Thanks for your reply. Yes, things are much better since my second Rituximab treatment. Every problem vanished days after my infusion. I was shocked to hear that you got the diagnosis after the kidneys and not initially from the lungs. That happened to me back in 2009 when GPA was only suspected but not confirmed. So I too, got my diagnosis after the kidneys were on fire but I was initially treated with cyclophosphamide. Rituximab was approved 3 months after my last chemo dose. LOL Glad to hear you're doing better than me. My goal is to not need treatment more than once per year, but, it's based on overall assessments by doctors, I know.