I cried a lot and then I didn't. It was good. And I do feel better. It's always good to have a mom around. I hope that you all are well and that whatever you are dealing with is manageable. Much love to you all, bar

 

085


Happy Mother's Day
Sunday, May 13, 2001 -- 9:52am
Posted by Bar


Good morning, Forgot about Mom's day until this morning when Forrest's much-beloved teacher, Cheryl, stopped by to play. They're upstairs now playing hide and seek and looking for Blue's Clues. (She knows exactly what he likes and comes up with it everytime she comes over. The joy he experiences is the key to healing in my book. When she's here, all is well regardless of how it was before she came.) So, we're home, and Forrest is doing great. He felt a little punky yesterday, but by late afternoon, he was himself again and this morning he seems as happy as ever. Amazing. I am feeling GREAT too because it looks as though we (Forrest) could actually beat this cancer. The doctors are all talking more positively, his AFP tumor marker number is going down and they expect it to continue to do so. I'm feeling joyful. But I try not to get too excited yet. At the same time I feel as though I should celebrate, celebrate, celebrate! I haven't even had a chance to talk with Peter about it. Seems we're both too scared to celebrate yet. There's always the possibility that the damn thing will grow back again. Unfortunately, with hepatoblastoma, the odds are pretty good for that. I am trying not to think about that and just live in the idea that he will live, live. live. And not only that, that he will live a long and happy life without any lasting problems. WOW! I credit you, God, faith, hope, choosing-life, and the love that we've been surrounded with, as the true healers. That with all the chemo and the fantastic doctoring that we have experienced has made this moment possible. I will tell you more when there's more time. Right now, I'm headed outside to feel the sun. I love you all. Happy Mother's Day! Bar I just got an e-mail from another family whose son was just diagnosed with this cancer. I want them to know that there is hope and that they can beat this thing. But it's so hard to imagine their devestation. It's been such an incredible almost-a-year for us. Phew! Hard to believe how fast the time has gone.

 

