Tuesday, October 28, 2014

Euro Trip 2014: Belgium

The last time we went to France was for the 24 hours of Le Mans. After the race we went to Brittany followed by the D day beaches of Normandy. This time we decided to try something different. We decided to check out the Northern Belgium cities of Bruges and Ghent, followed by a stop in the Norman cities of Rouen and Honfluer (to break up the drive to Le Mans), and finally our final destination Le Mans for the historic 24 hours. I know what you're asking yourself, "do you have to go to a race to go on vacation?" Well the answer is why not? The races we choose are not like going to you're local NASCAR or Indycar race. They're events. A quarter million people don't go to central France every year to just see cars go in circles. Anyways. Back to Belgium.

My dad and I got up early to take two trains needed to get to Garre de Lyon where we picked up our rental car. When traveling with four adults and a kid we've found renting a car is the way to go. Dragging luggage around airport and train stations, while corralling a toddler sounds like a nightmare (maybe not quite colon cancer level nightmare, but I'd imagine a close second). So Dad and I successfully got our car, a VW half wagon half van with an automatic (first automatic I've driven in Europe, they tend to like manuals) and made our way to the apartment to pick up the rest of the crew. We successfully navigated back to the apartment through Paris rush hour, packed the car and set of towards Belgium.

I love road trips and road tripping in Europe is no different. Around lunch time we stopped at a French road stop. French interstate system is a bit different than the US one (at least out West). First, they cost money to drive on and second, exits off of them are far and few between. So, every so often there is a road stop consisting of gas stations, a convenience store, and a restaurant or two (actually alot like the road stops in New York state, but with bettter food). After a tasty little lunch and some caffine we got back on the road. I will say that I wish American drivers would take some lessons from their European counterparts. Why? Because nothing gets under my skin quicker than 5 lanes of traffic on 880 all going 63 mph. The Europeans use the left lanes as they suppose to be used, as passing lanes.

We finally reached Bruges, checked into the hotel, got settled in our rooms, and then headed downtown for some exploring and dinner. It's strange walking through a touristy  downtown area in europe around dinner time because everything is closed. With the later European dinners (7pm-ish) and most shops closing around 5pm it's strange for us Americans who are use to stuff being open all night long. First order of business in Bruges some moules et frites (mussels and french fries) and Belgian beer. After a tasty dinner we made our way back to the hotel room for a little sleep.

Oliver waving to the canal tour boat on the way to dinner
Checking out some of the shop windows
Sushi chef nutcracker...how cool
My drink and Oliver's
Bruges Bell Tower
Lindsey, Oliver and me with the Bruges canals and bell tower in the background
After breakfast we made our way to the Church of Our Lady to check out the Madonna. Supposedly the Madonna in Bruges is the only statue by Michelangelo that left Italy in his lifetime. During WWII the Germans stole the statue and brought it back to Germany in hopes of putting it in the Fuerher Museum, but the war ended the Russians and the Americans were both looking for the stolen antiquities. The Russians were bringing the ones they found back to Moscow and the Americans were bringing them back to their owners. Luckily the Americans found the Madonna statue first in a salt mine in Austria and returned it to the rightful owner the Church of Our Lady in Bruges. We made our way back to the main square for lunch. I had more moules et frites and of course Belgian beer, I'm not sure a day went by in Belgium that I didn't have moules et frites.

Lindsey and Oliver checking out Michelangelo's Madonna
The Madonna
Oliver lighting prayer candles
Lunch time, Moules et Frites down the hatch

When the moules and beer were gone, we set off for the De Halve Maan brewery to drink more beer. The De Halve Maan brewery is one of the oldest in all of Belgium. We took the tour which was pretty cool (highly recommended for anyone visiting Bruges). They bring you to the roof of their building which gives you a great overview of Bruges. After a dinner not worth discussing we hit the sack.

Screwing around on the way to the Brewery
Hey there's a moon
Time to drink beer!!
Don't worry just apple juice
The next day we got back in the car to visit another Belgian medieval town called Ghent. I was impressed by the parking lot. illuminated signs telling you how many spot were available down each row. Then red and green LEDs above each spot. Red meaning occupied and green meaning open. As you pulled into the spot the LED would turn red. Awesome, if it eliminates the jack ass that goes 2 mph down each row not wanting to miss a spot. Ghent wasn't crowded that day so we didn't witness if it really worked, but a solid idea none the less. Anyways, we did go to Ghent to see something other than a parking lot.

