Thursday, October 30, 2008
Keep It On The Down Low
Dad has been feeling better since our Sunday Doomsday. He's still been sick, however, and has struggled to eat and have the energy to move around a lot. We've been experimenting with different anti-nausea medications and doses, and haven't found the best combination yet - I guess it's just something that we'll have to work at. Because dad's still trying to get his strength back and for other reasons, we're not receiving visitors until Saturday.
As a side note, this evening the Loser boys made a blanket fort downstairs. It was hard trying to make it work, so dad generously gave permission to put eyehole screws in the walls. We Loser children have waited 25 years to be able to make a real blanket fort that’s screwed into the wall. It’s amazing what dad’s willing to concede these days. :)
The Loser family was able to watch home videos in our blanket fort and reminisce about the “good old” days. They were, in fact, mostly “bad hair” days.
Just a brief shout out to all those who have helped us with various house projects these last few days. We love and appreciate you more than you could know. Your willingness to serve is a gift to our family.
Thank you all,
The Losers
Monday, October 27, 2008
"Doomsday"
Sorry about the late post - we had a "doomsday" yesterday. Don't worry, it wasn't as bad as it sounds.
Saturday night, dad was started on some anti-nausea medication that is highly sedating. He wasn't able to put more than 5 words together, and got to the point where he fell asleep with the cup halfway to his open mouth.
Dad also looks pretty gaunt right now - he hasn't even had a kiddie-sized meal in the last 3 weeks (from the blockages and surgeries. Oh, and cancer). As a result, he's lost even more weight, and we tease him that he looks like (according to the family member): Skeletor from He-Man, Mum-Ra from Thundercats, or King Haggard from the Last Unicorn. If you don't understand any of these references, you're woefully under-media-cized.
Yesterday was a little scary, because dad looked scary (just in time for halloween) and was acting heavily sedated. We sat down, had a family pow-wow, and decided not to go with the sedating medication anymore. 24 hours after taking the last dose, Dad is alert and makes sense when he talks. Basically, he wasn't awake the last 32 hours, so don't be offended if you visited and he doesn't remember. ;)
If you'de like to visit, you are welcome to call and see if he's awake (still sleeping off the rest of the sedation medication). Again, we ask that you limit your visits to 20 minutes.
Thank you for your love. This morning we were again reminded of the tender mercies of the Lord, and every member of our family can say without hesitation that we know His hands are lifting us up and providing us with the strength and faith to continue.
We love you all,
The Losers
Sunday, October 26, 2008
The Wonderful World of Narcotics
In fact, we had some visitors last night that got to witness dad's initial high dosage of pain and other meds - he was falling asleep in the middle of sentences, making some really funny faces, and he told some pretty interesting stories about, well, things that you wouldn't talk about in front of children. You'll have to ask Sherri Scoresby what he said. :)
Dad feels good about having some visitors today. Due to his level of pain medication and the fact that he can't stay awake longer than 15 minutes, we ask that if you'd like to come, you limit your visit to 20-30 minutes. The Loser Hospital visiting hours will be 2-6 pm today, Sunday Oct 26th.
If you have any questions, please let us know anytime! Again, we are so grateful for our little cult following of love and support.
Our love,
The Losers
Saturday, October 25, 2008
It's Already Saturday
After another rough night for dad, we decided to take him to the hosptial this morning at 7am. He wasn't able to keep any food or liquid down and was in a lot of pain. The hospital put in an I.V. line, rehydrated him, and gave him enough anti-nausea and pain meds ("the good stuff") to put a smile on his face (for a little while at least).
Even though Nichole likes to pretend she's a nurse, we decided to get some professional help to keep dad in better shape. We contacted and set up a hospice program for dad to come and administer "the good stuff" today (and for a while), which will keep dad at home and hopefully feeling better. Dad wanted to thank everyone for their support. He's a little out of it from some of the pain meds and probably wouldn't make good company this evening.
When he got home from the hospital, even though he could barely keep his eyes open, he insisted on "attempting" to watch the BYU game. All I have to say is, They Better Win.
Love,
The Losers
Friday, October 24, 2008
Family & Friend Fast
The ward has organized a fast for Dad, Mom, and the rest of the family for this upcoming Sunday. We wanted to invite any and all of you to join with us in fasting if you feel so inclined. We believe in the power of united fasting and prayer.
