Okay, so the virus was defeated. That does not mean that there is not other funkiness going on around the Dungan household. Some of which is benign (or relatively) and some of which seems less so. The seemingly easy part is Ainsley's ear infection. It appears that Ainsley was able to triumph over the virus but not without the snot leaving its mark on her. It appears that she has developed a grade A ear infection. Now, this has not been officially diagnosed and I personally have not been apart of the decision making process (I had a board meeting last night which kept me from the discovery) but I have been informed that the girls did come to this decision. I would also like to point out that I am a smart man, having fast experience of being outnumbered by 3 females. I know that if even I have not seen the ear infection with my own eyes it must be absolute truth if the girls think that is the case. Therefore, Ainsley must have an ear infection.
The worse and more ominous occurrence has to do with Sydney. Thankfully it has less to do with our most recent scare (the arm that continues to plague by waking and sleeping hours) and more to do with late effects of her treatment. It appears that one of her new adult teeth is, in fact, loose. To our knowledge she has not bumped it or jarred it. It would be one thing if this had happened to a baby tooth or injury but it is clearly unrelated to either. We have hoped that this was some mad fluke but are coming to realize that this is probably just the beginning of some young dentists career of work.
The unfortunate part of treatment that many are unaware of in kiddos is the damage that all of the chemotherapy does to teeth. The is especially present in children with neuroblastoma because of the timing of the disease. The average age at diagnosis is two and, unfortunately, this is also the time that "seedling" adult teeth are just starting to take root. The drugs seem to take their toll on these teeth and by the time they reach the surface they are often deformed or non-existent. This leads to a lifetime of dental work. Of course, like hearing loss, this is another side effect from treatment that receives little, if any, financial support from the health insurance company. Instead, it becomes a reason to take a second mortgage out on the house. So, bottom-line, Sydney has a wiggly adult tooth and we will need to get her to the dentist so that he can make his next monthly Mercedes payment. Unfortunately this is an important week of testing for Sydney at school and we will need to carefully coordinate that.
The purpose coaster rides on.
Tuesday, April 29, 2008
Monday, April 28, 2008
Virus Defeated
Good morning! This will be a quick update as I overslept this morning. I am happy to announce that it appears that all of the kiddos seem to be on the mend. Ainsley stayed home from school on Thursday and Friday. Sydney, on the other hand, woke up with a 102.8 degree fever on Friday morning. It seems that all of the kiddos have now made there way through the virus. For Sydney, this was a little problematic because she was supposed to spend the entire day being tested at the school. Hopefully, by getting her back into the swing of things she can finish up the testing today.
The weekend was relatively unremarkable. Of course I say that with the exception of our 11th wedding anniversary, the steel one. Lynley and I went out for an extravagant night of dinner and then spent the rest of the evening scavenging the stores of Cow town for something steel and memorable. In the end, we came up with a stainless steel sink stopper and a horseshoe. We were pretty surprised at how much identifiable steel there was to be had. But honestly, what could be more perfect for us - a sink stopper and a lucky horseshoe - romantic, huh? Regardless, the point is we had a fun time and we were still home in time to put the kiddos down to bed.
Well, I had best be off. There is a mountain of planning and preparing going on today.
With hope and purpose
The weekend was relatively unremarkable. Of course I say that with the exception of our 11th wedding anniversary, the steel one. Lynley and I went out for an extravagant night of dinner and then spent the rest of the evening scavenging the stores of Cow town for something steel and memorable. In the end, we came up with a stainless steel sink stopper and a horseshoe. We were pretty surprised at how much identifiable steel there was to be had. But honestly, what could be more perfect for us - a sink stopper and a lucky horseshoe - romantic, huh? Regardless, the point is we had a fun time and we were still home in time to put the kiddos down to bed.
Well, I had best be off. There is a mountain of planning and preparing going on today.
With hope and purpose
Friday, April 25, 2008
The yellow sticker
Yesterday, Sydney brought home a yellow sticker from school. That is not good. You see, every day each child in Sydney's class brings home a sticker in their folder which tells us a little about their day. There are 4 stickers and they go something like this. Blue is good. Green is fair. Yellow is bad. Red is horrible. On most days Sydney brings home blue stickers. In fact, it is very rarely that she will bring home a green sticker. She will receive a green sticker if she did not listen well, if she was talking when she wasn't supposed to, or if she did not do what the teacher asked. More often than not these are a direct result of Sydney having too much fun and being too giggly with her friends. A yellow sticker, however, she has never received before.
