4/10/2010 -Our visit to the Mayo Clinic in Jacksonville enabled us to review all of Pam's treatments and test results. The doctor was thorough, spent a lot time with us and seemed genuinely concerned for Pam and her condition. Regardless of the source of the tumor, which apparently was the gall bladder and bile duct, the chemotherapy treatments administered over the past two years were the ones that would have prescribed if the origin had been identified in the first place. The six different chemo treatment protocols Pam received were systemic to the whole abdominal area. It seems the cancer was rejecting the treatments that science and research have shown to be effective. The conclusion is that the treatments were consistent with the information made available through the various test results. The tumors are so wide spread that any surgery or radiation is not possible, and this decision is consistent with earlier conclusions regarding surgery.The tumor is pressing against Pam's stomach which is causing her lack of appetite and feeling of fullness after a small amount of food.

The Mayo oncologist spoke briefly about some options that may be available, as follows: hormone therapy, oral chemotherapy, a feeding tube, and use of the drug avastin that starves cancer cells of oxygen. He will have discussed these options with Pam's local oncologist when we meet on Monday, April 12th. Meanwhile, Pam is struggling with pain management, lack of energy, and poor mobility.

We thank God for your prayers, concern and support.