If you are interested, Bishop Mower has asked that the ward fast begins around noon on Saturday (if possible) and ends during their Sunday meeting together. You are welcome to join during that time frame or at any other time.
Thank you for your faith in our behalf.
As of Friday Afternoon...
Things have calmed down as the day has passed. Dad's hasn't been "sick" since early this morning, but we've had to closely monitor his nausea on a scale of 0-10, where '0' is The Complete And Total Absence Of Pukeness, and '10' is Oops, I've Never Seen Anyone Projectile Vomit Before.
(In spite of the situation, it is pretty cool to see)
Dad is feeling weak and has been trying to sleep a lot. As a result, again, sorry no visitors tonight.
We're hoping that tomorrow afternoon will be better - we'll let you know in the morning, if you check the blog and want to come.
Thank you for your love and understanding,
The Losers
Happy B Day Alex!
Yesterday was Alex's 16th birthday. We had a little party for him at home, and guess who was there to celebrate (or sit in a chair and feel sick)? Dad was, that's who.
After making good progress at the hospital, the doctor said dad could come home last night. Just as mom was filling out the discharge paperwork, dad got "sick" and we thought for a while he was staying the night again. His doctor, however, let him come home still, but it's been a rough evening and night. For right now, we're not sure what's going to happen in the next day, but at least until early afternoon today, Friday, we ask that no one come to visit.
We apologize - we know you love him and want to share him too, but now is not the best time. We will post again this afternoon how things stand at the Loser home.
Thank you again for your love and support,
The Losers
Thursday, October 23, 2008
Happy Picture of the Week
More Hospital Stuff (Post from Wed Oct 22nd)
After a hard post surgery day (Tuesday), Wednesday was much better. Dad walked a lot and ate more than usual. Unfortunately, his bag leaked five times. Normally it’s one ileostomy bag to 5 days, so we are a little backwards. This is due to his belly swelling from surgery and the close proximity of the bag to dad's midline incision.
Dad got to move to a liquid diet on Wednesday - yippie! (Progress to custard, cream of wheat, cream of mushroom soup, and chocolate pudding). Thursday he is moving to soft foods. If that goes well, dad might make it home just in time for Alex’s birthday party!
Again, thank you for all your concern and support. We’ve been unafraid, as of late, to tell those we love “I love you.” We’ve realized how important it is to share our feelings with those we care about. Don’t be afraid to say it to those you care about, too.
We love you all,
The Losers
Tuesday, October 21, 2008
Day of Rest
The ileostomy nurse, a kind woman named Joanna, came in today and re-taught Adam and Nichole how to change dad's ileostomy bag. His stoma was leaky, so it took almost 1.5 hours to change his bag, and it STILL leaked when he stood up! Oh well, it's not an exact science.
Dad said he is feeling up to visitors tomorrow. Remember, no pressure! We know it's a drive, and dad will be home by this weekend, so you can save your gas money to buy him a treat when you come visit him later! If you are in the area Wednesday and would like to stop by for a short visit, again no pressure, you can come between 2-8 pm. He's at St Marks Hospital (3900 s 1200 e) on the 4th floor West, Room #24.
Again, we are continually amazed by the love and support we get from everyone. Thank you for your generous words and prayers. We can honestly say that every member of our family, including Elder Loser in Mexico City, have felt the comfort of your prayers. It makes this difficult time more peaceful and calm. There are literally people all across the North American continent who love Rick, even if they know him only through his children.
We love and appreciate all of you,
The Losers
(Like we tell the new nurses, it's like "Closer" without the "C")
Monday, October 20, 2008
Surgery Over
Everything went as he had hoped - he actually found two places right above dad's "pouch" that were squished because of the cancer. So no wonder dad was in pain, he had two blockage sites!
We were also very lucky, because instead of losing potentially 5-10 feet of small intestine, they only bypassed 2 feet.
They were able to cut above the cancer-ridden intestine and make an ileostomy - they took his small intestine and pulled it outside of his belly (forming what they call a Stoma). That means he now gets rid of his bodily waste through the Stoma and won't have to go to the bathroom 30 times a day. Hooray!
Dad is very swollen and in some normal post-surgery pain. We want to get him rested, because the more rest he gets, the faster he can come home (he dislikes the hospital - wonder why?)
