 
"Fighting Back"

### Rosann and Jim Plautz

Copyright 2013 Jim Plautz

Smashwords Edition

All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means without written permission from the author. Printed books may be shared with friends. It is illegal to copy, transmit or read books, including EBooks, PDF and RIF files, without paying the author for the additional copies.

ISBN 9781301988549

Hard Copy: www.customsportsnovels.com

"Fighting Back"

Offers a recipe for fighting back against a deadly, incurable disease - that's what Rosann's doctor called it - incurable.

### My recipe is simple:

### A big heart

+

### A fighting spirit

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### A strong support group

+

### Prayer

=

### Victory

### Thank You for your Prayers,

### I need your help!

### ****

### What is Victory?

Is it living forever?

Rosann defined Victory like this:

* "Living life day-by-day, enjoying the little things,

* Celebrating living versus waiting to die,

* Enjoying the small victories,

* Getting back into my daily routine,

* Being thankful for my friends and family,

* Being thankful for Jim, my lover, #1 cheerleader, helper and shower boy,

* Beating the odds - living one more day, month or year longer than odds makers predicted,

* Being grateful for what I have, and looking forward to my next challenge - my next opportunity."

" **I will die, eventually, but death on my terms means that**

I won this fight."

### Heroes and Villains

"There are so many **heroes** that I cannot begin to thank you all enough for helping me Fight Back. I especially want to thank;

1. Each person that sent flowers, cards, telephoned or visited me at the hospital; it meant a lot to me; I feel your love;

2. My Family in St. Louis, especially my mother Helen, Linda and Nicole for being at my side during my hospital stay;

3. SSM Health Care Center in O'Fallon, Mo. and all the Doctors, Nurses and staff that saved my life and helped me recover from the operation;

4. SSM Rehabilitation Center for helping me get started with my Fight;

5. South West Airlines for the outstanding support they provided to me on my flight home;

6. Tampa Bay Cancer Center radiation oncologist Janelle Park, M.D. and her staff - they were wonderful. It's too bad Dr. Park's Cyberknife operation was such a disappointment.

7. University Community Hospital Outpatient Rehabilitation - specifically therapists Cara Bryan and Kevin Bobos.

8. My son, Dave, for helping me fly back to Tampa and, well, for being my son. I love you;

9. My Art Group in Tampa, especially my friend and teacher Kathi Hobbs;

10. My Golf Group; Brenda, Carol, Barb, Lee, Vi and many others;

11. My Notre Dame High School classmates many of whom sent me cards and offered payers;

12. My Beta Sigma Phi Sorority sisters; we were just starting to have fun!

13. My special friend Lillian Stickel, who would do anything for me, and has;

14. My husband, Jim. He didn't bargain for this, but never flinched. I love you lots;

15. Every one of you that prayed for me; you are the true heroes. Keep it up!!!!!

Villains

There are no villains, just disappointing actions. I truly believe there is good in all of us. However, there were several notable disappointments.

1. Gloom and Doom Doctors who were too absorbed with telling me that adenocarcinoma of the lung, stage 4, is incurable and I'm going to die. 'There is no other option, you're going to die.' I say to them; "Get a life"!

2. Doctors that should have stopped practicing medicine years ago, or maybe should never have been allowed to practice. Treat your patients with dignity!

3. Insurance Plans that provide you a Bill of Rights and list of resources that you are entitled to, and then foster roadblocks that bar you from accessing theses resources. "It's was two months before Chemotherapy or Radiation was begun."

4. Arrogant doctors who become so enamored with their technology and power, they overlook the patient's needs.

About This Book

  This is a story about a courageous woman (center) who is Fighting Back against long odds. On March 5th, 2011 Rosann Plautz was blindsided by a terrible disease. Twenty eight hours after attending her 50th high school reunion, she underwent an emergency craniotomy to relieve pressure from blood accumulating in her brain. There was little warning.

Rosann survived the operation but the news was not good. The doctors told her the bad news Tuesday;

* You have three metastatic tumors in your brain; one tumor had burst, Dr. martin performed a craniotomy to reduce the swelling.

* There is a large mass of cancerous tissue in your left lung, the source of the three brain tumors; it's inoperable;

* Your diagnosis is Adenocarcinoma of the lung; Stage 4.

Oh, and by the way, you are 900 miles from home and cannot fly home to Tampa until the swelling in your brain subsides."

"Is that all? Are you through?" she thought.

Did I forget to tell you that your loss of vision is permanent? You are legally blind. Rehab will be very difficult.

These are the cards that Rosann was dealt. This story is about how she plays these cards and the people that help her.

The story is told by Rosann with the help of a third party narrator to fill in some of the blanks. Rosann's statements are in quotation marks. Much of the actual writing was done by Jim but this is Rosann's book. These are her ideas and her thoughts.

Friends and family have contributed greatly to this book. Their input is in _italicized quotations_. These quotes provide insight into Rosann's character and make the book interesting and unique.

Rosann: _"This is a story of hope. It's my story, but I want it to be something that others can read and maybe pick up a few ideas on how to fight their battles, day by day. This story is about fighting the battle, not winning the war. That's why I paused on May 2nd and published this book, 'Fighting Back'. I wanted to ask for your prayers and help. I knew this would be a long struggle. Victory is not all about winning and losing; it is about how you face your challenges."_

Samples of Rosann's paintings precede each Chapter and can be found at www.customsportsnovels.com & Rosann's website @ http://www.expressionsinart.net/index.html

### Chapter One

### Alive and Kicking

Lady in Red Shawl

"It hasn't been easy, but I'm still here, alive and kicking. Only God knows how much longer I have on this earth and I'm going to make the most of it. What else can I do? Give up? Not a chance. I admit there have been times when that I've thought about giving in, but my husband, Jim, has always been there to pick me up. He won't let me quit. I don't think I could do this without him. He is my rock."

Jim: _"I try to be there for her when she needs me. Rosann says I'm her rock, but in truth, it's a two-way street. I get depressed too and she picks me up with her words, attitude and inner strength. She is so nice that her friends and even family sometimes underestimate her inner strength and resolve. I'm so lucky to have found her. We make a good team."_

Tuesday morning, March 8, 2011, 58 hours after surgery, Dr. Martin gave her the bad news. She had cancer of the lung that had spread to the brain. It was bad news. Her family already knew, but no one had yet told Rosann. She had her suspicions, but this was the first time anyone had uttered the C-word.

Rosann remembered little of the previous two-plus days that started with the severe headache at the church service and the ambulance ride to the hospital. There were two ambulance rides before she arrived at SSM St. Joseph Health Center in St. Charles, Missouri.

Jim had arrived that night and stayed with her in her hospital room. They had held each other and cried and promised each other they would fight this together. The next morning she remembered very little of their conversation.

Jim: _"Rosann didn't react to what the Dr. Martin said. I had told her the previous evening that it was bad, but I didn't go into any detail. She didn't ask; I think she already knew in her heart that it was cancer. Rosann had lost a daughter to breast cancer that spread to the brain. You never forget that."_

"The first couple days were a blur of doctors, nurses, medications and sleep. Everyone asked me what my birthday was. I really can't remember thinking about why I was in the hospital. I just laid there and let it happen. I felt like a guinea pig, but in a nice way. The doctors and nurses were all so nice. I vaguely remember Jim holding me and talking about a 'bucket list', but I was so tired I just wanted to sleep. I knew something was happening to me but I was too groggy to care."

Dr. Martin explained to Rosann Tuesday morning that he had operated on her brain to relieve pressure from blood accumulating in the right rear portion of her brain. The blood was from a bleeding tumor that had come from a cancerous mass in her lung. The diagnosis was adenocarcinoma of the lung, Stage 4.

Rosann's first question said it all. _"What can I do about it? What's the next step?"_

Jim: _"I recall thinking she must not understand what the doctor had just said. She is handling the bad news so well."_

Dr. Martin said that other doctors would talk with her about treatment. He's a neurosurgeon and further surgery was not a consideration. He was pleased with Rosann's appearance and how well she had handled the surgery. Dr. Martin told the family later that he had been concerned about her chances for surviving the operation.

Jim asked about her chance for a full recovery. Dr. Martin stated her left-side motor skills might improve with time and therapy but doubted that her eyesight would ever improve significantly. The swelling had occurred in the portion of the brain that controlled Rosann's left side motor skills including vision in her left eye, her good eye before the swelling and surgery.

Jim: _"The good news is that the swelling did only minor damage to her memory, speech and thought process. More importantly, she hadn't lost her will to fight."_

The victories were small at first. Each day brings a new challenge and a new opportunity to succeed. Let Rosann give you a recent example.

"I walked into Coast Dental Monday, April 25th, carrying two bridged crowns in a small plastic bag, a casualty of 15 full head radiation treatments. The glue lost its cohesiveness. One crown was a molar from the lower left jaw that had fallen out eight days earlier. I just chewed on the right side. The second crown was for an upper right molar. This happened last Thursday, leaving me no place to chew the roast I prepared Easter Sunday. I feared the worst and was dreading the ordeal and expense of getting new crowns made. Neither Jim nor I had ever had a crown that could simply be glued back on. Thirty minutes later I walked out of Dr. Hite's office with the crowns glued securely in my mouth. This was a HUGE relief. I am thanking God that that Dr. Hite could fix everything so quickly. I feel so much better."

The first big challenge in St. Charles was getting home - back to Tampa, Florida. This was accomplished Wednesday, March 16 with the help of her son, Dave. The trip was very difficult for Rosann but enabled the treatment and recovery to begin in earnest.

"I am grateful to everyone that helped me at SSM including my case managers' Julie and Shelby. I especially want to thank Dr. Martin. I still cry when I recall him telling me he had stayed awake the night before worrying about me flying home because the CT scan still showed air pockets from the surgery in my head. He told me he had done his own research and talked with a pilot-friend before deciding that the benefits of getting back home and starting treatment outweighed the possibility of incurring severe headaches during the trip. I had been very afraid of flying and he made me feel comfortable. I can never thank him enough for going the extra mile. The doctors and nurses at St. Josephs were terrific. I couldn't have been treated any better and feel very lucky that I had this happen to me in a place where I had access to such quality care."

Jim: _"Neurosurgeons are famous for their brilliance and equally notorious for lacking the people skills necessary to interact well with patients. Dr. Martin is the exception. He is smart and has the ability to deal well with people. Most of his patients live near the hospital. I commend him on recognizing the unique challenge that this situation presented and dealing with it accordingly. Think about it; from a selfish standpoint, the surgeon has no upside in allowing the patient to fly if there is_ _any risk at all_ _of the patient suffering adversely. Dr. Martin took this chance and we will always be grateful."_

One month, to the day, after the operation, Rosann reached another small milestone. She walked into the Outback Steakhouse holding Jim's arm for guidance and support. This was a weekly occurrence before the surgery and consequently Rosann knew many of people at the bar including Steve, the manager, and bartenders Ashley, Serena and Brandon. This was the first time Rosann had been 'out' since her surgery.

Rosann: _"It was a big challenge to be seen in public. I spent considerable time choosing my clothes and applying makeup. A baseball hat covered my head where 20 staples had etched a scar. The cap also hid my blond hair which earlier had fallen out in clumps when I showered. Surprisingly, the loss of hair from radiation doesn't seem to bother me. I witnessed my daughter go through this same thing six years ago._

I was so afraid that I would embarrass myself. I was still weak from the surgery and the radiation treatments really make me tired. But the worst thing is that I can't see much at all. Everything appears fuzzy. We left the 'walker' in the trunk and I hung on to Jim's elbow for balance and direction. We parked close to the door but still ran into three friends in the parking lot. Jim needs to tell me who is there because I can't recognize anyone until they get close or I hear them speak. We finally made it inside and found our usual seats at the bar. All my worrying was for naught. Ashley was bartending alone when we arrived. She came around the bar and gave me a huge hug. The people at Outback are so wonderful and made me feel so good. I'm so lucky to have such nice friends."

This is what two of them had to say about Rosann."

Ashlee Zuilkos: _"I learned what happened two weeks earlier. I was working behind the bar that day. The shift had started out real slow until Jim walked in. I said to myself, 'Now there's a couple I haven't seen in a while.' But he was alone, no Rosann. I thought to myself, Rosann must be out of town again and Jim is going to joke about how he has the whole house to himself and is out for a wild night on the town. Something isn't right though. Jim doesn't have that silly grin on his face and, come to think of it, Rosann should be back in town from hert trip to St. Louis. I went up to Jim with a big smile on my face that shortly turned into a frown. I don't even remember exactly what was said from that point on. All I remember hearing is "stage four brain cancer." I was in shock. Please don't let Jim see me cry. I have to be strong for him. I quickly ran to the back because I could no longer control my emotions. How could something this terrible happen to such an amazing person?_

Jim and Rosann are more than just customers. They have been coming into Outback for years. I have had the privilege of serving them for the last three and have become very fond of them both. I always joke with my coworkers that I would like to adopt them as my second set of parents. They are more than just customers to me; they are like family. Rosann is so selfless; she is genuinely caring and can put a smile on anyone's face any day. Jim is the ultimate joker, always making people laugh, especially Rosann. I remember when they went on a cruise and Rosann got these cute bohemian- style bracelets for me and a couple of the girls at work. It made me smile to know that she was thinking of us on her vacation. Then there was the art show in a hotel lobby near downtown Tampa. I recall Rosann being so nervous.... I am not sure why because she is a very talented artist. I still love that painting of the backside of what I thought looked like a Native-American woman. She said that this is also one of her favorites.

Two weeks later Jim came in again, this time with Rosann at his side. My emotions swelled up. I came around the bar and gave Rosann a big hug and let a few tears come to the surface. She looked a little tired, but was still beautiful. She is in my prayers."

  Jerry Meatyard: _"Please accept my apology for not writing earlier. I found it difficult to admit that Rosann was really ill and feared that writing about it would somehow make it so. Rosann is such a wonderful person and loved by so many, especially me. I pray that God sees His mistake and corrects it quickly. Please let me know if there is anything I can do for you."_

Jim: _"I started suggesting we go to Outback three weeks earlier. Rosann wasn't strong enough the first week. She needed a walker to get around, and she wasn't going 'out' until she could stand on her own two feet. Last week she might have done it but we had a real long day with radiation and Ophthalmologist' appointments. We practiced 'getting out' by going to the grocery store, drug store, Target and the like. We also practiced walking together, how she wanted to hold my arm, how I would tell her who sitting at the bar, and so on. Believe me, this was a big thing for both of us. Rosann was great! I was so happy she had a good time."_

They split a flatbread pizza and Rosann sipped at her chardonnay, consuming almost one or two ounces. It wasn't much, but she was out. She felt alive. They only stayed about 90 minutes before it was time to go. She was tired despite a two hour nap. The radiation saps her stamina. Friends mentioned they would be at the Bonefish Grille Saturday if she felt like joining them. Rosann said she would try to make it. She was starting to feel normal again.

The Outback' staff gave Rosann a wonderful Hallmark card with personal messages of support and love. It was beautiful. This is what they wrote.

" _We all love you and you will continue to be in our prayers. In times like these we must remember that God has everything under control. Stay strong knowing that He loves and watches over us all. The two of you are amazing people. I pray for your strength and faith. We're here from you when you need us."_

Warmest Regards,

Bryan

  " _You are in our thoughts and prayers. Stay strong and know that everything that happens is the plan of the Creator. You are a special couple and if you need anything please do not hesitate to ask."_

_Always,_ Ashlee

  " _Please keep your spirits high knowing that we are all thinking and praying for you on a daily basis. You are our amazing couple. We will get through this."_

Serena

  "We all love you guys and hope you the very best. You are so kind and great and we will continue to keep you in our prayers. Best wishes and regards."

Jess

" _I'll keep you in my heart and in my thoughts. I hope you know how wonderful you are and know that we are all rooting for you. Please let us know if there is anything you need."_

Brandon

  " _God is with you in this walk (drawing of cross)."_

Steve

"It's Tuesday, April 26, 2011. Jim and I just got back from a 1/3 mile walk on the Northdale Trail where we once rode our bikes. I still need to hold Jim's arm for guidance but I was almost walking without support. It would be so much easier if I could see. Two days ago we saw a small gator in the pond below the walking bridge. Today we saw an albino raccoon. To be honest, Jim saw the gator and raccoon, what I saw was blurry. I couldn't pick out a raccoon from a lineup of armadillos. I take Jim's word for it and use my memory to visualize. It's just so nice to be outside. My stride is improving and I felt strong today, but Jim only graded my walk as an A- because I stumbled a little getting into the car. He's tough, but that's what I need to fight this thing."

We're finished with the full-head radiation treatments and waiting for the MRI to tell us if the three tumors are gone. If not, Dr. Park says we might need to go after them with a directed radiation, CyberKnife procedure. We are optimistic that the brain tumors can be handled.

