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Tue, 13 Apr 2004

Huntsman Cancer Institute

Howdy there. It's Tuesday night and I thought I'd give ya' a quick update.

Last week on Thursday morning I talked with our BMT team and asked for a sarcoma specialist and they told me of a woman at Huntsman Cancer Institute (HCI). I called that afternoon to get the ball rolling, knowing they'd probably be three weeks out for an appt, but they called me back that evening and said if I could get all of Jade's records and documents faxed to them by Fri afternoon they would be able to see us on Monday the 12th. That's no small stack of info but I was able to get it all done and we went yesterday to meet with Dr. Albritton at HCI. She was extremely intelligent and had a very personable demeanor.

Dr. Albritton gave us four options to pursue. None of these specifically target DSRCT but they are being used on Ewing's Sarcomas and having some positive results. DSRCT and Ewing's are like "cousins" in a cancer family tree so they would hope it would have positive results for Jade.

The first two are clinical trials going on in Denver and in Houston (at MD Anderson) and the other two would be chemos available here in SLC at HCI. The first clinical trial is a basic chemo done as a one hour, five day infusion every twenty-one days. The second clinical trial is actually an oral pill with minimal side effects but you have to test positive for a specific marker on a molecular analysis to see if you would respond. MD Anderson has Jade's pathology slides and we're contacting them to see if they can do the molecular test there and if not we'll have to wait till they're done with the slides and have HCI conduct the test here.

The second two options are two different regimens of chemo, one being more intense with greater side effects and the other less so. We would be able to decide which to try first and if it didn't help we'd switch to the other.

Dr. Albritton recommended not doing surgery yet since Jade isn't experiencing intense symptoms yet. This way we will be able to watch on CT scans if there's any tumor shrinkage and always save surgery as a later option to debulk before it starts to invade organs. Dr. Albritton was honest with us and said there's obviously no silver bullet or magic wand for DSRCT but if we can lengthen out life expectancy with good quality of life then it's worth a shot.

If Jade can take the oral chemo we wouldn't need a central line put in but otherwise we'll be looking at putting a catheter back in his chest in the next couple weeks. We are still planning on going to MD Anderson the last of April to see what they recommend.

Jade and I felt good about the consultation on Monday. One positive sign was when we got to the car, I didn't immediately start bawling. That's good. At least it's a start. We're enjoying the rest of this week not having major medical stuff to do. We planted most of the garden last night and will celebrate our ten year anniversary on Thursday. Yes, for those of you who remember from last year's email, we were crazy enough to get married on tax day. April Fool's Day just didn't work out so we went for Tax Day. (Yes, we always file early in Feb to avoid spending our anniversary with the IRS.)

With so much unknown I (we) are trying to focus on enjoying the moment and seeing what's good about today. When people ask me how things are going I notice myself saying, "Today's ok/good so far." Nobody I know has the luxury of honestly saying, "Things are great!" Short term or long term nobody gets away from the headaches or heartaches of life. With so much uncertainty I'm trying to concern myself with the process rather than the outcome. Some days are easier with that idea than others though.

Boy Howdy - this is quite the email. Must have needed some catharsis tonight. At least you can just hit delete if it's a bit much and I wouldn't blame you! Thanks for your friendship and kindness. We are so fortunate. Jade was commenting as breakfast "what did we ever do to deserve such amazing friends and family members?" We are very lucky. Thank you!

We'll keep you posted on Jade and how the peas are doing in the garden! Take care............

Much love.........................Tanya and co.