Thank you to Dr. Keong, Dr. Tom Snow, Dr. Matthew Burge, Merck, and the 2018 co-Nobel prize winners Dr. Jim Allison & Tasuku Honjo. This is our family that you saved.

A modern-day penicillin moment in medical history

As an immunotherapy super responder, I became “one of the 1% of the 1%.” in just 3 days, and part of the cancer cure equation.

The “Checkpoint Pathway” discovery has opened up new treatment pathways.

My dynamic Complete and Full Response became the second time a Cholangiocarcinoma Patient had overcome a Terminal Stage 4 metastatic setting, via Merck’s International Clinical trial Keynote 158. Without 2018 Nobel Prize-winning scientist James Allison I would not be here to share my story of survival.

Details

Patient Details 2016 to present
  • 2016 October: Diagnosed Extrahepatic – ‘Distal’ – Terminal < 6 months
  • 2016 December: Whipple Surgery
  • 2017 February: Valentines Day: Clinical trial via Royal Brisbane -‘Attica’
  • 2017 July: Metastatic Stage 4: liver/diaphragm and both Lungs
  • 2017 August to present: Clinical Trial: Merck’s Phase 2, Keynote 158 via Royal Brisbane (1 of 9 CCA patients participants globally)
  • 2017 October: Full & Complete Response. (2nd patient of 3 patients as of 2021)
Surgery (s) – Total 25 hrs

2016 December: Whipple Surgery removed

  • Bile Duct (95%),
  • Gallbladder (100%),
  • Stomach (80%),
  • Pancreas (33%)
  • Duodenum (100%),
  • Lymph Nodes (2).
Complications
  • 2017 January 5: Emergency Aneurysm main hepatic artery: required significant and swift intervention – artery terminated.
Clinical Trials –

2 Trials 

Hamburg Germany  – Attica

  • Via RBWH (Brisbane)
  • Gem/Cis (Chemo)
  • 6 months weekly Infusions Gem/Cis
  • Tuesdays x 12 hr day – every 3rd Tuesday rested
  • 18 month followed up
  • My participation was terminated at 6 months (met stage 4)

Keynote 158 – Merck, California, USA

  • Via RBWH (Brisbane)
  • Checkpoint: Immunotherapy
  • 5 years to 2023 (Now extended to 2026)
  • 2 years of Keytruda + monitoring for balance
  • Keytruda/200ml Infusions (3 Weekly)
  • Ceased infusions @ 15 months (voluntarily)
  • Ct Scan – yr1 x 9 weekly, yr2 x 12 weekly, yr3 x 12 weekly, yr 4 x 6 monthly – ongoing
  • Complications: yr3 emergence of 4 thyroid lesions – scans inline with the above regime
    18 month – Fine needle – benign – 12 monthly scans as of May 2021
Notes:
  1. Attica Infusions were into the arm ie no port, this impacted my veins ie collapsed – very slow recovery (yrs)
  2. Younger brother (RIP 2014) Exact same CCA diagnosis as me
CCA – Cholangiocarcinoma

If you are a newly diagnosed patient your best starting point is the CCA Patient Intro Kit

CCA Patient Intro Kit
Best Cholangiocarcinoma Patient and Caregiver resources

Along with Pancreatic, Cholangiocarcinoma – (CCA) is the most hostile of all cancers, with no curative outcome or early detection advantage. Primarily a Cholangiocarcinoma (Bile Duct Cancer) is an adenocarcinoma that is a tumor growth that originates within the body’s epithelial tissue (skin) layer around all our organs. This skin layer has a mucus-secreting layer of glands that line and protect our vital organs and this provides the cancer to move mostly undetected.

CCA invades many connected organs via the bile ducts, it does so completely undetected with stealth and speed, and typically goes undetected until a stage 4 outcome. Impacted organs –

  • Liver
  • Gallbladder
  • Stomach
  • Pancreas
  • Duodenum
  • Lungs
  • Lymph Nodes
  • Also, the Spine and Brain can be impacted

Survival – Outlook

Highlighted in red is my specific diagnosis

  • 5 yr Survival = less than 8 %
  • 5 yr Metastatic Survival = less than 1% 
  • Average survival period: Extrahepatic = 6.7 months 
  • Average survival period: Intrahepatic = 13.2 months
  • Overall average survival period is improving slowly but still sub 12 months.
Cholangio is an undefeated Cancer Beast

Currently, Merck leads the charge to defeat this beast, and also thankfully other drug companies are fast becoming more relevant in dealing with the many mutation variants that occur in cancer.

