Hello Lou 

Hopeful you are ok and your keep well with your fight. 
My dad currently was diagnosed with metastatic melanoma stage 4 spread pretty everywhere- mainly brain, lungs, liver, abdominal and lymph nodes. Also, he has lumps under the skin. He is on palliative care and We just after first dose of ipi/nivo. Oncologist said that the most masses are located on the liver. If the results of blood for liver won’t be bad he will be carry on with immunotherapy. He had told he will receive 4 cycles of double immunotherapy following mono immunotherapy with will be nivo. 
My dad had melanoma back in 2016 which i believe was stage 1 or 2 which only spread to lymph nodes under armpit with was cut and he had couple of radiotherapy back then to kill remaining cancer cells. He had 5 years control following 3 years of be „clear” and back as advanced stage 4 metastatic melanoma… started back in July when he was going to gp with stomach pain but back then they treat him for anything else but they did not check for the melanoma. Till lumps shown on the skin (mid October) we did not know that it back. Then he developed short paralysis in right arm and went to Emergency to check if is not seizures. They did xray scan which shown masses on the Liver. Since then all get to diagnosis. Now we pray Dad will respond well to immunotherapy and he will back to normal function. At this moment he is very tired, weak, short of breath after small walk, pain in right side from Liver and trouble with sleeping. 

sorry for the long post and hopefully your journey is positive so far

Hello Lou 

Hopeful you are ok and your keep well with your fight. 
My dad currently was diagnosed with metastatic melanoma stage 4 spread pretty everywhere- mainly brain, lungs, liver, abdominal and lymph nodes. Also, he has lumps under the skin. He is on palliative care and We just after first dose of ipi/nivo. Oncologist said that the most masses are located on the liver. If the results of blood for liver won’t be bad he will be carry on with immunotherapy. He had told he will receive 4 cycles of double immunotherapy following mono immunotherapy with will be nivo. 
My dad had melanoma back in 2016 which i believe was stage 1 or 2 which only spread to lymph nodes under armpit with was cut and he had couple of radiotherapy back then to kill remaining cancer cells. He had 5 years control following 3 years of be „clear” and back as advanced stage 4 metastatic melanoma… started back in July when he was going to gp with stomach pain but back then they treat him for anything else but they did not check for the melanoma. Till lumps shown on the skin (mid October) we did not know that it back. Then he developed short paralysis in right arm and went to Emergency to check if is not seizures. They did xray scan which shown masses on the Liver. Since then all get to diagnosis. Now we pray Dad will respond well to immunotherapy and he will back to normal function. At this moment he is very tired, weak, short of breath after small walk, pain in right side from Liver and trouble with sleeping. 

sorry for the long post and hopefully your journey is positive so far