Sunday, February 7, 2010

Leave Me Breathless

Okay, guys, it's time for yet another true confession over here on a Matter of Life and Breath, but I'm warning you: this one is not for the faint of heart (or faint of lung, for that matter). That's right, it's time for you all to learn about my secret fear, the stuff of nightmares, truly the type of thing that keeps me up at night, or out of certain of my friends apartments.

Time to take a really, really deep breath, CFers . . .


Okay, have I freaked you out yet?

Yes, I'm ashamed to admit that I truly, deeply fear stairs in all shapes and sizes. For all my honestly held "exercise is good" beliefs, I just can't deal with these monsters. But, for the sake of my health and my ego, I'll sometimes try to push myself up a flight, or maybe two, or, you know, some other reasonable number.

Like, say, 50.

You know, just as an example.

No, I didn't climb 50 flights of stairs this weekend because, frankly, I'm not that amazing. Apparently those genes (the super-awesome ones) in my family all went to my gorgeous cousin, her fabulous husband, and their four amazing kids, all of whom put on their climbing gear this Saturday and hiked their way to the top of a hotel in order to help find a cure for cystic fibrosis.

I don't know about you, but it leaves me breathless. Literally.

With the MN Vikings Cheerleaders, of course

No, you're not misreading. It really does say "Floor 26 -- Halfway to the top"

Um, I'd need ice cream and snacks too

With a sign for Nina, another CFer from out in Gloria's home state of WA
(and a new friend of mine on CysticLife)


Gloria, Steve, Isaac, Lola, Sam, and Caleb (who, as a toddler, is a little bit young to climb, but no doubts here about his future potential!), you guys are all, in a word, unbelievable. I feel blessed beyond words to have you as my cousins, and I know I speak for the entire CF community when I say a very heartfelt thank you. Believe me, you have 30,000 + hearts (and lungs!) beating in gratitude for you guys right now. And to everyone else who has ever donated or raised a penny for this cause, a huge shout out and thank you to you also.

I may have nightmares about stairs, but I have some pretty amazing dreams as well. And you guys are making them possible.

Friday, February 5, 2010

Get What You Need

I don't even know where to begin with getting back on track with this blog. I feel bad worrying people with lack of updates, but of course I'd imagined being able to come back with a bang -- some witty commentary on life or disease (or, even better, life WITH disease) that would leave everyone laughing, crying, or just shaking their heads at the wonder of it all. I had it all planned out in my mind, except, of course, for the actual words, which I figured would just flow like water as soon as I sat down and put pen to paper (er, finger to keyboard?). And let me just tell you all, readers, it was going to be great. I mean seriously, we're talking Pulitzer Prize for Best Writer of a CF Blog with a Not-So-Clever Pun in the Title -- they have a category for that, right?

But, to quote the Rolling Stones, "you can't always get what you want." So, instead, you're gonna get the truth.

Sorry.

See, the truth is that the past couple of weeks have been a little ridiculous. Oh wait, sorry, the real truth is that the past couple of weeks have been a LOT ridiculous. First of all because I had a CF exacerbation, as mentioned in the last post, and then because I went on IVs. Two IVs, to be exact: tobramyacin and merropenem.

If you have CF and are over the age of zero-to-very-young, most likely you've experienced antibiotics in some form, which means that you probably know that sometimes it's a toss up as to which is the lesser of two evils: the disease or the "cure." Because let's face it, a lot of the drugs we use to fight these infections are, well, evil. Brilliant, yes, but evil, and antibiotics (esp. in their hardcore, CF-dose IV form) are no exception to this rule. Hence the fact that the first few days of IVs are often likened to the feeling of, oh, say getting hit by a truck, or faceplanting into cement, or any number of other fun experiences that involve collision contact with really, really hard surfaces. In other words, IVs may be really helpful, but they're also really annoying.

I know what you're thinking: does she think I don't already know this stuff, or is she just going for the Pulitzer Prize for Best Writer of a really, really obvious CF Blog with a Not-So-Clever Pun in the Title?

The answer to that is neither (though if you know anyone offering out the latter prize, I'll be happy to accept!). See, turns out that while all IVs are annoying, they can sometimes be, well, a little more than that. And lately that's been the case more often than not for me, because unfortunately at my stage of CF and with my particular and individual presentation of this disease, I need to be on IVs pretty much more often than not. This is the arrangement that my pseudomonas/achrombacter has basically forced us into, and it seems to be working out except for one very minor detail:

The rest of my body.

