@jimhd , Jim: I am continually amazed how you forge ahead despite your difficulties. I am glad to hear that your wife is there to support , encourage and remind you of your role in the lives of others as you play the piano and lead the Sunday evening service. Your inner resolve is a testament to God working in your life and showing others that despite overwhelming challenges you persevere and seek to bring comfort to yourself and other like minded people with your faith and love of music. Keep the Diesel F250 ready for the more challenging trips. Be prepared as you travel on those snowy roads ,just as you are preparing yourself for the seemingly endless battles of self survival. Jim, you also serve as an inspiration to me and others on Mayo Connect. In deepest regards. David