You, like me, must be thinking. Wow, what could she possibly have done? Sweet little Sydney, defeater of cancer, lord of the twerps, how could that be? Well, it happened. You see, every child has a nemesis, another child that torments them. I think this is especially true with girls. It is not really the point of the story but I know because I tormented many of them. Anyway, there is one boy in Sydney's class that is constantly pestering her. Yesterday, in addition to his normal bugging in which teases, pokes, and prods; he made a bad judgement call. He pinched Sydney and it was pretty hard too. It left a welt that was still there when I picked her up from school. Well, Sydney is a little bit like her mother (if you know her, you know what I mean) and she just hauled off and clobbered the boy. She wasn't nice. She wasn't gentle. She hit him as hard as she could. For this, she received a yellow sticker. Well it was for that and not paying attention later in the day but I think that was much more of an accident. Regardless, Sydney hit a boy and now she had a yellow sticker.
Now, with Sydney receiving a yellow sticker she had to be punished pretty severely. I did all of the things I was supposed to. I made a big frowny face after she told me - even though I was secretly smirking on the inside. I told her how wrong and bad it was that she hit one of her friends - even though I secretly thinking "Yippee!" and "Good for you!" and "That's me girl!" I took her home and sent her to the kitchen table where I made her do homework and write "I will not hit my friends" 20 times on paper. She stayed inside and worked on math problems and read chapter books while the rest of us played and laughed outside. She was relegated to her room and she went to bed early as well. I cut her no slack and I used my big frowny face to the best of my abilities. There is no doubt in my mind that she knows what she did was wrong and that I am very, very disappointed in her.
I guess the irony really is that I am kind of glad that she hauled off and walloped the boy. Everyday I have to hear how he pesters Sydney. I have to hear how he got a red sticker and how he bugs her. He constantly calls her names. He is just an annoying nerd. I happen to know this for sure, ironically, from past experience. I was that full-fledged annoying nerd. We all need a good wallop know and then. I got one. So, I guess the point is that I am really not all that mad at her. I understand. I wish she wouldn't have chosen to haul off and hit the boy but I also know that telling the teacher would not do her any good. She has tried that. Perhaps now he will get the message. Just don't tell her I feel this way until she is 20.
It looks like hidden purpose today.
You, like me, must be thinking. Wow, what could she possibly have done? Sweet little Sydney, defeater of cancer, lord of the twerps, how could that be? Well, it happened. You see, every child has a nemesis, another child that torments them. I think this is especially true with girls. It is not really the point of the story but I know because I tormented many of them. Anyway, there is one boy in Sydney's class that is constantly pestering her. Yesterday, in addition to his normal bugging in which teases, pokes, and prods; he made a bad judgement call. He pinched Sydney and it was pretty hard too. It left a welt that was still there when I picked her up from school. Well, Sydney is a little bit like her mother (if you know her, you know what I mean) and she just hauled off and clobbered the boy. She wasn't nice. She wasn't gentle. She hit him as hard as she could. For this, she received a yellow sticker. Well it was for that and not paying attention later in the day but I think that was much more of an accident. Regardless, Sydney hit a boy and now she had a yellow sticker.
Now, with Sydney receiving a yellow sticker she had to be punished pretty severely. I did all of the things I was supposed to. I made a big frowny face after she told me - even though I was secretly smirking on the inside. I told her how wrong and bad it was that she hit one of her friends - even though I secretly thinking "Yippee!" and "Good for you!" and "That's me girl!" I took her home and sent her to the kitchen table where I made her do homework and write "I will not hit my friends" 20 times on paper. She stayed inside and worked on math problems and read chapter books while the rest of us played and laughed outside. She was relegated to her room and she went to bed early as well. I cut her no slack and I used my big frowny face to the best of my abilities. There is no doubt in my mind that she knows what she did was wrong and that I am very, very disappointed in her.