We are looking forward to starting chemotherapy treatments to attack the cancer in the lung, the source of the problem. The full body PET Scan was good news. The cancer had not spread to other organs although there was a small glow at the GE Junction, where the esophagus meets the stomach. It's not a significant factor. It might just be a lymph node or some other benign substance.

Rosann: _"I cried when I heard the good news. I realize this is a small victory. Once the cancer has spread to the brain, little else matters. Dr. Mendez told me that. It's like celebrating one's safety while sitting in the eye of a tornado. It probably won't last but I'm enjoying life while I can. What's the alternative?"_

### Chapter Two

### Lifestyle Adjustments

Belle Fleur

"These are some of the activities I loved to do before my brain surgery. I'm trying to get back into the swing of things, but it hasn't always been easy. I'm still working on it, I'm improving.

I'm a Golfer:

Northdale Golf & CC Ladies Association

"I was never a great athlete, but at that moment, no one was better."

She watched as her tee shot landed in front of the green, rolled toward the flag and dropped gently into the hole. It was what every golfer dreams of; a 'hole in one'. Her mind struggled with the reality of what just happened. A 38-handicap golfer, who did not have the length off the tee to reach many Par 3s, had made a hole-in-one.

"All I could think about was that I wouldn't need to putt," Rosann said later.

The silence was shattered by her husband who had been watching from the cart path, 5' below the elevated tee box. Jim had watched the shot and yelled "get-up, get up" as the ball headed towards the pin. He screamed in delight as the ball dropped and raced to congratulate his wife. Rosann was still staring at the pin when Jim threw his arms around her. She didn't seem to grasp what she had accomplished until Jim's excitement rubbed off.

"He was jumping around like a monkey. I could tell he was genuinely happy for me. I wished it would have been his hole-in-one. I know he's never had one."

Jim: _"I couldn't have been happier. It means so much more to her than it would to me. She gets erotically excited when she birdies a hole. Besides, I would have known that I had to buy the drinks."_

"I can't believe he wanted me to buy the drinks, I'm the one that got the hole in one. People should buy me drinks." The clubhouse was closed when they completed their round so Rosann avoided one problem. Jim took her to a Lee Roy Selmon's Restaurant to celebrate, but not even the manager or waiter could convince Rosann to buy.

Jim: _I didn't care. It was fun to see her happy. The next day I went to a trophy shop and a week later presented her with a trophy to display the ball and scorecard. It still has a prominent place in our bookcase. Nothing can take away from that accomplishment."_

Good golfers typically play with good golfers. Even poor golfers want to play with better golfers because it makes them play better. Who wants to play with a 36 handicapper? Who wants her on their team? Who would invite her to be their partner in a member-guest tournament? The answer in this case is easy - everyone who has enjoyed the privilege of playing golf with Rosann.

Dave Glandt (golf pro): _"Rosann is always trying to improve her game and find those extra few yards with every club. Several years ago we worked on her short game, she picked that up quickly. Her putting ability is amazing; especially the way walks up and drains the dreaded 2-4 footers. She seldom misses. Touring pros could learn a lot from her. Then her focus turned to hitting the ball farther. That has been tougher although it's not for lack of effort. It seems that every time we see each other she has a new tip or idea. 'Will this work for me?' she asks? I'm impressed with her dedication. She works harder to break 100 than pros do to win the Masters."_

Lee Goodin: _"Rosann always said "I'm not really very good at golf" - BUT she has determination. One day she won a handicapped tournament! The prize was a pair of earrings and she was so excited you would have thought it was a million dollar purse. A few tears were actually shed - hers and mine. We all love her."_

Carol Smith: _"When our Women's Association at Lake Jovita announced we were going to have a one day Member-Guest I immediately asked Rosann, my great friend from Northdale Golf Course, who was there with me when I first began learning to golf twelve years ago. Rosann and I had more fun together just working on all the complexities of the golf swing. We have all kinds of reminders that we tell each other like "Keep your eye on the ball", "Remember the shoulder turn", " Follow-through" " Slow down and stop at the top" Rosann and I always play golf for fun and I wanted to have with her at our Member-Guest. Unfortunately we have to wait until next year for the tournament but we are going to start working our game again just as soon as she is ready. What amazed me most about Rosann's sudden brain surgery and diagnosis was the fact that when she woke up from the surgery she asked her sister Linda to call me to let me know she could not play in the tournament. Who else but our dear sweet Rosann would be thinking about others, instead of herself, at a time like that?"_

Barb Eberwein: "Rosann and I have known each other since I joined the Northdale ladies group after we each moved here from St. Louis. Coincidenciology! We always have so much fun talking, crafting and golfing. We took a "one stroke painting" class and sort of got kicked out, or maybe just got the feeling from the teacher that we shouldn't go back! The latest fun time we had was at Eastlake Susan B. Komen golf outing. Rosann is always agreeable to any silliness. At the luncheon our foursome wore pink outfits, long pink wigs, and pink leis. Rosann was really cute!! There are pictures to prove it. Neither of us hits the golf ball very far, but boy, are we straight? Yes!!!"

  " _Brenda Bruno: For My Special Golfing Buddy and Dear Friend_

Two high handicappers often partnered to win

In golf events we'd aim for closest to the pin

We'd repeatedly tried to use our favorite iron or wood

But never would get a trophy, though we felt we could

We'd sacrifice our kudos by saving others from last place

Consistently coming in with our own style and grace

On the course, we created new systems with laughs and a blast

No matter if our scores often placed us surprisingly last?

For our efforts, Rosann, you decided we deserved some rewards

So you ordered us two very special "Good Sports Awards"

Hence, when others were presented with trophies for their shelves

We knew we had our accolades and snickered to ourselves.

We had our own special trophies like no others we knew

We could be proud of our golfing like our pals were too

Thank you, my dear friend for sharing so many good times

And allowing me to put my admiration in rhymes

There are many other tributes you have on your agenda

But none so heartfelt as from your friend, Brenda."

Lillian Stickel: _Taking up golf at age 57 is not highly recommended but was one of the best decisions I have ever made. That decision brought me to one of the most rewarding friendships I will ever have. Golfing with Rosann gave her and me a fun place to solve the problems of the world, gripe about things that no one else cared about and laugh like teenagers until we couldn't laugh anymore. We have a lot of griping, laughing, and appreciating to do yet so I can't wait until we are able to get back on the course and get started. Love you Rosann!"_

"Dave Glandt (son): _"Playing golf with mom is the most fun I have on the golf course. Besides spending time with the greatest mom in the world, her knowledge of the game, great pace of play and overall love in playing the game, makes it so relaxing and enjoyable. It's priceless to watch her reaction when her tee shot carries to the fairway or makes it over the water, or she sinks a par or birdie putt. I was fortunate to be in the clubhouse when she made her hole in one. She called me on my cell and I was there in minutes to share her excitement. It's a memory I will always cherish."_

Rosann's most recent game was February 28, 2011; Jim's birthday. It was just five days before her surgery.

"I wasn't real happy with my game, but I've played worse. I was having a little problem focusing on the ball. Jim played great even though he hasn't played much lately. I'm looking forward to our June golf vacation in Arizona."

"I'm coping. It's tough, but I haven't given up. I probably will never break 100 again, or get another hole in one, but that won't stop me from having fun. Six weeks after the operation Jim and I played nine holes. I putted a few holes and swung my wedge, but mainly I just rode in the cart and felt the joy of being outside with the man I love. We had a great time."

Radiation treatments were over and I was slowly weaned from steroids. Every three days I would drop my steroid usage by 20%; from six pills a day to 5/day, 4/day and so on. I took my last steroid on Holy Saturday. I am gradually regaining my strength and the puffiness in my checks and ankles is gone. I'm getting better and hope to ride 18 holes soon. I might even try and play the par 3's. Let's pray that the chemo and radiation treatments don't sap my strength too much.

**I'm an Artist: (** Examples of Rosann's paintings begin each chapter)

  "This was the pinnacle of my art career; my own show. It wasn't a New York gallery or even a weekend show at a Tampa gallery. It was just four hours in a hotel lobby in West Tampa, but it was MY show. It was my 20 canvases. It was my reputation on the line. I've sold a few paintings and have a website where visitors can view my work (www.expressionsinart.net). But this was the first time I've been 'on display'. It's like opening yourself up and allowing strangers to see inside you. This was a big deal for me."

Jim and Brenda helped set up the paintings in the hotel lobby. People were already there when we arrived. The hotel provided most of the easels and offered $1.00 drinks and free hor'derves.

"I was scared. It was hard for me to say; here I am, these are my paintings, take it or leave it. I'm so thankful for my friends that attended and for Jim and Brenda's help in setting up. I'm so glad I did it."

  The show was a huge success. She didn't sell any paintings but people liked her work. Most important, it made Rosann a stronger person. This is what Rosann's friends said about her show.

Joy Ickes: _"I went to Rosann's art show. She had many of her beautiful paintings surrounding her. She worked the room like she owned it. She was such a gracious hostess, made everyone feel welcome and special. She has that knack with people. I was ready to buy, LOL. We also painted wine glasses together one time. I enjoyed the one on one time with her. She inspires me with her limitless creativity. Rosann is an amazing woman whether she is painting, golfing or just sitting and sipping win. I am truly thankful we ended up in that Wednesday art class together."_

Joan Hofmann: _"I had done the same show as Rosann a few weeks before she did, so I knew exactly the emotions she was experiencing. I am always in awe of Rosann's talent. Her paintings are so vivid, full of life and expression. Every time I see them, I am amazed by her talent and the beautiful work that she creates. Her style, color and expressions give me such joy to be able have her for a friend all these years and to have the pleasure of looking at the art that she creates."_

Lillian: _"Rosann mentioned to me while playing golf one day that she "did some painting." That's like saying Tiger Woods "plays a little golf." I couldn't believe it when I saw her work. I must have told her a hundred times that she was good enough to have her own show only to see that shrug of her shoulders like I was just being nice. When she told me she had finally lined it up she was absolutely beaming. What a great night the show was. I was so proud to be there as a friend of a great Artist"._

Brenda Bruno: _"I had seen a few of your works from time to time and they were always notable. The time that I was amazed and most impressed by your artistic ability was when I helped you transport many of your canvasses for a viewing. Your artistic abilities were so evident not only to me but to many of the attendees who came to the event and admired your work."_

"I have been drawing and painting for as long as I can remember. I paint in oils and acrylics and prefer figurative, florals, landscapes and seascapes. I've done some portraits but portraits are tough. My personal collection includes paintings inspired by travel to many beautiful countries on the Mediterranean Sea, Costa Rica and the Caribbean."

Jim: _"We have a painting she did of Santorini that takes me back to 1999 each time I see it. The white buildings with blue domes, on a steep cliff overlooking the darkest, blue water I've ever seen, depicts one of our fondest memories of a great cruise. Rosann captured the essence of the island in a single painting."_

"My art teacher, Kathi Hobbs, is helping me expand my horizons. Kathy is a wonderful teacher and a great friend. I would not have developed the confidence or talent to do an art show without her help."

  Kathi Hobbs: _"Rosann came to my class five years ago. She was already an accomplished artist. Her eye for detail, patience and natural ability were obvious from the start. As she progressed she began to relax and enjoy the process of learning how to discover and express herself. The friendship and encouragement from the other people in the class helped her to flourish and take some risks........creativity followed. We all got to see the sweet, fun, "girly" side of this beautiful woman. Now we see the strength and positive determination to live and be as independent as she possibly can. We are now learning from Rosann. It is a privilege to know this woman.....she is an inspiration to us all"_

"Wednesday art class, from 11 AM to 1 PM, has been a highlight of my life for the last few years. There are 8-10 other 'students' in the class - many of them are very good and have sold many paintings. We have so much fun. Last week I went to my first class since my operation and I am going again today (4/27). My vision is not good so I'm changing from realism to abstract paintings, from Edwin Hopper to Kandinsky. My 'class mates' have been so supportive since my surgery. I'm so grateful to them."

Sunny Rogers: _I began painting one year ago, and had the great good fortune to be Rosann's "seat mate". The first thing I observed was Rosann's physical beauty--especially her eyes. It was apparent from the first moment that Rosann was generous with herself and willing to share her painting experiences with this beginner; helping me with mixing and squeezing her paint onto my palette when I needed a color I didn't have. She was quick to be pleased when her eye and her brush created beauty, but was just as quick to mumble and complain in frustration when her painting was not going well. When Rosann returned to class following her illness, she painted her first (to my knowledge) abstract painting. It was simply stunning. She delighted in the discovery of a certain shade of lavender. It was an answer to prayer to see her spirit rising with each brush stroke. I love you dear Rosann."_

  Aleida (alie) Griffey: _"Once upon a time I met lady, a 'real Lady', lovely, talented and unassuming. Her name is Rosann and she brightens our art class. Recently she has had to face some serious health issues and we've found that on top of everything else, she has strength too. We all love her and want to help anyway we can."_

  Tinna Knight: "Rosann is a flower in my garden of friends, a beautiful spirit that never offends;

She has bright blue eyes that sparkle and shine, her eyes become bigger when she drinks her sweet wine;

She is fun to be around when we're in art class, we laugh and joke and the time goes by so fast;

Rosann, I love you, you are a big part of me. You fill me with happiness, hope and glee.

I love you!"

  Joy Ickes: _"I pray for Rosann and I am truly grateful for her friendship, she is beautiful, inside and outside. We started art class at the same time, and it would always piss me off she was SO GOOD!!! Ha-ha. She came in with her own style and it was fun to watch her open up and become crazy like the rest of the class. Her first paintings were very dark but soon she began painting colorful, happy, women. She would come to class a little down sometimes but would always leave smiling. I hope we all had a good influence on her because she sure did on me. She has the grace of a beautiful swan with the personality to match it. Listening to Rosann talk about all the fabulous places she has been and fun things she has done inspires me to live my life to its fullest. Class is a place to come in and have some serious girl time with lots of laughs, understanding and sharing. Her absence from class is felt when she misses class on Wednesday."_

Beverly McDonald: _"Rosann was one of the first to send her thoughts to me when she found out about my husband's cancer. This was before she knew about her own. You could never say that Rosann was self centered. Another time I insisted she take one of my 'Readers Digest music books home with her. She kept it an extra week and thought I would be mad, but of course I wasn't. The next week the music book was returned, wrapped up like a real treasure. I could give you many examples. What a jewel she is!"_

  Jerry Gilbert: _"I'm the one male in the art class that Kathy Hobbs mentioned in her e-mail to you. I've known Roseanne since she came to class and enjoyed the benefit from her sitting at the easel next to me. I have to admit that I don't know what she would look like without that smile on her face and that gracious demeanor. I'm confident that her smile and demeanor will endure during these trying times. I look forward to seeing her in art class."_

  Jo Davis: _"Rosann has been a delight from the first moment I met her. As a new student in Kathi's class, Rosann made me feel welcomed and a part of the group. She is a warm and caring person. Whenever I sit down in the seat next to hers, I can hear her motherly reminder to always wash my brushes before coming to class."_

Barbara "Barbie" Manning: _"I have known Rosann in our art class for almost five years. She has always been a beautiful woman and a very good artist. I always thought of her as rather quiet, but she would speak her mind when it was appropriate. Our class is always very talkative, and she contributed her share. I am a lifetime member of Weight Watchers, and I discovered that Rosann had also been a lifetime member when she told me she wanted to join Weight Watchers again to lose some weight. I was surprised because she certainly didn't look like she needed to lose a pound to me, but I know how personal weight can be. I also knew that she had a lot of patience and determination from being with her in our art class. She said she was going to a high school reunion soon and she wanted to look good. So she started going to the same Weight Watchers meeting that I attend, and she went on a regular basis until she reached her lifetime weight again, which didn't take very long. I honestly couldn't see a lot of difference but I think it made her very happy to know that her weight was where she wanted it to be."_

Rosann has also done several "commission paintings", most recently for her friend Brenda. It was a tough assignment that her art teacher advised her not to try. Brenda wanted an exact reproduction even though the photo of the little girl sitting in front of the mirror was off-center, creating blank space where the viewer's eye would gravitate. Rosann did the painting - Brenda is her friend.

Brenda Bruno: _"I had saved a special snapshot of my granddaughter as a child taken haphazardly by my daughter. It was something that I had always thought I would like to see put on a canvass and done in oils. I had been waiting for many years for just the right artist to do this. When I viewed your works at that showing I knew immediately that you had the talent and were that special artist that could make my dream come true._

I asked you if you would do this for me. After discussing the picture you agreed to try. When you returned the finished canvass you told me how this picture was not an easy one to paint. You had put a lot of work into it and had taken it with you to your art lessons for input.

