11-2-08 Pam had her fifth chemo treatment last Thursday, the 30th. Her hemoglobin count was higher than she had after the transfusions two weeks ago. It seems the 8-treatment schedule is taking a long time and we are anxious to learn the effectiveness of the treatments. We hopefully will get results from a cancer marker test this week to tell us if the topotecan chemicals are working. Pam will undergo CT and PET scans after the final treatment so her doctor will be able to assess the entire chemo procedure.

Pam has little sustained energy now and gets tired easily. That did not stop her from delivering Thanksgiving baskets to her clients last week or singing in the two concerts of the Treasure Coast Community Singers this weekend. She is determined to balance the effects of the chemo and her diabetes to remain active, albeit at a slower pace than she is accustomed to.

We feel the comfort and support of all your prayers, thoughts and wishes during this time. Pam is doing her very best to beat this condition and sends her love to all.