As a result, we are again limiting visitors - sorry, no Tuesday visitations and most likely no visitors on Wednesday, either. Thursday, maybe ;) Please call Nichole (472-2493) for more info.
Again, we love you all and are so so so grateful for your love and support!
The Losers
Sunday, October 19, 2008
Sunday, October 19th
This is probably going to be more invasive than his previous surgeries, which means the first two (or so) days after, he won't be up to visitors, though he can have visitors up until about 4:00pm Monday. Sorry folks, definitely not Tuesday and likely not Wednesday - we're learning to be assertive :) Again, please call Nichole (472-2493) to see if he's up to visitors after Tuesday.
Just as a side note, we're hoping he will be able to come home on Thursday or Friday - they are allowing this to happen because at this point, the goal is not to get him "recovered and healed," it is to get him "recovered and home."
We welcome calls, and we always welcome comments (we read them to Rick) on this blog. See the pencil and orange "0 comments" link?
1) Click on it
2) Leave your comment
3) Choose an "identity" - name/url - list your name
4) Hit Publish Your Comment
We want to thank everyone for their outpouring of love, prayers, and support in our behalf. This is a difficult time for all of us, and it is comforting to know that we are being sustained by our faith in the Lord and the faith and prayers of all our loved ones.
We love you! Please hold your loved ones a little longer each day,
The Losers
Unified
We are now unified, as a family, in our knowledge of our dad's terminal cancer.
Please pray for our missionary, as he is away from us and can only feel our spiritual arms of comfort. Pray that he will be blessed with the companionship of the Holy Ghost, that he will feel of our love, and will be a better missionary for this experience.
All our love,
The Losers
Saturday, October 18, 2008
10/18 email.
Most of you are now aware of the circumstances surrounding our family at this hour. I will give a brief recap and update.
Dad was admitted to surgery at 5. During the surgery, the urologist was able to successfully place stints in both of Dad's damaged ureters. He came and reported that the stints were in and looked well, but would need replacement every 6 months or so. Around 7, the general surgeon came in and reported that Dad had a "porcelain" gall bladder (swollen and hard). It was quickly diagnosed as cancerous. Upon further probing, it was discovered that the cancer had spread to the stomach wall, back of both kidneys, liver, and the ligaments holding these areas of the bowels together. Given that the cancer had metastasized or spread to adjacent organs, it was rated as a stage 4 (end stage).
Gall Bladder cancer is very rare and one of the high risk factors is ulcerative colitis, which Dad has had for 18 years. At stage 4, treatment is aimed at improving the quality of life, not the quantity. There are no cures. Statistical life expectancy is 2-4 months. Gall Bladder Cancer develops very quickly and is generally aggressive; early diagnosis is difficult, especially since all the symptoms are parallel to the complications with Dad's digestive system. 70% of initial diagnoses are already at a stage 4.
We are shocked, blindsided, and emotions run close to the surface. As well, we are reflective, hopeful, and peaceful with what the Lord has in store for us. It will require the very best of our family to see this through and we will draw upon the strength provided by faith in our Lord.
Dad will undergo surgery again on Tuesday afternoon to have an iliostomy where he will have a bag on his stomach to collect the waste. This will improve the quality of life and lessen the pain he is in. We have provided a blog wherein we will update you and post additional information rather than continue with the emails. http://richardloser.blogspot.com/ is the address. He will most likely be discharged latter in the week to go home. We look forward to being at home together.
Many have asked what they can do. We welcome your prayers and fasting in our behalf. Perhaps you could hold your loved ones a little longer tonight in gratitude.
Before visiting the hospital, we request you call Nichole at 801-472-2493 to make sure we can accommodate you.
We will update the blog frequently.
Thank you for all you do.
Adam
10/17 email
After being discharged from the hospital last week, Dad was in great spirits and glad to be eating normally again. He did fairly well this week. The doctors administered some autoimmune medication upon leaving and advised him it would be a couple weeks until the system reutrned to normal.
Wednesday afternoon, Dad had acute abdominal pains again. Rachel and I went out to visit him that evening and he had a good time playing with Isaac, but he was clearly in pain. He stopped eating solids, but kept drinking clear liquids. When I went to pick Benjamin up for work on Thursday morning, Dad was in the shower and Mom informed me they were heading back to the hospital as the pain was back in full swing and unbearable. They went to St. Marks, and Dad was admitted. With some pain meds, some xrays and an additional CT Scan, the blockage was back in place.
