 Thank you again and what I'm going to do I'm going to actually ask the guests of honor to come up and I'm going to call you one up one at a time and have you sit up here in our panel so that we can all start asking questions. So I'm going to ask Kevin Colbert to come up please. On behalf of the KCA NYU Wild Cornel and all the organizations that are here we're very thankful for you to actually you know volunteer and and agree to come up and speak in front of everyone. It's very nerve-wracking to do so. Can also ask Eric Johnson. And if the spouses or family members want to sit in the front row just in case we have questions for you, feel free to go ahead and do that. Whitey, sorry, Whitey, Ms. Holly, Dan Resolesco. So Ellen will be here to come up. I can talk about two of the panelists that are actually three of the panels that are up here today. I'll just briefly introduce them and then we can go ahead and start asking questions everyone else can talk about their stories as well. So I'm going to start off with her broth. He's actually in the audience but his daughter Ellen and son-in-law Lee are up here. Dr. Roth is a retired internist who I met in 2013. So being an excellent internist as he was and still is, he's retired now. He's self-palcated. He felt his own tumor in his abdomen. And this led to getting ultrasounds and cascans and eventually biopsies of a kidney tumor that was not recyclable. So the unable, certain were unable to remove this. He was found to have a clear cell kidney cancer and I, when I met him, I started him on low-trend at his opinion in May of 2013 and he's been on a low dose of this medication ever since with a stable disease and his kid, his daughter and son-in-law are here and we'll talk about it today. The other person I can talk a little bit about is Dan. I'm sorry there. So he initially presented in 2010 with blood of urine. At the time he had a, you know, an infractomy meaning they took the kidney out. He did present at the time with small little lung nodules and lymph nodes that were suspicious for metastatic disease. And when I met him in January of 2011, I talked to him about clinical trials and and he was very interested in enrolled in clinical trials. He's been on multiple clinical trials and is currently on his seventh drug. He's been on a low-trend as well. Now since, I have to, since May of 2012, he's been on low-trend with a stable disease. And what I'm going to do is ask the other speakers to go ahead and just introduce yourself and talk about your, your, how you were diagnosed with kidney cancer. Just the initial presentation Hi, my name is Kevin Colbert. I was diagnosed in 2008 with blood in the urine and pain in my abdomen. Went to the hospital and found that I had tumor on my left kidney. I want to sympathize with Sarah. I also had a full open removal and can no longer wear my bikinis either. And went to interview a few oncologists after I had my kidney removed and currently a patient of Dr. Alters. I, I felt with Dr. Alters as he has already explained, he really takes the patient first and treats the disease after that, which a couple of oncologists I met didn't leave me with that same impression. And he impressed me a lot and that's why I chose him. That's why I'm college. We watched it for a while and then in 2009 we saw an opportunity. It was a short period that we watched. And then in 2009, early in 2009, he started IL2. I went with, I believe it was three cycles, three cycles, six weeks in the hospital from January 2009 to June of 2000. And it did help. It reduced, it didn't give me complete cure, but it did reduce many of my tumors down to a more manageable size. And from that point, we really watched it for growth and what it was going to do. It gave us a period of time where we could not do anything and just watch to see what it was going to respond with. As we all occurred, the IL2 was hazing your system for a period of time, so it was still working, even though I wasn't going through the treatments anymore. And I do also agree with him as far as going through the IL2. It really equated more to a small California earthquake as opposed to flu-like symptoms. If it was a flu, if that was flu, I don't want flu ever again in my life. California earthquake? Yeah, I could see that. So it gave us a period of time to watch it and I'm not exactly sure when we went on to Souten. We tried Souten first. And Souten brought its own bag of gifts, let's say. It worked for a period of time. And then we discovered a tumor in my left, a greater trochanter, which we had it addressed. So we got a lot of Souten, took care of the tumor on the greater trochanter, which took a while to recover from. And then in September of 2013, Dr. Ulter and Shawna, my nurse, we decided to go on to a clinical trial using the Lantrissat and in Leita as the drug of choice. And I've been on that since September of 2013. I don't know how many shots I've gotten now. 22. And thank God it's been working. It's keeping the tumors in check. Sometimes you see a little growth, as we've been explaining, a little growth is good. I mean, it's not