Yeah, you know, the non-lung parts (also known as "all that other stuff" by us dedicated lungo-centrics). Apparently they have feelings too -- who knew? And those feelings are hurt by things like low potassium, vomiting, tachycardia, inflammation, and, well, you get the picture. When I say "hurt," by the way, I mean it literally. As I'm quickly learning, there is such a thing as serious pain associated with having severe-stage CF -- when people say that it's not BS, and they're not just whining.

It really hasn't been the greatest of weeks.

Obviously, I'm in pretty constant contact with my amazing doctor, and we're treating things as they come up. We've also switched my antibiotics around now because it seems pretty clear that at least some of the problems were stemming from a reaction to one of the drugs I was using -- it's not an allergy in the strict sense, and I think is probably just due to overuse. Like I mentioned, "all that other stuff" in my body is kind of acting on overdrive right now, because it's having to deal with the systemic effects of both chronic infection AND chronic aggressive treatment. Poor sucker doesn't stand a chance.

So it's day two of a new plan that now involves three IV antibiotics (but minus one particularly tough one for me) and some hardcore supplemental potassium. I already feel tons better, just after a full day, and I think things are definitely looking up. Which means that hopefully sometime in the near future I can get back to writing you all the more funny/entertaining/insightful posts that you want.

In the meantime, though, maybe we should all just try and get what we need.

Sunday, January 24, 2010

Personal Health Update

Well, back on IVs starting tomorrow. I'm not feeling absolutely terrible, just coughy and tired and run-down. In other words, bad enough to want to feel better, and to know that I can't get there by myself. So I'm calling in some help, and hopefully sometime soon I can get back to feeling like this:


Yeah, yeah, I know. NO ONE looks at that photo and thinks "aww, doesn't that person look adorable!" It's okay, I'm used to playing second fiddle to this little guy.

Anyway, just wanted to give the brief health update in case I'm not around as much in the coming weeks. Assuming the antibiotics don't entirely kill what little creativity and/or brain power I have left I'll definitely try and make at least a few posts. In the meantime I'm going to focus on getting healthy and staying as in shape as possible until those new lungs of mine decide to join the party.

And I'm going to go take a really long, hot, needle-free shower.

On a more personal note, I have some amazing cousins who live in MN (um, sorry about the Vikings, Glo. If it's any consolation, I guess both our home teams lost today.). Last year Glo and her son Isaac climbed stairs to help find a cure for CF, and this year the whole family is getting in on the act. So much love and thanks in advance to Glo, Steve, Isaac, Sam, Lola, and Caleb. I'm sure I don't have to tell a blog full of CF readers how impressive it is that my family is willing to climb stairs to help make CF stand for "Cure Found." I mean seriously, talk about dedication! It makes me feel unbelievably loved and supported to know that even when this disease can feel so overwhelming, there are just amazing people out there standing with us in this fight. To the Beatty-Ruff family, and to anyone who has ever donated or walked or climbed or skiied for CF -- you are my personal heroes. (Even more so if you're also an organ donor!!)

Much love and goodnight, beautiful people.

Thursday, January 21, 2010

A Little Bit of Perspective

If you've been following this blog at all lately, you've probably caught on by now that I am slightly obsessed with gyrotonics. Okay, maybe make that "not-so-slightly", because let's face it, I find that if you're going to obsess, you might as well take it all the way. And all the way for me lately has meant 3 sessions a week, for an hour each time, with a private trainer. I love the excuse this gives me to get out of the house even when I don't feel awesome. I love the cozy feel of the studio -- all warm and lovely and filled with people moving and flexing and playing on the towers or the jumping board or the mats on the floor. I love the movements, and the empowerment, and the fact that I can actually feel myself getting stronger and more flexible from week to week. I love all of it.

Except, of course, for the stretching.

Let me explain: each gyrotonics session begins and ends with some stretches and movements designed to open up your body and warm your muscles. Sounds pretty standard, right? Yeah, I thought so too, until I experienced it for myself. I swear sometimes it feels as though the world's gyrotonics instructors huddled together in some dark room one night and hatched a plot to torture unsuspecting fools like me through the use of roller balls and resistance bands. And sure, I know somewhere deep down in my heart of hearts that this is (*gasp*) good for my body, but in the moment it tends to feel more like one of those "enhanced interrogation techniques" we've all read about in the news. Seriously, I'd sing like a canary if it meant that I never again had to endure the pain involved in "rolling out" my thighs.

