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Duke

Thursday, January 13, 2005 6:25 PM CST

Heard from Dr. Friedman at Duke today. He is *the* BT guy in the US. He said for Dave to have this next round of carboplatin then get an MRI and send him the scans and he'll help us with the next step. I feel soooo much better having him on board.

The gamma knife board reviewed Dave's scans and they are certain that the enlargement on the scans represents new growth. He said one of the larger lesions may have necrosis in the middle of it, but that overall the scan shows progression of the tumor.

The UW tumor board reviewed Dave's scans yesterday to see about adding another agent to the current chemo and to check the possibility of more surgery. The gamma knife guy (Dr. Rocklin) didn't think that surgery would be an option due to location of the tumor. He also said that more gamma knife is not an option because the growth is too big. And besides, obviously the gamma knife didn't work.

So, pray that this carboplatin is doing its job. Dave has been pretty ill, he's very nauseous all the time and is very tired. He's falling asleep at every chance. How he works at school all day I'll never know.

His next infusion is scheduled for the 20th, we'll schedule an MRI for shortly after that. Meantime, keep up that most powerful weapon in our arsenal...PRAYER!

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