Earl - another scan

Earl's doctor is ordering CT scans about every two months. He had another one done on Monday this week. He will take the scan (on disk) to the radiation doctor on Thurs. (later today). It will be compared to the last one. Pray there is no change!

New blog for Thomas

I have created a new blog for Thomas. All news about him will now be published at:
Thomas' blog

Please bookmark it so you can keep up with what's happening with him.
It is at http://tabright.blogspot.com/

Lillian

Thomas update from Pat

While talking to Pat at lunch, she said the tumor is on the outside of his spine where it will be easier for surgeon to get to it, though it is squeezing the spine and putting pressure on the spinal cord. It is located just about center between waist and neck. There is no involvement with any of his organs. The other spots are located in upper right chest apparently in the chest wall or just under it. They will be harder to get to them. (Lillian)


This is an update from Pat that she emailed to co-workers this morning:

I want to take a moment to bring you up to date. Many of you may remember my son-in-law Thomas, who 4 and half years ago, at the age of 18 during his senior yr in high school, was diagnosed with melanoma cancer and went through 3 surgeries over the next couple of years fighting this ugly demon.

In the past 4 years Thomas and Stacie have been living a great life, he has already became a sales manager for Carmax (youngest in the entire corporation) and they now have a beautiful little girl, Julie, who just turned 3. They live in South Carolina presently due to Thomas’s job.

What I am now asking is that you put Thomas in your prayers once more. He was again, as of yesterday, diagnosed with a melanoma tumor that is growing on his spine. They came home last night for him to meet with his cancer doctors on Wednesday to hurriedly get him into surgery to remove this tumor.

He has already lost most of the feeling in his legs and has tingling sensations throughout his body, otherwise, this tumor is putting pressure on the spine where it is slowing paralyzing him. He also has two spots that showed up on his scan last Tuesday behind the front chest cavity. This all has occurred within the past couple of months. When he had his scan done in December 2007, all was still clear.

This is such a fast growing and can be such a deadly cancer. I beg of you all, please put Thomas in your prayers that he will again defeat this ugly beast.

I thank all of you for all your prayers, concerns and help in the past and I’m reaching out to you again.

Love
Pat Carver

Thomas Bright

Their high school graduation 2002

Wedding May 2003

Stacie, Julie, Thomas at Thanksgiving 2007

Thomas Bright is married to my niece, Stacie Carver. Stacie is the daughter of my sister, Pat and Tom Carver. Thomas had his 25th birthday in November 2007. Thomas and Stacie have a three year old daughter, Julie.

Thomas found out today that the melanoma is back in the form of a tumor attached to his spine. There are also a couple of "spots" in his chest that may possibly be in his lung(s).

Don't have much info. They are coming in from SC tonight. He is to see his doctors here on Wednesday. Surgery may be on Friday. This will be his 4th or 5th melanoma surgery. He has been having back pain for last 3-4 weeks. No info on size of tumor.

Please pray for Thomas & Stacie. We are so afraid this is the dreaded recurrence that will take him from us. There is no chemo for melanoma, so don't know what treatment might be available.

What follows are notes I found that were made over the years going back to the other surgeries.

~*~*~*~*~*~**~*~*~*~ 2001 - 2003 ~*~*~*~*~*~*~*~*~*~*~

Thomas Bright, twenty years old, has cancer. His cancer is called Melanoma. It started when he was 19 years old in 2001, during his senior year football season, on a small mole on the left side of his neck. His first surgery did not “get it all” and required more surgery. Thomas loved playing football, but spent the last half of the season cheering his teammates on from the sidelines.

In the Fall of 2002, thinking his cancer had been “taken care of”, Thomas asked Stacie Carver to marry him. Soon after she accepted his proposal, a knot showed up in one of his lymph nodes on that left side of his neck. He had another surgery to remove all of the remaining lymph nodes on the left side of his neck from under the point of his chin all the way around past his left ear. It had only been about ten months since he was first diagnosed.

There is no chemo for Melanoma. Thomas had radiation for several weeks. He then started on a year long series of treatments, which he injects under his skin three days a week. This causes his body to produce more of the stuff that naturally fights infection/cancer. After each injection, he has fever and chills, which were gone by morning. This leaves him weak, run down and feeling awful during the next day. Even with the radiation and treatments, Thomas has only been given 50-50 chance of beating this wicked form of cancer.