I distinctly remember one session early on in my gyro career when I was literally gasping in pain by the final stretching period. My instructor was carefully guiding my movements, ensuring that I wouldn't overextend and hurt myself, but also pushing me to break through that wall of comfort, basically forcing me to ask my muscles to go a little further, and open just a little more than what felt easy. And the result was pain. Pure, unadulterated, evil pain. So I lay there, on my back with one leg extended skyward, my muscles shaking with effort and my body clenched against the suffering, when my instructor looked down at me and smiled. I thought for sure she was going to release me and let me go slink off into a corner to lick my wounds, because she could obviously see that I was in distress, but she didn't. Instead she just looked at me calmly for a second and said simply "you need to go there," as she guided my leg into an even more excruciating stretch. Just five little words to tell me how much my body needed this, and I believed her. Kind of.

So needless to say my general attitude since then has been to go to gyro, get through the first part, really enjoy the main bulk of the hour, and then endure the painful stretching and opening at the end with resolute and resigned silence. That's what "you need to go there" meant for me, after all: do and get through it, and who cares if you enjoy the process, right?

Well, maybe. The other day, as I was slipping out of my shoes and coat, I took a second to wonder why I was dreading this stretching part so much. And immediately the words "you need to go there" popped back into my mind, because, to be honest, they never really left it in the first place. So there I was, coat half off and contemplating what it means for the body to really "need" something, and then, all of the sudden and without really meaning to, I made a personal decision that the stretching for that day simply would not hurt. My decision was based on the logic that if my body needed to stretch, then doing so was not harmful; in fact, quite the opposite. Pain is the body's way of telling you when you are doing something wrong, like sticking your hand into a fire, for example. Holding your hand in a flame is supposed to be hard -- your body makes it hard on purpose -- because it isn't a particularly good thing to do. Stretching, on the other hand, is good for you. Exercise is good for you. There may be sensations that accompany these actions, but those sensations aren't really pain: they are the feelings of muscle growing, or opening out to greater flexibility, or connecting with other muscles to form a stronger, more balanced movement. I wasn't sure changing the label would change the experience, but I was bound and determined to try.

So are you ready for a miracle?

Well, don't be. I've had three sessions since that day and the stretching still isn't easy or comfortable, necessarily. But it honestly isn't painful somehow. On the first day I tried out my new perspective, I noticed that I was breathing into the stretches more deeply, accepting on some level that these were good and that I really did "need to go there." I don't dread these parts of the session anymore either, in fact I find that I kind of like them in a weird way because I see them as a vital part of the workout -- not just something to get through and get over with. It's not so much that anything about the stretches themselves has changed; it's just that I'm opening my mind now instead of just my muscles and joints. And that seems to be making a difference on some level.

I ended my session today with the same stretches I used to hate, and found that I barely broke stride or focus going into the movements that just a week or so ago had me gritting my teeth and clenching my fists. I concentrated on my breathing, exhaling into the motions, and just let it be . . . well, not easy, but maybe "right" is the word I'm looking for. I let it be right -- for me, for my body, and for the moment.

So I lay there tonight, my leg extended above and my muscles still shaking with effort, and my gyrotonics instructor looked down at my relaxed fists and easy breathing. She smiled, and I thought for sure she was going to let me go this time, and then she simply said "yes, right."

And pushed me just a little bit further.

Tuesday, January 19, 2010

Stream of Consciousness Post #1

it's 2:30 in the morning and still no call tonight. or this morning. i've managed to convince myself that the call will come at 2 am, probably because someone i know had a dry run around that time in the morning. but i had two dry runs and they both came in the afternoon. does that mean i count other people's experiences as more real than my own? and what is real anyway, when you're waiting, suspended, not moving, in line? take a number and have a seat, oxygen machine is to your left and bathrooms are down the hall -- transplant is the ultimate waiting room.