086


Another Day
Wednesday, May 16, 2001 -- 12:10pm
Posted by Bar


I wanted to write you again on Sunday, and I should have, but I didn't have another moment. I should have because I was in great spirits and wanted to share some of it with you. Today, I'm not feeling as great, but the same stuff is still on my mind. I'm a little low because Forrest and I aren't sleeping as well as I would like this week. The discomfort of chemo is making him restless, as is the neupogen, which is a white cell rebuilding drug that we give him IV each afternoon. It's notoriously painful and Forrest is not immune from that pain. He seems remarkably strong and happy during the day; but by 1am or so, he's not a happy camper and we're up every 45 minutes or so throughout the night. I'm pooped. My only comfort comes from knowing that this too shall pass - and probably by the weekend! I remind myself over and over that next week I will be able to sleep.....can't wait! My happiness from Sunday came from celebrating Forrest's life and his ability to keep going and beat the odds - or so it seems. It's hard NOT to celebrate. I went to church Sunday morning and was shyly spreading the word. One of my friends at church, a guy named Simon, suggested that doing a Thanksgiving Celebration would be a great idea and when would I like to do that? Did I think it was premature? Well, when I thought about it for half a second, I answered, "why wait?" I mean, life is indeed short. Why wait until tomorrow or the next day. Why not celebrate Forrest's life today. Who knows what could happen next? He could get hurt in a car accident or fall off a jungle jim. Or this cancer could rear its ugly head and we'd start all over again. Why not celebrate the distance he HAS gone and thank God and the universe for that! Why not!It's odd. I felt celebratory on Sunday. This morning, I wonder why in general we don't celebrate more . I have this sense that no one knows what to do with the fact that Forrest seems to have decided to live. And I include myself in that group. On some level, I think that we all expected him to die and we have been preparing for that eventuality. It feels like everyone is a little tentative to say "Hallelujah!!" I can't blame anyone. I know what that feels like. But in the meantime, Forrest is alive and living and running around as if nothing was the matter. He's wobbly in his legs, but not in his spirit. And even his legs will grow stronger. What are WE scared of? I know that I am scared of the waiting that we have left to do. We will wait. And we will wait. And we will wait. They say that if Forrest can survive 5 years without the cancer returning that we can celebrate then. That's a long time. That's a lot of waiting. That's a whole lot of fear. I've gotten away from the joyful stuff that I wanted to share. I guess it's just impossible for me to hide my emotions when I sit down to write......wish I HAD written on Sunday....What I was thinking about on Sunday were the very simple words "God is Love". Tom Miller used that phrase in his weekly sermon and I was very struck by their simplicity and missed the rest of the sermon, I think. Regardless of who or where or how you think about God, assuming that you believe in a God, the words "God is Love" are, for me, what it all boils down to. I mean, what IF God truly was "just" love? Wouldn't that explain a lot? As a mom, how can I explain the miracle of Forrest's life? Every single thing has worked against Forrest being alive this morning, and yet, there he is - playing outside in the dirt with Peter. Is it possible that our love (yours, mine, Peter's, our families') truly has caused this miracle of Forrest's life? Isn't it amazing to think that the energy and power of love IS where God is? WOW! It's so simple and so GREAT! And so easy!! We all look upward to God. I noticed Tom doing that as he said prayers in church on Sunday. Wouldn't it be smarter to look side-ways to our neighbors, friends and family and see God in them and in the love we feel for them? Here I am sounding corny again, but it hit me like a ton of bricks Sunday. And, Tom's looking upward does make sense on another level: As much as I think that God is earthly, the NOTION of God is of the highest level. Symbolically, it makes sense to look skyward. I guess you could say that for me the location of God is not important. What is important is that we feel God in some way and that we carry on looking for God throughout our lives. I have come to believe that God truly is everywhere. As much as I have resisted the church (or any organized religion and its meeting places and its writings and the structure that they impose and the rules that I want to break), I realize that God is in churches too. God IS everywhere.Not just in churches and temples; not just in the woods or in nature. For me, despite my reluctance, I am finding that hearing a good sermon, saying a few prayers that make me search and think, and most importantly, sharing time with people who care about me and whom I care about, is why I am finally getting back to church. Anyway, the words "God is Love" is what it's all about for me. I finally realized that as a fact on Sunday. Peter and I are on the threshhold of re-building our lives and we feel akward and uncertain about how to begin. Forrest will undoubtedly lead the way. We need a baby-sitter again! WOW! That's great news! Forrest can go off with someone other than me or Peter, and I can start to think about what I will do next. Hard to imagine. Truly. How can I thank you enough? With love, Bar

 