I guess the irony really is that I am kind of glad that she hauled off and walloped the boy. Everyday I have to hear how he pesters Sydney. I have to hear how he got a red sticker and how he bugs her. He constantly calls her names. He is just an annoying nerd. I happen to know this for sure, ironically, from past experience. I was that full-fledged annoying nerd. We all need a good wallop know and then. I got one. So, I guess the point is that I am really not all that mad at her. I understand. I wish she wouldn't have chosen to haul off and hit the boy but I also know that telling the teacher would not do her any good. She has tried that. Perhaps now he will get the message. Just don't tell her I feel this way until she is 20.
It looks like hidden purpose today.
Thursday, April 24, 2008
2008 Neuroblastoma Conference
Good morning! Well today I wanted to make everyone aware of the upcoming Neuroblastoma Conference for Families and Caregivers on July 17-20, 2008. I tell you this because I think it is important for just about every family that has (or has had) a child with neuroblastoma. Not only is it a great time to meet other families and children that have walked in your shoes but, also, it is an incredible opportunity to meet with the world's best when it comes to treating neuroblastoma. In fact, this year's conference has some of the top names in neuroblastoma research and they will be tackling some of the most controversial subjects in neuroblastoma treatment. Knowing what is coming, I can guarantee that you will learn things that you need to know. Many of us think treatment is black and white and actually it contains many, many shades of grey. The right answers can be found but it is often dependant on a thorough understanding of the treatments, their rationale, and their side effects. Often, the perfect drug requires the perfect timing. We will address the pros and cons and get to the facts. You will get the information you need to know.
One of the most interesting things about this year's conference is a change from the way we have done things in the past. Typically, each presentation during the conference lasted between 30 and 45 minutes. That was then followed by a 15 minute discussion period. Although this pattern will continue for many of the presentations, we will be doing something very different for two of the most important topics. This year we will tackle 2 subjects in the form of a panel round table discussion. We are hoping that this change in format will help to tease out some of the important issues and questions that are rarely discussed but vitally important to know. Additionally, we are hopeful that it will also bring to light the many sides of every issue. The panels will be made up of two groups, a group of neuroblastoma experts and a group of parents. The two topics that we will be covering are Transplant Options and Relapse.
During Transplant Options we will be discussing every major therapeutic approach available. We will discuss the pros and cons of single transplants, tandem transplants, autologous transplants and mini allogenic transplants, transplant combined with MIBG, and finally no transplant in favor of immunotherapy for consolidation. I can't guarantee a definitive answer on what is best for every child but I can guarantee that you will walk out of this discussion knowing the pros and cons of the available options. Personally, I am extremely excited about these discussions because I truly believe that we will finally be able to get to the bottom of many of the great questions of neuroblastoma. Several facts will come to light that are rarely, if ever, discussed.
Relapse is also a very hot topic. As you probably know, this has been a personal interest of mine. There are different beliefs and strategies to consider when choosing relapse options for your child. Often these differences are never discussed with families. We are going to discuss the various strategies and their pros and cons. We will also have a through discussion on the various options available and how they can be utilized within the treatment plan. Parents are often looking to the next treatment that might work instead of the big picture. By understanding the big picture we as parents can make better decisions, better understand our options, and understand the perspective of the oncologist. This knowledge is useful to help us carefully balance efficacy and quality of life. Finally, we hope to help parents understand how to identify promising treatments for their child and how to interpret some of the preclinical data. We often make decisions based on others response or lack thereof and it is important to understand when it is appropriate (and when it is not) to do so. This will be one of the most important and enlightening discussions this year.
As usual we will also be discussing all of the other important aspects of treatment from stage I to stage IV. Additionally, although I have never attended, the angel parent sessions will also be happening concurrently. In the past, many of the parents and families that have attended have told me that this was an incredibly valuable experience. If you have lost your child to neuroblastoma, I encourage you to attend.
Finally, time is running out. Be sure to register today. Complimentary rooms are first come / first serve. You can find out more and register here:
http://www.cncf-childcancer.org/cs/blogs/nb_conference_2008/archive/2008/03/28/22174.aspx
With hope and purpose,
Mark
One of the most interesting things about this year's conference is a change from the way we have done things in the past. Typically, each presentation during the conference lasted between 30 and 45 minutes. That was then followed by a 15 minute discussion period. Although this pattern will continue for many of the presentations, we will be doing something very different for two of the most important topics. This year we will tackle 2 subjects in the form of a panel round table discussion. We are hoping that this change in format will help to tease out some of the important issues and questions that are rarely discussed but vitally important to know. Additionally, we are hopeful that it will also bring to light the many sides of every issue. The panels will be made up of two groups, a group of neuroblastoma experts and a group of parents. The two topics that we will be covering are Transplant Options and Relapse.