  _There it was in all of its glory. The picture I had dreamed about for many years. It took me a day or two to absorb all of the details of the canvass. You could feel the textures, the likeness to the original picture, the placement and proportions of the objects and the colors were all perfect, plus it told a story. I, who knew nothing about art, was totally absorbed in this wonderful and beautiful picture._

_I said nothing to either my granddaughter or daughter about having this treasure and placed it in a significant spot in my great room for all to see. When my granddaughter came to visit me she was engaged in conversation when suddenly her vision lifted to the picture. There was a sudden squeal followed by many tears of joy. "Oh, Nana," she said. "That's me. I'm famous. I'm in a special picture. What other recognition of great artwork could one want?_ "

I'm a Business Woman:

Beta Sigma Phi Business Sorority, North Tampa Chapter

"Jim and I have two businesses. Jim handles Greenman Funding which brokers commercial mortgages and project financing. I was in charge of Gemco Leasing which offers equipment leasing to businesses. We once had our own funding line but now we are primarily brokers. A typical leasing deal would be for a hotel that wishes to purchase a $75,000 telephone system. The hotel can pay cash or enter into an equipment lease and stretch the payments over 48 or 60 months. The buyer may also go to his bank and borrow the money. There are pros and cons of each alternative.

It's a complicated business that creates a lot of paper and computer files. My office is filled with paper files and my computer is filled with websites addresses emails and data files. Keeping track of the lenders can be a full time job. My office is a mess, but it's my mess. I knew where everything was. The economy and banking failures has changed everything. 80% of the lenders that offered equipment leasing five years ago are now out of business or stopped offering leasing. I kept track of the lenders we could use. I also prepared lease documents, invoiced customers, handled the deposits, paid bills and balanced the checkbooks. Not anymore, Jim's now on his own. I'm just looking forward to getting back with my friends at Beta Sigma Phi."

Jim: _"We made a good team. I would bring in the business and Rosann would take it from there. She was also invaluable in developing and maintaining contacts for marketing campaigns. Business has been slow the last few years so maybe it was time to retire anyway. I'll miss her most when we try to develop new business. That can wait; we have a lot going on right now."_

**I'm a Homemaker** :

The first month was the worst. My biggest adjustment was not being able to do the little things. Laundry, cooking, vacuuming, feeding the cats, making the bed and the scores of other routine tasks that housewives do every day without a second thought. I was too tired and I just couldn't see well enough to get around. Jim has to do everything. Sure, he used to help me out around the house, but now it's his responsibility.

Jim: _"I couldn't believe how tired I get, especially my lower back. It wasn't any heavy lifting; just doing the mundane tasks like the laundry, getting pots and pans from the cabinets, pushing the vacuum cleaner around and so forth. Part of it was bending over to help Rosann, but most of it was my new job. I was using a different set of muscles. It's amazing what a person finds out when forced to walk in another person's shoes. It isn't as easy as it looked."_

I'll give you some examples:

"I love to cook but Jim had to do it all the first four weeks, breakfast, lunch and dinner. We were fortunate to have friends bring 'dinner done' freezer-to-oven meals, roasted chickens from Sams, pulled pork and other food that Jim could prepare easily. Jim was still stuck with breakfast and lunch but he surprised me. He made some nice meals and even got creative a few times."

"I used to do all the grocery shopping. It wasn't until the fourth week that I started going with Jim or my son, Dave, as a way to exercise and get out of the house. I hang onto the cart for balance and Jim guides the cart to make sure I don't run into anyone."

Jim: _"I couldn't believe the 'sticker shock'. The first day I almost came home empty. Who is going to pay $2.69 for a quart of milk or $1 for a can of tomato soup. I remember when a can of Campbell's tomato soup cost 25 cents (and gasoline was $.27/gallon)."_

"I just sit and wait to be served meals and after, Jim cleans up the mess and loads the dishwasher. I guess being ill has some rewards, but if I had a choice, I'd rather be helping out."

Jim: _"Before the surgery, there must have been a kitchen fairy that came three times a day. Who else rinsed the dishes, put the dishes in the dish washer, put the food away, cleaned the counter and swept the floor? Now I see what Rosann was doing while I read the paper or watched TV."_

"Believe me; I miss the old routine. I'm looking forward to when I'm in control. Jim used to help out by carrying dishes to the kitchen, occasionally running and emptying the dishwasher and other jobs. But now it's all on him. He learned that it wasn't so easy. I'm trying, but I'm still too weak to carry anything out to the kitchen or even empty the dishwasher, but I still won't let him hire a 22 year old French maid. There's nothing wrong with my instincts."

I enjoy my Daily Rituals

"Everything has changed. I can no longer do the little things I used to do to occupy my time. Sudoku puzzles and crossword puzzles that I once could do without thinking, are tough. Watching PTI, House, Chicago Code and other favorite shows is not much fun. The picture is blurry and it's difficult to follow the plot. I have my own herb garden but now I have to ask Jim to cut some rosemary or basil. I used to enjoy going outside in the morning to get the newspaper or pick up the mail. Reading the newspaper is now a chore and I can't see well enough to go outside alone. Sometimes I feel trapped.

Jim used to make me a daily fun-pack of puzzles. He would make two copies of the Sudoku puzzle and crossword puzzles from the Tampa Tribune and the Sudoku from our daily calendar. We added a 'scramlet' puzzle' to make five. He would 'blow-up' the puzzles on our copier to make them easier to read. Jim drew hearts below the calendar Sudoku and wrote in something like 'J loves R' or 'J & R 4-ever'. It was his daily 'love pack'.

It's a ritual that has ended, at least temporarily. I can no longer do the Sudoku puzzles, even the easy ones. Two weeks after surgery I had lost all recollection of how to start a Sudoku. I'm improving, but I still have a long way to go. I'm not too bad with crosswords."

Jim: _"It's sad and frustrating to see her struggle with these little things. She tries, but the effort to concentrate on a newspaper article or a crossword puzzle makes her tired. Cara, Rosann's speech therapist, says this cognitive thought process will improve with time and mental exercise. I hope so."_

I'm a Biker (bicycles only):

"Five years ago I was afraid to ride a bicycle. In fact, I couldn't ride a bicycle more than a few feet without crashing. I had forgotten how and it made me feel old. I hate that feeling.

I learned how to ride again thanks to Jim's help, and patience. It's been a great experience. There's a new walking/bike trail in North Tampa less than a mile from our house that ends behind a county park. The subdivision is mostly rural and peppered with horse ranches and riding stables. Jim and I rode about five miles three or four times a week. We played a game and count how many unique 'birds and animals' we saw; cat, dog, egret, heron, cardinal, hawk, frog, turtle, etc. Our record count was 36 including our favorite emu and swan. We also saw an eagle and deer that day. Our record count of horses-only, is 43. Jim tells me that one private owner that kept six horses in their backyard pasture, closed and moved to Nevada. Sadly, one horse died in transit. Jim says he counted 45 horses last week but it's not an official record because I wasn't there to verify his count. He cheats sometimes.

I can't ride anymore; I'm still too weak from the surgery and radiation. The long term problem is my lack of vision. Unless my vision improves dramatically, which is unlikely, I won't be able to ride again. That hurts.

We are looking at 'tandem bikes' as a way to get out and enjoy the weather and the fragrances. I couldn't see much but Jim would be my eyes and jog our memories. I need to get a little stronger before we try. I'm afraid I might get dizzy and fall off. Riding again would be nice for me and also for Jim. It would make me so happy if I can do that for him."

Jim: _"Riding a bike doesn't seem like much, but conquering this seemingly simple task made Rosann feel good about herself. It was beautiful to see. Riding was also a lot of fun. A friend suggested a dual recumbent bike or maybe a three-wheeler; I'm looking into that. It's very sad to ride our bike trail without Rosann."_

I'm a Cat Lover:

Jack & Cloe - my babies

Jack and Cloe are a constant source of pleasure for me. Their love is unrelenting. We found both cats at the Humane Society. I swear Jack looked at us and said 'pick me'. Jack is the smartest cat ever and the only cat I've had that responds when I call him. I'm sure he knows his name. He curls up next to me at night and adjusts his position whenever I move.

Cloe isn't nearly as smart but has her good qualities. She starts purring whenever she hears a can of food pop open or the refrigerator door open. She had a tough childhood before we adopted her. They both know there is something wrong with me and constantly hover around me with sad eyes.

There is one other thing I used to love. I'll let you guess after I tell you that Cloe's full name is Clos Du Bois Chardonnay and Jack's full name is _______? Yeah, you guessed it."

Jim: _"Getting Rosann to fly home from St. Louis was a tough sell until I mentioned how the cats must miss her. You laugh, but I really do believe that her desire to see Jack again tipped the scale in her decision making process. She loves those little fur balls. I love Jack too. Cloe's weird."_

I'm a World Traveler:

Amalfi Coast, Italy

"Jim and I have gone on so many nice trips, places that I never dreamed I would ever see. He started by taking me to Costa Rica which still is one of our favorite places. We were still dating and I was trying to impress him. We did everything; snorkeling, climbing down a steep cliff to swim under the waterfall, riding a runaway horses that caught the scent of the barn before I dismounted; walking through the Monteverde Rain and Cloud Forest in pouring rain; stepping out on the balcony of our A-frame chalet and looking down at the clouds; climbing to the lip of Mt. Arenal, one of America's most active volcanoes; sailing a catamaran to an island where our boat captain helped me dive 15 feet down to touch a stingray buried in the sand; and my favorite event of all; white water rafting where I got thrown from the raft, hit in the face by the kayak that was supposed to rescue me and finally dragged into the boat like a blubbering fish. Other than snorkeling, I'll never do any of that again, but what great memories.

We went to the most romantic restaurant I have ever seen; Tara, modeled after the Scarlett O'Hara plantation. Jim and I walked out on the terrace overlooking San Jose and I started to cry, it was so beautiful and romantic. I knew then I was with the right guy.

The Rome to Istanbul cruise is our favorite. Every American should have the opportunity to 'feel' how young the United States is compared to these countries. It puts things into perspective. Jim and I took a cab to the old part of Istanbul, still referred to as Constantinople. We had dinner Al Fresco at the foot of one of the three bridges spanning the Bosphorus River, connecting Europe and Asia. It was a cool evening and the waiter brought me a blanket for my shoulders. Jim and I were in awe of our surroundings and the feeling you get looking across the river to another continent. The next day we took a boat ride down the river and could see why Istanbul has remained a strategic and fascinating city for so many centuries.

Jim and I want one more trip, a river boat cruise through Eastern Europe. This is at the top of our bucket list. Viking has a cruise on the Rhine River, from Basil to Amsterdam. We did the Viking Portraits of Southern France cruise in 2006 and had a terrific time. It's so nice to step off the small river boat and walk 100 yards into a different culture. Four days in Paris and three in Nice made it even more special. We have always planned to do one more river cruise. I hope we get the chance.

Jim: _"Tomorrow evening, May 3, Rosann and I are invited to a party hosted by our travel agency. The regional marketing director from Viking will be there and 2011 cruises are on sale. We are hoping to schedule a cruise for August. Rosann isn't strong enough to fly to Europe right now and there are no direct flights from Tampa to Europe. That makes it a long day. It took us 18 hours to fly home from Nice, France. Rosann couldn't do that now. Let's pray she gets stronger."_

Rosann, May 2, 2011

"All-in-all, I think I'm doing all right. I'm going to start playing the piano again soon. It's hard because I play from written music, not from memory. Who knows, maybe I'll even get Jim to take me dancing again. Sometimes when we are walking for exercise he will hold me and twirl me as if we were slow dancing. We also jitterbug a little. He says these are exercises to help me regain my balance and coordination but I know it's dancing. A girl can hope."

Jim: " _There will be no dancing; I'd Do Anything For Love, But I Won't Do That (Meatloaf)."_

### Chapter Three

### Subtle Warnings

Slow Night

"Should I have seen this coming? I don't think so. There were a few subtle hints, but nothing that got my attention. I hadn't felt 100% for several weeks, but nothing that I could put my finger on. I've always had poor eye sight due to a detached retina in my right eye. Cataract surgery in 2010 helped a little, but I still relied almost entirely on my left eye for vision. My optometrist recently gave me a stronger prescription for my contacts which helped a little. My eyesight still wasn't great but I was living an active and normal life. Everything was good."

"Saturday, just a week before the surgery, Jim and I went to Home Depot and selected laminate flooring for our two home offices. We chose a nice, rich Pergo that would contrast with the light laminate that Jim installed five years earlier for the family room and hallways. I figured leaving him with 900' of flooring to play with would keep him out of trouble while I was in St Louis. I bumped my head pretty hard on the side of the door window getting out of his car and was groggy for about five minutes. Jim had me sit down when we got inside the store and 10 minutes later I was fine."

Jim: _"She took a long time getting out of the car and I wondered what she was doing. I didn't know she bumped her head until we were in the store. She was acting a little 'off' and I told her to sit down. It wasn't anything obvious and later she seemed okay and I forgot about it. I don't see how we could have done anything differently. Doctors later said that bumping her head was just a symptom. The accumulation of blood in her brain was not caused by trauma."_

"A few days earlier I was driving to the grocery store and found myself hitting the lane divider speed bumps a couple times. My eyes told me I was in the center of the lane, but I wasn't. I was also having trouble picking things up off the floor. The objects would be a couple inches away from where I thought they were. I made a mental note to see my optometrist or maybe get an appointment with a new ophthalmologist. The one that did my right eye cataract surgery no longer accepted our insurance. That was the last time I drove my 1997 BMW Z3. The mileage stopped at 28,542 miles.

"Jim and I played golf on Monday, February 28th. It was his birthday. It was part of his birthday present and an attempt to get him playing more again. We planned a golf vacation in Scottsdale, AZ for June. I played okay, but had problems focusing on the ball. My depth perception wasn't good and was fortunate not to whiff any shots. I blamed it on my new prescription and made another note to talk with my optometrist when I got back from St Louis.

Jim: _"I didn't notice anything unusual. She had some good shots and bad. I've seen her play a lot worse. We had fun."_

Tuesday I flew Southwest Airlines to St Louis without incident. I didn't have to drive. Jim drove me to the airport and my sister, Linda, picked me up at Lambert and took me to my mother's house. I recall having difficulty keying the numbers on my cell phone. Later, while I was telling Linda and my mother about the problems I was having with depth perception, I tried to put a spoonful of creamer in my coffee but overshot the cup by a couple inches."

"Linda and I went shopping Wednesday in Old St. Charles. SSM St. Joseph's Health Center is only a few blocks away. I had problems navigating the cobblestone streets and the high curbs. Something was wrong. Everything seemed a bit 'off'."

Thursday I made an appointment with my new ophthalmologist for the day after I returned to Tampa. Obviously, I never kept the appointment. Coincidentally, my 92-year old mother had an appointment with her eye doctor. She had made the appointment for that day because she knew I would be in town to drive her, but I couldn't. She drove."

50th High School Reunion - March 4, 2011

Notre Dame H.S. Class of '61 (Rosann - far right)

"Friday was my 50th Notre Dame High School reunion. I had been looking forward to this for several months. I dreaded driving and fortunately had arranged for two friends to drive. It's an all-girls school and husbands weren't invited. Marge and Mary picked me up home and drove downtown to Kemoll's Top of the Met Restaurant. The restaurant and food were great and I had a great time seeing old friends. I had a little problem keeping the Salmon on my fork, but nothing anybody else noticed. I was home by 10:30 PM."

These are some comments from Rosann's high school classmates;

Marge: _I have spent a lot of time rehashing Friday night since all this has happened. We talked on the phone early in the week and you were very enthusiastic and excited about the reunion. You did not mention feeling poorly and you sounded great. Friday night it was pouring rain when Marci and I picked you up. I was really impressed with how wonderful you looked. We chatted all the way to Kemoll's. You mentioned that your vision was not quite right and we then started talking about your eye surgery you had shortly after graduation. We visited with lots of people and even went in different direction for a bit. You ordered a glass of wine but drank very little of it. You had a slight headache and didn't know if you should be drinking. That was the first indication that anything was unusual. You did not eat much of your meal but did say it was excellent food. When it came time for the picture, we had only a half of chair to sit on and your balance was good. Fight, fight, fight and know that we are pulling and praying for you."_

Kathy Lohmueller: _When I arrived at our reunion I was so thrilled to see you standing there and you looked lovely. Later at the table you shared pictures of your beautiful paintings with us. You are an outstanding artist, and I am so proud of your accomplishments. The evening went much too fast because we could have talked all night. You are a "tough cookie" and know you can beat this. Never give up hope--so many people love you! I love you and treasure you always!!!"_

Millie: _"I didn't notice anything wrong that Friday night – I remember making the comment how great you looked, and how I was going to visit your website. But you looked happy, healthy and beautiful as always. Hang in there my friend; you are on many prayer list, and always in our hearts. Love."_

Nancy Thebeau Schilling: _"Rosann, I remember when you first walked in the dining room Friday night; I didn't recognize you at first. You looked great! We talked a few minutes and you seemed fine. I thought that I would visit with you a little later and the night sped by. People started to leave and I saw you just before you left and I remember thinking she looks a little tired. I was so shocked when we got the phone call that you were in the hospital with an aneurism. I couldn't believe someone who looked so good on Friday could be so sick. I hope you are feeling better and I will keep you in my prayers."_

Mary Ann (Lesyna) Braun: _"Hang in there Rosann, I have always believed God works in strange ways and you certainly are an example of that. Our prayers and good thoughts are with you each and every day. I hope this makes you smile. When we got word of your circumstances on the reunion Sunday morning there were maybe 40+ of us at River City Casino having breakfast. We were in a wide open area and we gathered around several tables that had been pulled together and formed a sprawling circle. We prayed right then and there for you._

We didn't give a hoot or holler what anyone thought 'cause the girls were praying for our 'sister'. I wish you only good things."

