@windwalker Thanks, Terri. Intellectually I know the points you make. It's just emotionally soothing to hear I'm not alone. If there were something I could do to prevent it from happening, I would do it. I've been on the Big 3 since September, 2018, and since then I've coughed up blood (only a little but…) twice. When it happened last night, I started trembling and didn't stop for about 30 minutes. I think I expected that the meds would keep it from happening.