Yes I'm a nerd I took pictures of the parking signs
Green = Empty, Red = Full pretty cool
Ghent is famous for the altarpiece in St. Bavo's Catherdral. It was very detailed for the time period and another of the antiquities that the Germans stole that was returned by the Americans. After checking out the altarpiece, visiting another cathedral, and lighting a prayer candle (Oliver was a fan of lighting the candles), we found a place for lunch. When our stomachs were full we visited  Gravensteen a castle. Oliver was really excited to see where the knights lived. While we found a mannequin being drawn and quartered (not exactly something we wanted to explain to our three year old) all we could find were swords and suits of armor. No knights to be found. Oliver was definitely a fan of the Castle. After we saw the castle we found some proper waffles. In my opinion the waffles billed as Beligian waffles here in the states kind of suck. They are bland unless you heap on gobs whipped cream and strawberries. We found Liege (a town in Eastern Belgium) waffles. They are awesome. A yeast based dough with sugar pearls mixed in and the sugar pearls on the surface that touch the waffle iron caramelize. Fabulous. Also got some Ghent noses, jelly bean like candies that you can't export out of Belgium due to their short shelf life, that are pretty tasty as well. When we were all done in Ghent we made it back to Bruges and had some more moules et frites.

Oliver and Me in one of Ghent's cathedrals
Sante
Another cathedral another prayer candle
Lindsey and Me with Castle Gravensteen in the background
Liege waffles and Ghent noses on the far right
Oliver can't wait to take a bite
View from the top of Gravensteen Castle
Knight's sword
King of the castle...king of the castle
Castle Gravensteen
Oliver looking over the parapets
Climbing in Castles is tiring
More moules
The next day we decided to check out the Chocolate and Frite museums as well as go for a canal boat ride in Bruges. We started at the chocolate museum which took you through the history of chocolate and history of Belgian chocolate. The tour ended with a little chocolate making demo and of course some sampling of chocolate. Then we had a little lunch and made our way to a canal boat ride. The canal boat ride was a good way to get a little history lesson on Bruges and it's unique architecture. Then we found the frite museum which Oliver loved. He's has much more of a savory pallet than a sweet one. One top of that they had a fun little paly area that he was sad to leave when it was time. After sampling some more frite we headed back to the hotel to get ready for dinner.

Lindsey and Oliver at the Chocolate Museum
Testing the chocolate
Bruges tower from the canal boat
Oliver trying to touch the tunnels on the canal boat ride
All of us on canal boat
Oliver cooking some frites
Waiting for our chef to cook our frites
Dinner was at a little grill right on one of the canals. It was a beautiful evening and what do you have on a beautiful evening in Belgium? Yes that's right frog legs. They were prepared really nicely and sort of taste like chicken. Even our adventurous little eater took part and had no problem devourering a pair of legs himself. After dinner we took a little sunset walk along the canal and made our way back to the hotel to pack up as the next day we were heading back to France.

Frog legs
Lindsey eating frog legs
Oliver eating frog legs
Last night in Bruges

Pain in Nick's A**: Colorectal Cancer Screening

I think it's time to get on my soap box. Well maybe not a soap box...how about empty colonoscopy prep bottles.

About a month ago the FDA a approved the Cologuard a non-invasive colorectal cancer screening test. Sweet right? No more scopes where the sun doesn't shine. I mean let's check out what the media had to say about the Cologuard test.

