2/13/2009 Pam had her first chemo since consulting at Sloan-Kettering. After considerable evaluation of Pam's cancer condition with Sloan Kettering and Pam, Pam's doctor recommended continued chemotherapy with Gemsar, the same chemical infused over the last eight treatments.
If Avastin were used at this time to starve the cancer cells along the abdominal wall, drainage of any accumulated fluid in the abdominal area would be extremely risky and could result in perforations in the intestines. Since Pam was drained of over 7 liters of fluid a week ago, the possibility of continued fluid accumulations is possible. Consequently, Dr. Iannotti will be prepared to treat this condition without extreme risk should it become necessary.

Pam's cancer is not concentrated in one location, so the Gemsar is designed to treat the upper GI area , as well as the uterine area. If this does not work, an alternative plan is ready. Gemsar seems to be the chemical which provides Pam the most comfort after infusion, despite the fluid accumulations. We remain encouraged that the CA 125 marker went down last time and a recent cytology report of the drained fluid showed no cancer cells.

Pam continues working around the cancer and keeping active as much as possible. She still experiences periods of weakness and lack of energy and does well to tolerate and overcome those symptoms.

We really are encouraged that Dr. Iannotti's assessment of Pam's treatment plans are consistent with those suggested by Sloan Kettering. The most effective factor in helping Pam is the support, love, and encouragement provided by friends, family, and the faithful members of our church.