i'm not even sure what i'm waiting for honestly. lungs, of course, but what does that mean? what will they feel like inside my body? will i miss my old lungs? feel like a part of me is lost? will the new lungs miss their old body as well? will they be homesick inside the foreign country of my chest, suspended from my airways, breathing in my oxygen, surrounded by cells that would kill them if they weren't so high on immuno-suppressants? it doesn't exactly sound like my idea of a fun vacation, much less a permanent move. but they'll like their new home, like me, surely -- they have to. come on, everybody likes me, right? just remember to trust and to be grateful. second chance at life. second chance at breathing. first chance with healthy lungs. last chance . . . ?

so many "lasts" in my life right now. last time my old lungs will ever leave the united states. last time i was home in colorado, among the mountains with the lungs that were born there. last day at work. last time i'm gonna cry about any of this, i promise. last time i'm gonna ask how long this waiting can possibly last. probably not the last time i'm gonna have to remind myself that i'm trying.

trying to live for today and plan for tomorrow. trying to ignore the hurt and worry in everyone's voices, the whispered conversations on the phone. trying to pretend like i understand everything, that i get what's happening to me and why. trying to just live and laugh and love and be with my puppy and keep up with my friends and not ruin my relationships because sometimes i just don't have the energy to respond to all those emails or the phone calls or even the voicemails and i'm sorry, i'm sorry, i'm so very, very sorry. trying to be upbeat and optimistic and trying not to let anything get me down, then trying to be kind to myself and really feel my emotions, even the negative ones. trying to breathe. trying to breathe. trying to just. fucking. breathe. already.

i just want the phone to ring. or not. maybe not. not yet, not tonight. but i do, i know i do. i'm ready for this, i need this. i'm just scared. everyone gets scared, they told me that. it's normal. i'm normal. except for the ways that i'm not, of course, which are really the most important things right now. transplant isn't normal. being 28 and being on the lung transplant list is not normal. but it's normal for us, normal in our world. i fit right in among the abnormal people, anyway.

it's nice to have a place.

2:53 now. 53 minutes from when i should have gotten the call and time to say goodnight.
goodnight CF, goodnight blog.
goodnight new york and goodnight dog.
goodnight treatments and O2.
goodnight, goodnight to all of you.

Friday, January 15, 2010

Couch Confessions

Picture, if you will dear readers, a quiet evening at home in a cozy, downtown New York apartment. A cup of tea, maybe, and the faint scent of a home-cooked dinner still lingering in the air. Imagine a young woman, sleepily lounging on the sofa, a book open in her lap and a contented shorkie puppy nuzzled close to her curled up legs, as nearby her mother sits working the New York Times crossword. Enchanted by this comfortable scene and the knowledge that his favorite people are close at hand (er, make that paw), the shorkie lifts his muppet-like head and gives the puppy equivalent of a smile. He resettles himself, laying his head carefully across the young woman's feet, and gives a deep, long, and rather loud sigh . . .

. . . at which point he is promptly kicked off the couch.

Okay, look, I know what you're thinking. This is bad. I mean seriously, what kind of dog owner kicks her sweet, adorable, loving puppy off of the couch for something as innocent as a sigh? Surely there aren't actually people out there cruel enough to pull a stunt like that, and if there are then such people are most likely out lurking in dark alleys and searching for small kittens to torture, not sitting at home drinking chamomile tea and reading David Sedaris. (Actually, on second thought, such people probably do read David Sedaris, most likely in unhealthily large quantities. But I'm sure they do it in far less idyllic settings.) In short, I'm sure most of you find the idea of interrupting a dog's sleep and forcing him from his comfy nest because of a simple sigh to be a pretty disgusting turn of events, as well you should. And I assure you, it was.

But in my defense, I happen to have a very low couch. And I didn't really so much kick him off as I did nudge him to the edge with my foot, at which point, sensing he was no longer welcome, Sampson jumped off of his own volition. He certainly wasn't hurt, and he frankly didn't seem all that sad. In fact, he seemed angry, and for good reason. He favored me with rather scornful look (punctuated by a derisive snort most often reserved for the rare occasions when he finds his water bowl empty or is denied a treat before bedtime -- universal shorkie code for "you should be ashamed of yourself"), and promptly stalked off to greener pastures (i.e., the warm spot near my window heaters). I, on the other hand, was left on the couch, fully aware of the ridiculousness of my actions and forced, at last, to face what has become an undeniable, if slightly disturbing, truth:

I have lung envy.

