10/2/2009

Pam consulted with her oncologist today to discuss the treatment plan. Her doctor was pleased with here overall appearance and and her positive attitude. He made adjustments to her pain medication to help alleviate the shifting abdominal pains and scheduled a CT scan on October 13th. Her last CT scan was completed in April. She also learned that the toxicity of the chemo affects the blood and no way to ensure sufficient white cell or platelets counts is available.

Pam's doctor had submitted tissue samples from her initial biopsy to a lab for cutting edge tests related to cancer of unknown origin. The tests were designed to analyze the molecular structure of the tumor and help ascertain genetic influences related to the cancer. We learned the tests were not conducted because of an inadequate tissue samples. No plans for an additional biopsy have been discussed.

This weekend will be one for relaxation. We plan to visit the Orlando contingent of our family to watch grandson Jonathan play soccer. Our church will celebrate Worldwide Communion Sunday and the choir will contribute greatly to the service.

Thank for all your prayers and blessings.