good, but as Dr. Ulter said, the patient always wants to see no growth or shrinkage. And obviously, when I hear a little growth, I say, you know, that's not good, but it's under control. I'm able to function. I could work, do whatever I need to do. I take care of my 93-year-old mother who's broken her hip and her back in two places. So it's a full plate, but going through the regimen every three weeks for blood tests, every six weeks for scans is a little bit more on my plate. But as long as it's working, it's working. So that's where we stand right now. Okay, so I must be the lucky wind in the audience here. On the scale of things, I've heard a couple of things. First of all, so I haven't happened to be a person who has the cancer, but my wife and I are a patient. It's been sort of a team thing since the very beginning that this came up. And another thing that I heard this morning, this being the first of the things that I've gone through like this, is that you never really have a direct path to find out. It turns out we're both dedicated blood donors, or at least we were. And I got to this point in about 2009, where I kept getting rejected below hemoglobin. And this ticked me off. So I started plotting from those little blue sheets they give you when you go and try and get many physicals. What hemoglobin was doing in 2008 to 2010, it was dropping dramatically. And so I said, this is no good. I went to my GP. My GP was, okay, here, take some iron. I'm like, no, wait a minute. You know, I'm 50 years old. And I got to this point that was okay. What is the problem here that this is, ah, she goes, he's standing on straw. So he's been our stalwart companion through this whole thing. And it turns out it took a while to figure this out. By the time I went to Dr. Ostrom in April or May of 2010, sooner or later went through a series of things where they did an ultrasound that didn't look good. They did a CT scan. It was obvious there was something not good. And so my right kidney was more or less completely blown out. No blood in the ear. None of the other kinds of clinical presentations that people normally would see. It was just this sort of chance discovery that the hemoglobin had gone. And it was anemic and I felt lousy. So that's fine. November 2010, they take out the kidney. I was just looking it up. I can't remember these things. It was stage three from grade two, if that means something to anybody. And they thought that the margins, the surgeon thought that it was great that he got everything right up to the vein in order to take it out. He thought it was great. And they looked at it and it turned out he had cancer at the margin. So they put me on SUTEMP for a little under two years. And in the monitoring things that they were doing, something showed up in the left room for higher. And so it's kind of weird. It's not a place you can easily get to. But again, they got clever and they said, Oh, well, you can do a bronchoscopy and go in and check it and turn it up. It's clear cell renal. So then Stanley says, Oh, I have a friend, Chan Toucher. Why don't you go see her? So we wound up doing interleukin. I did just one, one week, a week off and another week. That's all that I've done. And knocked it down dramatically. And so I get monitored and it keeps watching and it may be creeping back a little bit. At one point, we looked at actually having that surgically removed. It's not a nice place to do it. We wound up leaving it there thinking that, Okay, we need to pee. This is the canary in the coma and you can watch it and you can see what's happened. It doesn't seem to do anything really bad. The net bad effect that I've had so far from all of this stuff is that the thyroid shut down. So I did a little thyroxin. But otherwise, I'm the luckiest guy in the place it sounds like. Dan, I briefly introduced you, but you want to talk a little bit about how how you found out about your cancer. Yes, it's. So once again, I feel first of all, I have to apologize for my Romanian English. I'll try to make it the best as I could. I want to thank Dr. Molina, my wife and the rest of the family. God bless her because she tortured me enough. She still owe me a lot of money from all the pictures that she took. And also, I'm very glad that I'm not the only patient that I'm over here when she called me a few days ago. I said, Gee, if she calls me that means that I'm the only guy alive. Thanks God is not the case. And I'm very happy about that. I don't want to get all the details. Most of it is like a common denomination. This is like denominator is like all of us. What what hurts is that I'm also work not as much as I used to. I work as a medical interpreter. And from this perspective, it's pretty interesting. Of course, I don't want to get all that stuff. And I don't want to make it too long. Like it change everything. The vision of life, the approach is your family, the scary part that you're not going to be able to provide the rest of the family and so on. As a medical interpreter, it's even worse. I always like to do this job because I care for people. It's not about