Hi Y'all. I first want to thank everybody for all of the support through e-mails, cards, calls and prayers, it is truly overwhelming. Well, We went to Tampa yesterday for a consult with the Docs after the 4th and hopefully ,last biopsy. As we expected, they found some cancer cells in the ducts so now we can treat with chemo/radiation to try to shrink the blocking Klatskins tumor. The docs said there is very little cancer but it is slow growing,non-invasive but relentless cancer and may someday re block the ducts which we will have to deal with at that time. So, next week we will contact the oncologist here in Cape Coral to discuss the options. Surgery is not an option because it effects all the ducts. A transplant may be an option but not likely. My docs in Tampa called the docs in Houston at M D Anderson and they said they have no protocol for my situation so they would not be an option. So chemo, here we come, (for now). Again, Thanks for all of your support, prayers, etc. Your e-mails and calls are always welcome. Jim feels good ( 9 out of 10) and continues to exercise and enjoy the family. We wish you all a wonderful 2010 with health and happiness for you and your families. Sincerely, The Rutts