Done . . .

We've been looking at participating in one of those clinical trials but they all require recurrent follow up at the trial site, which for us is a six hour round trip and difficult parking at the site.

Ask your wife and kids whether you’re worth the trouble. I suspect they’ll say “yes.”
 
Fwiw, that is exactly what organizations like Angel Flight and PALS are built for. I can tell you from experience that the flights are way more fun when the passenger is interested in aviation, and I would jump at the chance to fly a fellow pilot to treatment.
Thanks. I have considered that but if I were going to do that I'd just try to use my own plane with a copilot before I sell it, but it's the ground transportation as part of that trip that actually is more challenging. Do you know if an airport like KBOS waives all fees for Angel flights? It's still considerably more expensive and time consuming when I can get the radiation treatments at our local hospital for about 20 minutes of the day and live in my own home for the entire treatment period.
Ask your wife and kids whether you’re worth the trouble. I suspect they’ll say “yes.”
I already have. They agree it's just not worth it for the clinical trial, especially considering that I'm not eligable for most of them due to a recent biopsy of malignant melanoma. I've been a regular tumor farm with prostate, three separate melanomas, and now glioblastoma over the past 15 years, and most of the trials require at least a two year tumor free period. (That's for integrity of the trial data.)
 
Thanks. I have considered that but if I were going to do that I'd just try to use my own plane with a copilot before I sell it, but it's the ground transportation as part of that trip that actually is more challenging. Do you know if an airport like KBOS waives all fees for Angel flights? It's still considerably more expensive and time consuming when I can get the radiation treatments at our local hospital for about 20 minutes of the day and live in my own home for the entire treatment period.
I don't know for sure about BOS, but I've yet to hear of an FBO charging for an angel flight. Airport landing fees might still apply. We usually fly into reliever airports, although we do use MEM sometimes for St. Jude. I think @NealRomeoGolf went into BOS or somewhere nearby a last year. St. Jude, CTCA, and Mayo all have shuttle service to the airport. Angel Flight East or PALS would have those answers.

I'm not trying to talk you into anything, just thinking about options. I can't imagine facing the diagnosis you've been given, and i totally understand the desire to stay at home.
 
Very sorry to hear of this diagnosis. As a 78 year old pilot myself, I am always waiting for the "shoe to drop". Not a frequent poster myself, I have always appreciated your insightful views and "Flying the Motorcycle to Alaska".
 
Sorry to hear best wishes for your future.
 
…I already have. They agree it's just not worth it for the clinical trial…
Have had a malignancy and lots of benign biopsies and another benign tumor, so as much as one can understand the thought processes, this is why songs like “Live Like You Were Dying” were written.

F*ck cancer and I hope you live like you were dying; don’t let the disease define who you are.
 
Have had a malignancy and lots of benign biopsies and another benign tumor, so as much as one can understand the thought processes, this is why songs like “Live Like You Were Dying” were written.

F*ck cancer and I hope you live like you were dying; don’t let the disease define who you are.
:yeahthat:

But I think I’d skip 2.7 seconds on a bull named Fumanchu....
 
I don't know for sure about BOS, but I've yet to hear of an FBO charging for an angel flight. Airport landing fees might still apply. We usually fly into reliever airports, although we do use MEM sometimes for St. Jude. I think @NealRomeoGolf went into BOS or somewhere nearby a last year. St. Jude, CTCA, and Mayo all have shuttle service to the airport. Angel Flight East or PALS would have those answers.

I'm not trying to talk you into anything, just thinking about options. I can't imagine facing the diagnosis you've been given, and i totally understand the desire to stay at home.
I went into KBED (Bedford) and they waived nothing. Some places are just jerks. Signature at Mayo has been the best.

Sorry to hear of the diagnosis. It's the same that took my grandfather at age 81. I wish you and family peace and enjoyment for the time you have with them.
 
We've been looking at participating in one of those clinical trials but they all require recurrent follow up at the trial site, which for us is a six hour round trip and difficult parking at the site.

I highly recommend looking into PALS. Great organization from top to bottom. BOS does waive fees for compassion flights last I knew, but most of the time we fly in and out of BED or OWD. PALS also arranges your ground transportation and hotels if needed.
 
I went into KBED (Bedford) and they waived nothing. Some places are just jerks.

Thats odd I've never been charged anything flying PALS flights out of there, and Jet aviation is always super accommodating.
 
Thats odd I've never been charged anything flying PALS flights out of there, and Jet aviation is always super accommodating.
I used Ross Aviation which I think is now Atlantic? This was 2 years ago. I guess if there is a next time it will be Jet Aviation.
 