086


Another Week Goes By
Sunday, May 20, 2001 -- 10:07pm
Posted by Bar


I don't know about you, but time is flyin' for me. As much as this year has been agonizingly slow at times, it's hard to believe that nearly a year has passed since Forrest was diagnosed. This week just zoomed by. Today's been quite the day. We met with the Make A Wish Foundation this morning to talk about the one thing that Forrest would like to do more than anything in the world, and it looks like Blue's Clues is the winner! We're gonna try to meet Steve!! For those of you with kids under, say, 8, you'll know who I mean and you'll understand what a THRILL this will be for Forrest. For the rest of you, Steve is the living, breathing host of the animated kid's show called Blue's Clues. He's excellent in my book and Forrest thinks he's the coolest, so off we go. It looks like it will involve a trip to LA, but who knows. Guess we'll have to play Blue's Clues to find out. I'll keep you posted! I've spent a fair amount of my thinking time going over and over this idea that God is Love. Here's my question: if God is love and if I want myself to look around me and feel love for everybody, what do I do with the people that I don't like for one reason or another? You know, what do I do with the guy who creeps me out, or the woman who talks too much, or the brat who whines in my ear??? I don't know how to love them. I've only learned really well how to judge them. So, where does that fit into my superior philosophy on God being Love?Well, it's a tight corner to get out of. All I can say is that I've concluded that I can't possibly love and want to hug everyone in my life. It's not realistic and it's not human. There will be plenty of people that I don't feel love for. In fact, on some days, I would say that most people are not loved by me (truth be told....and you have to admit, you have days like that to, don't you???) Anyway, the way I get myself out of that tight corner is to say to myself that I don't really have to love each individual. I just have to be forgiving and compassionate and respectful and honor them even if I choose to stay a good 50 yards away from them! I'm being a little silly here, obviously, but I'm serious. I don't think it IS realistic to love everyone. But I do think I can aspire not to judge harshly or to feel somehow better-than someone else. And I also think about a bigger picture of Love which is the love we feel for our lives and for the way we live and work. The idea that God is Love isn't necessarily an expression of affection for another person, but could also be the way we commit to the things we love to do. And when we live and work with that kind of love for what we are doing, God (and creativity) comes out of it. If I apply all of that thinking to my own life, I realize how much I love to sing and to write. So often I feel as though I am being written through or sung through. Maybe that's God. Lots of good stuff to think about these days. Thanks for going there with me and for all of your feedback. It does me a world of good. Back to Albany tomorrow for another blood test. I'll let you know how things go. In the meantime, Forrest is doing just great. Amazing to watch, if I do say so myself. Much love to you all, Bar PS: I'm frustrated. AOL is my internet carrier. I can't seem to get my local carrier to load from my computer, so I stick with AOL. It's a drag for internet surfing and for writing these e-mails. If you are wondering why my e-mails are always bunched up from one paragraph to the next, it's because AOL apparently squishes them when I send them out. That's the reason you'll see multiple XXXs at various places in my notes. It's my way of trying to trick AOL's internet program into forming paragraphs where I intended them. Alas, AOL is not tricked and my letters are hard to read as a result. One of these years, our rural home will be wired for faster internet access and I will finally enter the modern age. For now, I must be content with a 28k modem and AOL's frustrating filters! AH! It feels better getting that off my chest!

 

088


53!
Wednesday, May 23, 2001 -- 3:34pm
Posted by Bar


Yes indeedy! That's Forrest's AFP as of this morning. That's the number that we want to be 1 - 9 eventually. But it's the trend towards zero that is sooooooo exciting and we are quietly and not-so-quietly rejoicing here in Woodstock. Myself? I just went off by myself and cried. I swear that a miracle is taking place. It's hard to describe, and I don't know if it does any good to try, but something major is happening before my eyes. All I can say - and I've been saying this over and over again today and every other day in the last 11 months - is "thank you, thank you, thank you, thank you,thank you, thank you, thank you". I could say thank you for the rest of my life and it wouldn't express my wonder and gratefulness.... All is well. I hope it is with you, too. With much love to you all, Bar

 