"Instead of a colonoscopy, which often scares people due to the prep work and the invasive procedure, a stool sample would be checked for the presence of red blood cells and DNA mutations."
http://www.kare11.com/story/news/health/2014/08/11/fda-approves-alternative-to-colonoscopy/13932001/
I'm scared no colonoscopy for me...woohooo!!
"A new alternative for one of the most dreaded medical procedures is about to hit the market. Cologuard is the first ever non-invasive colorectal cancer test that can be taken under the privacy of your own home."
http://www.wkow.com/story/26261424/2014/08/12/fda-approves-local-companys-non-invasive-test-for-colon-cancer
An alternative I can do at home...sign me up.
"Alberto Gutierrez, Director of the Office of In Vitro Diagnostics and Radiological Health at FDA’s Center for Devices and Radiological Health, said, “Cologuard gives patients and physicians a better alternative to the painful session of colonoscopy in detecting colon cancer.”"
http://www.wallstreetotc.com/fda-approves-cologuard-test-giving-90-accurate-results-colon-cancer/27097/
Even the FDA guy says it's a better alternative.
"Those who would rather avoid having a colonoscopy now have the option of Cologuard, a noninvasive test that detects the presence of red blood cells and DNA mutations that may indicate the presence of certain kinds of abnormal growths."
http://www.cleveland.com/healthfit/index.ssf/2014/08/cwru_uh_researchers_discovery_behind_first_approved_stool_dna_colorectal_cancer_screening_test.html
I want to avoid cameras where the sun doesn't shine.
"In March, Mayo Clinic announced results of a large clinical trial showing Cologuard was about as effective as a colonoscopy in detecting problems."
http://www.twincities.com/localnews/ci_26317777/mayo-backed-colon-screening-test-gets-fda-approval
About as effective...that's all I need.
"Accurate colon cancer screening has usually involved a colonoscopy, an invasive and unpleasant procedure many chose to avoid. But on Monday, the Food and Drug Administration approved the first and only non-invasive stool DNA colorectal cancer screening test from Exact Sciences Corp. (NASDAQ: EXAS)."
http://247wallst.com/investing/2014/08/12/exact-sciences-colon-cancer-screen-fda-approval-a-total-game-changer/
It's accurate see they said so, why would I not want to avoid an unpleasant procedure?

Well let me be the first one to break it to you. If you do the cologuard test rather than a colonoscopy you ARE increasing the chance that you'll end up with colon cancer. Period! Now why did I not read that in any of the articles? Are you telling me the media of this nation didn't do their homework? Say it aint' so? I guess you really can't blame the media, I mean it is much easier re-printing press releases than being actual journalists.

Look there may be a place for the Cologuard in the colorectal cancer screening tool box. But, it doesn't replace the colonscopy in the tool box. I'm sorry everyone. It just doesn't.

So, you're probably asking yourself, "I wonder why?" First let's talk about how Cologuard works. Basically you poop in a jar and send it to a lab. That lab then looks through the poop for DNA and blood. The idea is that tumors and even some precancerous polyps slough off both blood and tissue (that contains DNA) into poop as it travels through the colon. The trick? The Cologuard guys have found a way to find it in quantities lower than ever before, so the test is more sensitive to the older fecal based tests.

So, since I'm a numbers guy, let get into that. This paper (http://www.nejm.org/doi/full/10.1056/NEJMoa1311194) was published in the New England Journal of Medicine and it has all of the goods. Let's get down to the bottom line. The Cologuard test has a 92% sensitivity in detecting stage I-IV colon cancers. Well that's pretty damn good, isn't it? I mean nothing is 100%. Yeah 92% is a solid number. So why do I make the comment, "If you do the cologuard test rather than a colonoscopy you ARE increasing the chance that you'll end up with colon cancer. Period!" Well it's pretty simple. While Cologuard is decent at finding cancer, it's mediocre at finding precancerous polyps. Cologuard only found 42% of precancerous lesions found by a colonoscopy. Let me tell you, if you have a choice finding colon cancer before it becomes cancer you should chose that. If they find something and it's cancer, if you're lucky it's just some cutting and sewing. If you're moderately lucky maybe some chemo and radiation. If you're luck is piss poor then it could be something you deal with for the rest of your life. As a guy that's had colon cancer and a polyp removed a few months ago, the treatment for the polyp is infinitely easier than the treatment for cancer.

I feel confident speaking for Colon cancer patients around the world in saying, "Suck it up and get your colonoscopy." Colon cancer is one of the few cancers that can be screened for and prevented given a timely colonoscopy. So, just go do it, they really aren't that bad.

P.S. Shame on the FDA guy for that quote. "Better alternative"? By what metric? Not at finding cancer or polyps, which is the point right?





Tuesday, October 7, 2014

Pain in Nick's A**: Annual CT Scan

Two weeks ago I went to Redwood City to Stanford's Outpatient Medical Center for my (currently) annual scan. These scans are kind of a big deal. Us Colon Clubbers call it scanxiety, the anxiety caused by the upcoming scan/scan/waiting for the results. While I had a colonoscopy 2 months ago to look for local recurrences, local recurrences are not very likely ~10%. Recurrences in my kind of cancer are typically found by CT imaging. Colon cancer likes to travel to the liver (favorite place) and lungs (second favorite) and the best way to look at those sites is via the CT scan (with contrast).