### Chapter Four

### March 5, 2011

### The Day My Life Changed

Wading Ankle Deep

Saturday, March 5, 2011. "Linda drove my mother and me to the 12 PM funeral service at Assumption Church in O'Fallon, Missouri, about 35 miles from Affton where I grew up and my mother still lives. The weather was nasty, especially for a Floridian. I remember being unusually cold as we walked into the church. The funeral mass was for the paternal grandfather of my daughter's oldest children, Kyle and Cassie. We offered out sympathies to Rita and to Kyle and Cassie. We took our seats towards the rear of the church.

Ten minutes later the headache began. It was the granddaddy of all migraines. The pain was unbearable. My mother asked me if I was okay but I couldn't respond. I'm told that Kyle's girlfriend and her mother saw I was in distress and her mother and my sister, Linda, helped me to a bench at the back of the church. I was still in pain and Allie's mother called 9-11. I remember feeling bad that I was disrupting the church service."

Helen Folk (Mother): _"Rosann seemed normal that morning. Linda drove us to the church and Rosann was chatting away like sisters. The first sign something was wrong was when I saw her holding her head and grimacing. I could tell she was in pain."_

"I don't remember much after that. I knew I was in an ambulance and felt sick to my stomach. I had no recollection of being transferred to a second hospital. People kept asking me my date of birth. I kept telling them but the next person would ask me the same question. I told them again. The rest of the day was a drug-induced blur. Someone else will need to tell what happened."

Rosann was taken by ambulance to St Josephs West where she was evaluated. The non contrast CT scan of the head showed a large 6.7 x 4.5 cm bleed in the right rear portion of the brain (right parietal occipital lobe) and a 6 mm shift of the brain midline caused by the swelling. There were also signs of additional damage and areas of concern. The lab called Dr. Kennedy with the CT results at 3:10 PM. He decided to consult with Dr. Martin, a neurosurgeon, by telephone. They agreed the patient should be transferred to St. Josephs Health Center and Dr. Martin would see the patient there in ICU. Rosann's family followed close behind.

Dr. Close evaluated Rosann at the request of Dr. Martin. Consulted family who noted she struck her right temporal region of the skull on a car door 9 days earlier. _"The patient complained of a headache and is falling asleep in mid sentence. He noted the Head CT showed abnormal appearance in the left occipital/parietal region as well as the right; will need an MRI to get a better look at the lesions."_ Dr. Close completed his evaluation at 6:15 PM.

Dr. Martin was evaluating the patient while Dr. Close was finishing his report. _"She continues to complain of headache and notes weakness on her left side which is present since today. Patient is in moderate distress. She was able to name the current president and 1/3 objects after five minutes. She had decreased attention span and a good fund of knowledge. I suspect she has an underlying tumor, most likely metastatic. I am inclined to hold off on emergency surgery. I think her prognosis is fairly poor although the diagnosis is uncertain. I suggested to her family that her husband come here from Tampa because of the gravity of the situation."_ It was about 6:30 PM and Dr. Martin went home.

Three hours later Dr. Martin changed his mind. He had been monitoring the case from home and had read the lab reports and MRI. Her condition had worsened and he would need to operate. It isn't clear whether it was the additional detail provided by the MRI or Rosann's general condition that caused him to come back to the hospital on a Saturday night, but it didn't matter. He's the expert and it's his call. It speaks well for his character that he was this involved.

Jim: _"Dr. Martin called about 10:30 PM EDT and said her condition had worsened and wanted permission to perform emergency surgery to relieve the pressure from an accumulation of blood in the brain. The Cat Scan and MRI showed a bleeding tumor in the right-rear portion of the brain in addition to a large mass in her lung that was probably the source of the brain tumors. He had been monitoring Rosann's progress from home and decided he needed to operate now; tomorrow might be too late. He left no doubt that the situation was serious and I should make plans to fly to St. Louis soon. I gave permission to operate. He didn't say so directly, but I could tell the Dr. was afraid that Rosann might not make it through surgery."_

Procedure Notes: Right occipital craniotomy and excision of intraparenchymal hemorrhage and the subdural hematoma. The operation began a little before midnight CST and continued into Sunday, March 6. It went as planned and the pre and post operative diagnosis were the same; 'Right occipital hemorrhage, rule out tumor'.

Dr. Martin: _"I harvested the majority of the clot for patholologic examination, but really saw no gross signs of tumor, but rather edematous and swollen brain surrounding the hematoma cavity which measured 5 cm in maximum dimension. Having achieved decompression, I then worked over the surface of the brain...finding and removing small pockets of hematoma. The patient was transported to ICU in stable condition having tolerated the procedure well."_

Jim: _"Dr Martin called again, about 1:30 EDT. I had dozed off waiting for the call but was immediately awake. I answered the phone with some trepidation. He said, the operation had gone well and Rosann was resting, but his earlier fears were confirmed. They wouldn't know for sure until the biopsy was complete, but it looked like adenocarcinoma of the lung, adeno meaning the tumors in the brain came from a gland, probably the lung in this case. Further operations were not an option. He said Rosann's condition was serious and repeated his suggestion that I get to St Louis quickly. We talked for 10 minutes and Dr. Martin pointed out that Rosann would be not be able to 'fly' for ten days due to the possibility of air pockets in her brain that could expand at high altitude. He mentioned there was a chance that she had suffered a partial or complete lack of vision in her lefty eye caused by the trauma in the right, rear portion of the brain."_

Hospital Records: Dictation notes show that Rosann answered questions and provided information to nurses and doctors at both hospitals, but became confused and would occasionally dose off. She submitted to at least four or five evaluations at two hospitals, answering question after question, but doesn't recall much of anything that happened to her. She named the president, related her medical history and recalled 1 of 3 objects after five minutes, but cannot remember much of that day. Her mind is good and her overall memory is good. No mention was made of her loss of vision.

Rosann would remember very little about what happened. The arduous events and the trauma she suffered have been blocked from her memory.

Two more exams were performed in the early morning hours after Rosann was transferred to ICU. A portable chest XR machine revealed 'no pneumothorax or active disease in the chest area. A CT Thorax Abdomen Pelvis with contrast revealed "a soft tissue mass in the left lung measuring 2.8cm x 2.7 cm x 6.5 cm. This lesion is of concern for primary lung cancer.

The liver, spleen, adrenal glands, pancreas and kidneys were unremarkable." Dr. Karen Gladden, M.D. signed off on both reports at 1:20 AM and 2:56 AM, March 6, 2011.

### Chapter Five

### ICU

### Sunday and Monday

The Parasol

Recovery:

"I knew I was in a hospital but didn't really care why. I'm sure someone told me I had an operation but I don't recall anything about the previous day. I remember being in church for the funeral service and talking to Kyle and Cassie and vaguely being in an ambulance. I don't remember anything after that. I'm sorry, I'm not much help."

Dr. Martin stopped by and later said he was pleasantly surprised. Rosann was doing better than expected.

Nurses and doctors came and went. Dr. Vickers, Dr. Meier, Dr. Garcia and the nurses and techs that needed to draw blood or give her medication. They all asked the same question; 'Do you know your date of birth'? Relatives were shuttled in when Rosann was awake and time permitted. Mother, sister, sister's husband, niece and others waited for an opportunity to visit with Rosann.

Mother: _"I was surprised she looked as good as she did. She was a little groggy but was able to talk with us."_

"I knew my Mother and Sister were in the room but I was so tired that I kept on drifting off. I kind of remember talking on the phone with Jim but don't remember what he said. The drugs were in control."

Rosann's condition improved and Monday afternoon she was transferred from Intensive Care to a monitored care unit and a new set of nurses and technicians.

"Monday was much like Sunday. Doctors and a new set of nurses came and went, my mother and sister were at my bedside and I kept answering the same old question; 'Do you know when you were born?' I would think they would have known that by now."

Mother: _"She seemed to be getting better and was awake more. Nurses let us visit with her longer especially after they moved her upstairs."_

Jim arrived from Tampa about 12:30 AM, Tuesday morning and found Rosann sound asleep.

From Jim's Perspective:

Jim: _"I had just completed a third consecutive 14 hour day work day to install laminate flooring (Pergo) in our offices, which are really converted bedrooms. The tough part was empting the closets and moving the furniture so I could get to the floor. The final challenge would be remembering where everything belonged. Laying the flooring was easy once the baseboard was removed and painted. I had been working since 4:00 AM and was dead tired, but happy because I was on schedule. I was sipping wine and watching ESPN' NCAA basketball coverage when the phone rang. Caller ID on the TV told me the call was from Rosann. It was about 6:30 PM EST."_

Kyle Hefner: _"We were in the ICU waiting room and I decided someone should notify Jim that his wife was in the hospital. I used Rosann's cell phone to make the call."_

Jim: _I recall saying hi honey and asking why she hadn't called earlier as she promised, before finding out it wasn't Rosann. It was Kyle, Rosann's oldest grandson. He gave me the bad news. Rosann had collapsed at church and taken by ambulance to the hospital. The doctors said that I should get there as soon as possible. Kyle didn't know any details about what happened because he had been sitting in the front of the church. Someone would call me later when they found out more."_

Jim: _"The next couple hours are a little hazy as I waited in Tampa for more information. At some point I learned that doctors were waiting for an MRI to confirm the CT Scan that showed tumors and an accumulation of blood in the brain. About 8:30 - 9:00 PM (EST) Linda called and told me that Dr. Martin, the neurosurgeon, had decided to operate and was on his way to the hospital. He would call me to ask permission to perform the surgery."_

I called my son and daughter in law, both doctors in Virginia. I needed to talk with someone. This was a big decision."

Drs. Mike and Claire Plautz: "Dad called us to give us the bad news and to get our input. We were able to give him some comfort. We told him that it sounded like they needed to drill a hole in her head to remove the pressure from the accumulation of blood. It sounds bad, but it's not a big deal. I've done that surgery myself as an ENT Surgeon. There was no way to know what additional procedures would be done once the neurosurgeon was in there. Give him permission and let him do his job. That's why they pay neurosurgeons the big bucks."

I don't think I ever considered saying no but I felt much better after talking with Mike. I was better prepared for Dr. Martin's call. While I waited, I looked into flight schedules using Travelocity and Expedia. Getting to St. Louis quickly is not as easy as it sounds, particularly at a reasonable cost. Earlier I had tried to schedule a flight that evening, but at 6:45 PM there were no more flights to St. Louis from Tampa or St. Pete. The next flight left Tampa around 6 AM and arrived Sunday afternoon. I held off making any decision and waited until I spoke with the doctor.

Jim: _"Dr. Martin called about 10:30 PM EDT. Rosann's condition had worsened and he wanted permission to perform emergency surgery to relieve the pressure from the accumulation of blood in her brain. The MRI showed a bleeding tumor in the right-rear portion of the brain and another tumor on the left side. The CT Scan showed a large mass in her lung that was probably the source of the brain tumors. He had been monitoring Rosann's progress from home and decided he needed to operate now; tomorrow might be too late. He left no doubt that the situation was serious and I should make plans to fly to St. Louis soon. I gave permission to operate. He didn't say so directly, but I could tell the Dr. was afraid that Rosann might not make it through surgery."_

I spent a couple more hours on the computer and tried to stay awake. I was starting to lose the battle when the phone rang.

Jim: _"Dr Martin called again, about 1:30 EDT. I had dozed off waiting for the call but was immediately awake. I answered the phone with some trepidation. The operation had gone well and Rosann was resting, but his earlier fears were confirmed. They wouldn't know for sure until the biopsy was complete, but it looked like adenocarcinoma of the lung. Further operations were not an option. He also said Rosann's condition was serious and repeated his suggestion that I get to St Louis quickly. We talked for 10 minutes and Dr. Martin pointed out that Rosann would be not be able to 'fly' for ten days due to the possibility of air pockets in her brain that could expand at high altitude. He also said there was a chance that she would suffer a partial or complete lack of vision from the head injuries caused by swelling and surgery."_

I was tired but tried to evaluate my options. Was it necessary to get on the first flight to St. Louis? Was this the best course of action? Surgery had already been performed and Rosann was resting comfortably. Her condition was serious but she was not in immediate danger. I was without sleep for almost 22 hours and physically sore from four days of moving furniture and laying flooring. A 6 AM flight would get me to St Louis Sunday, but what then? Rosann would be sleeping most of the time and I would be dead on my feet. Rosann's inability to fly home for ten days was another consideration. Maybe I should drive a car to St. Louis? I decided not to catch the early morning flight to St. Louis.

Jim: _"I didn't dwell on the bad news. Maybe it was adrenalin, or maybe I was overtired, but I fell asleep dreaming about getting Rosann home and how we would beat this thing. I didn't dwell on the negatives."_

Sunday morning I evaluated options to get Rosann home by car. I called Rosann's son, Dave, who lives nearby. He already knew the bad news. Yes, Dave would be more than happy to share the driving, just let him know what I decided. He could leave anytime.

I called my daughter Kelly in Atlanta to tell her and Brandon the bad news. She suggested that Dave and I could sleep there if we wanted to make it a two day trip. Their house is only 20 minutes off the route we would take. Mike and Claire said we could stop in Virginia at their place, especially on the way back if we needed help with Rosann. There were plenty of options.

One sticking point was that Rosann, at her best, doesn't like long car rides. She couldn't sleep. I needed to talk with Rosann before deciding to fly or drive to St. Louis _._

Jim: _"I finally got through to Rosann Sunday afternoon after several 'I think she's sleeping' messages from the ICU nurses. I certainly didn't want to wake her._

She seemed fairly lucid on the phone but I could tell she was weak. After the 'I love you stuff', I told her the Doctor wouldn't let her fly home for ten days and asked what she thought of driving back to Tampa. I told her Dave had agreed to share the driving if necessary. Rosann was more adamant about not wanting to drive than I expected. She didn't want to be in a car that long, the same argument she gave me for a seven hour trip to Atlanta. She wasn't fully grasping the fact that Dr. Martin said she couldn't fly for ten days. I knew, though, that it would be hard to convince her to ride in a car for 16 hours. I didn't push. I decided to fly up to St Louis and postpone the decision on how to get her back to Tampa"

I made plane reservations for the following day. The expected arrival time in St. Louis would be about 11:00 PM Monday. The 4:00 PM departure saved me a few hundred dollars and gave me time to get the house ready for when Rosann came home. I spent the remaining part of Sunday and Monday morning working on the flooring project and straightening up the house.

Jim: _"I'm not talking dusting and cleaning. I'm talking about moving file cabinets off the patio into my office, finishing the floor in Rosann's office so I could move her desk and art supplies back where they belong and hang all the clothes that were piled in the guestroom back into her 'overflow closet'. I wanted the house to be clean for Rosann when she returned. I wanted her to be able to sit down at her desk and use the computer and check her email. I wanted her to get back into her routine. Alas, I did not yet realize how difficult this would be. At this point, I did not know how weak she was and how much her vision was impaired. I didn't realize that she wouldn't be able to even see the new floor clearly."_

Dave Glandt drove me to the airport. I was still cleaning up the house when he arrived and we left in a hurry. In my haste I forgot my packet of information that had my rent-a-car reservation and the trip-tic from the airport to the hospital. I would need to rely on memory.

The flight arrived in St Louis on schedule but my memory failed me. It was after midnight and I was hopelessly lost when I pulled up to a red light next to a tow truck, rolled down the window, and asked for directions. The driver started to tell me and then stopped and said, 'follow me'. Ten minutes later I was in front of the SSM St. Josephs Health Care and the driver was pointing to where I should park my car and enter the hospital. What's the movie, Pay It Forward? Well, I owe three strangers a big favor.

Rosann was sound asleep when I arrived at her 2nd floor, monitored care room. She barely murmured when I hugged and kissed her. Nurses suggested it might be a couple hours before they would wake her to give her medications. The cafeteria is open if I was hungry. After feasting on airplane pretzels for eight hours, I took their suggestion. I ate a small pizza and came back to the room to wait for Rosann to awaken. Nurses provided me with clean sheets for my recliner which converted to a bed. I lay in my makeshift bed waiting for Rosann to open her eyes.

### Chapter Six

### Hospital Highlights

### The Next Eight Days

Flowers in Glass

"I can't come close to telling you what happened day by day, but I can tell you what I remember most."

