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He engages with QuitLine and reduces his triggers, one of which is alcohol

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We planned for this trip over the course of the last year, coordinating nursing schedules, stocking up on medical supplies, dotting all is and crossing all ts (even crossing all fingers and toes for good measure), and finally whispering into Ethans ears upon our departure to stay the course. We returned to Hawaii, a sacred place for the two of us, a place we used to travel to more frequently when we lived on the west coast, and where we hadnt been to as a couple for 23 years

doi: 10.1128/AEM.03133-13 58 KarpiskiT