They originally planned to marry in 2004, after Thomas completed his treatments and Stacie finished her courses at East Tennessee School of Beauty. In Thomas’ case, life is uncertain. He and Stacie decided waiting might not be their wisest decision. So, they set their wedding date for May 6, 2003. Two days after the invitations were mailed, Thomas had a biopsy done on a small knot on the right side of his neck that he had been told “wasn’t anything to worry about”. Only six months into treatment, another cancerous knot had formed.

Thomas had surgery again on Tuesday, April 29, 2003. This five-hour surgery removed all of the lymph nodes from where the previous surgery stopped at his chin all the way around to his right ear. He is scheduled to have the drain tube and staples removed on Monday, May 5th, then he and Stacie will marry the next evening.

**************

Stacie's boyfriend, Thomas Bright, had major surgery on Tuesday, Sept. 17, 2002. His cancer (melanoma) came back in his neck. The melanoma he had on his neck last November 2001 was on the outside skin. This one was in the lymph nodes on that same left side of his neck, only it was inside. Knot formed that was growing fast.

This really scared them. Pat was checking out M D Anderson Hospital in Houston, TX as it is known as a really GOOD cancer hospital. Dr. Roseman, in Maryville, is very good doctor that took off the first cancer. He referred Thomas to Dr. Mark Overholt to take care of this second cancer.

When Pat and Thomas went to Overholt on Wed, 9/11/2002, during the get acquainted talk, Dr. O said he met his wife at M D Anderson. Pat could hardly wait for him to finish speaking to ask him "What did you say your connection with M D Anderson was?" He said that's where I met my wife. Pat then told him she had been trying to figure a way to ask him about possibly sending Thomas to Texas for surgery, treatment, etc.

Dr. Overholt said "You're looking at M D Anderson, that's where I studied and got my Doctorate”. Pat was SO HAPPY. This Dr. O is one of two doctors in the whole state of Tenn. that is capable of doing Thomas' surgery. (Other one is in West Tn.) He removed all the lymph nodes from Thomas' chin around past his left ear. He has NO nodes now on that side of his neck. The incision starts at the point of Thomas' chin, angles down and across almost to the base of his neck..... across and back up about two inches behind his ear. Dr stapled that long incision about every 16th of an inch!

Dr O told Thomas before the surgery that he would definitely have radiation and treatment following surgery this time. Dr. O did tell them after surgery that this one was not as deep as he had thought... it was more on top of the muscle, etc. Dr O had told Thomas that he would probably lose feeling in his left ear (which he did) and might lose some function of his face (smile crooked) and maybe ability to shrug his shoulder. Since it wasn't so deep, Dr was able to save Thomas' sweet smile. Guess the shoulder is OK, too.

Dr. O had wanted to get this OUT the next day, but no operating rooms available. Dr. O is at Ft. Sanders Park West and only available place was at Ft. Sanders Regional (at UT area) on Tues. They had to wait six days. These two hospitals are about 10 miles apart, owned by same outfit.
Sandra (works at Blount Memorial hospital in Maryville) told me that when I told her Roseman had referred Thomas to someone else, she knew this was a hard case. Roseman is one of the best in this area, so for him to refer Thomas didn't sound good. Dr. O told Thomas he couldn't be in better hands for treatment and radiation, that Dr R is very good.

We now hope and pray that all these good doctors can save Thomas. Keep him in your prayers. He's just 19 (in 2001), much too young!!!

Thomas bought Stacie an engagement ring a couple of months ago, plans to ask her to marry him on her birthday, Sept. 28th when she turns 18. Sure hope all this doesn't .... Well, never mind, I just don't want to go there!

Thomas had last radiation treatment on Oct 19, 2002 To start other treatment week after Thanksgiving.

Lillian's Aunt Kate died 11 Mar 2008

Kate is my Father's sister. She married my Mother's brother.

We children are double first cousins.
(By: Lillian Trentham Lancaster)

90th Birthday in 2004

Kate Trentham Stogner, age 93 of Rogersville, Tennessee, born October 15, 1914 in Gatlinburg, TN went home to be with the Lord on Tuesday, March 11, 2008.