During Transplant Options we will be discussing every major therapeutic approach available. We will discuss the pros and cons of single transplants, tandem transplants, autologous transplants and mini allogenic transplants, transplant combined with MIBG, and finally no transplant in favor of immunotherapy for consolidation. I can't guarantee a definitive answer on what is best for every child but I can guarantee that you will walk out of this discussion knowing the pros and cons of the available options. Personally, I am extremely excited about these discussions because I truly believe that we will finally be able to get to the bottom of many of the great questions of neuroblastoma. Several facts will come to light that are rarely, if ever, discussed.
Relapse is also a very hot topic. As you probably know, this has been a personal interest of mine. There are different beliefs and strategies to consider when choosing relapse options for your child. Often these differences are never discussed with families. We are going to discuss the various strategies and their pros and cons. We will also have a through discussion on the various options available and how they can be utilized within the treatment plan. Parents are often looking to the next treatment that might work instead of the big picture. By understanding the big picture we as parents can make better decisions, better understand our options, and understand the perspective of the oncologist. This knowledge is useful to help us carefully balance efficacy and quality of life. Finally, we hope to help parents understand how to identify promising treatments for their child and how to interpret some of the preclinical data. We often make decisions based on others response or lack thereof and it is important to understand when it is appropriate (and when it is not) to do so. This will be one of the most important and enlightening discussions this year.
As usual we will also be discussing all of the other important aspects of treatment from stage I to stage IV. Additionally, although I have never attended, the angel parent sessions will also be happening concurrently. In the past, many of the parents and families that have attended have told me that this was an incredibly valuable experience. If you have lost your child to neuroblastoma, I encourage you to attend.
Finally, time is running out. Be sure to register today. Complimentary rooms are first come / first serve. You can find out more and register here:
http://www.cncf-childcancer.org/cs/blogs/nb_conference_2008/archive/2008/03/28/22174.aspx
With hope and purpose,
Mark
Wednesday, April 23, 2008
Scribble scrabble - oh joy! Or is it?
Good morning! Last night I was treated to a pretty special event. Now, I probably should have expected to see something spectacular but, you have to understand, I have pretty high standards. You see, last night was an open house at Sydney's school and our opportunity to see how much she has progressed over the year. Yes, I know, this is where you go to school and ooh and ah over all of the scribble scrabble that your child has accomplished over the last year. Of course we would go. We could have been doing a hundred other things that were more fun but, none the less, we decided to go. Don't get me wrong. I am all about seeing my daughter's work and oohing and ahhing over what she does. I get to do this everyday - so, going to do this in public and looking at other children's work was really not on my list as being something really exciting. As far as I was concerned, this was just another one of the things that you do because you are a parent. I certainly wasn't looking forward to it. I guess this is the reason I was so surprised.
You see, we did this last semester. We got to go and look at all of the things that she and the other children had done. With the way that Sydney's school grades progress this is about the only way that we could compare her to the other kids. This is important to us because, while it is all fine and dandy to see a chart of all of the tasks that she can accomplish, it really does not give us a clear picture of what she should be doing and how she compares to others her age. Don't get me wrong. I am not in it for the competition. I simply know that the likelihood of some long term neurological side effects from Sydney's treatment are probably pretty likely. I need to know when she is not doing things that others her age can do. I need to know when she is lagging behind. Finally, she misses a ton of school for doctors visits and scans and I need to know what to work on to help her keep pace. Without a scale or a chart to compare her to the standard I really have no idea of where she stands. That is the most frustrating thing I find about the new grading trends.
