Since my last post I have had visits with the Cleveland Clinic and VCU. As I mentioned in my previous post Penn recommended no chemo and left it up to me as to whether or not to have radiation. The same conclusion was reached at VCU and the Cleveland Clinic, so the treatment for this 4th recurrence is complete. Aggresive local control (surgery, radiation) has been the key with my case of Ewing's. My response to chemo has been more of mixed bag so I'm much more accepting about not doing chemo vs when I had my first relapse. So what's next? Very close monitoring with scans and a new diagnostic test that has been added to the schedule. More on that in a second. First off, the arm is going to be much more closely looked at than before. I'm not sure on the exact frequency schedule, but I have an MRI and followup at Penn scheduled in mid March. My guess is that the arm will be scanned for at least the next year, but I'll find out more in my next follow-up visit. My finger...