The race to conquer cancer
Cancer treatments are now about highly targeted and specific treatment of your specific cancer mutation. Most cancers have subsets defined by their mutation. ie bowel cancer patients can no longer just be identified as ‘Bowel” they must also be identified by which mutation type is driving the cells to become cancerous – it’s these mutations that immunotherapy intervenes in.

Phase one trial was completed with one patient success outcome, Phase two trial is ongoing (now in yr 5)
I am in the Phase two trial – one of 9 – I was the only full response. Below I have also included two other outliers – Matt and Melinda.

  1. 2015: Phase One Trial – Keynote trial 028. This trial produced the first-ever full NED patient response – Rose -USA – in her 70’s.
  2. 2015: Matt Reidy, off-trial, privately treated with Keytruda succeeded – NED ongoing.
  3. 2016: Melinda Bacchinni who had limited success on TIL regimes, switched to Keytruda and had immediate success becoming NED.
  4. 2017: Phase Two trial initiated: ie Keynote 158
  5. 2017 -18: ICI -Immune Checkpoint Inhibitors recognized success in treating Melanoma, Lymphoma, and Lung cancer patients. These 3 cancer cohorts qualify as first-line treatments

Success is not guaranteed, but the words cure and cancer are now being referred to in the same sentence as immunotherapy.
Within the CCA patient world, 4 patients, have now joined the 1% of the 1% across all cancer cohorts.

Trial One: Attica failed

Chemotherapy Gem/Cis combination

  • Very difficult and debilitating 6 days out o7 every week
  • Just short of 6 months I had an exponential metastatic breakout through lungs and across the top of the liver and under rib cage (Stage 4)
Trial Two: Keynote 158: Keytruda Succeeded
  • Large response at day 3 – all the debilitating pain that inhibited breathing and movement ceased.
  • Day 4 to 19 – I quickly declined and became ill; Deep itchy chest cough, severe cold night sweats (all night), sudden temperature spikes, extreme weakness and light-headed, breathing was difficult and I was unable to function, I became totally bed-bound and in real trouble. I came very close to conceding to my last breath.
  • Day 20 – miraculous recovery – sitting up and later that same day walking – amazing dynamic turnaround
  • Day 21 – Made the trip to Brisbane for the second infusion. All went well
  • 10 weeks – 10th Oct 2017 – 3 infusions completed, First Trial Scan:
  • Pre-trial scan metastatic activity showed (1) Lungs: too many to count. Top of the Liver and under ribs: Multiple large and invasive tumors.
  • Scan 1 Result – all metastatic tumor activity was gone. NED – In the sake of brevity – we were all speechless – this was not expected, as we were aiming for a 9-month positive response at best. At this point, no one had succeeded, but I was to discover later that ‘Rose’ a patient on the earlier Keynote 029 trial had also succeeded, so I was number 2.
  • Continued another 12 months of infusions
  • Continued to san intervals 3 monthly – remain on going complete & full response (NED)
  • Now on 6 monthly

About the Checkpoint Pathway

Including CTLA-4  & PD1 checkpoints.
Speakers: James Allison, PhD, (MD Anderson), Gordon J. Freeman, PhD, (Dana-Farber), and Philip J. Gotwals, PhD) (Novartis)

  • Note my result was via Keytruda which blocks the PD1/PDL-1 pathway. (Checkpoint Pathway)
  • Also discusses Ipi/Nivo combo – Ipilimumab blocks the CTLA-4/B7 pathway

2017 January 5th
Aneurysm Event – Main Hepatic Artery – A complication of my earlier Whipple Operation, which plunged me into a sudden fight for life with only minutes if not seconds to spare.

  • One month post-Whipple Op. At home beginning my recovery, I took a sudden turn passing out, and began vomiting up large volumes of blood
  • Ambulance response kept me alive to reach GCUH Emergency
  • Interventional Radiology Surgeon Tom Snow & a large team  of experts performed a 5-hour Op
  • Found the hole in the artery and restricted bleed out
  • 100 % Termination (removal) of the hepatic artery
  • This artery supplies approx. 30% of the blood to the liver
  • This event was a direct complication of my ‘Whipple’ Operation
  • If not for Claire’s cool head and decisive actions I would not have survived until the ambulance crews arrival
  • Luck also played a factor, as  Dr. Tom Snow was leaving the hospital car park at the time & was called back just in time
  • Bell’s Palsy
  • Anaphylactic Shock Event
  • Diverticulitis
  • Broken Neck C6 – Paralysed right side 9 months

A little intro

I would describe myself as the classic modern day ‘Active Lifestyler’ which really means I am over 50 and clinging to my diminishing youth. Living on the Gold Coast is a pretty cool place to build a lifestyle which blends all the essential elelments of work and play. I am love cycling, running and a regular play in the swim in the ocean. I am generally up and in to it around 5am most days and of course the coffee.