My awesome support group!

"I was 900 miles from home, but never felt alone. My mother and sister, Linda, were at the hospital continually along with my niece, Nicole and various other relatives. They must have set a record for visitation hours. Flowers were everywhere and nurses continually told me how beautiful they were. I couldn't see well enough to appreciate them fully, but it meant a lot to me. Thank you. Every day someone would read me the cards that came that day from relatives, golf friends, my Tampa art group, Notre Dame Classmates and just plain friends. It meant so much to me that all these people cared about me and were praying for me.

Evenings and weekends were filled with visits from friends and relatives. My son in law, Dave Jalil, brought my younger grandchildren, Lauren and Emma. Kyle, the oldest, brought his girlfriend, Allie and a single flower. Allie's mother was the one that sat behind us at church and called 9-11. Cassie, a freshman at the University of Missouri, came home on the weekend to see me. I'm so proud of these kids. I wish their mother, Dawn, was alive to see how wonderful her kids have turned out.

Claudia Perry, my best friend from my days in St Louis, twice made the 40 mile trip from Belleview, Illinois. I recall how she entertained Lauren and Emma. Kathy Hahn, my best friend from high school, and her husband, Bruno, visited. There were so many others. I am grateful to them all for taking the time away from their busy schedules.

Jim's three children and families were also supportive with flowers, cards and well wishes passed on to me by Jim. The wonderful 4-foot wide poster that Ella (6), Coco (4) and James (1) made, with only a little help from Kate and Bill, adorned the door of my room for days. Jim slept in my room three nights before checking into a Quality Inn to get some sleep. He went home to Tampa, Monday, but left me and the rehab nurses a gift. Unfortunately, the medical staff could not save the 'Frosty the Snowman' Jim made.

Getting back to Tampa - Planes, Trains and Automobiles - so many choices.

Steve Martin and John Candy had an easier time getting home to Chicago for Thanksgiving. Doctors told Rosann she could be discharged Thursday, there was nothing more that they could do for her here. The question was discharged where? Home is in Tampa, but she can't fly commercial until next Tuesday at the earliest, 10 days after the operation. The doctors don't want her make the 1,000 mile drive because they couldn't be certain that appropriate medical services would be available if something happened. One doctor suggested a train since Amtrak had major stations in St Louis and Tampa. Several people suggested Medivac and other emergency air lift services. Private airplanes, staffed with medical staff and equipment, are available at little or no cost to the patient. The insurance company is billed.

Jim: _"Amtrak was easy to check out. I had a laptop and Amtrak had software that gave you the best routing from St Louis to Tampa. Cost was substantially less that the cost of commercial airlines, and connections were good. We could leave Tuesday at 7 AM and arrive in Tampa at 3:30 PM, Thursday, two days later. The route is St Louis to Chicago to Washington DC to Orlando to Tampa; so much for Amtrak."_

The free, or near-free, medical airplane never materialized. Jim asked three people that suggested the idea to look into it.

Jim: _"I just didn't have the energy to spend on what I thought would be a wild goose chase." No one got back to us. Don't get me wrong. There are plenty of charitable services including Air Compassion America, Mercy Lift and Angel Flight. The National Patient Travel Center HELPLINE provides a screening and referral service to match a patient's needs to available services. There are low-altitude flights available but we didn't find one. Cost is based upon the patient's financial strength. We're not rich, but we do have equity in our home and some other assets, I suspect that the cost would have been prohibitive, but that's just a guess; I don't know for sure."_

The most viable option seemed to be an automobile or better yet, a SUV or van that would allow Rosann to lie down. Sixteen hours for two drivers is not a difficult drive. That's how Rosann and I each got our families to Tampa fifteen years ago. We had plenty of volunteers to drive including her son Dave, but Rosann was against it. Dr. Martin was also against driving so that pretty much nixed the overland route as our primary option. I decided to concentrate on the most straight-forward method of travel; commercial air service.

Southwest Airlines has daily nonstop flights to Tampa and the tickets go fast.

Jim: _"Thursday evening I bit the bullet and reserved the last two seats for Wednesday, March 16th. This was the 11th day after the operation. The seats were reserved under Rosann's name and my name. We had 24 hours to confirm or change the reservation. I asked Rosann who she wanted to escort her. The following evening we changed the name of my ticket to her son, Dave."_

The reservations were confirmed and we were now committed to a date. Dr. Martin had earlier shown me two cat scans of Rosann's brain; the one he saw before the operation and the one they took Thursday after her relapse. There was still a lot of air trapped in her cranium, air that could expand at high altitudes and cause severe pain and headaches. Rosann vividly remembers well the severe headache and excruciating pain that had preceded the surgery and didn't want to experience that pain again. She was against flying home as long as there was any chance of reliving that pain.

Jim: _"I wanted her to get home and start getting better. I knew I was taking a chance, but this was not an ideal situation. The guideline of 7-10 days limitation on flying at high altitudes is fine for people that get sick 15 miles from the hospital and need to postpone a business trip or vacation. It's not as black and white for people that are stranded 900 miles from home, 1,012 by car, with insurance that doesn't cover 'treatment' outside of Florida. In these situations, the question of greater good becomes relevant. What are the odds of incurring severe headaches versus the benefits of starting radiation and chemo treatments as soon as possible? Purchasing the tickets put some pressure on Dr. Martin."_

Nowhere to go - the Rehab decision

The Doctor's said Wednesday that Rosann could go home as early as Thursday, but where should she go? She couldn't fly until next Tuesday at the earliest and the neurosurgeon was against a 16-hour drive to Tampa. The options were to stay at her mother's house in Affton, about 40 miles away. That's where Rosann would have stayed if this trip had gone according to plan. The house is three stories including a basement bedroom, but going up and down stairs was impossible. We considered putting a hospital bed in the living room and hiring physical rehab people to come to her mother's home. Doctors would still want to monitor Rosann's progress so transporting Rosann to and from the hospital would be a challenge. It was soon apparent this option had many drawbacks and would only be used as a last resort.

SSM St Joseph's Rehabilitation Hospital is a wonderful facility located on the 4th floor of the SSM Healing Center. The Rehab Center is a separate entity from the hospital, but works closely with the Hospital staff. They offer all three types of therapy that Rosann needed; Physical Therapy to help her regain strength, Occupational Therapy to help her with basic functions such as getting dressed & getting in and out of a car and Speech Therapy, or more specifically, Cognitive Rehabilitation, to overcome the Rosann's loss of vision and damage caused by the swelling in the brain and surgery. SSM Rehab was the logical first choice.

We hoped Rosann would be admitted to Rehab Thursday morning, but first, Robyn Barnes RN, the admission's nurse liaison officer, needed to determine if Rosann was strong enough to benefit from their services. Two physical therapists performed a physical and mental assessment of Rosann's condition and needs. Could she use a walker to get around? The second specialist evaluated Rosann's ability to perform simple hand eye tasks such as picking up objects from a table. It was clear that Rosann needed therapy to regain the synapses injured by the bleeding tumors and surgery. Rosann was approved for admission, subject to resolving insurance issues.

Julie Buckley, Rosann's case manager, took charge of getting the authorizations needed for discharge into the Rehabilitation Hospital. This included determining if Humana Gold Plus would cover rehabilitation costs. It's a Florida Insurance Plan and understandably, Humana is reluctant to cover out of state costs from specialists that are not part of their network. It was not a decision that could be made by caseworkers. It took two days but approval was granted. Rosann was now cleared to enter the Rehab Hospital.

Robyn also sent therapists to her room to begin Rehab as an outpatient. The first day she walked only 30 steps; the second day 120 steps. Everyone was optimistic, but the third rehab session didn't go so well.

One Step Back - Relapse

Thursday afternoon Rosann fainted just before the third rehab session after being moved from her bed to a chair. Witnesses said she just lost consciousness and collapsed in her chair.

It was 'back to the second floor' where nurses could monitor her condition. All plans for discharge to the 4th floor Rehab Hospital were put on hold. Nobody is sure why she collapsed.

Jim; _"I believe she just fell asleep, for two reasons. That morning doctors had given her a new anxiety pill and advised us the side effects could be drowsiness. At the time we thought this would be a good thing if it helped her get more sleep. More importantly, Rosann had not eaten for 24 hours. We ordered food but she didn't eat it. Falling asleep was the combination of the side effects of the pill and her low caloric intake. She had no energy. Why didn't she communicate this? Because it's not part of Rosann's make-up to tell the rehab specialists that she was too tired. She would try to comply with their wishes."_

Doctors took another CAT scan and compared the scan to the pre-op scan. The following morning the doctors were grim. The technicians interpreting the scan believed Rosann's condition had taken a turn for the worse. The new scan showed new areas in the brain that were most likely cancerous and the cancer had worsened since the operation. The implication was that Rosann's condition was critical. The cancer was spreading.

Jim: _"I was at the low point since my arrival and shared my feelings with Rosann. I told her the news wasn't good. We cried."_

Dr. Martin arrived an hour later and did his own analysis. His prognosis was more optimistic.

Jim: _"Dr. Martin used a computer terminal at the nurses' station just outside Rosann's room to access the relevant data. He called me over and brought up the two CT Scans side by side and pointed out what the technician had seen and why he wasn't as concerned. Yes, there was another smaller tumor on the other side of the brain that he could not reach, and yes, he was not able to get all of the mass where he had operated, but neither item was of immediate concern. The cancer in the brain was not spreading." Optimism returned!"_

The mass in the lung was now the main concern. Robert Kraetsch, M.D. a Medical Oncologist with SSM Cancer Care, told Jim the pathology report confirmed the tentative diagnosis; Adenocarcinoma of the lung. He said the long term prognosis was not good.

Jim had already used his laptop to Google the statistics for survival and knew Rosann's chances of surviving six months were low _._ He asked Dr, Kraetsch if it was necessary to tell Rosann?

Jim: _"I've told her it's bad but I don't think anyone has talked numbers or percentages with her. What's the point in laying that on her at this time?"_

Dr. Kraetsch: _"I'll give her the diagnosis and talk to her about treatment options, but if she asks, I'll have to give her the information. It's my job."_

Rosann didn't ask.

Jim: " _I've read Dr. Kraetsch' case notes and am impressed with his thoroughness and demeanor. Rosann would have been in good hands if he could have stayed involved but he knew that once we got to Tampa our new medical oncologist would ignore his notes and recommendations. Doctors would look at the slides and make their own diagnosis. Little did he know that as of May 2, no one has yet asked for the slides he gave us ._ "

Rosann started eating again and later that day was transferred back to a regular hospital room on the sixth floor. Sunday afternoon she was transferred to the Rehabilitation Hospital on the 4th floor, a significant step in her recovery process. She was beginning to Fight Back. Sunday she was transferred to Rehab.

The Trip Home

The day had arrived. Rosann was going home to Tampa. Her son, Dave, would escort her home. They had Business Class tickets on a Southwest Airlines direct flight departing St Louis at 9:30 AM and arriving in Tampa at 12:30 PM EDT. Everything was pre-arranged to make the flight as easy on Rosann as possible.

"I was afraid to fly even though they told me it was unlikely I would get bad headache. I didn't want to go through that pain again. Having Dave with me made it so much easier."

Dave had arrived Tuesday afternoon from Tampa and spent the day and night with his mother at the Hospital. Unfortunately for Dave, Rosann now had a roommate and he was forced to curl his 6'3" frame into a recliner. The night nurse was startled to find a strange man in the room but reluctantly allowed him to stay.

Shelby Hartley, Rosann's Rehab Case Manager for her three days in the Rehab unit, made sure everything was ready for an early and smooth checkout. Shelby remembers Rosann as a hard worker, determined to get better.

Dave Glandt: _"I was scared of letting my mom down. What if something happened and I couldn't handle it? I would never show it or say it to mom, but I was scared._

Aunt Linda met us at the hospital. We had it all planned out; tickets, luggage, walker, check. From the second Linda met us, I knew the trip would be smooth. I requested a wheelchair as soon as we pulled up to the Southwest terminal. An attendant, John, wheeled up and promised he would take good care of us, and that he did. He expedited us through security and got us to the gate an hour before boarding time.

Mom held my hand and said she was glad I was the one there; nothing was going to go wrong. I wouldn't trade that hour at the gate for anything; my mom and me, just sitting there talking about everything. I remember every second and every word spoken in that hour.

Southwest Airlines treated us like royalty, I informed the attendants mom couldn't walk far and they allowed us to take the wheelchair to within a step of her seat. I gave mom the pillow we brought with us and she smiled and got calm. She kept thanking me saying, that I had done it. I really didn't do much, but I was happy; mom was safe and comfortable. She fell asleep and we were in Tampa in no time. The flight was the smoothest I had ever been on. I can't thank everyone at Lambert Airport and Southwest Airlines enough.

Jim and Lea met us in the baggage area and we got mom home without a hitch."

Rosann entered through the front door and went directly to her bedroom. Other than a slight headache, she had survived her journey well. Jack soon came out of hiding and curled up next to her, purring softly. She was glad to be home.

### Chapter Seven

### Fighting Back -The first 45 Days

Chicks with Attitude

" _Joy lies in the fight, in the attempt, in the suffering involved, not in the victory itself" - Mahatma Gandhi (Indian Philosopher_ _)_

Rosann's battle was fought on several fronts.

Humana Gold Plus - the role of the PCP

Everything goes through the 'Primary Care Physician' under the Humana Gold Plus plan. Rosann's PCP is Dr. Daniel Heinig M.D., who is also serves as a member of the board of directors of Gulfside Regional Hospice.

Tampa is blessed by having a great cancer research hospital; H. Lee Moffitt Cancer Center & Research Institute. It is world renowned and has an excellent reputation; deservedly so. Rosann's family just assumed she would be treated at Moffitt. Her friends in Tampa told stories of the wonderful treatment their friends and associates received at Moffitt.

Moffitt is also part of the Humana insurance network which means nothing unless the PCP refers you to a Moffitt doctor. Rosann's PCP did not. Moffitt was not part of the group of the small group of doctors that he dealt with.

Jim: " _I fought this battle three years earlier when I had knee replacement surgery. Friends recommended a group of knee surgeons, but my PCP wouldn't refer me to them. I argued my case with him, but it did no good. I finally agreed to see one of the three surgeons my PCP dealt with. I selected Dr. Mac McClimans and couldn't have been happier. This was a similar situation. I mentioned Moffitt to Dr. Heinig once. He replied that his referral group of doctors was equally qualified, possibly better. I needed a doctor, not a hospital or a research center. Experience told me I couldn't win the fight even if I tried, and who knows, maybe Dr. Heinig's doctors would provide Rosann with the quality care she needed. I dropped the subject."_

Dr. Heinig was already familiar with Rosann's situation. Julie Brinkley, Rosann's SSM case manager, had contacted his office to coordinate referrals and paperwork issues necessary to get approval from Humana to cover emergency medical expenses and rehabilitation. Dr. Kraetsch, the SSM medical oncologist had also called to discuss Rosann's treatment needs once she got back to Tampa. Dr. Heinig called Jim in St. Louis to let him know he was ready to help and would meet with Rosann as soon as she got back to Tampa.

Rosann met with Dr. Heinig Thursday morning. He had already made appointments for Rosann to see a Janelle Park M.D., a radiation oncologist Friday morning and Pedro Mendez M.D., a medical oncologist Monday. Early in the conversation Dr. Heinig asked Rosann if he could speak frankly. Rosann nodded yes. It was a mistake. He should have asked if he could be 'brutally frank'.

Rosann: "He asked me if he could be frank with me and I nodded yes. He then proceeded to tell me that I was going to die and asked if I wanted him to make an appointment with a hospice group. I couldn't believe what I was hearing. I know the graveness of my situation, but I was looking for treatment. Encouragement would have been more important at this point than realism. I wanted to fight this battle, not plan my death. It was too soon for that."

Jim: _"These are discussions that should not be had in front of the patient. If they need me to provide a power of attorney, so be it. The idea of entering a hospice program at this point was incredulous. Rosann was determined to fight back against this terrible disease, not enter a program that is associated with death. It's a testament to Rosann's strength that she didn't let this (and other conversations) throw her into a depression. The Doctor's 'bedside manner' needs work."_

Hippocratic Oath excerpt: _"I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug."_

Rosann declined Dr. Heinig's offer to set up an appointment with Hospice. It wasn't the right time.

Jim: _"Several weeks later I did some research into the services that Hospice organizations provide. There are many and most of them are free. For example, there is no $25 per visit co-pay to see a specialist as there is under the Humana program. However, I also discovered that Hospice only pays for palliative services. Curative services are not excluded. I recalled Dr. Heinig's statement to Rosann that she was going to die (from this disease), 'you're going to die, there aren't any other alternatives'. Aren't doctors supposed to heal?"_

Over the next several weeks Heinig's office would recommend ophthalmologists, rehabilitation specialists and imaging services that would perform PET Scans and MRI's. All referrals and paperwork flow through Dr. Heinig's office. The patient makes the appointment and then asks the PCP to forward the appropriate information to the specialist. The specialist will not get paid by Humana unless the referral and paperwork has been provided to them in advance.

