One of the lessons God's been teaching me through this process is to keep my priorities straight:  to cherish my family and friends, to enjoy each moment and live in the moment, and to take care of myself.  It is easy for me to get caught up in the business of work and day to day routines.  As I head back to work today, I know that I need to avoid falling into that trap.

Fatigue has been the predominant side effect I've noticed most.  There are some funny things like "prickly" hair stubble on my head and inconsistent bowel movements, but fatigue is the hardest for me to deal with.  I don't rest well.  I stopped by the Oncology department to ask if they thought I should do a blood check - they told me it wasn't necessary, fatigue is a part of the game.  I am still taking my supplements and going to acupuncture.

I had an appointment with the naturopathic doctor today who thinks I am doing well - no joint pain, no mouth sores, no neuropathy - lots of things to celebrate (and I'm not being sarcastic).  After reviewing the supplement list, he asked me if I minded adding one more pill and I paused before answering.  He picked up on my lack of enthusiasm, but explained the benefits of taking alpha lipoic acid and I was on board.  I left with a updated list of supplements as my chemo regiment will be changing after the fourth treatment on Wednesday. 

I have thoroughly enjoyed my summer with family and friends - what a blessing each and every one of you are to me.  We just finished another trip to Homer with James' brother and even though there were some rough seas, we were finally able to get out and fish, enjoy the scenery and have fun.