Home

God has been so good to me. Several months ago I discovered I had Acute Myeloid Leukemia cancer and after a month in the hospital- I came home. I gained strength enough to walk again this week. I was not recommended for post remission or consolidation in hospital. God has blessed me- so thankful for the prayers, cards, meals, visits and just being able to spend this time at home with Jan. My neighbors have been wonderful and I have seen what the news is truly like in those around me. It has been such a wonderful time. I made this video to share some of my blessings and remind you God hears our prayers, I have not given up- God is a good God.

"Home" Dennis - YouTube

Here I am on 10-29-21

Here are some of the Dr. reports while I was in hospital;

Note From Your Admission on 04/08/21

Progress Notes by GENEVIEVE O'SULLIVAN, MD at 05/05/21 1034

Palliative Care Progress Note   Subjective   Hospital Course / Interval History: Nursing, hospitalist, notes reviewed. Discussed with chaplain who visited yesterday. Per nursing, taking medications with applesauce in the evening was difficult. Concern for possible aspiration. O2 requirement has remained stable. Afebrile.   Dennis tells me his appetite is improved. He is wanting more smoothie or juice this morning. No abdominal pain, nausea. His abdomen continues to be distended. No fevers. He feels like it's difficult to swallow, and that he is noticing a bit of a cough.   Looking forward to going home. Discussed hospice again which he voices he still would like to do. He remains hopeful that he will feel better but tells me he knows he will die.   Called Janis and updated her about possible aspiration and consideration of abx. She has questions regarding hospice.   I called Lynn at hospice and discussed discharging tomorrow with open on Satuday     Objective

IMPRESSION: 66-year-old man with:

 

1. AML, status post induction with idarubicin and cytarabine, initial oncologist Dr. Buckley, transitioning to Dr. Smith. His neutropenia has resolved. Platelets have normalized. Hemoglobin is stable from yesterday at 8, although down from 2 days prior 10. He has had a very rough time with this 26-day hospitalization, including extensive time in ICU on the ventilator, as outlined separately, with subsequent intermittent periods of acute hypoxic respiratory failure requiring high flow oxygen. I speak with him briefly about how all this has been for him, he is quite clear that he would not want reintubation in the event of progressive respiratory failure,, but I really have not taken the discussion any further, as there is palliative care meeting with the patient is best previously scheduled for today, see above, with patient expressing wish to transition to comfort measures only after that discussion per Dr. O'Sullivan, who has written those orders for comfort measures and DNR status. Dr. Sullivan will communicate directly Dr. Smith regarding this.

 

2. Acute hypoxic respiratory failure. Etiology is not entirely clear with persistent hypoxemia. I have personally reviewed his chest x-ray from yesterday, with mild pulmonary vascular congestion with stable mild basilar opacities. He did respond to a dose of furosemide at the time of his high flow requirement, now on 5 L. He had a CT angiogram which was negative for pulmonary embolism on April 10, has not had interval imaging in that regard. His renal function did worsen following that study, and currently his creatinine is 1.62. His LV systolic function was normal on echocardiogram in 4/28. In any event, he does want to focus on comfort only as of the palliative care discussion today, although if in the hospital was more comfortable on high flow he would be okay with that for a short period. He is afebrile, has resolved neutropenia, antibiotics discontinued today, as well as prophylaxis in the setting of wish for DNR only and enrolling in hospice.

 

3. Ogilvie syndrome. This developed in the setting of a fentanyl infusion in the ICU. He was treated with neostigmine on 4/23 and colonoscopy for decompression on 4/24. Eric continues to have bowel movements, scheduled senna is continued.

 

4. Cardiac tamponade with cardiogenic shock. About 6 and 50 cc of amber-colored fluid was removed by pericardiocentesis and ultimately he went for a pericardial window and drain placement, drain removed on 4/20, and repeat limited echo on 4/28 with resolution of effusion. He is tachycardic but needs of his overall goals of care have not repeated an echo.

