10-13-2009 Pam was very happy she was able to have chemo yesterday. Her white cell count was acceptable, but she does not have an explanation for it. Having chemo this week is very important because we will be traveling from October 19-27 on a cruise to the eastern Caribbean. Pam's oncologist fully supports her travel and he will give her a shot to help stabilize her blood count.

Pam's CT scan has been rescheduled to Friday, October 16th. Since Pam is connected to an infusion chemo pump until tomorrow, rescheduling was the more efficient approach to undergoing the scan.

Pam has been feeling stronger recently. She continues to be active in the church and community choirs and related musical activities.

We believe your prayers and support are responsible for her renewed energy level and Pam' s own determination and optimism to master the cancer. May God bless you all!

10-8-2009 Pam did not ahve chemo yesterday because her blood test showed a low white cell count. Last week the platelets were the problem, but the platelets count was acceptable this week.
Pam is a bit discouraged because there is no real method for increasing the white cell count and she has not had chemo for several weeks. She will try to have chemo again on Monday, October 12th, She is still scheduled for a CT scan on Tuesday, October 13th.

10/2/2009

Pam consulted with her oncologist today to discuss the treatment plan. Her doctor was pleased with here overall appearance and and her positive attitude. He made adjustments to her pain medication to help alleviate the shifting abdominal pains and scheduled a CT scan on October 13th. Her last CT scan was completed in April. She also learned that the toxicity of the chemo affects the blood and no way to ensure sufficient white cell or platelets counts is available.

Pam's doctor had submitted tissue samples from her initial biopsy to a lab for cutting edge tests related to cancer of unknown origin. The tests were designed to analyze the molecular structure of the tumor and help ascertain genetic influences related to the cancer. We learned the tests were not conducted because of an inadequate tissue samples. No plans for an additional biopsy have been discussed.

This weekend will be one for relaxation. We plan to visit the Orlando contingent of our family to watch grandson Jonathan play soccer. Our church will celebrate Worldwide Communion Sunday and the choir will contribute greatly to the service.

Thank for all your prayers and blessings.

10/1/2009 Pam was extremely busy this past week, starting with directing the sanctuary choir on Sunday. She was the substitute director at the rehearsal of the ensemble section of the Treasure Coast Community Singers on Monday. On Wednesday, Pam worked with the children and directed the sanctuary choir rehearsal. Pam certainly enjoyed doing what she loves.

Pam was unable to have a chemo treatment on Wednesday because of a low white blood count and a low platelet count. There seems to be nothing Pam can do to ensure a good blood count. She has eaten well, maintained a steady weight, and experienced little, if any, pain. Pam will meet with her oncologist tomorrow and go over her overall treatment plan. Meanwhile, the next chemo is scheduled for October 7th.

Tuesday, September 29th, was Pam's birthday. She ordered a shrimp po'boy with all the trimmings at a Cajun restaurant. It had been a long time since rich food appealed to her. Our children made certain the house was festive with beautiful flowers, balloons, and carrot cake, Pam's favorite. We also had a earlier weekend celebration at the home of good friends where Pam enjoyed a gourmet meal and a delicious homemade carrot cake. Pam was very happy on both occasions and showed no ill effects from the cancer.

Pam has been able to do what she loves because of the prayers, support, and encouragement of all our friends. may God bless you all.

9/24/2009 This is an off week for chemo and Pam has taken full advantage of increased energy and activities. Pam and our daughters Beverly and Tammy hosted a 40th birthday party for our daughter Diane on the 21st. She sang with the community singers on Monday and the church choir on Wednesday. Pam is looking forward to leading the sanctuary choir on Sunday and optimistic that she will have the necessary stamina to direct. She still experiences frequent episodes of chemo effects varying from feeling hot and cold, numb feet, cold toes, and abdominal discomfort. Fortunately, she has learned to minimize those effects.

Pam is most thankful she is still able to be active in church activities, being a part of the lives of our children and grandchildren, and renewing acquaintances from years past. Your prayers and support have sustained Pam and me.

9-17-2009 Pam has been active these past few days. She presented the childrens' sermon on Sunday and worked with the children at our church family night yesterday. In addition to singing with the community singers group and the sanctuary choir, Pam has set aside time to shop for herself and family members and work on many needlework projects.

Pam had chemo yesterday. Despite the effects of the basic treatment and the fact she is attached to a supplemental portable infuser pump for two days, she remains upbeat and positive. She is an inspiring example of the power of hope and prayer.

God bless all our friends for continuing support.

9/11/2009 Pam was quite relieved to learn that the CA125 test had a cancer marker of 48. Her previous score was 47, yet she has had only one or two chemo sessions since then. This news really helped Pam deal with the lack of energy and appetite she has endured since the last chemo on August 31st. She is ready to ring handbells as a substitute in church this Sunday.l

The next chemo treatment is set for September 16th.

We thank you for many prayers and expressions of support for Pam' healing.