Kate Stogner was preceded in death by her beloved husband of 63 years Reverend
James Hulett (J. H.) Stogner, parents Noah & Mary Jane Ogle Carr Trentham, brother Harmon Trentham and several half-brothers and half-sisters (Orlie, Lillie (Watson), Mack, Willie, Munsey Trentham, Wesley Carr, Ollie Carr Trentham, Mayme Carr Trentham... added by Lillian). Kate worked at Pigeon Forge Pottery in the early 1950's. She was a faithful wife and devoted mother who enjoyed being at home with her family.

Her survivors include her:
Children: James and wife Wanda of Rogersville, Dorothy and husband Sidney Lawson of Rogersville, Ronald and wife Darlene of McDonough, Georgia, Doris Stogner of Sevierville, and Esta and husband Larry Campbell of Knoxville.
Six grandchildren: Denise Lawson Collier, Patrick Stogner, Stacy Lawson Brewer, Alan Stogner, Michelle Franklin Finchum and Damon Stogner
Six great-grandchildren: Trey, Mark & Lacy Collier and Bronson, Sydney & Brody Brewer.
Brother: Sam E. Trentham
Sisters: Gladys Russell and Bonnie T. Myers

Kate Stogner was blessed with a long and healthy life, a wealth of family and friends and an assurance that someday the Lord would come to take her to a heavenly home prepared just for her.

In lieu of flowers, memorial contributions may be made to local missions.

Funeral celebration service 7 PM Friday at Atchley's Smoky Mountain Chapel in Pigeon Forge with Rev. Troy Cody and Rev. Melvin Carr officiating. Entombment 10 AM Saturday in Smoky Mountain Memory Gardens. The family will receive friends 5-7 PM Friday at Atchley's Smoky Mountain Chapel, 220 Emert Street, Pigeon Forge, TN. (www.atchleyfuneralhome.com)

Test results

The report about Earl's Barretts came in the form of a double postcard. It didn't really say much. Just stated he had Barretts and should follow-up with another biopsy within two years. We assume there is no big concern right now. He will be monitored over the years to make sure it doesn't change to cancer. Apparently it will not go away.

Earl is taking his daily Nexium and feels fine. Says he can't really tell any difference from before he started taking it. He has had no signs or pains of the ulcer, so guess the "marginal" indicates it was just beginning or in an early stage.

Earl has marginal ulcer & Barrett's esophagus

Philadelphia surgeon, Dr. Watson, said some people develop ulcers following the Whipple procedure that Earl had. He was right. Earl does have a large marginal ulcer. I haven't looked up the term "marginal" to know what this means. They seem likely to occur after any gastric surgery. Has something to do with the blood flow in that area. These photos show Earl's ulcer. We were told the ulcer should heal and Earl was put on Nexium to control the acid to allow healing.

Then, there's his Barrett's esophagus that was discovered during the endoscopy procedure. We are supposed to get the results of the biopsy, taken on 2/8/08, within 10 days, so should get that next week. About 10% of Barrett's esophagus progresses to cancer of the esophagus. If he does not already have cancer of the esophagus, Earl will be monitored annually and he will be on medication to control the acid for the rest of his life. There is no cure for Barrett's other than medication to control acid reflux in an effort to slow or prevent further damage. I'll not go into the options now. Let's be optimistic until we know more.

Below are photos of the Barrett's. The first photo on left was taken on 1/31/08, when the procedure was aborted. The other three were taken Friday, 2/8/08.


The esophagus is normally a nice red color, perhaps like the red in the top photos of his ulcer. The salmon color suggests Barrett's. Wording under the two middle photos is "Mucosa suggestive of Barrett's esophagus". The last photo says "inlet patch".

I hope the photos don't upset anyone. I just find it interesting to be able to "see" what's going on and learn something new about our amazing bodies..... even when it's something going wrong. By the way, I did get Earl's permission to show all!

Will update when we know results of biopsy. Please continue to remember Earl as you pray. His options, if it is cancer, are not.... well..... I'm just not ready to share that. Just pray earnestly and diligently.

Thank you to all who stop by to keep tabs on Earl. Your caring interest means so much.

Today's stomach scope aborted

As requested by Dr. Watson (Philadelphia surgeon),Earl had a CT scan done yesterday. Results later. He went for a stomach scope today (also at Dr. W's orders) to check for ulcers that might have resulted from the Whipple surgery. The procedure had to be aborted due to food still in his stomach from yesterday. Dr. said this is not uncommon following the type of surgery he had. So, he is rescheduled to go back to try again next Friday. He will be on clear liquids for 24 hours before Friday. His appt. is at 6:30 a.m!!