I got there early (6:45am for a 7:30am appt. you never know about Bay Area traffic in the morning), because that's how I roll. Got signed in, changed into scrubs, and waited in the prep room. Since I was getting a IV with contrast they had to start an IV. So I'm not sure what I've done to whom, but the Stanford nurses are 0 for 2 in starting IVs in me in 2014. It's really not that big of a deal, just somewhat amusing. The nurses always feel really bad. I guess with the number of IVs I've had over the last 24 months it's inevitable to have a couple not work out.

So, once she got the IV set and tested it, I waited a couple minutes and the rad tech came and got me. Remember, early appointments mean things are typically on time. I laid down in the bed of the CT scanner, the tech tested the IV again and then plugged me into the automated contrast plunger. I told the tech to check the connection because I had one leak on me once upon a time, so he did. They do a scouting scan first, then pump the contrast in (which feels really weird, like you're peeing you pants), and then two more slower scans (abdomen/pelvis and chest). Five minutes later all done. I chatted with one of the techs who recognized me (from the clinical study I did when I was going through radiation therapy) and then I was off to work.

In the April my Oncologist decided to leave Stanford, which was a little sad because him and I got on so well. But, I'm not on active treatment,so it really isn't that big of a deal. With that said, after my last scan he called me the evening of and told me the results. This time around I don't theoretically have an Oncologist. My last followup was with his Nurse Practitioner, who is super nice, but seemed hesitant to want to call me with the results (maybe MDs have more latitude in the rules than NPs). So with that in mind I decided to schedule my scan on Wednesday the 24th followed by a follow-up with the NP on Thursday the 25th. I didn't want to be waiting forever for the results. My plan was foiled about two weeks ago when the NP's office called and said they were going to have to reschedule my follow-up. Damn. I actually will not be seeing the NP until Oct 7th due to a business trip to Europe. So, I sent her a message, begged and pleaded, and she said she'd have someone call.

So, now that I've had you read four whole paragraphs you're probably wondering what the results were. Wednesday afternoon I got a call from one of the nurses. He told me everything is stable and there was nothing new to report. Good right? Yup that's what I was hoping to hear. I asked him to release the report so I could read it, he said he would as soon as the radiologist signed it. I felt a little indifferent, I mean I should be ecstatic, but I really wanted to read it myself. Wednesday evening goes by, no report. I send the nurse a quick reminder Thursday morning. Thursday evening still no report. By Thursday evening my head is going to bad places. Maybe the radiologist didn't sign something because he reviewed it again and found something or he wanted a second opinion on something that wasn't good. I spent much of Thursday evening thinking about how to go about getting a copy of the report if the Nurse doesn't release it Friday morning. I'll call the office at 9am Friday morning. Then if that doesn't work I'll call the Rad Onc's nurse (who is freaking awesome) to see if she can get me the report at 10am. I had my story all ready to go and 15 minutes before I get on the phone, I get an e-mail saying the report is released and a note from the nurse apologizing because everyone was off site on Thursday. So I finally put eyes on the report.

Reading a CT scan report is a little underwhelming. It doesn't say anywhere on there, "Congratulations you don't have cancer," so don't look for that. No doctor is going out on that limb. You look more for what it doesn't say than what it does say. 'New lesions', 'new nodules', 'new focus', 'growth', 'enlarging', etc... all those would be examples of bad things in a report. 'No new_____', 'no enlarging', 'stable', 'normal', 'patent', etc... are all things you like to see. The report was full of the later. So I'm good to go for another year. The odds are now on my side that I probably won't have to deal with this cancer again anytime soon. Wow. That sounded positive didn't it? What can I say? I'm a head case. Part of me feels if I talk to strongly about not having cancer I'll jinx the whole thing. What can I say I just don't want to tempt fate.