Flew into Flagstaff (only FBO on the field), and the grumpy desk lady wouldn’t let me use the crew car to drive the Angel Flight passenger to her destination…
 
Pharmacy Insanity Rant:

As some may know from other posts here, I blame pharmaceutacil companies and their collusion with government, health care insurance companies, advertizers and others for some of the problems in our health care system. Along those lines, I have been put on an anti-seizure medication (lacosamide) for the rest of my life. The first prescription was filled in Pittsburgh where I had spent a week with testing and consultations. I picked it up there and paid about $30 out-of-pocket for a month's supply. I went to refill it yesterday and the co-pay was over $600! After hours of frustrating calls to various agencies, the oncologist in Pittsburgh got involved and I learned that the $600 co-pay only applies if you use your health insurance. It lowers a little bit during the rest of the year as deductibles are met, but it ends up being about $7,000/yr. and resets on January 1st next year. The oncologist told me to go back to the $600 pharmacy and tell them not to bill insurance and we'll pay in cash. Guess what. It's $30 a month if we do that, or $360/yr instead of nearly twenty times that amount if going through Medicare, Mutual of Omaha and Wellcare through my insurance supplement program

Somewhere in the background there is an insane amount of collusion going on that could unnecessarily drain seniors and others of their life savings, in other words someone is manufacturing a critical drug for well under $30 and selling much of it for twenty times that amount to people who use their own insurance, including Medicare. Where is that money now????
 
The oncologist told me to go back to the $600 pharmacy and tell them not to bill insurance and we'll pay in cash. Guess what. It's $30 a month if we do that, or $360/yr instead of nearly twenty times that amount if going through Medicare, Mutual of Omaha and Wellcare through my insurance supplement program

Somewhere in the background there is an insane amount of collusion going on that could unnecessarily drain seniors and others of their life savings, in other words someone is manufacturing a critical drug for well under $30 and selling much of it for twenty times that amount to people who use their own insurance, including Medicare. Where is that money now????

We have the same BS here with Flomax. Normal prescription is for prostate issues. Urologist uses it to relax genito-urinary tissue to help pass a kidney stone easier-faster. The pharmacist will ALWAYS tell the females that their insurance won't cover ... they leave in tears ... we send them back as the private pay rate is about $6 which the pharmacists NEVER tell the female patient at the counter:mad::mad::mad::mad::mad:
 
Pharmacy Insanity Rant:

As some may know from other posts here, I blame pharmaceutacil companies and their collusion with government, health care insurance companies, advertizers and others for some of the problems in our health care system. Along those lines, I have been put on an anti-seizure medication (lacosamide) for the rest of my life. The first prescription was filled in Pittsburgh where I had spent a week with testing and consultations. I picked it up there and paid about $30 out-of-pocket for a month's supply. I went to refill it yesterday and the co-pay was over $600! After hours of frustrating calls to various agencies, the oncologist in Pittsburgh got involved and I learned that the $600 co-pay only applies if you use your health insurance. It lowers a little bit during the rest of the year as deductibles are met, but it ends up being about $7,000/yr. and resets on January 1st next year. The oncologist told me to go back to the $600 pharmacy and tell them not to bill insurance and we'll pay in cash. Guess what. It's $30 a month if we do that, or $360/yr instead of nearly twenty times that amount if going through Medicare, Mutual of Omaha and Wellcare through my insurance supplement program

Somewhere in the background there is an insane amount of collusion going on that could unnecessarily drain seniors and others of their life savings, in other words someone is manufacturing a critical drug for well under $30 and selling much of it for twenty times that amount to people who use their own insurance, including Medicare. Where is that money now????
This won't make you feel better. Only worse. My son was just diagnosed with an auto-immune disease that will require $7,000 shots every month for the rest of his life. He is 14. Insurance will take care of most of it after the deductible (which is $6000 - yay!). Then you get the "prescription card" from the manufacturer and you pay no co-pay for the rest of the year. I don't get it. Just lower the price.
 
This won't make you feel better. Only worse. My son was just diagnosed with an auto-immune disease that will require $7,000 shots every month for the rest of his life. He is 14. Insurance will take care of most of it after the deductible (which is $6000 - yay!). Then you get the "prescription card" from the manufacturer and you pay no co-pay for the rest of the year. I don't get it. Just lower the price.
Yikes. That's ridiculous, and my condolences for you and your son. Hopefully their patent will expire and the drug cost will drop down to something like the cost of a loaf of bread.

The drug patent process is just a giant casino for the manufacturers, but the consumer pays the winners.
 
