10-31-2009 The cruise is over and we are back to the routine. Pam had a CT scan on Wednesday and met with her oncologist yesterday. Pam was down after learning that the scan showed the cancer may be spreading. Some lesions were found on both lungs and the report hinted that they may have been obscured by effusions on previous scans. Some enlarged lymph node lesions were noted in the mid-mesentery area and one on the liver has slightly increased in size. The ascites has decreased around the abdominal area.

Despite the report, Pam's doctor was pleased with her color, energy, and overall appearance. He will change the chemo treatment to doxil. Pam will undergo a muga scan (x-ray of the heart) to verify she can tolerate doxil, which may affect heart tissue .

We have been blessed by the support of all our friends and ask for your continued prayers for Pam's healing. God bless all of you.