the money. Now, as I said, it's a different approach. And I'm going to talk just one minute about it because even as it's not great, and I'm not allowed to do it, like, technically as my job talking about, I'm trying to encourage the patients and even that I'm a pretty shy person that I don't want to give myself as an example, as a living example. I always try to encourage them I'll show the way I still deal with this. God, then disease after four years is not a happiness. And then I don't want to give them like false hopes. But at least I can tell them that here I am. I lost some hair. I lost some some pounds, which was great, actually. Unfortunately, but after a few unfortunate trials, unfortunate for me, because it was like, serious side of things that that diarrhea that was mentioned earlier is terrible. And you really don't know what to do. No matter what you go for golfing. And you go for interpreting. I did a few times for you. Don't remember me. It was great experience. It was very nice. I even forgot the morning I had to interpret a few times. And you got to you got to stuff yourself with wasn't anymore. I don't know the medical name because it's pretty embarrassing in the middle of it to to have yourself excused about the best. Now, I'm pretty stable. As you can see, I can function. I walk. I, I can enjoy the company of my wife and my two daughters, but bless them, but bless you all here. The vote that works. Practical is like I don't even know. I guess for me, it's even easier that all my friends, my friends having to deal with the with the with diabetes. Because I don't feel I actually it was a lot of side effects. I had to take a lot of medication. Gradually, I took them off of course. It wasn't me that that just to stop them. Because I worked in the license. I was in pretty good shape. So I was pretty hit by this disease because all of a sudden was the thyroid. It was the cholesterol. It was high blood pressure things that I never had to care and to deal with before being in working in the eyes is a pretty strict annual checkup. You don't you don't pass that one. You're not allowed to perform to do your job. So I think that I was in a pretty good shape. And all of a sudden it was 100 degrees opposite approach of all this. So that's why again, I'm sorry if I talk for too long. Again, I want to thank my doctor. What really works? Bless you all over here because with all the knowledge and everything else you you contribute to us to be still alive and talk or kind of nonsense a big microphone. Thanks again for calling me today. God bless you all. Thanks again. My name. Thank you. Stay here. Yeah, I'm humbled to be here. I'm a little nervous. I'm very emotional. So I'll try to keep that in check. It started out where I had a cough for almost a year and slowly but surely I couldn't keep cool down. And a friend of mine who's also my doctor told me to get to the emergency room. Otherwise, I have to wait a month or whatever to go up. And I get diagnosed to whatever this was. I was it was Christmas day. I was at my sister's house. And I left because I didn't feel well. And I found myself watching television all alone in my apartment. So I knew something was wrong. So that's the emergency room. Got a cat scan the next day, the doctor comes in, you got two words this big, we're gonna take it out, blah, blah, blah. So make a long story short. They had a company like a fish. They got me out of scar like this. They took the kidney out, complete nephrectomy, real cell and swing. Thought they got it all part of the miracle that it was so advanced. Three months later, what I thought might be the worst day of my life. But it got worse. They said that it's spread to my lungs. The other thing was that I had the distinction to my belly, which still hasn't gone down. I don't understand. So that was my big joke. So my brother got online. This is 15 years ago. So I'm cancer free 14 years or so. My brother went online and found someone else who had kidney cancer because there wasn't a lot known. And he knew Dr. Dutcher. I was in California. And we had gone to a few other places. One very notable hospital kind of gave me a time limit and said they were making me comfortable. So we met Dr. Dutcher and she gave us some options and he plant the paradigm. The rest is history. It had spread to my lungs and it was like, pretty advanced. The nodules, there were many nodules. So I did interleuk until I tried I think the first week was maybe three days and I couldn't take to the high dose. So I went home came back a week later. We did the low dose. And I really got a lot of reaction from that also. And her staff, they were fantastic. And I took a week off came back. And the thing about it was, like they say, a really bad flu. I really reacted terribly to it. My blood pressure would go down. I blacked out a few times. I was on the toilet one time I just fell down. And four or five nurses getting me up. I don't want to get too graphic, but I was thrown up in bed and you can poop in at the same time. But come Friday, when I was done with it, I couldn't wait to get out