This won't make you feel better. Only worse. My son was just diagnosed with an auto-immune disease that will require $7,000 shots every month for the rest of his life. He is 14. Insurance will take care of most of it after the deductible (which is $6000 - yay!). Then you get the "prescription card" from the manufacturer and you pay no co-pay for the rest of the year. I don't get it. Just lower the price.

Holy smoke! What is he on? I also have an autoimmune disease and take an immunosuppressant. It’s roughly $25 a month.
 
Holy smoke! What is he on? I also have an autoimmune disease and take an immunosuppressant. It’s roughly $25 a month.
That brings up another flaw, in my opinion. The prescriber doesn't know the cost. He/she wants to presribe whatever is "best" for the patient, which is often the most ridiculous price wise. They (which includes me when I was writing prescriptions) are too busy taking care of patients to go through the tedious process of sorting through the maze of payment options for every drug they prescribe, and it's an equally burdensome and often obscure process for the patient. The "best" drug may offer a small percentage advantage over the control to be determined to be "safe and effective" to be approved by the FDA, and the consumer may figure that there's really no other option.

I was close to deciding "fruck it", I'll just die a little earlier than I planned for - until the oncologist at UPMC did the homework and found that I could avoid paying $6000 or $7000 per year for a drug that I had already initially purchased for $30 a month and could continue at that price indefintely. TV advetizing gives a huge advantage to the drug manufacturer in this process, which I consider basically a scam on the American public.
 
Dave, tough one. Prayers for peace.
 
I was close to deciding "fruck it", I'll just die a little earlier than I planned for - until the oncologist at UPMC did the homework and found that I could avoid paying $6000 or $7000 per year for a drug that I had already initially purchased for $30 a month and could continue at that price indefintely.

Glad to hear you are going to fight this cancer. A friends wife is a 2 time cancer survivor. The first time (pancreatic) the doc prescribed a once a month shot (among other things) that cost approximately $23,000 per shot. Their insurance said no way. He got a lawyer to send the insurance company a letter. The insurance company decided to pay.

20 years to the day she was diagnosed with the first cancer, she was diagnosed for the second time. Different cancer affecting her brain. Again, their insurance company said no way. A quick letter from a lawyer seemed to change their mind and they paid.

Insurance is a game. The insurance company wants you to pay them monthly for years, but they don't want to pay out.

I thought I wanted to be your insurance man, and was licensed (long expired) Life, Accident and Health or Sickness, Property and Casualty, but the insurance company that wanted me to start an agency (farmers) changed my mind.
 
I thought I wanted to be your insurance man, and was licensed (long expired) Life, Accident and Health or Sickness, Property and Casualty, but the insurance company that wanted me to start an agency (farmers) changed my mind.

Insurance (health, life for the most part) sales was my first career. Dirtiest industry I know and I wouldn't touch it with a ten foot pole again. @dbahn I don't think we ever had the pleasure to meet or even interact/communicate directly on here but I do remember some of your valuable posts and I looked at the pictures of one of your Alaska trips which I very much liked. Wishing you and your loved ones all the best. Although you don't think you'll be one of the miracles, I absolutely hope you're wrong about that and then we can all rub it in your face ;-)
 
Hell, I plan to maximize death itself. Vermont has a liberal "death with dignity" policy, which I will use, and my advance directive includes my request to fire my ashes from one of the bronze cannons I made years ago. My daughter's not wild about that, but my wife is on board and I think my daughter will come around. ;)

I made the bore size to be able to shoot golf balls, which happen to be the same size as a one pound lead ball.

View attachment 130073

I just want to commend you for the class act way of facing this you are sharing. I think it's great you are openly sharing your decision to take advantage of the "Dying with Dignity" laws of your state. Such a thing is a deep and personal decision, but sharing it without apology is a great gift to all who read it, to help work towards a culture where folks can make that decision feeling less pressure/shame in doing so. Sharing it so openly is a step in that direction and a contribution to humanity by simply sharing it in such a way.

I wish you the best with what time you have on your ride of life, I'm encouraged as a brother human being by the way you are facing it and sharing it, and by doing so you could be planting the seeds in any of us that read what you share if/when we may be faced with the same or similar, which statistically speaking some of us will face a similar road, to face it with he dignity, calmness, and clarity you have shown.

Your Brother Human and Pilot,

Ray
 
Thanks.

My logic for openly sharing is simple. Avoid dealing with a group of friends where some know exactly what's going on and some others know bits and pieces and even some others know nothing at all.
 
