It has been so long since I have responded, or even thought about this site. I'm sorry that I can't report more positive information for everyone. To get to the point, we are now receiving the amazing support of Harbor Hospice in Muskegon Michigan.. We were told there was nothing more to be done for Jim. His Opdivo stopped working and a new tumor has formed in his other lung along with ground glass. Doctor said he is to weak to be in any trials, thus we were referred to Hospice to focus on quality of life. He has been given possibly 6 months. Shortly after this, the took a fall and broke a rib which took its tole on his physical and mental health. So here we are. We are so blessed we have our faith, friends, neighbors, church family, and family's loving help and support. We are facing each day focusing on our blessings, and dealing with new normal the best we can. I wish you continues success with your treatment, and many more days of feeling good. Gods speed my friend.