 

5. Troponin bump up to 2.1 to peak in setting of his critical illness, not further assessed currently. No chest pain today. He was hospitalized in March 2021 with angina symptoms and surprisingly normal coronaries on angiographic evaluation, and was subsequent to that that his AML was diagnosed.

 

6. Acute kidney injury. Peak creatinine was 3.07. Nephrology followed, signed off on 4/18. Creatinine started rising again on 5/3, lisinopril was discontinued, but he is also diuresed for worsening respiratory flora at the time but creatinine is not coming down, we will not continue to monitor, continue off lisinopril.

 

7. Severe protein calorie malnutrition. He has been on TPN. He is increasing oral intake of milk shakes today. TPN is discontinued following completion of today's bag as noted above.

 

8. Subdural hematoma. The timing of onset this is unclear, it was an incidental finding on his CNS imaging, with no progression on follow-up CT on 4/29, Dr. Whitson consulted, no neurosurgical intervention recommended at that time.

 

9. Possible nephrogenic diabetes insipidus. Fluid management has been difficult, balancing tendency toward volume overload and respiratory failure with renal function, see off service note from Chad McBride from yesterday. In transitioning care with comfort the only goal, not desiring prolongation of life, not following further labs.

 

10. Melena noted earlier in his stay. Was not on PPI prior to pressure, has been on Protonix during the admission. Platelets have risen, stable H&H from yesterday to today, focusing on comfort, stop surveillance labs.

 

11. Delirium with critical illness. Although is quite fatigued, appears resolved, able to coherently tell me details about his life, children, etc.

Progress Notes by GENEVIEVE O'SULLIVAN, MD at 04/28/21 0958

Palliative Care Progress Note   Subjective   Hospital Course / Interval History: Nursing, hospitalist, and therapy notes reviewed. He was able to work with PT today and is currently sitting up in a chair. Swallow reassessed yesterday and was he demonstrated improved oropharyngeal swallow function and his diet was advanced to nectar thick liquids and dysphagia puree.   Palliative Care Discussion   Dennis voices he feels much better today. He was very happy to have been able to work with PT, to get up to a chair. He feels like he has more energy. He has some yogurt in front of him as well as a juice, and he feels better now that he can eat and drink.   He tells me he still feels a bit confused. He was talking about radiology calling him, and he doesn't understand why he can't get a call back from them. He is also wondering why Janis hasn't visited. I reviewed the visitor policy with him. He declined my offer to help him call this morning.     Objective   Scheduled and PRN medications reviewed MAR Reviewed   Vital signs: Temp: [97.5 °F (36.4 °C)-99.2 °F (37.3 °C)] 98.3 °F (36.8 °C) Pulse: [89-138] 126 BP: (107-169)/(65-109) 137/102 Resp: [21-50] 30 SpO2: [92 %-98 %] 96 %   Physical Exam: Gen: Sitting up in a chair, appears to be more awake and have more energy than yesterday. HEENT: NCAT, pupils are equal and anicteric. Dry lips. Poor dentition. Active bleeding from gums. CV: RRR Pulm: Respirations are unlabored. Supplemental O2 via NC MSK/Ext: Thin extremities. Sitting up in a chair. Skin: Pale. Warm. Neuro: Alert, oriented, clear speech. Psych: attention is improved.   Last Bowel Movement: 4/28 I/Os reviewed   Labs: Labs Reviewed     Palliative Care Assessment and Recommendations Mr. Hendricks is a 66 yo gentleman with AML, with a prolonged and complicated hospital course since admission on 4/8. He is expected to still need around 2 weeks for hematologic recovery after his induction, though he still has many hurdles to cross before he discharges from the hospital. He has acute delirium which is improving. He also now able to eat and drink, and is staring to have some slight improvements in his functional status. He seems to be improving after complications from Ogilve's syndrome. His prognosis is very guarded. His wife Janis expressed surprise at the prognosis and needs time to process this as well as the myriad of other issues he is facing at this time. She is very supportive of him, and expressed wanting to honor his wishes, particularly hoping that he may be able to participate more in goals of care conversations in the days to come.    Goals of Care: Continue current level of care. We made a plan to check in over the next several days to see how he is progressing clinically. Code Status: Changed to DNR at initial consult with wife as surrogate; This is in line with his previous expressed wishes POLST: Will complete if/when he discharges from the hospital Advance Directive / DPOAHC: Wife Janis is surrogate   -Palliative care to continue to provide support to patient and family -Will continue to address goals during hospital journey -Plan to reach out to Janis again on Friday, unless clinical status changes

