I saw Motzer this morning. The news is good. Somehow I had convinced myself that the unrelenting complaints of the last two months meant that the cancer had advanced, but the CT scan indicates that the various affected lymph nodes are "substantially unchanged" from the last full scans in mid-October. Some perhaps a mm larger, others smaller. He gave me a prescription to address the nausea. With my already improved breathing, this should make it easier to enjoy the day. I will have a head MRI later this week to eliminate the possibility that the nausea comes from cancer moving to the brain, but they feel that very unlikely. I will also see a lung specialist so he will be on the case should the pneumonia symptoms return. So more time at MSKCC. But I am not complaining. I will continue with the weekly Torisel, and have the next scans in four weeks.