Thursday, September 4, 2014

Euro Trip 2014: Paris

This trip started like many others to the European continent at SFO. The difference this year is my folks went over really early, Lindsey and Oliver met them in Paris four days before me, and I pulled up the rear. The trip for my folks was good (if you want to hear about it, you'll have to ask them). I wish the same can be said about Lindsey's trip over. I had to drop Lindsey and Oliver off early because I had a flight to So Cal to catch for the first case of Spinal Kinetics' US clinical trial. So, Lindsey and Oliver got to SFO at 11am for a 2:40pm. Not horrible, but then her flight was delayed till 5pm. I definitely think there are better ways to spend 6 hours with a high energy three year old. If a 6 hour wait was the worst that Lindsey's trip had in store I would not have even mentioned it, but I'm afraid it got worse. 10 minutes before Lindsey and Oliver were to board their plane, Oliver ran a few steps ahead of Lindsey and she told him to stop. He stopped, but also grabbed onto the rubber rail of the escalator. Somehow his fingers got caught underneath it and burned the skin off from his middle and ring fingers, nearly from his first knuckle to his second knuckle on his palm side. In the meantime I had landed in LA and was at the surgeons office preparing for the case the next day, when I received a call from Lindsey, who was surprisingly calm explaining the situation. She said his fingers weren’t bleeding, he could move his fingers, got antiseptic cream and bandaids on the cuts, and wanted my opinion on what else to do. I told her if it wasn’t bleeding and his fingers didn’t seem broken, I didn't see a reason not to fly. So, on the plane she went, with a three year old who nearly got his fingers cut off by an escalator at SFO. Surprisingly he was really good on the flight. He ate a good dinner, watched some movies and slept for 5 hours.

Oliver with bandaged up fingers on the plane
Made it to Paris
Coffee Time
Lindsey got to Paris Wednesday afternoon and met up with my folks, who met her at the airport, and they made their way back to the apartment my folks had rented on Ile St. Louis. If anyone is ever looking to go to Paris and stay on the island in a VBRO apartment, let me know and I'll get you the details. It was a cool place. While Lindsey did gods work getting a three year old over jet lag, they visited Sacré Cœur, the Montmartre area and the Rodin museum.

Lindsey and Oliver at the Moulin Rouge
Hi mommy
Mommy there's a big p---s up there
Look at my body
Too much fun!!
After an uneventful flight I got to Paris on Saturday. I decided to give the RER train a try from the airport, so after collecting my luggage I made my way to the train station, got my ticket, and waited for the right train. I believe all of the RER B trains go to paris from the airport, but according to my French travel advisor (French colleague in the office next door to mine) it's best if you take the express trains that bypass over a half dozen stops that go through the part of town that cars were getting burned in a few years back. So I got on the right train and was on my way to Paris. About 25 min from my stop I receive this text from Lindsey, “So…His hand looks infected and we are at emergency room.” By the time I met my dad and put my bags in the apartment Lindsey and Oliver were done at the Hospital. Turns out when you’re a 3 year old American you get cuts in line at the local emergency room. We met them at the pharmacy down the street from our apartment so we could pick up all of the supplies we were going to need to dress his hand every morning. Best part of the trip to the hospital, other than Oliver getting fixed up, it didn’t cost us a penny.

The damage.
The supplies
With Oliver’s hand squared away, we decided to hit the town. We made our way to Saint Chapelle to see the fabulous stained glass. I would definitely recommend seeing Saint Chapelle the stained glass is amazing. After we finished up at Saint Chapelle, we made our way back to the apartment to clean up for dinner. For dinner we made our way over to the Left Bank, where we searched for a restaurant that serves Raclette (a French/Swiss cheese that you melt then drizzle over a variety of accoutrements). They’re actually a dime a dozen on the Left Bank. When the cheese was gone, we made our way back to the apartment by passing by Notre Dame, which is beautiful at night.

The stained glass at Saint Chapelle
Oliver at Saint Chapelle
Raclette with my folks on the Left Bank
All of us at Notre Dame
Poppy and Ollie at Notre Dame
The next day was probably Oliver’s worst day of the trip. We got up early to get to the Eiffel Tower, so we could hopefully keep the waiting in line to a minimum. After we had a little breakfast and I cleaned Oliver’s hand we made our way to the Eiffel Tower. Luckily Oliver has plenty of practice waiting in lines from our trips to Disneyland. With that said the Eiffel Tower pushed Oliver beyond his limit. The problem was we were playing with fire regarding the proximity of meal time. I’m not sure we got a picture of Oliver smiling at the top. He needed food in his belly, now! We got down to one of the lower levels and got him a pretzel which appeased him for a little while. It’s funny because it you ask him now what his favorite part of the trip was, 9 times out of 10 the Eiffel Tower.