of there Saturday morning. I run home and I can coach a little baseball in the sun with an umbrella. And that was my my sake and grace. But then I did another week. So that was like two and a half weeks of the cycle. And then I kept taking catch games and they were going down down down. So then it's about three two years later after I'm a cancer free. I'm a horse ride. And I had a bad horse and you're working with them on the ground. And I got kicked in the jaw. And I was in an induced coma for 11 days. This is a long reconstructed surgery. So I'm here for a reason. So whatever that is, maybe it's here to talk to you. So I love you, Dr. Helen and me. Hi. As Dr. Molina said, my father here on behalf of my dad, who's here, my dad's a retired physician. So you can imagine what that brings to the process. And he was about a year or two years ago down in Florida. And he took a tumble and while he was at the time, and while he was on the floor, because he has bad hips from other stuff, and trying to get to the phone, he decided to examine himself to see if he broke any ribs. That was where his head was. And he felt a mass. And it was large enough at that point that he thought it was his liver. So he did what any doctor probably would do. He didn't tell anybody. A few months or so later, he's laughing. They were planning on moving up to New York anyway, because we wanted to be closer to them. And he comes up. And I had scheduled an appointment with our intern have a baseline. And as I'm driving him to the internist, he says to me, there's something I need to tell you. When I fell, which I didn't tell you, I felt a mass in my abdomen. And I think it's my liver. And if it's my liver, I just want you to know I've had a good life and we're not doing anything about it. I don't even have a chance to tip the doctor off who we're friendly with. So send him into the doctor and I come with him to sit in the doctor's wonderful job there. They had never met before. And they were hugging and kissing by the end of the appointment. And he says to my father, her words on your mind and he shared with him, I think I have a mass and I think it's my liver. And he repeats that he says, Well, we don't know what's your liver. Let's find it together. And we will come up with a course of action. He comes out of the exam room. He does have a mass. We don't know it's his liver. It could be. Let's send him for some tests. So send him for a sonogram. We go up. He says good news. It's not in the liver. He said the other news is in your kidney. So let's take this one step at a time. And he picked up the phone and he called Memorial and we went over there and we first saw a surgeon and we all agreed he was not a candidate for a surgery. And he had had a CAT scan and we saw it had metastasized not majorly a couple of nodules in the lungs, a little bit of encroachment on the liver, but pretty much, you know, enough that he was not a candidate for surgery. And then, yes, luck would have it. We were referred to that angel standing over there, Dr. Molina. And it's been it'll be two years in May. He went on the Votrion. It's a low dose and everything has been stable. We go for CAT scans every 12 to 16 weeks. My husband's here because it's the three of us are the team. We moved my parents to about a couple of miles from us. They live in a senior, a senior living apartment. And we, you know, we take him to all his appointments. We have a very dear friend. We both work in the city and live outside in Westchester. When I spoke to Dr. Molina, I said, if I spoke to families, I would say we're not the type of people who like to ask for help. We have a very, very dear friend who picks my dad up and looks forward to it to pick him up at his apartment up in Westchester, drives him down to the hospital. We come from our offices and meet him there to every single appointment. And my father looks forward to them because he looks forward to his visits with Dr. Molina. And she is she's such an angel that she, you know, it's not clinical. It's although obviously there is a clinical component, but she comes into the room and she chats and they talk, he tells stories, they talk about medical things. They, we are not physicians. And, you know, half of the things we don't know what they're talking about. And they, he really enjoys those visits. So when Dr. Molina called us and she said, you know, we think you'd like to come and we asked my dad, he said, well, I won't speak, but if Dr. Molina wants us to do something, we're going to come and do it. And, you know, he, upon his diagnosis, he thought, you know, that's it. You know, I'm done. I had a nice life. It's over. And, you know, first year, all of the holidays, we said, okay, we're gonna have the whole family has to be together for every holiday. We're now on round two of the holidays. And, you know, we're, he's stable. And it's all, it's all good. So, thank you. I'd like to open it up to questions that the audience may have. I would like to say that I've never had any, any signs of the kidney cancer. I didn't have any urine, blood in my urine. I didn't have