It was the best of times; it was the worst of times. The contrast is severe. Our annual trip to the beach is often the most fun week of the year but this year is different because Susan and Jacob cannot be with us and the timing of the trip corresponds precisely with the nadir of Jacob's transplant. It is difficult to enjoy the beach vacation knowing the suffering he and Susan share hundreds of miles away. We had BBQ chicken; he had TPN through his IV. We went to the pool; he stayed in bed. We went to the beach; he still stayed in bed. His hair fell out, but at least he doesn't have a bed full of sand.