While Dr. was inserting the scope today, he noticed what he suspects is Barrett's esophagus.
This link explains. Barretts
Dr. will take biopsy next Friday, when he re-does the stomach scope.

Here we go again???

Back to Philadelphia

Earl thought he was going to repeat last weeks canceled flight. After a hint of mechanical problems, pilot announced that the problem had been corrected and they would depart. Two weeks in a row? Not a real confidence builder!

Earl did make it to Fox Chase for his appointment with Dr. Watson. Everything looks good. Doctor has ordered a CT Scan and scope of his stomach. Scope is to look for ulcers, which can be a result of the surgery.

Earl is to go back on June 18th for his one year checkup. Locally, Earl was to see oncologist three times a year. Dr. Watson wants him checked four times, so he will be checked here every three months. Not sure if this will be just blood work or if some sort of scans will be done. Either way, it is comforting that the doctors will be keeping a closer watch on him.

Dr. Watson seemed pleased that Earl's CA19-9 was low, but stated this did not mean he might not have a recurrence. You might say he was "cautiously optimistic". IF.... he makes it to the two year anniversary, that will be a HUGE milestone. Apparently, pancreatic cancer most often recurs within two years.

Earl went up on the third floor where he spent his two stays at Fox Chase. He visited with the nurses at both the North and South nurses stations. He enjoyed seeing everyone. He was just glad he wasn't staying this time! No offense, ladies!

A man standing nearby heard Earl as he was telling the nurses he was cancer free. He later spoke to Earl, telling him his wife was having a very difficult time with her radiation for lung cancer. Earl offered to speak to her, which seemed to please the man. Turned out Earl had been in the very room and bed that his wife occupied now. She seemed to appreciate Earl's story and his words of encouragement. We pray Mrs. Taylor will be a survivor, too.

I wish I had been able to go with Earl, but I exhausted all my sick leave, when I took three weeks off for his surgery. I intend to go with him when he returns in June. It will be good to see everyone again.

We hope you will continue to pray for Earl as he travels further down his road to complete remission. We give thanks daily for Earl's survival to this point. We are very thankful for all your prayers and encouragement. You have been such an important part of the last nine months. Thank you!

He has already started into what looks like a very hectic tax season. I hope he will be able to pace himself and not overtax himself. Pun intended! ;-)

Flight canceled, Dr appt rescheduled

All passengers were on-board waiting for take-off. Then one of the pilots announced weather conditions, time to travel, etc. The usual announcements before take-off. Then, passengers were told there was a mechanical problem. They were asked to get off the plane and wait in the terminal where they would be more comfortable. They waited.... and waited..... finally the flight was canceled.

Some passengers were re-routed, but Earl had to call Drs office to re-schedule because none of the available flights would get him to Philly in time for his appt.

Now, he has appt and flight scheduled for next Wednesday. It'll probably snow next week!

Oh, well. The nurse told Earl they have time available on all Wednesdays in January. So, he'll make one of them.

He's off to Philly to see the Doctor

Earl continues to recover from the effects of his radiation, which ended Dec. 26th. His last tumor marker count was 3. (Normal is anything below 35.) During the last couple weeks of radiation and chemo pills, Earl did have redness in his hands. His right hand would swell for several hours during the day. His right thumb actually split open on the center of the end near the thumbnail. The place was about 3/8" long.

He's flying to Philadelphia, PA today for checkup with the surgeon, Dr. Watson. It will be interesting to learn what the good Doctor has to say now. His long term predictions back in June were not very encouraging. The odds of beating pancreatic cancer are just not very good.

Earl will be back home late this evening.

Update on Earl's treatments

Sorry, we haven't updated in a while. I guess you could say "No news is good news".

Radiation started on Nov. 19th. Earl has had 15 radiation treatments to date. He has these five days a week, excluding major holidays. None the Thurs and Fri of Thanksgiving week. We assume there will probably be none Christmas Eve and Christmas. He has 10 more treatments, so we guesstimate he will finish up Dec. 27th. Doctor finally settled on five weeks of radiation, which he is saying is the "minimum" recommended.