any pain. I just started with a cough. I guess the kidneys, you know, pushed up and was stopping me from keeping food down, double by double, to get worse and worse to the point where I was eating and throwing up for 60 minutes. It was the same with me. I, I didn't want to make it go wrong. And I wanted to make it different. That's the only reason that I didn't get older. But how are you, how do you call it? That was my, my case. Instead of diagnosing. Diagnosing in 2010. But I never had a problem. I just studied it like something that my regular doctor, which got blessed, he's a good doctor. Even though I know, I know he got, he got some kind of cancer also. He told me that then, I guess I just think that it's a common, common cold or something. Let, let, let's try some antibiotics. We, we tried. It didn't work. He sent me to a urologist. I want to mention his name because he told me that he's not the number of month, but the weeks that I have to live. He's a pretty respectable doctor. He's no 70 years old. I, I, again, I don't want to mention his name. He's none of my business about that. But it just, I called it because I wasn't able to use it. It was something like, like, like really block something solid blood. And I said, what, what, what the hell is this? And then I, I, I couldn't use it. One, two, three days after that, like I mentioned before, he did something that is that it is an ultrasound that we have a mass in your kidney. I, I, you need to be a weapon with a small category MSK and Dr. Corne. I was the surgeon that, that was into. So it's also that, that, that still surprises me that it is no way to cash us. At least for provider, not something, somebody that's a pro, you don't have a scan, you don't have like, even if we're the blood, the blood, the blood load, it doesn't come out always. As far as I know. So it's got to be a coincidence or something which is said. That's what I wanted to say. So, oh, sorry. I have a question. What was a medication to say that now we weren't cancer-free, so we don't have anything as no nodules? What was a medication and the treatment that you followed? Dr. Tutcher could speak to that. We got, we got high, I think you looked at two. One week and low dose in terms of two to the second week. And you have the immunotherapy. By the way, you don't want to ask the go blood. I think personally speaking, when you first get diagnosed is to go around and interview various oncologists and find the one that you're most comfortable with who agrees with your way of thinking. Because I, I saw four and I got almost four different types of opinions. And you have to go shopping and get what you feel is what you're thinking is the way to cure this or the way to cope with it. And once you find that person that agrees with you, as far as your way of going through treatment, that's the one that stick with. And I have total confidence in Dr. Alter. I think he's fantastic. And I follow every bit of advice he gives me as far as how to treat both the cancer and to continue living as best as you possibly can. They're on your fantasy team. So how do you cope? How does everyone cope with this disease? How do your families cope? Well, personally speaking, I mean, you have good days and you have bad days. I mean, it's it's the fatigue is part of the medication. And you deal with it. There are days when I come home from work and I have four or five things I want to do. And I sit on the recliner and those four or five things don't get done because I just don't feel like getting up and doing. But then there's other days that I feel fine. And I can function and do the things I need to do around the house, either to help my mother or to just do the basic, you know, only things that you need to do. And I went out play golf actually for the first time recently, which was refreshing since I had my leg operated on. And just try that, you know, I mean, it's there, you know, it's there, but you try to put it in the back. And as long as you're physically able to do stuff, you just go out and do it and do the best you can. Live your life. For me, it works. There's one day I try to enjoy it every day. If there are some things exactly, because the fatigue is something that it's inevitable. But I don't have a tendency of blaming it on my age or the fact that I'm not young anymore. And not on the easy. But there are like things I wish to do and I can't. And I say, well, I'm not my plan anymore. I'm going to walk my car, guess what happened now or not two hours. But one day at a time. I don't know. At least for me, it works. I think early on, you kind of, you kind of ask yourself, why does this happen to me? Because I wasn't a drinker. I mean, I go out for a few drinks and stuff like that. But I wasn't out drinking a lot of alcohol or anything like that. I was a smoker. I considered myself in fairly decent shape. I wasn't in great shape, but I was, you know, I was working out and then taking care of myself for the most part. And then the next day it changed. It's like, you know, I have my own business in Princeton. I worked that day Friday. It