This evening, Dad will be admitted to laproscpic surgery between 4 and 6. The surgeon will remove the strictured area attempt to make provisions so this doesn't continue to happen. He will also look at a kinked ureter and some pancreatic issues. We again solicit your prayers and faith.
Will keep you all posted. Love, Adam
10/9 and 10/7 Emails
Thank you so much for your prayers and faith, your kind words of comfort, and visits to the hospital. We are truly blessed to be surrounded and supported by such wonderful people.
Dad's condition has greatly improved. The NG tube was in place for 38 hours and removed over 1000 ml of liquid from Dad's digestive system. He has been off pain medication since 2 AM Wednesday. He has been able to have several BM's and the most recent X-Rays are favorable though some distention of the kidney and bladder are still apparent. Yesterday the NG tube was clamped off for 6 hours to see if the blockage was clear and Dad could tolerate it. He was and so they removed the tube. (The nurse asked me if I wanted to do it, but politely declined.)
He spent the night and now this morning at 8:33 I just received a text message from him saying, "I just had my first swallow of water in about 60 hours. How sweet it is! Now juice jello & broth. I really am excited! I might get to go home tomorrow!" The doctors will most likely start soft foods tonight and if everything checks out, he will be discharged tomorrow. From here, we still have to address the pouchitis infection and the doctor wants to perform the intestinal scope as an outpatient procedure to give his system time to recover.
We can't thank you enough for your faith and prayers. The Lord continues to watch over us. All our love,
The Loser Family.
10/7 initial email
All, I have been asked to update you concerning recent events in our family and enlist your faith and prayers in behalf of my Father as we endure and learn from this complex trial. Yesterday Dad complained of acute abdominal pains for most of the day. This is not uncommon, however they did not go away and in fact increased in frequency and level of pain. This was quite disturbing to all the family at home. It was concerning that he hadn't had a bowel movement (BM) since 2 in the morning; he generally has 15-30 in a 24 hour period. Mom tried to convince Dad to go to the ER in the early afternoon which he refused and took some pain medication. Mom was in West Valley painting at Grandma's house. Dad called Mom around 6 telling her that he felt he needed to go to the ER. She called me and I drove out to the house as she drove home from West Valley. A good neighbor and I administered a blessing to Dad and we headed to the ER.
The doctors gave him some pain medication. And then performed a CT scan which indicated he had an intestinal blockage near some adhesion which is was caused from scar tissue from his iliostemy surgery. They inserted a tube through his nasal cavity to try and decompress the bowel and clear up the blockage. This would require monitoring and take some time. The surgeon at AF decided it was not within her expertise if the bowel didn't decompress and required surgery. They contacted Dr. Griffin who performed the original surgery in 4/06 and he consented to be the overseeing physician. They decided to transport him by ambulance to St. Marks in SLC which is where they are now and being monitored.
They have been able to remove a lot of food material through the tube and now believe it only to be a partial blockage. They will continue to remove material and once they feel it is clear, they will scope the area to check for narrowing and potential future restrictions and also look at the pouchitis which is the infection he has been fighting for the last year or so which causes 30-40 BM a day rather than the 6-8 he had the year after his surgery. Again, we know you've all been participating in faith and prayers and felt it appropriate to update you on the situation. We love and appreciate our relationships with you. May the Lord bless you all in your endeavors as well. Love,
The Loser Family.
The California Trip Story
Dad wrote several pages describing our family trip to California. Here it is in all its glory and detail:
So we had a G-R-E-A-T family trip to California- Myself, Michelle, Nichole, Benj, and Alex flew to Sacramento Saturday for the extended Loser Family Reunion last Sunday.Then we met with some old family friends- John & Mary Cray. John and his older sister and younger brother came to my four-year old birthday party! We also visited my Grandpa Melvin Bohall's gravesite, and did some nature exploring earlier in the day. Tuesday Michelle & Nichole lunched with a very old friend of Michelle's- Gay Wagstaff, whom Michelle has been hanging out with since they were eight years old. The boys and I visited a couple of the places I lived as a child, and then in Coloma, CA where gold was discovered in 1848. I showed them where I was baptized in the South Fork of the American River under the Coloma Bridge! We ended the day dining with some other long-time family friends- Rick and Michelle Smith. Rick and I have been fast buds since we were 11 years old!