Pharmacy Insanity Rant:

As some may know from other posts here, I blame pharmaceutacil companies and their collusion with government, health care insurance companies, advertizers and others for some of the problems in our health care system. Along those lines, I have been put on an anti-seizure medication (lacosamide) for the rest of my life. The first prescription was filled in Pittsburgh where I had spent a week with testing and consultations. I picked it up there and paid about $30 out-of-pocket for a month's supply. I went to refill it yesterday and the co-pay was over $600! After hours of frustrating calls to various agencies, the oncologist in Pittsburgh got involved and I learned that the $600 co-pay only applies if you use your health insurance. It lowers a little bit during the rest of the year as deductibles are met, but it ends up being about $7,000/yr. and resets on January 1st next year. The oncologist told me to go back to the $600 pharmacy and tell them not to bill insurance and we'll pay in cash. Guess what. It's $30 a month if we do that, or $360/yr instead of nearly twenty times that amount if going through Medicare, Mutual of Omaha and Wellcare through my insurance supplement program

Somewhere in the background there is an insane amount of collusion going on that could unnecessarily drain seniors and others of their life savings, in other words someone is manufacturing a critical drug for well under $30 and selling much of it for twenty times that amount to people who use their own insurance, including Medicare. Where is that money now????

From the New York Times today:
The Opaque Industry Secretly Inflating Prices for Prescription Drugs
 
I am planning to stick around, here and elsewhere. Social media can be informative and constructive at the same time, even though it can go haywire every now and then.​
In the middle of the night a few days ago I conjured up a plan. I have to return to Pittsburgh a few weeks after my brain biopsy. It's a 600 mile drive and there are some direct flights, and then I thought, "why not charter - in my own plane?" in which case it's not a charter if I have a commercial pilot acting as PIC an I have oversight of the operation. I have quite a few former student either teaching or now in the airlines, so I'm exploring that possibility before I sell the C206. It might work out well all the way around, and would certainly be convenient with more flexibility.​
I did that for a flight school owner. We used his T-41B that he kept on the schools roster and rented it out. We took it from the Southwest to Maine and back, and to Alaska and back.
I was referred to as "his seeing eye pilot". Yes, I had "skin in the game", he was responsible for the cost of the airplane, I put fuel in it. We each took care of our own meals and lodging. I did return solo on the Alaska trip, as he had to return via commercial airline for a family emergency.

Do take care.
 
Well, after several trips between Vermont, Pittsburgh and Boston it turns out that the seizures might have alerted me to the diagnosis earlier, so I have a bit of a head start, but with new molecular markers rather than the old histologic determinants, this turns out to be the deadlier glioblastoma, which will be treated with radiation and chemo (the chemo doesn't really help much) so the best I can hope for is to slow the process down to last another year or so. It's been particularly hard on my wife and kids (and grandkids) but it is what it is, and despite all the well wishes I'm not expecting one of those miracles that you hear about.

I'll fly a little more until I sell the airplanes, but with another pilot as PIC which is never quite the same as being the acting PIC. I'll certainly miss the Pawnee where acting PIC is the only option . . .
I must say you have displayed exceptional fortitude in sharing the diagnosis with us.

My prayers will be with you and your loved ones as you navigate this difficult road. I will also be sending you courage and energy through mechanisms I wholly believe in, the power of hearts and minds to make their presence known to those who must bear the weight of challenges that seem unsurmountable.
 
Dave, I applaud your choice of facing the difficult future with logic and courage. Sharing, so all your friends can know where you are in life is a powerful choice, as I believe in the existence of external strength.

I am a bit older than you, and quit renewing my medical in 2012, but have flown with friends and instructors since then. I sold my share of the plane in 2015, as the plane needed more hours per year to stay healthy, and I did not need to be a partner to share costs with another partner. Last flew Dec. 2022.

Your attitude reminds me of my Brother in laws, both decided to live until they had no quality of life, then quietly let go with family around them.

Best wishes for success in the days ahead.
 
Funny story. On another forum a friend asked if I had applied for the Master Pilot Award, which represents flying for 50 years. I looked back at my logs and I'm a few months short, although I'm pretty sure if I log PIC next month I would qualify for that distinction.

I dug out my first log book and here's what I found:

My first solo flight was July 7th, 1974, and from first lesson to private pilot was just over six weeks. I left BTV for my check ride in Newport Vermont with 34.7 hours and got the required 35 hours (Part 141) by flying to the check ride in Newport. I remember my total cost was somewhere around $900, but that included some aerobatics and a check out in a 172 instead of the 150 I did the rest of the training in.

Those were the days . . .

(Somewhat ironically, I'll finish my radiation treatment a few days short of the 50th anniversary of my check ride and tomorrow is the 50th anniversary of my first solo flight.)
 
