1-3-09 Pam had her fourth chemo treatment in this round of eight yesterday. Although her hemoglobin count was marginally low, her doctor gave the okay for treatment. The next procedure will take place on the 5th when the fluid accumulation in Pam's abdominal area will be drained. This was not unexpected because her doctor indicated the effectiveness of this chemical in killing the cancer cells in the lymphatic system may not be properly evaluated until near the end of the current treatment plan.

Pam's doctor has scheduled a referral to Memorial Sloan Kettering Cancer Center in New York City for February 2nd. We have an appointment with a medical oncologist specializing in gynecological cancers. Pam's cancer has been categorized as uterine cancer for purposes of the referral for further tests and evaluation.

Pam's spirit has been uplifted by all the kind and supportive letters, cards, and prayers from our friends-those that we know personally and those who know us through others. She has done extremely well in maintaining a positive outlook while dealing with pain and lack of energy. Thank you for your love and continuous encouragement.