was a slow day. I took a half the day, played nine holes of golf, went home, read the paper, watched on TV, everything was normal. When the bed had great night's sleep. And the next morning, it was different. I just woke up and started to eat blood. And it's kind of like, wow, what happened? It was like yesterday, everything was fine. So, and I'm sure a lot of people go through that same thing. I mean, I know different than probably anybody else. But it's really, it's an eye-opener for sure. I kind of wanted to be a little bit different in the way that we treated it, because it was something, okay, now we have a problem. I mean, let's not worry about this, that we got this problem. So we spent a lot of time trying to research what our options were and how to deal with it, and where the right way is to turn and do that. So in some respects, the fact that it sort of swung our focus on dealing with the disease and whatever problems that would come with that, catch you from getting too worried. It sounds strange, but, but okay, now, this is a problem to solve. I've got to deal with this. So we were focused on that. And so, certainly, we have a much higher appreciation for the time we've had in Sierra Faro already. And in some respects, it's sort of different, because now you have the situation where, okay, you're just kind of watching it, and you know that it's a possibility that you can come back anytime, which kind of makes you appreciate that you have that much more. So the fact that we're sort of a partner between dealing with it all the time is hugely important, right? If I was doing it by myself, we don't all hit the bottom at the same time, right? So we sort of manage each other. Any other questions? I had a question just about any lifestyle changes or in terms of your diet or exercise. I mean, I know you said that you were taking pretty good care of yourself before. Is there any advice that you might have, you know, as you're managing the disease for any kind of changes or things to watch out for? I'm always thinking of like, you know, should I just find all organic, you know, things that are things that I could be doing to enhance the health and the immune system. If I can comment, a friend of mine after he found out that I have, asked me what I was eating, what was I taking care of myself and I said I'm eating whatever the hell I want because it makes me feel good. And so I, you know, unless there's something that's indicated that there's something bad for you, I'm going to do whatever makes you feel good. I'm on the right side of the grass and I'm pretty happy about that. So I'm going to do whatever I want. No diet changes at all. If there's anything unusual, I'll, I'll actually check with Dr. Walter or Moisana and see, you know, if they wouldn't recommend it, especially being on a phase two trial, I don't want to screw that up by doing something that might affect that. But, you know, no, I mean, just, just eat what you normally eat. I wouldn't change anything. If you enjoy something, eat it, you know, it's like, don't deny yourself that. I mean, if you get this, you've already been through enough. Why deny yourself something you enjoy doing or eating? Enjoy it. Anybody else? Well, I hope that you all have learned as much as I have. Sometimes I think when I come to these that, you know, I've heard it all and I go to a lot of these and I go to the medical symposiums and whatever, but there is never a time when I don't learn from the doctors who are presenting from the patients who are presenting from the patients I talked to and in the hallway. Never learning is a never ending process and is particularly with kidney cancer. It's the kidney cancer association has a booklet and go on our website. You'll find it. Many of you probably already read it at one point or another. I try to remind myself to read it every once in a while and it's we have kidney cancer. I want to emphasize the we right now because in listening to all of you talk, I'm reminded that it's a team. It's you're not just treating someone's cancer, you're treating the family's cancer. And that just came out loud and clear with the patient panel and I want to thank you. As I mentioned before, I myself had kidney cancer. I was diagnosed in 99 and my husband had kidney cancer. We met after our initial kidney cancers. But in some respects, I'm lucky because I've been on both sides of the bed. I've been the patient and I've been the caregiver. And I want to say to all you caregivers up here, out there, I'd rather be in the bed. It's much easier to internalize your emotions when it's you when it's someone you love and you feel helpless. That's the hardest thing. It really, really is hard. I know I'm not diminishing what patients go through. You know, I don't wish this on anyone, but watching, working with my husband on this, I'd rather it was me in the bed and not him. That being said, I don't want to these stories have been so inspirational. I thank each and every one of you as difficult as some of as it is for some of you to talk about your personal things. Why? You did a great