Oliver running around in line at the Eiffel Tower
Mom and Lindsey enjoying a Champagne on the top of the Eiffel Tower
Oliver at his happiest on the top of the Eiffel Tower
Pretzel and Chocolat Chaud and Oliver is finally happy...for a bit
When we were done with the Eiffel Tower we decided to walk across the Seine up to the Trocadéro to find a place to eat lunch. That’s when Oliver sees a merry-go-round and wants to ride on it, but he hasn’t been behaving himself. So we tell him if he’s good at lunch then maybe we can do something fun. At which point he completely melts down all the way across the bridge over the Seine. We tell him he needs to get in line or the next time we pass something fun we’re not going to do it. Well sure enough on the other side of the Seine…another merry-go-round. Damn. Oliver still wasn’t behaving, so no merry-go-round. I don’t negotiate with terrorists, I mean 3 year olds. He continued to scream for the next hour. Well, probably not an hour, more like 15 minutes, but it felt like it. He finally calmed down, we made it to the Champs-Élysées, and we found a spot for lunch.

By the end of lunch Oliver was back to himself. We decided to walk down the Champs-Élysées a bit after lunch. We walked by a Toyota store and due to Toyota’s presence in the 24 hours of Le Mans this year they were having a competition to see who could change a tire the quickest. So, Lindsey and I donned some googles and some gloves and set to work changing a tire. It’s safe to say that Toyota will not be hiring us for their pit crew anytime soon. Once we were done playing with tires, we decided to climb to the top of the Arc de Triomphe. With all 40 lbs of Oliver in my backpack we headed up the stairs. You definitely notice how many stairs there are when you have a passenger. We took some photos at the top then marched back down. On the way back to the apartment to get ready for dinner, Oliver passed out in the backpack, I’m glad someone got some rest.

Not to be confused for the real crew...plumber maybe
Oliver practicing for a future job
Climbing to the top of the Arc de Triomphe
Oliver and Lindsey at the top
Oliver passed out after a long day of crying and being carried around Paris
A boat ride on the Seine was on the agenda for the evening. Before we got on the boat we had dinner at a little restaurant called La Rose De France near Pont Neuf on Île de la Cité, which was really tasty and we met a nice family from Santa Cruz. The boat ride was as cool as ever. I really suggest a sunset boat ride on the Seine. You get to see the Eiffel tower lit up which is amazing.

Awesome restaurant on near Pont Neuf
My Dad and his yummy desert
Boat ride on the Seine
With Oliver’s bad day behind us we decide to check climbing to the top of Notre Dame off the list. So, with Oliver in the pack again up we went. The view from the top was spectacular and Oliver loved getting up and close to the various gargoyles that were perched along the top of the church.

View from Notre Dame
More stairs
At the top of Notre Dame
A bored looking Gargoyle on Notre Dame...must not be any evil spirits around
After lunch we made our way to the Musée de l'Armée (French army museum). Last time we were in France we missed it because we didn’t plan our days very well and it was closed, so we were determined not to make that mistake twice. So we got there and 90% of the museum was closed for some reason. Awesome. We did get to see an exhibit on the Musketeers which was cool. There was an exhibit where you clap your hands and animated sword fighters went at it ending in one of the character running through the other with its sword. It’s cool for 3 years olds to see that right? Well Oliver seemed to like it. Then we checked out Napoleon’s Tomb. We started working on Oliver’s church voice a month or two before we left. At dinner we’d all practice whispering. It actually worked pretty well by the time we were in Paris going through Cathedrals and Tombs Oliver was pretty good at using his church voice. We visited the gift shop and got Oliver some little plastic knights which he’s a big fan of and now he wants to be a knight when he grows up. For dinner we went to La Petit Chaise, supposedly the oldest restaurant in Paris. The food was tasty. I normally don’t order Foie Gras, but since they outlawed it here in California every place we went that had it on the menu we got it. I guess I can’t blame Eve for eating the forbidden fruit. We made our way back to the apartment to finish packing, as the next day we were headed to Belgium.

Playing with cannons at the Army Museum
Trying on Musketeers hats
Musketeer sword fighting animation
The ceiling at Napoleon's tomb
Taking a break outside Napoleon's tomb
Napoleon's tomb
Ready for dinner at La Petit Chaise
Foie Gras...an acquired taste that we acquired!!
Lindsey out front