So, how is she doing! Well, well, well, you would not expect me to do all of this build up if I was not going to brag a bit. My daughter is stellar. She has totally surpassed my expectations for this year. You see, I was just hoping to catch up - to stay up with the pack. I was hoping not to see an exception at the bottom of the curve and had prepared myself for the possibility. What I was not expecting was to see her work to stand out as a model of what can and should be done. Now, I don't want to stand here and say my kiddo is the best or the greatest (although she is) but to rather show you her improvement and to show how far she has come. In the beginning there were many things that she was doing below the level of the other kids in her class. Yes, at the beginning of the year we were still catching up. She was not at the bottom of the class but she certainly was not at the top and there was a huge gap. She was lagging in many, many areas. For example, her handwriting was almost completely illegible and all of the other kiddos seemed to have better letter formation. However, as of last night, that had completely changed. I looked at every child's handwriting and was completely shocked to see how much better Sydney's handwriting was. Hers was picture perfect. I mean literally. She could write the books on correct letter formation. It was brilliant. I don't mean to compare but it was now miles ahead of any other in her class -not even close. I found this trend to be consistent with much of what she did. There is clearly a pattern in her work of going from the worst to one of the best. Most importantly, I did not discover any of those areas that I was to be concerned about. She is making tremendous progress. I have to take back all of the things I said about not wanting to see all of the scribble scrabble. It was the best and most fun thing we could have done with our evening.
Purpose just keeps pushing forward.
You see, we did this last semester. We got to go and look at all of the things that she and the other children had done. With the way that Sydney's school grades progress this is about the only way that we could compare her to the other kids. This is important to us because, while it is all fine and dandy to see a chart of all of the tasks that she can accomplish, it really does not give us a clear picture of what she should be doing and how she compares to others her age. Don't get me wrong. I am not in it for the competition. I simply know that the likelihood of some long term neurological side effects from Sydney's treatment are probably pretty likely. I need to know when she is not doing things that others her age can do. I need to know when she is lagging behind. Finally, she misses a ton of school for doctors visits and scans and I need to know what to work on to help her keep pace. Without a scale or a chart to compare her to the standard I really have no idea of where she stands. That is the most frustrating thing I find about the new grading trends.
So, how is she doing! Well, well, well, you would not expect me to do all of this build up if I was not going to brag a bit. My daughter is stellar. She has totally surpassed my expectations for this year. You see, I was just hoping to catch up - to stay up with the pack. I was hoping not to see an exception at the bottom of the curve and had prepared myself for the possibility. What I was not expecting was to see her work to stand out as a model of what can and should be done. Now, I don't want to stand here and say my kiddo is the best or the greatest (although she is) but to rather show you her improvement and to show how far she has come. In the beginning there were many things that she was doing below the level of the other kids in her class. Yes, at the beginning of the year we were still catching up. She was not at the bottom of the class but she certainly was not at the top and there was a huge gap. She was lagging in many, many areas. For example, her handwriting was almost completely illegible and all of the other kiddos seemed to have better letter formation. However, as of last night, that had completely changed. I looked at every child's handwriting and was completely shocked to see how much better Sydney's handwriting was. Hers was picture perfect. I mean literally. She could write the books on correct letter formation. It was brilliant. I don't mean to compare but it was now miles ahead of any other in her class -not even close. I found this trend to be consistent with much of what she did. There is clearly a pattern in her work of going from the worst to one of the best. Most importantly, I did not discover any of those areas that I was to be concerned about. She is making tremendous progress. I have to take back all of the things I said about not wanting to see all of the scribble scrabble. It was the best and most fun thing we could have done with our evening.
Purpose just keeps pushing forward.
Tuesday, April 22, 2008
530 pieces and 171,408 reasons
Good morning! Well, yesterday was about two major feats. The first began earlier in the weekend. You see, along with committing ourselves to the neuroblastoma walk there was another item that we committed ourselves to over the weekend. This was Sydney's science project on the solar system. Thankfully, Sydney drew the earth as her planet of responsibility. This meant that we had to construct a 3d model of the earth and a poster of fun earth facts. By the end, Sydney was left a little loony. Here is a picture of her talking to inanimate objects. 
Knowing that everyone would probably paint a Styrofoam ball, Lynley set out to be different. She charged Sydney and I with constructing a 3d puzzle of the earth. Thankfully she was thoughtful and it only required us putting together 530 pieces. Now I am making this sound harder than it actually was. You might even be surprised to find out that Sydney identified each piece to be added to the puzzle and put just about every single piece together. You see each piece was numbered on the back from 1 to 530. This made it much easier but it is also what made the puzzle such a great exercise for Sydney. We divided all of the pieces into groups of 50. So we had a pile which included pieces numbered 1-50, 51-100, 101-150, etc. She then sorted all of those pieces, put them in order, and snapped them together. It was then my job to take the strips of puzzle pieces and create the 3D masterpiece. After many cave ins and rebuilds we finally delivered the earth to school yesterday morning. It was the hit of the class and something I am very glad that Sydney and I got to spend a large portion of the weekend working together on.