job. All of you did a really, really good job and it really brings home, really brings home that you can't give up. And there's hope. And another, there are a bunch of things I want to say, lots of things floating around in my head. But one of the questions was about, you know, what are you eating? Should you change your diet, etc. I think as a patient, a cancer patient, sometimes people approach you who've never had cancer and they say, well, you know, why did you get it? Obviously, we don't know why. And the thing to remember is, it's not anything that you did that caused your kidney cancer. As Jan said, you know, it's in your body, but it's not you. You didn't do anything. So you can't blame yourself. You can't blame pretty much anything else, except maybe the environment for triggering the start of the growth, if you will. I guess, are there any other questions for our patient panel here? Paula? Not a question, just a comment. I would like to thank my fellow survivors for taking the time to share your stories with us. I, as you know, volunteer for the Association, I would encourage everyone in this room, patients and caregivers, you know, to become actively involved and engage with the association. And doctors. Oh, we're getting our name there in a minute. You know, to become involved, we have a wonderful, you know, association going, and it's because of people like you, the doctors, the scientists, the researchers, the lab technicians, you know, everybody. And as Sarah said, it's a team effort. We all need to be in this and do this together. Quick story I want to share with you. I was a patient rep at the Astell meeting last year. And I was on the shuttle bus. Oh, thank you. I was on the shuttle bus going from a hotel to the convention center seated next to this guy. I didn't know him. He didn't know me. My badge identified me as a patient advocate and the survivor. So he's doing his business. I'm doing my business on the bus and we get to the convention center. We're getting off. And he turned he tapped me on the arm and he said, I just want to thank you for what you're doing. He said, it's because of people like you that we do what we do. And I was so touched by that. Oftentimes we just say, Oh, what's the doctor's job? He's supposed to do that. Or she's supposed to do that. No, they really put a lot of time and effort and energy into what they do because they care about us. You know, the bottom line certainly is not dollars and cents. The bottom line is our care and our quality of life. Everyone in this room is a survivor. You're a survivor from the time you're diagnosed when you're told you have cancer. I think it's just an automatic, you know, gesture that you go into fight mode. I remember Jan telling a story about one of her patients several years ago when he was diagnosed with kidney cancer. He heard that and he said, Oh, well, any day now it's going to curl up and die. And to my knowledge he's still with us. So it's just a natural thing. Your body just goes into fight mode. So I encourage all of you to continue fighting, continue to be engaged with us and continue to be engaged with each other. That's very important. Nobody understands kidney cancer patients better than a fellow kidney cancer patient. Mary talks about her breast. Jack talks about his colon. Yeah, that's all fine, well and good. We can't have that overall sympathy for cancer. But when it comes to kidney cancer, we are the brother and sisterhood and we are the glue that we keep each other together. And I would encourage you to please stay together, stay engaged. And certainly look forward to seeing you guys for many, many more years. Thank you, Paula. Not much more to say. On your schedule it says that Dr. Wang is going to do the closing remarks. But pretty much Paula and I just did the closing remarks. He had to leave. There are a couple of housekeeping things. There's an evaluation form that will be at the back door. I want to encourage everyone to fill that out. And Dr. Molina wanted to talk about a sparker. So I'm actually going to be starting the kidney cancer support group in collaboration with the Kidney Cancer Association. And our first meeting is going to take place on February 7. Well, if you left your emails here, we can email you the information. It'll be at Laughorn Medical College my new institution now. And the first speaker is Shane Robinson. She's actually a medical oncology nutritionist. That's going to come and talk about nutrition and kidney cancer. So I'll be leading these groups every other month. The first one again is February 7. It's at 10 a.m. at Laughorn now and we'll give you the information via email. Thank you. Thank you again, Dr. Molina. And thank you to all of you at the back door, Sarah, Dr. Keegan, and I, Sarah, Eric, who is here. I'd like to thank NYU for hosting us. It's a great facility. It's fantastic. Clean up after yourselves as you're leaving. And of course, thank you to the Kidney Cancer Association. Thank you all. And one more thing. As I heard one of the patients. Oops. One of the patients's wife said, eat the brownies first.