Hi All! And many thanks for all your wonderful and warm comments. We had one successful surgery to fix the valve on my liver to my pancreas and the itching has improved a lot and I'm eating a little more and sleeping a lot better. The bad news is the reason the valve collapsed is a cancerous tumor on my pancreas. Right now they have staged it at a 1 with no other involvement though they warn us that they can't know until they are really in there--not just with a scope. So we are looking into Sloan Kettering in NYC for what is called the Whipple procedure but nothing has been scheduled yet. My Adam is looking into flights from Hawaii but we do not have a date yet. I'm taking my boys with me to the city when we go and I think there is a network of people in Manhattan who put people up connected with the Cancer Society. So on to the next adventure of life here in the North Country!!