Vicki first starting feeling an unusual pain in her right shoulder in June 2003 that her doctor misdiagnosed as lyme disease.  In December of that year we learned from doctors at Memorial Sloan-Kettering in New York that Vicki had intrahepatic cholangiocarcinoma and that she had very little hope of surviving the disease.  The focus of our lives transitioned from career moves, house purchases and family vacations to hospital and doctor visits - seeking the best treatments in hopes of a cure or at least a delay in the spread of the cancer.  But time relentlessly pressed on and we could not contain the disease indefinitely.  Earlier this year, as the cancer began to spread throughout Vicki