Jim: _"There were a few problems, but to be fair, the office staff did a better job with the referrals and paperwork than 'my' PCP & staff did when I got my knee replaced. (I have a different Primary Care Physician). Maybe the problem is with the system? I spent many hours trying to verify that paperwork was in place whenever we made an appointment. Rehab was delayed two weeks because of paperwork issues. We finally figured out that the paperwork was being faxed to the wrong fax machine. In another instance, Rosann showed up for the PET Scan and there was no paperwork. Fortunately Rosann had a copy of the original referral that Dr. Park had sent to Dr. Heinig's office."_

Prescriptions

Rosann was still on the same seven prescriptions provided to her when she was discharged from SSM St. Josephs Health Care hospital in St. Louis.

Famotidine 20mg

Levetiracetam 500mg (anticonvulsant/seizure)

Hydroodone (Tylenol 3) pain reliever

Dexamethasone 4mg (steroid)

Mirtazapine 30mg (antidepressant)

Zolpidem 5mg (insomnia)

Lorazepam (anxiety)

She had no further contact with the St Louis' doctors after she was discharged and came back to Tampa. Who was monitoring her condition and determining if the prescriptions were still appropriate? The situation came to a head when Rosann's cheeks and ankles became puffy and she began experiencing numbness in her feet. 'Google' told her this might be a side effect of steroids.

"I was still undergoing radiation treatments so Jim and I asked Dr. Park to review my medications. She agreed to do so after Dr. Heinig agreed to assume the responsibility of monitoring the medications on an ongoing basis. Dr. Park gradually weaned me from the steroids and the Famotidine. This eliminated the puffiness and numbness in her feet."

Rosann provided blood and urine sample to Dr. Heinig's office and set up an appointment to review the lab results. Rosann's friend Lillian Stickel drove Rosann to the appointment.

Jim: _"The day prior to the appointment I took a call on Rosann's telephone from the nurse in Dr. Heinig's office. The lab results showed Rosann's cholesterol level was high, both the good and bad cholesterol. Dr. Heinig would be recommending new medications. I wasn't sure that I should laugh or cry. I called my son Mike (M.D.) to get a different perspective, Are they serious? He said not to worry;' it's probably just a call by the nurse who read the lab report and automatically called the patient. I'm sure the Dr. wished the call had not been made. Nobody is going to worry about Cholesterol levels when the patient is fighting lung cancer.' I agreed with Mike at the time but wasn't so sure after I found out what happened at the appointment the next morning."_

Lillian: _"Rosann warned me that his bedside manner was a little on the dark side. I was still not prepared for the "gloom and doom" in the room. Dr. Heinig was personable and greeted Rosann with a friendly smile. After exchanging greetings, he told her that he was available to her any time of day or night (this is going well I thought.) Dr. Heinig then asked Rosann who she would call if she had a stroke in the middle of the night, would she want to go to the hospital or just be made comfortable at home?, Rosann's head dropped and the smile was gone. She responded that she didn't want to talk about that because she wanted to fight this with everything she had._

Dr. Heinig was persistent. He asked the question twice more and twice more got the same answer. I suggested that if in fact she had a stroke in the middle of the night it wouldn't be her making the call. Maybe we would let her and Jim talk about this. He wanted to be sure that we were well aware of how dire her condition was. We assured him we did.

Rosann asked if he knew anything about a new CyberKnife procedure being used in treatment (she soon wished she had that question back). Dr. Heinig related a story about how one of his patients was operated on with CyberKnife as a last effort and didn't make it off of the operating table. I motioned for him to please stop and he did. I suppose honesty can be the best policy but hearing it more than once doesn't make it any less depressing."

Rosann hasn't seen or talked with Dr. Heinig since this appointment. There hasn't been any need and she has no desire to put herself through another depressing conversation. Jim coordinates referral appointments and prescription needs with Dr. Heinig's staff.

  **Radiation Oncologist Treatments: Tampa Bay Cancer Center, Janelle Park, M.D.**

"My five-week experience with Dr. Park and the nurses, staff and technicians at the Tampa Bay Cancer Center has been a totally pleasant experience. I can't thank them enough for their help and love."

Rosann met with Dr. Park Friday morning, March 18th, 2011 and three hours later was fitted for a radiation mask. Dr. Park recommended full head radiation treatments even though she is a Medical Director of CyberKnife, a directed radiation procedure that would specifically target the three tumors in the brain that appeared on Rosann's CAT Scans and MRI done in St. Louis. She explained there was a strong likelihood that other cancer cells have been emitted to the brain (from the lung) that had not yet grown to tumor-size where they show up on an MRI. 'Studies show that most patients that start with a CyberKnife procedure eventually require full-head radiation treatments. It's better to get rid of the undeveloped cancer cells before they grow to be tumors.'

  Dr. Janelle Park: _"Mrs. Plautz is a true trooper. She came to the clinic for her initial consultation, and was determined and ready to do whatever she needed to do. We discussed the use of CyberKnife versus whole brain radiation therapy upfront; due to the fact that she had had a bleed in the brain that was, in light of the final pathology, related to a metastatic lesion, I felt that there was a high risk for additional tumor cells to be within the intracranial space. These would not be addressed if we started with CyberKnife first; thus we opted to go with whole brain radiation treatments first, and re-evaluate after completion of the whole brain radiation for potential CyberKnife boost to any residual disease._

During her 3-week treatment course, Mrs. Plautz exuded grace and courage, and her inner spirit shone through. Her ability to do various activities gradually improved during the course of her whole brain radiation treatments. PET-CT whole body imaging on April 11 revealed uptake in the left lower lung and left posterior brain. Repeat MRI brain imaging on April 28 revealed an enhancing lesion in the left occipital lobe, smaller than before. We are now planning on giving concurrent chemoradiation therapy to the lung tumor, and planning for CyberKnife boost in June to the left occipital area.

As always, I am truly honored to be allowed into another human being's life during their most private, personal, and trying moments, and to be entrusted with their faith and belief in the proposed treatment plan. It is this, in the end, which comprises the true meaning of life, and is essential to the human experience."

  Rosann's radiation treatments were scheduled for 15 consecutive weekdays, commencing the following Wednesday. The total elapsed time from door-to-door was about 90 minutes including travel time. The treatments themselves took only 10 to 15 minutes. Jim drove her to the first and last appointment and once during a heavy rain storm. Her son, Dave, drove her once to see for himself what his mother was going through. Golf and art friends volunteered to drive Rosann to the other appointments.

  Lizette (receptionist): _"I never saw anyone with so many friends. There was a different person driving her every day. It was easy to see why. Rosann was always in good spirits and never once complained. I hope she can beat this. She is so nice."_

  "T" - Radiation Therapist: _"Rosann is a model patient, always a trooper about her treatments; always upbeat. We enjoyed having her as a patient. We missed her when she finished. I'm happy to hear that she might be coming back and I look forward to helping her through her treatments."_

  Sharon (LPN): _"Rosann is a true warrior and Jim is the most supportive spouse, always there to hold her up physically and emotionally."_

This is what Brenda, Jim and Rosann said about the Tampa Bay Cancer Center.

Brenda Bruno (scheduler): " _Rosann has so many friends that wanted to do something for her. It was easy to get volunteers to drive her back and forth. I'm still getting calls asking if there is anything else they can do. Everyone was happy to help out. All were very complimentary about the building and staff."_

Jim: _"The office is clean and bright as is the office in Brandon where we had the 'mask' fitted for Rosann. The roomy waiting area, the crossword puzzle to work on and the free cookies and coffee, create an environment that says this is a healing center. Rosann was always in a good mood after her appointments; tired, but in a good mood. We certainly recommend this group to others requiring radiation treatment. "_

"Everyone was so nice to me at the Cancer Center; I can't thank them enough. They always greeted me like a friend and made me feel comfortable. I couldn't have been treated better."

Rosann is now waiting for the results of the MRI taken April 28th. She is hopeful that the brain tumors are gone and they can finally begin chemo treatments for the lung cancer.

Florida Eye Center

The lack of progress of improvement with her eyesight is the most disappointing aspect of Rosann's rehabilitation. There doesn't appear to be any hope. Jim and Rosann tried, but admittedly, maybe not hard enough.

Her optometrist directed Rosann to the Florida Eye Center. The optometrist recommended she see a 'low vision specialist' although they will probably want you to see an ophthalmologist first. Jim made the appointment after getting a referral from Rosann's PCP. After waiting for 90 minutes in various waiting rooms, Dr. Arey told Rosann there was nothing he could do for her. "You could come back and take a 'full field test' but I don't thing that will change anything."

Rosann asked about seeing a low vision specialist.

Dr. Arey: "We don't have one on staff. We do have someone that has done some research of low vision products available on the internet, but we don't have any specialist. You might try the Lighthouse for the Blind. I'll be happy to give you a referral."

Jim: _"Dr. Arey was nice and sincere in his offer to help, but we were disappointed that there was nothing that could be done such as further cataract surgery on her right eye or some other magical cure. Rosann was exhausted when we left the Eye Center that day. She never went back for the field test. Sitting and waiting for 90 minutes is tiring, especially for a person that cannot see clearly."_

"I wish a doctor, or someone that could help me, 'see what I see' for a few hours. It's so tough to describe. Maybe they could tell me why magnifying glasses don't work for me? It's so frustrating."

Jim: _"I did Google the Lighthouse' website, and numerous other websites, to look at various low vision aids. We found a 'talking watch' that tells her the time if you press the correct button, and sings revelry if you press the alarm button next to it. It's a great watch for people that can see. We also got some great suggestions from Kevin, the Occupational Therapist at UCH, but nothing that solves the underlying problem."_

Rosann and Jim agree that her lack of vision has made rehabilitation much harder, five, maybe ten times harder?

"What can I do, give up. No, that's the one option we won't consider. I want to Fight Back."

UCH Outpatient Rehab

  Rehab started at St. Josephs Rehabilitation Center in St, Charles, Mo. and was supposed to continue uninterrupted in Tampa. Rosann needed two types of therapy; occupational therapy and cognitive rehabilitation, a subset of speech therapy. Her speech was fine, but her problem solving skills had been disrupted by the swelling in the brain and the surgery. Shelby Hartley from SSM Rehab explained Rosann's unique needs and faxed the file to Christian in Dr. Heinig's office. Christian said they had just the group.

Jim: _"I was given the name of a therapy group just down the road from our house. It was too good to be true. I called to make an appointment. Occupational therapy was not a problem but they did not have a speech therapist on staff. I was transferred to the owner who confirmed his receptionists answer. He went on to say that he knew of two therapists that were available for in-home therapy which was what I had when I had knee replacement surgery. This sounded good. He recommended I check with my PCP which I did. Dr. Heinig's office said that Rosann did not qualify for in-home therapy. It's meant only for wheelchair type patients that cannot get to a hospital. Rosann is legally blind and recovering from brain surgery performed three weeks earlier, but did not qualify for an in-home therapy. Go figure."_

Rosann finally met therapists at University Community Hospital fifteen days after returning to Tampa, after more delays caused by missed faxes and miscommunication. She had two appointments, back-to-back with Cara (Speech Therapist - Cognitive Rehab) and Kevin (Occupational Therapist). They were breaths of fresh air in what had been a long journey. The initial appointments were to assess Rosann's condition.

"Cara talked with me and asked what my interests are and what problems I was having. I told her about my love of art and how much I wanted to get back into painting, even if I had to start painting abstracts. I told her about my problems with working on the computer; even finding the cursor. We talked about a lot of things. Jim told her I was having problems doing crossword and Sudoku puzzles."

"I told Kevin about the difficulty in walking or doing day-to-day activities because of my lack of vision. I mentioned the computer problems again and also talked about difficulties in cooking, getting in and out of cars and other daily tasks. I told him I wanted to get stronger. I remember he gave me a bunch of tests to evaluate my strength and coordination on both sides. I told him the left-side weakness I experienced after surgery was improving."

Rosann had her follow-up appointment on Tuesday, April 26th. Both therapists had prepared exercises that Rosann could work on at home. This is what Cara and Kevin say;

  Cara Bryan: _"_ _When I met Mrs. Plautz, she presented like a defeated woman. Although a very willing historian and participant in her cognitive evaluation, her eye gaze was frequently functioning, specifically problem-solving, thought organization, processing, and short-term and delayed recall deficits. A significant barrier to her function was her limited visual ability. In a matter of a few weeks, Mrs. Plautz went from leading an active life of traveling, cooking, gardening, painting, and playing the piano to having extreme difficulty seeing, thinking clearly, not being able to participate in any of her previous hobbies, and relying heavily on her husband for overall function. To add another layer of difficulty, she was dealing with perpetual dry mouth (i.e. xerostomia). There is no wonder she appeared defeated, who wouldn't be? After a full assessment and discussion, we decided to establish a home program for cognitive rehabilitation. Two weeks later Mrs. Plautz (and her wonderful husband) returned for treatment. As I do with all of my patients, I asked Mrs. Plautz how she was doing. She reported that she had started painting (although more abstract than previously) and cooking some. I was very pleased that she felt comfortable enough to resume these activities as this is one step closer to her feeling whole again. With the support of her husband and Mrs. Plautz' determination, she will do well in her rehabilitation."_

  Kevin Bobos: _Rosann needed to improve her overall strength but more importantly she needed to be able to navigate her surroundings both in her home and out in public. Rosann's low vision was the priority. The loss of her vision acuity made reading difficult and being able to get around in her home and community. After learning from Rosann that a magnifying glass did not work for her, I was able to find monoculars on amazon.com. Monoculars magnify printed letters and surroundings to overcome the vision loss and to improve her ability to be able to get out and enjoy her surroundings. Rosann was given information about a class at the Tampa Lighthouse for the Blind. This organization helps individuals with low vision or vision loss be independent in the home and in the community. Rosann has the ability to regain most of her independence. The strength will come back over time through exercise and recovery from her hospitalization in Missouri. Through practice, low vision techniques, and assistive devices Rosann can enjoy a productive and fun-filled life."_

Rosann: "I'm so thankful for the work Cara and Kevin did for me. Cara is so easy to talk to her and she seemed genuinely pleased that I had gotten back into art. Kevin even did research and found me low-vision aids on amazon.com. I'm trying to work on the exercises they each gave me. They are such nice people."

Jim: _"I was really impressed with the facility and the therapists. Cara's perception that Rosann needed to work on her problem solving abilities was right on the mark. I would recommend the UCH outpatient rehab facility, and specifically these two therapists, to anyone. Thank you."_

Jim has assumed the title of in-home rehab specialist including physical therapy as well as occupational and speech therapist.

Jim: _"I don't like being the task master but who else is there? It's difficult to be her best friend and also her workout guru. She gets tired doing the exercises that Cara and Kevin provided and has to be prodded to keep going or some days, get started. A professional therapist would do a better job. The most fun we have is during our morning walks along a portion of the trail that we used to ride our bikes. She works hard and is so pleased when I give her a good grade. I need to give her a few A-pluses. She deserves it."_

Rosann: "I try to please Jim, but sometimes I'm just too tired. I know he's disappointed in me but I also know how much he loves me. This is hard on him too."

Humana Dental Plan

This episode has all the characteristics of a theatrical drama or better yet, a three ring circus. It started badly and it wasn't at all funny to Rosann. Her teeth began to fall out or more precisely her crowns. First, a three-tooth bridge fell out from her lower left jaw. This wasn't too bad; she just chewed on the right side. Five days later another crown fell out from her upper right jaw. Chewing became difficult.

"Losing the first crown was uncomfortable but I told Jim not to worry about it. I could get by. It was the least of my problems. After the second crown fell out, we needed to do something. I was afraid I would need two new crowns. This meant time, money and something else to worry about. What else can they do to me?"

Jim: _I called Humana. I started with Humana's medical side and told them that Rosann's teeth were falling out as a result of the full-head radiation treatments. Is she covered? The answer was yes; under the Medicare Dental Plan' Medicare procedures paragraph. I was relieved, but now the fun began!"_

The medical side referred me to the dental side. They agreed Rosann was covered but told me I needed a referral from my PCP. Dr. Heinig's office told me they had never filed a dental claim, I should call her dentist. Both my dentist and Rosann's dentist are part of the Humana network but neither had ever prepared a referral form or knew anything about the $25 Medicare provision. Their Humana rate book showed $49 per crown to glue it back on and $849 for a new crown. I tried my PCP again but got nowhere. They checked with their Humana regional representative who said the dentist should cover the cost under their cap. I called the dentists back and received a fast answer. No way.