Okay, if I'm honest, I'd have to admit that this isn't really a new development. For years I have watched with awe as my friends performed simple, everyday actions like laughing, climbing stairs, yawning, and yes, sighing with what seemed to me to be an almost ridiculous lack of effort. "Is laughing even fun when you get to do it without thinking?" I wondered, marveling at the force of their eruptions and waiting in vain for the coughing fit I felt sure they would eventually experience. "Where's the sense of triumph?" I asked again, as a friend blew out all 26 flaming candles on her cake without so much as a hint of exertion. "Surely these people are missing the true meaning of climbing this hill," I consoled myself through gritted teeth as the rest of the group tromped ahead to the concert venue, assuring me that they would save seats as they gallantly pulled the heavy picnic basket out of my grasp as though it were nothing. And so I continued up the steep incline, slowly making my way toward my friends' fading voices, periodically stopping to appreciate the beautiful Colorado mountains in the distance and the lovely wild flowers -- before I was forced to spit among their blooms. True meaning, indeed.

It's only been recently, though, that I've actually found myself jealous of other people's lungs. The other day, for example, I caught myself staring at a young child who was throwing a tantrum. Not just looking over with a shake of my head and a sympathetic glance at the exhausted mother, mind you, but full-on, open-mouthed staring for a good minute or so. This was not because I disapproved of the child's behavior; it was the sheer intensity of his screams and wails that caught my attention. Because seriously, how does a boy of five, who probably weighs 50 pounds soaking wet, manage to sustain a perfect exhalation for well over 30 seconds? And so I stood, eyes wide in sheer admiration for this behaviorally challenged but perfectly healthy little boy, until the faint hiss of my O2 tank brought me back to reality.

Please don't get me wrong. I'm obviously not saying that I want everyone else to have lung disease, too. I would, of course, prefer that nobody have lung disease, even if it means the world will have to put up with a few more wailing toddlers (or, worse yet, wailing adults, because I have to admit that I've been to a few karaoke bars where, after an hour or two, the idea of widespread lung damage doesn't seem like such a horrible thing). And most of the time I'm able to keep my envy in check, at least to the point where I can appreciate the long sighs and giggles of others and hope that one day soon I can join in the chorus. Without coughing, of course.

In the meantime, though, I guess I owe my puppy (and his beautiful, healthy lungs) an apology. Don't worry -- I made it up to him with an extra long belly rub, during which he decided to press his luck and let out several sighs and snorts of varying intensity. He even punctuated his performance by sneezing on my hand, which I guess he thought was a fitting revenge for earlier events. But I took it all with good humor, and held tight to an image of Sammy and I together again on the couch, sighing in perfect unison as we contemplate the beauty of a perfect New York evening with perfect lungs.

Thursday, January 14, 2010

CF and Transplant Update

So I saw my CF doctor today, and my transplant doctor, who thankfully practices in the same building just a few floors up. It was 12:10 when I walked in the building, and 3:00 when I walked out. Not too shabby, considering I did PFTs, vitals, and saw 2 doctors, my CF nurse, and a transplant coordinator in that period. Like a fool I went in without having eaten much though, so by the end of it I was basically ready to rob a McDonalds for some of their salt packets. Needless to say that didn't happen, and we went out for Mexican food* instead.

*There are restaurants in New York City that sell food they claim is "Mexican." In rare cases, they're right, and the food is authentically what one might find in Mexico. These restaurants tend to be small, dirty, and really, really good -- they are also most often found above 100th St. The vast majority of "Mexican" restaurants in this city, however, are some bizarre form of New York cuisine meets sub-par Tex-Mex, but I use that latter term loosely. These restaurants tend to be larger and overpriced, and run the gamut from really fancy to really ridiculous. No one from Colorado, or Texas, or any state West of the Mississippi, would consider these places "Mexican" restaurants, and it's taken me close to 6 years to stop being personally offended by their claims. I mean really, people, I know what a good taco tastes like, and it definitely doesn't involve ground up bagel and hot dog meat in a corn shell, or whatever it is these places are serving. And to any NY readers, I'm very sorry to be the one to tell you this, but you've been totally duped.