He is taking chemo pills (three twice daily) on the days he gets radiation. So far, he has not had any of the sore hands/feet as predicted. Why am I not surprised? He hasn't done anything else like the Doctors said he should or might!

I take part of that back. He was told he might have some problems with diarrhea... and he has. He was prescribed some pills for that and they seem to work pretty well..... always after the fact. He doesn't take them until he needs them. He lost two pounds last week due to this.

He was told today that starting tomorrow, and , I guess, continuing thru these last ten treatments, he will be shot with radiation on all four sides. He didn't know it, but the first 15 treatments were only to the front and back sides. From what he was told, the diarrhea stems from the radiation. Guess he'll soon find out just how bad it may get as he starts getting more radiation each time.

He has been fighting this cold and congestion that is going around. So far, it hasn't gotten real bad. Just hope he can get thru these next two weeks without getting sick. His bloodwork last week was "okay", so guess he's holding his own with the chemo pills, too. His Oncologist called him a "poster child". We took that to mean he is doing well.

Well, this year has been a real roller coaster ride. It's been perplexing, unsettling, anger ridden, to the very bottom of the deepest pit, scary, devastating, trying, uncertain, challenging of our determination, faith testing and faith building, joyous celebration and humble thanksgiving. I think I could just go on and on. I am sure there are many more places we have been during this year that I can't even think how to describe.

What we haven't seen is the place where we were even close to giving up and accepting defeat, in spite of what we were told in the early days. That just was never an option. We thank God that information came, doors opened, and opportunities presented, which we grabbed on faith. The three weeks we spent in Philadelphia were so long and hard, but the outcome has been a miracle. There's just no other way to describe how everything has transpired.

My wish and hope for each of you is that if you ever find yourself in the place where you are faced with hopeless odds, don't just accept the first answer you get. Particularly if it isn't what you want to hear. We found out there are other opinions and alternate avenues. Search for them! It's amazing what one can do when faced with the unthinkable!

The next few years will tell the final story, but Earl is determined he is going to be that one in four that survives pancreatic cancer. With your prayers and God's help, he will.

With thankful heart,
Lillian Lancaster

Radiation starts Monday, Nov. 19

Earl found out today that his radiation will start on Monday. He will get three treatments next week. Radiologist says he will get five or six weeks, so we're still not sure how long this will continue.

He will lose two days for Thanksgiving and probably another two days at Christmas. All we can estimate is he'll be through either the week before or after Christmas.

PET Scan results

Very good news! We are so thankful! There is no sign of cancer at this time. IF... there had been cancer elsewhere, he would probably not get radiation.

This just means there wasn't anything as large as 3-4 cm. in size. This does not mean there are absolutely no cells present. Just nothing large enough to show on the scan.

Earl has appointment with Radiologist on Thurs. Nov 8th. We assume Earl will likely start radiation next week. He was given a prescription today for the 5FU pills. There are enough to last six weeks. Oncologist suggested five weeks of radiation. It will be up to the radiologist to set the actual length of treatments. Earl will only take the 5FU on the days he gets radiation.

The Oncologist reemphasized that these next weeks will not be easy. There are several possible side effects. We'll just have to wait and see how severe it turns out to be for Earl.

Earl had gained about five pounds in the last couple of weeks. Weight loss will be likely during the radiation/5FU because of nausea and diarrhea. The nausea will make it difficult to eat. Just hope he doesn't lose a lot more weight.

Earl has expressed concerns about how bad this may be, but knows this is something he needs to do. Recurrence is just too likely with pancreatic cancer. He must do everything possible to try to ensure the cancer does not come back or show up in his liver or lungs.

We are so thankful for all your prayers and words of concern and encouragement. Please continue to pray for Earl as he proceeds with this next course of treatments. Your support is so important.

Earl should be finished with his treatments by Christmas. That will be a wonderful present!

With thankful heart!
Lillian

PET Scan on Halloween

Hello,

Sorry I haven't posted anything in a while. We have just been so relieved to have the three months of chemo completed. Trying to enjoy the couple of weeks off and catch up on work that needed to be done.

Earl goes for a PET scan on Wed. Oct. 31st. which should show any cancer cells that might remain. We pray there aren't any!

Radiation along with more chemo, 5FU pills, will be starting in next couple of weeks. Earl goes back to Oncologist on Nov. 5th. The Oncologist thinks Earl will get about four weeks of radiation, but he's not really sure.