Consults by GENEVIEVE O'SULLIVAN, MD at 04/26/21 1012

Consult Orders

1. Inpatient consult to Palliative Care [65148291] ordered by Simita Singh, MD at 04/25/21 0917

Palliative Care Consult   Reason for Consult: The Palliative Care service is consulted by Dr. Singh for goals of care.   Outpatient Medical Team: CHRISTOPHER CAMPBELL, PA-C   ID/CC/HPI: Mr. Hendricks is a 66 yo gentleman with AML. He has had a prolonged hospital course since admission on 4/8/21. He was admitted for management of presumed AML, with BM biopsy confirming it on 4/9. He started induction that was completed on 4/19. He had progressive respiratory decline between 4/10 - 4/12 and was intubated from 4/12 - 4/16. On 4/13 he was found to have cardiac tamponade he and he underwent a pericardiocentesis with drain placement. He required pressor support until 4/16, and then was transferred out of the ICU, only to return the next day for recurrence of severe colonic dilation due to Ogilvie syndrome. He had had issue with aspiration and ability to maintain nutrition and has been receiving TPN. He is pending reassessment of swallowing today, though assessment had previously been postponed due to his respiratory rate. On 4/19 he underwent a decompressive colonoscopy and and has required subsequent neostigmine which was successful.   On 4/25 he expressed to the ICU physician that he wants to be made comfortable and a meeting with palliative care was discussed.   I spoke with Dr. Smith today. She is taking over his oncologic care from Dr. Buckley and has reviewed his case and she had previously talked to his wife, Janis.   Palliative Care Discussion: Participants: Mr. Hendricks, Mrs. Janis Hendricks We met all together in Mr. Hendrick's room and it quickly became apparently that he was delirious and becoming distraught and paranoid while we were in the room. Janis and I made the decision to have the conversation out of his room.   When I had initially seen him in the morning, he was less delirius. He told me, "If I'm going to die, I want to go home and be with family." This was an unprompted comment. He was tearful. I had asked him if I could invite Janis in so we could all meet together and he agreed. When we met with Janis he was much more confused, saying several times, "They are all lying to you." He warned me not to listen to "them" and that they are lying to me and to him. He voiced he was very confused and didn't know what was happening.   Background/social history: -Retired right before COVID. They had been planning a cruise that was cancelled -Janis describes that Dennis was starting to become paranoid, though COVID was a conspiracy, and was having memory issues   Understanding/perspective of illness: -Her understanding was that he had a very good chance at surviving and recovery / remission. She voiced that the prognosis is "good" -She allowed me to voice my understanding of his prognosis from Dr. Smith - 20-30% do not survive hospitalization, that if he survives and is discharged will need three more cycles of chemotherapy for a chance at remission; 30% obtain remission. This is all barring making it out of the hospital, maintains a functional status that allows for chemotherapy -We discussed how there are a lot of hurdles right now - currently NPO with swallow eval pending, delirium, neutropenia, etc and that he will be in the hospital at least about 2 more weeks as we are awaiting hematologic recovery   Hopes -Janis wants Dennis to be able to participate in these conversations -We discussed delirium, that he may take days to weeks to recover and that his mental status may wax and wane and that based on how he is today, he cannot make decisions for himself   Acceptable quality of life:   Fears/concerns/worries: -She has been concerned about communication, not being able to visit Dennis, and not knowing everyone involved in his care -I provided a list of consultants and recent physicians participating in his care -Worried that he is not going to recover   Communication preferences: -Directly with