Wednesday Dad drove us to San Diego in their 32' motor home. Know that we had a truly great time reliving and creating fresh memories! We are so thankful to have been able to go on this trip. We are so grateful for all who made every aspect of this trip fall into place for us- especially for a kind, loving Heavenly Father who not only blesses us with what we need, but also graciously grants those wants which "gladden the heart and are pleasing to the eye." We left early and detoured to Fisherman's Wharf for Clam Chowder, San Francisco Sourdough bread, fresh Dungeness Crab, and Shrimp Cocktail. We took our lunch 23 miles south to Pacifica, CA. where my Grandma Bush (Dad Loser's mom) used to live. At the Pacifica Pier we felt the pounding surf, smelled the sea spray, and listened to the gulls while devouring the seafood smorgasbord. It doesn't get much better than that was! It was all I remembered in the way of sensory delight, and all I anticipated in my little brain!
We left Northern California amid tears and sobs and much love. We had a wonderful time at Mom and Dad Loser's in Loomis. Thanks for babying us and your care and love! We arrived in San Diego in two shifts- Adam, Rachel and Isaac flew in at about 2:00 pm. The Northern crew arrived about 10:30 pm via motorcoach, chauffeured by Grandpa George Loser. We stayed in two condos that were literally 40 feet from the Mission Bay Beach, and 150 yards from the outer or surf side of the mighty Pacific! It was gorgeous! The condo comes with boogie boards, beach chairs, kayaks, etc. Half a block away is the Catamaran Club with spa privileges. This "spa" has just plain incredible landscaping, even for San Diego. WOW, what a setting for the Losers to get lost for a few days!
Thursday we went to the San Diego Zoo first thing in the morning. Dad was excited for this time with Isaac seeing all the zoo animals up close. Isaac (and truthfully Benj & Alex, too) got excited over all the incredible animals, plants, and exhibits. As you can well imagine, many landscape designs were carefully observed and photographed with an eye toward some smaller re-creation in a window well in Alpine, UT. About 2:00pm we left the zoo and Dad us left for the lonely return trip to Loomis. He did not even have a Nuvi (GPS) for company. We returned to the condos for lunch, and Isaac and I napped while the boys boogied in the surf. They said it was cold, but very, very fun! Dad reported in at 11:30 pm that he was safely back home and heading to bed. Thanks for the huge help in getting us down to San Diego Dad. You are our hero in more ways than just keeping us safe and driving.
Friday we spent the main part of the day at Sea World. Isaac loved the Shamu show, no big surprise there. The very same Bubbles the Pilot whale (some 40 plus years old) I remembered seeing from a Sea World Stroller when I was a youngster. We commuted home a whole four-and-a-half minutes and the boys immediately changed and hit the surf again. We have video of bogeying until the sun was completely gone! Die-hards for a good time. From surf to spa and hot tubs, then dinner, two rousing rounds of video Family Feud, scriptures, family prayer, and thankfully and tiredly to a comfy bed.
You know us - so far, every aspect of this trip had neatly fallen into place for our greatest benefit and pleasure. That means we were overdue for some hiccup or another. Saturday we awoke, and after breakfast I noticed wetness from a place on my abdomen area that shouldn't have wetness. Closer inspection revealed that the wetness was coming from the midline incision. The boys visited a surf shop down the street and rented a long board and two pairs of swim fins, and I went to shower. I informed Michelle that we probably needed to call my colorectal surgeon in Utah and report this new development. Dr. Griffin said go to the ER. It could be a tumor pressing on the incision, but the more likely cause of the wetness was an abscess, which required immediate attention. We sent the boys off to the beach while Rachel and Isaac were napping.
By 11 am Michelle, Nichole and I were at Sharp Memorial Hospital ER. One CAT scan, two IV antibiotics, and five hours later the ER Doc said it was at least one abscess and I needed to be admitted. A couple hours later an Internalist said the abscess would require surgery to drain. I finally got into a room at about 7:45 pm and I hadn't had any food or water all day long. Dinner service ended at 8 pm. We called the rest of the family to come visit, and to make two stops: three Taco Bell crunchy tacos w/hot and mild sauce, and a medium Wendy's chocolate frosty and small fries. I was taking no chances with the prospect of surgery and no food again the next day! The family and food came for a brief visit, then due to the small, shared room I was left alone for the evening.