My Family

Born: Waikanae NZ
Live: Main Beach Gold Coast Australia since 2005
Married: Claire January 1989 in Waikanae.
Children – Georgia (Vancouver) and  Zach (London)

Chief Evangelist for Cholangiocarcinoma

To my younger brother Graeme RIP 2014
You and I share the exact same in so many ways as brothers do – we unfortunately shared the exact same diagnosis – you were first, then it was my turn. Graeme, you did not make it, the New Zealand health system so badly let you down. I owe my life to the open-minded Australian health system and the talent it fosters within.

Life is the opportunity

Personal experiences have taught me that the opportunities and rewards within life will only emerge when I fully accept and embrace the challenges that come with them. The enormity of a terminal cancer diagnosis completely overpowers this reality – yet it remains a reality, that we each must find a way back to. You have to remain Open, Aware, and Engaged despite the obvious pain to continue moving forward.

Beyond Conscious Measure

Who gets a second chance let alone a third chance at life? This is my personal story of just that…

In late 2016 I was diagnosed with a terminal and unbeatable cancer with an unpronounceably long name, but the bottom line was Steve you have just 6 months to live… but we may be able to extend that to 18 months with surgery.

One thing you do in this situation is to look for others who had survived such a terrible prediction, something for hope to cling to… there were none…an indescribable feeling of despair. The facts and stats had me dead & buried before my last breath, with an overall average survival of 6.7 months & an 8% 5-year survival rate… Let me tell you there is no manual for this type of stuff, so rightly or wrongly I began creating my own.

I had been unceremoniously culled from the herd at frightening speed, a deafening silence overtook my whole being, my reality, and vision for life had suddenly disappeared. A blur of rapid decisions funneled me into 25 hours of life-threatening surgeries, 22 months of intensive clinical chemotherapy, and immunotherapy trials.

Cholangiocarcinoma (CCA) is a cancer of the bile ducts that interconnects the liver, pancreas, stomach, and everything in between, so a team of 7 surgeons went to work removing a shopping list of organs in an attempt to extend my life. But their attempts were in vain as I quickly (as expected) became metastatic. A metastatic CCA cancer is one of the most hostile of all cancers, with less than a 1% survival rate. My life was now measured in weeks if not days.

This has been an unimaginable roller coaster ride to survive the facts and their stats – people are conditioned around facts and stats, they become the environment and the way, an impossible place for the patient to see through.

I have seen impending death and that line from many angles – I have been over the line and into the jaws of death, only to be pulled back out by skillful surgeons with just seconds to spare if any at all.

So I am still alive and have written my own manual, I am more aware of what I have achieved and how it happened. I am in a position to distill and share with others who may need to attach their hope to something more tangible such as my story – a bridge across the deep cancer abyss.

My journey, challenge, or whatever you want to call it, is certainly a test beyond conscious measure. To survive you have to believe beyond what you can see and feel. When you are faced with absolutely zero conscious options you may understand my words. I had to reach within to reach out. I think sharing has to be one of the greatest of all resources (and gifts) that we humans possess.

This evolved from my lived experiences…
“To Walk on Water, I first had to believe that it was possible, I had to look through the overwhelming noise and facts that defended its impossibility, I had to see through to where it could be possible. This was how mankind made it to the moon, and how I achieved what seemed impossible” That fiction became my reality! “

Not a normal bio – but hey if you have read this far all I can say is I hope it was worth the effort in some way.

See you out there,
Steve
Ps Hope is a plan, so don’t let anyone talk you off that life raft

I am trying hard to grow forward from my experiences in a way that helps others today.

Many do not want to be defined by their circumstances, but they will always be shaped by them. For me it all boils down to this simple observation – “It’s not how much we know or have experienced that counts, it’s what we actually do with what we know that most defines us

I write for myself, it gives me a sense of control

I write to empty out and lighten the load and accept, reset, find a willingness within. It brings order to my thoughts and words, leaving less room for chaos to have its unrestrained way, it loosens the grip of fear. Writing gives me the space to see myself and my challenge, it fills me with hope and a new sense of control.