her and Dennis, and to include Dennis as we can in conversations -She has zoomed with him several times   Past experience with serious illness/hospice: -She was her mother's DPOAH and had to make decisions regarding EOL care for her   Code Status: -She was not with Dennis when he changed his code status to DNR. -She reversed this when he was in respiratory distress -She believes he would want to be DNR/DNI if he had little to no chance of survival. -We discussed how CPR (chest compressions) is used when you heart stops, and this means you have died. If this were to be the case she believes he would not want resuscitation.     Review of Systems: A 12 point review systems was performed and negative except per HPI and Symptom above   History Medical/Surgical History: Reviewed in Epic Chart Social History: Reviewed in Epic Chart, for additional details see background / social history above in HPI Family History: Reviewed in Epic Chart   Home Medications and MAR reviewed Allergies reviewed   Physical Exam BP 112/75 | Pulse 103 | Temp 98.1 °F (36.7 °C) | Resp 24 | Ht 1.829 m (6' 0.01") | Wt 81.5 kg | SpO2 95% | BMI 24.36 kg/m² Gen: Sitting up in bed, tearful. HEENT: NCAT, pupils are equal and anicteric. Dry lips. Poor dentition. CV: RRR Pulm: Respirations are unlabored. Supplemental O2 via NC Abd: Soft. GU: Clear yellow urine MSK/Ext: Thin extremeties Skin: Pale. Warm. Neuro: Alert, oriented, forgetful. Psych: Attentive to conversation. Good insight.   Labs - Reviewed in Epic chart WBC < 0.1, ANC 0. CMP from yesterday reviewed. Cr 1.23, Sodium 153 , Albumin 2 Imaging - I have reviewed the following imaging reports and the images when pertinent: Xray Abdomen from yesterday reviewed.   Palliative Care Assessment and Recommendations Mr. Hendricks is a 66 yo gentleman with AML, with a prolonged and complicated hospital course since admission on 4/8. He is expected to still need around 2 weeks for hematologic recovery after his induction, though he still has many hurdles to cross before he discharges from the hospital. He has acute delirium, progressively poor functional status, and has been NPO with swallow evaluation pending. He seems to be improving after complications from Ogilve's syndrome. His prognosis is very guarded. His wife Janis expressed surprise at the prognosis I expressed today and needs time to process this as well as the myriad of other issues he is facing at this time. She is very supportive of him, and expressed wanting to honor his wishes, particularly hoping that he may be able to participate more in goals of care conversations in the days to come.   Goals of Care: Continue current level of care. We made a plan to check in over the next several days to see how he is progressing clinically. Code Status: Changed to DNR today with wife as surrogate; This is in line with his previous expressed wishes POLST: Will complete if/when he discharges from the hospital Advance Directive / DPOAHC: Wife Janis is surrogate   -Palliative care to continue to provide support to patient and family -Will continue to address goals during hospital journey -Changed code status today   Discussed with Dr. Singh and Dr. Smith today Thank you for this consult. Palliative Care Team will continue to follow the patient and provide support during this hospitalization

4-18-21- Dr. Buckley;

Assessment/Recommendations: 66 y.o. male with AML Monoblastic subtype, with critically illness at presentation and initiation of induction chemotherapy. He will complete his civi ARA-C in approximately 24 hours. This will complete his induction chemotherapy, and treatment recommendations are to continue aggressive care, treat and prevent infections, transfuse prn. He will remain pancytopenic for 2-3 additional weeks, and is at risk of bleeding, and infection during that time.

 

Tumor lysis labs are stable to improved.

 

Transfusion guidelines hgb 7.5 or less, platelets 10 or less. Irradiated, leukoreduced, pathogen free products. Today he will receive platelets in addition to 2 units red blood cells.