It was back to Humana. After several calls, I was referred to the authorization department who said they needed service codes before they could authorize the procedure. Call your PCP. Instead, I called Rosann's dentist who said they couldn't give us service codes until they saw the patient. That made sense to me. We made a 9 AM appointment for Monday, April 25.

The dental assistant wanted to take x-rays and was put off when Rosann said they couldn't because of the radiation treatments she had undergone. 'But how will the doctor know if there isn't an underlying cavity that could present a serious problem in a couple years?'

It was a good question. I asked the assistant if we could talk privately. We stepped out of the room and I informed the young lady about Rosann's condition and long term prognosis. She said she would tell the Doctor.

A half hour later Rosann walked out of the office with her crowns glued securely in place and a broad smile on her face."

Rosann: "I can't thank Coast Dental Carrollwood and Dr. Pamela Hite enough. I feel so much better about myself."

Jim: " _We submitted the $136 claim to Humana for payment and are waiting for a reply. I'm sure Humana management is asking why we didn't first get a referral. Humana has ignored our request for reimbursement. We call & they say they will get back to us, but they don't. They never paid."_

Chemotherapy - The Mendez Fiasco

Rosann and Jim eagerly awaited their second appointment with their Medical Oncologist, Dr. Pedro Mendez - M.D. They were eager to begin treatment for the lung cancer which had already spread to the brain. The PET Scan results were good news, the cancer had not spread to other organs. Rosann cried for happiness when the Radiation Oncology Nurse told her the good news. There was a small glow at the GE Junction, but it could be a lymph node or something else that was non-cancerous. It was not a major concern.

Dr. Mendez walked into the appointment room and began reading the file. It was obviously the first time he had seen the PET Scan. After telling Rosann that she looked a lot better than she did at their first appointment, he sat back and said to Rosann; "We have only one question here. Do you want me to give you chemotherapy?"

Rosann and Jim were silent for a few seconds before Rosann replied; "You are the expert. What do you recommend?

"The only question we have today is whether you want chemo or not. I'll give it to you if you want me to."

After a few seconds, Jim asked about the PET Scan. "We thought it was good news except for the spot at the GE Junction. Do you agree?"

Mendez was irritated, like we were wasting his time. "The glow at the GE Junction could be anything. Once the cancer has spread to the brain it doesn't really matter. The only question is whether you want chemo."

Rosann replied, "I want to do everything I can to fight this thing. Yes, I want chemo."

Mendez then began describing the delivery regimen; twice a month for two months and one then one month off. He might have named the specific chemo drugs, we don't remember.

Jim then asked about the pill that Mendez had mentioned as a treatment option at their first meeting, way back on March 20th. "What about that experimental pill you mentioned last time. You said that Rosann met three of the four criteria for optimum results."

Jim: " _This wasn't an idle question. Rosann and I had discussed it several times and were eager to try it. Rosann wanted to be aggressive."_

"We can try that after we finish this," Mendez replied before abruptly walking out of the room without saying another word. Five minutes later the nurse, BJ, came into the room to explain the schedule and the side effects some people experience with chem.

"Oh, I see that Dr. Mendez has changed the schedule. He wants you to come in once a week for 24 weeks. Each visit will take about three hours." We chose Tuesday as our chemo-day. Treatments would commence the following week; May 3, 2011.

Jim: _The Doctor's rudeness was obvious but I wasn't angry when I left his office. Rosann and I were trying to remain optimistic; we were finally starting treatment - we were now Fighting Back. I was disappointed that we had wasted so much time waiting for the PET scan when it was obvious that Dr. Mendez cared less. I was also disappointed that he didn't even consider the experimental pill that he was keen on just a month ago. But it wasn't until I Googled the chemo medications that he prescribed that I started to get irritated. The one-page instruction sheets BJ had given us were dated 2005; the page on Cisplatin was barely legible. The other medication was Paclitaxel. Both drugs had been around for 30-40 years. That doesn't make them bad, but neither drug seemed to fit Rosann's request for an aggressive treatment program. I woke up in the middle of the night asking a bunch of unanswered questions;_

Why did Mendez keep asking the same question; 'Do you want chemo? I'll give it to you if you want.'

Why didn't Dr. Mendez ever look at the "slides" we brought from St Louis? Doctors at SSM Health Care Center in St Charles were certain that Tampa doctors would need the slides to form their own conclusions. Did Mendez even look at the PET scan or just rely upon the lab tech's notes and conclusions?

Why weren't we given options? Option one being an aggressive approach, with these side effects, versus Option two, a safe, moderate treatment that won't cure you, but will have less severe side effects. Dr. Mendez seemed to have decided on option two despite Rosann's wishes.

Isn't the Medical Oncologist the one doctor who is qualified to discuss which treatment options offer the best chance of success? Was this the reason why, in our first appointment, that Mendez told us that convoluted story about being sued by a patient's family because he offered too much hope? Has he stopped being a Doctor?"

Why did Mendez abruptly walk out of the room? Why did he change to 24, weekly dosages after talking with us about a more typical regimen of three weeks on and one week off?

Are we stuck with getting all our information from our Primary Care Physician, Dr. Doom? I thought this was the responsibility of the medical oncologist."

We knew it was important to start chemo treatment as quickly after diagnosis as possible, doctors in St, Charles said two weeks was the norm. Time was of the essence but Rosann and I decided we needed a second opinion. I asked Dr, Heinig's to find Rosann another medical oncologist so we could get a 2nd opinion. Dr. Heinig asked why and I related much of what we wrote above. His reply was, "She is going to die; there aren't any other options".

It appears that Heinig and Mendez share the same no-hope philosophy. We know the statistics for beating lung cancer, but aren't doctors supposed to be healers that offer patients an opportunity to Fight Back?

Rosann: _"I was surprised Dr. Mendes didn't have any recommendations. I expected him to say something like; 'I recommend you try this medication because..., but he didn't. I hoped the new pill he talked about in the first appointment would be the answer. I'm not Asian, but I met the other three factors that he named. Sometimes I wonder why all this is happening to me"_

Rosann has an appointment with Dr. Y. K. 'Peter Park' on Thursday, May 5, 2011. They are hopeful this doctor will help Rosann Fight Back.

Church - the daughter factor

St. Timothy Catholic Church, Lutz, Fl

Rosann is Roman Catholic. She attended Catholic parochial schools as young woman, got married in a Catholic Church and raised her two children as Catholics. She takes Holy Communion when she attends mass and occasionally, confesses her sins to a Priest. Like many Catholics, she has broken Church rules. Most notably, she got divorced and remarried without an annulment.

Rosann and Jim, also a Roman Catholic, were married in a private ceremony but remained Catholics and attended church semi-regularly. That changed when her daughter, Dawn, died of breast cancer at the age of 38, leaving four young children without a mother. It also left Rosann without a daughter and the loss was devastating. She thinks about Dawn every day and asks, why. Why take a good person so young? Rosann didn't get the answers she sought and gradually drifted away from the Church.

Rosann: _"I was bitter. Dawn was such a great mother and a great person; it just wasn't fair."_

Five years after her daughter died, Rosann is faced with many of the challenges that her daughter faced. Her daughter fought off the breast Cancer for almost five years. Rosann wants to do the same with her lung cancer.

SSM St. Josephs Health Center is a Catholic Hospital.

Jim: _"I flagged down a Catholic priest a few days after the operation and asked if he would stop and see Rosann. I told the Priest a little bit of the story and suggested Rosann might offer some resistance. She didn't and Rosann's religious turnaround began."_

"The Priest gave me a rosary that a held on to during my hospital stay. It made me feel better. Jim and I attended church on Holy Sunday and again, the Sunday after Easter. I was weak, but Jim insisted we go. He said it's time to talk to the Big Guy one-on-one and work things out. I did. I asked for His forgiveness."

"I sometimes lie in bed at night and asks, why me? Why is this happening to me? I'm not bitter anymore. I pray to God to help me with this battle because I know in my heart that He has the power to heal me. I ask for your help. Pray to God for me - help me Fight Back."

Rosann and Jim continue to go to mass on Sunday and thank the Lord for His part in Rosann's miraculous progress and to pray for His blessings. It's difficult to believe that He has not played a major role in Rosann's good fortune.

### Chapter Eight

### Who I Am

Martini ala Maimon

"I'm much more than a golfer, an artist and cook. Like most women, I wear many hats."

I'm a Woman:

"I'm proud of the way I look. Does that make me a vain person? I don't think so. It does mean that I spend a lot of money on clothes and look forward to my weekly nail and hair appointments when I can afford them and biweekly, or less, when I can't. Am I the only woman that spends a little money to make 'me' feel good? I don't think so.

Yes, I have too many shoes and dresses that have been worn only once. Some of the once worn clothes in my closet I wore to my 50th high school reunion. Tell me it wasn't worth it. I felt good and I felt attractive. Several women, Notre Dame is an all girls school, complimented me on my looks. It was worth it!

Some people think I'm too skinny, that I would look better if I gained some weight. That's okay; they're entitled to their opinions. I think weight is a personal decision. I feel good about myself at a certain weight. Others might feel good with a few extra pounds and that's their choice. I do know that in my day, I could turn a few heads when I walked into a room. My husband tells me that's still the case but I know better. Youth must be served; it's one of the problem's of growing old. However, I don't have to like it. I still fight hard to look my best.

I like music, all types of music, including some of the new stuff, but '80s music is my favorite. Dire Straits, Brothers in Arms; Bruce Springsteen, Glory Days; K.C. & The Sunshine Band, Philadelphia; I liked them all, but one song best describes me; Don Henley's, 'All she wants to do is dance'. I do love to dance but it's the lyrics that grab me. I'm not a fighter, I'd rather make romance. But don't underestimate me. I'll Fight Back if pushed into a corner. Don't underestimate the strength of a woman fighting for her family and her life."

I'm a Friend:

Rosann is blessed with many friends, many of whom have contributed to this book. This is what Rosann looks for in a friend.

"I consider most people to be my friends. There are very few people that I dislike and none that I hate, life's too short for that. My close friends are people that I can count on and know they can count on me. We share interests and have a good time together. We laugh a lot but can be serious too. Sometimes we cry. We don't need to agree on everything but we listen to each other. That's important."

Rosann is blessed with many friends, many of whom have contributed their feelings in this book. We asked a few to tell us what makes Rosann special.

  Tom & Pat Oswald (at Claire's wedding): _"I don't think I've ever met a "Southern Belle", but you are who I imagine – Gracious, Generous, and Lovely. I love talking about cats with you and watching you with them. The pleasure you exhibit is contagious. Tom and I are pleased to be your friend, Pat."_

Claudia Perry, a.k.a., Des: _"Rosann is my best friend, my dearest friend, the sister of my soul. We can go months without talking, and pick up on the next sentence when we see each other again. She has that extra special something that makes people turn their heads when she walks into a room. When she's feeling down or insecure, I remind her that she's_ _"Rosann"..._ _meaning there's no one else quite like her in the world. She's a classy lady with bright blue eyes that sparkle with love and mirth. Yet she can be a wild and crazy friend. We like to laugh at that greeting card that says: "A good friend will come bail_ _you_ _out of_ _jail_ _, but a true friend will be_ _sitting_ _next to you_ _saying...'Damn, that was fun!'" We've seen each other through the best of times and the worst of times. You only have one best friend...and she's mine. I love you, Ro"_

  Lillian Stickel: _"It's funny how things work out in this strange life. I found a true friend in Rosann from the very first day we met. She is one of the most generous people I know. I'm not talking about the monetary kind of generosity (although she is a great gift giver, always meaningful) but the giving of her time, a shoulder to lean on, and kindness beyond all expectations. She asks about my husband, my kids and even my wiener dogs and she genuinely listens to the answer. Rosann has allowed me to experience friendship in the purest form of the word. I truly believe that the Good Lord dropped her into my life for a reason. I am blessed to know her and call her "FRIEND."_

Brenda Bruno: _Thank you, my dear friend, for being the artist that you are, having the talent that you do and possessing the ability to make so many people happy with your efforts. I am so fortunate to have your painting in our family and to have so many great golf memories. We even have a trophy to commemorate your good sportsmanship. Thank you for being my friend. You are a very special person in my life."_

Kathy Hobbs _: "When Ro first joined class she was quiet and reserved. She's in a class with several strong women....and one guy. I'm sure this can be intimidating. I try to be a teacher, but cannot resist the urge to make friends.....it always helps to be empathetic. As time went on, because of the sharing/intensity/caring of this safe atmosphere (I believe) friendships breed. I came to know Ro as a colleague. We are the same age and have both worried needlessly about our physical appearance. She went to a private all girls' school and shared several painful experiences, as did I .This is a powerful connection.....insecurity paralyzes the spirit. Now I see the marvelous way she has overcome this problem with a strength I can only hope to acquire at such a time of need. She deserves all the respect and love that she has received from us all."_

Carol Smith: _"When Rosann and I first met at Northdale Golf Club many years ago it was like we had been together from birth, in fact many times when we were together away from Northdale everyone thought we were sisters, she the much younger and prettier one of course. In fact one of the first times she came out to play with me after we moved to Dade City everyone in our pro shop just assumed we were sisters. Dave her son was also with us that day and from then on he called me Aunt Carol._

Rosann is a soul sister and I have a deep feeling that she makes everyone else feel as I do about her. She is one of the kindest and most caring people I know. She never has anything negative to say about anyone and even after we taught her all the negative and rude golf language on the golf course she never uttered a word she wouldn't say in front of her grandchildren.

One summer Rosann spent a week in Tennessee with me and six other women golfers. We played golf for 7 straight days and had so much fun on one of the days that Rosann and I thought it would be fun to go out again that night and play 9 holes on an executive course that they lit up at night for playing. What we didn't realize was that in order for you to actually see your ball you had to hit it straight ( a concept she and I hadn't quite figured out at that time) we lost about 10 balls and then it started raining. The golf gods were saving us from loosing every ball in our bags but we didn't car. I don't think we ever laughed so much playing golf. We arrived back at the villa soaking wet but proud that we out there trying. Rosann is and always be my dear friend and dearer sister. I love you."

I'm a Daughter

Rosann is the daughter of Tony and Helen Folk. Tony passed away in July, 2001 at the age of 86. He worked for Southwestern Bell for 50 years.

"My dad was a good man, a true gentleman and a great father. He was handsome, charming, and kind. Everyone loved him; especially me. He loved to golf with his buddies and even took Jim with him a couple times. I remember him with love and cherish many fond memories."

  Helen Folk is 93 and lives alone in the Affton house where she raised Rosann and her other three children. She is the matriarch of the Folk' Family, the glue that holds them together. A bad knee has slowed her down a tad but not much. She still volunteers, babysits her great-grandchildren and volunteers at St. Anthony's Hospital. She remains strong despite losing Tony and two of her four children. 'They don't make them like her anymore'.

"My mom is an amazing woman. Everyone knows she is strong but she also has a gentle side that makes her the perfect mom. You always know where you stand with mom. I know it hurt her when we moved to Tampa but it made my visits even more special. I look forward to seeing her again because I love her so much. Thank you for being my mother."

 Helen Folk: _"My darling daughter cannot be sick---Where did this beastly illness come from? There was never any cancer in our family before Dawn, and now Rosann. During childhood she was always skinny little girl, who I just couldn't fatten up. But she was always my healthiest child. Her gentle, pleasant disposition attracted everyone to her as evidenced by all the loving friends she has even as a youngster. With all the prayers being offered for her, and hopefully the very best treatment and skilled doctors available for her recovery, somehow, if God wills it, she will get thru this. But I say again where, oh where did this beast come from? Thank you for being such a great daughter. You have been a great comfort to me and I think of you often. I love you."_

I'm a Sister:

Rosann is the second oldest of four children. Ken, the oldest, died in a car accident with his wife, Beverly. He had just taken a job with Anheuser-Busch Brewery in Tampa, Florida. He was 26 years old and had been married just three months. Carol died in 2009 of complications from MS after a long fight against this terrible disease. Linda is almost ten years younger than Rosann and lives in St Louis with her husband, Nick.

"Ken was four years older and I worshipped him as a big brother. We were just becoming good friends in the couple years before he died. I was pregnant with Dawn and Ken drove me to many of my doctor appointments. It gave us time to talk and get to know each other. I miss the good times we could have had but cherish his memory."

"Carol was three years younger and I try to remember the good times. I remember the little things like sharing clothes and practicing dancing in the basement. She became an avid Cardinal fan, baseball and football, as well as an American Idol and Clay Aiken's groupie. Carol had a tough life. I pray she has been rewarded."

  "Linda and were 10 years apart and don't have many childhood memories so I'm so glad we were able to get to know her better these last few years. I really looked forward to our 'sister day' when I go to St Louis. We walked the cobblestone streets and the stores in Old St. Charles this year and had a good time. I need to get better soon to help her take care of Mom."

I'm an Aunt

Linda and Nick Angeli have two adult children, Nicole and Neil.

