Added a key coin to my collection. Nerva in choice VF with rev of AEQVITAS, RIC II 25. Nerva wanted to show his rule of justice after Domitian’s death in 96, which is why the choice of Aquitas (fairness) and scales of justice on obverse. He did not have good support of the military, so adopted and raised the great general Trajan to Caesar in late 97.
I am from the US 60YO male and about 1 month post induction for stage 1 IgA lambda multiple myeloma with a rib/chest-wall plasmacytoma. Have FISH 13 and was classified as low-risk by my Myeloma specialist. Blood tests for IgA dropped to normal after the first round of standard quad treatment. Never had an M-spike or other symptoms, had it not been for the rib mass causing pain, probably would have been found much later. Got my bone marrow follow-up results last week and it went from 10-15% to no detectable cells. Great news! The PET/CT showed all of the multiple hot spots were now gone and the original fist sized mass was now the size of a gulf ball and had only a little uptake on PET. Again great news.
Here is my frustration, I thought this was going to mean that my oncologist would just want to continue maintenance with the Dara and daily 10mg lenalidamide and SCT was now off the table. However, he still insists that transplant is the best way to treat the remaining residual chest mass. Other options would be radiation and based on current size could cause some lung/chest wall complications, or reevaluate in 3 months with the maintenance regime.
I am opting for the 3 months, since I have 0 symptoms, no complications from either the induction or current maintenance, especially since the Dex is now gone. I do not want to receive high level chemo and 6 months to a year recovery. The transplant specialist that I saw at Hopkins during induction felt my case would not need SCT if I had a strong response to induction. My MM oncologist seems to be old school and feels even if the final test for MRD comes back as negative it does not matter. The residual chest mass calls for the SCT. Am I being stubborn on the transplant aversion? Sorry for the long post, just was feeling so up with my results until my appointment yesterday. Also know that so many here have it worse and do not want to seem like I am complaining.
After reading (listening to) I Claudius and Claudius the god. Had to upgrade my lower quality provincial as, to this duopolis. Very common type but can read everything!
Hadrian Denarius ~133AD with Salus Snake. RIC 2049 Hadrian bust right, partially draped.
I am starting coxswain training and captain’s license has always been on my radar. I understand that the captain license replaces need for the NAV70. Has anyone gone this route? Do you just submit that portion of your scores from the captains exams? Also, want to complete the Merchant medical exam first before I pay 400-600 for the 6-pack course. I am in remission from cancer and just want to make sure it is not a disqualification. Does not limit me in any way, so know the auxiliary is not an issue, just no use paying all that money for the Captains course to have the medical get a disqualification.
If you have a chance close to you, SAIL 250 is in full swing on the East Coast. Heading to Baltimore this weekend and then onto NYC over the 4th and finally Boston . Some posts on the East District pages. Plenty of auxiliary opportunities.
All are in the same price range. Would their be a clear winner and your reasoning is appropriated. Sorry for the low-res was trying to avoid 3 pictures. All are about VF and bottom one has some surface defects.
What would be some types to look for that define Trajan. I know the Column is one, any other suggestions? Mostly finished my 12 Caesars and now looking at the adoptives.