Writing leads me on a journey creating a parallel world, it builds new momentum, vision, purpose, and direction, it shines a light on what I could not see from the crowded center.

Below are a few excerpts from my Patient Diary yip pretty real and raw stuff.
I created two sections in my diary “Chapters of Me” & “My Walk with Cholangio the Beast”

Looking through the impossible.

To Walk on Water you must first believe that it is possible, you have to look through the impossibility to where it can be possible. Looking through allows the possibilities to rise up and find their reality, this is how mankind landed on the moon, and how we continue to do remarkable things today that just yesterday were impossible fictions. Necessity and Willingness provide an excellent ‘Looking Glass’ all we have to do is look through it -Steve

Anything & Everything is always possible

“Anything and everything is always possible as long as I remain open to it. This belief has always allowed my willingness to rise up from deep within, a bright beacon so that ‘opportunity’ and ‘good fortune’ can always find their way back to me. There have been times when this was all I had left in the tank.”

The opportunities in life are always within that next step

“Take that next step and the one beyond that (no matter how small or insignificant) until momentum reaches out and engages, lifting you up and beyond the now. Transporting you to that place where dreams can breathe, and their visions and aspirations are free to rise up and embrace in their own reality.”

My Reality is mine

My reality is mine and Your reality is yours – understanding this distinction has influenced my outcomes.

My fiction – My reality

The only thing that separates us, is how we choose to think upon or about things.

There would be no reality if not first it was someone else’s fiction?
The Definition of Fiction; Something imagined, a collection of thoughts that form a story not yet real – NOT YET! Just as someone believed that the earth was round.

Underlining what I have previously written –  Fiction always proceeds its reality, that’s how we made it to the moon and how I overcame an unbeatable cancer challenge. Fiction is the seed of a new unborn reality, give it life, embrace its existence and it will relentlessly pursue its reality.

Hope is a plan – don’t let anyone talk you down from this.

Not a great line for a corporate planning session, but a reality nonetheless.

Hope is a plan, sometimes it is the only plan in town. Raw unpolished and primal stuff, but I have learned to not underestimate hope, but instead embrace it, let it rise up, give it life. At the very least ‘Hope’ generates that initial inner momentum that drives vision, purpose, and its outward momentum – I think it is the stuff of magic.

Yes, I think Hope is a credible plan, so don’t let anyone talk you off that life raft -its your hope – your life raft!

Thoughts are Things

In any challenge especially the ones beyond what I thought I was capable of, I was forced into thinking differently which in turn produced new thoughts and new paradigms. Some of these thoughts stuck, they forged themselves into real things that reshaped who I am. What follows are those thoughts.

Life is an opportunity, but only if you fully embrace its challenge. Without fully embracing the challenge, there is no life, no opportunity, no nothing. You cannot prepare or plan for the unplanned, you can only trust in who you are and the willingness you possess within. How you think upon the uninvited thoughts is everything to the outcome.

Embrace Change or Change will embrace me

I have a saying – Embrace change and see the opportunities within it, or change will embrace me with all its chaos and overwhelm. 

Targeted Knowledge

Molecular / Genomic profile

Matt (Dr. Matthew Burge) suggested I read the book called “The Gene.” Matt said it would be difficult, and it was at first, but then it all began to fall into place due to my experiences within the world of immunotherapy. The bottom line of what I learned, was that Mutations really do Matter, I am proof of this. Mutations are simply mistakes that occur in our DNA replication. If you are reading this as a fellow patient, ensure that your medical team has an IHC test and or a Molecular Profile completed on your biopsy. Please do not assume that they will automatically or willingly have this done on your behalf – that what be a mistake.

I needed this, immediately post-diagnosis, amazingly it did not exist, so I created it.

The Cancer Toolkit is the collective knowledge, experience, and wisdom from the globally connected patient. A peer to peer, patient to patient digital toolkit series for the newly diagnosed patient and their support community. A simplified checklist of “Must Do’s” that will give them a vital head-start to better outcomes.

The Cancer Tool Kit

I feel a strong sense of responsibility to stand at the edge of that cancer abyss on my terms. To stand firm on that thin ledge and help pull other cancer warriors back up to the safety of solid ground. I have been both very unlucky and very lucky – I have learned from both, it should be shared.