Now hospitals and sleep do not roll together for me. I had Nichole's laptop and an assignment from Cameron for several lists as his last request from Dad (lists of my favorites). How sentimental is that from a 19 year-old rugby missionary? Is he a great young man or what?
His lists are:
1. Dad’s Tips on How Missionaries Worked best with him when he was bishop
2. Dad’s Top Twenty Memorable Spiritual Moments
3. Dad’s Scouting Service Record
4. Dad’s Top 25 Favorite Songs and performers, include Christmas too
5. Dad’s Top 25 Favorite Movies/Musicals
6. Dad’s Top 10 Campfire Stories
7. Dad’s Top 25 Favorite Camping and Fishing Locations
Thus far only two of the lists had been completed. By 1:30 am I had most of the lists finished off, plus a list of Michelle's recipes that sounded particularly appetizing to me as requested by Michelle. After five or six interruptions I woke up at 6 am and completed the lists. At 9 am a general surgeon came in to inform me that they would be utilizing Interventional Radiology, or x-ray guided needles and tubes to drain the abscess. We had made each successive doctor aware of our situation of being on an end-of-life family vacation and had a flight home Monday morning at 11 am. Again the doctors and the staff were all amazingly accommodating and caring. I was served breakfast, which I of course ate on the spot, only to find out that my surgery could not take place until eight hours after my last meal. I was scheduled for 4 pm surgery. The family came in to visit after going to church, and Adam and Benj gave me another perfect powerful priesthood blessing. Then they left intending to be back to take me home after the procedure. I actually went in to Radiology at a little before 2 pm. We were out of the hospital by a little before 4pm, and drove directly to the San Diego temple to walk the grounds in the last hour of daylight. It was delightful. President Hinckley said of the San Diego temple, "If the Salt Lake temple is the king of temples, then San Diego is surely the queen." or, so it was attributed to have been said by one of the missionaries on the grounds there. We returned home to have home cooked spaghetti dinner, discuss dispensing of my stuff after I am gone, and outlining a program for my funeral. It had been another very full and fulfilling day of gratefulness and thanksgiving.
Monday began uneventful. Due to our large suitcases, we needed to make two trips to the airport. Three minutes after the first group was delivered to the curb at the airport, I noticed that my ostomy bag went from about 1/3 full to 1-1/3 full, resulting in the soiling of my entire right side and leg. I was riding in our rented wheelchair, and Alex whisked me off to a bathroom. Of course the handicapped stall was occupied! We finally got in and Alex helped to undress me in such a way as to attempt to keep any additional nearby surfaces, or any of my additional surfaces from further soiling. We left Benj protecting the security of all our bags in a corner of the ticketing area, while Michelle was digging through those suitcases for all the needed supplies and clothing change. We had some items prepared from past experience, but we had never experienced a spewing, spurting stream of sewage like this! Michelle waited until the bathroom was empty of any other men and slipped into the handicapped stall with me. Boy, I never felt so handicapped in all my life! Michelle prepared the new bag and applied it while I laid on the floor. At one point a visitor whom I saw come and go reported a person lying on the floor of the men's room needing attention, so we had a visit from security checking to make sure I was fine. I thought the visitor had been talking on his cell phone when he repeatedly said "Hello, Hello." Michelle was afraid to respond at all, and both Michelle and I had thoughts of accounts of toilet stall sex stings and other such weirdness, so we did not answer. Oh well. All is well that ends well . . .I think I have heard about every pun ever thought up about my "END"!
After another small incident surrounding my "medical" gravity chair needing to be checked at the ticket counter, we all managed to board the plane and come safely home. A quick side trip to my surgeon on the way home supplied additional confidence regarding the surgery and anticipated outcome. We arrived home at about 3 pm.
Our family had a truly awesome and amazing reunion and vacation experience. I said goodbyes to sweet, sweet women in my family, and long long-time friends. Once again we have been blessed by so many wonderful people, and in so many unlikely and unexpected ways. The only thing lacking in the trip was perhaps, just perhaps another couple of days- one in the north, and two in the south. We are more than content and happy with our outcomes and take-aways. We are loved, and it is good to be home again!