October 28, 2013
So do not fear, for I am with you
Do not be dismayed, for I am your God
I will strengthen you and help you
I will uphold you with my righteous right hand
In general, Madeleine has been more tired and weak - which is really hard for someone who is so used to being active. Some of that is the result of needing to be on medications for pain, taking new medications, and having a reduced appetite - along with low hemoglobin. She is working to concentrate all her efforts into fighting cancer, keeping up her appetite, and trying to stay on top of the symptoms she is experiencing.
Last week, Madeleine received a nice package in the mail from her NIH doctor, Dr. Payabyab, along with a very kind note. Dr. Payabyab came out to San Francisco last weekend to run in the Nike Women's Marathon and was presented with a "finisher's necklace" from Tiffany & Co. at the end of the race, which she sent to Madeleine. What a blessing to receive such a nice note and gift. Dr. Payabyab has been very helpful in follow-up since Madeleine finished treatment at NIH - she has continued to respond to email questions, which has helped us bridge the gap while waiting to get started with this next treatment.
Lots of appointments this week! Today, we went down to UCSF for an exam, and then tomorrow we will be there again for an ultrasound-guided biopsy of her neck that is required by the trial (it wasn't possible to schedule both on the same day). Then Wednesday afternoon is an appointment with Madeleine's local oncologist, Dr. Andersen.
Please keep Madeleine and her family in your prayers - thank you so much for all of your support and concern.