That brings up another flaw, in my opinion. The prescriber doesn't know the cost.
That's a flaw with the prescriber, not the system. When my doc writes me a new script, he pulls out up in the computer to see what my coat will be. Then he pulls up the GoodRX, which shows the cost at various pharmacies without using insurance, then he offers to send it to the cheapest one. Now, I've got a kickass boutique doc, but I'd rather give my money to someone working for me rather than against me.
 
Funny story. On another forum a friend asked if I had applied for the Master Pilot Award, which represents flying for 50 years. I looked back at my logs and I'm a few months short, although I'm pretty sure if I log PIC next month I would qualify for that distinction.

I dug out my first log book and here's what I found:

My first solo flight was July 7th, 1974, and from first lesson to private pilot was just over six weeks. I left BTV for my check ride in Newport Vermont with 34.7 hours and got the required 35 hours (Part 141) by flying to the check ride in Newport. I remember my total cost was somewhere around $900, but that included some aerobatics and a check out in a 172 instead of the 150 I did the rest of the training in.

Those were the days . . .

(Somewhat ironically, I'll finish my radiation treatment a few days short of the 50th anniversary of my check ride and tomorrow is the 50th anniversary of my first solo flight.)
Sounds like you have a final aviation goal to achieve!
 
That's a flaw with the prescriber, not the system. When my doc writes me a new script, he pulls out up in the computer to see what my coat will be. Then he pulls up the GoodRX, which shows the cost at various pharmacies without using insurance, then he offers to send it to the cheapest one. Now, I've got a kickass boutique doc, but I'd rather give my money to someone working for me rather than against me.
I don't have drug insurance, and I presented a GoodRX coupon for one of my prescriptions to the nearest Safeway pharmacy, but it turned out that their price was slightly lower without the coupon (and quite reasonable). I am using Amazon's pharmacy for another prescription, and it appears that their prices for Amazon Prime members are similarly reasonable. (I don't yet have enough experience with either of them to say whether this is typical.)
 
I don't have drug insurance, and I presented a GoodRX coupon for one of my prescriptions to the nearest Safeway pharmacy, but it turned out that their price was slightly lower without the coupon (and quite reasonable). I am using Amazon's pharmacy for another prescription, and it appears that their prices for Amazon Prime members are similarly reasonable. (I don't yet have enough experience with either of them to say whether this is typical.)
The smart patient and the smart doctor will read the link that Piperonca posted above and realize that pharmacy benefit managers are making millions by keeping people from paying out of pocket for drugs that are horribly inflated in cost through third party handlers but are relatively inexpensive to distribute if purchased outright without insurance copays.

Read how Martin Shkreli was caught in one of these scams and jailed for raising drug prices by 5,000%
 
We all face it sometime, but my own time has come to be permanently self-grounded. With no warning, I had three small focal-aware seizures involving just my right elbow about three weeks ago (and none since). An extemely extensive work up in both Vermont at at UPMC in Pittsburgh ultimately demonstrated a malignant brain tumor, which can't be "cured" but can be managed. Even on Basic Med, however, self grounding is appropriate and that's not going to change. With age 77 coming up next month insurance became a looming issue as well.

In July this year it will be 50 years and over 4,000 hours of contiuous activity as a certificated airman, and I've had a fabulous run, forty of those years owning the same C206 with trips to places everywhere between Alaska and the Bahamas to Nova Scotia to the Southwest, many with camping out with the motorcyle in the plane. I look back fondly at thousands of tows in the Pawnee and other aircraft,doing paid sightseeing flights in the PA12 on floats, instructing, and flying for just plain fun in my own Cub, which I helped restore over 25 years ago and still own. It's been a great run with zero accidents and zero FAA certificate actions.

As I told one of my pilot friends today, as hard as it is to give up flying, it's better to be able to do it standing on the ground instead of rushing towards it while out of control . . .
Got to hand it to your attitude all this and what an amazing run! God Bless and prayers for your health!
 
I don't have drug insurance, and I presented a GoodRX coupon for one of my prescriptions to the nearest Safeway pharmacy, but it turned out that their price was slightly lower without the coupon (and quite reasonable). I am using Amazon's pharmacy for another prescription, and it appears that their prices for Amazon Prime members are similarly reasonable. (I don't yet have enough experience with either of them to say whether this is typical.)
I'm not surprised by any of that. You can also go on the GoodRX app and it will show you the price at various pharmacies. Around here, which pharmacy is cheapest varies by drug. I still usually use my insurance because we always meet the deductible, so I'm only paying the copay until we got out of pocket max.
 
Master Pilot Award? How do you apply for that?

Last PIC was Dec 2022, PPL Dec 1969, that is 53 years.

At 90, you begin to think about what will look good in the obituary, even if in good health.
 
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