You have to first pull yourself up and take that next step to rise above the pain of the ‘Now.’ You need to aspire to become the best patient you can possibly be. You have to help those who are helping you. Reward them with your inspiration so that they may do the same and rise above their best.

In order to achieve these lofty expectations you have to open up yourself up and engage, this will lift you it will lift them – it lifted me.

Good luck
Steve

Raw snippets from my diary

I have to say a lot of my diary entries were made in when I was under severe pressure mentally & physically, I barely had the strength to hold a pen or a phone so getting stuff out of my head and onto paper was more than a challenge, but it was a challenge that distracted and gave me purpose.

Below is a summary of what was a patchwork of notes to myself. It is amazing what the mind can block out to move on, but these notes have proved to be an asset for me – they have kept me centered on what is most important.

Life Happened on me and it did so in a big way

In October 2016, I was out on my normal Saturday morning 40km cycling ride with mates, when I became overwhelmed with tiredness, similar to the onset of a bad flu or virus. One week later (November) I was diagnosed with Cholangiocarcinoma, an unbeatable terminal cancer that gave me just 6 months to live, and no possible curative outcome – it was just a matter of how long I could last. Surgery held a very slim chance, but the stats were not kind to this outcome either.

I remember thinking “Cholangiocarcinoma” – never heard of that cancer, can’t be that bad – hmmm how wrong was I.

My mind fell over its edge, spinning out of control. I landed, but the world had changed.

Thoughts were relentlessly avalanching through my mind, I was stuck in a cancer vortex, and I could not keep my balance, or breathe normally.

Somehow instinctively within my mind, I crouched down to a stable centre of gravity, and then I slowly began to stand. Throughout this, I was actually sitting in the Doctors consultation chair. I remember thinking I have to take that next step, no matter how small or insignificant. Looking back, that gave me some clear air, to look up and around me. The first thing I saw, was Claire looking back at me, tears in her eyes, Claire had just gone through that same vortex.

And so it begins

What lay ahead is simply not digestible to the unprepared mind, there is no manual for this type of event, but focusing on that next step saved me from defeat, it implanted a small sliver of self-control.

Surgery became my first opportunity.

  • I was offered n accepted a Whipple Operation which took 7 surgeons over 12 hours.
  • All up I have now endured 25 hours of life-threatening surgeries, followed by –
  • 22 months of highly intensive chemotherapy and immunotherapy treatments.

This has been an all-engulfing physical, mental, and spiritual challenge, way beyond my comprehension. My vision and my future had been ripped right out of my centre, leaving me numb, and petrified. Self-talk, and coaxing became my very raw and crude method – “Steve – get up, get up, get up – take that next step, and the one beyond that until momentum reaches out and engages me. Momentum is life – keep moving even if it is only within my mind”  – Looking back these words were actually real momentum, they gave me the beginning I needed to make. Essentially this was the beginning of my response to Cancers attack on me.

I wanted to see how others had beaten it. I needed hope that it could be done.

Ok, so here is where it gets very murky and tricky to explain. When I began researching, Claire and I could not find anyone who had succeeded, we were desperate to find anything that gave me hope that I had a chance.

So I now have the opportunity to share parts of my story and my more inner thoughts in the hope that it will help you. I would like to underline that I could see no successful outcome until it was. What is important to understand, is that I continued to keep the lights on and doors open to opportunity despite the stats saying otherwise.

Unfortunately, a Cholangiocarcinoma diagnosis, like Pancreatic, provides very poor results. I strongly believe that a significant factor in changing this will be found within the globally connect patient and it’s up to we patients to share any success.

It all happened in the briefest of moments.

You busted through my front door in the dark of night, you wrestled me to the ground, repeatedly raping me to within seconds of my last breath, ‘Cholangio’ you left me for dead, cold and beaten, but I did not die, I still breathe.

Cholangio you took so much from me, yet you left something behind.

As I struggled for my survival I found something deep within me that you could not see nor reach, my “Unconditional Willingness” was still intact protected within my center. You and your cancer army could not reach what you could not see.

Cholangio you pushed me to my edge but I did not go over. As I clung there with just a finger hold left on life, my mind unexpectedly calmed. From my edge, I could see so much more than I had ever seen before.