 

I would continue aggressive transfusion support, IV antibiotics, avoid suppositories if possible, try to get bowel moving from above.

 

4-15-21- Dr. Buckley;

Assessment/Recommendations: 66 y.o. male with a recent history of a type II NSTEMI who had what appeared to be a transient bicytopenia with self resolving neutropenia and very mild thrombocytopenia that was followed by 2 to 3 weeks of progressive constitutional symptoms and an elevated white count above 30,000 blasts on the peripheral smear review concerning for AML. Bone marrow biopsy and flow cytometric analysis of peripheral blood returned positive for AML with

monotypic differentiation. FISH for PML/RARA was negative.

 

Cytogenetics normal. FLT3-. Genomics pending currently appears to be standard risk.

 

#AML

-Today is day 6 of 7+3, day 3 of idarubicin held due to hemodynamic instability, cytarabine held for 2 days during severe hemodynamic instability and need for pericardiocentesis now restarted and on fourth day of administration.

-He is still on 2 pressors he was able to come off of Levophed at some point today but after diuresis for volume management which he responded well to in regards to urine output he had worsening hypotension and is now back on both pressors with Levophed and vasopressin.

-Access is by PICC line

-TTE showed a normal EF

-His LDH is downtrending, his phosphorus is up trending secondary to lysis and acute renal failure

-His renal failure secondary to leukemia and ATN, responded well to a diuretic challenge today. Currently not needing dialysis.

-Plan to continue broad-spectrum antimicrobial coverage until he is no longer neutropenic. Currently on acyclovir, meropenem, and posaconazole

-His lack of improvement in mental status during sedation vacation today is somewhat concerning, does withdraw to noxious stimuli

-Continue standard transfusion threshold with hemoglobin of 7.5 or less, platelets 10 or less spontaneously, 20 unless febrile, as needed if bleeding.

-He will need irradiated packed red blood cells due to his neutropenia

 

Prognosis continues to be guarded but his intent of treatment is definitive in nature with a prognosis measured in years if he is able to recover from acute events.

 

4-13-21- Dr. Buckley;

Assessment/Recommendations: 66 y.o. male with a recent history of a type II NSTEMI who had what appeared to be a transient bicytopenia with self resolving neutropenia and very mild thrombocytopenia that was followed by 2 to 3 weeks of progressive constitutional symptoms and an elevated white count above 30,000 blasts on the peripheral smear review concerning for AML. Bone marrow biopsy and flow cytometric analysis of peripheral blood returned positive for AML with monotypic differentiation. FISH for PML/RARA was negative.

 

#AML

-Today is day 4 of 7+3, day 3 of idarubicin held due to hemodynamic instability cytarabine also held initially. His hemodynamics have improved with the interventions today including pressor support, intubation, pericardiocentesis. We will plan to continue continuous infusion cytarabine. If he is able to improve and come off of pressors we can consider adding in his last day of idarubicin.

-White blood cell count 4.5 he is now neutropenic with an ANC of 0.9 hemoglobin stable at 8.6 platelets low at 20

-Access is by PICC line

-TTE showed a normal EF

-His LDH is downtrending, his phosphorus is up trending secondary to lysis and acute renal failure

-Urine output continues to worsen. Think there are certainly some contribution from infiltration from AML potentially also some ATN from his hemodynamic instability.

-Plan to continue broad-spectrum antimicrobial coverage until he is no longer neutropenic. Currently on acyclovir, meropenem, and planning to add posaconazole for prophylaxis due to his anticipated long-term neutropenia.

 

Prognosis continues to be guarded. His hemodynamics have improved throughout the day after his pericardiocentesis. His LDH continues to downtrend his overall burden of AML should be improving. Hopefully he is passed the initial severe inflammatory response from the degranulation process secondary to his aggressive leukemia and also the cytotoxic effects from his chemotherapy on his leukemia. Updated his wife today regarding the details and an additional 30-minute advanced care planning conversation.

