Glad you are finally diagnosed and improving again. It is also unfortunate although impressive that you had to go on a cruise and get seriously ill to get the correct diagnosis and treatment. Many of us had similar experiences but today many more doctors are familiar with GPA so it is generally easier to get a correct diagnosis before so much damage is done. Adjusting to the damage can be along term process as you work to recover. Treatment is much better today so prognosis for recovery is also much better.