  "Nicole is a beautiful woman with a big heart. I enjoyed watching her perform with the local theatre groups; she is so talented. I love her and know she loves her Auntie Ro. Thank you for being there for me at the hospital. I really enjoy my conversations with Neil; he's interesting to talk with and knowledgeable about so many things. Neil also has a big heart and helps takes care of my mom whenever he's home. I know you have a bright future."

I'm a Mother

Rosann and Gordon were blessed with two great children, Dawn and Dave. Dawn was a RN and mother of four. She passed away in 2004 at the age of 38 after a 4-year fight with breast cancer. Rosann took it very hard. Dave is a people person, like his mother. He has held various jobs in the service industry including restaurant manager and head gold pro. He has one son, Corbin (19).

  "I have never gotten over losing Dawn. I think of her every day and admire the way she fought off breast cancer for so many years while being a mother to four young children, wife, and nurse. She had a great sense of humor and many, many friends. Dawn, you are my hero. I miss you so much. It's not fair that you did not get to see how well your four kids turned out."

  Dave is my pride and joy - always has been. We have always been extremely close and continue to provide support to each other. It was so much fun watching his soccer games and meeting his friends. I remember what he said when I asked him if he was okay with Jim and me getting married. "Mom, I want whatever is best for you. Just remember, if something should happen, I'll take care of you.' I have a big place for Dave in my heart and a place for him in my home if he ever needs me. I am so proud of him. He's more than a mother could wish for. I'm so lucky."

Dave Glandt - My Mom: _"Every son will say that their mother is the best, but I'm sure others would agree that my mom is truly the best. She has always been there for me, from the first memories I have as a child, to this very day. She managed to work a full time job, cook dinner every night, and always was there for what seemed like endless sporting events I was participating in. I can still hear her cheering me on at the indoor soccer arena, knowing I had 1 or 2 more games that day, and being there for all of them. Being a catcher playing baseball, the fans, really the parents, were close to me behind the backstop. As grown up as I tried to be at 13 or 14, turning around and seeing my mom in the stands, cheering me on, even getting kicked out of a game arguing for her son, was the best feeling in the world. I could never understand the kids who didn't want their parents around with their friends, because my mom was the coolest, I always wanted her there to share my triumphs, and my not so triumphs._

I always smile when I think of the great conversations we would have as I was older, a lot of them in Hop's Bar and Grille over lunch. We are always on the same page with life, knowing that being happy and not worrying about what friends or family say about our choices or decisions. We never judge each other, and support whatever happens in our lives.

I find myself to this day wanting to introduce everyone to my mom, I am the proudest son ever. The first time she came to Tampa Palms to play golf, I almost made her late for her tee time; I was so busy introducing her to everyone. My members thought there was a celebrity at the club, and to me there was. My mom is here, you have to meet her! All my staff knew to roll out the red carpet, because my mom was at the club, and she gets anything she needs. My assistants always told me I lit up when she was around. Everyone who has ever met my mom goes out of their way to tell me how special she is. She is my one and only hero in my life. I love you, mom."

I'm a Grandma

Rosann has five grandchildren. She and Gordon Glandt moved to Tampa in 1985 but kept in close contact with Dawn's four children; Kyle and Cassie Hefner and Lauren and Emma Jalil. Dave's son Corbin lives in Tampa.

"I get to St Louis two or three times a year to visit my mother and see Dawn's four kids. Kyle (19) and Cassie (18) Hefner are the oldest.

  Kyle is graduating from Rankin Technical School and will take over his grandfather's lawn care and handyman business. Cassie is a freshman at the University of Missouri and is so beautiful. Both of them were on the swim team in high school and have that healthy, athletic look about them. I'm so proud of them.

  Lauren (13) and   Emma (12) live in St Louis with their father, Dave Jalil, Dawn's second husband. Dave was there for Dawn during her entire fight against cancer. Both girls are beautiful and growing up to be fine young ladies.

I know Dawn would be proud of all four children"

I'm a Step Mom & G-Ma to the Plautz Kids and Grand-kids

Jim has three children in his first marriage and eight grand children. Bill lives in Seattle with his wife Kate and their three children; Ella (8), Coco (6) and James (3+). Mike and his wife Claire live in Virginia with Cassidy (8) and the 6-year old twins, Luke and Logan. Kelly, the youngest, and Brandon have one daughter, Maddie (26 months) and are expecting their second. They live in Atlanta. It's Rosann who keeps track of birthdays and sends the appropriate gifts.

Rosann: _"I love Jim's kids and spouses. They have always made me feel like I was part of their families. The children all have their own personalities. It's so much fun to watch them grow."_

  Bill and Katy:   _Our kids love Rosann and remember her in their prayers every night "God bless Grandma Rosann!_

  Ella: _"Coco and I could be twins since we both have blue eyes and yellow hair...Grandma Rosann could be our twin too! She gave us matching PJs for Christmas!"_ Special Memories: Drawing with Rosann and staying together in Florida.

Coco: _"Grandma Rosann? I_ _love_ _Grandma Rosann!"_ (Coco bonded with Rosann keeping warm while Ella and the grown-ups played in the big Seattle Snow of 2008).

  James: Not saying much but drooling all over the cute Adidas sweat suit Grandma Rosann sent for his 1st birthday.

We all love Grandma Rosann!

  Mike and Clair: _"Rosann always puts others first. She has always been sensitive to others' feelings and the first to say thank you for anything. She seems to put herself in the other person's place effortlessly and has never uttered a negative comment about someone else in the ten-plus years I've known her. All of the memories I have of her have these things in common."We are very, very lucky to have grandparents who shower our kids with so much love (and gifts, clothes, toys and time)."_

  Cassidy (51/2) has Grandma Rosann's love of art and eye for color. She loves to draw, paint, create and has boundless imagination. Cassidy just beamed when she opened the box of art supplies Gma Rosann and Gpa Jim sent on her birthday (Gpa got credit, but we know who the real mastermind was behind that). We see Gma Rosann in all of Cassidy's paintings and drawings that decorate our walls, and Cass is looking forward to someday having personal lessons from the pro.

  Twins Logan and Luke (4 yrs) remember Grandma Rosann's kindness and patience with them. They push EVERYONE's buttons, but cannot seem to find that button with Gma Rosann. Logan remembers running around the Veritas winery while Gma chased him around. He didn't have his glasses yet then, so he was easy to find.

Luke remembers the luau at Disneyworld with both Gma and Gpa, watching fireworks and dancing on the beach afterwards. He enjoyed riding the monorail on Grandma's lap, even though he tried to escape a few times. He is sorry for climbing on Gma's chest and shoulders while trying to swing from the handrails on the ceiling (although I am pretty sure he will try that again, if given the chance)."

" _These are only a few of so many fond memories. Mommy Claire remembers Jim and Rosann's wedding in Tampa, fashioning bouquets and the altar on Thanksgiving Day; fun times on the Caribbean cruise and lounging on the beach in Puerto Rico; enjoying dinner in Staunton while talking about family. Our family has been so blessed to have had this time already and we can't wait to make more fun memories with Grandma Rosann._

We love you, Grandma. Your warmth and kindness, family values and vibrant love for life are all forever present in us and our children and will never go away. Keep fighting; we are all fighting with you. See you soon!"

Love; Claire, Mike, Cassidy, Logan and Luke.

  Kelly and Brandon: 'When God made, you, He blessed this family with its very own angel, on who fills life with love. Happy Mother's Day'

" _Rosann, I thought this card was perfect for you because I do think you're a down-to-earth angel. You are kind and compassionate and always thinking of others._

_Dad talks about how you are the best gift-receiver because you are so thoughtful and make the gift-giver feel great. He is so right. It's just_ _one_ _example of how you give and show kindness at every opportunity, and it's just_ _one_ _reason why you are so special._

I should tell you all of the time but please know on this Mother's Day that you are truly loved and admired as a mother, wife and friend. Love, Kelly."

  Maddie only 6 months, but she loves to wear the clothes that Gma sends.

I'm a Wife

  Rosann and Jim were married in 1998, the day after Thanksgiving. Rosann assigns a date to their anniversary but it's easier for Jim to remember it's "the day after Thanksgiving" rather than November 27th. Once every four or five years he gets it right. Her previous marriage to Gordon Glandt ended two years earlier after 32 years. They remain friends.

"Jim opened a whole new world for me and encouraged me to grow as a person. He knew I loved to play the piano so he bought me a baby grand. He encouraged me to get back into art and take lessons. We joined a golf club and went on many great golf vacations. We traveled to Costa Rica, the Caribbean, Rome, Istanbul, Constantinople, Paris, Nice, Venus, Monte Carlo; places I never thought I would ever see. Traveling truly does broaden a person's perspective. I can never thank him enough. But mostly, he has been there for me. We share so many things. He jokes around a lot but still cries when we watch sappy, Hallmark movies. He's really a softie at heart. Jim is truly my best friend and my true love. He gives me little paper hearts under my coffee cup in the morning that says stuff like 'JMTP & RMGP 4-ever' or 'J luvs R Always. I never get tired of getting them. Thank you Jim for taking such good care of me."

  Jim: _"You deserve it Rosann, and more. It's been fun watching you grow and become more self confident. We have a wall full of great trips and great memories, but I will always cherish the private moments we have together. You make me a better person._

Writing this book together has made us even closer. Events such as the Packers winning the Super Bowl seemed so important at the time. Now I know better. This fight we are going through puts sports and other non-essentials into perspective. You are what is most important to me.

I read the beautiful thoughts that so many people have expressed in this book and I realize that I should have been telling her these things every day. Rosann, you are special; you are an angel; you are everything your friends say. You are also the woman that makes me complete. I love you, Rosann, 4-ever."

### Chapter Nine

### Today, July 13, 2011

### Taking Inventory

Dancing in the Meadow

"This book isn't about winning or losing, it's about how I play the game. It's playing the cards that I was dealt. I'm winning this battle, one day at a time. What else can I do, give up? This is where I stand as of July 13, 2011."

I'm Proud of my accomplishments:

* I'm alive and kicking and enjoying being alive;

* Jim and I have grown closer (and we were very close before);

* I'm back into painting. I'm proud of my first abstract painting; I'm going to do better now that daily radiation has stopped.

* Jim and I take long walks on our 'bike trail'. It feels so good to be outside; I so-much look forward to our walks and getting outside.

* I'm helping Jim with the cooking and we go shopping together;

* Jim and I are still getting 'out' to restaurants once or twice a week;

* My girl friends take me to nail appointments and other girl-stuff;

* I survived the 15 full-head radiation treatments for the tumors in the brain and the 33 lung radiation and six chemo treatments;

* My attitude remains positive.

* I'm very tired and looking forward to a respite from radiation and chemo.

There have been a few disappointments:

* My eyesight has not improved; this makes everything more difficult; I just tried a new prescription that we thought might help, but it didn't. You can't believe how much this limits what I can do.

* My computer skills are still weak;

* Reading is a chore. I need to concentrate better;

* It's been almost two months and as of May 2nd, treatment for the cancer in my lung has not begun.

My Health is good, considering...

* I'm not in any pain, no more than most women over 50; I have been getting more headaches the past two weeks and am concerned.

* The PET Scan showed no spread of cancer to other organs, other than the brain; a new PET scan is scheduled for August 12, 2011.

* A UT infection set me back a ways, I'm very weak;

* Two weeks ago I was getting around without the walker, just holding someone's arm for direction and stability. The UTI put me back to using the walker 70% of the time;

* My appetite is good, I've gained a few pounds;

* I'm sleeping better.

I'm looking forward to the following medical procedures:

* A clean MRI showing the brain tumors are gone;

* CyberKnife radiation on any remaining tumors in the brain, if necessary;

* A Chemo doctor that cares and provides me with a plan that gives me a chance to Fight Back. Dr. Yon Park is great. Six treatments have been completed; chemo will restart August 23, probably at a higher dosage since radiation has ended.

* Directed radiation treatments on my lung to supplement the chemotherapy. The 33 treatments have been completed.

* A new CT scan on July 20 that shows my lung tumor is gone.

* A new PET scan on August 12 that confirms the lung tumor is gone and the cancer has not spread to other organs.

Personally, I'm looking forward to Victory;

* Living life day-by-day, enjoying the little things,

* Celebrating living versus waiting to die,

* Enjoying the small victories,

* Getting back into my daily routine,

* Being thankful for my friends and family, (yes!),

* Being thankful for, Jim, my lover, #1 cheerleader, helper and shower boy; Jim continues to be Sooo supportive and is turning into a pretty good cook.

* Beating the odds - living one more day, month or year longer than odds makers predicted

* Being grateful for what I have,

* Looking forward to my next opportunity.

Rosann: Posing for camera

Rosann: feeding fish & turtles

" **I will die, eventually, but death will not mean that I didn't win the fight."**

### My recipe for Victory is simple:

### A big heart

### +

### A fighting spirit

### +

### A strong support group

### +

### Good Doctors

### +

### Prayer

### =s

### Victory

"It's impossible to fight this battle alone. I need your prayers to help me sustain my fighting spirit. Believe me, it hasn't always been easy. I couldn't have gotten this far without your help and prayers. I need your prayers now to ask God to intervene, for He is the only one that can save me in the long run. I know that and I'm asking for your help in reaching out to Him. **Please pray for me."**

### Back Cover

Rosann attended her high school's 50th reunion on March 04, 2011. She looked ravishing. Twenty eight hours later she underwent emergency brain surgery to save her life. In a single day, with little warning, her life changed. Rosann has Stage 4 lung cancer and statistics say she has only a few months to live. "I'm living my life one day at a time. What else can I do? I'm not giving up."

Rosann is still an attractive woman, but her priorities are different. She can't do many of the things she once could do easily; she has had to adjust her thinking. Most of her vision is gone, so golf is out, for now. Rosann is also an artist, mostly oils and acrylics. Her style was realism; now it's abstract. The painting above (right) was finished April 27th.

"This is a story of hope! It's May 2, 58 days after my surgery, and I am "Fighting Back" with all my strength, but I can't do it alone. My husband, family and friends have helped me so far. Now I need your help. Please Pray for me."

This is Rosann's book. Jim did the writing but these are Rosann's thoughts and viewpoints. We thank the friends that contributed their thoughts and views; this is what makes this book unique.

Rosann and Jim - Barcelona to Venice Cruise \- 2006

### Book Two

"Fighting Back & Winning"

### The Fight Continues

### Chapter Ten (excerpt)

### The Next 70 Days

### May 3 - July 20

" _I have not wavered in my determination to fight back against what's happening to me, but it certainly hasn't been easy. There have been many ups and downs, and days where I wondered if it was worth it, but Jim was always there to pick me up. Your prayers helped me through the valleys and gave me the strength to go on._

Then suddenly, and unexpectedly, I learned the tumor in my lung shrunk by two-thirds. Was it just the radiation and chemo treatments that shrunk the tumor or did your prayers play a role? I don't know, but I like to think it was a little of both."

Two heroes have been added to their list. Dr. Yon 'Peter' Park and the Florida Cancer Specialist is one. Dr. Park's upbeat demeanor and enlightened approach is a welcome change from Rosann's first medical oncologist who had written her off as a hopeless case.

The 2nd new hero is an unlikely source for someone that is fighting back and refuses to give up hope. LifePath Hospice and the 'Blue Team' have played an important role in Rosann's fight for victory

***

Book Two captures Rosann's courageous, roller coaster journey from May 3rd through March 7, 2013. There were obstacles including blindness and botched CyberKnife treatments, but Rosann's resolve never weakened. Did Rosann win the fight? You decide.

"Fighting Back & Winning" is available from Smashwords. Hard copy and PDF Books are available using PayPal at **www.customsportsnovels.com**

### Other Novels by Jim Plautz

 **PHENOM I** **– Let's Play Basketball -** Too good to be true, a mid-year transfer student leads his high school basketball team to the State Championship and along the way helps others become better students and young adults. Matthew Wilson's past finally catches up with him when the Russian Mafia seeks retribution for past transgressions. This is a feel-good love story and suspense novel structured around a basketball theme.

 **PHENOM 2– Search for the Ark of the Covenant –** Matthew Wilson leads his school to four successive NCAA championships and then forms a globe-trotter team to travel the world and play all star teams from China, Africa, South America and Europe. But basketball for Matthew's quest to find the Ark of the Covenant, an event heralded by Muslims and Christians as a precursor to the second coming of the Lord.

 **OUT OF BOUNDS** \- Drug smuggling and corporate finance structured around a 36-hole club championship golf tournament. A Miami-based drug cartel is pitted against Swiss financiers for control of a new resort and casino in Cabo San Lucas, Mexico. The match-play tournament stakes are 'winner-takes-all'.

 **DOUBLE FAULT at ROLAND GARROS** \- Four junior tennis players destined to meet at the French Open Tennis Championship get caught up in Basque terrorist plans to destroy the newly rebuilt Roland Garros Tennis Stadium; a story of love, jealousy and revenge.

*****
