4/2/2010 We finally have the results of the tests of Pam's recent liver biopsy that were conducted by a lab in Arizona. The report indicated the primary tumor site is the gallbladder, while the specimen site was the liver. These tests were conducted because no definitive primary site had been established. Some of the treatment agents associated with this type of tumor have already been administered without success. We also had hoped for a DNA micro-array but the test could not be performed due to insufficient tumor present in the specimen.

The test specimens will also be evaluated by the pathology clinic at the Mayo Clinic in Jacksonville. We do hope our visit to the Mayo Clinic on April 8th will result in a thorough review and an effective treatment plan. We canceled our planned trip to the Moffitt Cancer Center G-I department in favor of the Mayo Clinic.

Pam's oncologist seemed to be in favor of the cutting-edge lab work that we just received. This was a real comfort to us.

Meanwhile, Pam is experiencing problems with appetite, energy and nearly constant pain. She has been unable to participate in the Easter music programs this week, but will make every effort to sing on Easter.

We treasure your prayers and blessings and wish you a Happy Easter.