Please pray that the surgery and chemo to date got all the cancer. We have been so blessed so far. Earl has not had too much problem with the chemo thus far. Though I don't expect the 5FU to be so kind. I know what it did to me, but understand the pills have different side effects. I hope they aren't as bad as the IV form I had. Earl will be taking the chemo pills each day he has radiation.

Lillian Crossley - Obituary

Lillian M. (Stogner) Crossley, 87, of Schnecksville, died Thursday, October 11, 2007, at the V.N.A. Hospice of St. Lukes, Lower Saucon Township, Northampton County. She was the wife of the late Jack R. Crossley Sr. Born in Huntsville, Alabama, February 27, 1920, Lillian was the daughter of the late James D. and Naomi L. (Ikard) Stogner. She was a member of Christ Methodist Church in Allentown. Survivors: Sons, Jack R. Crossley Jr. and his wife Anne of Emmaus and David L. Crossley, at home; sister, Ruby Trentham of Tennessee; five grandchildren, Russell, Benjamin, Kevin, Jeffrey, Joseph, four great-grandchildren, Kaitlynn, Jesse, Jacqueline, Kayla. She was predeceased by a grandson, Michael. Services: Graveside, 11 a.m. Tuesday, October 16, at Woodlawn Memorial Park, 1500 Airport Rd., Allentown, with the Rev. Harold A. McKenzie officiating. Family and friends may call 9:30-10:30 a.m. Tuesday, in the Heintzelman Funeral Home, Inc., 4906 Route 309, Schnecksville. Contributions: In lieu of flowers, memorial contributions may be made to Christ Methodist Church, c/o the funeral home, P.O. Box 196, Schnecksville, PA 18078-0196.
Published in the Morning Call on 10/13/2007.

Arrangements for Lillian Marie Stogner Crossley

Funeral arrangements for Lillian Marie Stogner Crossley 1920-2007:

Tuesday, Oct. 16, 2007
9:30 - 10:30 a.m.
Viewing at Heintzelman Funeral Home
4906 Rt 309
Schnecksville PA 18078

11:00 a.m. 10/16/07
Graveside service and burial

In lieu of flowers, the family has requested donations be made to:
Christ Methodist Church
% Heintzelman Funeral Home Inc
P O Box 196
Schnecksville, PA 18078-0196


Preceded in death:
Husband: Jack Crossley 1918-1984
Brothers and sister:
Shelby S Stogner Sr 1903-1961
Comer Stogner 1907-1963
Mamie Stogner Watson 1910-2005
Rev J Hulett Stogner 1914-2000

Survived by sister:
Ruby Stogner Trentham 1917-
Sister-in-law:
Kate Trentham Stogner

Sons:
Jack & wife, Anne Crossley
David Crossley
Five grandsons
Four great-grandchildren

I hope this information is accurate. I will try to get a copy of the obit and make corrections, if needed.

Sad news about Aunt Lillian from Jack

Aunt Lillian was put into hospice today. Jack says there are signs her kidneys are beginning to fail. He doesn't think she will make it six months.

She is not strong enough to get out of bed by herself. Very weak but tests on blood do not indicate that the weakness is because of anemia.

Blount County Rescue Squad - Chattanooga

We're off to Chattanooga Choo-Choo Thursday thru Saturday to see our daughter, Liana, compete as part of a team from Blount County Rescue Squad. There will be several events Friday and Saturday.

There will be numerous events. Here are a few:
VEHICLE EXTRICATION CONTEST (Blount took third place out of 15)
EMERGENCY DRIVING COMPETITION
TARS EMERGENCY CARE CONTEST
RESCUE CHALLENGE CONTEST (Blount won first place)
WATARS EMERGENCY CARE CONTEST

We know Liana will participate in the vehicle extrication and rescue challenge. Not sure what else she will be doing. Should be interesting few days. Teams from all over Tennessee will be competing.

We hope BCRS will be picking up some awards at the Awards Banquet Saturday night.

Update on Earl

Earl had chemo yesterday. Everything going well with his treatments. This was next to last treatment. His FINAL chemo will be next Monday. Then come scans to check him out.

He got the results of his CA19-9 (tumor marker test) from last week. It is still "less than two", which is as low as it registers. This is still very good.

Earl is anxious for that final chemo to be over.