You Are So Beautiful

It seems only yesterday, Janice and I were married in Coulee Dam. We have so many good memories that are turning to Gold. I am so thankful for Janice putting up with me. I am so blessed having Janice as my best friend and helpmate. I am thankful for the many examples we had to follow, and the support, prayers and teaching we have had along the way. I am thankful that God ordained and created marriage between one man and one woman. This video was made a few years ago. No two people are truly compatible- It also takes committment. It takes work and I owe so much to Jan for this Day of Celebration. You Are So Beautiful and I Love You so Much. Happy Anniversary Janice.

You Are So Beautiful (Jan) by Joe Cocker - YouTube

God In This City

32 years ago I heard on radio they had an opening on East Wenatchee City council- and I was one of two, to put in for it, and on todays date, March 6th, 1989, I was sworn in as councilmember. It has been 9 years since I served, but it was a fun 22.5 years. I did not know I would be paid for it, I just thought it could help on my job resume. Think my first controversial decision was to replace the finance directors elected position with a mayors appointee. Second decision was probably to build a new city hall- the converted gas station where Cedars now sits- had a dangerous entrance and was very crowded. I remember a split vote when some wanted to spend our funds on buying a modular for police dept. instead of waiting to push for new city hall. I won that vote and the city hall is one of the most proud items I was involved in. (and it is paid for) It was a controversial decision was who to take over as police chief.  I lost in decision of  tearing the Franklin House down to build the link transfer center. I consistently voted no on the sprint boat races and wish I would have voted no on allowing city to join PFD to build Wenatchee's arena- we were promised they would not come back to us asking for any funds if we simply joined so a portion of sales tax would come back to them. I was successful to repeal the utility tax- only to have it reinstalled. Most of the time I was successful in voting down the 1% property tax yearly increases- our city paid less in property taxes than county residents based on equal comparisons and greatly helped us annex years ago.

We lost 4 to death while serving- I greatly miss Jan Nash and Ralph Aiken who were excellent council members that I leaned on greatly.   We also lost Randy Webly, a police officer, who I graduated with in Coulee Dam in 73 with my wife and I. And Peggy McArthur passed away, she served on city council with me, and also was elected as finance director before I came on. In the past 8 years, we also lost Mayor McGraw, Sandra McCourt, George Buckner, Virginia Oestreich, and Larry Frack, while Dawn Collings and Chuck Johnson have moved out of the area to be near family. 

Some may ask why  22.5 years and an odd number of years? That is due to I changed my council seat in 90’s, and ran for a 2 year position instead of my 4 year position- and of coarse I had to run the following November that I was appointed. I regret running against a fellow council member, but wanted to know what  people felt, as well as if you run un-opposed, no one will bring out the issues.

I served under 3 mayors- Mayor Lacy was patient with me and we knew where each of us stood, but I also remind you of his giving heart- when we had a fire in our house, he offered me use of one of his houses to stay in! We had a great council- Harry Raab is only council member still serving when I was there.  There are only several employees still there that I worked with and the new mayor is doing a good job. I thank the citizens who attended city council meetings- that is so important and helpful. I need to thank my family and employer for allowing me the time to devote to city council. I had several good friends who I could bounce things off and I trusted. 

The city had less than 1,000 population when I took office, it now has over 15,000 I think. We had no unions, and think the police had 7 in police dept. and only five council members then instead of our seven we now have. I used to have minutes from 1989- but they were destroyed in our house fire several years ago. It would be interesting to compare wages and the number of employees  comparing between 1989 and now.

I am amazed how few  people contact elected officials but will instead complain to paper or friends. City council is like raising teenagers- you need to look at all sides of the story,- and sometimes, the story you are given can be slanted to benefit  the teenager. And you are a councilmember and not the friend who you wish you could be at times as well. 

I thank God- for his help and allowing me that opportunity to serve. I would pray silently before most meetings and never understood why I was placed in that position when there are so many more qualified people out there who he could have used and would have done a much better job. Remember, God used a mule in the Bible to get his message out.

