1-13-2009 Pam has had a rough time for the past two weeks. She has had little or no appetite while experiencing abdominal discomfort and frequent constipation. These conditions have affected her energy level, yet she has been able to sing with her choirs and lead the bell choir practices.

Pam is scheduled to meet with her oncologist this week and have a chemo treatment on Friday. Her blood work has been acceptable recently and should not affect her scheduled chemo. We continue to search for clinical trials that Pam may qualify for participation, but her diagnosis has ranged from ovarian to cancer of unknown origin. Chemo treatments targeted for many different types of cancer have not yielded marked improvement, but we hope the current treatment with Doxil will provide results.