5/5/2009 Pam had 11 pounds of abdominal fluid drained on Friday, May 1st. She felt much better and and a bit more energetic. Pam's sister and our son visited and we had many searching questions about the nature of Pam's cancer,, especially the meaning of lower CA 125 scores and the apparent spread of the cancer to the mesentery, the connective tissue joining the intestine to the peritoneum, as reflected on the CT scan. We prepared a list of questions and "what if's" for Pam's doctor to help us decide our next steps.

We looked into the possibility of clinical trials which focus on cancer of undetermined origin, alternative chemo treatments and possible referral to another cancer center for another opinion. After consultation with her doctor, Pam has opted to begin the new chem treatment classified as 5FU tomorrow. The plan calls for 4 to 6 treatments two weeks apart. Each treatment will take two days to complete-day one for actual infusion of the chemo and 2 days of residual infusion of other chemicals through a pump the size of a cell phone. This treatment will target the abdominal area,

For the next two months or so, Pam will stick to this treatment plan. At the completion of the plan, she may opt for a referral or other consultation, but we remain optimistic some evidence of controlling the cancer will be realized.

We thank you for your continuous prayers, love and support during the past year of cancer treatments. May God bless you, all!