4/23/2009 - Pam was scheduled for a chemo treatment today but her doctor was concerned about her lack of strength and her recent problems with nausea, irregularity and fluid accumulation. He felt her condition would have been markedly improved if the chemo were working as planned. It appears that the chemo treatments have had the opposite effect and have diminished Pam's quality of life.

Our plan is to evaluate the extent of the cancer beginning with a CAT scan next week. We should also have the results of the CA125 cancer marker blood test taken today. Although the cancer markers have decreased over the past several months, the test results are not conclusive.

The choice of further chemo therapy is generally up to Pam. Since the three different treatment plans targeted for this cancer have been rather unsuccessful, any new plan would tend to introduce more toxicity in her body. Any treatment plan decision will be carefully weighed.

Although Pam's spirits are down a bit, she remains optimistic for a successful treatment. She continually thanks all our friends for the prayers, expressions of concern, support, and personal success stories.