Yesterday was a very special day for another reason as well. After dropping off the kiddos and making my delivery of the earth (extremely carefully) I had the opportunity to drive to Plano for a photo op. Now this was no ordinary photo op. It is not very often that you get to pick up a check for $171,408 on behalf of the Children's Neuroblastoma Cancer Foundation. I don't want to say too much because it has not been officially announced but I thought it may put a bounce in the steps of a few other parents out there. It was a good day for neuroblastoma.
It was full of purpose.
Monday, April 21, 2008
A Purposeful Walk
Good morning! First off, I want to thank everyone for coming out and supporting us at the 1st Annual Neuroblastoma Walk. I was really blown away. In the end, we had a little over 250 people show up at the event and they raised just over $15,000.00. I was blown away by the level of participation and so incredibly thankful for all of those that showed up. Milling around in the crowd were also 12 families that had children with neuroblastoma and I even had the privilege of meeting an 18 year survivor of stage IV neuroblastoma. I was in utter disbelief. I have been in this game for a long time and that is the longest survivor of stage IV neuroblastoma (remaining in remission) that I have ever met in person. I am sure that there are others but she is the first that I have ever actually talked with in person. It was the highlight of my weekend.
You also may have noticed that Lynley, the kiddos, and the Norman-ator all made their appearance at the walk as well. Sydney walked all 3 miles by herself. She even got to walk it with her kindergarten teacher, Mrs. Lewis. Graham walked the better part of half of the 3 miles and rode in the rest of the way on my shoulders while I brainstormed with Dr. Granger. I was pretty surprised that Graham had made it that far as he was still recovering from a cold. Little Ainsley also made it much of the way before grabbing a piggy back ride for the remainder of the walk.
Believe it or not I spent much of my time discussing a new nano technology/Irinotecan adult trial which appeared to have implications for children with neuroblastoma. If I am being honest, I never had a really high level of excitement regarding these discoveries. To me, it was just a modest improvement on an already available chemotherapy. How much would it improve efficacy without increasing toxicity? How much improvement would it really offer? Personally, I have always been far more interested in the truly novel therapies that have the potential to be a home run. That is my area of great hope. However, I do understand the need for better and more targeted drugs. I "get" the need for improvement, however, I am looking for the cure. Regardless, I have heard about this technology's use with Irinotecan from enough people and I figured it was about time that I truly submerged myself in the research to form a real solid opinion of what I think about it. I still don't have the answer as I have not completed my research but I am still shocked by all of the people that seem to be so excited about the technology. In the days to come I hope to have pulled together some worthwhile thoughts.
Well, I had best be off. I have a ton of things to do. I am already buried and the week has not even begun.
There is purpose afoot.
You also may have noticed that Lynley, the kiddos, and the Norman-ator all made their appearance at the walk as well. Sydney walked all 3 miles by herself. She even got to walk it with her kindergarten teacher, Mrs. Lewis. Graham walked the better part of half of the 3 miles and rode in the rest of the way on my shoulders while I brainstormed with Dr. Granger. I was pretty surprised that Graham had made it that far as he was still recovering from a cold. Little Ainsley also made it much of the way before grabbing a piggy back ride for the remainder of the walk.
Believe it or not I spent much of my time discussing a new nano technology/Irinotecan adult trial which appeared to have implications for children with neuroblastoma. If I am being honest, I never had a really high level of excitement regarding these discoveries. To me, it was just a modest improvement on an already available chemotherapy. How much would it improve efficacy without increasing toxicity? How much improvement would it really offer? Personally, I have always been far more interested in the truly novel therapies that have the potential to be a home run. That is my area of great hope. However, I do understand the need for better and more targeted drugs. I "get" the need for improvement, however, I am looking for the cure. Regardless, I have heard about this technology's use with Irinotecan from enough people and I figured it was about time that I truly submerged myself in the research to form a real solid opinion of what I think about it. I still don't have the answer as I have not completed my research but I am still shocked by all of the people that seem to be so excited about the technology. In the days to come I hope to have pulled together some worthwhile thoughts.
Well, I had best be off. I have a ton of things to do. I am already buried and the week has not even begun.
There is purpose afoot.
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