Your intentions were clear and brutal, as you skilfully culled me from the herd, but unwittingly you reactivated my instincts and freed my inner vision trapped deep within – I could see again, my “Looking Glass” had returned and could see beyond your grip.

Cholangio I conceded to your unwanted grip, and as you rejoiced in your victory, it loosen for just a moment, but a moment was all I needed to re-engage my effort and slip your deathly grip.

Cholangio I took that next step at speed without hesitation or condition. I continue to move forward with my Willingness’ and ‘Looking Glass’ firmly in hand. I have learned much about statistics and their convenient proof – I have learned the dangers of social and idle convenience that disarm the effort and destroy the truths that lay just beyond the conscious measure.

Cholangio you were an unbeaten beast of cancer, I am aware of your stealth, your shadow, and your grip. I know you and you know me. You know my path and I know yours, I will always know yours so that we always remain in parallel.

Erin – my first trial nurse –

“Steve cancer has taken so much from you, but it can also give back so much more if you allow it!”

Now those few words seemed a challenge too far – they haunted me for another 18 months as I tried to make sense or understand. The big penny drop moment did come and release me from their grip, but that was also a new moment where I could see what I could not before – It underpins my energy and efforts and forced me to confront potentials I did not know I had.

Dr Matthew Burge’s words to me when I agreed to voluntarily remove myself after 15 months of Keytruda infusions.

“There are many that we help a little and some we help a lot, and then there is you.” Go out there and ride your bike and do something special – see you in 3 months”

Make no mistake, Keytruda saved my life at the last minute of the last hour – a true “Hail Mary” pass by Dr. Matthew Burge, but that would be way too simple to leave it there. I had many other significant obstacles to overcome and a good dose of luck before I ever had the opportunity to meet Matt and his team.

Below are personal traits that seemed to have followed me into this cancer challenge – I believed they formed the foundations that got me through many tight spots – and I have been through a few.

Acceptance – I find that acceptance of my current situation helps my mind reset, settle and find away forward – it unlocks me, and allows my willingness to rise up.

Willingness is the stuff of magic and dreams, its a expression of who I am. I think Unconditional Willingness can succeeded over the inert realities of others, it defies logic and transforms fiction to fact.

Writing it all out – I have evolved a habit to empty it all out onto paper, I find that it lightens the load and free’s up my mind. It’s another type of tangible reset that helps me see things for what they are, and allows me to write myself into a better story. Writing gives shape and reality, it gives control and hope.

Fear remained ever-present as I faced a fast-approaching demise, you cannot fully escape or get around this. Distraction and Discipline were my best weapons. My best distraction was writing and dreaming about what I wrote. I learned to be very disciplined in identifying trojan horse gifts.

There were many Trojan Horses
My biggest challenge came from the constant flow of well-intentioned and misguided advice, which triggered avalanches of fear and overwhelm. I became very deliberate on what and who I let in which reduced those horrid rampant fear attacks. Knowing this also gave me a heightened sense of control.

What can be gained from a little definition and understanding?
I am not sure but I humored the idea –

  • Cholangio means the vessel – Bile Duct
  • Carcinoma means cancer of epithelial tissue – the skin that lines the bile duct (Vessel)

Cholangio the Beast was my problem and Guzzba was my solution.

Guzzba a secret made-up word, a bond between Dad and Son, initially to ward off stranger danger. But after a time it became more – a magic word between us, something no one else could know or understand – it had power beyond reality itself. Zach our son was a wanderer and overly trusting. Our daughter Georgia was far more reliable and had no need for such a silly word.

  • Guzz means “Anything that is cool” or Fiction
  • Fiction means formed thought, that creates an imaginary story not yet real
  • Ba means a lot of things, but they are all real –

Guzzba means;
A cool place where fiction finds its pathway to reality over the realities of those who cannot see.

  • “Fiction always proceeds its reality.”  Ask the many who have proved this true – start with the Wright Bro’s or Neil Armstrong, and of course Dr. James Allison.
  • As I have told myself on the many occasions of high pain and dwindling energy – “Steve get out of the way and let the fiction run, let it find its reality!
  • Guzzba is my magic “Alice in Wonderland” place where I can pursue really cool ideas and discover the pathway to their reality – little did I know cancer would become a feature to test my resolve.

As a side note
Survival really needs creativity to rise above and succeed

Living life is most definitely in the eyes of its beholder, but it sure feels really really good, when we are all on the same song sheet, and fully in sync with the opportunity we have.

Letting it all out like a tweety bird in spring