Okay, so anyway, before the "Mexican" food, I had the appointments, both of which were generally positive. I saw my CF doctor and blew PFTs without any big surprises, aside from the fact that she asked about this blog, which kind of threw me for a loop. I'm still coughing so we'll see what comes next on the IV front, but everyone's pretty much in agreement that I need a break for a little while. There is some talk of a "2 weeks on, 2 weeks off" sort of regimen from here on out, so I think we're going to play it by ear and just do what we have to do.

She called my port beautiful, and I have to say I'm becoming pretty attached to the little thing myself. It's different from the arm port, which I treated for all intents and purposes like a PICC when it came to showering when accessed, etc, but I'm getting used to it. And it's a whole lot easier than those ridiculous peripherals, no question. I frankly think my veins were plotting a complete mutiny in the not-so-distant future if I didn't shape up and start paying attention to their needs, so I'm definitely not complaining about the new port. I was running out of creative names for all my port/PICC/peripheral drama anyway.

On a very random sidenote, I asked my CF doctor if I would be able to see my lungs (a la the lucky folks at Stanford) because, believe it or not, the topic actually came up. She wasn't sure, but she said at the very least that she would take a picture of them for me. I don't know why this excites me so much, but I have to admit that it does. I guess it's just that they've been in my body for 28 years, and I've kind of put them through hell in all honesty (then again, fair's fair -- they weren't always so nice to me either), so I'd at least like to say goodbye somehow. Even if it's just a picture . . . I feel like I just owe it to myself to see what they (and I) went through with this disease.

Then came the transplant appointment, which was anti-climactic unless you count seeing a slide-by-slide CT scan of your lungs as a good time. I did learn some interesting facts about my upper-left lobe and why I might have such constant, recurring infections, though. I actually feel better when I hear all that sort of information, believe it or not, because 1) it just generally makes me feel more comfortable with the steps I have to take to correct the problem, and 2) it keeps me from beating up on myself for being unable to stay healthy. It's weird -- when I hear about other CFers who are struggling with infections, I never think "oh, they must be doing something wrong," but when it's my lungs I tend to be a little harsher. I guess my mind is trained to find out the cause behind results and to look for logical answers, so when I can't find them I just automatically assume I must be doing something "wrong" (or at least not doing enough things right, if that makes any sense). But apparently I'm not, at least in this case, and there actually are pretty good answers for why things aren't getting any better. So I guess maybe I can cross "solve CF infection mystery" off my to-do list now? Crazy.

I asked my tx doctor about inhaled antibiotics after transplant, because I've been wondering if maybe I'll be able to use colistin once I get new lungs if I get an infection. Nope. Turns out you still have enough of your own airways that things like bronchospasms are still a problem if you had them before, so colistin will still be a no go. The highlight of this conversation? He asked me whether I'd ever tried colistin long-term, and I said that yes, I used to just "suck it up and deal," which then made me laugh and I said something like "no pun intended." He looked at me like he thought I was crazy (or maybe just like he couldn't believe that I could really make that bad of a joke without dying of embarrassment) and we moved on -- really quickly. Good times.

The rest of the visit was so routine that it hardly seems worth recounting to a bunch of CF friends/family/patients with lots of medical experience -- think bloodwork, vitals, long talks about possible IV drug reactions, and waiting rooms with Judge Judy in the background. I'm not entirely sure why Judge Judy seems to be the daytime TV show of choice at my particular hospital, but I guess it could be worse (like, for example, Judge Joe Brown). There is actually one area of the hospital that has two separate waiting areas -- one for in-patients needing transport and one for out-patients and, I guess, guests -- and it tends to play Fox News in one area and CNN in the other. This is the only place in the hospital where I'm ever grateful to be in-patient, and I'll just leave it at that.

So everything went well, and I'm back home with the monster (who is currently chewing on a bone while lying on top of my boots, which would be fine aside from the mini heart attacks I keep having when I glance up and think for a second that he might actually be chewing on the boots -- clearly I either need to train my dog better or start putting away my shoes), and enjoying some downtime before the start of a busy weekend. Luckily I get to kick off tomorrow with a session of gyrotonics (aka my favorite exercise ever), and my mom and I actually just discovered that the large space next to the Whole Foods in my building is opening this weekend as a spinning studio.

Okay, is it just me or does pedaling really hard without really getting anywhere (but with unseen benefits for your body) seem like a really ironic form of exercise for someone on the transplant waiting list?

So of course I plan to try it.

Stay healthy, everyone!