Hi toolmanmatt! Sorry to hear about your difficult journey, but glad you have a diagnosis now. Always the first step to recovery.

I was on Cytoxan for a year, then Methotrexate for two before reaching remission. Had my baby, which caused me to go back on Methotrexate for another 1.5 years. When I was diagnosed, the other options weren't approved by insurance yet, that is why i went the chemo route. It was approved shortly after i started Cytoxan. Mine was pretty advanced when i was hospitalized, but i never had kidney involvement, only sinus and lung (I use the term "only" very loosely)

Stay positive, there is a light at the end of the tunnel somewhere. This forum helped me so much when i was diagnosed. Hope you start healing soon!