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We met with Dr. W, Richard's local oncologist on Thursday. He outlined the high dose steroid regimen, emphasizing the potential for serious, life threatening side effects.

Insomnia, anorexia, intestinal perforation, extreme muscle weakness, susceptibility to infection and others.

Any gains will be modest, maybe a couple of months, maybe some shrinkage of the abdominal plasmacytoma. Dr. W. urged him to consider the decision carefully.

Hospice is another option, but Richard wants to give the Beast one last thump, so we're going with it.

Thanks to all who have left comments. We appreciate your good wishes.