2-26-2010 Pam has not received a report from the biopsy of the tumor on her liver. Tissue specimens will be analyzed by a lab for molecular structure which may lead to another form of treatment.

Meanwhile, Pam will visit Moffitt Cancer Center in Tampa next week to promote assignment to a cancer trial which features treatment with avastin. We considered treatment with avastin last year, but opted to continue with chemotherapy. Now that chemo has not been successful we will look at an alternative treatment. Avastin works by blocking blood flow to the cancer cells, but there are potentially dangerous side effects in the intestinal area. It apparently has not been used extensively for cancer of unknown primary.

Pam continues to deal with abdominal pains, and lack of energy and appetite with courage and hope. She did very well on a trip to Orlando for a visit with my brother and his wife. The opportunity to travel for fun really appealed to Pam.

We ask you continue to pray for healing. May God bless you all!