089


Not Much To Tell
Monday, May 28, 2001 -- 5:18pm
Posted by Bar


The news from here is wonderfully dull. Life is going on as it would for a typical American family on Memorial Day: a very wet and thrilling parade - complete with fire trucks, ambulances, bagpipes and marching band - a hot dog lunch, a barbecue of the health food store variety (whatever that means) to take place later this afternoon. I am in a state of bliss over the normalcy of it all. The weather has been spectacular. First it's gloriously sunny and hot and then within moments we are ambushed with rain and lively electrical storms. The umbrella we borrowed at the parade repeatedly closed up while we were under it so that streams of cold rain dripped down my neck. It's been a wonderful day! Tomorrow we head back up to Albany for our weekly bloodwork. We went twice last week just to make sure that the chemo wasn't really depleting Forrest's blood seeing as a long weekend was coming up. All was well. Not perfect, but not bad enough to warrant a transfusion. 'YIPEE' is all I can say about that! Transfusions are just plain tedious. We lie around and wait for someone else's blood to drip in to Forrest, and all the while watch the same video over and over again. Needless to say, lying around in a hospital bed watching Teletubbies has lost its appeal for me! (PS: MANY MANY thanks to all of you who donate blood! As much as transfusions are tedious, they are also life-saving, and for that I am enormously grateful. Forrest has had his share of someone else's blood. ie: donate blood if you can). It's reasonable to say that I am terrified about the next couple of months. We have been advised to do one more round of this nasty, nasty chemo and then finish with some radiation. It's like a recipe: a dash o' this and a dash o' that....Anyway, I want this all to end. I don't want this last chemo to be the one-too-many; the one that damages some vital organ forever. The whole idea of doing it again makes my stomach turn inside out. On Friday, when we went to Albany, (where, by the way, we realized the other day, we have driven at least 5000 miles to in the last 10 months!), I finally understood why I have felt carsick every time we drive that 60 miles north: I'm simply scared sick. Even when we are just doing routine bloodwork, I just don't feel good at all. I kept thinking that the reason I felt lousy was because I always sit in the back and read with Forrest so that his hospital-visiting experience wouldn't be scary. I DID think over all these months that I was just carsick. Not so. I'm just plain sick at my stomach. As soon as we pull out of their garage to head home, I feel fine. I guess you could say that I am done with hospitals. Grateful for their expertise, but ready to move on! By the way, tomorrow we will determine what the next couple of months will look like for Forrest. In the meantime, I would say that Forrest is functioning at an almost-three-years-old level! I can hardly keep up with him. He's jumping on the bed, singing a lot - much to my delight - talking up a storm, and making me laugh a lot, too. He's 100% which is why the idea of chemo one more time is so awful. But it's the long term picture we have to look at..... As a final note, many of you have asked me if I would consider using these e-mails to somehow fashion a book. I have resisted the idea for a lot of reasons, but I am beginning to see that I might like to do that. I have not saved any of the e-mails to date, but my father has (what a sweety!), and just sent them to me so that I could begin to read through them - most for the first time since I sent them out. I started last night and found myself doubting my writing abilities and doubting if anyone would be interested. I know that the process of putting a book together will challenge my self confidence - which is often shaky - and, will force me to re-live some difficult and emotional memories. I welcome your input, as usual. In particular, I am interested to know which e-mails were particularly meaningful for you. Right now, I'm not sure if I'll use them all or how I will edit them if at all, and your thoughts will help form my ideas on that. Thank you all for giving me the courage to try. I have wanted to write a book since I was a kid, but didn't know what I would write about. I'm not much for creating characters, and I'm not an intellectual prone to research. This book seems to have presented itself and I am excited by the idea of writing it. If nothing else, putting it together will allow me to sort out this last year which, as you know, has been remarkable. I hope that it has been a great holiday weekend for you all. Much love, Bar

 

090


Less is More, More or Less
Wednesday, May 30, 2001 -- 5:28pm
Posted by Bar


What a morning. Neither Peter or I slept well. We were dreading the results of Forrest's AFP blood test that would tell us whether or not our celebrating was premature. It's sooo hard this waiting. I was a wreck. Snapping at Peter. Being snapped at by Peter. Not knowing how to console each other when both of us are a mess. The oncologist didn't call and didn't call. And every call that did come in made me want to get sick as I picked up the phone. I guess this is what we will be doing for the next few years: waiting in terror. Finally I asked Peter if he would call so that I would not waste any more energy worrying. And it still looks great! Forrest's AFP is 23!! Darn close to the 0-9 that he/we need it to be. I lost it as soon as Peter told me. He'd already lost it, so we stood there losing it together in a powerful hug that lasted many minutes. It's hard to talk, but hugs work. We just KNEW what the other was feeling even though earlier in the day we weren't able to rise above it. All the while, Forrest was upstairs playing happily with Hannah, his long-lost babysitter who's back (Hallelujah!) from her freshman year at college. When he and Hannah came down the stairs in the midst of Peter's and my sob-fest, I lost it more. I just needed to hold Forrest and tell him how much I love him. He was confused by my crying. Hard to explain joyful tears to a little person especially when you're still in tears! Anyway, I think that he got the message, and he was very happy to count to 23 over the phone to my sister-in-law's phone machine! Maybe next week the number will cut in half again? When is it that Peter and I will really honestly believe that Forrest is well?? All we have to do is look at him to see that he is. The kid doesn't quit. It's remarkable. Thank God! And I do. Tons of love, Bar PS. Steve posted some new and ultra cute pictures of Forrest on my site. I LOVE the party hat one. It's worth noting that that picture was taken three weeks after his liver surgery.

 

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