In December of 2019 Ralph went to our family Doctor for his annual physical ! No great problems going on just being 65 you just feel different then you do at 55 .  After a prostate exam the was less then normal he was sent to get blood work.  His PSA was high , it was 9 it had been normal 12 month ago.  He was then sent to a Urologist for a biopsy and some other tests.  Biopsy showed it was 1 Cancer 2 it was fast growing and 3 not curable but treatable.  Next step was a CT scan to make sure nothing had matastisized in his lower abdomen.  However it showed many large lymph nodes that were exsive size in his diaphragm.  So on to a gastroenterologist.  The did a biopsy through his esophagus they came back positive for Large B cell Lymphoma.