I thank the public for putting up with me- never sure if they voted for me, no one else wanted it, or voted against my challengers?  It was a great time- thank you. And I have no plans to return nor do I really miss the stress. Many decisions were already made for you per federal laws and the title of politician keeps going down sadly- it got so I would seldom tell anyone what I did.  

 God In This City by Chris Tomlin - YouTube

I'm A Nut

I am so blessed because of the lives of so many others. This past year as been so different than imagined- but again- God has been so good to me. I know you think I would place a favorite southern gospel song here today and perhaps this will be one of the songs played at my funeral?- This was a Leroy Mullins song from 1966- his only hit and a song often misattributed to Roger Miller (including me when I made it 10 years ago)- who never recorded this song. Leroy Mullins died of a heart attack at age 44 in May 1984

Today's mighty oak is just yesterday's nut, that held its ground.

What's the difference between beer nuts and deer nuts?
Beer nuts are $1.50 and deer nuts are under a buck.


When you are sad,
And feeling blue,
Just Remember the Giant Oak Tree,
Was Once a nut like you.

I'm a Nut (Dennis) by Leroy Pullins - YouTube

Moments To Remember- 2020 Review

In 2015 I created my first year end video reviewing photos I had taken and the date attached. Perhaps the hardest part is choosing the song, preferably  about memories. This year I chose a 1955 song called Moments to Remember originally sang by the  Canadian quartet, The Four Lads. My favorite singers were The Statler Brothers and the Lettermen that are featured on this video.  I hope 2020 was a good year for you with lots of memories. I am grateful for those who made it so special for us. I have no idea what next year holds- but I know who holds the future. God may have you still here as someone needs you. He could also meet us in the air this year. Be ready.

I must pause to thank those who made an impact on my life and went home during 2020. None of us know when our time is up down here.

I was able to attend service of Larry Weston, who died at age of 69 from cancer. He was my boss at wsdot and a role model for me.  I also lost my longest neighbor, Mike Doherty, we would visit in backyard so often. Don Crowell was a former church board member, and Larry Trapp I knew from my WUTC days. None of these died from covid.

Here are some other people who I never met, but impacted my life;

George Alex Trebek,  a Canadian-American game show host and television personality. He was the host of the syndicated game show Jeopardy! for 37 seasons from its revival in 1984 until his death in 2020. 

Christian singer, songwriter, and comedian, Aaron Wilburn passed away November 27, 2020. Born July 9, 1950, in Ardmore, AL, Wilburn began his career as a member of the Happy Goodman Family. Throughout Aaron's five decades of songwriting, he either wrote or co-wrote many of Gospel music's most beloved songs, including "Four Days Late," "Home," "It Won't Rain Always," "That Sounds Like Home To Me," "What A Beautiful Day (For The Lord To Come Again)," and dozens more.

Gary McSpadden was a renowned gospel singer and a member of the Gospel Music Association Hall of Fame. He was a member of the Oak Ridge Boys from 1962-1963, and went on to a career with other top gospel groups of that era including the Bill Gaither Trio and the Gaither Vocal Band. McSpadden died on April 15 at the age of 77 after a battle with cancer.

Harold Reid shot to fame as a member of the Statler Brothers. The bass vocalist and comedian died on April 24,2020, after battling kidney failure. Reid was 80 years old at the time of his death.

 Kenny Rogers died  on March 20 in Sandy Springs, GA. According to his family,  "passed away peacefully at home from natural causes under the care of hospice and surrounded by his family." 

Charley Pride  the first Black singer to join the Grand Ole Opry,  died on Dec. 12, of COVID-19 complications. He was 86 years old.

Mac Davis, the writer of Elvis Presley's "In the Ghetto" died at the age of 78 on Sept. 29, just one day after news broke that he was critically ill after undergoing heart surgery in Nashville.

Charlie Daniels died on July 6 after suffering a hemorrhagic stroke. He was 83 years old.

moments to remember -2020 Review - YouTube